2017 Benefits & Wellness Guide - G4Connect - Allegiant Air · Both Team Members and employers can...

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2017 Benefits & Wellness Guide

Transcript of 2017 Benefits & Wellness Guide - G4Connect - Allegiant Air · Both Team Members and employers can...

2017 Benefits & Wellness Guide

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3 Welcome 4-8 Medical 9 Dental 10 Vision 11-12 Provided Coverage13-15 Voluntary Plans16 Financial Wellness 17 Additional Benefits 18 Life Event 19 Glossary 20 Contacts

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John Redmond President

Team Member,

As we head into 2017, I’m happy to report our ability to continue to offer you Benefit plans that allow you to customize your benefits experience to best fit your needs. Similar to our business model, you only pay for what you want or need.

Across the country, medical insurance premiums have been trending at about an 8% cost increase on average. We’re proud to have capped any increases passed on to you at no greater than 4.8%, and in some cases even slightly decreased premiums, depending on what plan design and coverage level you select.

Our four medical plans remain the same: A traditional HMO, a traditional PPO, a High-Deductible Health Plan (HDHP1300), and an ultra-High-Deductible Health Plan (HDHP3500). Depending on your family needs, options vary from having low paycheck premiums with higher out of pocket costs, to having a higher paycheck premium with lower copays and deductibles. To make things simple and help you evaluate your choices, again this year ALEX® is available, an online decision making tool. By answering a few questions, the ALEX® system will quickly and efficiently help you find the right plan to fit your family, lifestyle, or budget needs.

There are two changes to our offerings this year, designed to help streamline and bring efficiency and more cost-effectiveness to our Benefits platform. First, Aetna will take over as our Dental provider, which will help simplify coverage and carriers while still offering the two levels of dental coverage you have come to expect. Second, we have moved our prescription coverage to OrchestraRx, which offers deeper discounts, lowering your out of pocket prescription costs while still offering a robust network of pharmacies.

We’re also offering a voluntary legal assistance benefit this year, based on team member requests. We’ve partnered with U.S. Legal who will provide advice and consultations on numerous legal matters if you enroll in the plan.

We are excited about this year’s benefits and expect the various choices will offer you options to specifically meet your needs. I’m looking forward to sharing a successful and healthy 2017 with you!

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YOU CAN COVER YOUR Spouse

Dependent children (biological, step, adopted or legal ward) up to age 26

Disabled children over age 26 who depend on you for financial support

MEDICAL PLANS* Not available to Team Members covered under TeamCare benefits.

Aetna Member Services: 877.204.9186 • www.aetnanavigator.com

In 2017, we are offering four medical plans from Aetna - HDHP 1300, HDHP 3500, PPO, and HMO. Each

plan presents a unique combination of coverage and costs.

To help you navigate the plans and identify which one best suits your household needs, we have ALEX®, an

easy-to-understand guide to all of our plans. To log into ALEX® and explore your benefit options, go here:

https://benefits.myalex.com/allegiant/2017.

HDHP 3500 -HSA Eligible plan HDHP 1300 -HSA Eligible plan

Both the HDHP 3500 and HDHP 1300 plans are High Deductible Health Plans. Preventive care costs are

covered 100%. Team Members can pay for qualified medical expenses with pre-tax dollars from their Health

Savings Account (HSA). With an HSA, dollars contributed roll over from year to year. If you leave the

Company, the account, along with all the funds in it, goes with you.

Both Team Members and employers can make contributions to an HSA. Allegiant contributes to your HSA

both through a wellness incentive and by matching contributions. When you participate in a voluntary health

screening, Allegiant contributes $200 to your HSA. If you cover dependents on your High Deductible Health

Plan, the wellness incentive can increase to $400, see G4Connect for details. Allegiant also matches

contributions made by Team Members to the HSA plan.

Annual Maximum Match* Wellness Health Screening Must be hired by September 1, 2017

Screening completed by November 30, 2017

BTeam Member Only

Team Member Plus

$550

$1100

$200

$400

*If annual salary < = $40K, match is $2 to $1. If annual salary is > $40K, match is $1 to $1.

The IRS annual limit maximum contribution for the 2017 plan year is $3,400 for those with Team Member Only coverage and $6,750 for Team Member plus Dependent(s). The annual limits include both the Team Member and employer contributions. Team Members who contribute to an HSA, are 55 or older and who are not enrolled in Medicare are allowed to contribute an additional $1,000.

