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Health
& Dental
Q: When
may I enroll myself or my family into the Health
& Dental Plans?
A:
The
plan allows you and/or your family to be covered on
the 1st of the following month for which you have
completed 90 days of continuous employment.
Example:
John Done begins employment on March 3, 2003.
John's effective date for Health & Dental
Benefits is July 1, 2003.
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Q:
Can I enroll my family at anytime after I have
completed 90 days of employment?
A:
Yes
and No. Our plan does not allow OPEN
ENROLLMENT.
If you do
not elect family coverage prior to your effective
date, the only time you may enroll family members is
through a special enrollment period:
(1)
Loss of Coverage as a result in termination of
employment of spouse
(2)
Result of marriage, birth, adoption, or the
placement of adoption. In any case, you must
enroll the above within 30 days of the event.
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Q:
Can I go to any doctor, dentist or clinic?
A:
(non-Columbia, SC residents): Our plan is
not associated with any HMO or PPO unless you reside
in "Yellowstone County (MT)".
You do however need to be careful
when selecting a physician because they may be
considered a "Specialist" in their field
while your care may not necessarily require such a
Specialist.
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Q:
In some locations, the hospital or clinics will not
accept my insurance. What should I do?
A: First,
make sure you have your insurance card with
you. This will usually give the hospital or
clinic all the information they need to set up the
claim.
Second, they may verify your/family
benefits by calling: EBMS - Group #124 at
1-800-777-3575
Third, they may verify benefits
through the personnel office.
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Q:
Who is EBMS "Employee Benefit Management
Services".
A:
EBMS
is a Third Party Administrator located in Billings,
MT who provides services to Companies who
self-insure their benefit plans.
They provide a variety of
services including: Enrollment Process,
Payment of Claims (both Health & Dental), COBRA
Notifications, Monthly Management Reports, and Care
Link activities.
If you ever need assistance or
have any questions regarding your health care,
claims, or Policy information, EBMS
can provide you with all the information you need by
calling 1-800-777-3575, our claims person is Angela.
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Q:
I do not understand why my claim was denied, or why
they only paid a certain amount?
A:
Each claim that is submitted to EBMS
is entered into their system and is paid based on
our Policy Deductibles and Plan limitations.
Each statement will provide all the
information you need to determine the what, why, and
when questions.
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Q:
What
can I do to limit or reduce my Health & Dental
Care Costs?
A:
First, if you have a non-emergency medical
condition, going to you local walk-in clinic or
Doctors Clinic will save you hundreds of
dollars. Each emergency room visit is on
average 300% to 400% more than a clinics charge.
Second, ask your doctor or clinic if
they accept assignment (will not charge the
difference between what he charges vs. what our plan
pays).
Third, ask for Generic Prescriptions
if available, this could save hundreds of dollars as
well.
Fourth, get a second or third
surgical opinion before any elective surgery.
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Q:
What
happens to my Health & Dental Benefits when I
terminate my employment with The Printing For Less?
A:
If you terminate employment with The Printing For Less, your
benefits will continue to the end of the month
unless termination is on the 1st of the month.
Example:
John Doe terminates employment on March 8, 1999.
His benefits would continue through March 31,
1999. If John Doe terminates employment on March
1, 1999, his benefits would stop on that
date.
Upon
notice of termination, EBMS
will issue to you a COBRA NOTICE. This will
enable you to elect or decline continuation of your
Health & Dental policy. You must respond to
the notice no later than 60 days from the date of the
notice. The cost for COBRA Coverage is 102% of
the premium the company pays.
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Q:
I
have heard pre-existing conditions may be waived or
reduced under a new federal mandated program.
A: This
new federal program is called HIPAA (Health
Insurance Portability and Accountability Act of
1996). Under this program, pre-existing
conditions are limited by prior creditable
coverage. Provides credit for prior health
coverage and process for transmitting information
concerning prior coverage. Prohibits
discrimination in enrollment and premiums based on
health status.
Example:
John Doe worked for ABC Co. for 5 years and terminated
employment on January 1, 1999. John Doe was
issued COBRA through ABC Co. on January 1, 1999 but
declined coverage. John Joe began employment
with The Printing For Less on February 15, 1999 with
an effective date of insurance of June 1, 1999.
Since John Doe did not have a break in coverage longer
than 63 days, pre-existing conditions would be waived
because he met the 12-month pre-existing coverage
under his old plan. However, if John Doe did not
elect COBRA from ABC Co. and began employment with The
Printing For Less on March 15, 1999, then a 12 month
pre-existing clause would be in effect for John Doe is
diagnosed or was treated for a health condition in the
past 6 months.
