Mercy Medical Center - Clinton
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Wellness |Medical
| Dental | Vision
Life Insurance
Long Term Disability | Flexible
Spending
Wellness
"Passport to Health"
MMC-Clinton will offer all associates a discount on their
medical plan premium contributions beginning January 2012.
First time eligible associates will need
to complete the Aetna online Health Risk Assessment (HRA)
and a health screening to receive the wellness discount.
Current wellness members will need to complete
the online HRA, a health screening and 2012 preventative care
recommendations will need to be completed by 12/31/2012 to
continue the premium discount.
How to complete the HRA:
1. Log on to Aetna Navigator at
www.aetnanavigator.com with your username and password.
If you have not accessed the website before, you can complete
the registration process by selecting “First Time
User” using your social security number.
2. Click on “Take Action on Your Health” link
in the top navigation bar.
3. Select “Simple Steps” from the left-hand
navigation bar to access the Simple Steps to a Healthier
Life HRA.
4. Be sure to have your health information (including lab
results from your health screening) readily available when
you begin the on-line assessment.
Dependent child definition:
Your dependent child may be eligible to be on your health
coverage through the end of the year they turn 26. Please
click
here for more information.
Planning to add dependents?
In order for new family members to be eligible for coverage
under any Trinity Health benefit plan, you are required to
provide proof of their dependent status. If you are planning
to add family members you must submit dependent verification
information to Human Resources within 30 days of your
new hire or status change date. If you do not submit
the required paperwork by the deadline, your newly added dependents
will not be enrolled in coverage and you will be required
to wait until the next annual enrollment period to enroll
new dependents in the plan. . Click here
for a listing of required documents.
Social Security Numbers Required When Adding Dependents
To remain compliant with federal regulations, all associates
must provide Social Security numbers for any dependent age
one year and over enrolled in any health or welfare plan offered
by Trinity Health. This mandate is outlined in the Medicare,
Medicaid and State Children's Health Insurance Program Extension
Act of 2007. Social Security numbers are used to coordinate
Medicare payments with other insurance and workers' compensation
benefits. For more information on the collection
of Social Security Numbers for dependents, click
here.
Medical
Medical Plans
You have a choice of two medical plan options - Standard
PPO Option B and the Personal Care Account (PCA) PPO
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Participating Provider
Use the plan comparison tool to Estimate
My Plan Costs
Standard PPO Option B
Standard
PPO Option Summary
Standard
PPO SPD
Preventive
Care Overview
Personal Care Account PPO
A high deductible (PPO) plan, with a personal care account
funded by Trinity Health. The Personal Care Account (which
is funded by Trinity Health) is used to fund a portion of
the deductible. Once the PCA is exhausted, the remaining amount
of the deductible must be met before the regular co-insurances
and co-pays apply. Preventative services are 100% covered.
Unused PCA funds may be carried over from year to year.
Personal Care Account PPO Summary
Personal
Care Account PPO SPD
Preventive
Care Overview
Dental
You have the option of electing dental coverage through Delta
Dental.
Delta Premier Summary
Delta
Premier Certificate
Vision
You have the option of electing two vision benefits through
United Healthcare(UHC) Vision. (Formerly known as Spectera
Vision).
UHC
High Vision Summary
UHC
Standard Vision Summary
UHC
Vision Benefit Booklet
UHC High Vision
SPD
UHC Standard
Vision SPD
Click
here to sign in and print off a UHC vision card. This
card is NOT required, but provided for your convenience.
Life Insurance
Full-time and Part-time associates have Basic Life Insurance
provided at 1x annual salary. In addition, you have the option
to purchase additional coverage for yourself and your dependents
in the following increments:
| For
Yourself |
For
Your Spouse |
For
Your Child(ren) |
1x annual salary
2x annual salary
3x annual salary
4x annual salary
5x annual salary |
$10,000
$20,000
$50,000
$100,000 |
$2,000
$5,000
$10,000
$20,000 |
Please Note: some elections may require a Statement of
Health. It is your responsibility to complete and return your
Statement of Health during the Enrollment Period.
Life
Insurance Certificate
Statement
of Health Form
Life
Insurance Enrollment Brochure
Guaranty
Association Notices (To be delivered to residents of the
applicable states) – Certain state guaranty association
laws require that a notice be provided to their residents.
The notice explains the protections, subject to limitations
and exclusions, available to residents in the event that the
insurer becomes financially impaired or insolvent. If the
client covers residents in any of the following states, the
client must provide the applicable state notice when distributing
certificates: Alaska, Arkansas, California, Colorado, District
of Columbia, Hawaii, Illinois, Indiana, Kansas, Louisiana,
Maryland, Minnesota, Missouri, Mississippi, Montana, North
Carolina, North Dakota, New Hampshire, New Jersey, Nevada,
Ohio, Oklahoma, Rhode Island, South Dakota, Tennessee, Texas,
Utah, Washington, West Virginia, and Wyoming.
Will Preparation Information - If you elect supplemental
life insurance you qualify for free will preparation through
Prudential.
Long Term Disability
Associates budgeted 72 or more hours per pay are provided
LTD coverage at at 60% of your base pay not to exceed a monthly
benefit of $10,000. This income replacement benefit begins
after being off of work for 90 days.
Long
Term Disability Certificate
Flexible Spending
A Flexible Spending Account (FSA) gives you a way to pay
for your out-of-pocket health care and / or dependent care
expenses with before-tax dollars.
Health Care Spending:
You may contribute pre-tax dollars in any amount between $130
and $5,000 annually. Contributions made to the HCSA during
the 2012 calendar year will be eligible for reimbursement
on services incurred from January 1, 2012 through March 15,
2013. The claim submission deadline will continue to be March
31st. This 2-½ month extension is allowed under new
IRS guidelines. Please consider this extension when making
your 2012 elections.
Dependent Care Spending:
You may contribute pre-tax dollars in any amount between $130
and $5,000 annually.
Direct Deposit:
You can elect to have your reimbursements automatically deposited
into your checking or savings account by signing up for direct
deposit. This can be done by going on www.wageworks.com or
by calling WageWorks customer service at 1-877-WageWorks (1-877-924-3967).
Health Care Debit Card:
Associates enrolled the HCSA will receive a debit card that
can be used for many health care purchases including prescription
co-pays, dental and vision expenses.
Wageworks.com:
HCSA/DCSA participants can track HCSA/DCSA account statuses
through www.wageworks.com. This is available 24 hours a day,
7 days a week. With wageworks.com, you can check the status
of your HCSA/DCSA, review your HCSA/A balance, sign up for
Direct Deposit, print claim forms, and much more. Once you
enroll in an HCSA/DCSA, you can register to use www.wageworks.com.
Additional Flexible
Spending Account Information
Healthcare
Spending Account Claim Form
Dependent
Spending Account Claim Form
Flexible Spending Accounts Summary Plan Description-Coming
Soon!
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