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HomeMy WebLinkAboutGuardian 2023 Renewal Package It's renewal time . qW low Guardian is here to help. RENEWAL INFORMATION FOR CITY OF LAKE ELSINORE GROUP PLAN # 00519926 RENEWAL PERIOD January 1, 2023 - December 31, 2023 g Guardian® guardiananytime.com The Guardian Life Insurance Company of America, New York, NY. What you'll find in this package RENEWAL INFORMATION PAGE Renewal Premiums At-a-Glance 1 Renewal Rates At-a-Glance 4 Voluntary Dental Details 8 Voluntary Vision Details 11 Long Term Disability Details 13 Basic Life Details 14 Critical Illness Details 18 Please note: If your group plan includes multiple lines of coverage, a multi-line discount was used in the pricing. If you do not wish to renew all lines of coverage, please contact us for revised pricing. S Guardian® guardiananytime.com The Guardian Life Insurance Company of America,New York,NY. Participating Policy and Producer Compensation Disclosure Statement Participating Policy Statement: Any commercial insurance group policy underwritten and issued by The Guardian Life Insurance Company of America, a New York Domiciled mutual company, is a participating policy. It is not expected, however, that a dividend will be paid on any such group policies. All coverage will be provided as set forth in the policies. Producer Compensation Disclosure: As is common with Group insurance, your coverage(s) might involve one or more licensed producers who will receive compensation from Guardian for soliciting, negotiating, securing and/or administering the insurance coverage(s) you have purchased. Compensation to these producers may be paid in the form of base commissions, administrative service commissions and, in some instances, supplemental compensation (e.g., an annual performance bonus). For more detailed information regarding producer compensation relative to your Guardian coverage(s), please contact your Guardian local sales consultant or account manager. Compensation is generated based upon premium which has been remitted by the planholder and applied by Guardian. Graded Commission scales, which can vary by product, are calculated based upon decremental scales (i.e. percentage payable decreases as defined premium thresholds are attained). Graded commission scales refresh annually upon each plan's anniversary. For DHMO, Supplemental Health, SMD and/or ASO Vision commission information, or for any other questions, please contact your local Guardian sales consultant or account manager. If commissions are paid based on a percentage basis, the percentage is calculated monthly on enrolled lives, not eligible lives. Graded commission scales are calculated as a percentage of annual premium and are on a sliding scale. Product Commissions AD&D Graded Scale Commission Dental PPO 0% LTD Graded Scale Commission Basic Life Graded Scale Commission Vision PPO Graded Scale Commission Guardian° guardiananytime.com The Guardian Life Insurance Company of America,New York,NY. CITY OF LAKE ELSINORE GROUP PLAN #00519926 Renewal Premiums At-a-Glance EMPLOYER-SPONSORED • - • Coverage Current Annual Renewal Annual Long-Term Disability $4,318 $4,318 Basic Life $9,742 $9,742 AD&D $1,499 $1,499 Critical Illness $1,584 $1,584 TOTAL $17,143 $17,143 KEY POINTS OF INFORMATION REGARDING PLAN PRICING Premiums shown above reflect a multi-line discount. If you do not wish to renew all lines of coverage, please contact us for revised pricing. Product-specific rates shown in this package have been determined based on a number of factors, including employee age and gender, group location, changes in group size and claims experience (when applicable) •YEE-PAID VOLUNTARY COVERAGE Coverage Current Annual Renewal Annual Voluntary Dental $175,560 $175,560 Voluntary Vision $24,221 $24,221 Guardian Life Insurance Company of America 1 College Tuition Benefit(CTB) g Guardian- An Important Update on our College Tuition Benefit Program A key element of our Group Benefits strategy is to enhance and expand our portfolio of products and services to support the well-being of our members. As part of this focus,we also continually evaluate our existing products and services, measuring their impact and seeing how well they align with our Purpose and strategy. After an analysis of our current benefit offerings,we have decided to remove