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MEDICAL PLANS (cont'd)

PPO (a Preferred Provider Organization) - FSA Eligible Plan

With the PPO plan you have access to both in-network and out-of-network health care providers. Your portion of

the costs are less when you use in-network providers.

There is no Health Savings Account (HSA) with this plan. With this plan you may enroll in a Flexible Spending

Account (FSA). However, there is no company match and funds do not roll over to the next year. All contributions

need to be used within the year. Any 'left-over' funds are forfeited. This is often referred to as a 'use-it-or-lose-it'

account.

HMO (a Health Maintenance Organization plan) - FSA Eligible Plan

With the HMO plan you have access to certain health care providers within a limited network. Unlike other

insurance plan types, care is covered only if you see a provider within the HMO network. You will pay a set co-

pay when you seek health care. If you opt to see a health care-provider outside the network, you will have to

pay the entire cost of medical services.

There is no Health Savings Account (HSA) with this plan. With this plan you may enroll in a Flexible Spending

Account (FSA). However, there is no company match and funds do not roll over to the next year. All contributions

need to be used within the year. Any 'left-over' funds are forfeited .This is often referred to as a 'use-it-or-lose-it'

account.

Reminder: Your Primary Care Physician must be selected at the time of your enrollment.

Your prescription benefit is a combined deductible with the medical plan selected, however the prescription coverage is provided through OrchestraRx. OrchestraRx: 844.633.1068 • www.orchestrarx.com

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PLAN SUMMARIES

HDHP 3500 - HSA Eligible plan In-Network Out-of-Network

Annual Deductible

Team Member Only $3,500 $4,000

Team Member Plus $5,250 $6,000

Co-insurance 30% 50%

Annual Out-of-Pocket Maximum

Team Member Only $4,500 $9,000

Team Member Plus $6,750 $13,500

Rx Information (OrchestraRx) - with HDHP 3500 In-Network Out-of-Network

Prescriptions

Generic $5 after deductible Not covered Brand (Formulary/Preferred) 20% after deductible Not covered

Brand (Non Formulary/Non Preferred) 20% after deductible Not covered

HDHP 1300 - HSA Eligible plan

In-Network Out-of-Network

Rx Information (OrchestraRx) – with HDHP 1300 In-Network Out-of-Network

Prescriptions

Generic $5 after deductible Not covered Brand (Formulary/Preferred) 20% after deductible Not covered Brand (Non Formulary/Non Preferred) 20% after deductible Not covered

Annual Deductible

Team Member Only $1,300 $1,750 Team Member Plus

Co-insurance

$2,600 $3,500

Co-insurance 20% 40%

Annual Out-of-Pocket Maximum

Team Member Only $3,000 $6,000

Team Member Plus $6,000 $12,000

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PLAN SUMMARIES (cont'd) PPO (a Preferred Provider Organization) - FSA Eligible plan In-Network Out-of-Network

Annual Deductible

Team Member Only $500 $1,000 Team Member Plus $1,000 $2,000 Co-Insurance 20% 40% Co-Pays Office Visit/Exam $20 40% after deductible

Specialist Visit $50 40% after deductible

Emergency Room $200, then 20% $200, then 20%

Annual Out-of-Pocket Maximum Team Member Only $2,500 $5,000 Team Member Plus $5,000 $10,000

Rx Information (OrchestraRx) - with PPO In-Network Out-of-Network

Prescriptions

Generic $20 Not covered Brand (Formulary/Preferred) $60 Not covered Brand (Non Formulary/Non Preferred) $100 Not covered

HMO (a Health Maintenance Organization plan) - FSA Eligible plan

In-Network Out-of-Network

Annual Deductible

Team Member Only

$0

Not covered Team Member Plus $0 Not covered Co-Insurance N/A Not covered Co-Pays Office Visit/Exam $20 Not covered

Specialist Visit $40 Not covered

Emergency Room $200 $200

Annual Out-of-Pocket Maximum

Team Member Only $3,000 Not covered

Team Member Plus $6,000 Not covered

Rx Information (OrchestraRx) - with HMO In-Network Out-of-Network

Prescriptions

Generic $5 Not covered Brand (Formulary/Preferred) $30 Not covered Brand (Non Formulary/Non Preferred) $50 Not covered

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RATES

Per Paycheck Non-Tobacco Use Rate Team Member

Only

Team Member + Child(ren)

