Whiteville City Schools Benefits Guide 23-24PY

Page 6

IMPORTANT NOTICES When do my benefits start? The plan year for Spending Accounts, Colonial Insurance products, Colonial Group Term Life, and Superior Vision runs from September 1, 2023 through August 31, 2024. The plan year for Sun Life Dental runs from October 1, 2023 through September 30, 2024. When do my deductions start? Deductions for Spending Accounts, Colonial Insurance products, Colonial Group Term Life, Superior Vision, and Sun Life Dental start September 2023 for all eligible employees. Why have my Cancer, Accident, or Medical Bridge benefits not started yet? The Colonial Cancer plan and the Health Screening Rider on the Colonial Accident and Colonial Medical Bridge plan have a 30-day waiting period for new enrollees. Coverage, therefore, will not begin until October 1, 2023. What is an EAP? Your Group Term Life coverage includes Health Advocate Employee Assistance + Work/Life Programs. An Employee Assistance Program (EAP) offers confidential support and resources for personal or work-related challenges and concerns. Please see the Group Term Life pages of this benefit guide for more details and contact information. How do Flexible Spending Account (FSA) funds work, and do my FSA funds have to be used by a specific deadline? Flexible Spending Account expenses must be incurred during the Plan Year to be eligible for reimbursement. Failure to use all allotted funds in the FSA account by the deadline will result in a “Use It or Lose It” scenario. After the plan year ends or the employee’s termination date, they have three months to submit claims for incurred spending account expenses. If employment is terminated before the plan year ends, the flexible spending account(s) also ends, and any unused funds are forfeited. Additionally, for a married couple, if one spouse contributes to an HSA, the other cannot enroll in a Medical Reimbursement FSA simultaneously. How do DCA funds work? When do my DCA funds have to be used by? Dependent Care Accounts (DCAs) are like FSA accounts and allow you to request reimbursement up to your current balance. However, you cannot receive more reimbursement than what has been deducted from your pay. It’s important to note that any remaining funds in your DCA account must be utilized before the deadline. Failure to do so will result in a “Use It or Lose It” scenario. When will I get my card? If you will be receiving a new debit card, whether you are a new participant or to replace your expired card, please be aware that it may take up to 30 days following your plan effective date for your card to arrive. Your card will be delivered by mail in a plain white envelope. During this time you may use manual claim forms for eligible expenses. Please note that your debit card is good through the expiration date printed on the card. I want to sign my family up for benefits as well, what information will I need? If signing up for any coverage on your spouse and/or children, please have their dates of birth and social security numbers available when speaking with the Benefits Representative. What is the difference between pre and post-tax benefits? Pre-tax benefit contributions are taken from an employee’s paycheck before state and federal taxes are applied. Post-tax benefit contributions are paid after taxes are deducted. It’s important to note that some coverages may still be subject to taxes even if paid for through pre-tax deduction or employee contribution. Can I change my benefit elections outside of the enrollment period? Elections made during this enrollment period CANNOT BE CHANGED AFTER THE ENROLLMENT PERIOD unless there is a family status change, otherwise known as a qualifying life event (QLE), as defined by the Internal Revenue Code. Examples of a QLE can be found in the chart on the next page. Once a QLE has occurred, an employee has 30 days to notify PGB’s Service Center at 1-888-662-7500 to request a change in elections. I have a pre-existing condition. Will I still be covered? Some policies may include a pre-existing condition clause. Please read your policy carefully for full details.

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CONTINUATION OF COVERAGE

13min
pages 87-91

Hospital Confinement Indemnity Insurance

1min
page 84

Hospital Confinement Indemnity Insurance Medical Treatment Package

1min
pages 83-84

Group Critical Illness Insurance

3min
page 71

Group Critical Illness Insurance Progressive Diseases Rider

1min
page 70

Group Critical Illness Insurance

1min
pages 68-70

Group Critical Illness Insurance

1min
pages 67-68

Group Critical Illness Insurance Plan

2min
pages 65-67

Group Critical Illness Insurance Plan

2min
pages 63-65

Cancer Assist Benefits Overview

2min
pages 57-58

Cancer Insurance

2min
page 56

SHORT-TERM DISABILITY PREMIUMS

4min
pages 49-53

Frequently Asked Questions

2min
pages 46-47

SHORT-TERM DISABILITY BENEFITS

4min
pages 41-45

Vision Care Plan for Whiteville City Schools

1min
pages 39-40

Whole Life Plus Insurance

4min
pages 35-36

How much coverage do you need?

2min
page 32

Term Life Insurance

1min
page 31

Life Planning Services

0
page 29

Health Advocate Employee Assistance + Work/Life Programs

0
page 28

Summary of Basic and Supplemental Group Term Life Benefits for Whiteville City Schools

1min
pages 25-27

Group Term Life Insurance

3min
pages 23-24

Important information

1min
page 21

Frequently asked questions

2min
page 20

Dental Insurance

1min
pages 18-19

Dependent Care Account

2min
pages 15-16

THE FSA STORE

0
pages 13-14

Flexible Spending Account

2min
pages 11-12

ENROLLMENT INFORMATION

0
pages 9-10

QUALIFYING LIFE EVENT

1min
page 8

QUALIFYING LIFE EVENT

1min
page 7

IMPORTANT NOTICES

2min
page 6

ELIGIBILITY REQUIREMENTS

0
page 4

EMPLOYEE BENEFITS GUIDE

0
page 2
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