the College Tuition Benefit(CTB)from our portfolio and sharpen our focus to designing and delivering benefit solutions that meet the larger needs of our diverse customer base. With this change: • CTB will be removed from any of your aligned Guardian coverage(s) at your next plan anniversary.There is no action required on your part. • After your next plan anniversary, employees registered with CTB will no longer accrue new Tuition Reward points. However, any earned Tuition Rewards points will not expire. • Registered employees existing College Tuition accounts will remain active,and employees will continue to receive communications from SAGE if they have elected to do so. • Registered employees can view their accounts, including reward balances and registered students at https://www.tuitionrewards.com • Employees wishing to register and access their earned Tuition Rewards can do so by completing the following steps no later than 90 days after your upcoming anniversary date. o Go to https://registration.collegetuitionbenefit.com//?ref=guardian o User ID is your Guardian Group Plan Number o Password is Guardian • Please share this information with your plan participants using the attached slip-sheet If you are interested in continuing to offer College Tuition Benefit as part of your benefit package, please contact SAGE (CTB vendor)for the CTB Select direct purchase option by going to: https://ctbselect.collegetuitionbenefit.com/hidden/sign-up/ or a SAGE team member can be reached at ctbselect@collegetuitionbenefit.com For questions about your existing Guardian College Tuition Benefit offering, please contact admin@collegetuitionbenefit.com If you have questions about this notice, please contact us at 1-800-627-4200. Thank you for choosing Guardian. We are committed to providing you and your employees with access to quality benefit offerings that support and drive wellness and appreciate your business. College Tuition Benefit(CTB) Guardian- An important update on our college savings program Guardian's Group Benefits strives to enhance and expand our portfolio of products and services to support the well-being of our members.As part of this focus,we continually evaluate our existing products and services, measuring their impact and assessing their alignment with our purpose and strategy.After careful analysis,we have decided to discontinue the College Tuition Benefit(CTB) program as of December 31, 2022. With this update • CTB will be removed from aligned Guardian coverages on your next plan anniversary. • After your next anniversary date,employees registered for CTB will no longer accrue new Tuition Rewards Points. • Any accrued Tuition Rewards Points for registered members will not expire. • CTB accounts for employees registered in the program will remain active. Registered employees will continue to receive communications from CTB if they have elected to do so. How to access accrued CTB Tuition Rewards Points — Registered employees can continue to view and manage their accounts,as they do today. — Employees not currently registered, must do so by completing the following steps within 90 days post their group anniversary date. • Go to https://registration.collegetuitionbenefit.com//?ref=guardian • Click on register • User ID is your Guardian Group Plan Number • Password is Guardian For questions about the College Tuition Benefit offering, please contact SAGE directly at admin@collegetuitionbenefit.com The Guardian Life Insurance College Tuition Benefit is available for Guardian Dental,Vision with Davis Vision Network,Hospital Company of America Indemnity,LTD,STD,Life,Critical Illness,Cancer and Accident insurance until December 31,2022. Some plan exclusions may apply.The Tuition Rewards program is provided by SAGE CTB,LLC.Guardian guardianlife.com does not provide any services related to this program.SAGE CTB,LLC is not a subsidiary or an affiliate of Guardian.Guardian reserves the right to discontinue the College Tuition Benefit program at any New York,NY time without notice.College Tuition Benefit is not an insurance benefit and may not be available in all states. 