Coulson Oil - Petro - 2022 Benefits Guide

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DISABILITY INSURANCE 22
DISABILITY INSURANCE CARRIER: MetLife SHORT-TERM DISABILITY INSURANCE Short-Term Disability (STD) Insurance is designed to help you meet your financial needs if you become unable to work due to a non-work related illness or injury. This is a voluntary plan; employees are responsible for 100% of the cost. Premiums are calculated as a percentage of your annual base salary. Benefit may be offset due to other benefits such as paid sick leave, workers’ compensation. ● ● ● ● Benefit Amount: 60% of base weekly salary up to $2,000 per week Elimination Period: 0 days Accident / 7 days Sickness Benefit Durations: Up to 13 weeks Pre-Existing Condition Waiting Period: 3 months Look Back; 6 months Forward Important: Voluntary Short Term Disability benefit includes a “late entrant” penalty for those employees who do not enroll during their initial eligibility period. Employees who do enroll in their initial eligibility period will not be allowed to enroll until the next open enrollment period at which time employees may only elect a $100 benefit amount. Each subsequent year there after employees can elect an additional $50 benefit as long as it doesn’t exceed 60% of their benefit. LONG-TERM DISABILITY INSURANCE Long-Term Disability Insurance is designed to help you meet your financial needs during longer disability periods. Benefit may be offset due to other benefits such as paid sick leave, workers’ compensation. This is a voluntary plan; employees are responsible for 100% of the cost. Premiums are calculated as a percentage of your annual base salary. Benefit may be offset due to other benefits such as paid sick leave, workers’ compensation. ● ● ● ● ● Benefit Amount: 60% of base monthly salary up to $5,000 per month Elimination Period: 90 days or until end of STD Maximum Benefit Period Benefit Duration: Until Social Security Normal Retirement Age or the period shown in the Duration Schedule found in the Certificate of Coverage, whichever occurs first. Pre-Existing Condition Waiting Period: 12 months Look Back; 12 months Forward Evidence of Insurability: If employee does not elect coverage during the initial enrollment period, an Evidence of Insurability (EOI) form must be completed. 23
Page 1 and 2: 2022 BENEFITS ENROLLMENT GUIDE Effe
Page 3 and 4: CONTENTS 4 Benefits Overview 7 Medi
Page 5 and 6: BENEFITS OVERVIEW ENROLLMENT You ca
Page 7 and 8: MEDICAL INSURANCE 7
Page 9 and 10: WHICH MEDICAL INSURANCE PLAN IS RIG
Page 11 and 12: HEALTH SAVINGS ACCOUNT CARRIER: Con
Page 13 and 14: FLEXIBLE SPENDING ACCOUNTS 13
Page 15 and 16: FLEXIBLE SPENDING ACCOUNTS HOW DOES
Page 17 and 18: DENTAL INSURANCE CARRIER: Delta Den
Page 19 and 20: VOLUNTARY LIFE INSURANCE 19
Page 21: VOLUNTARY LIFE INSURANCE CARRIER: M
Page 25 and 26: VOLUNTARY ACCIDENT INSURANCE CARRIE
Page 27 and 28: VOLUNTARY CRITICAL ILLNESS with CAN
Page 29 and 30: LEGAL SERVICES 29
Page 31 and 32: IMPORTANT CONTACTS BENEFIT CARRIER
Page 33 and 34: GLOSSARY Coinsurance: Your share of
Page 35 and 36: NOTES 35

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