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Benefits
Medical/Rx Plan Overview
Otto
Candies Provides:
• A comprehensive medical/prescription
drug plan for you and your eligible dependents.
• Premium contributions for the plan are deducted via payroll on a pre-tax
basis.
| Plan Benefit |
|
In-Network |
Out-of-Network |
| Deductible (Individual/Family) |
|
$250/$750 |
$500/$1,500 |
|
|
|
|
| Out of Pocket Expense |
|
$2,000/$6,000 |
$4,000/$12,000 |
|
| Physician's Copay |
PCP |
$15 |
60% after |
|
Specialist |
$30 |
Deductible |
|
| Inpatient Hospital |
|
80% after |
60% after |
|
|
Deductible |
Deductible |
|
|
plus $200 per |
plus $200 per |
|
|
confinement copay |
confinement copay |
|
| ER Treatment |
|
$100 copay |
$100 copay |
|
| Lifetime Maximum |
|
$1,000,000 |
$1,000,000 |
|
| Prescription Drugs |
Generic |
$10 |
|
Brand w/no generic available |
$50 |
|
Brand w/generic available |
$10 + cost difference for brand |
| ***This is not a complete
list of services. |
Life/AD&D Plan Overview
Otto Candies Provides:
- Basic life insurance for you, your spouse
and your dependent children at no cost to you
- Basic Accidental death and dismemberment
insurance for you at no cost to you
- The option of buying additional insurance
for you and your family
Basic Life Insurance
- Life insurance for you - $50,000
- Accidental Death and Dismemberment Insurance
for you - $50,000
- Spouse - $12,500
- Each dependent child - $5,000
What is evidence of insurability?
Evidence of insurability is a medical
questionnaire provided by the carrier to assess if you
are insurable for higher levels of life insurance over
the guaranteed issue amount. You are also required to complete an Evidence of Insurability
form if you enroll outside of your initial new hire eligibility
period.
Supplemental Life Insurance
If you want additional financial protection
for you and your family, you can purchase:
| Benefit |
New
Hire Guarantee
Issue Amount |
Maximum
Benefit Amount |
| Supplemental
Life Insurance for you |
$200,000 |
$500,000 |
Supplemental
Life Insurance for your
spouse |
$20,000 |
$100,000
(cannot exceed 50% of employee amount) |
Supplemental
Life Insurance for each
dependent child |
$10,000 |
$10,000 |
What is Accidental Death & Dismemberment
(AD&D) Insurance?
Accidental Death & Dismemberment
Insurance is similar to regular life insurance. If you
die in an accident (for example: an automobile accident),
your beneficiary will receive the amount of your AD&D
coverage in addition to your life insurance benefit. Insurance
also pays a benefit if you are seriously injured in an
accident. Part of your benefit may be paid to you if you
lose a limb (like your arm) or the ability to see, hear,
talk or become physically disabled (for example: if you
are paraplegic). |
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