2022-133985(Exp.2/24) CITY OF LAKE ELSINORE GROUP PLAN # 00519926 Renewal Rates At-a-Glance This plan is currently offered for Insurance Class 1, 2, 3, 4, 5 and 6 VOLUNTARY . L PLAN RATES . . CURRENT RENEWAL Tier Enrolled Monthly Annual Monthly Annual Employees Rate Premium Rate Premium EE 3 $31.26 $1,125 $31.26 $1,125 EE + 1 3 $62.75 $2,259 $62.75 $2,259 FAMILY 4 $113.40 $5,443 $113.40 $5,443 TOTAL 10 $8,828 $8,828 This plan is currently offered for Insurance Class 1, 2, 3, 4, 5 and 6 VOLUNTARY DENTAL PLAN RATES - -O ZZ CURRENT RENEWAL Tier Enrolled Monthly Annual Monthly Annual Employees Rate Premium Rate Premium EE 30 $49.46 $17,806 $49.46 $17,806 EE + 1 78 $99.30 $92,945 $99.30 $92,945 FAMILY 26 $179.43 $55,982 $179.43 $55,982 TOTAL 134 $166,733 $166,733 Guardian Life Insurance Company of America 4 CITY OF LAKE ELSINORE GROUP PLAN #00519926 Renewal Rates At-a-Glance This plan is currently offered for Insurance Class 1, 3, 4, 5 and 6 VOLUNTARY VISION - .0 CURRENT RENEWAL Enrolled Monthly Annual Monthly Annual Tier Employees Rate Premium Rate Premium EE 24 $13.38 $3,853 $13.38 $3,853 EE & SP 18 $20.07 $4,335 $20.07 $4,335 EE & CH 8 $21.57 $2,071 $21.57 $2,071 FAMILY 25 $36.79 $11,037 $36.79 $11,037 TOTAL 75 $21,296 $21,296 This plan is currently offered for Insurance Class 1, 3, 4, 5 and 6 VOLUNTARY • CURRENT RENEWAL Enrolled Monthly Annual Monthly Annual Tier Employees Rate Premium Rate Premium EE 2 $10.74 $258 $10.74 $258 EE & SP 4 $16.11 $773 $16.11 $773 EE & CH 4 $17.31 $831 $17.31 $831 FAMILY 3 $29.53 $1,063 $29.53 $1,063 TOTAL 13 $2,925 $2,925 Guardian Life Insurance Company of America 5 CITY OF LAKE ELSINORE GROUP PLAN #00519926 Renewal Rates At-a-Glance This plan is currently offered for Insurance Class 3, 4 and 5 LTD PLAN RATES CURRENT RENEWAL Volume Monthly Annual Monthly Annual Rate Premium Rate Premium $112,444 $0.320/$100 $4,318 $0.320/$100 $4,318 This plan is currently offered for Insurance Class 1, 3, 4 and 5 BASIC LIFE PLAN RATES CURRENT RENEWAL Monthly Annual Monthly Annual Coverage Volume Rate Premium Rate Premium BASIC LIFE $6,245,000 $0.130/$1000 $9,742 $0.130/$1000 $9,742 This plan is currently offered for Insurance Class 1, 3, 4 and 5 AD&D PLAN RATES CURRENT RENEWAL Monthly Annual Monthly Annual Coverage Volume Rate Premium Rate Premium AD&D $6,245,000 $0.020/$1000 $1,499 $0.020/$1000 $1,499 Guardian Life Insurance Company of America 6 CITY OF LAKE ELSINORE GROUP PLAN #00519926 Renewal Rates At-a-Glance This plan is currently offered for Insurance Class 1, 3, 4, 5 and 6 RATESCritical Illness PLAN CURRENT RENEWAL Tier Enrolled Monthly Annual Monthly Annual Employees Rate Premium Rate Premium CRITICAL EMPLOYEE 88 $1.500/EE $1,584 $1.500/EE $1,584 ILLNESS RIDER EMPLOYEE 88 $0.000/EE $0 $0.000/EE $0 TOTAL Guardian Life Insurance Company of America 7 CITY OF LAKE ELSINORE GROUP PLAN #00519926 Current Voluntary Dental Plan Information CONTRACT TYPE: DENTAL GUARD 2000 This plan is currently offered for Insurance Class 1, 2, 3, 4, 5 and 6 PLAN In-Network Out-of-Network Network DentalGuard Preferred None Coinsurance Preventive 100% 80% Basic 80% 80% Major 50% 50% Deductible $50 $75 Waived for preventive? Yes No Claim Payment Basis Fee Schedule Fee Schedule Maximum $1,000 $1,000 Orthodontia Included Lifetime Maximum $1,500 Coinsurance 50% Maximum Rollover Threshold $500 Rollover Amount $250 In-network only rollover $350 Max Rollover Limit $1,000 Dependent Age Limit 26/26 Plan information is for illustrative purposes only. Please consult plan contract for specific benefit levels. Guardian Life Insurance Company of America g CITY OF LAKE ELSINORE GROUP PLAN #00519926 Current Voluntary Dental Plan Information CONTRACT TYPE: DENTAL GUARD 2000 This plan is currently offered for Insurance Class 1, 2, 3, 4, 5 and 6 PLAN In-Network Out-of-Network Network DentalGuard Preferred None Coinsurance Preventive 100% 100% Basic 90% 80% Major 70% 60% Deductible $50 $50 Waived for preventive? Yes Yes Claim Payment Basis Fee Schedule UCR 90% Maximum $1,500 $1,500 Orthodontia Included Lifetime Maximum $1,500 Coinsurance 50% Maximum Rollover Threshold $700 Rollover Amount $350 In-network only rollover $500 Max Rollover Limit $1,250 Dependent Age Limit 26/26 Plan information is for illustrative purposes only. Please consult plan contract for specific benefit levels. Guardian Life Insurance Company of America 9 CITY OF LAKE ELSINORE GROUP PLAN #00519926 Additional Voluntary Dental Information DENTAL MAXIMUM ROLLOVER . - For Benefit Year Ending: 12/31/2022 ROLLOVER NUMBER OF QUALIFYING TOTAL ACCOUNT SIZE