Transcript Open Enrollment Benefits Presentation

Benefit enrollment begins July 6th
Benefits Effective August 1, 2016
Tender Touch Management was faced with
several tough decisions during this year’s
plan evaluation. Every attempt was made to
continue to provide plan options that are
affordable and comprehensive.
Tender Touch will continue to offer 3 plan
options. Increases in claim costs have
necessitated the benefit offerings to be
amended in order to keep each of the plan
options as affordable as possible. The PPO
network will be with CIGNA and the plan
administrator will be APA.








Office Visit Copay - $20
In- network Deductible - $2,000/$4,000
In-network Coinsurance – 70%/30% (employee)
In-network out of pocket limit - $6,000/$12,000
Prescription Drug Copay* - $20/$40/$60($250
specialty drugs)
Wellness Coverage – 100% no copay
For Provider information please visit –
www.cigna.com
*Please review summary of benefits for full details

Office Visit Copay - $20
In- network Deductible - $1,250/$2,500
In-network Coinsurance – 80%/20% (employee)
In-network out of pocket limit - $4,000/$8,000
Prescription Drug Copay* - $20/$40/$60 ($250
specialty drugs)
Wellness Coverage – 100% no copay
For Provider information please visit – www.cigna.com

*Please review summary of benefits for full details







Office Visit Copay - $20
In- network Deductible - $500/$1,000
In-network Coinsurance – 90%/10% (employee)
In-network out of pocket limit - $4,000/$8,000
Prescription Drug Copay* - $20/$40/$60 ($250
specialty drugs)
Wellness Coverage – 100% no copay
For Provider information please visit – www.cigna.com

*Please review summary of benefits for full details














Annual Plan Maximum- $1,500
In- network Preventive Care – 100%
In-network Basic Care – 80%
In-network Major Care – 50%
Deductible (waived for preventive) - $50/$150
Adult and Child Orthodontia - $1,500 benefit
For Provider information please visit –
www.deltadentalnj.com - Delta Premier network
*Please review summary of benefits for full details








DeltaCare USA – HMO In-network providers only
Diagnostic and Preventive Care – 100% after $5 copay*
Restorative Care– Scheduled Copays*
Endodontics and Periodontics– Scheduled Copays*
Prosthodontics and Oral Surgeries Scheduled Copays*
Adult and Child Orthodontia – Covered per Schedule
For Provider information please visit –
www.deltadentalnj.com - DeltaCare USA network
*Please review summary of benefits for full details






Examinations – Once every 12 months -$10
Copay
Lenses or Contacts – Once every 12 months
Frame – Once every 24 months - $130 allowance
Deductible (waived for preventive) - $50/$150
For Provider information please visit –
www.eyemed.com
*Please review summary of benefits for full details





4 plan options
Enrollment during this initial offering without medical
underwriting, up to the Guarantee Issue Limit
Pre-existing condition clause does not apply to current
Allstate policy holders*
Provides Income protection up to the maximum
allowed by your state’s disability program and benefits
will be paid in addition to any benefit received from
your home state’s program.
*Please review summary of benefits for full details, 12 month pre-existing condition limit
for employees enrolling in this benefit for the first time






2 plan options
Enrollment available during this initial offering without
medical underwriting*
If still disabled, this benefit is designed to kick in after your
short term disability benefits have been exhausted.
If you are permanently disabled, this benefit can protect
your income up to age 65
Pre-existing condition clause does not apply to current
Standard policyholders*
*Please review summary of benefits for full details, 12 month pre-existing condition limit for
employees enrolling in this benefit for the first time



Enrollment during this initial offering without medical
underwriting*
Maximum benefit - $150,000 Employee/$50,000
Spouse/$10,000 Child(ren)
*Please review summary of benefits for full details,


Enrollment during this initial offering without medical
underwriting up to Guarantee Issue limit
Guaranteed Issue- $100,000 Employee (up to age 50)
$50,000 (age 51-80)/$25,000 Spouse (up to age 50)
$10,000 (age 51-80)/$10,000 Child(ren)

Paid up at age 70 option available

*Please review summary of benefits for full details,






Two Plan Options
Medical Fees for Accident-related services
Hospital Admission benefit
Emergency Room Benefit
Scheduled Benefit intended to provide coverage for
most Accident-related treatments.
*Please review summary of benefits for full details,





Increased Guaranteed issue amounts $30,000 for an
Employee and $15,000 for Spouses
Includes coverage for the first diagnosis of Cancer,
Heart Attack, Major Organ Transplant, End Stage Renal
Failure, Stroke*
$75 Health Screening Benefits
Additional conditions covered include Coma, Paralysis,
Loss of Sight, Hearing or Speech
Pre-existing condition clause does not apply to
current Allstate policy holders*
*Please review summary of benefits for full details.

Hospital Admission Benefit - $1,000
Hospital Confinement Benefit - $200 per day
Hospital Intensive Care Benefit - $200 per day

*Please review summary of benefits for full details






Each Employee is required to setup an
appointment with a Benefit Counselor to ask any
questions about the new benefit offerings.
The Benefit Counselor will also assist you in
completing your benefit enrollment.
Completing this call is mandatory for all
employees.
Employees who do not complete an enrollment
will not be enrolled in any benefits effective
8/1/2016.





Your enrollment date will be based on the First
Letter of your Last Name
Please visit the Tender Touch enrollment website
to schedule your appointment,
www.ttenrollment.com
When you setup your appointment you will be
asked for some basic contact information
So that you can receive a confirmation email
stating the time and date of your appointment.
And a phone call from a benefit counselor at the
time you have scheduled.


Call Center Hours are from 10 am to 7 pm Eastern
The schedule is:
◦ Last Name A-B = July 6th and 7th
◦ Last Name C-D = July 8th and 11th
◦ Last Name E-J = July 12th and 13th
◦ Last Name K-M = July 14th and 15th
◦ Last Name N-R = July 18th and 19th
◦ Last Name S-Z = July 20th and 21st
Please keep in mind that you will receive a call from a
Benefit counselor at the time you have chosen for your
enrollment to begin.