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Looking Ahead
2 BenefitsEnrollment
3 TotalRewards
3 What’sNewin2020
4 Who’sEligible
5 HowandWhentoEnroll
5 NewHires
6 MakingChangesDuringtheYear?
7 MedicalCoverage
8 WellnessProgram
10 TaxSavingsAccounts
12 HospitalIndemnity
12 AccidentInsurance
12 CriticalIllness
13 DentalCoverage
14 VisionCoverage
15 2020Bi-WeeklyHealthInsuranceRates
16 DisabilityIncomeProtection
17 LifeandAD&DInsurance
18 Retirement
19 LongTermCare
20TakeaBreakwithPaidTimeOff
21 Questions?AsktheExperts
22CentraMedicalBenefitsPlanNon-DiscriminationNotice
The information in this guide gives you a brief summary of the benefits you can currently choose through the Centra Choices Benefits Program. Centra may change benefits in whole or in part at any time.
All benefits are governed by legal documents and insurance contracts. If there is any discrepancy between this description and the official plan documents and contracts, the documents and contracts will determine the benefits. For purposes of ERISA, this brochure serves as a Summary of Material Modification for all the applicable Summary Plan Descriptions.
Need more information? Importantcontactinformationcanbefoundonpage21.
Also,don’tforgettolookovertheImportant Required Noticeonpage22.
1
Welcome to Your Benefits Enrollment
Yourbenefitsareamajorpartofyourtotalcompensation–addingmorethan25%toyoursalary!Recognizingthediversityofourpopulation,weprovideflexibleplans,soyoucanchoosebasedonyourindividualandfamilyneeds.
WiththeCentrabenefitsplan,youandyourfamilyhavetheopportunityto:
— Stayhealthywithmedical,dental,andvisioncoverage— Receivetaxsavingswithflexiblespendingaccountsorhealthsavingsaccounts— Boostyourhealthwiththewellnessprogram,WellPower— Enjoythesecurityandpeaceofmindwithdisability,lifeinsurance,andretirement
savingsplan
Thisguideisdesignedtohelpyoulearnabouttheoptionsavailabletoyouasyoumakeyourenrollmentchoices.Formoredetailedinformationaboutanyofthebenefitsinthisguide,visitLawsonBenefitsEmployeeSelfService.PleasereachouttoHumanResourcesifyouhaveanyquestions.Do you need to take action? Keepinmindthatyoumustenrollifyouwantto:
Your BENEFITS Our FOCUS
— Electmedical,dental,andvisioncoverage.— Addordropdependentsfromcoverage.— ContributetotheHealthCareand/or
DependentDayCareSpendingAccounts(evenifcurrentlyenrolled)andHealthSavingsAccount.
— ChangeyourVoluntaryLifeInsuranceordisabilityinsuranceelections.
— Electvoluntarybenefits,suchasHospitalIndemnity,AccidentInsurance,WholeLifeInsurance,andCriticalIllness.
Centraisproudtoofferyouandyourfamilyaquality,comprehensivebenefitsprogram.
2
Total Rewards
What’s New in 2020Togiveyoumorechoicesforfinancialprotectionandpeaceofmind,Centraoffersanewbenefit:HospitalIndemnityInsurance.
Hospital Indemnity Insurance
HospitalIndemnityInsurancehelpscoveredemployeesandtheirfamiliescopewiththefinancialimpactsofahospitalization.
Why is this coverage so valuable?
— Yougetaffordablerateswhenyoubuythiscoverageatwork.
— Thecostisconvenientlydeductedfromyourpaycheck.
— ThebenefitsinthisplanarecompatiblewithaHealthSavingsAccount(HSA).
Learnmoreonpage12.
3
WelcometoTotalRewards2020!WeareexcitedtoshareallCentrahastooffertokeepyouhealthy,happyandontherighttrack!WearealwayslookingforopportunitiestomakeyourCentraexperiencethebestexperience.Therefore,wehavecreatedTotalRewardsforYOU.First,wefocusonthe“total”you:— yourcompensation— yourbenefits— yourwork/liferesources
Then,wetargetwaysto“reward”youforajobwelldone.UnderourTotalRewardsprogram,youwillfindallyouneedtogetthemostoutofyourexperienceasaCentraCaregiver.
Everyday,weaskyoutobetheadvocateforyourpatients,tocreateasafeenvironmentwheretheyaretreatedwithcompassionandintegrity.WedependonyoutomaketheCentraexperiencememorable,andpleasant.ButtakingcareofothersrequiresahealthyYOU.TotalRewardsisourwayoftakingcareofyou,soyoucantakecareofothers.AtCentra,weunderstandthatYOUarewhatmakesourorganizationsuccessful,andwearecommittedtolettingyouknowthatyouarevalued.Itisourgoaltomeetyourexpectationsateveryturnandtobethereforyou,providingthebenefitsandtoolsthatwillallowyoutogrowandsucceed!
Who’s Eligible?
Employees
YouareeligibletoparticipateinCentra’sbenefitsplansifyouareafull-timeorregularpart-timeemployee.New hires must enroll within 31 days of their hire date to have coverage for the rest of the plan year. Ifyouareenrollingduetoastatuschangeorlifeevent,benefitswillbeginthefirstofthemonthfollowingthedatetheHRBenefitsTeamreceivesyourcompletedenrollmentformsandsupportingdocumentation.
Dependents
Yourdependentsareeligibleformanyoftheplansweoffer.Eligibledependentsinclude:
— Yourlegalspouse— Yourdependentchildrenuptoage26— Yourdisableddependentchildrenof
anyage
Theterm“children”shallincludenaturalchildren,stepchildren,adoptedchildren,andchildrenplacedwithacoveredemployeebyanauthorizedplacementagencyorbycourtorder.
Note: Ifyourspouseiseligibleformedicalcoveragethroughanotheremployer,youmaystillelecttocoverthemunderCentra’smedicalplan.Pleasenote,asurchargeof$50perbi-weeklypayperiodwillbeassessed.