Team Member + Spouse

Team Member

+ Family

HDHP 3500 $22.84

$47.71

$78.78

$79.47

HDHP 1300 $46.75

$93.17

$129.04

$151.35

PPO

$56.61

$112.18

$150.06

$181.41 HMO

$90.36

$176.60

$221.30

$283.29

Per Paycheck Tobacco Use Rate Team Member

Only

Team Member + Child(ren)

Team Member + Spouse

Team Member

+ Family

HDHP 3500 $34.27

$67.71

$98.78

$99.47

HDHP 1300 $66.75

$113.17

$149.04

$171.35

PPO

$76.61

$132.18

$170.06

$201.41 HMO

$110.36

$196.60

$241.30

$303.29

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DENTAL CARE * Not available to Team Members covered under TeamCare benefits.

Aetna Member Services: 877.204.9186 • www.aetnanavigator.com

In 2017, we are offering two dental plans from Aetna Dental: Basic and Buy-Up. The dental plans are a

preferred provider option that include a network of dental providers. You receive benefits whether you seek care

from an in-network or out-of-network dentist. If you choose to visit an in-network dentist, you will enjoy lower out-

of-pocket costs. Both plans use the same network of in-network providers.

Preventive care is covered by the dental plan 100% (including two cleanings every 12 months). Also, preventive

care does not count toward your annual maximum benefit.

Dental Plan Summaries Basic Buy-Up

Annual Deductible In-Network Out-of-Network In-Network Out-of-Network

Team Member Only

Team Member Plus $25

$25/person

$50

$50/person

$25

$25/person

$50 $50/person

up to $75 max up to $150 max up to $75 max up to $150 max

Benefit Preventive Care 100% 100% 100% 100% Basic Services 90% 80% 90% 90% Major Services 60% 50% 60% 60% Annual Maximum Benefit

$1,200 $750 $2,000 $2,000

Orthodontia Orthodontia 50%-$1,000 50%-$1,000 50%-$1,500 50%-$1,500 lifetime maximum lifetime maximum lifetime maximum lifetime maximum

Dependent Restriction Child(ren) to Child(ren) to Child(ren) Child(ren) age 26

*Appliance must be in place prior to age 20

age 26 and adults and adults

Dental Plan Rates Basic Buy-Up

Per Paycheck Per Paycheck

Team Member Only $6.04 $9.30 Team Member + Child(ren) $10.48 $21.53 Team Member + Spouse $16.14 $19.33 Team Member + Family $20.43 $31.48

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VISION CARE *Not available to Team Members covered under TeamCare benefits.

EyeMed Member Services: 866.804.0982 • www.eyemed.com

The vision plan is a preferred provider option that includes a network of eye care providers. You receive the

maximum benefits of the plan and pay less out-of-pocket when you seek care from an in-network provider.

Eyemed Plan Benefits Summary In-Network Out-of-Network

.Eye Exam (every 12 months) $20 co-pay Up to $50 allowance

Lenses (every 12 months)

Single $20 co-pay Up to $50 allowance

Bifocal $20 co-pay Up to $75 allowance

Trifocal $20 co-pay Up to $100 allowance

Frames (every 12 months) $0 co-pay; $130 allowance Up to $70 allowance (20% off retail price over $130)

Contact Lens Care $0 co-pay; $130 allowance Up to $105 allowance

(in lieu of lenses/frames) (15% off retail price over $130)

Eyemed Plan Rates Per Paycheck

Team Member Only $0.92

Team Member + Child(ren) $2.49

Team Member + Spouse $1.75

Team Member + Family $3.81

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ALLEGIANT PROVIDED PLANS Allegiant provides the following benefits at no cost to Team Members:

Long Term Disability Symetra Member Services: 877.377.6773 • www.symetra.com

Allegiant provides long-term disability at no cost to full-time Team Members. This plan provides a source of

income if you are disabled for 90 days or more due to an illness or injury. You are paid 60% of your monthly

earnings, up to a maximum of $5,000 per month. Allegiant pays the full cost of this benefit. You do not pay tax on the

premium, so any benefits you receive may be taxed.

*Pilots, refer to CBA.

Life Insurance Symetra Member Services: 877.377.6773 • www.symetra.com

Allegiant provides Basic Life and Accidental Death and Dismemberment (AD&D) insurance equal to one

time your annual base salary up to a maximum of $150,000. This is at no cost to all full-time employees.

