FULL-TIME HOURLY & SALARIED TEAM MEMBERS
PRESENTS
Full-Time Hourly Team Members have at least one year of service and twelve-month average weekly hours of 30 or more
Your 2016 Bi-Weekly Benefits Rates*
Dental
Plan Name You Only You + Spouse/Domestic
Partner You + Child(ren) You + Family
MetLife Basic 10.37 22.79 19.69 32.07
MetLife Plus 18.99 41.72 36.03 58.81
Vision
Plan Name You Only You + Spouse/Domestic
Partner You + Child(ren) You + Family
EyeMed Basic 2.64 5.02 5.28 7.77
EyeMed Plus 5.46 10.37 10.91 16.04
MetLife Defender Identity Theft Protection
Plan Name You Only You + Spouse/Domestic
Partner You + Child(ren) You + Family
MetLife Defender 6.92 11.54 9.23 13.85
Supplemental Life Insurance
Team Member and Spouse/Domestic Partner Rates per $1,000 of Coverage
Age Non-Smoker Smoker
Less than 25 .016 .017 25 – 29 .018 .018 30 – 34 .024 .026 35 – 39 .028 .030 40 – 44 .031 .033 45 – 49 .046 .049 50 – 54 .071 .075 55 – 59 .132 .139 60 – 64 .202 .214 65 – 69 .390 .411 70 – 74 .390 .666 75 and older .390 1.080
Supplemental AD&D
You Only You + Family
$20,000 .22 .35 $50,000 .55 .88 $100,000 1.11 1.75 $150,000 1.66 2.63 $200,000 2.22 3.51 $250,000 2.77 4.38 $300,000 3.32 5.26
Child Life
$5,000 .22 $10,000 .44Short-Term Disability
(Full-Time Hourly Team Members)Weekly Benefit Maximum Rate
$125 7.00
$250 14.00
Legal Plan
The rate for Legal coverage is $6.23 per bi-weekly paycheck.
*Rates shown would be taken from your paycheck on a bi-weekly basis. If you are paid weekly, divide these rates by 2.
Medical
Plan Name You Only You + Spouse/Domestic
Partner You + Child(ren) You + Family
BCBS $6,000 Deductible 31.26 69.40 58.53 78.66
BCBS $3,000 Deductible 79.32 175.17 154.69 232.51
BCBS $1,500 Deductible 129.68 285.88 255.32 393.54
Enroll Online
ANY TIME, DAY OR NIGHT AT WWW.BRINKERNATION.COM
1. Log in to Brinker Nation
2. Click “Speed Key”, “Health & Wellness Center”, then choose your team member group 3. Click “Enroll Online”
NOTE: To maintain your privacy, please enroll outside the restaurant from any computer with Internet access (ex. home, public library, Internet café). Be sure to close any open browser windows once your enrollment is complete. Never leave a computer unattended while enrolling for benefits online.
If you need help with online enrollment or if you don’t have internet access, contact us at (800) 334-4783.
Overview of Your Benefits
Benefit Plan
Highlights
Medical Three plans* to choose from. Each plan includes:
Prescription drugs Free preventive care visits
The Compass Health Pro – A personal health advisor
An Employee Assistance Program, a free service to help you with a broad range of issues, such as emotional issues, stress and family problems (available even if you don’t enroll in benefits)
Dental Two dental plans to choose from:
Basic plan covers basic dental services Plus plan offers a higher level of coverage
Vision Two vision plans to choose from: Basic Plan covers one pair of glasses or contacts annually
Plus Plan covers two pairs of glasses and one pair of contacts annually
Both plans include a $10 copay for your annual exam
Life and AD&D Free basic life insurance from Brinker
Need extra protection? You can buy supplemental life and AD&D coverage
Disability Benefits that replace part of your pay when you can’t work due to illness or injury
Flexible Spending Accounts (FSAs) (eligible after 1 year of service)
Accounts to use for eligible health care and dependent care expenses that you pay out of pocket
Debit card for the Health Care FSA
Legal Assistance Hyatt Legal Plan offers low-cost legal services
Identity Theft
Protection MetLife Defender provides protection for your personal, financial, and medical information * A Kaiser HMO plan continues to be available for Team Members in California only.
