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1 Benefit Details 2 Health Savings Account 3 Flexible Spending Account 4 Dental Insurance 5 Vision Insurance 6 Medical Insurance 7 Disability Insurance 8 Life Insurance 9 Critical Illness Insurance 10 Group Accident Insurance 11 Transparency & Advocacy 12 Important Contacts & Resources
Table of Contents
Your Benefits. Your Choice.
Welcome to your 2020-2021 Benefits
Click here for instructions on
How To Schedule
Click here to view the
New Hire Benefits Enrollment Guide
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Book Your Appointment
2 Your Benefit Details 3 Medical Insurance 4 Health Savings Account 5 Flexible Spending Account 6 Dental Insurance 7 Vision Insurance 8 Disability Insurance 9 Life Insurance 10 Whole Life Insurance 11 Critical Illness Insurance 12 Group Accident Insurance 13 Retirement Plan 14 Advocacy & Transparency 15 Identity Theft Protection 16 Pet Insurance 17 Benefit Documents and Important Resources 18 Annual Notices
Who Is Eligible to participate in the NHMS Benefits program?
When Is My Coverage Effective?
The effective date of your benefits elections is January 1, 2017 – December 31, 2017.
Changing Coverage
For most of these benefits, you may change your coverage during the year only when you experience a qualifying event, such as marriage, divorce, birth, death, adoption, placement for adoption or loss of coverage. You have 31 days to report the change to your HR Department. The change must also be consistent with the event. For example, if your dependent child no longer meets eligibility requirements, you can drop coverage only for that dependent.
Action Required by Benefits-eligible employees:
All benefits-eligible employees are required to meet with a Benefits Educator to elect or waive benefits for the 2017 benefits plan year. These are non-commissioned Benefits Educators who are trained to respect confidentiality and will not disclose any of your confidential information.
How to Enroll?
• All active, regular full-time employees • All active, regular part-time employees who have completed one year of service and 1,000 hours of service • All active PRN/flex employees who have completed one year of service and 1560 hours of service during the ACA look-back period Eligible employees may also enroll their legal spouse and/or dependent children. A dependent child may be the natural child, stepchild, legally adopted child, foster child or other child for whom the employee has permanent legal custody. If you have specific questions about your work hours and eligibility, please contact your Human Resources (HR) Department.
NMHS is pleased to provide our employees with the benefits enrollment services of DirectPath, LLC. It is mandatory that you speak with one of the knowledgeable, trained Benefits Educator who will assist you in completing the enrollment process. The Benefits Educator will serve to answer your questions and help you choose the benefit options that best meet your needs. The Benefits Educator will contact you directly by phone at the time of your appointment or you will visit the Educator onsite, face-to-face at your designated location. Come prepared with questions you may have for the Benefits Educator. Also, bring to your meeting the following: • Any dependent and beneficiary information (Social Security Number and Date of Birth) • Address/contact information for dependents not residing with you • Marriage/Birth certificates if adding new dependents to the benefit plans This data is required to complete your mandatory benefits enrollment.
Open Enrollment is your opportunity to review your benefits coverage and make choices for the upcoming plan year. It is mandatory that all benefit eligible employees participate in the process, even if planning to waive coverages. Please take the time to explore and review the details about your benefits plans carefully, as there are a number of important updates this year.
During Benefits Enrollment you will have the annual opportunity to elect to participate in a variety of available insurance plans.
Your Benefit Details
The effective date of your benefits elections is July 1, 2017, with the exception of Vision, which is effective August 1, 2017. Please read the information on this site carefully and consider each product offering. The DirectPath benefits program will allow you to protect your income, health and family in times of need.
When is My Coverage Effective?
This year Benefits Educators will be available onsite for Milwaukee employees and via phone for all other employees through the Benefits Service Center to speak one-on-one with each eligible employee. This will be your only opportunity to enroll in the benefits program for the July 1, 2017 – June 30, 2018 plan year. You may schedule your appointment online. If you schedule an onsite appointment, you will meet with the Benefits Educator face-to-face during your designated appointment time. If you schedule a phone appointment, a Benefits Educator will call you within 15 minutes of your selected appointment time. All eligible employees are required to meet with a Benefits Educator to guarantee, waive or change benefits for July 1, 2017 -- June 30, 2018.
When and How Do I Enroll?
Outside of the enrollment period, you may change your coverage during the year only when you experience a qualifying event, such as marriage, divorce, birth, death, adoption, placement for adoption, or loss of coverage. The change must be made within 31 days of the event. The change must also be consistent with the event. For example, if your dependent child no longer meets eligibility requirements, you can drop coverage only for that dependent.