Spouses Who Both Work for Centra
SpouseswhoareemployedbyCentraandeligibleforbenefitscanbecoveredeitherasanemployeeorasadependent,butnotboth.Also,yourdependentchildrenmayonlybecoveredbyoneofyou.
Important Note:Whenenrollingaspouseordependentforthefirsttime,youshouldprovidehisorherSocialSecuritynumberanddateofbirth.
Scheduled Hours Per Week to Qualify for Benefits
Full-Time Part-Time A Part-Time B
Centra 32-40 24-31 8-23
Long Term Care Division
30-40 22.5-29 7.5-22
4
Benefits Eligibility by Status
Medical Dental VisionFlexible
Spending Life DisabilityVoluntary
Plans** PTO
403b Match and
Base
Full Time * * * * * * * * *Part Time A * * * * * * *Part Time B * *
**Voluntary Accident, Critical Illness, Hospital Indemnity, Whole Life, and Long Term Care
How and When to Enroll
5
Helpful Tip:IfyouareenrollingduringtheOpenEnrollmentperiod,anychangesyoumakewillgointoeffectonJanuary1,2020.
1. ReadandreviewallbenefitsmaterialsprovidedandfoundinLawsonBenefitsEmployeeSelfService,2020BenefitsDocuments.
2. Makeyourbenefitchoices.
3. ACTION REQUIRED:DuringtheOpenEnrollmentperiod,allbenefiteligibleemployeesmustgoonlinetoenrollin2020benefits.Accesstotheenrollmentsitewillbeatyourconvenience,24hoursaday,sevendaysaweekduringAnnualEnrollment.
DuringOpenEnrollment,youhavetheopportunitytoreviewyourcurrentbenefitsandupdateyourcoverageforthenextplanyear.Enrollmentiseasyandconvenient.Thesetipswillassistyouinchoosingthebestoptionsforyourselfandyourfamily.
New HiresEnrollinbenefitsbycallingtheCentraHealthBenefitsEnrollmentCenterat888-659-1475,MondaythroughFriday,9a.m.–6p.m.EST.Yourbenefitsrepresentasignificantportionofyourtotalcompensation;forthisreason,Centrawantseveryemployeetohaveaclearunderstandingofthebenefitsoffered.AllnewlyhiredbenefitseligibleemployeesarerequiredtospeakwithaBenefitCounselor,whowillprovidebenefitseducation/enrollmentservices.Elections must be made within 31 days of your hire date. Benefits will be effective the first of the month on or after your hire date.
RETURNING USER:
BCIWebsiteLink:https://login.electbenefits.com/centra
— Enteremail(sameemailthatwasusedlastyearfortheOEprocess)
— EnterProvidedPassword:LawsonnumberandDOB(example:675807051989)
— Click“Signin”— Youwillthenreceivea“resetpassword”emailandwillclick
onthelinkprovidedtochangepasswordandlogin
NEW USER:
BCIWebsiteLink:https://login.electbenefits.com/centra
— Click“REGISTER”— EnterProvidedID:First4lettersoflastnameandLawson
number(example:Smit6758)— EnterProvidedPassword:LawsonnumberandDOB
(example:675807051989)— Youwillbepromptedtoenteryouremailaddressandcreate
anewpasswordtocompletetheregistrationprocess
4. ThebenefitchoicesyoumakeduringOpenEnrollmentwillremainineffectfromJanuary1,2020throughDecember31,2020,unlessyouhaveachangeinfamilystatusoraqualifiedlifechangeevent(seeMakingChangesDuringtheYearfordetails).
6
Making Changes During the Year?Thebenefitchoicesyoumakeduringenrollmentwillremainineffectfortheentireplanyearunlessyouexperienceaqualifyinglifeevent.Examplesofqualifyinglifeeventsinclude,butarenotlimitedto:
— Changeinyourmaritalstatus— Birthoradoptionofachild
— Changeinemploymentstatus— QualifiedMedicalChildSupportOrder
(QMCSO)
It is your responsibility to notify Centra within 31 days after a qualifying life event.Youmayneedtoprovidedocumentationoftheevent,suchasamarriagelicenseorbirthcertificate.Anybenefitchangesmustbedirectlyrelatedtotheevent.Formoreinformation,visitCentraPeople->EmployeeMatters->HumanResources->LifeChanges.
Changing from Part-Time to Full-Time Status
Ifyouhadpreviouslybeenafull-timeemployeeandyouarenowchangingfromapart-timestatusbacktofull-time,specialrulesapply:
— Ifyouhavehadpart-timestatusformorethanoneyear,youcanmakenewlifeandlong-termdisabilityelectionswithoutanylimitations.
— Ifyouhavehadpart-timestatusforlessthanoneyear,youcanonlyelecttheleveloflifeandlong-termdisabilitycoverageyouhadineffectwhenyouwerepreviouslyafull-timeemployee.
Rehired at Centra
IfyouarerehiredatCentralessthan61daysfromyourterminationdate,thebenefitsyouwerepreviouslyenrolledinwillcontinue.YouwillbeunabletomakechangesuntilthenextannualOpenEnrollment.
IfyouarerehiredatCentra61ormoredaysfromyourterminationdate,youmustcompletethebenefitsenrollmentprocessfornewhires.
7
AtCentra,weunderstandtheimportanceofgoodhealthasthefoundationforaproductivelifeathomeandatwork.Tokeepyouandyourfamilyhealthyallyearlong,Centraoffersyoutwocomprehensivemedicalplans:
1. TheBasic Care Planisatraditionalinsuranceplaninwhichyoumustmeetyourdeductiblebeforetheplanbeginstopaybenefits.Youpayco-paysforcertainservicesandprescriptiondrugsbeforeandaftermeetingyourdeductible,butoncethedeductibleismet,theplanpays80%ofthecostofmostotherin-networkservices.New for 2020:YoudonotneedtoobtainareferralornameaPrimaryCarePhysicianunderthisplan!
