You are eligible for insurance 1st of the month
following 30 days of full time employment.
You may enroll in the benefits when you are
first eligible.
You are only eligible to make additions,
terminations and changes to your enrollment
during the year if you have a change in family
status or at annual open enrollment.
Changes in Family Status:
Marriage
Divorce
Death
Birth
MEDICAL INSURANCE
Hardeman County Memorial Hospital currently contracts with Blue Cross Blue Shield Insurance Company for
employee health insurance coverage. Employees have two different options for health insurance plans.
The first option is the BCBS 1000:
Office Visit Co-pays:($25 PCP), ($55 Specialists/Urgent Care), ($100 ER)
Deductibles: Network & Out of Network ($1000 Individual) and ($3000 Family)
Coinsurance: Network (75%) Out of Network (55%)
Out of Pocket Maximums: Individual in Network ($5,000), Individual Out of Network ($9,000)
Family in Network ($15,000), Family Out of Network ($27,000)
Prescription Drugs: Generic ($20 copay), Brand Name ($40 copay), Non-Preferred Brand Name ($60 copay)
The second option is the BCBS 3000:
Office Visit Co-pays: ($40 PCP), ($55 Specialists/Urgent Care), ($100 ER)
Deductibles: Network & Out of Network ($3000 Individual) and ($9000 Family)
Coinsurance: Network (80%) Out of Network (60%)
Out of Pocket Maximums: Individual in Network ($8000), Individual Out of Network ($13,000)
Family in Network ($24,000), Family Out of Network ($39,000)
Prescription Drugs: Generic ($20 copay), Brand Name ($40 copay), Non-Preferred Brand Name ($60 copay)
SECTION 125 CAFETERIA PLAN
By Alt Benefit Consultants
Hardeman County offers a Cafeteria Plan
to employees following 30 days of full
time service.
With this plan you can have a portion of
your salary redirected into the
Unreimbursed Medical Account to be
used for you or your dependents for
expenses not covered by the medical
plan such medications, copays,
deductibles and coinsurance.
You can also have pre-taxed money
redirected to a Dependent Care Account.
www.altbenefits.com
Deductible:
Individual: Network ($50) Out of Network ($50)
Family: Network ($150) Out of Network ($150)
Orthodontia: Network and Out of Network (50%)
Coinsurance Coverage:
Preventative: Network and Out of Network (100%)
Basic: Network and Out of Network (80%)
Major: Network and Out of Network (50%)
Calendar Maximum: $1,000
Orthodontia Maximum: $1,000
Group Life - Employer Paid
All full-time employees can enroll in the
Group Life and AD&D insurance.The benefit
for each employee is 1 times Annual Earning
up to $50,000.This is an employer paid
benefit.
Voluntary Life Insurance
You may elect Additional Life coverage in
units of $10,000. New hires have a one time
opportunity to purchase up to $100,000
without medical questions.You may also
elect coverage for your spouse & kids.
Term Life To Age 100
Portable Term Life Insurance
Fixed Rates to age 100
Age Rated
Simplified Underwriting
Available for spouses, children & grandchildren
All full-time employees will be enrolled in both the
Long Term Disability (LTD) & Short Term Disability
(STD) plans. This is paid by the Employer.
LTD - If an employee becomes disabled, the plan will
pay a benefit of 60% to a monthly maximum of
$6,000 once the elimination period has been
staisfied. The elimination period is 180 days.
STD - If an employee becomes sick or disabled for
14 consecutive days, the plan will pay a benefit of
60% of salary (not to exceed $1,500 per week). The
benefit duration for Short Term Disability is 180 days.
Hardeman County offers a 401K plan to
employees 21 and older after they have completed
3 months of full time employment. Voluntary
products are also offered through Colonial
Insurance.
Copays:
Exam: $10
Material: $25
In Network:
Eye Exam paid in full every 12 Months. All
lenses paid in full every 12 Months. Frames
paid in full every 24 Months.
Out of Network:
Up to a $45 reimbursment.
ELIGIBILITY
DENTAL
CIGNA DISABILITY
402 Mercer Street Quanah, TX 79252 (940) 663-2795