HealthONE - Sky Ridge Medical Center
Transcription
HealthONE - Sky Ridge Medical Center
ONE Great Place to Work! 2014 HealthONE Employee Benefits Guide WELCOME to your 2014 Benefits Guide At HealthONE, we value our staff and recognize the importance of benefits in retaining and recruiting excellent employees! As an employee of HealthONE, your total compensation package includes much more than just a paycheck. Many of the benefits provided to HealthONE employees offer coverage that few could access or afford individually. This guide summarizes the benefit plans offered by HealthONE that help to provide you and your family with security. In addition, several premiums and 401(k) contributions are deducted from your paycheck on a pre-tax basis, which results in a reduction in your taxable income, and may save you tax dollars. You may increase tax savings even further by participating in Health Care and Day Care Flexible Spending Accounts if these plans meet your needs. It is important that you understand our benefit plans and the value they add to your total compensation package. Our benefits package is designed for you and we hope you will value HealthONE’s commitment to providing comprehensive, competitive benefits for employees. Up-to-the-minute benefit updates at www.HCArewards.com BENEFITS What’s Inside HealthONE Benefits Program. . . . . . . . . . . . . . . . . . . . 2 Health and Group Benefits . . . . . . . . . . . . . . . . . . . . . 5 Which Plan Should I Choose? . . . . . . . . . . . . . . . . . . . 6 2014 Pricing Schedule Summary . . . . . . . . . . . . . . . . . 7 HCA Well Care/HMO Features at a Glance . . . . . . . . . 8 Dental Plan Selection . . . . . . . . . . . . . . . . . . . . . . . . 16 Vision Coverage Options . . . . . . . . . . . . . . . . . . . . . . 17 Flexible Spending Accounts . . . . . . . . . . . . . . . . . . . . 18 The Employee Benefits Guide contains information regarding the Benefits Program offered by HCA-HealthONE. It is not intended to cover all matters addressed nor is it designed to replace the plan documents or insured contracts, but instead is designed to give plan participants and beneficiaries a general idea of the Benefits Program available. If questions arise, or if a provision in this summary is inconsistent with the formal plan documents, the plan documents or insured contracts will prevail in all instances copies of all plan documents are available in the offices of the plan administrators for your inspection during regular business hours. Upon request, for programs administered by HCAHealthONE, a copy of the plan document will be provided. You may be charged a reasonable fee for copying services. HCA Wellness Program . . . . . . . . . . . . . . . . . . . . . . . 20 The information in the Guide is not intended to supercede or interpret HealthONE’s Human Resources and Employee Health Policies. In the event that there is a discrepancy or conflict with HealthONE policies, then the policies will govern. Employee Benefit Services . . . . . . . . . . . . . . . . . . . . . 30 Circumstances may require that the benefits described in this Guide change from time to time. No section of this Guide should be considered a contract for purposes of employment. Employee Health Assistance . . . . . . . . . . . . . . . . . . . 21 Life Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22 CorePlus Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . 23 HCA 401K Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24 Retirement Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . 25 Leaves of Absence . . . . . . . . . . . . . . . . . . . . . . . . . . . 26 Time Away From Work (TAFW) . . . . . . . . . . . . . . . . 27 Paid Time Off . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27 Short and Long-Term Disability . . . . . . . . . . . . . . . . . 28 Workers’ Compensation Benefits . . . . . . . . . . . . . . . . 28 COBRA Rights . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29 Educational Benefits . . . . . . . . . . . . . . . . . . . . . . . . . 32 Payroll & Financial Benefit Services . . . . . . . . . . . . . . 34 Employee Discounts . . . . . . . . . . . . . . . . . . . . . . . . . 35 HealthONE Rehab Services . . . . . . . . . . . . . . . . . . . . 37 HealthONE’s Trusted Care for Children . . . . . . . . . . . 38 Human Resources Locations . . . . . . . . . . . . . . . . . . . 39 Very Important Phone Numbers . . . . . . . . . . Back cover 2 ONE Great Place to Work. HealthONE BENEFITS PROGRAM HealthONE sponsors a full benefit program for all Eligible Employees. An Eligible Employee is defined as: An employee who has satisfied the waiting period, and whose employment status is eligible to participate. The benefit program is designed to help you pay for certain expenses for you and your eligible dependents. However, as you will see, employees may share in the cost of some benefits. Several of the benefit plans allow for employee contributions to be withheld pre-tax from their paychecks. Current premiums are listed on your Personal Benefit Choices Summary and current Medical and Dental premiums are also provided in this guide. ELIGIBILITY DOMESTIC PARTNERS Enrollment must be completed as soon as possible after the date your materials are received from BConnected. Coverage will then be effective on the 31st day of employment. If you do not receive your Personal Benefit Choices Summary from BConnected, you are responsible for calling BConnected at (800) 566-4114 to request a new packet. All regular full-time and regular part-time employees who are actively-at-work and their eligible dependents, may participate in the Benefits Program. HealthONE supports a diverse workforce and as part of this initiative, HealthONE employees have the opportunity to extend Medical, Dental, Vision and Dependent Life benefits to their same-sex Domestic Partners. The availability of domestic partner benefits supports a corporate culture that values inclusion by offering programs to meet the varied needs of employees. Additionally, it enhances our ability to attract and retain a diverse workforce. Actively-at-work is defined as: The active performance of all assigned duties of an employee’s occupation for a regularly scheduled work day at the usual place of employment, or a place designated by the Employer. A Dependent is defined as: your spouse, unless you and your spouse are legally separated, your domestic partner, and your dependent children. Generally your own children under age 26, including stepchildren and adopted children, are eligible. To provide high quality, cost effective health care coverage to eligible employees and dependents, HCAHealthONE will continue random eligibility audits for the 2014 plan year. Eligible HealthONE employees cannot be covered as both an employee and as a Dependent of another HealthONE employee. Double coverage of eligible employees is not allowed. Eligibility requirements include a signed and notarized affidavit and a shared residence. Participants must be nonrelatives, of the same sex and over age 18 and must not have previously filed a Declaration of Domestic Partnership. Children of domestic partners will be eligible for coverage if they meet the plan eligibility requirements. Participants of the Flexible Spending Account (FSA) cannot file FSA claims for expenses that pertain to their domestic partner. The IRS does not recognize domestic partners as qualified, eligible dependents for income tax purposes. For more information on Domestic Partner benefits, contact BConnected or your Human Resources Department. EMPLOYMENT STATUS For purposes of this Employee Benefits Guide, Employment status is defined as: Regular Full-Time: An employee who is regularly scheduled to work a minimum of 32 hours per week or 64 hours per pay period; employment is for no definite term. Regular Part-Time: An employee who is regularly scheduled to work 20 to 31 hours per week; employment is for no definite term. 2014 Employee Benefits Guide HealthONE Benefits Program (continued) Supplemental: An employee whose hours may not be guaranteed but are scheduled according to departmental needs. Supplemental employees are not eligible for health and welfare programs. Temporary: Work assignment is expected to be of limited duration. A temporary employee is not guaranteed employment for the duration of their work assignment. Temporary employees are not eligible for health and welfare programs. If you are unsure of your Employment Status, please contact your supervisor. CHANGE IN FAMILY STATUS Your benefit choices are expected to be in effect throughout the year until the next annual enrollment period. However, if you have a change in family status, you may be allowed to make changes to your benefit choices. Any benefit change you make as a result of a qualifying family status change must reflect your new family situation. Family status changes are: • Gain a dependent through marriage, birth, adoption or placement for adoption • Legal separation or dissolution of marriage CHANGE IN ACTIVE EMPLOYMENT STATUS If you have a change in Employment Status, you will become eligible to participate in the benefit plans effective the date of the change in employment status, provided you have completed at least 30 days of employment and are changing to a benefit eligible status. If you have an Employment Status change, you are eligible to change, add or drop yourself and/or your Dependents’ coverage; however, you cannot switch coverage. If you are adding or dropping coverage, you will need to contact BConnected at (800) 566-4114. Changes to premiums will automatically change in accordance with your employment status change, as applicable. Employees changing to supplemental or temporary positions are not eligible for the benefits program. However, you may be eligible for COBRA, if the medical or dental program covered you on the day preceding your employment status change to supplemental or temporary. Coverage on most benefit plans ends on the last day of the month following an employment status change or termination of employment. Long-Term disability coverage ends on the last day of work or change in status. • Registration or termination of Domestic Partnership • Unpaid leave of absence taken by employee or spouse • Significant change in spouse’s health care coverage due to spouse’s employment • Dependent reaching eligible/ineligible age or status • Employee or spouse change to Medicare If you have a family status change and wish to change your benefit choices coverage, you must contact BConnected at 1-800-566-4114 no later than 31 days after the date you experienced the change. If you have questions about qualified changes in status, please contact BConnected. SIGN UP FOR LESS PAPER “Electronic Consent” means you choose to receive certain benefit communications from HCA through email or online rather than on paper. It cuts down on the mail you receive and it is better for the environment. To sign up for electronic consent, log in to HCArewards.com and click on BConnected. Then, click on the preferences link at the top of the screen and choose communication preferences. Select how you would like to receive the materials listed and click on submit. You should also enter your email address or make sure the one you entered previously is still correct. 3 4 ONE Great Place to Work. HealthONE Benefits Program (continued) YOUR TOTAL REWARDS Remember to check Your Total Rewards (YTR) section at BConnected. YTR is an online statement that provides the “big picture” of all the rewards an employee receives from his/her facility – including compensation, health and group benefits, career development, retirement benefits, personal time off and more. YTR is available to employees 24/7 at HCArewards.com (log in to HCArewards.com, click on BConnected and choose Your Total Rewards). BCONNECTED The online enrollment process is easy. To enroll, employees will follow these steps: 1. Go to HCArewards.com 2. Enter HCA 3-4 ID and password and select Login 3. Click on BConnected 4. Once on the BConnected website, click on the “It’s Time to Enroll” and click on the My Life tab and select Your Current Events and then Annual Enrollment. Need Password Help? If employees have forgotten their password, they can go to HCArewards.com and click on password help. If employees have trouble logging in, they can call BConnected at 1-800-566-4114 for assistance. How to Add Dependents: Employees adding dependents to coverage will need to keep in mind that adding a dependent to one benefit does not automatically add him or her to other benefits. For example, if you want to cover your new child under medical, dental, vision and dependent life, you will need to add that child to your coverage on each individual benefits screen during the enrollment process at BConnected. Health Plan Evaluator: The BConnected website includes a Health Plan Evaluator tool that can help employees choose the best plan for them. It compares plan features, out-of-pocket costs and how much the employee uses health care services. WHAT HAPPENS IF YOU DON’T ENROLL? Participants who do not make an active election during their enrollment period will receive the following default coverage: MEDICAL (For employees eligible for 2014 wellness benefits) • Please see HCArewards.com for more information on default coverage • If you completed a qualified health screening before October 2013: You will be automatically enrolled in the same plan you had in 2013, if the plan is still available. • I f you complete a screening after October your results may not be processed in time: If you were enrolled in an HCA medical plan in 2013, you will default to Level 1. Once your screening results are processed, you MUST make an active election by Dec. 31 if you want to enroll in one of the other available plans. • If you had no HCA medical plan coverage in 2013: You will be defaulted to no coverage for 2014. • If you do NOT complete a qualified health screening: You will be defaulted to Level 1. If you had no HCA medical plan coverage in 2013, you will be defaulted to no coverage for 2014. FSA No automatic contribution for 2014. You must elect a new contribution amount each year to participate in an FSA. DENTAL Your 2013 coverage will roll over to 2014 (if it is still available) at 2014 rates. ALL OTHER HEALTH AND GROUP PLANS Same coverage as 2013 (if it is still available) at 2014 rates. 