2. TheHigh Deductible Health Plan (HDHP) Advantagerequiresyoupaythefullcostofyourmedicalcareuntilyoumeettheannualdeductible(exceptforcertainmaintenancemedicationsandwellnessvisits).Onceyoumeetthedeductible,theplanpays100%ofthecostofmostotherin-networkservices.
Note: TheHDHPAdvantageistheplanyouneedtochooseifyouwantaHealthSavingsAccount(HSA).TheHSAisatax-favoredaccountthathelpsyoucoveryourout-of-pocketmedicalexpenses.CentrawillalsocontributetothisaccountforHDHPAdvantageparticipants–seetheHSAsectionfordetails.
Withbothplans,stayinthePCHPnetworkforcaretoreceivethehighestlevelofbenefits.Thechartbelowshowsyourcostforcertainservicesundereachplan.
Medical FeaturesBasic Care Plan
High Deductible Health Plan (HDHP) Advantage
In-Network Out-of-Network In-Network Out-of-Network
Annual Deductible
— Individual/Family$1,500/$3,000 $3,000/$6,000 $3,000/$6,000 $6,000/$12,000
Annual Out-of-Pocket Maximum (includes copays)
— Individual/Family
$4,000/$8,000 $8,000/$16,000 $3,000/$6,000 $8,000/$16,000
Coinsurance (portion you pay)
20% 40% 0% 40%
Preventive Care Services e.g.,annualphysicals,well-childexams,ageappropriatescreeningssuchasmammograms,etc.
Covered100%,nodeductible
40%afterdeductibleCovered100%,nodeductible
40%afterdeductible
Office Visits
— PrimaryCarePhysician
— Specialists
$25copay$50copay
40%afterdeductible 0%afterdeductible 40%afterdeductible
Diagnostic Lab & X-ray 20%afterdeductible 40%afterdeductible 0%afterdeductible 40%afterdeductible
Inpatient Hospital 20%afterdeductible
40%afterdeductible,plus
$500peradmissiondeductible
0%afterdeductible
40%afterdeductible,plus
$500peradmissiondeductible
Emergency Room(copay waived if admitted)
$100copay,20%afterdeductible
$100copay,40%afterdeductible
0%afterdeductible 40%afterdeductible
Takeadvantageofyourfreein-networkpreventivecareservices.Visitwww.hhs.govforalistofcoveredpreventiveservices.
Medical Coverage
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PRESCRIPTION DRUG COVERAGEYourCentramedicalplansalsoincludeprescriptiondrugcoverageatanin-networkpharmacyonly.
The chart below shows your cost for certain services under each plan.
Type of MedicationBasic Care Plan HDHP Advantage*In-Network Only In-Network Out-of-Network
Retail (30-day supply)— Generic— Formulary— Non-formulary— Specialty(andmailorder)
$10copay$35copay$60copay$75copay
0%afterdeductible 100%
Mail Order (90-day supply)— Generic— Formulary— Non-formulary
$25copay$80copay$150copay
0%afterdeductible 100%
*See Lawson Benefits Employee Self Service for a list of maintenance medications provided for a generic copay under the HDHP option.
Centra’sWellnessprogramisdesignedtokeepyouhealthyandhappywhilesupportingyoureffortsatlivinganactivelifestyle.TheWellnessprogram,WellPower,focusesonprovidingtoolsandresourcestohelpyoutakechargeofyourhealth.
FREE PROGRAMSCentraoffersmanyprogramsatnocosttoyou:
FormoreinformationontheWellPowerprogram,visitgo.hw4me.com. Wellness Program
— KnovaSolutions: Thisservicewillassistyouinachievingandmaintainingoptimumhealth.KnovaSolutionsisagreatbenefitforeligibleCentraemployeesanddependentsenrolledinCentra’smedicalplans.Theirknowledgeablestaffprovideindividualized,comprehensiveassessmentofhealthconditions,medications,family/socialsupportandworkcircumstances.Thisserviceisofferedtohelpyoumakethebestchoicesforyouandyourfamily.ParticipantsareidentifiedandinvitedbasedondatacollectedfromPiedmontCommunityHealthPlan(PCHP)andanalyzedforriskbyKnovaSolutions.Ifyouhavequestionsaboutenrollinginthisbenefit,[email protected].
— Incentive Program:Ourprogramisstructuredtorewardyouformakingtherightchoicesthatenableyoutogetthemostoutoflifeathomeandatwork.Earnincentivesbysimplymakingbetterchoicesandtrackingthemthroughthewellnessportal.
— Flu Shots and Vaccines:ReceiveyourannualflushotandrequiredvaccinesthroughEmployeeHealthatnocosttoyou.
— Employee Assistance Program (EAP):Havingsupportthroughtheupsanddownsoflifeiscrucial.CentraautomaticallyprovidesyouandyourfamilywithanEAPatnocosttoyou.CalltheEAPat434-200-6000anytimeofthedayornightforconfidentialassistancewithissues,suchassubstanceabuse,legalproblems,grief,stressrelatedtomedicalproblems,financialstrain,ortheworkplace.
— Preventive Check-ups and Screenings*:Eachyear,Centramedicalplanparticipantsareallowedonewellnessvisitandhealthscreeningatnocost.
— Waived Copay for Disease Management*:Ifyouarediagnosedwithhighbloodpressure,highcholesterol,ordiabetes,visityourPrimaryCarePhysicianwithoutpayingacopay.
— Navigation Services through PCHP*:Qualifiedparticipantscanreceiveconfidentialandpersonalizedhealthcounselingatnocost.
— Work-life Services:Realtimesupportforreallifeisofferedtoclients,whichincludesuniqueandcomprehensiveservicestohelpbalancework/lifeobligations.Thegoalistoliveahappier,healthier,moreproductivelife!
*Services for Centra Medical Plan Participants only.
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DISCOUNTSAsaCentraemployee,youcantakeadvantageofthefollowingdiscounts:
— Weight Watchers:Enjoya50%subsidyonWeightWatchersmeetingsorOnlinePlustohelpyouimproveyouroverallhealthandreachyourweightlossgoals.