Changing Coverage During the Year
All full-time employees working at least 30 hours each week are eligible to participate in the DirectPath benefits program. Eligible employees may also enroll their legal spouse and/or dependent children. A dependent child may be the natural child, stepchild, legally adopted child, foster child, or other child for whom the employee has permanent legal custody. An eligible child may participate in the medical/prescription drug, dental and vision benefits under the plan until age 26. For Life and Critical Illness Insurance, children may participate up to age 19, or to 26 if they are a full-time student.
Who Is Eligible?
Eligible dependents for Medical, Dental and Vision coverage include: • Your legal spouse. Keep reading for specific restrictions on eligibility requirements for employed spouses. • Children up to age 26. Includes birth children, stepchildren, legally adopted children, children placed for adoption, foster children, and children for whom legal guardianship has been awarded to you or your spouse. • Dependent children, regardless of age, provided he or she is incapable of self-support due to a mental or physical disability, is fully dependent on you for support as indicated on your federal tax return, and is approved by your Medical Plan to continue coverage past age 26. If both you and your spouse are employed by Ensemble or any affiliate, only one of you may cover your eligible child(ren).
Who Can Be Covered Under Your Plan
If your spouse is eligible under another employer’s medical plan at a cost of $180 each month or less for individual coverage for the lowest-cost plan option, your spouse must enroll in primary coverage through his/her employer to be eligible for secondary coverage under the Ensemble Medical Plan. Standard Coordination of Benefits rules would apply. You will be asked to verify that your spouse does not have other medical coverage.
Additional Eligibility Requirement for Spouse
If you receive a bill from your doctor or if you are paying for a prescription, you can pay from your HSA using your HSA debit card or checks provided by your bank.
How do I pay with an HSA?
Yes, as long as the service is a qualified expense. You can take money out of your HSA to pay yourself back with no penalty.
If I paid a health care bill with my credit card, can I pay myself back from my HSA?
Click the buttons below for more information
DirectPath is pleased to announce our employee benefits program, which is designed to help you stay healthy, feel secure, and maintain a work/life balance. Offering a competitive benefits package is just one way we strive to provide our employees with a rewarding workplace. Please read the information provided on this site carefully, and choose the coverage that is best for you and your family.
Benefit
Details
Benefit Details
Baby Yourself® Maternity Management
The goal of this maternity program is to ensure expectant mothers and their babies receive the best possible healthcare during pregnancy. You can enroll once you learn you are pregnant. You’ll receive telephone or e-mail support from an experienced registered nurse throughout your pregnancy. The Baby Yourself app provides additional information, trackers and easy access to your nurse through one-button dialing. Once your baby arrives, the Lactation Program provides encouragement, support and information designed to improve the well-being of infants and their families. Call 1-800-222-4379 to enroll.
The Baby Yourself app for expectant families
Prescription Drug Plan Overview
To locate a participating pharmacy or to view the prescription drug list, please visit www.AlabamaBlue.com.
When you enroll in one of the medical plans, you automatically receive prescription drug coverage through BlueCross BlueShield of Alabama. Copayment amounts vary depending on the prescription drug tier — generic, preferred brand or non-preferred brand.
The HDHP is ideal for employees with a relatively healthy lifestyle or those who want more control over their healthcare expenditures. While the HDHP has a higher annual deductible than the more traditional PPO, the annual premiums for the HDHP are lower. The HDHP is paired with a Health Savings Account (HSA) to help fund your out-of-pocket expenses. This money is yours to withdraw tax free, at any time, to help pay for your medical expenses. Please refer to the summary plan description for complete plan details.
Preferred Blue HDHP Medical Rates
Blue Access Medical Rates
To locate providers in-network, please visit www.AlabamaBlue.com. The contract prefix for both plans is PPA.
*Due to IRS rules, any non-single contract (family, EE+children, EE+spouse) has one deductible of $3,000, meaning that no benefits are paid until the entire $3,000 deductible is met, even if only one person has claims. The $1,500 single deductible is not embedded into the family deductible. However, no one individual will have to pay more than $5,000 for in-network services. The single limit for the Out-of-Pocket max is embedded into the family total.
Medical Rates
Prescription Overview
Medical Overview
In addition to the PPO plan, you will have a High Deductible Health Plan (HDHP) option with a Health Savings Account (HSA). Click the icons for the medical benefits overview and rate information.
Your health-related needs and considerations are unique to you. DirectPath is pleased to offer two medical plan options through BCBS.
Many employees don't understand what their medical insurance covers.
We’re here to help you understand your benefits and make the best choices for you.
Medical Insurance
Submit your drug expenses online at AlabamaBlue.com. File your claim anytime, even on weekends and holidays. Sign in or register for myBlueCross and select“File a Drug Claim” under “Manage My Prescriptions.”
How do I file a prescription drug claim online?
You can get claim forms several ways: • At AlabamaBlue.com or • Call the number on the back of your member ID card
How do I file a drug claim by mail?
