SMA - 2021 Employee Benefits Guide (Managers) FINAL.pptx (2)

2021 BENEFITS
ENROLLMENT GUIDE
Southern Marketing Affiliates, Inc.
EXECUTIVES
Effective 10/1/2021 to 9/30/2022

CONTENTS
03
07
10
Benefits Overview
Medical Insurance
Dental Insurance
11 Vision Insurance
13 Group Life and Accidental Death & Dismemberment Insurance
14 Voluntary Life Insurance
16
18
20
22
26
Long-Term Disability Insurance
Accident Insurance
Critical Illness + Cancer Insurance
401(k) Retirement Plan
Important Contacts
27 Glossary

BENEFITS
OVERVIEW
3

BENEFITS OVERVIEW
ENROLLMENT
You can enroll in benefits or change your elections at the following times:
• 30 days prior to your initial eligibility date (as a newly hired employee)
• During the annual benefits open enrollment period
• Within 30 days of experiencing a qualifying life event
OPTIONS
We offer a comprehensive benefits package consisting of:
• Medical Insurance
• Dental Insurance
• Vision Insurance
• Group Life and Accidental Death & Dismemberment Insurance
• Voluntary Life Insurance
• Long-Term Disability Insurance
• Accident Insurance
• Critical Illness + Cancer Insurance
• 401(k) Retirement Plan
4

BENEFITS OVERVIEW
ELIGIBILITY
Full-time employees working at least 30 hours per week are eligible for
benefits on the first of the month following 60 days of employment. Many of
the plans offer coverage for eligible dependents, including:
• Your legal spouse
• Your children to age 26, regardless of student, marital, or tax-dependent
status (including stepchild, legally adopted child, a child placed with you for
adoption, or a child for whom you are the legal guardian)
• Your dependent children over age 26 who are physically or mentally unable
to care for themselves
CHANGING BENEFITS AFTER OPEN ENROLLMENT
You may pay your portion of your select coverages (medical, dental and vision)
on a pre-tax basis. Thus, due to IRS regulations, once you have made your
elections for the plan year, you cannot change your benefits until the next
annual open enrollment period. The only exception is if you experience a
qualifying event, and election changes must be consistent with your life event.
To request a benefits change, notify Human Resources within 30 days of the
qualifying life event. Change requests submitted after 30 days cannot be
accepted. You may need to provide proof of the life event.
Qualifying life events include, but are not limited to:
• Marriage, divorce, or legal separation
• Birth or adoption of an eligible child
• Death of your spouse or covered child
• Change in your spouse’s work status that affects his or her benefits
• Change in your child’s eligibility for benefits
• Qualified Medical Child Support Order
5

BENEFITS OVERVIEW
2021 Benefits Review
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Medical Insurance Benefits - Arkansas Blue Cross Blue Shield
o Change in benefits
o Change in premium
o SMA pays 90% employee only costs; employee pays 10% plus dependent costs
Dental Insurance Benefits - Arkansas Blue Cross Blue Shield
o Change in benefits
o Change in premium
o SMA pays 90% employee only costs; employee pays 10% plus dependent costs
Vision Insurance Benefits - Arkansas Blue Cross Blue Shield
o Change in benefits
o Change in premium
o SMA pays 90% employee only costs; employee pays 10% plus dependent costs
Group Life and Accidental Death & Dismemberment Insurance Benefits - USAble Life
o Change in benefits
o Benefit Amount: $50,000
o Employer paid
Supplemental Life Insurance Benefits - USAble Life
o Change in benefits
o No change in premium
o Employee paid
Long-Term Disability Insurance Benefits - USAble Life
o Change in benefits
o Employer paid
Accident Insurance Benefits – Guardian
o Employee paid benefit
Critical Illness + Cancer Insurance Benefits - Guardian
o Employee paid
6