*Pilots, refer to CBA.

BENEFICIARY DESIGNATION

It is important to designate a beneficiary for your life insurance benefits. The beneficiary is the person who

will receive the life and/ or AD&D benefit in the event of your death. Even if you waive all other coverage, please

complete or update the Beneficiary Section in Ultipro during enrollment for the employer-paid group life

insurance.

Health Champion *Not available to Team Members covered under TeamCare benefits. Health Champion: 800.272.7255 • www.guidanceresources.com Health Champion helps you with healthcare selection and insurance-related issues. This benefit is available to all full-time Team Members. There is no sign-up required and there is no cost to you for this benefit. This benefit is also extended to all family members, such as your parents and grandparents.

• Find the right doctors, specialists, hospitals• Unlimited calls• Untangle medical bills• Locate eldercare and support services• Save time, money and worry

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ALLEGIANT PROVIDED PLANS (cont'd)

EAP EMPLOYEE ASSISTANCE PROGRAM (EAP)ComPsych Member Services: 800.272 .7255 • www.guidanceresources.com

The Employee Assistance Program offers free, confidential support to Team Members day or night.

Representatives can assist in finding resources and information on issues including:

• Mental health and well-being

• Personal and professional struggles

• Substance abuse

• Family life

• Financial information and resources

• Limited legal support and resources

This benefit is available to both part-time and full-time Team Members and their household members or family.

There is no sign-up required and the cost of this benefit is paid 100% by Allegiant. The benefit includes up to five

sessions annually per issue for each member of your household.

HealthiestYou Telehealth Services *Not available to Team Members covered under TeamCare benefits.

HealthiestYou Member Services: 866.703.1259 • Direct Member Portal www.member.healthiestyou.com

Allegiant bundles HealthiestYou with all four of the medical plans. If you enroll in one of the medical plans, you

and your dependents covered on our medical plan will automatically be enrolled in HealthiestYou at no

additional costs or deductions.

HealthiestYou provides 24/7 access to a health care provider via phone, video (Skype) or email for the

diagnosis and treatment of illness and common conditions as well as second opinions.

There is no cost for using HealthiestYou. The only cost you will incur is for a prescription if prescribed.

Set up your HealthiestYou app

Today!

iPhone, iPad, and Android compatible

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OPTIONAL, VOLUNTARY PLANS Allegiant provides you access to the following voluntary plans. These plans are offered by our vendors at

a low, group rate cost. Team Members may enroll in any or none of the following plans. Premiums for

these plans will be deducted on a per paycheck basis.

Short Term Disability Symetra Member Services: 877.377.6773 • www.symetra.com

Allegiant offers optional short-term disability. This plan provides a source of income for up to 11 weeks, should

you become disabled due to a non-work related illness or injury. A 14-day waiting period applies. You are paid

60% of weekly earnings, up to a maximum of $2,500 per week. Because you pay the premium after tax, the

benefits you receive may not be taxable, and premiums are paid via payroll deductions. Rates are based on

your age and salary. Team Members who elect this benefit during the initial offering will be guaranteed

issuance without completing an Evidence of insurability (EOI). Future elections after your initial enrollment

period may be subject to an EOI.

You can use the following chart and example to determine your short-term disability benefit and premium cost.

Locate your age and the corresponding rate as of Jan. 1 for the applicable benefit year:

Age Rate per $10

<45 $0.20

45-49 $0.22 50-54 $0.28

55-59 $0.35

60-64 $0.44

65 + $0.48

Divide your annual salary by 52 (weeks), then multiply it by 60%, this will be your weekly benefit amount. If this amount exceeds $2,500 your benefit amount will be capped at $2,500. Multiply your weekly benefit amount by your rate from the chart above and then divide this number by 20. This will give you your per paycheck premium cost.

Example:

Salary Weekly Benefit Age Rate Per Paycheck

$52,000 $600 ($52,000/52) x .60

45

.22 $6.60 (600x.22)/20

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OPTIONAL, VOLUNTARY PLANS (cont'd)

Life Insurance Symetra Member Services: 877.377.6773 • www.symetra.com

VOLUNTARY LIFE/ACCIDENTAL DEATH & DISMEMBERMENT (AD&D)

Allegiant gives you the opportunity to buy valuable life insurance coverage for yourself, your spouse, and your

dependent children – all at affordable group rates. You pay for the voluntary premiums through payroll

deductions. Rates are based on amount of benefit coverage and age.