The claim authorization number usually appears as a 14 to 18 digit number. If it is not printed on the receipt, ask the pharmacist to provide the number to you.This number is required to file your claim online or by mail.
How do I find my claim authorization number?
Click Here to view your Standard Prescription Drug Guide Click Here to View Your HDHP Pharmacy Benefit
The funds contributed to your HSA account are not subject to federal income tax at the time of deposit, and withdrawals from the account to pay qualified medical expenses, including dental and vision, are federal tax exempt. Money left in the savings account may earn interest and is yours to keep. Unlike a health flexible spending account (FSA), HSA funds may roll over and accumulate year to year if not spent. The HSA is owned by the participant and is fully portable.
What Is A Health Savings Account?
• HSA funds can be used to pay your annual deductible, coinsurance, and any other qualified medical expenses not covered by your health insurance plan. • HSAs function similar to a 401(k) or IRA. However, withdrawals from an HSA for qualified medical expenses are not taxed, regardless of your age. • Funds placed in an HSA, as well as the interest which accrues, may continue to grow without federal taxation over the years. • Unused funds in an HSA roll over from year to year. • Funds in an HSA pass along to a surviving spouse or other beneficiary upon death.
What's So Great About An HSA?
You can contribute to an HSA if you: • Are 18 or older; • Have coverage under an HSA-qualified HDHP; • Have no other first-dollar medical coverage, which means no other comprehensive major medical insurance policy, a health flexible spending account (Health FSA), or a health reimbursement arrangement (HRA) – unless this coverage is limited to benefits not covered by your health plan. Other types of insurance like specific injury insurance or accident, disability, dental care, vision care, or long-term care insurance are permitted; • Are not enrolled in Medicare; and • Cannot be claimed as a dependent on someone else’s tax return.
Who Can Have An HSA?
Your HSA funds can be used tax free to pay for out-of-pocket qualified medical expenses, even if the expenses are not covered by your HDHP. This includes expenses incurred by your spouse or dependents. All of these expenses may be paid for with distributions from your HSA, free from federal income tax or state income tax (for most states). Examples of non-qualified expenses include: health club dues, teeth whitening, nutritional supplements, cosmetic surgery, hair removal/hair transplants, and diet foods. HSA funds used to pay for non-qualified medical expenses are subject to a penalty fee and tax. Refer to IRS Publication 502 at www.irs.gov for a more complete list of qualified and non-qualified medical expenses.
What Does My HSA Cover?
$7,100
$3,550
If you enroll in the HDHP and HSA, DirectPath will contribute the below amounts to your account annually. The first half will be deposited on 7/1/20 and the second half on 1/2/21. For those hired between these dates, the amount will be prorated.
Employer Contribution
Contribution limitations are set annually by the IRS. Additionally, if you are age 55 or older, the IRS allows an additional $1,000 per individual catch-up contribution. These limitations are adjusted for inflation, and thus, may fluctuate from year to year. You can make contributions to your HSA each year that you are eligible. When you become enrolled in Medicare, contributions to your HSA must cease. However, funds in your HSA can continue to be used for qualified medical expenses tax-free.
Contribution Limit
A limited-purpose flexible spending account will also be available to those who are enrolled in the HDHP. This FSA may be used for qualified out-of-pocket expenses for dental and/or vision care provided to you, your spouse, or dependent(s). By limiting FSA reimbursements to dental and vision care expenses, you (or your dependents) remain eligible to participate in both a limited-purpose FSA and an HSA. Participating in both plans allows you to maximize your savings and tax benefits. Typical eligible expenses include dental cleanings, fillings, crowns, orthodontics, contact lenses, eye glasses, refractions, and vision correction procedures. The maximum yearly contribution is $2,750.
Limited Purpose FSA
If you want to continue participation in your HSA, you must take action!
Health Savings Account
Combined with the High Deductible Health Plan (HDHP) you will have the option to enroll in a Health Savings Account (HSA). This savings account allows you to set aside money on a pre-tax basis to pay for your current healthcare needs or to save for your future health needs. Click the buttons below for more information about your HSA options.
Roll Over Request
Use the rollover request form (can be found in the “Benefit Documents and Important Resources tab or below) to roll over funds into your HealthEquity® HSA that have already been distributed to you from another custodian.
HSA Rollover Request Form
If you want to continue participation in your FSA, you must take action!
• Choose a specific amount of money to contribute each pay period, pre-tax, to one or both accounts during the year. DirectPath has 24 pay periods per year. • The amount is automatically deducted from your pay at the same level each pay period. • As you incur eligible expenses, you may use your flexible spending debit card to pay at the point of service or submit the appropriate paperwork to be reimbursed by the plan.