EMPLOYEES & DEPENDENTS ACCOUNT VALUE $0 65 $0.00 $1 - $250 3 $344.60 $251 - $500 63 $28,795.90 $501 - $750 14 $8,742.00 $751 - $1,000 36 $32,776.40 Over $1,000 147 $181,250.00 TOTAL 263 $251,908.90 21 of your Employees and Dependents currently are eligible for additional Maximum Rollover amounts. "Benefit Year" refers to the 12-month period during which charges are counted toward this plan's annual maximum. "Number of Qualifying Employees and Dependents" reflects information available at the time this renewal package was issued. Additional claims will affect this count. "Eligibility for additional rollover amounts reflects information available at the time this renewal package was issued. Additional claims will affect the eligibility for additional rollover amounts" Rollover amounts earned in the benefit year ending 12/31/2022 are applied to the members Maximum Rollover Account for use starting the next benefit year. Guardian Life Insurance Company of America 10 CITY OF LAKE ELSINORE GROUP PLAN #00519926 Current Voluntary Vision Plan Information VSP This plan is currently offered for Insurance Class 1, 3, 4, 5 and 6 PLAN BENEFITS SUMMARY In-Network Out-of-Network Frequency Exam Copay $20 $20 Once per Calendar Year Exam Allowance 100% $39 Once per Calendar Year Materials Copay $20 $20 Base Lenses Single Vision Allowance 100% $23 Once per Calendar Year Bifocal Allowance 100% $37 Once per Calendar Year Trifocal Allowance 100% $49 Once per Calendar Year Lenticular Allowance 100% $64 Once per Calendar Year Contact Lenses Elective Allowance $200 $100 Once per Calendar Year Therapeutic Allowance 100% $210 Once per Calendar Year Frame Retail Allowance $200 $46 Once per Calendar Year Materials Allowance N/A N/A N/A Your plan also includes the following benefit option(s): Retail Chain Providers, Fitting and Evaluation Plan information is for illustrative purposes only. Please consult plan contract for specific benefit levels. Guardian Life Insurance Company of America 11 CITY OF LAKE ELSINORE GROUP PLAN #00519926 Current Voluntary Vision Plan Information AVESIS This plan is currently offered for Insurance Class 1, 3, 4, 5 and 6 PLAN BENEFITS SUMMARY In-Network Out-of-Network Frequency Exam Copay $20 $0 Once per Calendar Year Exam Allowance 100% $59 Once per Calendar Year Materials Copay $20 $0 Base Lenses Single Vision Allowance 100% $30 Once per Calendar Year Bifocal Allowance 100% $50 Once per Calendar Year Trifocal Allowance 100% $65 Once per Calendar Year Lenticular Allowance 100% $100 Once per Calendar Year Contact Lenses Elective Allowance $200 $120 Once per Calendar Year Therapeutic Allowance 100% $210 Once per Calendar Year Frame Retail Allowance $200 $70 Once per Calendar Year Materials Allowance N/A N/A N/A Your plan also includes the following benefit option(s): Retail Chain Providers, Fitting and Evaluation Plan information is for illustrative purposes only. Please consult plan contract for specific benefit levels. Guardian Life Insurance Company of America 12 CITY OF LAKE ELSINORE GROUP PLAN #00519926 Current Long Term Disability Plan Information This plan is currently offered for Insurance Class 3, 4 and 5 PLAN Monthly Benefit 66.7% to $5,000 Monthly Minimum Benefit $100 Elimination Period 30 days Benefit Duration To Age 67/Adea Own Occupation Period Own Occ/Any Occ Mo Ben Gainful Occupation 80% Pre-Existing Conditions 3/12 Exclusion Mental Nervous 2 years Substance Abuse 2 years Cost of Living (COLA) N/A Survivor Benefit 3 months Integration Full Family Rehabilitation Benefit Enhanced Rehab Plan information is for illustrative purposes only. Please consult plan contract for specific benefit levels. Because Guardian does not have visibility into the entire suite of benefits offered to your employees, it cannot ensure that any LTD product individually satisfies all applicable age discrimination laws. Employer's compliance with these laws is based on consideration of the entire benefit package provided. If a stand-alone compliant LTD product is required, you should contact your sales representative for available options. Guardian Life Insurance Company of America 13 CITY OF LAKE ELSINORE GROUP PLAN #00519926 Current Basic Life Plan Information This plan is currently offered for Insurance Class 1 LIFE BENEFITS . - Benefit Type Flat Multiple N/A Maximum Benefit $50,000 Earnings