Team Member Spouse Child

Guaranteed Issuance (new hire) (1)(2)

$100K $25K $10K

Overall Maximum Benefit Available

Lesser of 5 times your basic annual earnings or $500K

$250K $10K

AD&D Coverage(3) Yes Yes Yes

Employee Contribution 100% 100% 100%

(1) Team Members who elect voluntary life during their initial offering will be guaranteed a benefit up to $100K (not to exceed 5 times your

basic annual earnings) without completing an Evidence of insurability (EOI). Future increases after your initial enrollment or amounts

above the guaranteed issuance will be subject to an approved EOI.

(2) Employee coverage available in increments of 10K, spouse available in 5K, child available in 1K.

(3) Accidental Death & Dismemberment (AD&D) coverage provides a benefit in the event of death or dismemberment resulting from a covered accident.

Team Members & Spouse Voluntary Life and AD&D Insurance

Age Per Paycheck Premium .

Rate Per Coverage Amount

*Due to rounding, your actual payroll deduction amount may vary slightly. Note: Spouse amount cannot exceed 50% of the employee's voluntary life benefit. *At age 65 benefit reduces to 65% and at age 70+ benefit reduces to 50%.

. $1,000

$10,000

$20,000

$40,000

$50,000

$100,000

Under 30 $0.05 $0.55 $1.09 $2.18 $2.73 $5.45

30-34 $0.05 $0.55 $1.09 $2.18 $2.73 $5.45

35-39 $0.08 $0.77 $1.54 $3.08 $3.85 $7.70

40-44 $0.11 $1.12 $2.24 $4.48 $5.60 $11.20

45-49 $0.16 $1.60 $3.19 $6.38 $7.98 $15.95

50-54 $0.25 $2.55 $5.09 $10.18 $12.73 $25.45

55-59 $0.43 $4.35 $8.69 $17.38 $21.73 $43.45

60-64 $0.60 $6.05 $12.09 $24.18 $30.23 $60.45

65-69* $1.11 $11.15 $22.29 $44.58 $55.73 $111.45

70+* $1.93 $19.32 $38.64 $77.28 $96.60 $193.20

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OPTIONAL VOLUNTARY PLANS (cont'd)

Dependent Child Life Insurance Coverage

Coverage Amount Per Paycheck Premium

$1,000 $0.11

$2,000 $0.22

$4,000 $0.45

$5,000 $0.56

$10,000 $1 .12

HealthiestYou Telehealth Services *Not available to Team Members covered under TeamCare benefits.

HealthiestYou Member Services: 866.703.1259 • Direct Member Portal www.member.healthiestyou.com

Are you interested in telehealth services, but are not enrolling in one of our medical plans? We also provide a

stand-alone HealthiestYou plan for Team Members who are not enrolling in an Allegiant medical plan.

HealthiestYou provides 24/7 access to a health care provider via phone, video (Skype) or email for the diagnosis and

treatment of illness and common conditions as well as second opinions. When you use HealthiestYou, the only cost

you will incur is a prescription if prescribed.

Stand-Alone HealthiestYou Premium Rates Per Paycheck

Team Member Only $2.50

Team Member + Child(ren) $2.50

Team Member + Spouse/Domestic Partner $2.50

Team Member + Family $2.50

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YOUR FINANCIAL & LEGAL WELLNESS

Employee Stock Purchase Program (ESPP) Fidelity Member Services: 800.544.9354 • www.netbenefits.com

Own a piece of Allegiant! We are very proud to offer an ESPP to all eligible Team Members. An ESPP is a

program which enables you to buy Company stock at a discount, through payroll deductions. You incur no fees

to buy Allegiant stock or for Fidelity's (our Investment Company) account maintenance. Nominal fees are

charged when selling stock, which Fidelity will advise you of at the time you plan to sell. Team Members are

eligible to sign-up for the program in either April or October each year, following their first three (3) months of

continuous employment.

For more information: https://g4connect.allegiantair.com/espp

401(k) Fidelity Member Services: 800.835.5097 • www.netbenefits.com

Allegiant offers a 401 (k) "Safe Harbor" Plan to all eligible Team Members. We offer a "Safe Harbor" 401(k)

matching contribution in an amount equal to 100% of the first 3% of your contribution and 50% of the next 2%

of your contribution. The matching contribution is immediately 100% vested and non-forfeitable .Team

Members are eligible to sign-up for the program at any time following the beginning of the quarter after the

completion of their first three (3) months of continuous employment.