How An FSA Works
• Once you enroll in the FSA, you cannot change your contribution amount during the year unless you experience a qualifying life event. • The carryover allotment available for plans that adopt the carryover feature for health care FSA has been adjusted for inflation from $500 to $550 for 2020. • You cannot transfer funds from one FSA to another. • If you elect the HDHP with an HSA, you are not eligible to enroll in the Health Care FSA; however, you can enroll in the Dependent Care FSA.
Important Rules to Keep In Mind
The health care flexible spending account may be used for any qualified health, dental, and vision expenses not reimbursed by any other benefits plan. These expenses include deductibles, copays, coinsurance, dental services, eyeglasses, contact lenses, Lasik eye surgery, orthodontics for adults and children, hearing aids, chiropractor, some diabetic supplies, medical equipment, and other out-of-pocket costs not covered by our health, dental, or vision plan.
Health Care FSA
The dependent care account may be used to pay for qualified dependent care expenses for dependents up to age 13. Qualifying expenses include daycare fees, before school and after-school care, and local day camp. If you are married, your spouse must either be employed or a full-time student in order to use a dependent care flexible spending account. Under IRS guidelines, you can only be reimbursed for dependent care that has already taken place. Also, you can only be reimbursed for the amount you have already contributed.
Dependent Care FSA
What Is A FSA Rollover?
Ways To Submit Claims
No Wait Dependent Care FSA
e-Receipt Flyer
Debit Card Information
Claim Process
Allowable Dependent Care Expenses
Allowable Medical Expenses
What Is A FSA?
FSA Instructions & Important Documents
Maximum Annual Election
Please plan your FSA contributions carefully. Re-enrollment is required each year.
$2,750
FSA Instructions and Important Documents
How an FSA Works
Flexible Spending Account
DirectPath offers participation in a Flexible Spending Account for medical care expenses through Flores. The Flexible Spending Account (FSA) plan allows you to set aside pre-tax dollars to cover qualified expenses you would normally pay out of your pocket with post-tax dollars. The plan is comprised of a health care spending account and a dependent care account. You pay no federal or state income taxes on the money you place in an FSA.
Dental Overview
Dental Rates
of adults ages 20-64 have dental cavities.
91%
DirectPath's dental coverage is through Delta Dental. This benefit provides comprehensive dental coverage for items such as cleanings, fillings, crowns and other related dental services. Click the icons below for a brief description of the plan available to you.
Make sure you invest in a plan that is designed to provide you and your family with coverage for items such as cleanings, fillings, crowns and other related dental services.
Dental Insurance
* If your total yearly claims don’t exceed the $700 threshold amount.
$50
$150
Laser Vision Correction Average 15% off the regular price or 5% off the promotional price; discounts only available from contracted facilities. After surgery, use your frame allowance (if eligible) for sunglasses from any VSP doctor.
Retinal Screening Guaranteed pricing on retinal screening as an enhancement to your Vision Exam.
Glasses & Sunglasses 30% off additional glasses and sunglasses, including lens options, from the same VSP doctor on the same day as your Vision Exam. Or get 20% off from any VSP doctor within 12 months of your last Vision Exam.
and discounts
Extra Savings
This vision benefits program has an extensive network of providers. For a complete listing of network providers and for more details on your vision benefit and for exclusive savings and promotions for VSP members., please visit vsp.com or call 800.877.7195.
All the more reason to have vision coverage for you and your family.
DirectPath offers a comprehensive package of vision benefits designed to promote good eye health through Vision Service Plan (VSP). Click the icons below for a brief description of the plan.
Vision Insurance
of all visual impairment can be prevented or cured.
80%
Vision Overview
Vision Rates
$10.35
$15.01
$26.91
Short-Term Disability (STD)
DirectPath provides short-term income protection in the event you become unable to work due to a non-work related illness or injury. Short-term disability insurance through Lincoln Financial Group is provided at no cost to you. The short-term disability plan pays a percentage of your weekly base salary up to a maximum of $1,500 a week. You must fulfill the 7-day elimination period in order to receive disability benefits. Please see the summary plan description for complete plan details.
Long-Term Disability (LTD)
DirectPath also provides long-term disability coverage at no cost to you through Lincoln Financial Group. If you have an illness or injury that lasts longer than 90 days, this plan replaces 60% of your base monthly pay up to a monthly maximum of $12,500. It can help you pay your bills and protect your finances at a time when you have extra medical costs but don’t get a paycheck. LTD insurance does have limitations in the event of a pre-existing condition. This means that if you received medical treatment, consultation, care or services in the 3 months prior to the effective date of coverage, it will not be covered. This also applies if disability begins in the first 12 months after the effective date of the coverage.
If you suddenly didn’t receive a paycheck, how would you pay your bills?
The unexpected could happen at anytime. Click the buttons below for more details about your disability insurance options.
