New Hire Benefit Guide

New Hire Benef i t Guide

2021

TABLE OF CONTENTS

How to Enroll 3

My Health 5

Medical and Prescription Drug Plans 7

Second Medical Opinion Services 9

Wellness Program 11

Dental Insurance 12

Vision Insurance 13

Flexible Spending Accounts (FSAs) 14

Health Savings Account (HSA) 15

My Life and Security 16

Critical Illness Insurance 18

Group Accident Insurance 19

Legal Services 19

Transportation and Parking Reimbursement Accounts 20

Contacts 21

A Quick Guide to Insurance Terms 22

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HOW TO ENROLLOnline enrollment

ENROLLING IS EASYGet started Visit businesssolver.burnsmcd.com and if you are on the company network you will be logged in automatically. If you are visiting the site from outside the company network, please login using your standard network username and password.

Begin enrollment Click ‘Start Here’ and follow the instructions to enroll in your benefits or waive coverage.

You must make your elections by the deadline shown on the calendar. If you miss the deadline you will waive any electable benefit coverage, and have to wait until the next annual enrollment period to enroll.

Looking for more information?View plan details, carrier specifics and benefit guides by clicking ‘Reference Center’ in the main navigation.

Want to review your current benefits?You have year-round access to your benefit summary and specific benefit elections at businesssolver.burnsmcd.com. Click ‘Benefits Summary’ on the homepage to review your current benefits.

businesssolver.burnsmcd.com Company Key: bmcd

816-822-3400E-mail: [email protected]

SCAN & ENROLLEnroll in your benefits from your mobile device. Visit businesssolver.burnsmcd.com or simply scan this QR code and tap your way through your elections. If you don’t already have a QR code reader on your smart phone or tablet, download one from your device’s app store.

Get started

Visit benefitsolver.burnsmcd.com, and if you are

on the company network, you will be logged

in automatically. If you are visiting the site

from outside the company network, please

log in using your standard network username

and password.









Begin enrollment

Click “Start Here” and follow the instructions to

enroll in your benefits or waive coverage. You

must make your elections by the deadline shown

on the calendar. If you miss the deadline, you

will be unable to enroll until the annual Open

Enrollment period or if you experience a

mid-year qualifying life event.

Want to review your current benefits?

You have year-round access to your benefit

summary and specific benefit elections at

benefitsolver.burnsmcd.com. Click “Benefits

Summary” on the homepage to review your

current benefits.

Make your elections

Review your options as you complete the steps

of the enrollment process. Click “Select” on the

plan(s) you would like to choose. Track your

choices along the left side, which update with

your total cost. If you have any questions as

you go through enrollment, call 816-822-3400

or e-mail [email protected]. Use the

“Reference Center” to access additional plan

details and help you make the right elections.

Make your electionsReview your options as you walk through the enrollment process. Click ‘Select’ on the plan(s) you would like to choose. Track your choices along the left side which updates with your total cost.

If you have any questions as you go through enrollment, call816-822-3400 or e-mail [email protected].

Use the ‘Reference Center’ to help you make the right elections.

Review your electionsReview, edit and approve your personal information, elections, dependents and beneficiaries.

ApproveOnce you have reviewed your elections and they are accurate, click ‘Approve’ to continue.

Confirm your choices Your enrollment isn’t complete until you confirm your benefit elections and cost.

PrintPrint your election information and confirmation number for future reference or save it to your Message Center.



Looking for more information?View plan details, carrier specifics and benefit guides

by clicking “Reference Center” in the main navigation.

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2 0 2 1Burns & McDonnell New Hire Guide

http://benefitsolver.burnsmcd.com


mailto:benefits%40burnsmcd.com?subject=

















Scan and enroll: Mobile enrollment

Enroll in your benefits from your mobile device. Visit

benefitsolver.burnsmcd.com or simply scan this QR code and tap

your way through your elections. If you don’t already have a QR

code reader on your smart phone or tablet, download one from

your device’s app store.










Review your elections

Review, edit and approve your personal information,

elections, dependents and beneficiaries.

Approve

Once you have reviewed your elections and

confirmed they are accurate, click “Approve” to

continue.

Confirm your choices

Your enrollment isn’t complete until you confirm

your benefit elections and cost.










Print

Print your election information and confirmation

number for future reference.

Hard-copy enrollment

If you cannot access the Benefitsolver portal, you must complete and

return a signed hard copy Benefit Election Form to Human Resources:

Burns & McDonnell

Human Resources — Benefits

9400 Ward Parkway

Kansas City, MO 64114

IMPORTANTIf you are unable to open the

online enrollment forms, please call

816-822-3480. If you are unable to

get your computer fixed before your

enrollment deadline, please contact

Benefits at [email protected] for

hard copies of the necessary forms.

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MY HEALTHThe following is a summary of our offered benefit plans. Refer to the full plan summaries within the Reference Center on the Benefitsolver portal for specific plan details and to help determine which plans are best suited to your needs. Each election is for the 2021 plan year and cannot be changed until the next annual Open Enrollment period unless the change is due to and consistent with qualifying changes in family or job status. Any midyear benefit change must occur within 31 days of the qualifying event.

Blue Cross and Blue Shield of Kansas City Medical Plans

Under all Blue Cross and Blue Shield of Kansas City (Blue KC) plans, you have the freedom to use any physician, located in any area; however, to receive the maximum benefits under the plan, physicians should be chosen from a network of participating providers. You may also use a doctor who is not in the Blue KC network and receive reduced, out-of-network benefits. Primary care physicians do not need to be designated, and no referrals are needed to visit specialists.

