New Hire Benefits Presentation

Plan YearAugust 1, 2020 –

July 31, 2021

Presentation DisclaimerPlease note that this

presentation is simply a summary of the benefits available to both you and

your dependents. For additional information and details, you should refer to the benefits guide and the

insurance carriers’ summary documents. More importantly, the

insurance carrier contracts will supersede any and all information

provided in this presentation.

Benefits are effective 30 days from date of hire.

You can enroll by utilizing the Self-Service portal at www.explainmybenefits.com/diocese

ARTHUR J. GALLAGHER & CO. | BUSINESS WITHOUT BARRIERS™

Change requests must be made within 30 days of a Qualifying Event

MarriageDivorce or SeparationDeath

Loss of other Group Coverage Birth or Adoption

Spouse’s Open Enrollment

Qualifying Events

Medicare Entitlement

Employees: Benefits are effective 30 days from date of hire for all full-time employee working 30 hours or more per week

Your Spouse

Your Child(ren):Medical and Dental plans: up to age 26*Vision plan: up to age 30**Coverage ends the end of the calendar year.

Who is Eligible for Benefits?

Florida Blue continues as our Medical Carrier Choice of two plans

Florida Blue Standard Plan Florida Blue Premium Plan

First Stop Health is our NEW Carrier for Telemedicine Delta Dental continues as our Dental Carrier

PPO Plan VSP continues as our Vision Carrier The Standard continues as our carrier for:

The Employer Paid Basic Life and Long Term Disability The Voluntary Term Life and Short Term Disability

Trustmark continues as our carrier for: Accident Plan Universal Life with Long Term Care Plan

LifeLock continues as our carrier for: Identity Theft Protection

Benefits Highlights for 2020

Login Instructions

Option 1

Standard Plan

In-Network and Out-of-Network

Option 2

Premium Plan

In-Network and Out-of-Network

Medical Insurance

Medical Plan OptionsPlan Standard Plan Premium Plan

Service In-Network In-Network

Individual / Family Calendar Year Deductible (CYD) $400 / $1,200 $300 / $900

Coinsurance 20% 10%

Plan Year Out of Pocket Max for Individual / Family $3,500 / $7,000 $2,500 / $7,500

Preventative Care No charge No chargePrimary Care Office Visit $25 Copay $25 CopaySpecialist Office Visit $50 Copay $50 CopayIn-Patient Hospital 20% after CYD 10% after CYDOut-Patient Hospital 20% after CYD 10% after CYDSurgical Facility 20% after CYD 10% after CYDUrgent Care $25 Copay $25 CopayEmergency Room (waived if admitted) 20% after CYD + $100 PVD 10% after CYD + $50 PVDLaboratory 20% Coinsurance 10% CoinsuranceX-Ray and Diagnostics $50 Copay $50 Copay

Major Diagnostics: MRI, MRA, CT, PET Scans $50 Copay $50 Copay

The Florida Blue plans have an out of network benefit. Please refer to FL Blue’s Benefit Summaries or Benefit Guide for out of network details.

Rx Benefits

Standard Plan Premium Plan

Generic Greater of $5 or 30% Greater of $5 or 30%

Brand Name Greater of $35 or 30% Greater of $30 or 30%

Non-Preferred Greater of $50 or 50% Greater of $45 or 50%

Specialty 20% - $375 Max per Rx 10% - $225 Max per Rx

The plans have an out of network Rx benefit. Please refer to 2020 Benefit Guide for more details.

Value Adds Take advantage of your Shingles and Flu Vaccine Program

No additional out of pocket costs. It’s FREE! • Restriction for 17 years of age or younger: Vaccine must be

administered at a clinic or physician’s office.

Smoking Cessation Program • Effective January 1, 2018, the Diocese of Palm Beach is pleased to announce the

introduction of a Smoking Cessation Program at your local participating retail pharmacies. Diocese of Palm Beach member qualify for two separate 6-month therapies per lifetime at $0 copay. You will need a prescription written for smoking deterrent products from your physician in order to take advantage of this added benefit to assist you in reaching your healthy initiative.

• Participating pharmacies include popular chains and independents including Costco, CVS, Kroger, Publix, Rite Aid, Target, Walmart, and Winn Dixie.

For any questions please contact RxEDO member Services at (888) 879-0168

Ways to Save

• Use generics when available• Request samples from doctor • Publix offer prescriptions for free or at a reduced cost.