MEDICAL
INSURANCE
7

MEDICAL INSURANCE
CARRIER: Arkansas Blue Cross Blue Shield
Please refer to the official plan documents for additional information on coverage and
exclusions.
COVERED BENEFITS
PPO PLAN
In-Network
Out-of-Network
Calendar Year Deductible
Individual $3,500 $10,500
Family $7,000 $21,000
Out of Pocket Maximum
Includes deductible and coinsurance
Individual $5,500 $21,000
Family $11,000 $42,000
Coinsurance (Plan Pays) 80% 60%
Preventive Care Plan pays 100% 20% after deductible
Physician Services
Primary Care $30 copay 40% after deductible
Specialist $50 copay 40% after deductible
Urgent Care $80 copay 40% after deductible
Emergency Room 20% after deductible 20% after deductible
Lab / X-Ray
Diagnostic Lab/X-Ray 20% after deductible 40% after deductible
High-Tech Services (MRI, CT/PET scans) 20% after deductible 40% after deductible
Hospital Services
Inpatient 20% after deductible 40% after deductible
Outpatient 20% after deductible 40% after deductible
Prescription Drugs Retail Mail Order
Generic $20 copay $40 copay
Preferred Brand $50 copay $100 copay
Non-Preferred Brand $70 copay $140 copay
Specialty Brand $250 copay $500 copay
Coverage Level
MEDICAL RATES
Employee Monthly
Contribution
Employee Only $48.03
Employee & Spouse $576.34
Employee & Child(ren) $297.77
Employee & Family $1,028.39
8

DENTAL
& VISION
INSURANCE
9

DENTAL INSURANCE
CARRIER: Arkansas Blue Cross Blue Shield
● You will pay less out of pocket when you choose an in-network provider.
● Locate an in-network provider at www.arkansasbluecross.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
Employee Monthly
Contribution
Employee Only $3.10
Employee & Spouse $38.35
Employee & Child(ren) $61.85
Employee & Family $98.82
COVERED BENEFITS
PLAN PAYS
Deductible (per calendar year)
Annual Plan Benefit Maximum
Diagnostic & Preventive Services
Oral exams, cleanings, X-rays, fluoride treatments, sealants
Basic Services
Fillings, extractions, non-surgical periodontics, endodontics
(root canals), oral surgery, anesthesia
Major Services
Bridges, crowns, inlays/onlays, dentures (full/partial),
surgical periodontics, implants
$50 per person, $150 (3) per family
$1,500 per covered member
100%
80%
50%
Orthodontia Services (Dependent Children to age 18) 50%
Lifetime Orthodontia Plan Max $1,500
10

VISION INSURANCE
CARRIER: Arkansas Blue Cross Blue Shield
● You will pay less out of pocket when you choose an in-network provider.
● Locate an in-network provider at www.arkansasbluecross.com.
● You must submit a claim form for out-of-network expenses.
● LASIK surgery discounts available
Vision Election
Employee Monthly
Contribution
Employee Only $1.03
Employee & Spouse $11.37
Employee & Child(ren) $12.80
Employee & Family $26.03
COVERED BENEFITS IN-NETWORK OUT-OF-NETWORK
Eye Exam (every 12 months) $10 copay $45 allowance
Standard Plastic Lenses (every 12 months)
Single: $10 copay
Lined Bifocal: $10 copay
Lined Trifocal: $10 copay
Lenticular: $10 copay
Single: $30 allowance
Lined Bifocal: $50 allowance
Lined Trifocal: $65 allowance
Lenticular: $100 allowance
Frames (every 24 months) $150 allowance $70 allowance
Contact Lenses (instead of glasses; every 12
months)
Elective
Medically Necessary
$150 allowance
Plan Pays 100%
$105 allowance
$210 allowance
11

GROUP LIFE &
VOLUNTARY LIFE
12

GROUP LIFE INSURANCE
CARRIER: USAble Life
LIFE and ACCIDENTAL DEATH & DISMEMBERMENT (AD&D)
Basic life and AD&D insurance are automatically provided to all benefits-eligible
employees at no cost. If you die as a result of an accident, your beneficiary
would receive both the life and the AD&D benefit.
● Life Insurance Amount: $50,000
● Guaranteed Issue: $50,000
● AD&D Amount: Equal to life insurance amount
● Benefit Reduction Schedule: 35% at age 65 and 50% at age 70
● Waiver of Premium: Limiting age 60; Elimination period 6 months;
Coverage termination at age 65
● Accelerated Death Benefit: 75% of life benefit to a max of $250,000
REMINDER
Review your beneficiary designations
13