Eligibility
SALARIED TEAM MEMBERS
You are eligible to enroll within 31 days of hire or during Open Enrollment
FULL-TIME HOURLY TEAM MEMBERS
You become eligible to enroll in full-time plans:
At your one-year anniversary, if your 12-month average weekly hours are 30 or more
At Open Enrollment, if your 12-month average weekly hours are 30 or more when eligibility is determined for the following year
Your most recent average hours information is available online. Visit the Health & Wellness Center at www.BrinkerNation.com, click “Enroll Online,” log in, and click “View Average Hours and Arrears.”
Paying for Your Benefits
Medical, dental, vision and Flexible Spending Account (FSA) contributions are pre-tax. All other benefits are paid for with post-tax dollars.
FULL-TIME HOURLY TEAM MEMBERS
If your paycheck doesn’t cover the amount of your premiums, you must pay the balance due within 30 days of the paycheck date. You can pay the balance due (called arrears) by check, money order or credit card. Be sure to include your Employee ID number and send payments to:
Brinker International Attention: Benefit Arrears
6820 LBJ Freeway Dallas, TX 75240
To pay by credit card, visit the Health & Wellness Center at www.BrinkerNation.com to get a credit card authorization form or contact the Brinker Benefits Service Center at [email protected] or (800) 334-4783.
Covering Your Dependents
If you enroll in coverage, you can also cover your spouse or domestic partner and eligible children. Proof of eligibility is required for all dependents who are new to the plans or existing dependents whose relationship has changed.
When You Can Make Changes
Choose carefully. The IRS only allows you to make changes during the year if you have a qualified family status change (ex. you get married, birth or adoption of a child, lose or gain other coverage). To change your coverage, call the Brinker Benefits Service Center at (800) 334-4783. If you request a change within 31 days of the event, coverage will be effective the date of the event.
HIPAA S
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nrollmentr
IgHtSIf you are declining enrollment for yourself or your eligible family members (including your spouse) because of other health insurance coverage, you may be able to enroll yourself or your dependents in the Brinker benefits plans in the future, as long as you request enrollment within 31 days after your other coverage ends. In addition, if you have a new family member as a result of marriage, birth, adoption or placement for adoption, you may be able to enroll yourself and your family, as long as you request enrollment within 31 days after the marriage, birth, etc.
When Coverage Begins
SALARIED TEAM MEMBERS
If you enroll within 31 days of your hire date, coverage will begin on the first day of the month following your hire date. If you enroll during Open Enrollment, coverage will begin January 1 of the following year.
FULL-TIME HOURLY TEAM MEMBERS
If you enroll within 31 days of your one-year anniversary, coverage will begin on the first day of the month following your anniversary date.
If you enroll during Open Enrollment, coverage will begin January 1 of the following year.
When Coverage Ends
SALARIED TEAM MEMBERS
Coverage is effective through the calendar year (January 1 – December 31), unless:
Your employment with Brinker ends (coverage is effective through your last day worked).
You fail to make timely payments. If coverage is terminated, you are still responsible for any outstanding balance.
FULL-TIME HOURLY TEAM MEMBERS
Coverage is effective for 12 months, unless:
Your employment with Brinker ends (coverage is effective through your last day worked).
You fail to make timely payments (coverage ends the last day of the month after the 30-day payment period). You are still responsible for any outstanding balance.
If your benefits are canceled because you didn’t pay your premiums, your next opportunity to re-enroll will be the next Open Enrollment period (unless you have a qualified family status change). Any outstanding balance must be paid before you can re-enroll. COBRA is not offered when coverage is canceled due to non-payment.