Amlodipine – High BPAmoxicillin Lisinopril – High BPAmpicillin Metformin - DiabetesSulfamethoxazone/Trimethoprim Montelukast – Allergies and AsthmaCiprofloxacinPenicillin VK

• Walmart offers many generics at $4

More Ways to Save

Urgent Care can treat more serious conditions including: sore throats, flu, ear aches, respiratory

infections, small cuts and minor lacerations requiring stitches, sprains, minor broken bones,

minor burns and injuries, and more…Physicians

Labs and XraysMay even Dispense Prescriptions

Convenience Care can treat common conditions including: cough, cold, flu, ear infections, strep throat, bronchitis, sinus infections, and more…

Minute Clinic (CVS)The Little Clinic (Publix)

Take Care Clinic (Walgreens)Nurse Practitioners

To find an in-network provider, go to www.floridablue.com

TelemedicineFor Members and their covered dependents who elect the Diocese of Palm Beach Medical Coverage

CONSULT WITH A DOCTOR 24/7/365WHAT IS TELEMEDICINE?Telemed is a national network of board-certified physicians who provide quality healthcare through the convenience of phone or online video consultations for members of any age.

Teladmed physicians can diagnose, treat, and write prescriptions, when necessary for routine medical conditions, including:

• Cold & flu symptoms• Allergies• Bronchitis• Urinary tract infection• Respiratory Infection• Sinus problems• And more!

Talk to a doctor within MINUTES by

1-888-691-7867Using the Mobile App

Or log into fshealth.com

HOW MUCH does it cost?Nothing! $0 – no fees or copays

Dental Plans

Network Name Primary Flex PPOIn-Network Out-of-Network*

Individual Deductible / Family Deductible $100 per Individual

Waived for Preventive Care Yes Yes

Calendar Year Benefit Max (per covered person) $1,500

Your CostPreventive: Oral Exams, Cleanings Covered at 100% Covered at 100%*

Basic: Fillings, Extractions, Oral Surgery, Endodontics (Root Canal), Periodontics

Covered at 80% after Deductible

Covered at 80% after Deductible*

Major: Inlays, Onlays, Crowns, Bridgework, Dentures

Covered at 50% after Deductible

Covered at 50% after Deductible*

* Out-of-Network Benefits subject to balance billing for charges over the Delta Dental reimbursement schedule.

Primary Flex PPO Plan

Go to www.deltadentalins.com to locate a network PPO provider.

Vision Insurance

Vision Insurance Network Name: WellVisionPlan In-Network Out-of-Network

Service Your Cost ReimbursementEye Exam $10 Copay Up to $45

Frequency Every 12 monthsLenses

Single Vision $25 Copay Up to $30Bifocals $25 Copay Up to $50Trifocals $25 Copay Up to $65

Progressive $55 to $175 Copay then 20-25% discounts Up to $50

Frequency Every 12 months

Frames - Selected $150 Allowance / $170 Allowance for featured frames then 20% off balance Up to $70

Frequency Every 24 months

Contact Allowance (Elective) $150 Allowance then 15% off balance Up to $105

Frequency Every 12 months

Go to www.vsp.com to locate a network provider.

Basic Life Insurance

– $25,000

Accidental Death & Dismemberment (AD&D)

– $25,000

Please make sure your beneficiary

information is up to date

Basic Life Insurance & AD&D

You: Available in $10,000 increments up to a maximum of $100,000

*Guaranteed Issue Amount: $50,000

Supplemental Life Insurance & AD&D

Includes AD&D Coverage* Initial Enrollment Only

Child(ren): Available in $2,000 increments up to a maximum of $10,000

Not to exceed 50% of the employee benefit amount

Spouse: Available in $10,000 increments up to a maximum of $50,000

*Guaranteed Issue Amount: $20,000Up to 100% of employee benefit amount

Short Term Disability • Voluntary STD begins on 15th day of

illness or injury• Up to 11 weeks of benefit• Benefit of 60% of weekly pre-disability

salary up to $1,500 per week

Long Term Disability • Employer Paid LTD begins on 91st day

of illness or injury • Benefit of 60% of monthly pre-disability

earnings up to $3,000 per month • Benefits provided to SSNRA Age

Pre-existing conditions will not be covered.

Disability Insurance

Additional Voluntary Benefits - TRUSTMARK

ARTHUR J. GALLAGHER & CO. | BUSINESS WITHOUT BARRIERS™

Trustmark - 24 Hour Accident PlanPays $50 two times Per Year, Per Covered Person for Wellness Pays Cash Benefits for Accidental Injuries: up to $15,000 for fracturesPays Cash Benefit of $3,200 per Hospital Admission due to an Accident

Trustmark - Universal Life Events with Long Term CarePermanent Life InsuranceLong Term Care benefit equal to Life Insurance BenefitAccumulates Cash Value

Identity Theft Protection

ARTHUR J. GALLAGHER & CO. | BUSINESS WITHOUT BARRIERS™

LifeLock offers Proactive Protection in both of the plans offered:

Reminders:• For applicable coverage costs, please refer to the Benefits Guide

available at www.explainmybenefits.com/diocese.• You can enroll by utilizing the Self-Service portal at

www.explainmybenefits.com/diocese.• Be sure to have all social security numbers and dates of birth for

any dependents you with to enroll.

Thank you