— N.E.W. Healthy Lifestyles Discount:Receivea50%discountoffthiseight-weekcourse,basedonvolumetricseating,whichcoversnutrition,exercise,andweightmanagement.
— YMCA:SignupataparticipatingYMCAandget25%offthemonthlymembership.Viewyourwellnessportalforacompletelistoflocations.
— Women & Children’s Services Education Discount:AttendclassesatCentra,suchasBabyBasics,BreastFeeding,InfantSafety,andFamilyNutrition.Call434-200-4537foronelowbundledfee.
— BounceBack:Relievelowerbackpainthroughthisprogram.Call434-200-2102fordetails.
— Central Virginia YMCA Diabetes Prevention Program:Completetheyear-longprogramatadiscountedratethatwillhelpreduceyourriskfortype2diabetes.Call434-582-1900.
— Tobacco Cessation Education:Centra’sPulmonaryRehabilitationProgramoffersfreeBeTobaccoFreeclassesandone-on-onecounselingfromaCertifiedTobaccoTreatmentSpecialist.Forinformation,call434-200-3812.
— Tobacco Replacement Therapy*:PrescriptionandOTCsmokingcessationproducts(e.g.,nicotineproducts,buproprion[genericonly],Chantix)arecoveredforadultsat$0copay.Quantitylimitof2cyclesperyearappliestoeachactiveingredient.
*Services for Centra Medical Plan Participants only.
GET FIT!InadditiontotheYMCAmembership,Centraalsoencouragesyoutotakeadvantageofthefollowing:
— Bowen Wellness Center at Lynchburg General Hospital:Takeafitnessclass,usethetreadmillorellipticalmachine,andreceivepersonaltrainingattheBowenWellnessCenter.Call434-200-7097forinformation.
— Fitness Challenges & Race Subsidies:BeapartoftheSpringandFallfitnesschallengesduringtheyear.CentraalsosubsidizesparticipationinracessuchastheVA10-Miler,IAmWoman5k,andotherlocalevents.
— Healthy Steps:WorkwithnursesandexercisephysiologistsfromCentra’sownStroobantsCardiovascularCentertocreateaspecializedexercisetherapycareplantomeetyourneedsandgoals.Centraemployeesreceiveadiscountedprice.
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FLEXIBLE SPENDING ACCOUNTS (FSAs)Centraofferstworegularspendingaccountchoicesasasmartandconvenientwaytostretchyourbenefitdollarsandreceiverealtaxsavings:
— The Health Care Account:Youcancontributeupto$2,700peryearonapre-taxbasistopayforeligibleout-of-pocketmedical,dental,andvisionexpenses.(HDHPAdvantageparticipantsarenoteligibleforthisaccount.)
— The Dependent Day Care Account:Youcancontributeupto$5,000perhouseholdperyear($2,500ifmarried,filingseparately)onapre-taxbasistocoveryourcostofchildcareforchildrenuptoage13.
FSA Enrollment
EachyearthatyouwouldliketoparticipateintheFSA,youmustelecttheamountyouwanttocontributetotheFSA.Evenifyouparticipatedthepreviousyear,yourelectiondoesnotcarryover;youmustactivelyenrolltocontributetotheFSA.
— Remember,youcannotstoporchangeyourcontributionamountduringtheyearunlessyouexperienceaqualifiedlifechangeevent.
— Youcannottransferfundsfromoneaccounttoanother.
Health Equity Debit Card
WhenyouenrollintheHealthCareAccount,HealthEquitysendsyouaMasterCarddebitcardtobestrictlyusedonlyforeligibleFSAexpenses.Thedebitcardisacceptedatdoctors’officesandqualifiedmerchants(suchaspharmacies)topayforeligibleexpenses.WhenyouuseyourHealthEquitydebitcardtopayforqualifiedpurchases,themoneyisinstantlydeductedfromyourHealthCareAccount(cannotbeusedfordependentdaycareaccount).
Reimbursement
Ifyoupaidforqualifiedexpensesout-of-pocketandwanttoreceivereimbursementfromyourFSA,youmaysubmitapaperclaimformorsubmitanonlineclaimforeligibleout-of-pocketdependentcareandhealthcareexpenses.Pleasesaveyourreceipts!TocomplywithIRSregulations,HealthEquitymonitorstheexpensespaidfromyourFSAbyverifyingyourreceipts.WhenyoureceivearequestfromHealthEquity,sendcopiesofyourreceiptsimmediately.
Tax Savings Accounts
How FSAs Work
Expensessuchasdeductiblesandcopayscanquicklyaddup,anddependentcarecostscanbeevenmoreexpensive.FSAsletyoupaytheseexpenseswithpre-taxdollars,soyousavemoney.Yourcontributionswillbedeductedfromyourpaychecksinequalinstallmentsthroughouttheyearanddepositedintoyouraccount(s).
— KeepinmindthattheIRShasa“useitorloseit”rule.Ifyoudonotusethefullamountinyourspendingaccountsbytheendofthecalendaryear,youwillloseanyremainingfunds.— YoumustincurexpensesbyMarch15of
thefollowingcalendaryear.— YoumustsubmitallclaimsbyApril30of
thefollowingyeartobereimbursed.— Whenestimatingyourhealthcareand
dependentcarecosts,itisbettertobeconservativeandunderestimateratherthanoverestimateyourexpenses.VisittheSavingsCalculatoratwww.HealthEquity.comtoestimateyourannualspendableincome.
Eligible Expenses
Belowareexamplesofeligibleexpenses.Foracomprehensivelist,visitwww.irs.gov.
FSA Type Eligible Expenses
Health Care Account
— Medical,dental,andvisiondeductibles,copays,andotherout-of-pocketcosts
— Visioncareincludingprescriptionglasses,contactlenses,andsolution
— Hearingcare
Dependent Day Care Account
— Daycarecenter,daytimesummercamp,nurseryschool,orafterschoolcare
— Adultdaycareoradultsitter
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LIMITED-PURPOSE FSA (LPFSA)CentraalsooffersanotherspendingaccountforthosewhochoosecoverageundertheHighDeductibleHealthPlan(HDHP)AdvantagewithaHealthSavingsAccount(HSA).