2014 Employee Benefits Guide HEALTH & GROUP BENEFITS MEDICAL COVERAGE HEALTH INSURANCE MARKETPLACE HCA’s Medical Program allows participants to choose the plan that best meets their needs and budget. Employees pay a bi-weekly cost for medical coverage. Anyone can apply for coverage from the Marketplace. However, not everyone will be eligible for a subsidy (or discount) on the cost of that coverage. Your eligibility for a subsidy will depend on your household income and other factors, including whether or not you are eligible for coverage from your employer. For 2014, you have four plan options: • Well Care Level 1 • Well Care Level 2 • Well Care Level 3 • CNIC/Rocky Mountain HMO WELL CARE PLAN The HCA Well Care plans generally pay a percentage of a discounted network rate or reasonable and customary (R&C) charges for most services after the participant satisfies an annual deductible. The amount the participant pays depends on whether he or she uses a network provider or a non-network provider. PREVENTIVE CARE All HCA plans cover preventive care services, including annual exams for adults, well child care, flu shots, immunizations and certain screenings. When participants use an in-network provider for these services and they are coded as preventive care, they are covered at 100% with no deductible, copay or coinsurance. HEALTH MAINTENANCE ORGANIZATIONS (HMO) If you select an HMO plan, PCPs and/or referrals are not required for this medical plan. HMO participants can use the Provider Direct tool at BConnected to verify providers are in their plan’s network. WELL CARE PROGRAM PRESCRIPTION COVERAGE Caremark administers prescription drug benefits for Well Care Program participants. The amount you pay for prescriptions depends on the type of drug (generic or brand name) you use. You’ll receive a higher level of benefits when you use pharmacies in the Caremark network. If you have questions about coverage from the Marketplace and the application process, go to www.healthcare.gov. If you have general questions, or questions about the employer information to provide on the Marketplace application, call BConnected at 1-800-566-4114 and select the option for information about the marketplace. 5 6 ONE Great Place to Work. WHICH PLAN SHOULD I CHOOSE? The 2014 HCA Well Care Overview chart below highlights the key differences between the available plans. CIGNA Well Care CIGNA Well Care Level 1 Level 2 What it covers CIGNA Well Care Level 3 All plans cover the same services, including office visits, in- and outpatient surgery, hospital stays, lab, x-rays, preventive care and prescription drugs – but at different levels What it offers Must use a network provider for highest benefits. However, out-of network benefits may be available Flexibility to choose any doctor, but you will pay more for out-of-network providers. What you generally pay for coverage: (your paycheck deduction) What you generally pay when you need health care services: What you generally pay for in-network preventive care: What you generally pay for most in-network coverage: HMO Plan $ $$ $$$ $$$$ $$$ $$ $$$$ $ Higher annual deductible and more out-ofpocket expenses Mid-range annual deductible and out-of-pocket expenses Lower annual deductible and fewer out-ofpocket expenses Deductible varies by HMO Generally, you pay a copay when you receive any care $0; deductibles do NOT apply No Maximum $0; deductibles do NOT apply No Maximum $0; deductibles do NOT apply No Maximum Varies by HMO 30% 25% 20% Varies by HMO 2014 Employee Benefits Guide 2014 Pricing Schedule Summary Pricing Comparison Between PPO and HMO Products Bi-Weekly Pay Period Deductions CIGNA Well Care Level 1 Employee Employee Employee Employee Only + One + Two + Three or More Regular Full-Time $ 29.67 $113.01 $135.00 $157.02 CIGNA Well Care Level 2 Employee Employee Employee Employee Only + One + Two + Three or More Only + One + Two + Three or More $ 47.02 $147.70 $178.37 $209.06 Only + One + Two + Three or More $ 62.44 $178.58 $216.95 $255.35 Regular Part-Time $ 79.79 $213.27 $260.32 $307.39 Regular Full-Time $ 84.89 $223.45 $273.06 $322.69 Rocky Mountain HMO/CNIC Employee Employee Employee Employee Regular Full-Time CIGNA Well Care Level 3 Employee Employee Employee Employee Regular Part-Time Regular Part-Time $117.66 $289.02 $355.01 $421.02 Regular Full-Time $109.06 $271.78 $333.47 $395.18 Regular Part-Time $141.83 $337.35 $415.42 $493.51 HOW WILL EMPLOYEES GET THE TOBACCO-FREE DISCOUNT? Employees who test negative for tobacco use will receive a tobacco-free discount in each paycheck starting in January. The discount will appear in the Earnings section and will be listed as line item TobDscnt. The total amount of the discount will be $650 for the year. Employees who test positive for tobacco use but complete H2U Health Coaching Program requirements will start receiving the discount in their paychecks approximately four to six weeks after they complete the coaching program. They will also be reimbursed for the extra amount they paid prior to completing the program. • The discount will appear in the Earnings section as line item TobDscnt. • The reimbursement will also appear in the Earning section but will be listed as line item TobRefnd. • The total amount of the discount and the reimbursement will be $650 for the year. Employees who did not complete a screening at all will receive the tobacco-user medical plan rate in their paycheck and will not have an opportunity to earn the tobacco-free discount and reimbursement. 7 8 ONE Great Place to Work. HCA Well Care/HMO Features at a Glance Plan provisions are subject to change based on Federal Mental Health Parity Regulations and Health Care Reform For a list of more covered services, visit www.HCArewards.com. Medical Benefits CIGNA Well Care Level 1 You Pay... Annual Plan Deductible Out-of-Pocket Maximum - Includes Medical & Behavior Health Services Individual $2,000 Family $4,000 Individual $5,000 Family $10,000 Unlimited Lifetime Maximum Inpatient Hospital Services Applies to facility charges only Hospital-Based Physicians (Includes: radiologists, anesthesiologists, pathologists, and hospitalists) Outpatient Hospital Facility Services (Includes Outpatient Surgery and Ambulatory Surgery) Applies to facility charges only Radiation Therapy/ Chemotherapy/ Dialysis-Facility Based Applies to facility charges only *Does not apply to Out of Pocket Maximum HCA-Affiliated Facility REQUIRES AUTHORIZATION $800 per admission; deductibles do NOT apply Non-HCA In-Network Facility (when services are NOT available at an HCA-Affiliated facility) REQUIRES AUTHORIZATION 30%; deductibles apply Non-HCA In-Network Facility (when services are available at an HCA-affiliated facility) 75%*; deductibles apply Out-of-Network Facility (when services are NOT available at an HCA-Affiliated facility or network facility) REQUIRES AUTHORIZATION 30%; deductibles apply Out-of-Network Facility (when services are available at an HCA-Affiliated facility or Network facility) 75%*; deductibles apply (Inpatient /Outpatient) 30%; deductibles apply HCA-Affiliated Facility $300 copay*; deductibles do NOT apply Non-HCA In-Network Facility (when services are NOT available at an HCA-Affiliated facility) REQUIRES AUTHORIZATION 30%; deductibles apply Non-HCA In-Network Facility (when services are available at an HCA-affiliated facility) 75%*; deductibles apply Out-of-Network Facility (when services are NOT available at an HCA-Affiliated facility or network facility) REQUIRES AUTHORIZATION 30%; deductibles apply Out-of-Network Facility (when services are available at an HCA-Affiliated facility or Network facility) 75%*; deductibles apply HCA-Affiliated Facility $25 copay*; deductibles do NOT apply Non-HCA In-Network Facility (when services are NOT available at an HCA-Affiliated facility) REQUIRES AUTHORIZATION 30%; deductibles apply Non-HCA In-Network Facility (when services are available at an HCA-affiliated facility) 75%*; deductibles apply Out-of-Network Facility (when services are NOT available at an HCA-Affiliated facility or network facility) REQUIRES AUTHORIZATION 30%; deductibles apply 2014 Employee Benefits Guide Medical Features Comparison (continued) CIGNA Well Care Level 2 CIGNA Well Care Level 3 Rocky Mountain HMO/CNIC You Pay... You Pay... You Pay... $1,000 $500 $0 $2,000 $1,000 $0 $4,000 $3,000 $3,500 $8,000 $6,000 $7,000 Unlimited Unlimited Unlimited $500 per admission; deductibles do NOT apply $200 per admission; deductibles do NOT apply *$500 copay per admission 25%; deductibles apply 20%; deductibles apply *$500 copay per admission, requires authorization 75%*; deductibles apply 75%*; deductibles apply NOT COVERED 25%; deductibles apply 20%; deductibles apply *$500 copay per admission, requires authorization 75%*; deductibles apply 75%; deductibles apply NOT COVERED 25%; deductibles apply 20%; deductibles apply Covered with *$500 Inpatient Hospital copay, or with *$250 Outpatient Surgery copay $200 copay*; deductibles do NOT apply $100 copay*; deductibles do NOT apply *$250 copay per visit 25%; deductibles apply 20%; deductibles apply *$250 copay per visit, requires authorization 75%*; deductibles apply 75%*; deductibles apply NOT COVERED 25%; deductibles apply 20%; deductibles apply *$250 copay per visit, requires authorization 75%*; deductibles apply 75%*; deductibles apply NOT COVERED $25 copay*; deductibles do NOT apply $25 copay*; deductibles do NOT apply *$500 Inpatient Hospital copay, or *$250 Out-patient copay 25%; deductibles apply 20%; deductibles apply *$500 Inpatient Hospital copay, or *$250 Out-patient copay, requires authorization 75%*; deductibles apply 100% (Not Covered) NOT COVERED 25%; deductibles apply 20%; deductibles apply *$500 Inpatient Hospital copay, or *$250 Out-patient copay, requires authorization 9 10 ONE Great Place to Work. Medical Features Comparison (continued) Medical Benefits CIGNA Well Care Level 1 You Pay... Out-of-Network Facility (when services are available at an HCA-Affiliated facility or Network facility) 75%*; deductibles apply HCA-Affiliated Facility $25 copay*; deductibles do NOT apply (Physical, Occupational, Speech, Pulmonary, and Cardiac Rehab) Non-HCA In-Network Facility (when services are NOT available at an HCA-Affiliated facility) REQUIRES AUTHORIZATION 30%; deductibles apply *Applies to facility charges only Non-HCA In-Network Facility (when services are available at an HCA-affiliated facility) 75%*; deductibles apply *After 24 visits, progress for improvement will be reviewed by Claims Administrator. Out-of-Network Facility (when services are NOT available at an HCA-Affiliated facility or network facility) REQUIRES AUTHORIZATION 30%; deductibles apply Out-of-Network Facility (when services are available at an HCA-Affiliated facility or Network facility) 75%*; deductibles apply Therapy Services- Office Based (Physical, Occupational, Speech, Pulmonary, and Cardiac Rehab) *After 24 visits, progress for improvement will be reviewed by Claims Administrator. In-Network 30%; deductibles apply Out-of-Network 75%*; deductibles apply Physician Office Visit - Routine Services In-Network 30%; deductibles apply Out-of-Network 75%*; deductibles apply Preventive Care (Physicals, Well baby, and well woman exam) In-Network $0; deductibles do NOT apply Out-of-Network 100% (Not Covered) Other Services -Varies (durable medical, non-physician and surgeon services) In-Network Out-of-Network 30%; deductibles apply HCA-Affiliated Facility $100 copay*; deductibles do NOT apply Non-HCA In-Network Facility (when services are NOT available at an HCA-Affiliated facility) REQUIRES AUTHORIZATION 30%; deductibles apply Non-HCA In-Network Facility (when services are available at an HCA-affiliated facility) 75%*; deductibles apply Out-of-Network Facility (when services are NOT available at an HCA-Affiliated facility or network facility) REQUIRES AUTHORIZATION 30%; deductibles apply Out-of-Network Facility (when services are available at an HCA-Affiliated facility or Network facility) 75%*; deductibles apply HCA-Affiliated Facility 0%, deductibles do NOT apply Non-HCA In-Network Facility & Out-of-Network Facility 30% deductibles apply Radiation Therapy...continued Outpatient Therapy Services- Facility Based Imaging Services Facility Based Outpatient Applies to facility charges only Lab Services - Facility Based Outpatient Applies to facility charges only *Does not apply to Out of Pocket Maximum 75%*; deductibles apply 2014 Employee Benefits Guide Medical Features Comparison (continued) CIGNA Well Care Level 2 CIGNA Well Care Level 3 Rocky Mountain HMO/CNIC You Pay... You Pay... You Pay... 75%*; deductibles apply 100% (Not Covered) NOT COVERED $25 copay*; deductibles do NOT apply $25 copay*; deductibles do NOT apply Inpatient covered in inpatient Hospital copay. Limited to 60 days. Outpatient; *$25 copay, 20 visits per medical condition per calendar year. 25%; deductibles apply 20%; deductibles apply Inpatient covered in inpatient Hospital copay. Limited to 60 days. Outpatient; *$25 copay, 20 visits per medical condition per calendar year. Requires authorization. 75%*; deductibles apply 100% (Not Covered) NOT COVERED 25%; deductibles apply 20%; deductibles apply Inpatient covered in inpatient Hospital copay. Limited to 60 days. Outpatient; *$25 copay, 20 visits per medical condition per calendar year.Requires authorization. 