The BlueSelect Plus network is designed for members who work or live in one of twelve counties in the Kansas City metro area. This network offers a smaller selection of in-network doctors and hospitals in exchange for premium cost savings. For more information on the BlueSelect Plus network, visit the Reference Center on the Benefitsolver portal.

Preferred Care Blue PPO

If you visit an in-network provider, most services can be performed by a primary care physician for a $25 copay or a specialist for a $40 copay. Most additional services are covered at 80 percent coinsurance after a deductible is met, up to the maximum annual out-of-pocket limit. If you visit a provider that is not in the Blue KC network, under most circumstances services will be covered at 60 percent coinsurance after the deductible is met, up to the maximum annual out-of-pocket limit. Once the out-of-pocket limit is met, the plan pays 100 percent of all remaining charges.

Personal Blue HRA

The HRA plan provides an employer-funded health reimbursement account, referred to as the Personal Care Account (PCA), which pays for a portion of eligible healthcare expenses except prescription costs. If the PCA is depleted, you are responsible for meeting the remaining deductible. Once the deductible is satisfied, you will pay coinsurance up to the maximum annual out-of-pocket limit. Once the out-of-pocket limit is met, the plan pays 100 percent of all remaining eligible charges. If a balance remains in your PCA in any given year, the remaining amount is rolled over to the next year’s account balance, up to a maximum two year plus current rollover amount.

BlueSelect Plus PPO (Kansas City Only)

Identical in-network plan design to the Preferred Care Blue PPO, the BlueSelect Plus PPO is available to employees living in the Kansas City area. This plan has a narrower network than the Preferred Care Blue PPO, but offers premium cost savings and greater discounts when using local, in-network providers. Please note, out-of-network claims are subject to a much higher out-of-pocket maximum and coinsurance as compared to the Preferred Care Blue PPO. To see if your current providers are in the BlueSelect Plus network, visit www.bluekc.com, select “Find Care” and use the BlueSelect Plus network. The Reference Center on

the Benefitsolver portal also has a detailed map of the coverage area and

in-network hospitals.

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http://www.bluekc.com

BlueSaver QHDHP

The QHDHP plan requires you to meet a deductible each year before benefits begin (except for preventive services, which are always covered at 100 percent). Once you meet the deductible, the plan pays 80 percent of your covered expenses and you pay 20 percent. Once your share of expenses reaches the out-of-pocket limit, the plan pays benefits at 100 percent for the rest of the plan year. To help with your out-of-pocket expenses in this plan, Burns & McDonnell provides an employer contribution, and you are able to make tax-free contributions to a Health Savings Account (HSA). More details about HSAs can be found on page 15.

If enrolled in employee + spouse, child(ren) or family coverage, the full family deductible must be met before the plan will begin paying for any individual. In addition, if enrolled in employee + spouse, child(ren) or family coverage, the full family out-of-pocket maximum must be met before the out-of-pocket maximum will be considered satisfied.

The benefits available under the Preferred Care Blue PPO, BlueSelect Plus PPO, Personal Blue HRA and BlueSaver QHDHP plans are each described in greater detail in the benefit summary within the Benefitsolver portal.

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MEDICAL AND PRESCRIPTION DRUG PLANS

2021 Medical/Prescription Plan HighlightsBlue Cross and Blue Shield KC Only

Network Preferred Care Blue BlueSelect Plus

PPO Plan Narrow Network PPO Plan

In-Network Out-of-Network In-Network Out-of-Network

Employer Funding N/A N/A

Annual Deductible/Individual $750 $3,000 $750 $3,000

Annual Deductible/Family $2,250 $9,000 $2,250 $9,000

Member Coinsurance 20% 40% 20% 50%

Annual Out-of-Pocket Limit/Individual $2,000 $6,000 $2,000 $10,000

Annual Out-of-Pocket Limit/Family $6,000 $18,000 $6,000 $30,000

Primary Care Office Visit $25 copay 40% after ded. $25 copay 50% after ded.

Specialist Office Visit $40 copay 40% after ded. $40 copay 50% after ded.

Preventive Care 100% 40% after ded. 100% 50% after ded.

Inpatient Hospital 20% after ded. 40% after ded. 20% after ded. 50% after ded.

Outpatient Hospital/Surgeries 20% after ded. 40% after ded. 20% after ded. 50% after ded.

Urgent Care $40 copay 40% after ded. $40 copay 50% after ded.

Emergency Room $75 copay, then ded., then 20% $75 copay, then ded., then 20%

Prescription Drug Tier 1 $12 copay 50% after copay $12 copay 50% after copay



Blue Cross and Blue Shield

Network Preferred Care Blue Preferred Care Blue

HRA Plan QHDHP


Employer Funding*$500 for individual, $750 for Employee and

Spouse, $1,000 for other tiers$250 for individual, $500 for other tiers

Annual Deductible/Individual $1,750 $3,000 $1,500 $2,500

Annual Deductible/Family $3,500 $6,000 $3,000 $5,000

Member Coinsurance 20% 40% 20% 40%

Annual Out-of-Pocket Limit/Individual $3,750 $7,500 $3,500 $7,000

Annual Out-of-Pocket Limit/Family $7,500 $15,000 $7,000 $14,000

Primary Care Office Visit 20% after ded. 40% after ded. 20% after ded. 40% after ded.