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Q:
What would the
status of my Health Insurance Coverage be if I am
approved for a Leave of Absence?
A:
An
approved Leave of Absence may be granted without disruption
to your benefits, however the leave cannot extend beyond 30
day time period, unless you meet the qualifications for a
leave of absence under the Family Medical leave Act (FMLA).
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401(k)
Q:
Who
is eligible to participate in the 401(k) retirement
plan?
A:
All
full-time AND part-time Company employees may
participate in the 401(k) retirement plan.
Independent Contractors and Owner Operators are NOT
eligible.
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Q:
What
percentage of income can I defer into my 401(k)
retirement account and when can I change this
percentage?
A: You
may contribute 1% to 25% of your income not to
exceed the Federal Limit of $10,000.00. This
does not include the Company Match! You may
change this percentage on the 1st of each
month.
Please
contact the Personal Office for proper forms.
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Q:
How
much does the Company contribute on a matching basis
to my 401(k)?
A:
The Company will match 100% of your deferral amount
up to 6% of your compensation or $110.00 per month
whichever is less.
Example:
John Doe has a monthly income of $2000.00.
John Doe contributes 2% of his income to his 401(k)
retirement account. .02 x 2,000= $40.00.
In this case, The Company would match $40.00
Example:
John Doe contributes 6% to his retirement
account. .06 x 2,000= $120.00. The
Company would match $110.00.
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Q:
When does the Company match my
deferral and when is the money forwarded to the
Trust Company?
A:
The Internal Revenue Service has issued
a lengthy compliance policy regarding this procedure.
What
it states in general is: the employee deferral
funds are to be deposited into the individual accounts
not later than the 15th of the following month after
the deferral has been made, and/or as soon as the
deferral funds can be assembled to remit to the Trust
Company.
This
only refers to your deferral and not the match.
We have made it our policy to remit BOTH employee
deferrals and the Company Match on a Bi-Weekly
basis. This exceeds the requirements under the
Internal Revenue Service guidelines.
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Q:
What
are my options in order to withdrawal funds?
A:
A
Loan: subject to a minimum loan value of
$2,000.00 and a maximum of 50% of your vested
account balance, or $50,000.00. Interest is
3.0% above prime rate and the payments are credited
into your account. The plan limits each participant
to one outstanding loan at any given time.
Repayment of the loan cannot exceed 5 years unless
the loan is for the purchase of a primary residence.
Hardship
Withdrawal: are limited to elective deferrals
excluding earnings. Participant cannot
participate in the 401(k) for 1 year from the date of
the Hardship Withdrawal. Participant must have
immediate and heavy financial need such as, Medical
Expenses that exceed 7.5% of adjusted gross income,
Purchase of Primary Residence, Payment of tuition of
post-secondary education, Prevention of eviction from
residence and funeral costs. All other resources
available to the employee must have been exhausted
such as: cannot liquidate any other assets or
obtain a bank loan.
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Q:
When I leave the Company, what
happens to my 401(k) account balances?
A:
You
have several options in which to choose when leaving
the company:
1.
Leave your account balances with the Trust Company
until age 70 1/2.
2.
Rollover into an IRA or other qualified plan.
3.
Withdrawal funds (subject to 20% Federal
Withholding). If you choose this option, you
will be subject to a penalty of 10% and will be
taxed as normal earnings in the year of your
withdrawal. Note: if you are 59 1/2
years of age, the penalty does not apply.
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Q:
How long before I am vested in the
401(k) plan accounts?
A:
You
are vested 100% from day one in both your deferral
account and Employers Matching Account.
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Q:
Where
and how much should I invest my contributions and
Employer Match?
A:
Everyone
has different retirement goals and risk
factors. For the best advice, you should
always consult with your Accountant, Broker, or your
Personal Investment Advisor. Here are a few
questions you need to ask yourself before you make
an election to your 401(k) account.
1.
How many years are left before I want to retire?
2.
What are my goals for your retirement?
3.
What is my risk factor?
4.
How much month do I currently have in retirement
accounts?
5.
What does my current portfolio consist of?
(Money Markets, CD's, Stocks, Mutual Funds, etc.)
6.
How much can I afford to set away for
retirement? KEEP IN MIND YOUR 401(K) IS FOR
RETIREMENT. IT SHOULD NOT BE CONSIDERED A
PASSBOOK SAVINGS ACCOUNT!
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Q:
How
do I access my account information?
A:
Information regarding your account can be
obtained in the following manner:
By Phone: (800) 932-5704
By Internet: www.ceridiank.com
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