75%*; deductibles apply 100% (Not Covered) NOT COVERED 25%; deductibles apply 20%; deductibles do NOT apply *$40 copay, 20 visits per medical condition, per calendar year. 75%*; deductibles apply 100% (Not Covered) NOT COVERED 25%; deductibles apply 20%; deductibles apply *$25 copay, per visit for Primary care. *$40 copay, per visit for Specialist care 75%*; deductibles apply 75%*; deductibles apply NOT COVERED $0; deductibles do NOT apply $0; deductibles do NOT apply 100% covered, with network providers 100% (Not Covered) 100% (Not Covered) NOT COVERED 25%; deductibles apply Durable Medical Equipment and supplies covered at 100% 75%*; deductibles apply 20%; deductibles apply 100% (Not Covered) $100 copay*; deductibles do NOT apply $75 copay*; deductibles do NOT apply *$40 copay 25%; deductibles apply 20%; deductibles apply *$40 copay, requires authorization 75%*; deductibles apply 100% (Not Covered) NOT COVERED 25%; deductibles apply 20%; deductibles apply *$40 copay, requires authorization 75%*; deductibles apply 100% (Not Covered) NOT COVERED 0%, deductibles do NOT apply 0%, deductibles do NOT apply *$25 copay 25%; deductibles apply 20%; deductibles apply *$25 copay, requires authorization NOT COVERED 11 12 ONE Great Place to Work. Medical Features Comparison (continued) Medical Benefits CIGNA Well Care Level 1 You Pay... Lab Services-Physician Office Based Maternity Care (Physician charges) In-Network Routine In-Network Preventive 30%; deductibles apply 0%; deductibles do NOT apply Out-of-Network Routine 75%*; deductibles apply Out-of-Network Preventive 100% (Not Covered) In-Network 30%; deductibles apply Out-of-Network Allergy Shots/ Injections (No Office visits) In-Network Out-of-Network Chiropractor - After 24 manipulations and/or 24 physical therapy services, care will be reviewed by Claims Administrator for medical appropriateness In-Network 75%*; deductibles apply 30%; deductibles apply 75%*; deductibles apply 30%; deductibles apply Out-of-Network 30%; deductibles apply Emergency Services (if admitted, inpatient benefits apply) Applies to facility charges only HCA-Affiliated Facility $250 copay*; deductibles do NOT apply Non-HCA, In-or Out-of Network Facility $250 copay*; deductibles do NOT apply ER Physicians 30%; deductibles do NOT apply Ambulance (Emergency) 30%; deductibles do NOT apply Urgent Care Clinic Visit HCA-Affiliated Facility Non-HCA, In-or Out-of -Network Facility Obesity Surgery (No lifetime limit) $25 copay*; deductibles do NOT apply 30%; deductibles apply HCA-Affiliated Facility Only REQUIRES AUTHORIZATION applicable plan provisions for related services, which do NOT apply to maximum out of pocket limit HCA-Affiliated Facility Only REQUIRES AUTHORIZATION 0%; deductibles do NOT apply ($10,000 for travel expenses) Transplant Network Facility REQUIRES AUTHORIZATION 30%; deductibles apply ($10,000 for travel expenses) Out-of-Network 75%*; deductibles apply Radiation Therapy, Chemotherapy, Dialysis-Office setting In-Network 30%; deductibles apply 75%*; deductibles apply High Tech Imaging ServicesOffice Setting (MRI/MRA, CATs, PETs, etc) In-Network Out-of-Network Home Health In-Network Transplants Hospice/ Respite Care *Does not apply to Out of Pocket Maximum Out-of-Network Out-of-Network In-Network Out-of-Network 30%; deductibles apply 75%*; deductibles apply (25% discount @ HCA) 30%; deductibles apply 75%*; deductibles apply 30%; deductibles apply 75%*; deductibles apply 2014 Employee Benefits Guide Medical Features Comparison (continued) CIGNA Well Care Level 2 CIGNA Well Care Level 3 Rocky Mountain HMO/CNIC You Pay... You Pay... You Pay... 25%; deductibles apply 20%; deductibles apply 0%; deductibles do NOT apply *$25 copay *$25 copay 75%*; deductibles apply 100% (Not Covered) 75%*; deductibles apply NOT COVERED NOT COVERED 25%; deductibles apply 20%; deductibles do NOT apply 100% Prenatel care, *$500 copay per admission, for delivery and inpatient well baby care. 75%*; deductibles apply 25%; deductibles apply 75%*; deductibles apply 100% (Not Covered) 20%; deductibles do NOT apply 100% (Not Covered) NOT COVERED 25%; deductibles apply 20%; deductibles do NOT apply *$25 copay per visit, 20 visit calendar year maximum 25%; deductibles apply 100% (Not Covered) NOT COVERED $200 copay*; deductibles do NOT apply $150 copay*; deductibles do NOT apply *$150 copay if not admitted. If admitted, *$500 in-patient per admission hospital copay will apply. $200 copay*; deductibles do NOT apply $150 copay*; deductibles do NOT apply *$150 copay if not admitted. If admitted, *$500 in-patient per admission hospital copay will apply. 25%; deductibles apply do NOT apply 20%; deductibles do NOT apply Included with Emergency Room copay 25%; deductibles apply do NOT apply 20%; deductibles do NOT apply *$100 per trip copay $25 copay*; deductibles do NOT apply $25 copay*; deductibles do NOT apply *$40 copay, Non-ER setting 25%; deductibles apply 20%; deductibles apply NOT COVERED, if NON-HCA, or Out-of-network applicable plan provisions for related services, which do NOT apply to maximum out of pocket limit applicable plan provisions for related services, which do NOT apply to maximum out of pocket limit 0%; deductibles do NOT apply ($10,000 for travel expenses) 0%; deductibles do NOT apply ($10,000 for travel expenses) *$500 in-patient hospital copay per admission 25%; deductibles apply ($10,000 for travel expenses) 20%; deductibles apply ($10,000 for travel expenses) *$500 in-patient hospital copay per admission, if authorized 75%*; deductibles apply 100% Not Covered NOT COVERED 25% deductibles apply 75%*; deductibles apply 20%; deductibles do NOT apply *$40 copay 100% Not Covered 20%; deductibles do NOT apply 100% Not Covered NOT COVERED 100% covered, with network providers 75%*; deductibles apply (25% discount @HCA) 20%; deductibles apply 100% Not Covered 25% deductibles apply 20%; deductibles apply 100% covered, with network providers 75%*; deductibles apply 100% Not Covered NOT COVERED 0%; deductibles do NOT apply 25% deductibles apply 75%*; deductibles apply (25% discount @HCA) 25%; deductibles apply 100% (Not Covered) *$25 copay NOT COVERED NOT COVERED *$75 copay per screening NOT COVERED NOT COVERED 13 14 ONE Great Place to Work. Medical Features Comparison (continued) Medical Benefits CIGNA Well Care Level 1 You Pay... Skilled Nursing HCA-affiliated Facility In-Network Out-of-Network HCA-Affiliated Facility Preventive Colonoscopy-Facility Based * Must use network physician & facility * Charges include surgeon and anesthesiologist fees Mileage Rule Non-HCA In-Network Facility (when services are NOT available at an HCA-Affiliated facility) REQUIRES AUTHORIZATION 0%, deductibles do NOT apply 30%; deductibles apply 75%*; deductibles apply $0; deductibles do NOT apply $0; deductibles do NOT apply Non-HCA In-Network Facility (when services are available at an HCA-affiliated facility) 100% (Not Covered) Out-of-Network Facility (when services are NOT available at an HCA-Affiliated facility or network facility) REQUIRES AUTHORIZATION $0; deductibles do NOT apply Out-of-Network Facility (when services are available at an HCA-Affiliated facility or Network facility) 100% (Not Covered) HCA Outpatient or OB care Network Outpatient or OB care when not available at HCA affiliates 30 miles from participant’s home 30 miles from participant’s home HCA Inpatient care 60 miles from participant’s home Network Inpatient care when not available at HCA affiliates 60 miles from participant’s home HCA-Affiliated Facility REQUIRES AUTHORIZATION $800 per admission; deductibles do NOT apply Non-HCA In/Out-Network Facility REQUIRES AUTHORIZATION 30% deductibles do NOT apply In-Network 30% deductibles do NOT apply Out-of-Network 30% deductibles do NOT apply Deductible (Individual/ Family) $400 individual/$800 family Generic $0 copay Brand 40%* deductibles apply Coinsurance Maximum $200* per prescription after deductible Generic $0 copay Brand $200* copay, deductibles do NOT apply Behavioral Health Behavioral Inpatient Hospital Services Behavior Health-Outpatient Prescription Plan Retail (30 day supply) Mail Order (90 day supply) Specialty Drugs (30 day supply) *Does not apply to Out of Pocket Maximum $100 copay*; deductibles do NOT apply 2014 Employee Benefits Guide Medical Features Comparison (continued) CIGNA Well Care Level 2 CIGNA Well Care Level 3 Rocky Mountain HMO/CNIC You Pay... You Pay... You Pay... 0%, deductibles do NOT apply 0%, deductibles do NOT apply 100% covered 25% deductibles apply 20%; deductibles apply 100% covered, with network providers, authorization required 75%*; deductibles apply 100% Not Covered NOT COVERED $0; deductibles do NOT apply $0; deductibles do NOT apply $0; deductibles do NOT apply $0; deductibles do NOT apply 100% covered 100% (Not Covered) 100% (Not Covered) NOT COVERED $0; deductibles do NOT apply $0; deductibles do NOT apply 100% covered, requires authorization 100% (Not Covered) 100% (Not Covered) NOT COVERED 30 miles from participant’s home 30 miles from participant’s home 30 miles from participant’s home Same as well care mileage 60 miles from participant’s home 60 miles from participant’s home 60 miles from participant’s home 60 miles from participant’s home 100% covered, requires authorization 30 miles from participant’s home Behavioral Health $500 per admission; deductibles do NOT apply $200 per admission; deductibles do NOT apply 25% deductibles do NOT apply 20% deductibles do NOT apply *$500 inpatient hospital copay per admission, if authorized to use Non-HCA facility 25% deductibles do NOT apply 20% deductibles do NOT apply *$25 copay per visit 25% deductibles do NOT apply 20% deductibles do NOT apply NOT COVERED $200 individual/$400 family $0/$0 $0 $0 copay $0 copay *$15 copay for 31 day supply, through WelldyneRx 40%* deductibles apply 30%* *$40 copay for Preferred Brand, *$60 copay for NonPreferred Brand, 31-day supply through WelldyneRx *$500 inpatient hospital copay per admission Prescription Plan $150* per prescription after deductible $100* per prescription $0 copay $0 copay $150* copay, deductibles do NOT apply $100* copay $80 copay*; deductibles do NOT apply $60 copay* See Specialty Drugs $30 copay for 90 day supply $80 copay, $120 copay for non-preferred brand, 31-day supply through Welldyne Rxy 20% up to $150 max copay (retail) per fill for 30 day supply, *20% for specialty pharmacy injectables and infusion drugs up to $500 max per fill for 31 day supply. All other injectables and infusion drugs (except insulin) is a 20% copay. All specialty drugs must be obtained through WelldyneRx. 15 16 ONE Great Place to Work. DENTAL PLAN SELECTION HealthONE provides you with the option of choosing from a Dental Health Maintenance Organization (CIGNA DHMO) and a Preferred Provider Organization (MetLife PPO) for your dental coverage. Summary Plan Descriptions and provider directories that are specific to the DHMO or PPO plans are available on HCArewards.com. Each Plan varies in cost and reimbursement level. DO YOU REALLY NEED COVERAGE? In some cases, it is more cost effective for participants to pay for dental expenses with FSA and/or HRA funds instead of enrolling in dental coverage. The FSA calculators available through HCArewards.com can help employees determine their expected expenses and an estimate for FSA contributions. Dental Plans Bi-Weekly Pay Period Deductions CIGNA DHMO Regular Full-Time Regular Part-Time Employee Only Employee + One $18.33 $18.33 Employee + Two $26.08 $26.08 Employee + Three or More $30.52 $30.52 MetLife Dental PPO $ 9.55 Regular Full-Time $ 9.55 Regular Part-Time Employee Only $15.96 $15.96 Employee + One $31.92 $31.92 Employee + Two $44.68 $44.68 Employee + Three or More $57.45 $57.45 Features CIGNA DHMO MetLife PPO* Network Must choose from the DHMO Provider Network Use PPO In-Network Provider to receive discounts or use Out-of Network Provider Annual Deductible None $75 per individual $150 family maximum Diagnostic, Preventative Most services covered at 100% Covered at 100% Basic Services $0 - $75 80%, deductible applies Major Services YOUR COST $0 - $395, according to patient charge schedule 50%, deductible applies Orthodontic YOUR COST Children: $1,700 + treatment plan, records and retention Adult: $2,300 + treatment plan, records and retention 50%, deductible applies $1500 Lifetime maximum Maximum Plan Pays Each Year No Maximum $1200 per individual * 12 month waiting period for major and orthodontic services applies to new enrollees only and will be waived for employees who were covered by an HCA dental plan for a period of at least 12 months. 2014 Employee Benefits Guide VISION COVERAGE OPTIONS EyeMed Vision Care provides you with cost effective and flexible vision care benefits for exams, lenses, frames and contacts. The pre-tax benefit plan offers a diverse choice of independent and retail providers as well as an unlimited selection of eyewear. The plan also provides for laser surgery options. Participants must enroll annually in the vision plan. Access the EyeMed provider directory and learn about the plan benefits at HCArewards.com. Bi-Weekly Deductions Employee Only$3.11 Employee + One$4.75 Employee + Two$6.45 Employee + Three or More$7.94 Vision Care Services: You Pay: Out-of-Network Reimbursement: Exam with Dilation as Necessary Contact Lens Fit and Follow-up (Contact lens fit and 2 follow-up visits are available once comprehensive eye exam has been completed) $10 copay •S tandard*: $0 copay, paid-in-full fit and up to two follow-up visits •P remium**: $0 copay, 10% off retail price, then apply $55 allowance Up to $35 Up to $40 Frames $130 allowance, 80% of balance over $130 Up to $65 Standard Plastic Lenses $20 copay Single Vision: Up to $25 Bifocal: Up to $40 Trifocal: Up to $55 Lens Options (Paid by the participiant and added to the base price of the lens) N/A • Tint (solid and gradient): $15 • UV Coating: $15 • Standard Scratch-Resistance: $15 • Glass Lenses: $0 • Oversize Lenses: $0 • Standard Polycarbonate: $40 • Standard Anti-Reflective: $45 •S tandard Progressive (Add-on to Bifocal)***: $65 •O ther Add-Ons and Services: See up to date plan details on HCArewards.com Contact Lenses (Allowance covers materials only; in lieu of Standard Plastic Lenses) •C onventional: $85 allowance, 15% off balance over $85 •D isposables: $85 allowance, balance over $83 • Medically Necessary: Paid in Full •C onventional: Up to $68 • Disposables: Up to $68 •M edically Necessary: Up to $200 LASIK and PRK Vision Correction Procedures 15% off retail price or 5% off promotional pricing N/A Frequency • Exams: Once every 12 months • Frames: Once every 24 months •S tandard Plastic Lenses or Contact Lenses: Once every 12 months *Standard Contact Lens Fitting includes spherical clear contact lenses in conventional wear and planned replacement. **Premium Contact Lens Fitting includes all lens designs, materials, and specialty fittings other than Standard Contact Lenses. ***Standard Progressive Lenses include, but are not limited to the following trade names; Access®, Adaptar®, AF Mini®, Continuous®, Vue®, Freedom®, Sola VIP®, Sola XL® and True Vision®. Note: Discounts do not apply for benefits provided by other group benefit plans. Allowances are one-time use benefits, no remaining balance. Lost or broken materials are not covered. 