Specialist Office Visit 20% after ded. 40% after ded. 20% after ded. 40% after ded.

Preventive Care 100% 40% after ded. 100% 40% after ded.

Inpatient Hospital 20% after ded. 40% after ded. 20% after ded. 40% after ded.

Outpatient Hospital/Surgeries 20% after ded. 40% after ded. 20% after ded. 40% after ded.

Urgent Care 20% after ded. 40% after ded. 20% after ded. 40% after ded.

Emergency Room 20% after ded. 20% after ded.

Prescription Drug Tier 1 $12 copay 50% after copay 20% after ded. 40% after ded.



*Employer funding is prorated based upon your effective date of medical coverage.

BlueSelect Plus PPO Plan: In-network utilization is encouraged. Be sure to review the chart above for increased out-of-pocket maximums and coinsurance compared to Preferred Care Blue PPO Plan.

PPO and HRA Plans: Each member on the plan has their own individual deductible and individual out-of-pocket maximum, up to a family maximum limit. Once the individual or family out-of-pocket maximum has been satisfied benefits will be paid at 100 percent.

QHDHP: If enrolled in employee + spouse, child(ren) or family coverage, the family deductible must be met before the plan will begin paying for an individual. In addition, if enrolled in employee + spouse, child(ren) or family coverage, the full family out-of-pocket maximum must be met before the out-of-pocket maximum will be considered satisfied.

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2021 Semimonthly Premiums

Rates DO NOT reflect the monthly wellness credit for the wellness incentive program. New Hires will automatically receive the discount for the current year. If you enroll in Employee Only or Employee + Child(ren) coverage, you will receive an $80 per month discount. If you enroll in Employee + Spouse or Employee + Family coverage, you will receive a $120 per month discount.

PPO Plan HRA Plan QHDHP

Preferred Care Blue BlueSelect Plus Preferred Care Blue Preferred Care Blue

Employee Only $123.00 $107.50 $88.00 $81.50

Employee + Spouse $279.50 $244.00 $187.50 $173.50

Employee + Child(ren) $245.00 $214.00 $160.50 $149.00

Employee + Family $324.50 $284.00 $233.50 $216.50

Blue Cross and Blue Shield of Kansas City Prescription Benefits

PPO & HRA: Prescription benefits are identical under the PPO and HRA plans. Medications are divided into three tiers. Prescriptions for medications on the Tier 1 drug list are covered with a $12 copayment. Medications listed on the Tier 2 list will require a $35 copayment, while Tier 3 medications require a $60 copayment. Prescription copayments accumulate toward your out-of-pocket maximum. Prescription copayments will not count toward your annual deductible.

QHDHP: Under the QHDHP, you are responsible for the full cost of your prescription; there are no copayments. Prescription costs do accumulate toward your deductible. Once your deductible is met, you pay 20 percent of prescription costs until you meet your out-of-pocket maximum.

A list of medications and their corresponding tiers (for the PPO and HRA plans only) can be found on the Blue KC website, www.bluekc.com, or by calling the Blue KC customer service line.

Mail-Order Prescription Benefits

All Blue KC plans also offer prescriptions through Optum’s mail-order service, allowing you to order a three-month supply of any drug at the cost of only a two-month supply. The mail-order prescription service allows you and the company to save on the high cost of prescription benefits.

Employee Assistance ProgramEveryone has times when life is overwhelming. That’s where the advice, support and resources from an expert can help. The Employee Assistance Program (EAP) offers this free to you and your family members in the form of counseling and extensive online resources. Call 800-624-5544 or visit www.ndbh.com and follow the instructions below for more information.

1. Click “For Individual and Family Members” and select the Employee Assistance Program

2. Enter the company login code: BMcD

New Directions also partners with BetterHelp for online/text therapy. For more information, visit www.betterhelp.com/newdirections and enter company code BMcD.

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http://www.ndbh.com

http://www.betterhelp.com/newdirections and enter company code BMcD

http://www.betterhelp.com/newdirections and enter company code BMcD

SECOND MEDICAL OPINION SERVICESBurns & McDonnell realizes that understanding a new medical diagnosis can be difficult and sometimes scary. That is why we are excited to offer a second opinion and medical concierge service through PinnacleCare. PinnacleCare provides fast, free and confidential health advisory services to you, your spouse, dependent(s), parents, parents-in-law, and children over the age of 26.

These services include:

� A dedicated health adviser to provide personal guidance on your treatment options

� Access to an expert second opinion on your diagnosis

� Assistance with in-person or virtual appointment scheduling

� Connections with top specialist and medical institutions

� Collection and organization of important medical records

PinnacleCare representatives are available Monday-Friday, 8am-6pm (EST) at 888-442-7380 or at PinnacleCare.com/support.

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http://PinnacleCare.com/support.

Being a Smart Healthcare Consumer

Generic Drugs vs. Brand Name

Pharmacies offer a wide range of generic drugs at much lower costs than brand-name drugs. Generic medications have the same active ingredients and follow the same FDA quality standards, but you pay a fraction of the brand-name medication cost.

Urgent Care vs. Emergency Room

Generally, urgent care centers offer walk-in services and are open after regular business hours and on weekends. Urgent care visits cost less out of your pocket, and wait times are shorter than ER visits. Unnecessary emergency room visits raise premiums, copayments and overall costs for everyone.