VOLUNTARY LIFE INSURANCE
CARRIER: USAble Life
WHAT IS VOLUNTARY LIFE INSURANCE? Voluntary life insurance is offered
through an employer but is paid by employees.
WHY PURCHASE VOLUNTARY LIFE INSURANCE?
● This type of life insurance has limited underwriting required. This allows for people with
health conditions or lifestyles that might otherwise disqualify them to qualify for life
insurance.
● The group rates are lower than what you could purchase on your own.
● You may purchase a policy for your spouse and children.
● You may purchase a policy for your spouse and children IF you elect coverage for
yourself.
REMINDER
Review your beneficiary designations
14

VOLUNTARY LIFE INSURANCE
CARRIER: USAble Life
Employee
●
Benefit Amount: $10,000 increments to a maximum of 5x annual salary not to exceed
$500,000
● Guarantee Issue Amount: $100,000
● Age Reduction: 35% at age 65 and 50% at age 70
Spouse
● Benefit Amount: $5,000 increments to a maximum of $100,000
● Guarantee Issue Amount: $25,000
● Age Reduction: 35% at age 65 and 50% at age 70
Child(ren)
● Newborn child to 6 months old: $1,000
● Child more than 6 months to 19 years (23 years if full-time student): minimum of $1,000 to a
maximum $10,000
Voluntary Life
Monthly Rate
Per $1,000 Benefit
Age Employee Rate Spouse Rate
Under 30 $0.095 $0.095
30-34 $0.127 $0.127
35-39 $0.160 $0.160
40-44 $0.190 $0.190
45-49 $0.283 $0.283
50-54 $0.472 $0.472
55-59 $0.842 $0.842
60-64 $1.183 $1.183
65-69 $2.079 $2.079
70+ $3.620 $3.620
Child(ren) $0.240
REMINDER
Review your beneficiary designations
15

LONG-TERM
DISABILITY
INSURANCE
16

LONG-TERM DISABILITY INSURANCE
CARRIER: USAble Life
Long-term disability (LTD) insurance is designed to help you meet your financial
needs during longer disability periods. This is automatically provided to all
benefits-eligible employees at no cost. Benefits may be offset due to other
benefits such as paid sick leave, workers’ compensation.
● Benefit Amount: 60% of base monthly salary up to a maximum of $5,000
per month and minimum of $100
● Elimination Period: 90 days
● Benefit Durations: Until Social Security Normal Retirement Age
● Pre-Existing Condition Waiting Period: Condition treated within last 3
months will not be covered for 12 months.
17

ACCIDENT
INSURANCE
18

ACCIDENT INSURANCE
CARRIER: Guardian
Accident insurance supplements your existing medical insurance in case you are have an accident;
medical insurance alone may not be enough to cover your expenses. The plan pays a cash benefit during
the term of your coverage following a covered accident and could help cover:
●
●
●
●
Out-of-pocket expenses such as copays and deductibles
Transportation
Lodging costs
Emergency room expenses
Accident Coverage
Accidental Death and Dismemberment Benefit
Employee
Spouse
Child
Catastrophic Loss
Quadriplegia
Loss of speech and hearing (both ears)
Loss of cognitive function
Hemiplegia
Paraplegia
Portability
Wellness
$50,000
$25,000
$10,000
100% of AD&D
100% of AD&D
100% of AD&D
50% of AD&D
50% of AD&D
You may continue coverage for yourself and your covered dependents if you
cease to qualify as an employee. You must be insured under the policy for at
least 12 consecutive months and enroll within 60 days from the date you
cease to qualify.
If you or your covered spouse has a covered wellness test performed, you
may be eligible for a $50 benefit. This benefit is payable once per calendar
year. Wellness tests or procedures covered are limited to:
➢ Breast cancer screening, prostate cancer screening, ovarian cancer
screening, diabetes testing, pap smear
For a complete list of benefits, please refer to your booklet.
Accident Election
Employee Monthly Contribution
Employee Only $14.52
Employee & Spouse $24.08
Employee & Child(ren) $24.97
Employee & Family $34.53
19