17 18 ONE Great Place to Work. FLEXIBLE SPENDING ACCOUNTS (FSAs) A Flexible Spending Account (FSA) plan is an IRS Section 125 cafeteria plan that allows employees the option of pre-tax payroll deduction for some insurance premiums, unreimbursed medical expenses and child/dependent care expenses. FSAs allow you to make pretax salary contributions to pay for qualified medical expenses that are not reimbursed by other sources, and to pay dependent care expenses, which helps to make out-of-pocket expenses more affordable. FSAs allow you to set aside money from each paycheck before most taxes are deducted. HEALTH CARE FLEXIBLE SPENDING ACCOUNT Allows you to direct a part of your pay, on a pretax basis, into a special account that can be used throughout the year. The maximum contribution limit for the Health Care Flexible Spending Account (FSA) is $2,500 for 2014. If you and your spouse both work for an HCA-affiliated facility, you can contribute up to $2,500 each. The Health Care FSA plan can be used for eligible medical, dental or vision care expenses for you or an eligible dependent. This includes certain deductibles, copays and non-covered expenses such as: laser eye surgery, acupuncture, chiropractors, contact lenses, prescription drugs and over-the-counter drugs prescribed by a physician. Regular full-time and part-time employees are eligible. WageWorks is the administrator of HCA’s FSA and HRA accounts. DAY CARE FLEXIBLE SPENDING ACCOUNT You may use the Day Care Flexible Spending Account to reimburse yourself for eligible expenses for your dependents while you work outside the home or attend school full-time. You may contribute up to $5,000 a year in the Day Care Spending Account if you are single or married and filing jointly — and $2,500 if you are married and filing separately or if you are single, depending on your tax classification. Examples of eligible expenses may include: Expenses for the day care of a dependent under the age of 13, expenses for the care of a mentally or physically handicapped dependent and expenses that qualify as IRS deductible dependent day care expenses. Regular Full- and part-time employees are eligible. HOW THE HEALTH CARE FSA AND HRA WORK TOGETHER • If you enroll in a Health Care FSA and earn Wellness Credits: You will use your Health Care FSA balance first to pay for eligible expenses. Once your 2014 Health Care FSA account is exhausted, you can begin using your HRA to pay for eligible expenses or save your funds so they roll over to the following year. When you pay for care covered by your benefit plan, such as coinsurance, with your FSA and/or HRA, those expenses apply toward your annual deductible and out-of-pocket maximum. • If you don’t participate in the Health Care FSA but earn Wellness Credits: You can use your HRA to pay for eligible expenses as soon as your Wellness Credits are deposited into your account or save your funds so they roll over to the following year. • If you enroll in the Health Care FSA but don’t earn Wellness Credits: You can use the funds in your Health Care FSA to pay for eligible expenses. Once your account is exhausted, you’ll pay out-of-pocket for remaining expenses. HOW THE PLANS WORK • Y ou must re-enroll in FSAs each year if you want to continue contributions. • E stimate the amount of eligible expenses you are likely to have during the year and decide how much of your salary you want to set aside. • U se it or lose it plan. Contributions to FSA accounts DO NOT carry over from year to year. Careful planning of your yearly expenses will help reduce the risk of losing unused funds. • Y ou are only eligible to receive reimbursement for expenses you incurred during the plan year and you cannot claim the same expense as a deduction or tax credit on your federal income tax return. • O nce you have designated the contribution, you cannot change your decision during the plan year unless you have a change in family status. • I f you remain employed and active in the plan, you have until March 31 of the following year to file claims incurred during the previous calendar year. • C hildren ages 19 to 26 can be covered if they are fully dependant and meet the guidelines. 2014 Employee Benefits Guide Flexible Spending Accounts (continued) WAGE WORKS HEALTH CARE CARD All participants in the Health Care FSA will receive an FSA Benefits Visa Card from WageWorks. The Benefit Card works like a debit card to pay for eligible health care products and services by having the amount automatically deducted from your account. You must keep all receipts. For the Day Care FSA, you pay expenses out of pocket and submit a claim with the appropriate documentation to WageWorks. This also applies in situations where the Health Care FSA Benefits Card is not accepted. Please keep all of your receipts. • Cards can be used for three years as long as employees continue participation in the Health Care FSA and/or HRA. • If you are new to the Health Care FSA or HRA for 2014, you will receive a WageWorks Health Care Card and details about your account after your enrollment election is processed. • You can request an additional WageWorks Health Care Card for your spouse or dependent by contacting WageWorks or online. • In many cases where there is a copay, you can use your WageWorks Health Care Card to pay for eligible health care expenses. • If you don’t use your card, you can file claims by contacting WageWorks online or by phone. Or, you can use the “Pay My Provider” feature to set up automatic payments to your providers. • Cards will not work if participants have outstanding pending transactions. Participants can view account status by accessing the WageWorks website through HCArewards.com. Keep Receipts: IRS regulations require participants keep all receipts in case the FSA/HRA Administrator needs to verify expenses. If a receipt is required, WageWorks will send a preprinted form to the participant. If the participant does not provide the requested receipt, he/she will be required to repay the expense to the plan. Claims Process: Claims can be filed online by accessing the WageWorks website through HCArewards.com or by mail or fax to WageWorks. Claims by email are not permitted due to privacy concerns. Online Provider Payment Tool: Participants will have the option to use the Pay My Provider feature that allows users to automatically pay eligible health care and dependent care expenses directly from their online account to the provider. Contact Information: If you have questions about your FSA and HRA account, call 877-888-FLEX (3539) or visit www.HCArewards.com. ADDITIONAL REMINDERS: Participants Must Re-Enroll: FSA elections (Health Care & Day Care) DO NOT carry over from year to year. Therefore, if employees wish to participate in either of the FSA accounts for 2014, they MUST actively enroll regardless of whether or not they have been contributing in 2013. If they do not actively enroll, contributions will default to $0 for the 2014 plan year. If You Stop Participation: If active employees stop participating in a Health Care FSA, they may not be eligible to begin participating again until the next annual enrollment period. FSAs & Highly Compensation Employees: Under Section 129 of the IRS code, the average benefit provided under the Day Care Flexible Spending Account to non-highly compensated employees must be at least 55% of the average benefit for highly compensated employees. We periodically perform tests of the Day Care FSA to verify that the plan is within the guidelines of Section 129. Annual contributions to the Day Care FSA from HCEs are currently capped at $2,200 in an effort to pass the 55% average benefit test under Section 129. Testing will be done around the first quarter of the 2014 plan year. If test results show that we are still not passing, there may be a reduction from the current cap for HCEs. If a Day Care FSA participant enrolls for an amount over $2,200 and then becomes an HCEs based on 2013 calendar year earnings, his/her FSA amount will be reduced in the first quarter of 2014. MOBILE FEATURES AVAILABLE Participants with iPhone or Android can use the WageWorks mobile site to view account balance and card status and submit claims. Also available is the EZ Receipts app that allows participants to capture pictures of receipts and upload them for card transactions. 19 20 ONE Great Place to Work. HCA WELLNESS PROGRAM WELLNESS BENEFITS Employees now have an opportunity to earn Wellness Credits in a Health Reimbursement Account (HRA) for 2014 by participating in the HCA Wellness Program. In addition to the $200 in Wellness Credits, you can also earn an extra $150 for healthy behaviors. If you’re tobacco free, you will automatically receive this extra $150 once you complete and PHA. If you test positive for tobacco use, you can earn the additional $150 once you complete the H2U Health Coaching Program requirements. This means you can earn up to $350 in Wellness Credits. Note: Employees who do not enroll in an HCA medical plan for 2014 can participate in the HCA WeIlness Program, but they will not be eligible for Wellness Credits. Action: Result: Step 1. Get qualified health screening by October 31, 2013 You will have more than one medical plan option for 2014. If you test negative for tabacco use during your screening, you will receive a tobacco-free discount. Step 2. Take the Personal Health Assessment by November 30, 2013 I f your screening test is negative for tabacco use, you will automatically receive $150 in Wellness Credits once you complete the PHA. Based on your results, you will be invited to participate in either the H2U Health Coaching Program or the H2U Health Action Plan. Step 3. Participate in either the H2U Health Coaching Program OR create an H2U Health Action Plan Within 30 days of taking the PHA, log on to HCArewards.com and click on “H2U” to get started. If your screening results show a high-risk health status: You’re eligible for the H2U Coaching Program. • Y ou must schedule your first coaching session within 30 days of taking the PHA. Log onto HCArewards.com and click “H2U” to get started. • Y ou will be eligible for $100 in Wellness Credits after you complete the first two coaching sessions. • Y ou will be eligible for an additional $100 in Wellness Credits after you complete the fourth coaching session and online learning activities. You must complete the program within seven months of taking the PHA. • I f you tested postive for tabacco use, you will receive an additional $150 in Wellness Credits once you complete coaching program requirements. You will also receive a tobacco-free discount and refund in your paycheck each pay period. If your screening results show a low-risk health status: You’re eligible to create an H2U Health Action Plan. If you create your plan within 30 days of taking the PHA, you will be eligible for $200 in Wellness Credits. WELLNESS BENEFITS FOR 2014 NEW HIRES: The “gateway” to multiple medical plan options does not apply to employees with a benefits effective date between Nov. 1 and Dec. 31, 2013. These employees can still participate in the HCA Wellness Program and earn Wellness Credits, but their participation will not affect the number of medical plan options they have available for 2014. Employees with a benefits effective date after Dec. 31, 2013, are eligible to earn Wellness Credits based on their benefits effective date and as described below: Benefits Effective Date: Wellness Credit Opportunity for 2014: Jan. 1 through April 30, 2014 You can eam up to $200 in an HRA for 2014 if you: • Complete a qualified health screening within 30 days after your benefits effective date. • Take the PHA and create an H2U Health Action Plan by June 14, 2014. Your 2014 medical plan options are not dependent on your screening participation. May 1 through Sept. 31, 2014 You can earn $100 in Wellness Credits in an HRA for 2014 if you: •C omplete a qualified health screening during the annual HCA Wellness Program screening event available from July through November AND take the PHA. You can earn up to the maximum amount of Wellness Credits in an HRA for 2015 if you: • Also participate in either the H2U Coaching Program or the H2U Action Plan (based on your screening results). Your 2014 medical plan options are not dependent on your screening participation. But, you must complete a qualified health screening in order to have more than one medical plan option for 2015. • I f you test negative for tobacco use, you will be eligible for a tobacco free discount on your HCA medical plan paycheck deductions. If you test positive for tobacco use, you will receive the tobacco-free discount once you complete the coaching program. Oct. 1 through Dec. 31, 2014You can earn $100 in Wellness Credits in an HRA for 2014 if you: •C omplete a qualified health screening within 30 days after your benefits effective date. You can earn up to the maximum amount of Wellness Credits in an HRA for 2015 if you: • Also take the PHA by Jan. 31, 2015, and (depending on your results) complete first H2U Coaching Program session OR create an H2U Health Action Plan by Feb. 28, 2015. Your 2014 and 2015 medical plan options are not dependent on your screening participation. *It can take approximately two weeks after hire for an employee to have access to HCArewards.com and be eligible in the H2U system. For questions or assistance contact H2U at 1-800-771-0428. 2014 Employee Benefits Guide HCA Health Wellness Program (continued) H2U HEALTH COACHING PROGRAM If you receive certain high-risk and/or moderate scores, you will have the opportunity to enroll in the coaching program and achieve certain milestones to receive Wellness Credits up to $350 if you choose an HCA Health plan. • If you receive scores on your health screening that point to certain health risks, you will be eligible to join the H2U Health Coaching Program. You will need to enroll in the program and achieve certain milestones to be eligible for Wellness Credits. • Coaches have a professional health care background and will focus on nutrition, activity and stress-management to help you establish realistic goals and improve your health scores. • Employees testing positive for tobacco use will automatically pay an extra $650 in paycheck deductions for medical plan coverage in 2014. If employees participate in the health screening, take the PHA and complete the coaching program; they will receive the tobacco free discount and be refunded for the extra cost in paycheck deductions and earn $350 in Wellness credits. H2U ACTION PLAN If your results indicate you have certain low-risk scores, you don’t qualify for the coaching program. Instead, you will be eligible to create an online H2U Health Action Plan, which can help you set wellness goals and maintain your good health. By doing so, you will be eligible for Wellness up to $350 if you choose an HCA Health plan. EMPLOYEE HEALTH ASSISTANCE FUND At HCA, we believe that every working family should have health care coverage. To help ensure our affiliated employees have coverage, HCA offers the Employee Health Assistance Fund (EHAF). This fund helps employees who need financial assistance to obtain coverage. WHO QUALIFIES TO PARTICIPATE IN THE PROGRAM? Full-time and part-time HCA-affiliated employees who are eligible for HCA medical insurance and have a gross annual total family income of less than or equal to 200% (or two times) 2013 Federal Poverty Guidelines qualify to participate in the program. WHAT IS THE PROCESS? • The enrollment kit mailed to all participants will include a 2014 EHAF application. • The application includes translations for English, Spanish, Creole and Vietnamese. • To be eligible, employees must enroll for benefits during the annual enrollment period this fall and submit an application with their 2012 Income Tax Return to the address provided on the application by Nov. 30, 2013. • Once an employee is approved, he/she will be notified by mail and adjustments will automatically be made to his/ her paycheck in 2014. • Please Note: If an employee does not have a copy of his/her 2012 Federal Income Tax Return, he/she may complete Form 4506 to request a copy of the tax return from the IRS. If needed, a copy should be requested as soon as possible. It may take up to 60 days to receive from the IRS. • Address to send applications: HCA Employee Health Assistance Fund, P.O. Box 2028, Brentwood, TN 370242028. HOW DOES THE HCA WELLNESS PROGRAM TOBACCO-FREE DISCOUNT APPLY TO EHAF PARTICIPANTS? For 2014, if you are eligible for the HCA Wellness Program, your screening results could have an effect on how much you pay for coverage even if you qualify for EHAF. • If you test negative for tobacco use, you will receive the tobacco-free discount, worth $650 for the year. This discount combined with EHAF means you will receive the zero-cost medical deduction on your paycheck for Employee-Only medical coverage. • If you test positive for tobacco use, you will receive the EHAF zero-cost medical deduction on your paycheck for Employee-Only medical coverage, but you will not receive the tobacco-free discount and will pay an extra $650 for the year to have HCA medical coverage. If you complete H2U Health Coaching Program requirements, you will receive the tobacco-free discount and will be reimbursed for the extra cost you paid. • If did not complete a screening at all, you will receive the EHAF zero-cost medical deduction on your paycheck for Employee-Only medical coverage, but you will not receive the tobacco-free discount and will pay an extra $650 for the year to have HCA medical coverage. You will not have an opportunity to earn the discount through the coaching program. 