| MEDICAL
Principal Group PPO www.principal.com
| Office
Visit Co-pay: |
$30 |
| Lab/X-Ray: |
100% after deductible |
| Deductible: |
$2,500 individual/$7,500 family |
| Prescription
Drug Co-pays: |
$10 (generic/tier 1) $30 (brand/tier
2) $45 (brand/tier 3)
Please refer to formulary for details |
| Out
of Pocket Maximum: |
$5,000 individual $7,500 family |
| Emergency
Room |
$30 per visit |
| Urgent
Care |
$30 per visit |
| Inpatient
Hospital Stay |
$0 after deductible |
DENTAL
Principal Financial Group Dental Plan www.principal.com
| Deductible |
$50 individual/$150 family |
| Coverage
Amounts: |
100% preventative
80% basic
50% major |
| Annual
Limit |
$1,500 per person |
| |
Total
Monthly Prem. |
Employee
bi-weekly
Pre-tax deduction |
| Employee
Only |
$25.62 |
$11.82 |
| Employee
+ Child |
$49.83 |
$22.99 |
| Employee
+ Spouse |
$48.28 |
$22.28 |
| Employee
+ Family |
$74.91 |
$34.57 |
LIFE
Principal Financial Group - Group Life Coverage www.principal.com
Angel Staffing will provide employees with $50,000 life and
$50,000 accidental death and dismemberment insurance at no
cost. To be eligible, you must work at least 36 hours per
week.
EMPLOYEE PAID VOLUNTARY BENEFITS
CompBenefits Vision
Plan www.compbenefits.com
| Exam |
$10 co-pay annually |
| Glasses: |
$15 co-pay (frames every
24 months, lenses annually) |
| Contact
Lenses: |
plan pays up to $105 every
12 months |
Accident Insurance
www.colonial.com
A voluntary plan that reimburses you/your beneficiary for
expenses incurred due to your death, dismemberment, or injury
caused by a covered accident. Benefits are payable in addition
to other coverage. Please refer to the Colonial brochure or
contact Human Resources for detailed information.
Short Term Disability
www.colonial.com
A voluntary plan that provides a monthly benefit should you
become disabled and unable to work. Benefits will begin on
the 8th consecutive day of illness and can continue for up
to 3 years. For detailed information please contact the Human
Resources Department.
Cancer Insurance
www.colonial.com
A voluntary plan that reimburses you for expenses incurred
due to the diagnosis of cancer. Please refer to the Colonial
brochure or contact Human Resources for detailed information.
Critical Illness Insurance
www.colonial.com
A voluntary plan that complements your major medical coverage
by providing a lump-sum benefit that you can use to pay the
direct and indirect costs related to certain illnesses. Please
refer to the Colonial brochure or contact Human Resources
for detailed information.
401k
www.hartfordlife.com
Angel Staffing provides you the opportunity to participate
in the Hartford 401K plan. Enrollment is as easy as going
to www.retire.hartfordlife.com
and following the enrollment instructions. For details and
information please call 1-800-339-4015.
Please do not hesitate to contact Jeffrey L. Fields, COO,
for any questions you may have:
Jeff@AngelStaffing.net
Phone. 210.616.9526
Fax. 210.616.9501 |