CRITICAL ILLNESS +
CANCER INSURANCE
20

CRITICAL ILLNESS WITH CANCER
INSURANCE
CARRIER: MetLife
Cancer insurance supplements your existing medical insurance in case you are diagnosed with
cancer; medical insurance alone may not be enough to cover your expenses. Critical illness insurance
also supplements your existing medical insurance in case you are diagnosed with a covered
condition, like a heart attack or stroke. This plan pays a cash benefit during the term of your coverage
following a positive diagnosis of an internal cancer or a covered diagnosis.
BENEFITS
➢ Employee may choose a lump sum benefit of $10,000, $20,000 o $30,000
➢ Spouse may choose a lump sum benefit of $5,000, $10,000 or $15,000 up to 50% of the employee benefit.
➢ Child: 25% of employee benefit
Wellness
Covered Conditions (1st occurrence/2nd occurrence)
Invasive Cancer
Carcinoma In Situ
Benign Brain Tumor
Skin Cancer
Heart Attack
Stroke
Heart Failure
Organ Failure
Kidney Failure
If you or your covered spouse has a covered wellness test performed, you may
be eligible for a $50 benefit. This benefit is payable once per calendar year.
Wellness tests or procedures covered are limited to:
➢ Breast cancer screening, prostate cancer screening, ovarian cancer
screening, diabetes testing, pap smear
100%
30% / 0%
75% / 0%
$250 / Not Covered
100% / 50%
100% / 50%
100% / 50%
100% / 50%
100% / 50%
For a complete list of benefits, please refer to your booklet.
MONTHLY PREMIUM
Benefit Amounts

401(k)
RETIREMENT
PLAN
22

401(k) RETIREMENT SAVINGS PLAN
PROVIDER: CUNA
WHAT IS A 401(k) PLAN? A 401(K) is an employer-sponsored
retirement savings plan that allows employees to save and invest a
percentage of their paycheck before taxes are taken out. Employers may
also choose to make matching contributions.
WHO IS ELIGIBLE? Participation in the plan is open to employees who meet the following
requirements:
✔ Age 21
✔ Completion of 1 year of employment
WHAT ARE THE ADVANTAGES OF A 401(k) PLAN? Participation in this plan is a good
way to invest money for retirement. You can reduce your current income taxes and set aside
money for retirement at the same time. Since federal income taxes re calculated on your
income after your retirement plan contribution has been deducted, you may pay less in federal
income taxes. Most states also exempt 401(k) plan contributions from state income taxation
until a distribution is taken from the plan. Thus, you may actually have more spendable income
than you would if you were contributing a comparable amount to a savings account where
contributions and earning are subject to current income tax rules.
HOW MUCH CAN I CONTRIBUTE TO A 401(k) PLAN? For the 2021 calendar year,
you may contribute up to $19,500. This amount will be adjusted for inflation as needed in
future years, Additional deferral amounts for participants 50 years and older are available
through catch-up contributions.
HOW CAN I CHANGE THE AMOUNT THAT IS CONTRIBUTED TO MY 401(k)
ACCOUNT? You can request a change at anytime through your iSolved self service or by
logging into your CUNA (benefits for you) website - https://www.benefitsforyou.com. You may
also stop contributions at any time, or increase or decrease your contributions at the beginning
of each quarter.
23

401(k) RETIREMENT SAVINGS PLAN
WHEN CAN I WITHDRAW MY
401(K) CONTRIBUTIONS?
Like other retirement plans, a 401(k)
plan is intended to be a long-term
retirement investment vehicle. As a
result, withdrawals are allowed when
you reach age 59 ½, terminate
employment, retire, become disabled or
experience financial hardship.
Withdrawals of both contributions and
earnings will be subject to ordinary
income taxes in the year in which you
received the money. Withdrawals prior
to age 59 ½ may also be subject to early
withdrawal and tax penalties.
CAN I ROLL OVER OR TRANSFER AN EXISTING QUALIFIED RETIREMENT PLAN
ACCOUNT INTO MY 401(K) ACCOUNT? Yes, you can rollover or transfer an existing
qualified retirement plan account in to your 401(k) account. Please contact Human Resources for
information on qualifying roll over plans and eligibility.
WHAT OPTIONS ARE AVAILABLE WHEN I TERMINATE EMPLOYMENT OR RETIRE?
When you terminate employment or retire, depending on your account balance, you may keep your
money in the plan, transfer or roll it over to another eligible retirement plan or Individual
Retirement Account (IRA), receive the money in a lump sum or select annuity payments (if allowed
by your plan).
24