21 22 ONE Great Place to Work. LIFE INSURANCE The HCA Health and Welfare Benefits Plan offers Life and Accidental Death & Dismemberment (AD&D) Insurance coverage to help provide financial security for you and your family in case of death or serious injury. If you are a full-time employee, your facility provides Basic Life and AD&D coverage (see below) at no cost to you. You may also elect Supplemental Life and AD&D (see below). If you are eligible and elect Employee Life and AD&D coverage for yourself, you may also elect Dependent Life coverage for your spouse only, eligible children only, or both. The HCA Health and Welfare Benefits Plan allows you to choose the coverage that best meets your needs. COVERAGE CATEGORIES: Basic Life and AD&D (full-time employees only) Equal to one times annual pay rounded to the next higher $1,000 up to a combined maximum of $6,000,000 with Basic and Supplemental Life. Supplemental Employee Life and AD&D Equal to a multiple of your annual pay rounded to the next higher $1,000 up to a combined maximum of $6,000,000 with Basic and Supplemental Life. Dependent Life If you are eligible and elect Employee Life and AD&D coverage for yourself, you may also elect Dependent Life coverage for your spouse only, eligible children only, or both. • Y our facility pays the cost of Basic Life and AD&D coverage. • You pay the cost of Supplemental Employee Life coverage through after-tax payroll deductions. • You pay the cost of Dependent Life coverage through after-tax deductions. For more information, please log onto www.HCArewards.com Every effort has been made to accurately describe the Life and AD&D benefit option in this guide; however, these benefits are offered and controlled by a group insurance contract with The Prudential Insurance Company of America. The insurance contract is the plan document for the Life and AD&D insurance benefit option and if there is a discrepancy between this guide and the insurance contract, the terms of the insurance contract will control. A certificate of insurance is available upon written request to HCA Inc., Corporate Benefits, One Park Plaza, P.O. Box 550, Nashville, TN 37203. 2014 Employee Benefits Guide COREPLUS BENEFITS During the annual enrollment process, employees can either make changes to their current coverage in these plans or enroll in coverage for the first time. Current CorePlus Benefit participants who want to continue their current coverage do not need to do anything. Their coverage will automatically be renewed for 2014. Most rates will not change for 2014. However, there will be a rate increase for the Supplemental Short-Term Disability Plan. The available plans are listed below: BENEFIT: WHAT IT OFFERS: Auto and Home Insurance • Designed to help you get a better value on your insurance through group rates not typically available to the general public - in some cases up to 15% off current premiums. • N ot only offers coverage for your home and auto, but also boats, motorcycles and personal property, such as jewelry and artwork. • O ffers free, no-obligation quotes. To enroll: • C all (866) 795-9342 or go to HCArewards.com and click on “Benefit Providers” Offered through Marsh Legal Benefits Offered through Legal Access Short-Term Disability (applies only to employees NOT eligible for the HCA Time Away from Work Program): • For one low rate, the Legal plan covers the employee, dependent children and both the employee’s and spouse’s parents. The plan provides access to professional legal consultation and representation at special group rates • After enrolling, if you need legal assistance, simply call the plan’s Member Services Center and a specialist will connect you with the right available network attorney for your specific legal matter. • Identity theft and elder care law (for aging parents) are two prevalent topics covered by this plan. • You can receive assistance with a variety of other topics, including legal document preparation and review, property damage disputes and credit and collection issues. To enroll: • L og on to HCArewards.com and click on “BConnected“ or call 1-800-421-4340 to elect coverage during enrollment • Log on to HCArewards.com and click on “BConnected” to review your options • P ays benefits to you if you are absent from work due to a non-work-related illness, injury or pregnancy. Certain exclusions may apply. Supplemental Short-Term Disability • W hen you enroll in a CorePlus Benefits voluntary benefits plan, you pay the cost of coverage, which is deducted from your paycheck on an after-tax basis for most of the benefits (long-term care is paid directly to Prudential). You will receive individual policies from the carrier that describe the benefits and procedures to access benefits. Long-Term Care • P rovides benefits for long-term care expenses up to a specific dollar amount per day • P urchase benefits directly from Prudential for yourself and your spouse, eligible adult children, parents, grandparents or domestic partners • R ate based on your age on the effective date of coverage - option exists to choose an automatic inflation protection feature To enroll: • C all (877) 458-2123 or go to HCArewards.com Pet Insurance Offered through PetFirst Health Care Offers two coverage options: • Accident & Illness Plan - Covers unexpected injuries and illnesses such as foreign body ingestions, a motor vehicle accident or lacerations, and sicknesses such as ear infections and even cancer • A ccident & Illness PLUS Routine Care Plan - In addition to the coverage above, this plan also reimburses you for everyday veterinary expenses, such as annual exams, flea and tick prevention, heartworm prevention and vaccinations To enroll: • C all (855) 213-7387 or go to HCArewards.com and click on “Benefit Providers” Voluntary life Insurance with Conversion Option to Long-Term Care (LTC) Offered through Fidelity Life • P rovides access of up to $100,000 in permanent-term life insurance on a “Guaranteed Issue Basis” • This Annual Benefits Enrollment period is your ONLY opportunity to add coverage without providing proof of insurability • This Voluntary Life Insurance benefit is an efficient and affordable solution for pre- and post-Retirement Life Insurance • If needed, the LTC feature allows you to convert the life insurance benefit into a “living” LTC benefit • Premiums remain constant for the life of the policy. This coverage is portable, which means you can keep coverage even if you change jobs or retire To enroll: • L og on to BConnected at HCArewards.com to elect coverage during enrollment (applies only to employees eligible for the HCA Time Away from Work Program): Offered through Prudential 23 24 ONE Great Place to Work. THE HCA 401K PLAN The HCA 401(k) Plan combines contributions from your facility with your own contributions to help you save for the future. HCA provides a 100% match on your contribution* (from 3% to 9% of pay) based on your years of service. That means for every dollar you contribute, your facility contributes $1 (up to your matching level). FACILITY CONTRIBUTION: Yrs of Vesting Service 401(k) Plan Match 0-4 100% of 3% of pay 5-9 100% of 4% of pay 10-14 100% of 6% of pay 15-19 100% of 7% of pay 20-24 100% of 8% of pay 25+ 100% of 9% of pay * You may contribute from 1% to 50% of your before-tax pay through payroll deduction, up to the IRS maximum. Log on to HCArewards.com for more information. Employees age 50 or over may make additional “catch-up” contributions up to IRS limits. Vesting: You are always 100% vested in your personal contributions to the 401(k) Plan. Your vesting in facility matching contributions is based on your years of vesting service and hire date. You earn one year of vesting service for each calendar year in which you perform at least 1,000 hours of service. New Employees: You will be 20% vested in matching contributions for every year of service, beginning at two years of vesting service. You will be 100% vested in matching contributions after six years of vesting service. % VESTED: Years of Matching Vesting Service Contributions 0-1 0% 2 20% 3 40% 4 60% 5 80% 6 100% Note: Special rules apply if you were hired before April 1, 2008. Automatic 401(k) Plan Enrollment for New Employees: If you are an eligible new employee, you will be automatically enrolled in the HCA 401(k) Plan on the first day following two months of service. Your contribution amount will begin at 3% of pay and will increase automatically by 1% each year until it reaches 15% or you actively make another election. You may opt out of automatic enrollment or change your contribution by going to BConnected through HCArewards.com 401(K) PLAN: HOW TO MAXIMIZE YOUR CONTRIBUTIONS 401(K) PLAN: CATCH-UP CONTRIBUTIONS The BConnected Web site now includes a “Calculate How to Maximize Your Contributions” tool. Prior to November 1st each year, participants can use the tool to calculate the amount they would need to deduct from their remaining paychecks to maximize their contributions. After November 1st of each year, the tool is designed to help them calculate how to maximize their contributions for the next plan year. Generally, participants are eligible to make an additional catch-up contribution to the HCA 401(k) Plan in any year they are - or will be - age 50 or older by December 31st. To make a catch-up contribution election, go to HCArewards.com and log on to BConnected or call (800) 566-4114. Catch-up contributions must be made as a flat dollar election. The Catch-Up Contribution limit for the 2013 plan year is $5,500. Limits for 2015 are not available and could change prior to open enrollment. Please check the BConnected website during enrollment for updates of limits. 2014 Employee Benefits Guide RETIREMENT BENEFITS 401(K) PLAN: HAVE YOU WORKED 1,000 HOURS THIS YEAR? In order to gain a year of service in the HCA 401(k) Plan, a participant must have 1,000 hours of service for the plan year. Hours will be applied in the year they are paid. This means hours at BConnected will match W-2’s. Call BConnected at (800) 566-4114 if you have questions about the number of hours used to determine years of service. 401(K) PLAN: ELECTION Participants may elect to make before-tax contributions in flat dollar amounts or whole percentages. Flat dollar amounts cannot exceed 50% of eligible pay each pay period. For 2014, the deferral limit for Highly Compensated Employees (HCE) is 12%. For Highly Compensated employees who elect a whole dollar amount, BConnected will estimate the eligible pay and ensure the year-to-date contribution amount does not exceed 12% of eligible pay. Participants may change their 401(k) Plan contribution at any time by logging in to HCArewards.com and clicking on BConnected. RETIREE MEDICAL PROGRAM The HCA Retiree Medical Program, which is administered by Aetna as Retiree Health Access, offers medical and prescription drug coverage to eligible retirees and their dependents. If you are under age 55, you may be eligible to enroll in HCA-sponsored medical coverage under COBRA and then enroll in the HCA Retiree Medical Program once you reach age 55. You will receive an enrollment packet in the mail when you become eligible. If you have questions about plan eligibility or payment information, call WageWorks at 877-202-6272. If you have questions about coverage, call Aetna at 800-248-9236. Aetna provider information is available at www.aetna.com/docfind/custom/rhagroup or 800-891-6779. Please contact www.HCArewards for up to date Retiree Medical Program rates and plan details. 25 26 ONE Great Place to Work. LEAVE OF ABSENCE FAMILY AND MEDICAL LEAVE OF ABSENCE HealthONE offers employers to provide eligible employees unpaid leave of up to a total of 12 workweeks during any 12-month period for one of the following reasons: • for the birth and care of the newborn child of the employee; • for placement of a child for adoption or foster care with the employee; • to care for an immediate family member (spouse, child or parent, and domestic partner) with a serious health condition; or • to take medical leave when the employee is unable to work because of their own serious health condition. To be eligible, employees must have been employed with HealthONE for 12 months and worked 1,250 hours in the 12-month period immediately preceding the beginning of the leave. MILITARY LEAVE OF ABSENCE If you are called into regular active military service or enlist under terms of federal statutes granting reemployment rights, you will be placed on Military Leave. Your missed compensation while on active duty will be kept “whole.” When your military service ends, you will be eligible for reinstatement with HealthONE under the terms of applicable federal statutes. If you are a member of the National Guard or any branch of the Armed Forces reserves, you will be granted a military training leave without pay upon written request supported by a copy of your official orders or instructions. These training leaves will not exceed the actual period of time spent in military training and reasonable travel time. Your benefits will terminate beginning with the first day of the month following your call to regular active military service or enlistment. Paid Time Off may be used upon your written request. Please contact your Human Resources Department for further details. This entitlement may be taken for one continuous period of time, intermittently or as part of a reduced work schedule. Type of Leave Length of Continuation of Benefits Job Protection Period Medical or Family (FMLA) Up to ninety (90) days if on paid leave of absence. Once unpaid, benefits may be converted to COBRA. If eligible up to twelve (12) weeks of job protected leave will be provided per twelve month period. Medical or Family (General) Up to ninety (90) days if on paid leave of absence. Once unpaid, benefits may be converted to COBRA. No job or position protection guaranteed. Maximum leave period is 6 months. Uniformed Service In accordance with Uniformed Service Employment and Reemployment Act, 1994, as amended. In accordance with Uniformed Service Employment and Re-employment Act, 1994, as amended. Patient Account Services, ITSM and Supply Chain employees please refer to the Parallon policy. For more information regarding this benefit contact Human Resources. 