BHT Investment - 2022 Employee Benefit Guide

More documents

Recommendations

Info

DENTAL INSURANCE 10
DENTAL INSURANCE CARRIER: Delta Dental ● You will pay less out of pocket when you choose an in-network provider. ● Locate an in-network provider at www.deltadentalar.com. ● Be sure to ask for a pre-treatment estimate. ● Out-of-network providers can balance bill, or bill you for the difference between the provider’s charge and the allowed amount. DENTAL ELECTION MONTHLY PREMIUM WEEKLY PREMIUM <strong>Employee</strong> Only $27.16 $6.27 EE & Spouse $54.26 $12.52 EE & Child(ren) $67.96 $15.68 EE & Family $100.88 $23.28 COVERED BENEFITS IN-NETWORK OUT-OF-NETWORK Deductible (per calendar year) $50 per person, $150 per family $50 per person, $150 per family Annual Plan <strong>Benefit</strong> Maximum $1,000 per covered member $1,000 per covered member Preventive Care Exams, cleanings, fluoride, x-rays, sealants Basic Services Simple extractions, space maintainers, oral surgery, fillings Major Services Crowns, inlays, onlays, veneers, bridges, dentures, implants 100% 90% 80% 72% 50% 45% Orthodontia Services (to age 19) 50% 45% Lifetime Orthodontia Plan Max $1,000 $1,000 Annual Maximum Carryover* $250 max $1,000 max *Carryover Eligibility: Must received at least one covered dental service and claims not to exceed $499 per year. 11
Page 1: BHT Investment Co. 2022 BENEFITS EN
Page 4 and 5: BENEFITS OVERVIEW 4
Page 6 and 7: BENEFITS OVERVIEW ELIGIBILITY Full-
Page 8 and 9: MEDICAL INSURANCE CARRIER: QualChoi
Page 12 and 13: VISION INSURANCE 12
Page 14 and 15: GROUP LIFE & VOLUNTARY LIFE 14
Page 16 and 17: VOLUNTARY LIFE INSURANCE CARRIER: L
Page 18 and 19: DISABILITY INSURANCE CARRIER: Linco
Page 20 and 21: VOLUNTARY ACCIDENT INSURANCE CARRIE
Page 22 and 23: VOLUNTARY HOSPITAL INDEMNITY INSURA
Page 24 and 25: OPEN ENROLLMENT INSTRUCTIONS During
Page 26 and 27: GLOSSARY 26
Page 28: BHT INVESTMENT COMPANY, INC. 28

BHT Investment - 2022 Employee Benefit Guide

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?