Telehealth vs. Office Visit

Common medical issues can often be diagnosed through a virtual visit, which costs less than a standard doctor’s appointment. For more information, visit www.bluekc.com/telehealth. Premise National Virtual Health (NVH) is an additional option for employees only.

In-Network vs. Out-of-Network

Make sure your doctor is in-network. You receive the greatest discounts when your services are from in-network providers. Kansas City employee-owners, the BlueSelect Plus PPO is a smaller network. Check to see if this plan is right for you.

The high quality care of our on-site health center and pharmacy provides the same services offered at community providers, but at a significantly less cost to the company. When at the World Headquarters campus, employees can use the on-site health center for the acute care needs, biometrics, labs and much more. In addition the on-site pharmacy will fill prescriptions for employees, spouses and dependents.

Set aside a portion of your paycheck tax-free to spend on future Medical, Dental, or Vision expenses.

On-Site Health Center and Pharmacy vs.

Community Providers

Health Savings Account or FSA

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http://www.bluekc.com/telehealth

WELLNESS PROGRAMAt Burns & McDonnell, we care about the health of you and your family, and we recognize that your well-being is important to the health of our business. Throughout the year, we offer various different wellness events, including screenings, educational opportunities, vaccination clinics and more!

Our partnership with Vitality is also an important component of the Burns & McDonnell wellness program and supports our mission to develop, educate and embed a culture that makes living healthier lives more convenient and accessible.

Making healthy lifestyle choices is important, which is why we encourage you and your spouse, if applicable, to be active participants when it comes to decisions affecting your personal health and well-being. Our wellness incentive program through Vitality provides a wide variety of resources and information, including personal health assessments, activity tracking and much more.

The wellness incentive program through Vitality is only available to individuals enrolled in the medical plan, and you will not be able to access the Vitality portal until your coverage begins. Upon your medical plan enrollment, please be on the lookout for additional information on how to engage in the 2021 wellness program.

Lockton Nurse AdvocateBurns & McDonnell has partnered with Lockton Nurse Advocate (LNA) to provide a supportive benefit to help you understand your current health and support you to improve or maintain your overall health. Additionally, you will earn Vitality points by engaging with the LNA.

Through the Lockton Nurse Advocate Program you are partnered with a dedicated registered nurse that will:

z Learn about your health and lifestyle.

z Listen to your specific needs and obstacles, and work with you to set goals while supporting you in achieving them.

z Discuss risk factors and best practice medical care.

z Help you effectively use your health insurance plan benefits.

z Inform you about company wellness activities.

z Connect you with appropriate health resources.

z Provide physician referrals and answer health questions.

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DENTAL INSURANCE Dental insurance is provided through MetLife. MetLife offers two levels of coverage: a low plan option and a high plan option. Both levels allow you to visit any dentist you choose, or you may select a network dentist who has contracted with MetLife to provide services at a discounted rate. See footnotes below for more details — out-of-network visits are based on reasonable and customary (R&C) fees. See below for a description of out-of-network costs.

Dental Benefit Summary MetLife

PDP Plus Network Low Plan High Plan


Annual Deductible/Individual $100 $50

Annual Deductible/Family $100 per family member $150

Annual Plan Maximum $1,000 $1,500

Lifetime Orthodontia Plan Maximum $1,000 $1,500

Diagnostic and Preventive Services 100%* 100%*** 100%* 100%**

Basic Services 50%* 50%*** 80%* 80%**

Major Services 50%* 50%*** 50%* 50%**

Orthodontia Services 50%* 50%*** 50%* 50%**

*This is a percentage of the negotiated fee. The negotiated fee refers to the fee that participating dentists have agreed to accept as payment in full, subject to any copayments, deductibles, cost sharing, and benefits maximums.

**This is a percentage of the R&C fee. The R&C fee is based on the lowest of the dentist’s actual charge, the dentist’s usual charge for the same or similar services or the charge of most dentists in the same geographic area for the same services determined by MetLife.

***This is based on the Maximum Allowable Charge. An Out-of-Network dentist may charge you more than the Maximum Allowed Charge, leaving you responsible for paying any amount over the allowable charge.

The benefit summaries for the plans, located under the Reference Center on the Benefitsolver portal, provide further information for both levels of coverage.

2021 Semimonthly PremiumsLow Plan High Plan

Employee Only $5.23 $9.15

Emplyoee + Spouse $10.93 $19.07

Employee + Child(ren) $20.46 $33.95

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2021

VISION INSURANCEVision insurance is provided through MetLife. MetLife provides coverage for eye exams, frames and lenses, contacts, and discounted laser eye surgery. Additional details regarding this coverage are provided in the MetLife vision benefits summary located on the Benefitsolver portal.

Blue KC members who do not elect to enroll in Vision insurance will still receive coverage for an annual routine vision exam through the Medical insurance plan. You should provide your Blue KC ID card when visiting the eye doctor. This visit may be subject to co-pays, deductible or coinsurance charges.


Employee Only $4.09

Emplyoee + Spouse $6.67

Employee + Child(ren) $6.83

Employee + Family $10.97

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FLEXIBLE SPENDING ACCOUNTS (FSAs)

FSAs allow you to save money by deducting your elected FSA contributions from your paychecks on a pre-tax basis. This means FSA dollars will be deducted from your paycheck before federal, state and social security taxes are calculated. Your amount of savings will depend on your individual tax bracket and the amount of money being withheld from your paychecks.