2014 Employee Benefits Guide TAFW PROGRAM (Time Away From Work) HealthONE’s commitment to the health and wellbeing of our employees extends beyond Health and Group Benefits. It also includes programs that provide time away from work to recharge or recover. For more information regarding this benefit contact 1-855-858-7557 or visit www.HCArewards.com under the Time Away from Work Service Center link. HealthONE’s Time Away From Work programs combine Paid Time Off, Short-Term Disability benefits, Long Term Disability coverage and Leaves of Absence. By combining these plans, HealthONE can: • Continue to provide competitive and fair benefits • Ensure everyone has access to benefits to help balance work and life • Better support your overall health and well-being • Continue to reward your length of service with the Company • Further build on our Healthy Work Environment PAID TIME OFF At HealthONE, we believe employees should have the opportunity to enjoy time away from work to help balance their lives. The benefit of Paid Time Off (PTO) is to provide all eligible employees with paid time away from work that is used for vacation, holidays, personal time, personal illness or time off to care for dependents. This plan provides both employees and HealthONE with a flexible method of scheduling time off with pay. When you take an approved day off, you will be paid PTO. At no time may the combination of your work hours and PTO exceed your regularly scheduled hours. You may request to use PTO if your supervisor reduces staff due to low census or volume. PTO must be used to replace normal scheduled hours, including holidays, each workweek. Leave without pay cannot be used if employees have PTO hours available, unless it is a result of low census. ACCRUAL PTO SELL BACK Regular full-time and part-time employees accrue PTO on a prorated basis, based on actual hours worked. The maximum hours worked per pay period from which PTO is calculated is limited to 80 hours. Less than 80 hours will be pro-rated. Please see Human Resources for your plan accrual schedule. A PTO sell back option may be permitted, please see Human Resources for more information. PTO sellback dollars are subject to 25% Federal Tax withholding, along with Social Security, Medicare, state taxes and 401K. REQUEST FOR PTO You may request to use PTO as it is earned or you may accumulate the hours up to the maximum. After you reach the maximum accrual, no PTO hours will accrue and therefore, additional accruals are lost. It is your responsibility to monitor your PTO balance stated on your paycheck. TERMINATION If you terminate your employment or you change to a non-benefit-eligible Employment Status, you will be paid, at your base hourly rate, all PTO earned through your last day of employment or status change. For more information regarding this benefit contact Human Resources. 27 ONE Great Place to Work. 28 SHORT TERM & LONG TERM DISABILITY Short-Term Disability coverage is provided to all benefits eligible full-time and part-time employees. Short-Term Disability coverage is designed to replace a percentage of your pay when you’re away from work for more than seven calendar days due to a personal non work-related injury or illness, based on approved medical management. Employees are eligible for up to 21 weeks (per event) of income replacement, including a 7-calendar day waiting period. During the waiting period, you can use PTO. The income replacement level of your Short-Term Disability benefit is based on your years of service (measured from your hire date) as shown below: YEARS OF SERVICE INCOME REPLACEMENT LEVEL 0-460% 5-980% 10+100% Employees with 0-4 years of service please see Short Term Disability buy up option on page 23. The plan provides income replacement for absences due to your own personal non-work-related illness or injury. Income replacement for absences to care for a dependent is not covered by the plan. If your absence is longer than 21 weeks, the Short-Term Disability administrator will help you to transition to Long-Term Disability benefits, if you are enrolled in that plan. To be eligible for Short-Term Disability benefits, your absence must meet the plan’s medical management criteria. LONG-TERM DISABILITY A Long-Term disability can have a big impact on your life as it can affect your health and your personal finances. Long-Term Disability (LTD) may protect you from the financial consequences as a result of a disability. The cost for LTD depends on your age and your salary. Two options are available – you can choose 50% or 60% coverage. Certain circumstances require that the Evidence of Insurability (EOI) form be completed before coverage may be granted. The Evidence of Insurability (EOI) form is how the insurance carrier evaluates applicants for Life and Long-Term disability coverage. Participants now have the option of providing Evidence of Insurability for LTD, STD and Dependant Life online at the Bconnected site. If you enroll in an LTD option that requires EOI, you will see a link to the online EOI tool. If the EOI is not completed online within seven days, Prudential will mail the EOI request to the participant. WORKERS’ COMPENSATION BENEFITS WORKERS’ COMPENSATION If you sustain a work-related injury/illness while at work, you must do the following per HealthONE policy: 1. Notify your supervisor within 24 hours of the injury/illness 2. Notify employee health (or Human Resources in those facilities who do not have employee health) within 24 hours of the injury/illness 3. Complete the injury report within 24 hours of the injury/illness NEVER TREAT AN ON-THE-JOB INJURY WITH YOUR OWN PHYSICIAN. ANY TREATMENT OR REFERRALS OR TIME MISSED FROM WORK WILL NOT BE COVERED BY OUR WORKERS’ COMPENSATION. If you sustain an injury during our open hours, please visit to employee health immediately. The nurse will evaluate you and either treat you or send you to our workers’ compensation clinic. If you are injured while we are closed, notify your supervisor or designee. If you do sustain an injury, and are given work restrictions, and if you are unable to return to your normal job, you may be placed in Transitional Duty. There is a 3-day waiting period for all work related injuries. Employees may use paid time off (PTO) or leave without pay (LWOP) to cover the three day waiting period. If you do not have an adequate PTO balance you may not receive pay for those the three days. For more information regarding this benefit contact Human Resources. 2014 Employee Benefits Guide COBRA RIGHTS CONTINUATION OF EMPLOYEE AND DEPENDENT COVERAGE Continuation of coverage under the Medical and Dental plans and Health care or Day Care Spending Accounts may be elected if your coverage or that of any of your covered dependents ends due to the occurrence of a qualifying event. A qualifying event is defined as: termination of employment (whether voluntary or involuntary), retirement or a reduction in work hours, which would result in a loss of medical and dental coverage for you or your covered dependents. This benefit does not extend to domestic partners. For more information, full listing of Qualifying Events or forms, please contact Human Resources. Medical (cost Per Month) Insurance Plan Employee Only Employee +1 Employee +2 Employee +3 or more Rocky Mountain HMO/CNIC $718.82 $1,437.66 $1,797.08 $2,156.48 Well Care Level 1 $543.38 $1,086.77$1,358.46$1,630.15 Well Care Level 2 $581.72 $1,163.43$1,454.29$1,745.15 Well Care Level 3 $665.43 $1,330.85$1,663.56$1,996.27 Dental Insurance Plan Employee Only (cost Per Month) Employee +1 Employee +2 Employee +3 or more CIGNA DHMO $21.11$40.52 $57.64 $67.46 MetLife PPO $35.27$70.54 $98.76 $126.98 Vision Insurance Plan EyeMed Employee Only (cost Per Month) Employee +1 Employee +2 Employee +3 or more $6.86$10.50 $14.25 $17.55 29 30 ONE Great Place to Work. EMPLOYEE BENEFIT SERVICES BEREAVEMENT LEAVE If you are a regular full-time or regular part-time employee, you will be granted up to 40 hours (maximum of 5 shifts) off with pay, at your base wage, in the event a death occurs in your immediate family. Immediate family member is defined as parent, spouse, domestic partner, child, grandchild, sister, brother, legal guardian or ward, grandparent, great grandparent, all above relatives who are in-laws (including above stated relatives of an employee’s domestic partner) or step relatives and any other relative who is a member of your household. Immediate family does not include spousal-like partners or anyone who is not a direct relative. Leave will not be granted during periods of time off without pay, such as personal leaves, lay-offs etc. ADOPTION PLAN BENEFIT The HCA Adoption Plan pays for a portion of your adoption expenses much like the medical plan covers maternity expenses. The adoption plan will pay up to $3,500 for expenses you have within the plan year relating to the adoption of a child. If you adopt a “special needs” child (as defined by your state of residence), you can receive up to $4,500 for reimbursement of adoption expenses. The annual maximum benefit is $7,000. You are eligible to receive adoption benefits if you are a full-time employee and have been employed with HCA or HealthONE for at least one year. Part-time employees are eligible if they have completed two years of service with HCA or HealthONE. To apply for adoption benefits contact your Human Resources Department for claim forms. Your form and itemized bills must be submitted within 90 days after the adoption is final. You must be employed with HealthONE at the time the adoption is final. After your claim is processed and approved, your adoption plan benefit will be added to your regular paycheck. Adoption plan benefits are taxable income and normal deductions will be taken when the benefits are paid. We at HealthONE understand that certain circumstances may dictate that bereavement leave start sometime after notification of death. Therefore, Bereavement Leave need not immediately start the day after notification of death. Patient Account Services, ITSM and Supply Chain employees please refer to Shared Services policy. CHAPLAINCY SERVICE The Chaplaincy of HealthONE is a resource for spiritual help and counseling. You may consult with the Chaplain on-call at your facility. EMPLOYEE ASSISTANCE PROGRAM All HCA-affiliated employees have access to the EAP. The EAP offers customized referral services to help employees and their household members deal with a wide array of life challenges that could affect their health, relationships and/or job effectiveness. Whether the issue is large or small, employees can call ValueOptions at 1-800-434-5100, 24 hours a day, 365 days a year. Visit www.achievesolutions.net/hca for up-to-date information and interactive tools on more than 200 topics. TIME OFF TO VOTE HealthONE encourages you to vote. If you are eligible to vote and there are not three or more non-working hours between the opening and closing times of the polls, you will be given time off with pay on election day to vote. As with all absences, your supervisor’s advance approval is required. 2014 Employee Benefits Guide have worked so hard to save for in retirement. These are free services that also include online educational materials, IRA comparisons, processing of plan-to-plan rollovers, rollovers to an existing IRA or cashing out. The HCA Hope Fund is an employee-run, employee supported charity, dedicated to helping our colleagues who have been touched by tragedy. The goal of the HCA Hope Fund is to help HCA-affiliated employees and their immediate families who are affected by hardship. This includes disasters, extended illness/ injury and other special situations. The fund provides emergency information, referrals and/or financial aid to help those affected get back on their feet. Anyone can contribute to the fund: employees, vendors, affiliated physicians and the general public. Donations can be made by payroll deduction, check or credit card. All contributions are tax deductible. SECURITY Your security, and that of the HealthONE premises, is important to us. HealthONE is committed to a security program to protect employees, visitors, patients and HealthONE resources. If you have a need for security services, or determine that a security problem exists, call security directly by dialing the appropriate number for your facility. The security program may from time to time include various security checks or searches (including personal interviews, package and locker checks, etc.) as a necessary means of safeguarding the company resources. To be eligible for assistance from the fund, you must be employed directly by an HCA affiliate as a regular fulltime, part-time employee, or PRN working a minimum average of 12 hours per week. You cannot have received financial assistance from the Hope Fund within the past 12 months. Your situation must meet the fund guidelines and meet the definition of emergency or hardship resulting from extended illness/injury, disaster or other situation (such as domestic violence) that is beyond your control. For the purposes of the Hope Fund, an emergency is defined as “an unexpected event or catastrophe that is non-recurring or an unavoidable situation of a serious and urgent nature”. To learn more on how to receive assistance or to make a donation visit HCAhopefund.org or contact your Human Resources Department. All requests for help are kept confidential. JURY AND WITNESS SERVICE HealthONE encourages you to serve as a juror or witness when requested to do so through a court notice. If you are called to jury service, immediately notify your supervisor so coverage for your position may be obtained. You may retain your jury service check, witness fees or mileage allowance and, in addition, HealthONE will pay your base rate of pay for each hour of jury service for scheduled work time you miss, not to exceed 30 days. ROLLOVERSYSTEMS, LLC HCA has partnered with RolloverSystems, LLC to offer current and terminated retirement plan participants personal assistance from licensed counselors to help each participant better understand how to keep what they SELECTPLUS (SITTERCITY AND YEARS AHEAD) HCA has partnered with Sittercity.com to provide a resource for employees looking to find a local caregiver. Sittercity is America’s leading website for connecting families with in-home care providers, babysitters, nannies, elder care providers, dog walkers, housekeepers and more. Now, with the new HCA Total Rewards benefit, employees have access to a paid membership to Sittercity.com – valued at up to $150. Employees can access a nationwide network of more than a million caregiver profiles. This benefit can help employees continue to be productive at work and feel secure knowing that things are taken care of at home. To register go to www.sittercity.com/hca to obtain your fully paid membership and follow the links to conduct a caregiver search or post a job to let caregivers find you. You can use Sittercity’s four-step screening process to read reviews, conduct interviews, check references and review background checks. 