HomeMy WebLinkAboutGuardian 2023 Renewal Package It's renewal
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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.