Benefits Summary

Please direct benefit questions to Benefits@allkids.org or by calling Mike Foster, Benefits Manager 727-767-3696.

Medical Insurance

Humana Medical Insurance

Medical Plan

Preferred Plan 
60-80 hours per pay period 

CCP
48-59 hours per pay period
Annual Maximum Unlimited Unlimited
Maximum Out of Pocket

In Network:

Out of Network:
Individual/Family

$2000/$4000

$5000/$10,000
Individual/Family

$2500/$5000

Not Covered
Medical Services Calendar Year

Deductible In Network:

Individual

Family Maximum
$350

$700
$350

$700
Out of Network: Individual

Family Maximum
$1000

$2000
Not Covered

Not Covered
Out Patient Surgery

In Network:

Out of Network:
90% after Deductible

60% after Deductible
80% after Deductible

Not Covered
Emergency Room Visits:

In Network:
*Co-pay Waived if Admitted
$100 Co-pay*
90% after Deductible
100% after Co-pay if ACH
 $100 Co-pay*
80% after Deductible
100% after Co-pay if ACH
 Out of Network:
*Co-pay Waived if Admitted
$200 Co-pay*
60% after Deductible
Not Covered
Urgent Care Center Visit:
In Network:
$40 Co-Pay/100% Visit Charge
90% Other Charges after
Deductible

80% Visit Charge after
Deductible

Out of Network: $40 Co-Pay/50% Visit Charge
60% Other charges after
Deductible
Not Covered
Physician's Office Visit:

In Network:

$25 Co-Pay/100% Visit Charge
($40 Specialist Co-Pay)
90% Other charges after
Deductible

80% Visits Charges after
Deductible
Out of Network $25 Co-Pay/50% Visit Charge
50% Other charges after Deductible
Not Covered

Wellness Care
(age 16 and over):

In Network:

100% 100%
Out of Network: No Coverage
EE pays 100%
No Coverage
EE pays 100%

Prescription Benefit Plan

Pharmacy Calendar Year
Deductible

Caremark, Retail and
ACH Outpatient Pharmacies

Mail Order (up to a 90 day supply)
First generic filled via mail is free
$75 deductible
Generic = $5 or less/month
(No deductible for generic)
Formulary = 20% co-pay
Non-formulary = 40% co-pay

Mail Order (up to a 90 day supply)
First generic filled via mail is free
$75 deductible
Generic = $5 or less/month
(No deductible for generic)
Formulary = 20% co-pay
Non-formulary = 40% co-pay

Out of Network Pharmacy No Coverage
EE pays 100%
No Coverage
EE pays 100%
 

2014 Medical Coverage Cost Per Pay Period

  Humana POS Plan Humana
EPO plan
Classified hours per pay period 72-80 60-71 48-59
Employee Only:
f
Employee + Child(ren):

Employee + Spouse:

Employee + Family:

$40.89

$83.97

$118.86

$151.58

$46.07

$95.36

$135.44

$172.29

$61.31

$125.69

$181.01

$229.26

Note: Benefits are deducted from 24 of the 26 pay periods per year.

 

Dental Insurance

Humana Dental Insurance

 

 In Network

 Out of Network

Calendar Year Maximum:

$1500

 $1500

Calendar Year Deductible:

Individual $50/Family Limit of 2

Preventive Services: 

100% Deductible Waived

Basic Services:

90% after Deductible

80% after Deductible

Major Services:

60% after Deductible

50% after Deductible

Orthodontic Services:
(Lifetime maximum of $2,000) 

50% after Deductible Lifetime Maximum of $2000 per individual

Wisdom Tooth Extraction
(lifetime Maximum of $4,000)

90% after Deductible

80% after Deductible

    

2014 Dental Coverage Cost Per Pay Period
Classified Hours per pay period 72-80 60-71 48-59
Employee Only:

Employee + Child(ren):

Employee + Spouse:

Employee + Family:

$10.51

$22.53

$33.04

$42.06

$12.01

$25.83

$37.85

$48.06

Coverage not
available

Note: Benefits are deducted from 24 of the 26 pay periods per year.