31 32 ONE Great Place to Work. EDUCATIONAL BENEFITS GRACELAND UNIVERSITY You and your family members are eligible for special educational benefits offered through a unique partnership with numerous traditional, non-profit universities and colleges. These partner schools offer quality, accredited programs online to employees and family members wanting to further their education. To receive the special pricing benefits listed below, simply apply and enroll in a program. CONTINUING EDUCATION HealthONE supports employees with their continuing education. Because of the great variety of personnel, there are many different programs offered to help employees keep abreast of the latest developments in their particular field. Therefore, reimbursement is handled through your department’s continuing education budget. Time off from work to fulfill CEU requirements is paid at the base hourly rate only. Contact your supervisor for additional information and approval prior to course. CSU GLOBAL Get a 10% tuition discount on our 100% online courses, designed to help you advance your career.Colorado State University-Global Campus is the first and only 100% online public university in the United States. Designed to help working adults with busy schedules reach their educational and professional goals, CSUGlobal is committed to your success. Eligible employees receive a discount of 10% off our already low standard tuition rates. CSU-Global can help you get started earning your degree faster, but we also want to ensure that your continued education is affordable as well as helpful to your future success. CSU-Global provides a tuition guarantee so your tuition rate will be locked in from your very first class through graduation as long as you remain enrolled. Flexible financing options include federal financial aid and deferred payment plans for employer reimbursement. Simply identify yourself to an admissions counselor to take advantage of this special offer. Contact an advisor at 800-920-6723 or apply online at www.CSUGlobal.edu to get started earning your degree today. If you are already a current CSU-Global student, please contact Student Accounts at 800-462-7845, ext. 4 or email [email protected]. This exclusive arrangement allows you to receive reduced tuition pricing for students interested in Graceland University’s 100% online RN to BSN program. Additionally, the BA in Healthcare Management online is offered for students seeking to complete a bachelor’s degree. Enroll to become eligible for: • A one-time $500 Scholarship* • 10% reduction in the tuition pricing • Waived Application Fee • Waived Transcript Request Fees At Graceland University, you can continue your education toward nursing leadership and complete your RN to BSN degree in as little as 16 months. With CCNE accreditation and a history in distance education dating back to the 1980’s, Graceland offers a high level of quality education. For more information about these benefits, please call: 800-218-1610. DREXEL UNIVERSITY ONLINE Drexel University Online offers you and your immediate family members the opportunity to earn a top-ranked degree with 24/7 flexibility and receive a 10-25% tuition reduction! Ranked among “America’s Best Colleges” by U.S. News & World Report, Drexel offers more than 90 fully accredited programs in a convenient online format. Set yourself up for career advancement with Drexel University Online! Contact for questions: Julie Walters at 215-571-3882 or email [email protected]. 2014 Employee Benefits Guide UNIVERSITY OF COLORADO TUITION REIMBURSEMENT You and your family members are eligible for special educational benefits offered through a unique partnership with numerous traditional, non-profit universities and colleges. These partner schools offer quality, accredited programs online to employees and family members wanting to further their education. To receive the special pricing benefits listed below, simply apply and enroll in a program. This exclusive arrangement allows you to receive reduced tuition pricing for students interested in University of Colorado Boulder’s online Professional Non-Credit Certificates in Business and Community Sustainability Management. Enroll to become eligible for: HealthONE has a tuition reimbursement program that qualifies under Section 127 of the Internal Revenue Code. This program provides you with financial reimbursement for tuition and books, thereby encouraging you to participate in approved outside educational programs. In addition, the program strives to increase your competence in your present position or prepare you for promotion or transfer to other HealthONE positions. • 10% reduction in the tuition pricing • Waived Application Fee • Waived Transcript Request Fees Through interdisciplinary non-credit seminars that integrate the concerns of people, planet and profit (the Triple Bottom Line), our program will help you achieve the practical, skills-based training you need to become a smarter, better informed, more conscientious leader. Learn from top professionals in sustainable business while taking advantage of the flexibility of online education. University of Colorado notable honors: • #1 National Science Foundation-funded environmental research • U .S. News and World Report: #97 for National Universities (2013) • “Green college” listed in Princeton Review’s “Guide to 322 Green Colleges: 2013 Edition” • The first to receive a GOLD rating in the Sustainability Tracking Assessment and Rating System (STARS) nationwide (AASHE) • Rated Sierra Magazine’s “most eco-enlightened” university for 2009 • The national climate and renewable energy research labs—NCAR, NREL, NOAA— collaborate and partner with the University • One of 34 U.S. public institutions belonging to the prestigious Association of American Universities (AAU) and the only member in the Rocky Mountain region For more information about these benefits, please call: 866-604-7790. All regular full-time and regular part-time employees are eligible immediately upon employment. The start date of the course must begin after your hire date and reimbursement will follow after successful completion of that course. Employees on disciplinary action within the past six months are not eligible. Exclusions Examples of courses NOT covered by tuition reimbursement are: • Preparation courses for exams or pre-entry tests, including preparation for certification exams. • Supervisory courses not part of a degree program. • Specialty certifications not required to maintain license. • Continuing education courses. • Certificate programs. • Renewal of license or certification. • Seminars or conferences. • Entry level nursing school programs that do not contain a clinical component. Patient Account Services, ITSM and Supply Chain employees please refer to Shared Services policy. WELLS FARGO STUDENT LOAN PROGRAM The Wells Fargo Financial Services and Education Program provides access to resources that can help you and your family members prepare and pay for educational advancement. These resources include college and scholarship search engines, a college planner and government loan guidance. For more information, go to www.employeefinancialsolutions.com/loans/ hca0599/partner.page or call (800) SOS-LOAN. 33 34 ONE Great Place to Work. PAYROLL & FINANCIAL BENEFIT SERVICES AUTOMATIC CHECK DEPOSIT HEALTHONE CREDIT UNION HealthONE uses a direct deposit system to pay its employees. Most financial institutions in the Denver metropolitan area are part of the automatic deposit system and may allow direct deposit into a checking or savings account. For your convenience we encourage you to participate. HealthONE, Partner Colorado Credit Union is YOUR credit union. Since 1970, HealthONE Credit Union has been the official credit union for all HealthONE employees, volunteers and their affiliates; including all HCA employees. Partner Colorado Credit Union strives to be a leader in the financial industry and we look forward to helping you Move Your Finances Ahead. CAFETERIA Displaying your I.D. badge at any HealthONE facility cafeteria allows you to purchase meals at reduced prices. Check with your Human Resources department regarding payroll deductions for cafe charges. ELECTRONIC PAY STUB Under this program, employees are automatically enrolled and able to access their pay stubs — an exact electronic version of the pay stubs they receive today — from any computer with Internet access. E-stub further extends the benefits and cost savings from using Direct Deposit. Benefit includes: • Borrow for an auto loan, home loan, or motorcycle loan…. We’re here! • Save for a rainy day or just keep your money somewhere safe….We can help! • Invest for your future or the future of your loved ones….We’ve got it covered! • Clean up something from your past; we know mistakes happen…..We got this! HOW DOES 24/7 ACCESS SOUND? • 24/7 Telephone Banking: Check balances, transfer money, make loan payments • Pay stub access on Thursdays • Mobile Banking apps: Access your account while you are on the go • View up to 18 months of pay history • Remote Deposit: Deposit checks via your cell phone • Secure, password protected access • On-Line Banking @ PartnerColoradoCU.org: Join the credit union, apply for a loan, access your account, transfer money, and make loan payments. • Printable • Check PTO balances on line • View anytime, anywhere Internet access is available at www.onlinewagestatements.com/parallon • For pass word reset please contact your local IT department. All of your information can be viewed online and printed 24/7. E-stubs are safer than regular paperprinted stubs because they bypass the human transport factor from printer to employee. Only employees know their passwords. You may opt-out by contacting Human Resources for the appropriate forms. Your electronic W2 is available on the E-stub website. FINANCIAL EDUCATION • One-hour on-site classes – The Seven Steps to Financial Prosperity • Online classes • One-on-One sessions with a certified financial instructor • E-mail access to a certified financial advisor. • In Person: Visit a branch; sit down and stay awhile • Total Solutions Contact Center: Talk to a live person Monday-Friday 8:00 a.m. – 6:00 p.m. 303.422.6221 Banking should be easy, convenient and available when you are. Start saving and earning with your financial wellness benefit and move your finances ahead with Partner Colorado Credit Union. Call our Total Solutions Contact Center 303.422.6221 or visit us online at PartnerColoradoCU.org to open your account today. SKYLIGHT ACCOUNT The Skylight® account is a bank account — owned by you — that is funded by direct deposit. You are preapproved for a Skylight bank account regardless of your credit history and can access your money at safe, convenient ATM locations throughout the country, which eliminates the need to visit expensive check cashers and carry large sums of cash. The Skylight account allows you to maintain a bank account that can be used as a credit reference when buying a car, renting an apartment, etc. For more information, please call 1-800-355-6119. 2014 Employee Benefits Guide WE HAVE WHAT YOU NEED. EMPLOYEE DISCOUNTS Listed on HealthONE’s Intranet and at www.beneplace.com/HealthONE www.beneplace.com/healthone For discounts on everything from monthly cell phone service to cruises, go to the HealthONE Employee Discount Program. For discounts on everything from monthly cell phone service to cruises, go to the HealthONE Employee Discount Program ElEctronic EquipmEnt Financial sErvicEs travEl & EntErtainmEnt consumEr products Everything electronic for home and away. services you can bank on. When you need to relax. Flowers, fragrances and fun! cEll phonEs ― Save on monthly service! loans and rEFinancE ― Great rates! thEmE park tickEts ― Fun vacations! ElEctronics ― Save on TVs and more! idEntity thEFt ― Protect your assets. car rEntals ― Go for a ride! FloWErs and giFts ― Send some LOVE. luggagE and morE ― We’ve got it all! computErs ― Save on laptops and more! tax prEparation ― Let us help! cruisEs and morE! ― Escape! exceptional beauty • exceptional prices homE sErvicEs hEalth & WEllnEss automotivE insurancE programs it’s about preserving and maintaining your home. it’s about taking care of your body! need to buy a new car? money-saving programs to protect your pets. rElocation ― Get a move on! FitnEss EquipmEnt ― Gear moves you! auto purchasE ― When you need a ride! homE sErvicEs ― Outfit your home. WEight mgmt. ― Helpful, Healthful programs. auto sErvicEs ― Maintain your vehicle. pEt insurancE ― Protect your pets! Education includes career planning and continuing education. carEEr planning ― Learn more! appliancEs & morE! ― It’s on the inside! © 2012 BEnEplacE, inc. mEdical id ― Just in case. 35 36 ONE Great Place to Work. Employee Discounts (continued) BENEPLACE LIFESAVERS: CORPORATE SHOPPING HealthONE is pleased to offer employees a wide variety of professional services and family oriented entertainment activities at reduced rates, made possible through alliances with national brands and companies you know and trust — as well as with local favorites. The HCA Total Rewards Program has parternered with Corporate Shopping to offer affiliated employees a new and expanded LifeSavers consumer discounts program that includes more than 200 exclusive discounts and