TheLimited-Purpose(LPFSA)Account:Youcancontributeupto$2,700peryearonapre-taxbasistopayforout-of-pocketdentalandvisionexpenses.
Alimited-purposeFSA(LPFSA)isrestrictedtopayingforonlydentalandvisionexpenses.IfyouhaveaHealthSavingsAccount(HSA),youcannothavearegularhealthcarespendingaccount(FSA)butyoucanhaveaLPFSA.ALPFSAoperatesthesamewayasregularFSAsforenrollment,debitcards,reimbursements,etc.
ItmaybeadvantageoustocontributetoaLPFSAifyouchoosetocontributetheentireallowableyearlymaximumtoyourHSA.YourHSAfundswillbeinvestedandyouraccountwillincreasewhileyouusetheLPFSAtopayfordentalandvisionexpenses.
HEALTH SAVINGS ACCOUNT (HSA)IfyouenrollintheHDHPAdvantagemedicalplan,youcancontributetoahealthsavingsaccount(HSA).AnHSAprovidesatripletaxadvantage:
1. Contributepre-taxfunds.2. Usetax-freedollarstopayforqualifiedmedicalexpenses.3. Investunusedfundstogrowtax-free.
FundscontributedtotheHSArolloverfromyeartoyear,soyouneverloseanymoneyyoucontribute.TherearenopenaltiesforwithdrawinginvestedHSAdollarstopayforqualifiedmedicalexpenses.
CentrahaspartneredwithHealthEquitytocreateHealthSavingsAccountsforallHDHPAdvantageparticipants.Youcancontributetoyouraccountperrequirementslistedbelow.Centrawillmakeanemployercontributiontoyouraccountevenifyoudon’tcontribute.
HSA Eligibility Requirements
YouareeligibletoopenanHSAifyoumeettherequirementsdefinedbytheIRSbelow:
— YouarecoveredbyanHSA-eligibleHighDeductibleHealthPlan(HDHP)andhavenootherhealthcoverage(unlessitisaHDHP).
— YouoryourcoveredspousedonotparticipateinaHealthCareSpendingAccountotherthanaLPFSA.
— YouarenotenrolledinMedicareorTRICAREforLife.
— Youarenotclaimedasadependentonsomeoneelse’staxreturn.
HDHP TierEmployee HSA Annual
Contribution (Optional)Employer HSA Annual
Contribution
Maximum Total Annual Contribution Limit
for 2020**
EEOnly $0-$2,800 $750 $3,550
EE+1Child $0-$6,100 $1,000 $7,100
EE+Children $0-$6,100 $1,000 $7,100
EE+Spouse $0-$6,100 $1,000 $7,100
EE+Family $0-$6,100 $1,000 $7,100
**NOTE: Employees age 55 and over can contribute an additional $1,000
Things to Consider
TheHSAhelpsyousaveformedicalexpensesnow—andthefuture.
— IfyouelecttoenrollinanHSA,yourcontributionsandinvestmentearningsarenottaxable.
— Youcanincreaseyoursavingsthroughseveralinvestmentoptions.
— Anyfundsyoudon’tusewillcontinuetoaccumulate,andyoucantakethemoneywithyouifyoudecidetoleaveCentra.
SeetheIRSbookletpostedinLawsonBenefitsEmployeeSelfServiceformoredetails.
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Accidentshappenwhenyouleastexpectit.WithAccidentInsurancethroughUnum,youcanstayaheadoftheout-of-pocketexpensesthatmayoccurduetoanon-workrelatedinjury.AccidentInsuranceprovidesalumpsumpaymentbasedontheaccidentorinjuriessustained,soyoucanbepreparedfinancially.Thebenefitispaiddirectlytoyou,andyoudecidethebestwaytospendit.It’sthatsimple.Whetherit’stopaymedicalexpenses,themortgage,carpayments,orevenutilitybills,youdecide.
OtheradvantagesofAccidentInsuranceincludethefollowing:
— You’llreceivecashbenefitsforexpensesthatmaynotbecoveredunderyourmedicalinsurance.— Therearenohealthquestionstoanswer.— Youcaninsureyourspouseandchildren.— Thereisnolimittotheamountofaccidentsyoucanclaimunderthepolicy(withexceptionto
policyrules).
Toseethebenefitforeachtypeofinjury,gotoLawsonBenefitsEmployeeSelfService.
Accident Insurance
Critical Illness
Ifyou’rediagnosedwithanillnessthatiscoveredbythisinsurance,suchasheartattack,stroke,andcancer,youcanreceiveabenefitpaymentinonelumpsum.Youcanusethemoneyhoweveryouchoosetocoverout-of-pocketexpenseslikeco-paysanddeductibles.Youcanusethecoveragemorethanonceifyouhaveadifferentconditionlater,andyoucancoveryourspouseandchildren.Formoredetails,seeLawsonBenefitsEmployeeSelfService.
Hospital Indemnity
HospitalIndemnityInsurancecanpaybenefitsthathelpyouwiththecostsofacoveredhospitalvisit.Ithelpscoveredemployeesandtheirfamiliescopewiththefinancialimpactsofahospitalization.Youcanreceivebenefitswhenyou’readmittedtothehospitalforacoveredaccident,illness,orchildbirth.Themoneyispaiddirectlytoyou–nottoahospitalorcareprovider.Themoneycanalsohelpyoupaytheout-of-pocketexpensesyourmedicalplanmaynotcover,suchascoinsurance,co-paysanddeductibles.
What’sincluded?
— $1,500foreachcoveredhospitaladmission-onceperyear— $100foreachdayofyourcoveredhospitalstay,upto60days-onceperyear— $200foreachdayyouspendinintensivecare,upto15days-onceperyear
Itisaffordableandthecostisconvenientlydeductedfromyourpaycheck.Youcaneventakethecoveragewithyouifyouleavethecompanyorretire,withouthavingtoanswernewhealthquestions.Youwillbebilleddirectly.Formoredetails,seeLawsonBenefitsEmployeeSelfService.
