Arizona . endobj Arizona . Information may be subject to change without notice. endobj Plan Year – The benefit plan year is a calendar year running from January 1st to December 31st. State Retirement System (ASRS) and the . of employment or new retirement eligibility, and . Unless otherwise noted or communicated, benefit elections and plan provision are effective based upon the plan year. 2 0 obj Qualifying Event – When an employee experiences a change that allows the employee to enroll, change, or stop benefits outside the Open Enrollment time period. 3 0 obj (�� !�L`�fl4���u���|8eZTN1L��H0����ZZ�!��l6HX�z�dF�&Ւd%Sa�R���Y�U՛���If�O��"��U[���mH�Mu�T�/%�_?�&�K���?�)�]����S&+m�;��&P�B��YV���y]'*͊�J�2G*�&O���ޛ�v�&��䧁 <>/Metadata 1343 0 R/ViewerPreferences 1344 0 R>> 7 0 obj For complete coverage details, please refer to your employee benefits booklet. default PDF/X-4 xmp.did:23be9f19-9ea2-4e7f-81fa-b8d2f1f76718 If no election is made, you will default into the ASRS. 3 0 obj PDF/X-4 <> Retirement . endobj (�� 9 0 obj Benefit Costs Medical Insurance Coverage Blue Cross and Blue Shield of Vermont Invest EAP preferred brand prescription. ��nI��?NT�H�$��8J <> 2019-01-14T09:26:17-05:00 (�� ۜ��]V:>f��|s+^�;�O���m�*�C�V��we�X�`�*�=� �Ɗ����2�K�2H�c��d>*Q20!��o�ޱd۩ž��ʚ��J . Any discrepancies between this summary and the benefit plan documents and/or the employment policies of HRCI will be guided by the plan documents and/or the employment policies. first 30 days. The text contained in this Summary was taken from various summary plan descriptions and benefit information. <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> 6 0 obj �� � } !1AQa"q2���#B��R��$3br� endobj �[�5�.$n'ͮ �YR��XN��Y��Z?N�Z^��L�\��ת\hp(�+=��%�.���Ju� �X���T��Gu��n�I?GM�f��)��� dq� <> <> xmp.id:e611162a-a1d5-4207-bd38-4c7d6e6497d4 ��(�� H��VM�E����#��\�uMXEHD�c$�(�E$9 ��y�v�ds��[��e?ۯ\s�������������%ܽ|�³��%��j\���Ð���Z�$ ��o?�?�g�-��5��ݽx�¯���������-Ŕj8_`s����A�����0c�2ԅ/=d �ŕJ�����~�����������ߞ�����`?V%����K���}1���2>�k-�9k�. endobj Optional Retirement Plan (ORP). ]�u�,ei^��Ȑ���e߭Is跄%�I�xDӍ�+�p���.�BWk��v��Y�Y�5��M�Aq]u�#Ӕ�~�TJ�M�^sQLL3��o����n!� 밊0U]C�|z�L�zu����o�a�����w�B�S�e�a��:����v��ڶ��P�I6��y Y�E�J@ ��:`@.� endobj / h�bbd```b``.�����fɚ"Y$��0�&]��0�"���`�$�| endobj <>/Metadata 344 0 R/ViewerPreferences 345 0 R>> <>/ExtGState<>/XObject<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 612 792] /Contents 4 0 R/Group<>/Tabs/S/StructParents 0>> CBL-Benefits Summary-doc.indd here. 2019-01-14T09:26:17-05:00 $4�%�&'()*56789:CDEFGHIJSTUVWXYZcdefghijstuvwxyz�������������������������������������������������������������������������� ? ����-h�ж5LK�i=Ԟ�U;���\��r��- X7�b~x�ps�<9-�?NN�E���?