Additional details on allowable FSA expenses can be found by calling the Navia customer service line or by visiting the Navia website, www.naviabenefits.com.

Medical FSA

Pair a PPO or HRA health plan with a Medical FSA, which covers eligible medical, dental and vision expenses. Note: If you or your spouse is enrolled in a Health Savings Account (HSA), you’re not eligible for a Medical FSA. The current contribution limit is $2,750.

Examples of eligible expenses include doctor visits, physical therapy, speech therapy, surgeries, hearing aids, ambulance costs, acupuncture and more. For a full list of eligible expenses, visit the Benefitsolver portal.

You have until March 31, 2022, to submit expenses incurred in 2021. Up to $550 of unused funds may be carried over to be used the following calendar year. As required by the IRS, any funds left in your account in excess of $550 will be forfeited.

Limited Purpose FSA

If you are participating in a QHDHP and an HSA, you are eligible to enroll in a Limited Purpose FSA alongside your HSA to maximize savings. These funds can be used for qualifying dental and vision expenses only. Medical expenses must utilize the HSA, not the Limited Purpose FSA. If your spouse is already enrolled in a Medical FSA at their workplace, you are not eligible to participate in this plan. The current contribution limit is $2,750.

Examples of eligible expenses include dental exams, vision exams, prescription glasses, laser eye surgeries, contact lenses, orthodontics and dentures.

Dependent Care FSA

A Dependent Care FSA allows you to put money aside for dependent care for children up to age 13, a disabled dependent of any age or a disabled spouse. To be eligible for a Dependent Care FSA, you and your spouse (if applicable) must work, be looking for work or be full-time students. You can be enrolled in both an HSA and Dependent Care FSA. The current contribution limit is $5,000* ($2,500 if you are married and file separate tax returns).

Examples of eligible expenses include preschool and after-school care, day care providers and summer day camps.

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http://www.naviabenefits.com

HEALTH SAVINGS ACCOUNT (HSA)

If you enroll in the QHDHP, you can participate in a Health Savings Account (HSA). An HSA is a savings account that allows you to set aside pre-tax money to pay for qualified out-of-pocket medical, dental and vision expenses.

An HSA can help offset the higher deductible associated with the QHDHP. If you have no medical expenses, the money in your HSA builds, and once it reaches a certain limit, you can invest those dollars much like you can with your 401(k).

In order to participate in an HSA, you:

� Must be enrolled in an IRS Qualified High Deductible Health Plan

� Cannot be enrolled in Medicare, Medicaid, TRICARE or VA benefits (if you are collecting Social Security, you are automatically enrolled in Medicare Part A, which disqualifies you from enrolling in an HSA)

� Cannot be covered by any other traditional health plan

� Cannot have access to your spouse’s Healthcare FSA

� Cannot participate in traditional Flexible Spending Accounts (FSAs) and Health Reimbursement Arrangements (HRAs)

Please note that once you open an HSA, that account belongs to you. Therefore, any unused dollars at the end of the year remain in your account for future use. This is different than an FSA, in which you lose any money above the $550 carryover limit that is left in your FSA at the end of the year.

Additional details on allowable HSA expenses can be found by calling the Further customer service line or by visiting the Further website at member.hellofurther.com/login.

The IRS HSA contribution limits for 2021 are $3,600 for individual coverage and $7,200 for all other tiers.

Please note: These amounts include the $250 individual/$500 other tier employer contribution amounts

provided by Burns & McDonnell.

Tax-free contributions by employer and employee

Investing available for balances $1,000+ and tax-free

investment growth

Tax-free spending on eligible medical, dental,

and vision expenses

HSA Triple Tax Benefit

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http://member.hellofurther.com/login

MY LIFE AND SECURITYSupplemental, Spousal and Child(ren) Life Insurance

Through Sun Life, employees receive a basic life insurance policy equal to the greater of the prior year’s total gross compensation or current base salary. You may purchase additional supplemental coverage in increments of $25,000 up to $500,000 and spousal life insurance coverage in increments of $10,000 up to $250,000. You must enroll in employee supplemental life insurance in order to elect spousal life insurance. The amount of spousal life insurance you elect may not exceed 50 percent of the employee supplemental life insurance coverage you carry.

Child(ren) life insurance may be elected for children from birth to six months at $500 and age six months to 26 years old in increments of $2,000 to a maximum of $10,000 in coverage. You must enroll in employee supplemental life insurance coverage to enroll in child(ren) life insurance.

The guaranteed issue limit is $200,000 for employee Supplemental Life Insurance and $50,000 for Spouse Supplemental Life Insurance. If you elect more than the guaranteed issue limit, you must complete an Evidence of Insurability health questionnaire for approval of your coverage. Instructions for completion of this questionnaire are provided during the online enrollment process or by contacting Human Resources.

2021 Semimonthly Premiums Rate per $1,000 of Coverage

Employee/Spouse*Under 25 $0.030 25-29 $0.030 30-34 $0.040 35-39 $0.045 40-44 $0.055 45-49 $0.095 50-54 $0.165 55-59 $0.295 60-64 $0.360 65-69 $0.635 70-74 $1.030 75+ $1.630 Child Optional LifePer $1,000 of Benefit $0.060

*Both Supplemental and Spousal Life Insurance rates are based upon the employee’s age.