Disability Insurance
Click here to watch a short video about this benefit
Basic Life and AD&D Insurance
Life insurance can protect your survivors from financial difficulty in the event of your death. AD&D insurance can provide assistance if you suffer accidental dismemberment or death resulting from an accident. Your basic life insurance benefit amount is one times your base salary, up to $200,000, and your AD&D benefit amount is equal to your life amount. Please see the summary plan description for complete plan details.
Optional Life Insurance
DirectPath also offers the opportunity to purchase optional Life Insurance, that provides term life insurance at affordable group rates. It can help further protect your loved ones if you die during your working years. Amounts of insurance are available in increments of $10,000 to a maximum of $500,000 and a minimum of $10,000, not to exceed 5 times base earnings. The guaranteed issue amount is the lesser of 5 times base earnings or $70,000. An EOI is required for anything over guaranteed issue. Click here for EOI Instructions C
DirectPath provides Basic Life and Accidental Death and Dismemberment (AD&D) Insurance to all full-time employees through Lincoln Financial Group. In addition to your employer-paid life insurance, you are eligible to purchase additional Term Life Insurance on a voluntary basis through Lincoln Financial Group.
Death is not the most popular topic, but it’s inevitable for us all. Preparing for that day is our responsibility.
Life Insurance
Click here to complete your EOI form Online!
Group ID - DIRECTPATH Policy number - 000400254231 Our employer name - DirectPath, LLC Type - VLI – Voluntary Employee Life VSLI – Voluntary Spouse Life
Greg Burchell 205-969-7032 greg.burchell@ms.com
Patrick Morgan 205-968-6912 patrick.e.morgan@ms.com
DirectPath 401(k) Enrollment Kit
DirectPath 401(k) Education Presentation
Contact a DirectPath Account Manager:
Visit www.massmutual.com/retirementaccess
For more information or questions:
A “Living” Benefit You can request an early payout of your policy’s death benefit (up to $150,000 maximum) if you’re expected to live 12 months or less. It would reduce the benefit that’s paid when you die. Waiver of Premium If you’re disabled for at least six months before age 65 and you remain disabled, you won’t have to pay premiums until you recover and return to work. Long Term Care Rider You may be able to use your death benefit to pay for long term care. Subject to rider conditions. See your plan administrator for more information
What's Included?
UNUM offers Whole Life insurance that goes with you. You can keep your Whole life insurance as long as you want, without your rate increasing as you age.
Whole Life
Who Can Get Coverage?
Need More Information?
Click here for more information on your Whole Life policy. Click here for more information on your Children's Whole Life policy. Click here for more information on the Long Term Care Rider for your Whole Life Policy Click here for more information on the Waiver of Premium Rider for your Whole Life Policy
• Coverage is available to eligible employees who are actively at work.** • You can buy coverage for your spouse ages 17 to 64 with purchase of employee coverage. Benefit amount is from $5,000 to $30,000 in $1,000 increments. • All eligible dependent children ages newborn until their 26th birthday, regardless of marital or student status, are automatically covered at 25% of the employee benefit amount at no additional cost. Eligible children are covered for the same conditions as the employee and the following specific childhood conditions: cerebral palsy, cleft lip or palate, cystic fibrosis, Down syndrome and spina bifida. Diagnosis must occur after the child’s coverage effective date. • You can use this coverage more than once. If you receive a full benefit payout for a covered illness, your coverage can be continued for the remaining covered conditions. The diagnosis of a new covered illness must occur at least 90 days after the most recent diagnosis. Each condition is payable once per lifetime. • You get affordable rates when you buy this coverage through your employer, and the premiums are conveniently deducted from your paycheck. • Coverage is portable. You may take the coverage with you if you leave the company or retire, without having to answer new health questions. Unum will bill you directly. • Coverage becomes effective on the first day of the month in which payroll deductions begin.
Advantages of the Plan
Benefit Options for an Additional Premium
Covered Conditions
• Cancer • Carcinoma in situ* (pays 25% of the lump-sum benefit)
• Stroke (evidence of persistent neurological deficits confirmed at least 30 days after the event) • Coma (resulting from severe injury lasting 14 consecutive days or more) • Permanent paralysis (complete and permanent loss of the use of two or more limbs for a continuous 90 days as a result of a covered accident)
• Heart attack • Blindness • Major organ failure • End-stage renal (kidney) failure • Coronary artery bypass surgery (pays 25% of lump-sum benefit) • Benign brain tumor
Covered Conditions with Time Limitations
What Is Covered
Voluntary Group Critical Illness
Click the buttons for more detail
Additional Critical Illness coverage may also be purchased on a voluntary basis. Cancer coverage is also available. You choose a lump-sum benefit up to $45,000 that’s paid directly to you at the first diagnosis of a covered condition. You can use the benefit any way you choose.