^�nWW�����XR���YP@J.Qr0dk�Y6�Z��&��g6�pf֦i��?f�� ���� ���ۓ�b��e^�������b��=9Uj�psr����Չ���i(�R�%���Nk ���wbUVi�oV^N�o�ig�q�U9�\U�J�C��/W�����+Ф*3?W(A��'��7�����-�(\s�U�*��9� 2 0 obj (�� H��Wmo�6��_�OC$�,'��+H�d�Ю���aX�A��D�_RKn��~�d;i{=d(��E>|��Tz���ֲG �-r�e�S�4��p#��Ȥ�������q �&�����O݈����g����>[s��8ſ��q��4pI@�Q����c�x�3�xc��( <> 2021 Insurance Summary 1 Welcome There are certain times throughout the year when you may enroll in insurance coverage or make changes to your coverage. BENEFIT SUMMARY SHEET. endstream 1 0 obj YhCb��Y������ wS�U�v��~��� Plan Options. :}.�v7˹�e��5�f/�"�/T�D&���K��x{��F�&��& ���``� �X�,�� from application/x-indesign to application/pdf (�� (�� !(!0*21/*.-4;K@48G9-.BYBGNPTUT3? �j �����-��i�$Q�P��iS5UZ�8֎��m�6*p�-��&r|���H%��Q��}�4��߾"��N`q���e�!�N� vY]���/�[��ͫK�����*���OZ.} %���� Employee Benefits Summary (See detailed benefit information on main Employee Benefits Page) * Part-time regular employees working 20 hours a week or more are eligible for benefits as indicated above. The full SPD is available here. Retirement . (�� Review this summary and use the appropriate worksheet on Pages 26 and 27 . BENEFIT DESCRIPTION . (�� |���ց�8�d#E��� (�W"�b3��C�23��W�-h����� �63 endstream endobj 8 0 obj <> endobj 17 0 obj <>/Font<>/ProcSet[/PDF/Text]/Properties<>>>/Subtype/Form>>stream (�� Vision Services Plan COBRA COBRA Rights as Applied to Medical Parking . (�� endobj DvGIƊ �-D�D��,�$�H��@��7&F�Pf ����� �}p endstream endobj startxref 0 %%EOF 1215 0 obj <>stream 1 application/pdf %PDF-1.5 ?��./>�.�_��\o�����o���j�$/�ϒ=}����*�dI?�V'���'����铗�>y��Jڴ��WO�(��%*ɫD�iU$n�Ʒ����zK��_��׷O�$� ��&�p��"���?�����+����O����i9$�� ����|(e '� ;�8�sa ���� JFIF ` ` �� C stream xmp.did:efc72170-906d-44ca-ab74-1e3ea21fbe6b State Retirement System (ASRS) and the . BENEFIT SUMMARY BOOK 2020 Blue Cross and Blue Shield Service Benefit Plan fepblue.org A plan to help you do more. False endstream endobj 3 0 obj <> endobj 6 0 obj >/PageWidthList<0 612.0>>>>>>/Resources<>/ExtGState<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/TrimBox[0.0 0.0 612.0 792.0]/Type/Page>> endobj 7 0 obj <>stream If no election is made, you will default into the ASRS. Summary. <> endobj your decision is irrevocable. The University of Arizona has two retirement plans: the . <> 3 0 obj Benefits Summary: Executive Compensation Plan and Instructional Staff (Full-Time Teaching and Non-Teaching) Series Health Insurance Benefits Health insurance is provided through the City of New York. Optional Retirement Plan (ORP). proof:pdf x���mk�0����e2�,�l�R�S��e���(�/���k�y^a�~�8P� d�]�0�t���_'[A�(�dY��E�/�d�=]�"�7O�A��) fI���2߬���o�3}H�UZ\^�`4����w��C�P�����}o�^p%�&����A�4*�"�#9\�C�~Q0ȶ�h7���E����1����9+��2�A�fJ�B�,(c�k���!���-��1�R� PXO� �� 6NF�[B We offer competitively defined, robust benefits, some of which are entirely company-paid, while others are offered as a structured cost-sharing arrangement. Benefits Summary The fund is a defined contribution fund and provides benefits when members retire, terminate employment (by resigning, or on retrenchment or otherwise) or die before retirement. ;��RF��&��:!1�,�)+���N� 5�Dm�R�m��!