2016 Medical Plans
EXAMPLES OF PRIMARY CARE: Family Practice Pediatrics Obstetrics/Gynecology Internal Medicine Mental Health Social Worker Speech Therapy Physician Assistant Certified Nurse Midwife Registered Nurse Nutrition Dietetics Marriage & Family Therapy EXAMPLES OF SPECIALISTS: Orthopedic Surgery Dermatology Physical Therapy Radiology/Radiation Allergy Podiatry Cardiology Opthamology Neurology Oncology General Surgery Gastroenterology Chiropractor
BCBS $6,000 Deductible BCBS $3,000 Deductible BCBS $1,500 Deductible Kaiser HMO (CA only)
In-network Out-of-network1 In-network Out-of-network1 In-network Out-of-network1 In-network only
You Pay
Plan Features
Annual Medical Deductible $6,000/person$9,000/family $12,000/person$24,000/family $3,000/person$5,000/family $12,000/family$6,000/person $1,500/person$3,500/family $12,000/family$6,000/person $1,000/person $2,000/family Out-of-pocket Maximum2 $6,000/person
$9,000/family $24,000/person$48,000/family $5,000/person$8,000/family $12,000/person$24,000/family $4,000/person$7,000/family $12,000/person$24,000/family $3,000/person $6,000/family
Lifetime Maximum none none none none
Wellness Account
(provided by Brinker) $1,000 (after completing a biometric screening
3
and connecting with Compass in 2016) none none none
Physician (medical and mental health)
Preventive Care no cost
100% up to annual deductible; then 40% up to out-of-pocket max no cost 100% up to annual deductible; then 40% up to out-of-pocket max no cost 100% up to annual deductible; then 40% up to out-of-pocket max no cost Office Visits - Primary Care
100% up to annual deductible; then $0
$50 Copay $35 Copay
$20 copay ($5 copay for alcohol and chemical dependency group therapy) Office Visits - Specialist deductible; then 20% up 100% up to annual
to out-of-pocket max
100% up to annual deductible; then 20% up to
out-of-pocket max
Urgent Care $50 Copay $35 Copay
Hospital (medical and mental health)
Emergency Room $250 Copay4
100% up to annual deductible; then 20% up to out-of-pocket max Hospital Care deductible; then $0100% up to annual deductible; then 40% up 100% up to annual
to out-of-pocket max 100% up to annual deductible; then 20% up to out-of-pocket max 100% up to annual deductible; then 40% up to out-of-pocket max 100% up to annual deductible; then 20% up to out-of-pocket max 100% up to annual deductible; then 40% up to out-of-pocket max Prescription Drugs (does not apply to the annual medical deductible; does apply to the out-of-pocket maximum)5
Retail Prescriptions $100 prescription deductible per covered family member - brand drugs only
Generic $10 copay $10 copay
Preferred Brand 20% ($35 min/$75 max) $30 copay
Other Brand 40% ($70 min/$150 max) N/A
Mail-order Prescriptions Not subject to retail prescription deductible
Generic $25 copay $20 copay
Preferred Brand 15% ($95 min/$200 max) $60 copay
Other Brand 35% ($150 min/$250 max) N/A
1 These charges are subject to the usual and customary (U&C) amount, which is the amount charged for similar services and supplies in your area.
2 Once you reach this maximum for a given plan year, covered expenses are paid at 100%. Prescription expenses apply towards the out-of-pocket maximum only.
3 Biometric screening includes blood pressure, cholesterol, triglycerides, glucose, and waist circumference measurements.
4 Copay only applies to medical emergencies as defined in the Summary Plan Description. Medical deductible/co-insurance will apply to non-emergency treatment received in the Emergency Room.
Mental Health/Chemical Dependency
Mental health and chemical dependency treatment is covered under all of Brinker’s medical plans. For BCBS members, all treatment must be pre-authorized by BCBS by calling the number on the back of your medical ID card.
The Compass Health Pro
Available to participants enrolled in any BCBS plan.
Healthcare is confusing, complex, and frustrating at times; Compass is available to help
lift the burden. Their services will help you make cost effective healthcare choices. Here
are some of the ways they can support you:
Compare costs for procedures your doctor is recommending Unbiased in-network doctor recommendations based on your needs Hospital & physician cost and quality information
Bill reviews
There are many ways to ‘Connect’ with a Compass HealthPro! Register on the Compass Member Portal – member.compassphs.com, via email – [email protected], or by phone - (855) 748-3413.
The Wellness Account
Available to participants enrolled in the $6,000 deductible BCBS plan only.
For medical and prescription drug expenses:
EARN a $1,000 Wellness Account deposit by ‘connecting’ with Compass (see options above) AND completing a biometric screening* in 2016. The credit will be automatically added to your Wellness Account within a few weeks of completion of both requirements. You can use the money to help pay for eligible out-of-pocket medical and prescription drug expenses for you and your enrolled dependents. For instructions, including your options to complete your screening, please visit the Medical section in the Health and Wellness Center on BrinkerNation.com OR contact Compass!