special offers at some of the world’s most popular retailers. To access these terrific values, logon to HealthONE’s Intranet and then click on “discount services and entertainment” to get to a full listing — or you may directly access by going to www2.beneplace.com/ HealthONE. Since our list of extra benefits and savings is always getting bigger and better, please check back often. COLORADO DRUG CARD Save up to 75% (avg 30%) at more than 50,000 pharmacies nationwide. The card is free and can be used immediately by logging onto www.coloradodrugcard.com. This program also includes discounts on vision and hearing products, nutritional supplements, diabetic supplies, and more. Search participating pharmacies at www.coloradodrugcard.com. Access to the program is password protected and available only to HCA-affiliated employees and their families. HealthTrust Purchasing Group has negotiated the program at no cost to HCA and has incorporated all the national discounts available under the previous LifeSavers program, including GE Marketplace, Microsoft, Tickets@Work, AT&T, Sprint & Nextel and Verizon. (Note: These can be found in the Electronics & Entertainment section at the link below.) Start Shopping Now The first time you visit the site, you will need to register by entering your e-mail address and creating a password. If you have questions about the program or need assistance with registration, send an e-mail to [email protected]. ONLINE RESOURCES FOR EMPLOYEES Additional enrollment tools and resources will be available to employees at HCArewards.com and BConnected. HOW TO FIND: RESOURCE AND DESCRIPTION: Log in to HCArewards.com and click on the BConnected link in the blue bar at the top during your enrollment period Health Plan Comparison Charts: Allows participants to choose up to three medical or dental plans to compare side by side. Medical Expense Estimator: Guides participants through the decision process and helps them choose the coverage they need based on their situation. FSA Estimators: Allows participants to estimate their eligible FSA expenses for the upcoming year. ProviderDirect: Participants can use this tool during the enrollment process to locate medical, dental and vision providers. Note: ProviderDirect is not available for Well Care plans. Disability Estimator: Helps participates estimate the level of long-term disability coverage they need. Life Insurance Estimator: Helps participates estimate the level of life insurance coverage they need. Health care Cost Summary: Participants can use this tool to review their 2013 and 2014 year-to-date Log in to HCArewards.com and click on “Money” and “Financial Prosperity” Financial Education Resources: Provides access to savings and retirement tools and calculators and articles to help them manage their money for today and for retirement. Log in to HCArewards.com Videos: Segments on enrollment and the benefit plans will be available online. Log in to HCArewards.com and click on the BConnected link in the blue bar at the top EOI Connect: Participants have already been able to submit EOI online for basic and supplemental life insurance. Participants have the option of providing evidence of insurability online at the BConnected Web site. If they enroll in an LTD option that requires EOI, they will see a link to the online EOI tool. If the EOI is not completed online within seven days, Prudential will mail the EOI request to the participant. Other: Links to vendor Web sites, FSA forms and handouts, etc. 2014 Employee Benefits Guide HEALTHONE REHAB SERVICES HealthOne Acute Rehab Services provides acute care rehabilitation to aggressively help individuals progress toward their recovery after a serious injury or illness. We offer a continuum of care from inpatient to outpatient rehabilitation services to meet a variety of needs. Our acute rehabilitation programs specialize in the treatment of post-trauma, Stroke, Brain Injury and neurological care utilizing an intensive team approach to help patients reach their maximum level of functioning enabling them to return home. Our interdisciplinary teams include rehab nursing, physical, occupational and speech-language therapies lead by our Physiatrists (physicians specializing in rehabilitation). The purpose of rehabilitation is to restore physical, sensory, and mental capabilities that were lost due to injury, illness, or disease or assist the patient to compensate for deficits that cannot be reversed medically. Each rehabilitation program is tailored to the individual patient’s needs to achieve maximum independence. With a focus on outstanding patient outcomes and a high discharge rate to home our rehab teams are proud of the unique service they provide. Swedish Acute Rehab was ranked in the top 10% of rehab facilities in the United States according to UDSMR (Uniform Data System for Medical Rehab). Spalding Rehab celebrating 45 years as the first licensed acute rehab in Colorado was nominated for the third consecutive year for Best of Rehab by Rehab Management Magazine. We have three convenient locations and 70 beds to meet the HealthOne System acute rehab needs. REHAB LOCATIONS Swedish Acute Rehab 501 E. Hampden Ave. Englewood, CO 80113 303-788-5963 www.swedishhospital.com Spalding Rehab 900 Potomac St. Aurora, CO 80011 303-363-5146 www.spaldingrehab.com Spalding at Presbyterian St. Lukes 1719 E 19th Ave. 6B Denver, CO 80218 303-839-6293 www.spaldingrehab.com • 17 beds • 40 beds including a NeuroRehab Controlled Stim Unit • 13 beds 37 38 ONE Great Place to Work. HEALTHONE’S TRUSTED CARE FOR CHILDREN ROCKY MOUNTAIN HOSPITAL FOR CHILDREN - Exceptional Care for your Child’s Health Anytime a child becomes sick or injured, it can be a life changing moment for a family. Even employees who are familiar with hospitals, clinics or other services in their work every day find that healthcare takes on a whole new meaning when it touches us personally through our child, our family, or our friends. At that moment, employees can turn to the experience and compassion of the team at HealthONE’s Rocky Mountain Hospital for Children. Rocky Mountain Hospital for Children (RMHC) is the name given to HealthONE’s pediatric services at Presbyterian/St. Luke’s Medical Center, Swedish Medical Center, Sky Ridge Medical Center, The Medical Center of Aurora, and North Suburban Medical Center. RMHC at P/SL is the anchor hospital within HealthONE for specialty care and pediatric surgery. EXPERT DOCTORS AND STAFF Rocky Mountain Hospital for Children’s healthcare network provides the largest collaborative team of private practice pediatric specialists, neonatal and maternalfetal specialists available in the Rocky Mountain region. With more than 300 community pediatricians, and family medicine physicians and 330 specialists affiliated with our six hospitals, we care for high-risk mothers, infants, children and teens. See RockyMountainHospitalForChildren.com for a complete list of pediatric specialists affiliated with HealthONE hospitals. Also, employees’ children who need the expert care of a pediatric specialist, have flexible and priority appointment scheduling. Identify yourself as a HealthONE employee when calling the office, and you’ll be able to schedule a consultation and be seen quickly. Affiliated pediatric specialists are all board-certified or board-eligible in their respective specialties which include: PEDIATRIC EMERGENCY CARE • Anesthesiology • Cardiology • Cardiac Surgery • Cancer • Concussion • Emergency • Gastroenterology • General Surgery (Minimally Invasive Surgery) • Hospitalists/ Intensivists • Neonatology • Nephrology • Neurosciences (Neurology and Neurosurgery) • Oncology • Orthopedics • Otolaryngology • Pathology • Plastic Surgery • Pulmonology • Radiology • Spine and scoliosis • Sports Medicine • Urology All HealthONE Rocky Mountain Hospital for Children emergency departments are “pediatric ready” with the appropriate medications, equipment and staff training to care for children from newborns through teens. Also, all Pediatric Emergency Departments demonstrate their special commitment to children with: • The Artemis system for safest drug dosing for children • Special expertise in concussion diagnosis and referral for treatment HIGH STANDARDS OF CARE • Special procedures to minimize fear and reduce pain in children Close monitoring of clinical quality, safety measures and ongoing training result in standards of care that HealthONE employees can trust to be of the highest quality in the region. • Short wait times so children can feel better fast RMHC specialists partner closely with your child’s primary doctor in treatment decisions and in providing a family focused environment of close, open communication. You child will be treated by fully trained, board-certified pediatric specialists in a private practice environment, so you can be assured that the doctor who treats your child is an experienced expert. Both inpatient and outpatient nursing care is delivered by individuals with special skill to care for children and communicate well with their parents. EASY ACCESS TO SPECIALTY CARE If your child has a condition, illness or injury that requires treatment from a pediatric specialist, RMHC’s affiliated physicians provide clinical care virtually every specialty. Visit the HealthONE website at RockyMountainHospitalForChildren.com. for the complete map of pediatric emergency locations. And, remember to “Text ER to 23000” for up-to-the-minute information about wait times. EXCEPTIONAL COMMITMENT TO YOUR CHILD’S HEALTH The commitment to you is that your child will receive the appropriate level of care wherever they may be treated in the HealthONE system. We treat you like family… because you are part of our family. For more information about all of the pediatric services through Rocky Mountain Hospital for Children, please visit the website RockyMountainHospitalForChildren.com. 2014 Employee Benefits Guide FAMILY OF HOSPITALS Rocky Mountain Hospital for Children at Presbyterian/St. Luke’s Medical Center (anchor hospital) 53 inpatient pediatric beds 20 pediatric intensive care beds 6 specialized pediatric operating rooms ECMO capability for the most seriously ill children 84-bed Level IV neonatal intensive care unit Two Ronald McDonald House Family rooms Rocky Mountain Hospital for Children at Rose Medical Center 24 Level III NICU beds Rocky Mountain Hospital for Children at Medical Center of Aurora 8 inpatient pediatric beds 14 Level III NICU beds Rocky Mountain Hospital for Children at Swedish Medical Center 11 inpatient pediatric beds 6 pediatric intensive care beds 21 Level III NICU beds Rocky Mountain Hospital for Children at North Suburban Medical Center 6 inpatient pediatric beds 6 Level II NICU beds Rocky Mountain Hospital for Children at Sky Ridge Medical Center 14 inpatient pediatric beds 12 Level III NICU beds HUMAN RESOURCES LOCATIONS SURGERY CENTERS/ CLINIC SERVICES SYSTEM SUPPORT AND DIVISION OFFICE 4900 S. Monaco, Suite 100 Denver, CO 80237 (303) 584-6099 DENVER PATIENT ACCOUNT SERVICES 7300 Beaufont Springs Drive Boulders VIII Richmond, VA 23225 (804) 267-4388 (804) 267-4389 fax DENVER SUPPLY CHAIN SERVICES 4520 Florence Street Denver, CO 80238 (303) 375-2525 1-866-620-4102 fax ITSM 2275 Corporate Circle, Suite 100 Henderson, NV 89074 (702) 938-8674 (866) 444-0326 fax THE MEDICAL CENTER OF AURORA 1501 S. Potomac Street Aurora, CO 80013 (303) 695-2709 (303) 695-2911 fax NORTH SUBURBAN MEDICAL CENTER 9191 Grant Street Thornton, CO 80229 (303) 450-4450 (303) 457-6729 fax PRESBYTERIAN/ ST. LUKE’S MEDICAL CENTER 1719 E. 19th Avenue Denver, CO 80218 (303) 839-6000 (303) 839-7294 fax ROCKY MOUNTAIN HOSPITAL FOR CHILDREN AT P/SL 1719 E. 19th Avenue Denver, CO 80218 (303) 839-6000 (303) 839-7299 fax ROSE MEDICAL CENTER 4567 E. 9th Avenue Denver, CO 80220 (303) 320-2198 (303) 320-7404 fax SKY RIDGE MEDICAL CENTER 10101 RidgeGate Parkway Lone Tree, CO 80124 (720) 225-1020 (720) 225-1029 fax SPALDING REHABILITATION HOSPITAL 900 Potomac Aurora, CO 80011 (303) 363-5637 (303) 363-5135 fax SWEDISH MEDICAL CENTER 501 E. Hampden Avenue Englewood, CO 80113 (303) 788-6060 (303) 788-6029 fax 39 40 ONE Great Place to Work. NOTES: 2014 Employee Benefits Guide NOTES: 41 VERY IMPORTANT PHONE NUMBERS BCONNECTED • WWW.HCAREWARDS.COM Benefit Plan Choices..................................... 1-800-566-4114 CorePlus Voluntary Benefit Program............ 1-800-566-4114 Savings & Retirement.................................... 1-800-566-4114 Time Away From Work (TAFW)................. 1-855-858-7557 MEDICAL PLANS HCA CIGNA Well Care Plans..................... 1-800-538-2007 Rocky Mountain Health Plans/CNIC............ 1-877-321-4412 CareMark Prescription Services.................... 1-866-216-5767 Welldyne RX................................................ 1-888-479-2000 www.mycigna.com www.CNICHS.com www.caremark.com www.welldynerx.com DENTAL PLANS CIGNA DHMO........................................... 1-800-367-1037 www.cigna.com MetLife Dental PPO..................................... 1-877-638-4422 www.metlife.com/dental EMPLOYEE ASSISTANCE PROGRAM ValueOptions............................................... 1-800-434-5100 www.achievesolutions.net/hca FLEXIBLE SPENDING ACCOUNTS Toll-Free Access............................................ 1-877-888-FLEX www.HCArewards.com 1-877-888-3539 OTHER Wells Fargo ConSern Education Program..... 1-800-SOS-5626 www.collegiate.org EyeMed Vision Care..................................... 1-866-723-0513 www.eyemedvisioncare.com COBRA Compliance Inc (CCI).................... 1-877-20-COBRA 1-877-202-6272 WHEN DO I CONTACT MY HEALTH OR DENTAL PLAN CARRIER? • To change physicians or dentists • If you need to request a new ID card • For an explanation of benefits • If you have questions about a claim WHEN DO I CONTACT BCONNECTED? • Enrollment questions regarding Health, Group Benefit Plans and CorePlus benefits • To waive your coverage in Health and Group Benefits • If you have a family status change (marriage, divorce, birth, death, etc.) • For general questions about your benefit choices • To re-set your PIN number/ password • If you are eligible to enroll in the 401(k) plan • To change your investment options or check the balance in your retirement accounts WHEN DO I CONTACT HUMAN RESOURCES? • To update your address • If you have questions about deductions coming out of your paycheck • For provider directories for the health and dental plans • For general questions that BConnected cannot be of assistance WHEN DO I CONTACT TAFW? • If you plan to be out for a surgery or have a non work related injury for more than 4 days • If you are planning the birth or adoption of a child • For an illness lasting 4 or more work days • For a leave of absence - continuous or intermittent