NEW!
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Dental Benefits Dental Plan
Deductible (per calendar year)
Individual $50
Family $150
CalendarYearMaximum(perperson) $1,000
Covered Services
Preventive&Diagnostic(Routineexams,cleanings,andX-rays) 100%covered,nodeductible
BasicServices 80%afterdeductible
MajorServices 50%afterdeductible
OrthodontiaforDependentChildren 50%afterdeductible,uptoa$1,500lifetimemaximum
RolloverBenefit* Upto$250
*The Rollover Benefit allows you to carry over a portion of your unused benefit to the following year. To qualify, you must have filed under $500 in claims during the benefit year. This benefit can be used in future years as well.
Dental Coverage
Yourteethandgumsdeservetheverybestcare.That’swhyCentraoffersdentalcoveragethroughAnthemBlueCrossandBlueShield.Thedentalplanoffersservicestokeepyourteethhealthyandfixanyproblemsassoonastheyoccur.Chooseanin-networkdentisttotakeadvantageoflowerout-of-pocketcosts.
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Thevisionplanincludesbenefitsforeyeexams,eyeglasses,andcontactlensesthroughEyeMed.YoumayvisitadoctorwithintheEyeMednetworkandtakeadvantageofhigherbenefitscoverage,orvisitanout-of-networkproviderofyourchoiceforareducedbenefit.Keepinmind,whenyouvisitanout-of-networkprovider,youwillpaymoreforservices.
Vision Service Level of Coverage
BenefitFrequency
Exam:OnceperplanyearLenses:OnceperplanyearFrames:OnceperplanyearContactLenses:Onceperplanyear
Plan Features In-Network Out-of-Network Benefit
Exam $10copay Planpaysupto$50
PrescriptionGlasses
Frames Planpaysupto$140 Planpaysupto$90
Lenses $25copay
SingleVision:Planpaysupto$35Bifocal:Planpaysupto$50Trifocal:Planpaysupto$65Progressive:Planpaysupto$70
Contacts(MedicallyNecessary) $0copay:paidinfull Planpaysupto$210
ExtraSavingsYourplanalsofeaturessavingsforsunglasses,KidsEyesbenefit,discountsoffreplacementglasses,hearingaids,anddiabeticeyecare.
Vision Coverage
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Medical Surcharges
— Spouses who are eligible for medical coverage through another employer can be covered under a Centra medical plan, for an additional $50.00 per bi-weekly pay period.
— Tobacco users will pay $24.92 more per bi-weekly pay period for medical coverage.
— Centraiscommittedtohelpingyouachieveyourbesthealthstatus.Ifyouthinkyoumightbeunabletomeetastandardforadiscount,youmightqualifyforanopportunitytoearnthesamediscountbydifferentmeans.Contactusat434-200-7993,andwewillworkwithyoutofindawellnessprogramwiththesamediscountthatisrightforyou.
Dental
Coverage LevelDental Plan
Full-Time Part-Time A
EmployeeOnly $3.22 $6.42
Employee+1Child $8.69 $16.28
Employee+Children
$8.69 $16.28
Employee+Spouse $8.80 $15.44
Employee+Family $10.65 $20.42
Vision
Coverage LevelVision Plan
Full-Time Part-Time A
EmployeeOnly $2.85 $2.85
Employee+1Child $4.62 $4.62
Employee+Children
$4.62 $4.62
Employee+Spouse $6.13 $6.13
Employee+Family $8.41 $8.41
Medical
Full-Time Employee OnlyEmployee + 1
ChildEmployee +
ChildrenEmployee +
SpouseEmployee +
Family
Basic Care Plan $42.18 $95.95 $125.78 $140.43 $209.07
HDHP Advantage
$36.60 $74.32 $96.13 $105.78 $162.07
Part-Time A Employee OnlyEmployee + 1
ChildEmployee +
ChildrenEmployee +
SpouseEmployee +
Family
Basic Care Plan $65.48 $117.24 $141.06 $160.68 $226.69
HDHP Advantage
$48.48 $89.72 $108.76 $120.29 $175.46
2020 Bi-Weekly Health Insurance Rates
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Centrarecognizestheimportanceofyourfinancialwell-beingintheeventofadisability.Mostofusinsureourhomes,automobiles,andotherassets,yetweoftenoverlookourmostvaluableasset–ourabilitytoearnanincome!Yourregularmonthlyobligationssuchasyourmortgageorrent,utilitybills,food,andothernecessities,continueevenifyouareunabletowork.Centraoffersshort-termandlong-termdisabilityoptionstofull-timeemployees.
VOLUNTARY SHORT-TERM DISABILITY (STD)Afteryouhavemetyourelectedwaitingperiod,theSTDplanprotectsyourincomeifashort-terminjuryorillnesspreventsyoufromworking.YourExtendedIllnessBank(EIB)canhelpcoverthedaysofyourwaitingperiod.YouhavetwoSTDoptionstoconsider,asshownbelow.
LONG-TERM DISABILITY (LTD)Long-termdisabilitycoveragetakesoverafter90daysofdisability.ToqualifyforLTD,youmustbeunabletoperformtheregulardutiesofyourjob.YouhavetwoLTDoptionstoconsider,asshownbelow.
Disability Insurance
Waiting Period
Coverage Duration
Benefit Amount Cost
Short-Term Disability
VS14 14daysFrom14daysto11weeks
60%ofbasesalary(upto$1,500perweek)
$.645per$10ofweeklybenefit
VS30 30daysFrom30days
to9weeks60%ofbasesalary
(upto$1,500perweek)$.438per$10ofweekly
benefit
Long-Term Disability
1 90daysUptonormal
retirementage
60%ofbasesalary(upto$10,000per
month)100%Company-Paid
2 90daysUptonormal
retirementage
662/3%ofbasepay(upto$10,000per
month)
Youpaytheadditionalcost.