For more information: https://g4connect.allegiantair.com/401k-program

*Pilots, refer to CBA.

Voluntary Legal Benefits by U.S. Legal U.S. Legal Services: 800.356.5297 • www.uslegalservices.net We are pleased to announce that Allegiant is offering a voluntary legal benefit plan. They offer telephonic and office consultations on numerous legal matters, some of which include family matters, Chapter 7 and Chapter 13 Bankruptcy and Civil Law. For more information: https://g4connect.allegiantair.com/us-legal-services

U.S. Legal Rates Per Paycheck

Team Member and Family

(covers children up to age 26)

$8.45

.

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ADDITIONAL BENEFITS

Educational Assistance Allegiant offers tuition reimbursement for Full Time and Part Time (effective January 1, 2017) Team Members up to $1,500 each year. Courses and programs must be directly or indirectly related to your career. Team Members must have completed six months of service, apply before the course(s) begin, and pass with a grade of B or better. For more information: https://g4connect.allegiantair.com/educational-assistance

PTO2GO Although we hope that nothing happens to our Team Members, we understand that there may be circumstances where our Team Members may need help and more time away from work. The PTO2GO programs allows the transfer of authorized vacation and sick leave hours from one Team Member to another who is suffering extraordinary, unplanned, or involuntary events in their personal life and is unable to work. For more information: https://g4connect.allegiantair.com/pto2go-program

Adoption Program For 2017, as requested by Team Members, we are happy to introduce the Adoption Benefit Program. Team Members who have completed 12 months of service are eligible for reimbursement up to $8,000 in eligible expenses. For more information: https://g4connect.allegiantair.com/adoption-services

Deals & Discounts Team Members live in exciting places and love to travel just as much as our passengers. We have dozens of partnerships with local business and nationwide companies to provide you with the same great rates as the people we fly! Deals and discounts are always changing, so be sure to visit the pages often. For more information: https://g4connect.allegiantair.com/deals

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LIFE HAPPENS

TAKE ACTION

You can change, add, or drop coverage during open enrollment or if you experience a qualifying LIFE EVENT.

WHAT IS A "LIFE EVENT"?

Generally, a life event is a situation in which your family size or your availability to other insurance coverage

changes. A change in your life can make you eligible for a Special Enrollment Period to enroll in health care

coverage through Allegiant outside of the Open Enrollment period.

Examples of a life event include:

• Marriage or divorce

• Birth, adoption, or death of a dependent

• Loss of other insurance coverage (i.e. your spouse loses their job-based coverage.)

• Gain of other insurance coverage

WHAT IS THE TIME LIMIT TO MAKE BENEFIT CHANGES AFTER A "LIFE EVENT"?

You must notify the Benefits Department within 31 days of the date of the life event, even if you don’t have the

required documentation.

WHAT STEPS DO I NEED TO TAKE IF I EXPERIENCE A "LIFE EVENT"?

• Notify the Benefits department within 31-days of the date of the Life Event.

• Provide required documentation necessary as evidence of the event. See G4Connect for examples of required documentation.

WHAT HAPPENS AFTER I SUBMIT MY LIFE EVENT CHANGES?

Your life event, documentation and benefit elections will be reviewed by the Benefits Department. If

approved, you will receive a Benefit Confirmation Statement via email and applicable instructions for

accessing new benefits. Your payroll deductions will be updated and you will be reimbursed or owe for any

missed premiums dating back to the original date of the life event.

WILL I RECEIVE UPDATED INSURANCE CARDS?

Yes, within 14 business days of your changes being approved you will receive updated insurance cards from the benefit vendors. Excluding Aetna Dental, where no card is required for treatment.

WHAT HAPPENS IF I MISS THE 31-DAY WINDOW TO MAKE CHANGES?

If you miss the 31-day window, you will not be able to make changes until the next open enrollment period. Open

enrollment is held in the fourth quarter of the calendar year with an insurance effective date of January 1.