Definition N/A Guarantee Issue N/A Waiver of Premium Waived To Specific Age Elimination Period 9 month(s) Age Reduction Formula Age 70 35% Age 75 50% Accelerated Benefit Benefit % 75% Benefit Maximum $250,000 This plan is currently offered for Insurance Class 1 AD: D BENEFITS SUMMARY Benefit Type Flat Multiple N/A Maximum Benefit $50,000 Earnings Definition N/A Plan information is for illustrative purposes only. Please consult plan contract for specific benefit levels. Guardian Life Insurance Company of America 14 CITY OF LAKE ELSINORE GROUP PLAN #00519926 Current Basic Life Plan Information This plan is currently offered for Insurance Class 3 LIFE BENEFITS . - Benefit Type Flat Multiple N/A Maximum Benefit $270,000 Earnings Definition N/A Guarantee Issue N/A Waiver of Premium Waived To Specific Age Elimination Period 9 month(s) Age Reduction Formula Age 70 35% Age 75 50% Accelerated Benefit Benefit % 75% Benefit Maximum $250,000 This plan is currently offered for Insurance Class 3 AD: D BENEFITS SUMMARY Benefit Type Flat Multiple N/A Maximum Benefit $270,000 Earnings Definition N/A Plan information is for illustrative purposes only. Please consult plan contract for specific benefit levels. Guardian Life Insurance Company of America 15 CITY OF LAKE ELSINORE GROUP PLAN # 00519926 Current Basic Life Plan Information This plan is currently offered for Insurance Class 4 Benefit Type Flat Multiple N/A Maximum Benefit $150,000 Earnings Definition N/A Guarantee Issue N/A Waiver of Premium Waived To Specific Age Elimination Period 9 month(s) Age Reduction Formula Age 70 35% Age 75 50% Accelerated Benefit Benefit % 75% Benefit Maximum $250,000 This plan is currently offered for Insurance Class 4 D: D BENEFITS SUMMARY Benefit Type Flat Multiple N/A Maximum Benefit $150,000 Earnings Definition N/A Plan information is for illustrative purposes only. Please consult plan contract for specific benefit levels. Guardian Life Insurance Company of America 16 CITY OF LAKE ELSINORE GROUP PLAN #00519926 Current Basic Life Plan Information This plan is currently offered for Insurance Class 5 LIFE BENEFITS . - Benefit Type Flat Multiple N/A Maximum Benefit $100,000 Earnings Definition N/A Guarantee Issue N/A Waiver of Premium Waived To Specific Age Elimination Period 9 month(s) Age Reduction Formula Age 70 35% Age 75 50% Accelerated Benefit Benefit % 75% Benefit Maximum $250,000 This plan is currently offered for Insurance Class 5 AD: D BENEFITS SUMMARY Benefit Type Flat Multiple N/A Maximum Benefit $100,000 Earnings Definition N/A Plan information is for illustrative purposes only. Please consult plan contract for specific benefit levels. Guardian Life Insurance Company of America 17 CITY OF LAKE ELSINORE GROUP PLAN #00519926 Current Critical Illness Plan Information This plan is currently offered for Insurance Class 1, 3, 4, 5 and 6 PLAN BENEFITS SUMMARY EMPLOYEE SPOUSE CHILD(REN) Benefit Amount $1,000 N/A N/A Covered Conditions list Occurrence 2nd Occurrence Arteriosclerosis 30% 0% Benign Brain Tumor 75% 0% Carcinoma In Situ 30% 0% Heart Failure 100% 100% Heart Attack 100% 100% Invasive Cancer 100% 0% Infectious Contagious Disease N/A N/A Kidney Failure 100% 100% Organ Failure 100% 100% Skin Cancer $250 N/A Sudden Cardiac Arrest 0% N/A Stroke 100% 100% RIDER BENEFITS EMPLOYEE SPOUSE CHILD(REN) Hospital Admission Rider N/A N/A N/A Elimination Period N/A N/A N/A Wellness Rider N/A N/A N/A Alzheimer's For Parents $0 N/A N/A Recovery Supplement Benefit Included N/A N/A Cancer Death Benefit $0 N/A N/A Cancer Vaccine $0 N/A N/A Plan information is for illustrative purposes only. Please consult plan contract for specific benefit levels. Guardian Life Insurance Company of America 18 California SDBC Program Disclosure Important Information for Planholders with Guardian Dental Coverage California sitused Dental Plans are required to provide a state mandated Summary of Dental Benefits and coverage ("SDBC")disclosure matrix to eligible participants at time of enrollment to better compare and consider dental coverage options available to them. As your dental provider, please visit Guard ianAnytime.com to obtain an applicable SDBC disclosure that can be made available for distribution to eligible participants prior to enrollment. S Guardian° guardiananytime.com The Guardian Life Insurance Company of America,New York,NY.