* Biometric screening includes blood pressure, cholesterol, triglycerides, glucose, and waist circumference measurements.
Wellbeing
Available to participants enrolled in any BCBS plan.
Watch for information about an exciting Wellbeing website that will not only help you set individual wellbeing goals and track improvement, but will also give you the opportunity to challenge and motivate your fellow BrinkerHeads.
Dental
Brinker offers two MetLife dental plans to choose from:
Vision
Brinker offers two EyeMed vision plans to choose from:
Note: The Basic plan covers either one pair of glasses OR contacts each year. The Plus plan covers two pairs of glasses AND contact lenses each year.
1You pay any charges above the Usual and Customary (U&C) charge. 2Reimbursed monthly.
3MetLife preferred provider discounts still apply after your annual maximum has been met (if allowed in your state).
MetLife Basic MetLife Plus
In-network Out-of-network1 In-network Out-of-network1
You Pay
Deductible $25/person
$75/family $150/family$50/person $25/person $75/family $150/family$50/person Preventive care 10%, no deductible 10% after deductible Free, no deductible Free after deductible
Basic Care 20% after deductible 10% after deductible
Major Care 50% after deductible 40% after deductible
Orthodontia2 50%, no deductible
(children up to age 19 only) (team member, Spouse/DP, and children up to age 19 only)40%, no deductible Plan Pays
Annual maximum benefit (all services
except orthodontia)3 $1,500/person $1,000/person $2,000/person $1,500/person
Lifetime orthodontia
benefit $1,500/person $1,000/person $2,000/person $1,500/person
EyeMed Basic EyeMed Plus
In-Network Out-of-Network1 In-Network Out-of-Network1
You Pay Annual
Comprehensive Eye Exam
• $10 copay • Any amount over $40 • $10 copay • Any amount over $40
Eyeglass Lenses Single Vision, Bifocal, Trifocal2
• Once per year • $25 copay
• Once per year
• Single Vision: Any amount over $25
• Bifocal: Any amount over $40 • Trifocal: Any amount over $65
• Twice per year • $25 copay
• Twice per year
• Single Vision: Any amount over $25
• Bifocal: Any amount over $40 • Trifocal: Any amount over $65
Frames Any available frame at a provider location
• Once per year
• Any amount over $130 less 20% discount
• Once per year • Any amount over $65
• Twice per year
• Any amount over $130 less 20% discount
• Twice per year • Any amount over $65
Contact Lenses • Once per year in lieu of lenses • Standard Fit and Follow-Up: Up
to $40
• Premium Fit and Follow-Up: 90% of retail cost
• Conventional: Any amount over $105 less 15% discount
• Disposable: Any amount over $105 • Medically Necessary: No charge
• Once per year in lieu of lenses • You pay fit and follow-up in
full
• Any amount over $84 for conventional or disposable contact lenses
• Any amount over $200 for medically necessary contact lenses
• Once per year
• Standard Fit and Follow-Up: Up to $40
• Premium Fit and Follow-Up: 90% of retail cost
• Conventional: Any amount over $400 less 15% discount
• Disposable: Any amount over $400 • Medically Necessary: No charge
• Once per year
• You pay fit and follow-up in full
• Any amount over $280 for conventional, disposable or medically necessary contact lenses
1For out-of-network services, you pay the provider at the time of service and then submit a claim form for reimbursement.
2UV coating, tint, and standard scratch resistance available for $15 each. Other add-on lens options are also available at discounted rates.
To receive services, give the dental provider your social security number and let them know that you have coverage through MetLife. Or, you can print an ID card at www.metlife.com/mybenefits.
BUSINESS TRAVEL ACCIDENT
Brinker automatically provides salaried team members Business Travel Accident Insurance at 3 times your annual salary, up to the plan maximum.
Life Insurance
SALARIED TEAM MEMBERS:
Brinker provides Basic Life coverage equal to 2 times your annual salary (up to $1,000,000) at no cost to you.
FULL-TIME HOURLY TEAM MEMBERS:
Brinker provides Basic Life Insurance of $5,000 at no cost to you.
You can also buy additional Life Insurance coverage for you and your family. A statement of Health Form may be required. This coverage is provided through MetLife.