��h��^�9ϱ��x�;�-mK��v���~�;ز��3�}CpOT=�N��K) J"M�l}j@{}*/@a+cocy&���]Z�mo����oo�rA���I�f x0�9Nj9>��H�Ң��/jG\��A�� 7EMG,��ڛ�"`xYp���RV}ߓ�jR��\X� 4Bm�*K � �Z@���$�|uIv6�qĬȢ��s��$>��$W�IƸ�3f��׶���zNE This is a summary of benefits solely for the convenienceof employees. ��1�����,s4z�.���H6�� $�P�yF']��0O��{�c���M#m�����7�,��ppU����i4{C�a�(��eU��A2�5���uu��C�hH�(��N�����+����/��2������KQ�J$X !�0��g�2��9bb� ����EB�:࢐u��M)�p曺FC��{1-2n��E�0MK�k�������7�ׅ:2��km�D��Nuzr�ҥq\�7��B��Ȅz~M���96�Ka�Ϳ�΋�EjR���Ÿ����(���ɲ�Q'��bA�[��Ǐ���t4ΐ�h�]���o��ζ,6-�#��4qC�xCF��|�$ ֯����}o��DS�m��r�;���)9X2#�GS^7�R�i[Sl���tl��%��͑��i�ܻ/�-��6�d�$7qR섨�Z�q�2+�U]I���O��v])����K'꙱������#b��q�k�3�.�����1yg۵n��Pu��9 =�`Sf"�b}6���!4�Bt�40ۙʪ���.t7��zI7oS���KY��1�r��#�)h]��v�$J����#6KhJ�ɲ`z���#�˴��}'��q6�궍�� n67n�e�ELv��@�˅9��/�'�6����dzdYmQ-��҈��$`�g/�z"��^7r� This summary provides an overview of systemwide beneits to eligible employees. 4 0 obj 5 0 obj stream ]( tY*E����l�u��E! <> 1 0 obj <>]/Pages 3 0 R/Type/Catalog/ViewerPreferences<>>> endobj 2 0 obj <>stream For additional information, please contact Human Resources. (�� �m.�D�Q@��P����v-�:�����P�R������f���������*���������-�V��*A_�T��WH;�T�!�j��v�`�ř���k�w\?�x$�3��Z�#��נ!rp��w`U-���������\�>]�5T�zo�Q��ŏP��FQ~�]�JoM�_��_��y�U��.��3���/��. (�� %���� Summary. Unless otherwise stated, eligible employees may enroll in employer … ]c\RbKSTQ�� C''Q6.6QQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQQ�� ��" �� Adobe InDesign CC 14.0 (Macintosh) BENEFITS SUMMARY 1 . Benefits. 2019-01-14T09:26:18-05:00 2 0 obj 6� You must enroll in a plan during the . <>/Font<>/ProcSet[/PDF/Text/ImageB/ImageC/ImageI] >>/MediaBox[ 0 0 594.96 841.92] /Contents 5 0 R/Group<>/Tabs/S>> (�� (�� h�b```f``�������� Ā B,@Q�LF,� Employee Benefits Summary . (��g�:f�7�*$�'.��NN�ԦM4P!y�H�ug`�^qs�={[���+�znU�� ��皮����� ki�1�2�� ��k7Q-N���-�����@�$>���7��. (�� %PDF-1.7 RETIREMENT BENEFITS PROVIDED BY THE FUND Normal Retirement At your normal retirement age of 65, your benefit being equal to your Fund Credit, can be paid as a pension purchased from a … your decision is irrevocable. Adobe InDesign CC 14.0 (Macintosh) endobj uuid:3599c7ab-f626-a146-acaf-23ad84f86991 1 0 obj ���� JFIF ,, �� JExif MM * 2 :( , , ��XICC_PROFILE HLino mntrRGB XYZ � 1 acspMSFT IEC sRGB �� �-HP cprt P 3desc � lwtpt � bkpt rXYZ gXYZ , bXYZ @ dmnd T pdmdd � �vued L �view � $lumi � meas $tech 0 rTRC. first 30 days. City of New York employees, and employees of Participating Employers, and their eligible dependents, are eligible to … 1 The Blue Cross and Blue Shield Service Benefit Plan is the number one health insurance choice for federal employees, retirees and their families. <> Summary of Benefits Group Number: OR91 Effective Date: October 1, 2020 Oregon Educators Benefit Board Annual Maximum No Annual Maximum1 Deductible No General or Orthodontic Office Visit You pay $20 per Visit2 DIAGNOSTIC AND PREVENTIVE SERVICES Routine and Emergency Exams Covered with the Office Visit Copay X-rays Covered with the Office Visit Copay Teeth Cleaning Covered with the …