Pre-Existing Condition Exclusion
Thepolicieswillnotcoverillnessorinjuriesforwhichyoureceivedtreatmentwithin3monthspriortoyourcoverageeffectivedateifyoufileaclaimforthatillnessorinjuryinthefirst6monthsafteryourcoverageeffectivedate.
Disability Income Protection
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BASIC LIFE AND AD&D INSURANCEProvidingeconomicsecurityforyourfamilyisamajorconsiderationinpersonalfinancialplanning.Intheeventofdeath,disability,seriousinjuryorillness,youwillwanttobeprepared.CentraprovidesyouwithBasicEmployeeLifeandAccidentalDeathandDismemberment(AD&D)InsurancecoveragethroughUnumatnocosttoyou.YouautomaticallyreceivelifeandAD&Dcoverageintheamountof1xyourbaseannualpay(atthetimeofyourdeath).
—Iftheamountisover$50,000,thebenefitistaxableandwillbereportedas“imputedincome”onyourpaycheck.
VOLUNTARY LIFE INSURANCEYoualsohavetheopportunitytopurchaseadditionallifeinsuranceforyourself,yourspouse,andyourchildrenatgrouprates.ThechartbelowdescribestheamountsofadditionalVoluntaryLifeInsuranceyoumaypurchase.
Voluntary Life Insurance
Employee Spouse Children
Amount Covered 1to4xbaseannualpay$5,000,$10,000,$15,000,
$20,000,or$50,000$2,500,$5,000,
$7,500,or$10,000
Age Reductions35%reductionatage6550%reductionatage70
Coverageisreducedto50%oftheoriginalamountwhentheSpouseattainsage70.
Coverageavailablefrombirthuntilage19,orage26,
ifafull-timestudent.
VOLUNTARY AD&D INSURANCECentraalsooffersyouachancetochooseVoluntaryAD&DInsuranceupto10xyourbaseannualearningstoamaximumof$500,000.Youcanpurchasecoverageforyourfamilymembers:
Coverage Option Benefit
Spouse Only 50%ofemployeebenefit
Spouse & ChildrenSpouse–40%ofemployeebenefit
EachChild–5%ofemployeebenefit
Children Only EachChild–10%ofemployeebenefit
Life and AD&D Insurance
WHOLE LIFE INSURANCEForadditionalfinancialprotection,youmaypurchaseWholeLifeInsurancethroughUnumforyourselfand/oryourchildrenorgrandchildren.WholeLifeInsuranceprovidesflexiblebenefits,andallowsyoutoadjustyourdeathbenefit,cashvalue,andpremiumsasyourfinancialneedschange.Youcanalsousethispolicy’sLivingBenefitsduringyourlifetime.
Applyingforcoverageissimple,andunderwritingiseasy.Individualpoliciesareavailabletoemployeesoverage18andforchildrenunder26yearsold.WholeLifeInsurancepremiumscanbepaidthroughpayrolldeductions.Keepinmindthatyoucantakethiscoveragewithyouifyouchangejobsorretire.
FormoreinformationabouttheWholeLifeInsuranceplan,visitwww.unum.com.
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Save for the Future with Matching Tax Deferred Savings Plan
Savingforthefutureisatoppriorityinsmartfinancialplanning.That’swhyCentrasponsorsMatchingTaxDeferredSavingsPlansforemployees:a401(k)planforPCHPemployeesanda403(b)forallotherCentraemployees.Employee Contributions
After30daysofemployment,eligibleemployeesareautomaticallyenrolledinthe403(b)planatacontributionrateof3%ofyourpay.ThereisnoautoenrollmentprovisioninthePCHP401(k)plan.EligibleemployeesshouldcallTransamericaorgotowww.trsretire.comtoenroll.
ParticipantsmaycontributeuptotheannualIRSlimitinpre-taxearningsunderbothplans,andthoseage50orolderareeligibletomakeanadditionalcatch-upcontributionuptotheIRSlimits.Youcanincrease,decrease,orstopyourcontributionsatanytimetoeitherplanbycontactingTransamerica.RemembertologontoLawsonBenefitsEmployeeSelfService(BESS)todesignateoneormorebeneficiaries.
Centra Contributions
Underbothplansandaftersixmonthsofemployment,Centrawillbeginmakingamatchingcontributionof100%ofthefirst3%ofpayyoucontribute.Youareimmediatelyvestedinthosecontributions.Dependingontheperformanceoftheorganization,Centramayalsomakeanannualdiscretionarycontributionofupto4%ofyourbasepayonyourbehalf.Employeeseligibleforthisbasecontributionbecomefullyvestedafterthreeyearsofemployment.
OTHER TAX DEFERRED SAVINGS PLANS
457b Deferred Compensation Plan
Aselectgroupofmanagementandhighlycompensatedemployeesareeligibleforthisnonqualifiedsavingsplan.Centradoesnotmakeemployercontributionstotheplan.RefertotheSummaryPlanDescription(SPD)postedinLawsonBenefitsEmployeeSelfServiceforcompletedetails,andvisitwww.trsretire.comforanyquestions.
Manageyourinvestmentsatwww.trsretire.com.Ifautomaticallyenrolled,yourcontributionsareinvestedinTRowePriceTargetDateFunds,butyoucanchangeinvestmentsatanytime.PortfolioXpressisalsoofferedasaninvestmentservicetoadjustyourinvestmentsasyougetclosertoyourretirementdate.
Retirement
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Centraoffersemployeesworkingatleast24hoursperweekachancetopurchaseLongTermCareInsurance.Ifyouenrolloutsideoftheinitialperiod,youwillberequiredtoprovideproofofgoodhealthtogetcoverage.EnrolldirectlythroughUnumbycalling800-227-4165orlogonto:www.unuminfo.com/centrahealth/enrollment.aspx.
