Texas Farm Enrollment Guide 2023

More documents

Recommendations

Info

Employee Navigator Instrucons Open Enrollment is available online! Please visit hps://employeenavigator.com/benefits/Account/Login to review your current benefits and make any desired plan changes for the new plan year. If you do not request any changes for the new plan year, your current enrollment WILL automacally renew. Please review the new plan year informaon closely. Aer you have completed your enrollment, be sure to click the agree buon on your Enrollment Summary page. If you have already registered an account with Employee Navigator, use the username you created. If you have forgoen your password you may request a password reset at hps://employeenavigator.com/benefits/Account/Reset/ResetEmployee. If you do not have a username, please go to hps://www.employeenavigator.com/ benefits/Account/Register to register. You will be asked for personal idenfying data as well as the company idenfier which is pnutrion. If you have any quesons, contact Human Resources at 936-560-8216. This summary of benefits is not intended to be a complete descripon of the terms of Texas Farm Product’s insurance benefit plans. Please refer to the plan document(s) for a complete descripon. Each plan is governed in all respects by the terms of its legal plan document, rather than by this or any other summary of the insurance benefits provided by the plan. In the event of any conflict between a summary of the plan and the official document, the official document will prevail. Although Texas Farm Products maintains its benefit plans on an ongoing basis, Texas Farm Products reserves the right to terminate or amend each plan, in its enrety or in any part at any me. 6
Medical Coverage Your employer will contribute $1,500.00 to your HSA account should you elect this plan; Contribuons are pro-rated based on me of year you join the plan. HSA Plan Non-Network Individual Family $7,000 $14,000 $14,000 $28,000 100 / 0% 70 / 30% Prevenve 100% of allowable Office Visit (Primary/Specialist) Virtual Visit (MD Live) Urgent Care 100% of allowable aer deducble 100% of allowable aer deducble 2023 contracted fee: $48 100% of allowable aer deducble N/A Diagnosc Test (x-ray, blood work) 100% of allowable aer deducble 70% of allowable aer deducble Imaging (CT/PET scans, MRI) 100% of allowable aer deducble 70% of allowable aer deducble Emergency Room Facility charges Physician charges 100% of allowable aer deducble Inpaent Facility Deducbles are applied to Out of Pocket Maximum. Plan includes embedded deducble. Family Coverage: When one family member meets the deducble, benefits become available under the plan for that individual. Tier Level Generic Retail (30 day) Mail Order (90 day) Brand Name Specialty Drugs 100% of allowable aer deducble Prime Specialty Pharmacy Only Medical – Employee Contribuons Coverage Type Employee Only $3.67 $7.95 Employee + 1 $96.18 $208.40 Employee + 2 or more $142.44 $308.63 7
Page 1 and 2: Plan Year 2023 Effecve January 1, 2
Page 3 and 4: Resource Directory Coverage Carrier
Page 5: Membership Guidelines Pre-Tax Payro
Page 9 and 10: Medical Coverage Plan B Non-Network
Page 11 and 12: Medical Coverage 11
Page 13 and 14: Medical Coverage 13
Page 15 and 16: Medical Employer Coverage Paid—Ba
Page 17 and 18: Medical Coverage Employer Paid—ST
Page 19 and 20: Medical Employer Coverage Paid—ST
Page 21 and 22: Medical Employer Coverage Paid—LT
Page 23 and 24: Medical Employer Coverage Paid—LT
Page 25 and 26: Dental Coverage 25
Page 27 and 28: Vision Coverage 27
Page 29 and 30: Voluntary Life 29
Page 31 and 32: New benefit offering Accident 31
Page 33 and 34: New benefits offering Crical Illnes
Page 35 and 36: Crical Illness You will be able to
Page 37: 37

Texas Farm Enrollment Guide 2023

Create successful ePaper yourself

Delete template?

Save as template?