 

Vision Care

UnitedHealthcare Vision Care Insurance

Coverage Frequency Cost
Exams Once every 12 months $10
Lenses Once every 12 months $25
Frames Once every 24 months $25
Contacts Once every 12 months $25
 

2014 Vision Care Cost Per Pay Period

Classified Hours per pay period 72-80 60-71 48-59
Employee Only:

Employee + Child(ren):

Employee + Spouse:

Employee + Family:

$2.87

$5.76

$5.51

$8.83

$2.87

$5.76

$5.51

$8.83
Coverage
not available

Note: Benefits are deducted from 24 of the 26 pay periods per year.

Child Learning Center

On-site child care for employees' children and grandchildren from 8 weeks to kindergarten. The center is managed by Bright Horizons. Contact Bright Horizons at 727-767-4888 to inquire about rates and availability.
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Credit Unions

Benefit Cost to Employee
Direct Deposit, payroll savings, loans, CD's, IRA's & checking accounts available. Employee sets amount
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Education

Benefit Cost to Employee

Employee and Management development programs, In-Service Education, Nursing and other Professional Continuing Education Units and computer training.

None!
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Flexible Spending Accounts

Benefit Cost to Employee
Pre-tax money set aside in Excess Medical and Dependent Care accounts for future reimbursements. Employee sets amount
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Life Insurance

Benefit Cost to Employee
Policy value equal to annual salary None!
Eligible after 6 months  
Optional Supplemental Life Insurance available to employees and
family members on payroll deduction
Varies
(See below)

  

Supplemental Life Insurance
 

Eligibility 

You are eligible if you are an active full time Employee who works at least 30 hours per week on a regularly scheduled basis.

Coverage Effective Date

Coverage goes into effect subject to the terms and conditions of the policy. In no case will newly elected benefits become effective sooner than 1/1/2012 or six months of continuous active service. You must be Actively at Work with your employer on the day your coverage takes effect.

Benefit Amount You can purchase Supplemental Life Insurance in increments of 1 times your annual Salary up to 3 times your annual Salary.

The maximum amount you can purchase cannot be more than the lesser of 3 times your annual Salary or $500,000. Annual Salary is as defined in The Hartford's contract with your employer.

Spouse Supplemental Life Insurance

If you elect Supplemental Life Insurance for yourself - You may choose to purchase Spouse Supplemental Life Insurance in the amount of 50% of your Employee Supplemental Life Insurance coverage to a maximum of $250,000.

Coverage cannnot exceed 50% of the amount of your Employee Voluntary/Supplemental Life Insurance coverage. You may not elect coverage for your Spouse if they are an active member of the armed forces of any country or international authority, or is already covered as an Employee under this policy.

If you elect an amount that exceeds the guaranteed issue amount of $50,000, your Spouse will need to provide evidence of insurability that is satisfactory to The Hartford before the excess can become effective.

Child(ren) Supplemental Life Insurance

If you elect Supplemental Life Insurance for yourself - You may choose to purchase Child(ren) Supplemental Life Insurance coverage in the amount(s) of $10,000 for each Child - no medical information is required. You may not elect coverage for your Child if your Child. You may not elect coverage for your Child if your Child is an active member of the armed forces of any country or international authority.

  • Children may be covered up to age 26 
  • Children from Live Birth to 6 months are limited to a reduced benefit of $1000 
Conversion

You have the option of converting your group Life coverage to your own individual policy (policies).

Portability

If you leave your employer, Portability is an option that allows you to continue your Life Insurance coverage. To be eligible, you must terminate your employment prior to Social Security Normal Retirement Age. This option allows you to continue all or a portion of your Life Insurance coverage under a separate Portability term policy. Portability is subject to a minimum of $1,000 and a maximum of $750,000 and does include coverage for your Spouse and Child(ren). To elect Portability, you must apply and pay the premium within 31 days of the termination of your Life Insurance. Evidence of Insurability will not be required.

Dependent Spouse Portability is subject to a maximum of $250,000 with a minimum of $1,000.

Dependent Child Portability is subject to a maximum of $10,000 with a minimum of $1,000.

Living Benefits Option

If you are diagnosed as having a terminal illness with a 12 month life expectancy, the Living Benefits Option allows you to receive an accelerated payment of a portion of your life Insurance. The option available to individuals with at least $10,000 in group coverage from The Hartford and is subject to a maximum age limit of 60. You may request a minimum accelerated payment of $3,000 up to a maximum of 80% of your coverage not to exceed $750,000. Funds are paid directly to you, with no policy restrictions on how you use them. The remaining benefit is then payable to your beneficiary.