Plans Plan 1 Plan 2 Plan 3 Plan 4 Plan 5 Plan 6
BenefitDuration 3Years 5Years 3Years 5Years 3Years 3Years
FacilityBenefitAmount
$3,000 $3,000 $6,000 $6,000 $3,000 $6,000
AssistedLivingFacility%
100% 100% 100% 100% 100% 100%
LifetimeMaximum $108,000 $180,000 $216,000 $360,000 $108,000 $216,000
ProfessionalHomeandCommunityCare
100% 100% 100% 100% 100% 100%
InflationProtection N/A N/A N/A N/A Compound Compound
*If you selected an inflation option, and you terminate that inflation option at a future date, you can purchase the inflated coverage amount at your original age.
Long Term Care
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Centraoffersavarietyofpaidprogramstoencourageyoutorestandrelaxawayfromyourjob.Youcanusethetimeaccruedafterthreemonthsofemploymentforvacation,holidays,illness,orpersonaltime.ThemaximumamountofPTOthatmaybeaccruedthroughouttheyearis300hours.AccrualratesforthemajorityofCentraemployeesarebasedonyearsofserviceperthefollowingschedule:
Years of Service Accrual RateHours Accrued
per 80 Hours Paid
PTO days per Year Based on 80 Hour Paid
Bi-Weekly
0-5 0.0923 7.3846 24
5-10 0.1115 8.9231 29
10-15 0.1231 9.8462 32
15-20 0.1308 10.4615 34
20-25 0.1346 10.7692 35
25+ 0.1385 11.0769 36
See the Paid Time Benefits Policy in the online Centra policy manual for more information.
Youcandonatehourstoco-workerswhoaregoingthroughacrisis,totheUnitedWayortheCentraFoundation.RefertotheEarnedTime/PaidTimeOffDonationPolicyintheCentrapolicymanualfortheprocedure.
Paid Time Off
Centra Recognized Holidays
PTOmustbesubmittedtobepaidforanyofthefollowingholidaysonwhichanemployeedoesnotwork:
— NewYear’sDay— Easter— MemorialDay— IndependenceDay(July4)— LaborDay— ThanksgivingDay— ChristmasDay
Extended Illness Bank (EIB)
Centraoffersavoluntaryprogramofpaidleavetimeforextendedillnesses.Employeescanconvertupto40hoursina12-monthperiodtotheaccount.Centrawillprovideanadditionalmatchday-for-day.EIBtimemayonlybeusedforanemployee’sownillnessafteranemployeeisabsent6ormoredays(maximumof40hours)ofregularscheduledwork.The5-daywaitbeforeEIBtimecanbeusediswaivediftheemployeeishospitalizedorhassurgery(in-patientorout-patient)andwillbeabsent6ormoredays.YoucanfindtheconversionformontheHRHomepageunderBenefits>EmployeeAdvantages.
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Benefit Provider Telephone Web Site
Medical PiedmontCommunity
HealthPlanGroup#5200701
888-674-3368 www.pchp.net
Prescription Drugs
CVS/CaremarkRxBIN:004336;
RxPCN:ADV;RxGRP:RX6925
844-460-8768 www.caremark.com/wps/portal
Spending Accounts HealthEquity 866-346-5800 www.healthequity.com
Accident Insurance Unum 800-635-5597 www.unum.com
Critical Illness Unum 800-635-5597 www.unum.com
Hospital Indemnity Unum 800-635-5597 www.unum.com
DentalAnthemBlueCross
andBlueShieldGroup#843294
866-956-8607 www.anthem.com/mydentalvision
VisionEyeMed
Group#1008295866-800-5457 www.eyemed.com
Life/AD&D Insurance Unum 888-556-3727 www.unum.com
Whole Life Insurance Unum 800-635-5597 www.unum.com
Voluntary Short Term Disability
Unum 888-673-9940 www.unum.com
Long-Term Disability Unum 888-673-9940 www.unum.com
Long Term Care Unum 800-227-4165www.unuminfo.com/centrahealth/
enrollment.aspx
403(b) Savings Plan & 401(k) Savings Plan
Transamerica 800-755-5801 www.trsretire.com
Questions? Ask the Experts
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Discrimination is Against the Law
TheCentraMedicalBenefitsPlancomplieswithapplicableFederalcivilrightslawsanddoesnotdiscriminateonthebasisofrace,color,nationalorigin,age,disability,orsex.TheCentraMedicalBenefitsPlandoesnotexcludepeopleortreatthemdifferentlybecauseofrace,color,nationalorigin,age,disability,orsex.
The Centra Medical Benefits Plan
— Providesfreeaidsandservicestopeoplewithdisabilitiestocommunicateeffectivelywithus,suchas:— Qualified sign language interpreters— Written information in other formats (large print, audio, accessible electronic formats, other
formats)— ProvidesfreelanguageservicestopeoplewhoseprimarylanguageisnotEnglish,suchas:
— Qualified interpreters— Information written in other languages
If You Need These Services, Contact Brenda Johnson.
IfyoubelievethattheCentraMedicalBenefitsPlanhasfailedtoprovidetheseservicesordiscriminatedinanotherwayonthebasisofrace,color,nationalorigin,age,disability,orsex,youcanfileagrievancewith:BrendaJohnson,BenefitsManager,1920AtherholtRoad,Lynchburg,VA24501;phone434-200-7668,fax434-200-7410,emailbrenda.johnson@centrahealth.com.Youcanfileagrievanceinpersonorbymail,fax,oremail.Ifyouneedhelpfilingagrievance,BrendaJohnsonisavailabletohelpyou.YoucanalsofileacivilrightscomplaintwiththeU.S.DepartmentofHealthandHumanServices,OfficeforCivilRightselectronicallythroughtheOfficeforCivilRightsComplaintPortal,availableathttps://ocrportal.hhs.gov/ocr/portal/lobby.jsf,orbymailorphoneat:U.S.DepartmentofHealthandHumanServices,200IndependenceAvenueSW.,Room509F,HHHBuilding,Washington,DC20201,800-868-1019,800-537-7697(TDD).
Complaintformsareavailableat:http://www.hhs.gov/ocr/office/file/index.html
Centra Medical Benefits Plan Non-Discrimination Notice
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