REMINDER!
If you have not submitted your wellness claim this year, don’t miss out on your $75!
Be prepared to provide this information: • First and last name • Social Security Number • Name and date of the test • Physician’s name and/or the facility name where the test was performed
3
Request to submit a wellness claim
2
Call 1-800-635-5597 or visit www.unum.com and 'Register'. Then 'Start a Claim' and choose 'Wellness Benefit'.
1
to file your claim:
Follow these easy steps
• Blood test for triglycerides • Bone marrow aspiration or biopsy • CA 15-3 (blood test for breast cancer) • CA-125 (blood test for ovarian cancer) • CEA (blood test for colon cancer) • Carotid Doppler • Chest x-ray • Colonoscopy • Echocardiogram • Electrocardiogram • Fasting blood glucose test • Fasting plasma glucose (FPG) • Hemoglobin A1C(HbA1c) • Flexible sigmoidoscopy • Hemocult stool analysis • Mammography • Pap smear • PSA (blood test for prostate cancer) • Serum cholesterol test to determine HDL and LDL levels • Serum protein electrophoresis (blood test for myeloma) • Skin cancer biopsy • Stress test on a bicycle or treadmill • Thermography • Thin prep pap test • Two-hour post-load plasma glucose • Virtual colonoscopy
Earn $75 per calendar year for one of these health screening tests:
Employer-Paid Critical Illness
How To File A Claim
Covered Screening Tests
DirectPath provides employer-paid Critical Illness Insurance through Unum in the amount of $10,000 that can help protect your finances from the expense of a serious health problem, such as a stroke or heart attack. A wellness benefit is also included which will pay $75 per calendar year if a covered health screening test is performed. Click the icons below for a full list of covered tests along with how to file your claim.
• Premiums are paid through convenient payroll deduction. • The coverage is portable, so you may take it with you if you leave your employer (with certain stipulations).
Who Is Covered?
Additional Features
• Employee • Employee’s spouse • Employee’s dependent children under age 26, regardless of student or marital status
Could your bank account survive a serious illness?
DirectPath provides Critical Illness Insurance through Unum that can help protect your finances from the expense of a serious health problem, such as a stroke or heart attack. Additional Critical Illness coverage may also be purchased on a voluntary basis. Click the buttons below for more details.
Critical Illness Insurance
• Broken bones • Burns • Torn ligaments • Cuts repaired by stitches • Coma due to a covered injury • Eye injuries • Ruptured discs • Concussion • Emergency-room treatment • Outpatient surgery facility • Doctor office visit • Hospitalization • Occupational therapy • Speech therapy • Chiropractic visit • Physical therapy
Covered Injuries and Expenses
Unum’s Group Accident Insurance can pay lump-sum benefits based on the injury you receive and the treatment you need, including emergency-room care and related surgery. The benefit can help offset the out-of-pocket expenses that medical insurance does not pay, including deductibles and copays.
over 750 Americans suffer an injury severe enough to seek medical help.
Every 10 minutes
• Coverage is available to all eligible employees who are actively at work. • You can buy coverage for your spouse and dependent children. • No health questions to answer. If you apply, you automatically receive the base plan. • This plan includes convenient payroll deduction, so you don’t have to remember to write a check for your premiums. • Coverage is portable. You may take the coverage with you if you leave the company or retire without having to answer new health questions. Unum will bill you directly. • Coverage becomes effective on the first day of the month in which payroll deductions begin. • Benefits are paid for accidents that occur on and off the job. • A Catastrophic Benefit is included with this plan. This pays an additional sum if covered individual has a serious injury — such as loss of sight, hearing or a limb. Benefit amounts reduce after age 65.
Group Accident Insurance
DirectPath will match your contributions 100% on the first 3% of your salary and 50% on the next 2% (example: 5% contribution = 4% match). Employees are eligible for the match after six months of employment. Any contributions made by DirectPath are always 100% vested. Matching contributions for the previous calendar plan year are generally deposited in the fall/winter.
You may change the amount you choose to contribute to the plan monthly. Also, you can stop making contributions at anytime. Once you stop making contributions, there may be a waiting period before you can rejoin the plan.
Can I change how much I contribute?
*Withdrawals made prior to 59½ are subject to a 10% federal withdrawal penalty unless an exception applies.
Traditional Before-Tax and Roth After-Tax Contributions Through the convenience of payroll deductions, you can make combined before-tax or Roth after-tax contributions up to the lesser of $19,500 or 100% of includible compensation. Your before-tax contributions – and any earnings – will accumulate tax deferred until withdrawn (generally at retirement), at which time withdrawals will be taxed as ordinary income.* Roth contributions will be included as taxable income in the year of contribution. Earnings on Roth contributions will accumulate tax free, and retirement withdrawals may be exempt from federal income tax if certain requirements are met. The 401(k) catch-up contribution limit—if you're 50 or older in 2020—is $6,500.