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GLOSSARY

401(k) - is a defined contribution plan where you can make contributions from your paycheck either before or after-tax, depending on whether you contribute to the traditional 401(k) or the Roth 401(k) option. The contributions go into the 401(k) account and you choose the investments based on options provided under the plan. Allegiant provides a match to your contributions. Accidental Death and Dismemberment Insurance (AD&D) - is a rider attached to the life insurance policy covering death by accidental means and dismemberment, including the loss of or the loss of use of body parts or functions (meaning limbs, speech, eyesight or hearing). Alex® - A decision making tool designed to act as your personal benefits counselor. Alex® explains all your options in plain English, and helps you choose the plans that make the most sense for you and your family. Beneficiary- A person or group of persons, designated as the recipient of the benefits of your insurance policy. Deductible – The amount you must pay before an insurance company will make a payment. Employee Assistance Program (EAP) – Employee Assistance Program is a company-paid benefit which provides support and/or counseling for entire family through many types of personal and professional issues. Employee Stock Purchase Plan (ESPP) - is a company-run program in which you can purchase company stock shares at a discounted price. You can elect to contribute to the plan through payroll deductions which build up between the offering date and the purchase date. Evidence of Insurability (EOI) - is a statement of medical history and related information completed by you, which the insurance company will use to determine whether you will be approved for coverage. FSA Dependent Care (FSA) – A Dependent Care Flexible Spending Account lets you use tax-exempt funds to pay for childcare expenses you incur while at work. You can also use FSAs to cover adult daycare expenses for elderly family members who live in your home. All contributions need to be used within the year. Any “unused” funds are forfeited. FSA Medical Care (FSA) – A Medical Care Flexible Spending Account lets you use tax-exempt funds to pay for qualified out-of-pocket health care costs. All contributions need to be used within the year. Any “unused” funds are forfeited. Health Savings Account (HSA) – A medical savings account made available to you when you enroll in a high-deductible health plan (HDHP). Any funds you contribute to your HSA are not subject to federal income tax. Any unused balance can be rolled over at the end of the year. High Deductible Health Plan (HDHP) - A high-deductible health plan (HDHP) is a health insurance plan with lower premiums and higher deductibles than a traditional health plan. Being covered by an HDHP is also a requirement for having a Health Savings Account (HSA). Long-Term Disability Insurance (LTD) - is an insurance policy that protects you from loss of income in the event you are unable to work due to illness, injury, or accident for a long period of time. Premium – The amount deducted from each paycheck to pay the employee portion of the cost for each of the benefits you have selected. Safe Harbor – A Safe Harbor 401(k) plan is similar to a traditional 401(k) plan, but among other things, it requires the company to match your contributions up to a certain amount and the contributions must be 100% fully vested when made. The Company’s matching contributions may be limited to employees who participate in the plan. Short-Term Disability Insurance (STD) - pays a percentage of your salary if you become temporarily disabled, which means you are not able to work for a short period of time due to sickness or injury not related to your job.

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CONTACTS Plan Phone Number Web/Email

Medical

Aetna 877.204.9186 www.aetnanavigator.com

Health Savings Account (HSA) PayFlex

888.678.8242 www.aetnanavigator.com

Flexible Spending Account (FSA) Discovery

866.451.3399 www.discoverybenefits.com

Telehealth-HealthiestYou 866.703.1259 www.member.healthiestyou.com

COBRA-Discovery 888.408.7224 www.discoverybenefits.com

RX

OrchestraRx 844.633.1068 www.orchestrarx.com

Dental

Aetna 877.204.9186 www.aetnanavigator.com

Vision

EyeMed 866.804.0982 www.eyemed.com

Ancillary Plans

Behavioral Health EAP - ComPsych (EAP)

800.272.7255 www.guidanceresources.com

Health Champion 800.272.7522 www.guidanceresources.com

Life Insurance (Basic & Voluntary)-Symetra

877.377.6773 www.symetra.com

Long Term Disability/Short Term Disability-Symetra

877.377.6773 www.symetra.com

Financial Health

ESPP 800.544.9354 www.netbenefits.com

401(K) - Fidelity 800.835.5097 www.fidelity.com

U.S. Legal 800.356.5297 www.uslegalservices.net

Allegiant Contacts

Alex https://benefits.myalex.com/allegiant/2017

Benefits Team 702.589.8080 [email protected]

Benefits Fax 702.589.8132

Leave of Absence - LOA 702.830.8138 [email protected]

Workers Compensation 702.830.8254 [email protected]

Corporate Travel * 702.589.8098 [email protected]

* The Benefits Team administers your health care related benefits. Please contact Corporate Travel directly with any questions regarding your travel benefits.