401(k) RETIREMENT SAVINGS PLAN
➢
➢ Employer match of 5%
All company matches are immediately vested
➢ Match is on a payroll-by-payroll basis
REPRESENTATIVE INFORMATION
Tim Fitzgerald
Financial Advisor
870-520-7020
Tim.fitzgerald@benjaminfedwards.com
TO ENROLL:
1. Go to https://www.benefitsforyou.com/Register/.
2. Enter the information requested. It only takes a minute!
3. After you complete your registration, you will receive an email telling you that your benefits
for your participant account have been activated. You may then go to
www.benefitsforyou.com, sign in with your User ID and password and begin to enjoy the many
services that ‘Benefits for You’ has to offer, including:
• Use ReitreOnTarge4t, the online planning tool that helps you set goals and guides you in
making decisions to achieve those goals
• See you balances, manage your investment choices, transfer funds, etc.
• Access the Financial Resource Center for a variety of tools to help you manage your
overall finances
Benefits for You provides all the tools and resources you need to actively manage your retirement
plan. If you have questions or need help accessing the Benefits for You website, contact the
Participant Service Center toll-free at 800-279-4015 ext 206.
25

IMPORTANT CONTACTS
BENEFIT CARRIER PHONE WEBSITE
Medical Insurance Arkansas BCBS 800-588-5733 www.arkansasbluecross.com
Dental Insurance Arkansas BCBS 800-588-5733 www.arkansasbluecross.com
Vision Insurance Arkansas BCBS 800-588-5733 www.arkansasbluecross.com
Life and AD&D Insurance USAble Life 877-203-9921 www.usablelife.com
Long Term Disability Insurance USAble Life 877-203-9921 www.usablelife.com
Accident Insurance Guardian 888-600-1600 www.guardiananytime.com
Critical Illness + Cancer Insurance Guardian 888-600-1600 www.guardiananytime.com
401k Plan Tim Fitzgerald 870-520-7020 timfitzgerald@benjaminfedwards.com
SMA Benefits & Payroll Paige Russell 870-910-6317 paige.russell@smalink.com
SMA CFO Jane Mote 870-935-3291 Jane.mote@smalink.com
YOUR BXS INSURANCE ACCOUNT REPRESENTATIVES:
Ashley Bray
Account Manager
870-974-7474
Ashley.Bray@bxsi.com
DiAlma Young
Sr. VP Employee Benefits
870-974-7440
DiAlma.Young@bxsi.com
Steve Shoemaker
Sr. VP Commercial Lines
870-974-7441
Steve.Shoemaker@bxsi.com
26

GLOSSARY
27

GLOSSARY
Coinsurance: Your share of the cost of a covered health care service, calculated as a percent (for
example, 20%) of the allowed amount for the service, typically after you meet your deductible. For
instance, if your plan’s allowed amount for an office visit is $100 and you’ve met your deductible
(but haven’t yet met your out-of-pocket maximum), your coinsurance payment of 20% would be
$20. Your plan sponsor or employer would pay the rest of the allowed amount.
Copay: The fixed amount, as determined by your insurance plan, you pay for health care services
received.
Deductible: The amount you owe for medical services before your medical insurance or plan
sponsor (employer) begins to pay its portion. For example, if your deductible is $3,000, your plan
does not pay anything until you’ve met your $3,000 deductible for covered health care services.
This deductible may not apply to all services, including preventive care. Preventive care is 100%
covered by the plan.
Employee Contribution: The weekly amount you pay for your insurance coverage.
Explanation of Benefits (EOB) / Personal Health Statement (PHS): A statement sent by your
insurance carrier that explains which procedures and services were provided, how much they cost,
what portion of the claim was paid by the plan, and what portion is your liability, in addition to how
you can appeal the insurer’s decision. These statements are also posted on the carrier’s website for
your review.
In-Network: In-network providers are doctors, hospitals and other providers that contract with
your insurance company to provide health care services at discounted rates.
Out-of-Network: Out-of-network providers are doctors, hospitals and other providers that are not
contracted with your insurance company. If you choose an out-of-network doctor, services will not
be provided at a discounted rate and your cost sharing (deductibles and coinsurance) will increase.
Out-of-Pocket Maximum: The maximum amount of money you will pay for medical services during
the plan year. The out-of-pocket maximum is the sum of your deductible and coinsurance
payments.
28

Southern Marketing Affiliates, Inc.
STEPHANIE.MONTGOMERY@SMALINK.COM | 870.935.3291