How can I contribute?
All DirectPath W-2 employees are eligible to participate in the plan immediately upon employment. DirectPath will begin making matching contributions after six months of employment. Matching contributions for the previous calendar plan year are generally deposited in the fall/winter.
More Information
Can I Change How Much I Contribute?
How Can I Contribute?
Who is Eligible?
Investing in your future is important, especially in today's economy.
What are your retirement goals? How do you plan to achieve them? A large part of retirement is the flexibility to do what you want, when you want, and that kind of flexibility takes planning. DirectPath offers a 401(k) Retirement Plan to assist employees with attaining their retirement goals.
Retirement Plan
Contact your DirectPath Advocate
How do I use this serivce?
Email advocate@directpathhealth.com
Call 888-875-1929 Monday – Friday, 8 a.m. – 5 p.m. CT
Contact your DirectPath Advocate in advance of scheduling any health care procedure or test. Your Advocate will contact 2-3 network providers to compare cost and quality information. These services are completely free and confidential, and are available to you and your dependents, spouse, parents and parents-in-law.
Click here for your Advocacy New Member Flyer!
Click here for your Advocacy Guide!
Your DirectPath advocate can:
• Answer questions about your benefits • Resolve claims and billing issues • Assist with referrals and prior authorization • Compare pricing for an upcoming procedure • Answer general questions about health care reform • Answer questions about open enrollment
Choose a low cost provider based on the physicians/facilities you compared. Then GET REWARDED with 20% of the plan savings (up to $1,000) for choosing a lower cost option!
You have a health care advocate for that!
Call 888-875-1929 Monday - Friday 8AM - 5PM CT
DirectPath Advocates can help you navigate the health care system with medical, dental, and vision benefits, as well as FSA and HSA participation. Your Advocate becomes your first point of contact for all benefit-related questions and will educate you on the benefit programs offered through your employer to help you understand the programs best suited for you and your family!
What can an Advocate help me with?
How do I use this service?
Advocacy & Transparency
DirectPath Rewards to be paid through Prepaid Mastercard® Card
• When you participate in DirectPath’s Rewards Program, rewards payment will now be made using a prepaid Mastercard® Card - Use it anywhere Mastercard® is accepted - Earn 5% back at nearly 100 merchants • Card is available by mail (7-10 days) or on a virtual account (arrives via email in 3-5 days). • If you have an upcoming medical test or procedure, remember to compare costs using our Transparency service! Choose a lower-cost provider and you will earn 20% of the savings, up to $1,000 – now paid via prepaid Mastercard® Card. • Call 888-875-1929 to get started. • Please note: Rewards are considered earnings and will be taxed.
Click here to log into your Member Portal!
Identity Theft Protection
Protect your family’s privacy, identity, and finances with PrivacyArmor®.
Our proprietary monitoring platform detects high-risk activity to alert you at the first sign of fraud. We scour the dark web for compromised credentials and monitor financial transactions, all while keeping tabs on your credit reports.
14.4 million
Americans experienced identity fraud in 2018
Comprehensive identity monitoring
Fraud remediation and restoration
Should identity theft or fraud occur, you have a dedicated Privacy Advocate® to fully manage your recovery and restore your identity. And since fraud doesn’t take a holiday, our Privacy Advocates are available 24/7.
Identity theft reimbursement
You never have to worry about covering the costs of identity theft. PrivacyArmor’s $1 million identity theft insurance policy covers any out-of-pocket expenses, lost wages, or legal fees. Plus, we’ll reimburse funds stolen from your bank, HSA, or 401(k) accounts.
Plans and Pricing
$7.95 per person / monthly $13.95 per family / monthly $9.95 per person / monthly $17.95 per family / monthly
PrivacyArmor
PrivacyArmor Plus
Monthly Rates
Coverage Overview
My Pet Protection® from Nationwide®
My Pet Protection plans are available only to companies that offer Nationwide pet insurance as a voluntary benefit. Your employees are eligible for preferred pricing on these exclusive plans. My Pet Protection® is offered exclusively to employees and gives your pet superior protection at an unbeatable price.
Pet Insurance
Discover the greatest pet insurance plans ever offered.