Supplemental Accidental Death & Dismemberment Insurance

Accidental Death and Dismemberment (AD&D) coverage is provided through Chubb. AD&D insurance provides coverage against any accident that occurs 24 hours a day, at work or at home. Burns & McDonnell provides a basic AD&D benefit of four times annual base salary. You may purchase supplemental coverage in increments of $25,000 up to $500,000 for you and your family.

2021 Semimonthly Premiums Rate per $1,000 of Coverage

Employee Only Employee + Family$0.0085 $0.0135

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2021

For more information

Contact Sun Life at

800-247-6875 or visit www.sunlife-usa.com/planmembers.

Long-Term Disability Insurance

Employees are eligible for long-term disability insurance through SunLife. This plan allows you to insure a portion of your income in the event you become disabled and are unable to work. You may insure either 50 percent or 60 percent of compensation up to a total maximum monthly benefit of $10,000 for the 50 percent option and $15,000 for the 60 percent option. Premiums and benefits are paid based on the greater of the prior year’s total gross compensation or current base salary.

As a new hire, you are not required to complete Evidence of Insurability and are guaranteed coverage. If you choose to decline coverage now and add Long-Term Disability at a later date, you will be required to provide Evidence of Insurability.

Please note, pre-existing condition limitations may apply and are detailed in the Summary Plan Description found on the Benefitsolver portal.

2021 Semimonthly Premiums: Rate per $1,000 of Monthly Income

50% Coverage 60% Coverage$1.15 $2.05

Example: An employee who elects 50 percent coverage and has a total compensation of $50,000 will pay a semimonthly premium of $4.79.

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CRITICAL ILLNESS INSURANCECritical illness insurance provides a lump-sum payment directly to you upon diagnosis of a covered critical illness. The critical illness plan only provides payment for illnesses newly diagnosed after the coverage becomes effective.

You have the option to enroll in $10,000 or $20,000 of coverage for yourself and your dependents. If you elect dependent coverage, your dependents will be covered for 100 percent of your elected amount.

If you participate in an annual health prevention measure such as a blood test to measure your cholesterol or glucose, or a routine mammogram or PSA test, you are eligible to receive a health screening benefit of $50 per year. A full listing of covered critical illnesses and accepted health prevention measures can be found in the plan certificate located on the Benefitsolver portal.

2021 Semimonthly Premiums: Rate per $1,000 of CoverageEmployee

OnlyEmployee +

SpouseEmployee + Child(ren)

Employee + Family

Age 24 and Under $0.18 $0.36 $0.43 $0.61 Age 25-29 $0.19 $0.37 $0.44 $0.63 Age 30-34 $0.24 $0.47 $0.50 $0.72 Age 35-39 $0.33 $0.62 $0.58 $0.88 Age 40-44 $0.48 $0.88 $0.73 $1.14 Age 45-49 $0.70 $1.28 $0.96 $1.53 Age 50-54 $1.03 $1.83 $1.28 $2.09 Age 55-59 $1.46 $2.55 $1.72 $2.81 Age 60-64 $2.10 $3.63 $2.36 $3.88 Age 65-69 $3.18 $5.41 $3.34 $5.67 Age 70 and Over $4.66 $8.07 $4.92 $8.33

Tobacco UsersAge 24 and Under $0.22 $0.44 $0.47 $0.69 Age 25-29 $0.23 $0.46 $0.49 $0.72 Age 30-34 $0.32 $0.62 $0.58 $0.88 Age 35-39 $0.47 $0.89 $0.72 $1.14 Age 40-44 $0.72 $1.34 $0.97 $1.59 Age 45-49 $1.11 $2.04 $1.37 $2.29 Age 50-54 $1.70 $3.02 $1.95 $3.28 Age 55-59 $2.46 $4.30 $2.72 $4.56 Age 60-64 $3.61 $6.21 $3.86 $6.47 Age 65-69 $5.55 $9.42 $5.80 $9.67 Age 70 and Over $8.21 $14.18 $8.46 $14.44

Premiums for coverage are based on your age, the coverage amount you have elected and your tobacco use status.

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2021

GROUP ACCIDENT INSURANCEGroup accident insurance provides payments directly to you for injuries and/or medical services attributed to a covered accident. Covered injuries and medical services include, but are not limited to: fractures, dislocations, concussions, cuts/lacerations, ambulance and emergency care, hospitalization, surgery and therapy services. You may enroll yourself and eligible family members in this coverage. Specific details regarding covered injuries and/or medical services are provided in the benefits summary on the Benefitsolver portal.


Employee Only Employee + Spouse Employee + Child(ren) Employee + Family$6.71 $9.81 $12.39 $16.01

LEGAL SERVICESThe following legal services are available through MetLaw:

� Preparation of wills and trusts

� Real estate matters

� Consumer protection

� Document preparation and review

� Traffic and juvenile matters

� Family law, including adoptions

� Debt matters, including identity theft defense

MetLaw provides easy, direct access to Hyatt Legal’s network of more than 12,000 attorneys who provide telephone and office consultations and advice on an unlimited number of personal legal matters. Services are fully covered for most frequently needed personal legal matters. Please refer to the reference center on the Benefitsolver portal for more information.


All Tiers

$9.00

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TRANSPORTATION AND PARKING REIMBURSEMENT ACCOUNTS

Employees may be eligible to participate in the Transportation and Parking Reimbursement Accounts through Navia. These plans allow you to pay for your work-related mass transit and parking expenses on a pre-tax basis.