Waiver of Premium

This provision applies if you become totally disabled before 60 and your disability lasts for at least 6 months. You must provide proof of your condition within one year or your last day of work and once we approve, your coverage will continue without payment of premium up to Social Security Normal Retirement Age, as long as your remain totally disabled. The premium for your dependent's coverage will also be waived if you are disabled and approved for waiver of premium. Coverage for your dependents will end if the policy terminates. Payment of premium is required until waiver is approved by The Hartford.

Limitations and Exclusions

As is standard with most term life Insurance plans, death by suicide is covered only after the Employee has been insured for two years. Therefore, if death results from suicide, no benefit will be payable for any Life coverage that became effective within two years of the date of death.

Other exclusions may apply depending upon your coverage. Refer to your policy.

This Benefit Fact Sheet is an overview of the Insurance being offered and is provided for illustrative purposes only and is not a contract. It in no way changes or affects the policy as actually issued. Only the Insurance policy issued to the policyholder (your employer) can fully describe all of the provisions, terms, conditions, limitations and exclusions of your Insurance coverage. In the event of any difference between the Benefit Fact Sheet and the Insurance policy, the terms of the Insurance policy apply.

Employee Monthly Premium Rate Per $1000 of Coverage
(Divide monthly premium by 2 to calculate pay period cost)
Employees must be classified to work 60 or more hours per pay period to be eligible
AgeUnder 2525-2930-3435-3940-4445-4950-5455-5960-6465-6970-7475+
Employee Rate 0.060 0.060 0.080 0.090 0.128 0.197 0.316 0.531 0.813 1.411 2.540 4.391
Spouse Rate 0.060 0.060 0.080 0.090 0.128 0.197 0.316 0.531 0.813 1.411 2.540 4.391
Child Rate $1.96 per month for all covered children
Policy valued at $10K for each covered child

 

Group Term Life Insurance 

All Children's Hospital provides group term life insurance equal in amount to your annual base rate, rounded up to the nearest $1,000.00. Annual base rate means your regular rate multiplied by the number of hours regularly scheduled to work.

If you are eligible, this coverage becomes effective after six months of active employment. Per Diem employees are not eligible for the group term life insurance benefit.

 

Long Term Disability

Benefit Cost to Employee
Income protection for 60% of salary after 120 days of disability. None!
Eligible after 6 months. None!
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Paid Time Off (PTO)

Benefit Cost to Employee
Can be used for Holiday, Vacations, Sick Time, Personal Time, etc. Or cash-in PTO hours at 100%. None!
Available after 3 months  
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Retirement Plan

Benefit Cost to Employee
100% vested after 5 years of service. You must work at least 1,000 hours/year. None!
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Scholarship

Benefit Cost to Employee
Employee scholarships awarded annually. None!
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Short-Term Disability Insurance 

Benefit Cost to Employee

Short Term Disability

Income protection for 60% of weekly salary after 30 days of disability Effective after 3 months

None!
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Benefit Cost to Employee

Extended Illness Bank

Employees may accumulate up to 120 paid hours for time missed resulting from a personal illness or injury that causes them to miss more than 40 hours of work.

None!
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403b Savings Plan

Benefit Cost to Employee
Exceptional retirement savings program with matching funds of $.50 for every $1.00 on the first 6% of employee deferral. Employee sets amount!
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Tuition Assistance

Benefit Cost to Employee
Prepaid tuition for approved courses leading to a reasonable career path at the hospital. Annual benefit up to $5,250 for undergraduate and graduate level. None!
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Additional Benefits Savings Plan

Free Parking Employee Gift Fund Notary Services
Security Escorts & Shuttle Employee Recognition
Awards 
 On-site Banking
 Direct Deposit Bereavement Leave Medical Library
Jury Duty Leave Relocation Assistance
(Certain Positions)
 
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Discounts

Inpatient & Outpatient Services at ACH: 25% of non-covered expenses
ACH Cafeteria: Meals at discount prices
ACH Gift Shop: 10% discount on selected items
Prescriptions: Available at ACH Outpatient Pharmacy at discounted prices
Discounts on selected entertainment, recreation & services
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