My Pet Protection with Wellness
My Pet Protection
Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington D.C. West Virginia Wisconsin Wyoming
$71.44 $67.47 $71.44 $63.50 $66.15† $59.53† $87.31 $64.66 $84.39 $67.47 $83.35 $71.44 $91.28 $67.47 $75.41 $75.41 $71.44 $56.23† $83.35 $83.35 $82.69† $71.44 $75.41 $67.47 $63.50 $75.41 $75.41 $59.53 $83.35 $99.22 $71.44 $95.25 $66.15† $87.31 $71.44 $63.50 $79.38 $83.35 $79.38 $72.27 $75.41 $75.41 $62.84† $67.47 $83.35 $87.31 $74.10 $111.13 $79.38 $91.28 $75.41
$42.73 $40.36 $42.73 $37.98 $39.57† $35.61† $52.23 $38.68 $52.71 $40.36 $49.86 $42.73 $54.60 $40.36 $45.11 $45.11 $42.73 $33.63† $49.86 $49.86 $49.46† $42.73 $45.11 $40.36 $37.98 $45.11 $45.11 $35.61 $49.86 $59.35 $42.73 $56.98 $39.57† $52.23 $42.73 $37.98 $47.48 $49.86 $47.48 $43.23 $45.11 $45.11 $37.59† $40.36 $49.86 $52.23 $45.26 $66.47 $47.48 $54.60 $45.11
Dog Insurance
Cat Insurance
Accidents, including poisonings and allergic reactions
Injuries, including cuts, sprains and broken bones
Common illnesses, including ear infections, vomiting and diarrhea
Serious/chronic illnesses, including cancer and diabetes
Hereditary and congenital conditions
Surgeries and hospitalization
X-rays, MRIs and CT scans
Prescription medications and therapeutic diets
Wellness exams
Vaccinations
Spay/neuter
Flea and tick prevention
Heartworm testing and prevention
Routine blood tests
$42.86 $40.48 $42.86 $38.10 $39.69† $35.72† $52.39 $38.80 $50.63 $40.48 $50.01 $42.86 $54.77 $40.48 $45.25 $45.25 $42.86 $33.74† $50.01 $50.01 $49.61† $42.86 $45.25 $40.48 $38.10 $45.25 $45.25 $35.72 $50.01 $59.93 $42.86 $57.15 $39.69† $52.39 $42.86 $38.10 $47.63 $50.01 $47.63 $43.36 $45.25 $45.25 $37.70† $40.48 $50.01 $52.39 $44.46 $66.68 $47.63 $54.77 $45.25
$25.64 $24.22 $25.64 $22.79 $23.74† $21.37† $31.34 $23.21 $31.62 $24.22 $29.91 $25.64 $32.76 $24.22 $27.06 $27.06 $25.64 $20.18† $29.91 $29.91 $29.68† $25.64 $27.06 $24.22 $22.79 $27.06 $27.06 $21.37 $29.91 $35.61 $25.64 $34.19 $23.74† $31.34 $25.64 $22.79 $28.49 $29.91 $28.49 $25.94 $27.06 $27.06 $22.55† $24.22 $29.91 $31.34 $27.16 $39.88 $28.49 $32.76 $27.06
Rates are monthly!
There are three simple ways to sign up for pet insurance voluntary benefit: 1. Go directly to DirectPath’s dedicated URL: http://www.petinsurance.com/directpathhealth 2. Visit PetsNationwide.com and enter your company name 3. Call 877-738-7874 and mention you are an employee of DirectPath to receive preferred pricing
Easy Enrollment
Employee Assistance Program
Dental High Plan Overview
Dental Low Plan Overview
BCBS HDHP HSA Qualified Matrix
BCBS HDHP SBC
BCBS HDHP SPD - HSA Qualified Plan
How to use your HSA card
Travel Connect Flyer
Life Services Flyer
Ways to Submit Claims
Claim Process - Flores
BCBS Prescription Drug Guide
BCBS HDHP Pharmacy Benefit
Accident Insurance Flyer
Advocacy New Member Flyer
Advocacy Guide Page
Accident Insurance Schedule of Benefits
BCBS PPO Matrix
BCBS PPO SBC
Blue Access PPO SPD
Critical Illness - Voluntary
For specific plan information, click the links below:
& Important Documents
Benefit Resources
BCBS Blue Access Merit PPO SPD
Pet Insurance Flyer
Vision Plan Summary
401(k) Enrollment Kit
UNUM Whole Life
EOI Paper Form
Critical Illness - Employer Paid
How to File a UNUM Claim
Advocacy Overview
866
UNUM Whole Life Childrens Rider
UNUM Whole Life LTC
UNUM Whole Life Waiver of Premium Rider
FSA SPD
Cafeteria Plan SPD
Voluntary Benefits Wallet Card
Voluntary Life Overview
STD Overview
LTD Overview
Dog Rates
Cat Rates
Important
ANNUAL NOTICES
Creditable Coverage
2021 401(k) Annual Fee Disclosure
401(k) SMM | 401 (k) SMM 2021
GINA Warning
HIPAA Special Enrollment
Women's Health & Cancer Rights Act
2021 401(k) Safe Harbor Notice
2018-2019 Summary Annual Report
401(k) SPD
2021 401(k) QDIA