Eligible transportation expenses are work-related expenses incurred by you and not your spouse or dependent. To be qualified for reimbursement, the expenses must be incurred because you commute to work on mass transit facilities or for transportation provided by an entity using a highway vehicle with a seating capacity of at least six adults. Eligible expenses include any pass, token, fare card, voucher or similar item purchased for mass transit.

Eligible parking expenses must take place at or near your place of employment, or at a location from which you commute to work.

The maximum contribution and reimbursement amount is $270 per month. Election changes may be made monthly but cannot be made retroactively. You may request reimbursement from Navia only for the amount you have already contributed during the year, less any reimbursements received.

Further details on allowable transportation and parking expenses can be found by calling the Navia customer service line or by visiting the Navia website, www.naviabenefits.com.

Transportation Parking

Purpose of Account

Pay for qualified work-related transit using public transportation or

commuter vehiclesPay for qualified parking expenses at

or near your place of work

Owner of Account Employee/Employer Employee/Employer

"Use It or Lose It" Provision No No

Annual Contribution Limit $270 per month $270 per month

Elections Monthly Monthly

Plan Carrier Navia Navia

20

http://www.naviabenefits.com

CONTACTSBlue Cross and Blue Shield of Kansas CityMedical Insurance

Customer Service 816-395-3367, or 866-859-3589

Pharmacy Customer Service 816-395-2176, or 800-228-1436

www.bluekc.com

MetLifeDental Insurance

800-942-0854 www.metlife.com

Vision Insurance


Group Accident Insurance Critical Illness Insurance


Sun LifeLife and Long-Term Disability Insurance

800-247-6875 www.sunlife-usa.com/planmembers

MetLawLegal Services

800-821-6400 info.legalplans.com Access Code: GETLAW

Navia BenefitsFlexible Spending Accounts (FSAs) Transportation and Parking Reimbursement Accounts

800-669-3539 www.naviabenefits.com/contact

FurtherHealth Savings Accounts (HSAs)

651-662-5065 member.hellofurther.com/login

ChubbAccidental Death and Dismemberment Insurance

866-324-8222 www.chubb.com

New DirectionsEmployee Assistance Program

800-624-5544 www.ndbh.com

Burns & McDonnellOn-Site Health Center

816-823-6000 mypremisehealth.com

On-Site Pharmacy

816-321-7821

National Virtual Health (NVH)

Mobile App: My Premise Health www.mypremisehealth.com

PinnacleCareSecond Opinion Services

888-442-7380 www.PinnacleCare.com/support

Vitality

Phone: 877-224-7117 www.powerofvitality.com Email: [email protected]

Lockton Nurse Advocate

Phone: 833-518-1630 Email: [email protected]

Burns & McDonnell Benefits

Phone: 816-822-3400 Fax: 816-822-3516 Email: [email protected]

21



http://www.metlife.com



http://www.sunlife-usa.com/planmembers

http://info.legalplans.com

http://www.naviabenefits.com/contact

http://member.hellofurther.com/login

http://www.chubb.com

http://www.ndbh.com

http://mypremisehealth.com

http://www.mypremisehealth.com

http://www.PinnacleCare.com/support

http://www.powerofvitality.com

mailto:wellness%40powerofvitality.com?subject=

mailto:bmcdlna%40lockton.com?subject=


A QUICK GUIDE TO INSURANCE TERMSBALANCE BILLING: Balance billing is the practice by which out-of-network providers charge fees in excess of negotiated amounts and bill the patient for the portion of the bill that the insurance company or medical plan does not pay. In-network providers do not balance bill for covered services. They must agree to accept the exact amount paid by the plan (plus any member copayment and/or coinsurance) as stipulated in their contracts. Non-network providers, however, are not under contract so they can balance bill.

BENEFIT: Coverage for healthcare services available in accordance with the terms of your healthcare coverage.

BENEFITS-ELIGIBLE EMPLOYEE: Employees regularly scheduled to work 30 hours or more per week.

CONSOLIDATED OMNIBUS BUDGET RECONCILIATION ACT (COBRA): Gives employees and their families who lose their health benefits the right to choose to continue group health benefits provided by the company for limited periods of time under certain circumstances such as voluntary or involuntary job loss, reduction in the hours worked, transition between jobs, death, divorce and other life events.

COORDINATION OF BENEFITS (COB): A program that coordinates your health benefits when you have coverage under more than one group health plan (e.g., spouse’s plan).

COINSURANCE: The designated portion of the approved amount you are required to pay for covered services. This amount is typically a percentage of the service cost.

CONVERSION AND PORTABILITY RIGHTS: If your life insurance ceases due to termination of employment or reduction of hours, you may convert or port your group life insurance into an individual life insurance policy.

COPAYMENT: A flat fee you pay for office visits to network providers at the time services are delivered. Also, a flat fee you pay for prescription drugs under the PPO or HRA plans.

COVERED SERVICES: Services, treatments or supplies identified as payable in the plan certificate. Covered services must be medically necessary to be payable, unless otherwise specified.

DEDUCTIBLE: The amount you owe for covered expenses before coinsurance begins.

EXPLANATION OF BENEFITS (EOB): A document sent by an insurer to a member explaining what was covered for a medical service, how they arrived at the insurance payment amount and patient responsibility amount.

EVIDENCE OF INSURABILITY (EOI): The application process in which you provide information on the condition of your health, or your dependent’s health, in order to be approved for coverage.

FLEXIBLE SPENDING ACCOUNT (FSA): An FSA allows an employee to set aside a portion of his or her earnings to pay for expenses considered tax-deductible by the IRS, including healthcare, dependent care, and transportation expenses for commuting to and from work. Money contributed into an FSA is not subject to payroll taxes, resulting in a payroll tax savings.

HEALTH SAVINGS ACCOUNT (HSA): A medical savings account that allows employees to save for medical expenses on a pretax basis. You must be enrolled in a qualified high-deductible health plan (QHDHP) to qualify for an HSA.

HSA CATCH-UP CONTRIBUTIONS: Employees 55 and older enrolled in the HSA may contribute an additional $1,000 (in 2021) to the maximum yearly contribution. These contributions must end when the individual enrolls in Medicare.

IMPUTED INCOME: The addition of the value of noncash benefit compensation to an employee’s taxable wages in order to properly withhold income and employment taxes from the wages. Imputed income is taxable to the employee.

IN-NETWORK PROVIDERS/SERVICES: In-network providers are doctors who are contracted with the insurance company. In-network providers do not balance bill for covered services. They must accept the amount paid by the plan (plus any member copayment and/or coinsurance) as stipulated in their contracts. Out-of-network providers, however, are not under contracts so they can balance bill.

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2021

OUT-OF-NETWORK PROVIDERS/SERVICES: Out-of-network providers are doctors that are not contracted with an insurance company and may balance bill the member for covered services. If you choose to use an out-of-network doctor, services will not be provided at a discounted rate.

OUT-OF-POCKET MAXIMUM: This is the maximum amount of covered expenses the member will pay in a plan year. The out-of-pocket maximum is dependent on the medical plan you choose. After you have paid the annual out-of-pocket maximum (deductible included), the plan usually pays the full cost of covered expenses: for the remainder of the plan year.

PREFERRED PROVIDER ORGANIZATION (PPO) PLANS: Allow you to choose any provider in or out-of-network; however, you receive greater benefits and discounts when you use in-network providers.

PRESCRIPTION DRUG TIERS:

� GENERIC DRUGS (TIER 1): A prescription drug approved by the federal FDA that is produced and sold without patent protection. A generic equivalent drug contains the same active ingredient as a brand-name version. Since the major difference between brand-name and generic drugs is price, your prescription will automatically be filled with the generic equivalent when medically appropriate. Generic drugs also require the lowest copayment, making them the most cost-effective option for treatment.

� PREFERRED BRAND (TIER 2): Products are typically lower-costing brands or brands without generic equivalents within the drug classification.

� NONPREFERRED BRAND (TIER 3): Products are usually higher-costing, newer drugs that have good generic or significantly lower-costing brand alternatives available within the drug classification. However, nonpreferred drugs also include specialty drugs that may only be available in the nonpreferred brand tier, as the drugs are used to treat complex and rare conditions and have no generic alternatives.

PRIOR AUTHORIZATION: Prior authorization helps ensure that safe, high-quality, cost-effective medical services and drug therapy are prescribed prior to the use of more expensive options that may not have proven value over current services or formulary medications. Please visit the Blue KC website for a list of drugs in which your doctor needs to request prior authorization from Blue KC before prescribing.

PROVIDER: A person (such as a physician) or a facility (such as a hospital) that provides services or supplies related to healthcare.

STEP THERAPY: Step therapy requires a member try lower cost medications before “stepping up” to drugs that cost more. The insurance company wants to know that less expensive options did not work before the plan covers the more costly drug. If you have tried alternative drugs with no success, your drug will be covered. If not, the drug may cost more or not be covered at all.

USUAL, CUSTOMARY AND REASONABLE (UCR): This is the rate paid within a range of common charges for a specific geographic region. The insurance company determines the UCR rates for all services offered and does not pay benefits or charges that exceed the UCR level. In other words, this is a “going rate” for services or procedures.

WELLNESS PROGRAM TERMS:

� VITALITY CHECK: Is a biometric assessment that includes physical measurements and a fasting blood draw to determine:

z Glucose

z Total cholesterol

z Blood pressure: Systolic/Diastolic

z BMI

� VITALITY POINTS: Are awarded as you complete a Vitality-recommended activity. The more Vitality Points you earn, the higher your Vitality status. Discounts off of medical insurance premiums are available if you reach the gold and platinum points thresholds.

� VITALITY HEALTH REVIEW (VHR): A systematic approach to collecting information that identifies risk factors, provides individualized feedback with an updated Vitality age and will link you to at least one intervention to promote health, sustain function and/or prevent disease.

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The descriptions of the benefits are not guarantees of current or future employment or benefits. If there is any conflict between this guide and the official plan documents, the official documents will govern.

Description of Special Enrollment Rights

If you are declining enrollment for yourself or your dependents (including your spouse) because of other health insurance coverage, you may be eligible to enroll yourself or your dependents in these plans in the future, provided that you request enrollment within 31 days after your other coverage ends. In addition, if you have a new dependent as a result of marriage, birth, adoption or placement for adoption, you may be eligible to enroll yourself and your dependents, provided that you request enrollment within 31 days after the marriage, birth, adoption or placement for adoption.

KC: 75511

Documents

New Hire Benefit Guide