Free Will preparation by Hyatt Legal Plans is available for team members who enroll in Supplemental Life coverage with MetLife. To access this service, call Hyatt Legal Plans’ Toll-Free Number (800) 821-6400 and reference the Brinker International Group #98029 and the last 4 digits of your Social Security or Employee ID number.
Accidental Death & Dismemberment (AD&D)
SALARIED TEAM MEMBERS:Brinker provides you with Basic AD&D coverage equal to 2 times your annual salary (up to $500,000) at no cost to you.
AD&D coverage pays a benefit if you or a covered family member dies or is injured as a result of an accident. You can choose coverage in amounts from $20,000 to $300,000 for yourself and your eligible dependents. This coverage is provided through MetLife. Please refer to your Summary Plan Description for full details.
If you have … The dependent benefit available is …
A spouse or domestic partner only 60% of your coverage (minimum $10,000; maximum $180,000)
Children, but no spouse 20% of your coverage (minimum $20,000 per child; maximum $25,000 per child) A spouse or domestic partner
AND children Children — 10% of your coverage (minimum $20,000 per child; maximum $25,000 per child) Spouse or domestic partner — 50% of your coverage
Coverage for ... Amount of additional coverage available ... You 1 to 5 times your annual salary,
up to $2 million Your spouse or domestic partner $25,000* or 1 to 3 times your annual salary, up to $100,000 Your children $5,000 or $10,000
NOTE: Spouse/domestic partner or child coverage can’t exceed your supplemental coverage amount.
* $25,000 spouse or domestic partner guarantee issue amount is only available during your initial eligibility period.
Flexible Spending Accounts (FSAs)
FSAs allow you to set aside pre-tax dollars from each paycheck to reimburse yourself for eligible out-of-pocket health and dependent
care expenses. You can participate in the FSA plans when you reach your one-year anniversary. These plans are “use it or lose it” so plan carefully.
FSA Plan Minimum
Contribution ContributionMaximum Eligible Expenses Incur Claims Submit Claims By
Health Care $50 $2,550 Qualified medical, prescription
drug, dental and vision expenses
Jan 1, 2016 - Mar 15, 2017
April 30, 2017
Dependent Care* $50 $5,000 Qualified day care costs for
children under age 13
Jan 1, 2016 - Dec 31, 2016
April 30, 2017
Short-Term Disability (STD)
SALARIED TEAM MEMBERS
Brinker provides this plan to you at no cost. It replaces all or part of your pay when you can’t work due to pregnancy or a non-work related illness or injury. Benefits start on the 8th day of your disability.
FULL-TIME HOURLY TEAM MEMBERS
You can elect Short-Term Disability (STD) benefits, provided through Nationwide, to replace part of your pay when you can’t
work due to pregnancy or a non-work related illness or injury. To receive STD benefits, report your leave of absence to the Brinker Benefits Service Center and submit the required disability certification form from your doctor.
Full-Time Hourly Disability Benefits at a Glance —
Benefits begin ... On the 15th day of disability
Plan pays ... 50% of your base pay (including tips, but not overtime) up to a maximum weekly dollar amount of $125 or $250, depending on which amount you elect Benefits continue ... Up to 26 weeks (continuing proof of disability is required)
Note: This plan is underwritten by Nationwide Life Insurance Company.
If you live in California, Hawaii, New Jersey, New York or Rhode Island, this benefit is not available. You automatically pay for state disability insurance through your paycheck.
Long-Term Disability (LTD)
(SALARIED TEAM MEMBERS ONLY)
Brinker provides you LTD benefits at no cost. This benefit replaces 50% of your earnings, including salary and bonuses, up to $10,000 per month.
LTD benefits will begin if you are still disabled and unable to work after exhausting your Short-Term Disability benefits. You must be approved by MetLife to receive LTD benefits and payments may continue up to age 65 (if certain requirements are met).
Legal Plan
The Hyatt Legal plan gives you and your family low-cost access to legal services. The plan includes unlimited phone calls and office visits for wills and estate planning, debt matters, traffic ticket defense, family law, civil lawsuits, tax audits, real estate matters and immigration assistance.
MetLife Defender Identity Theft Protection
Common events like paying bills, downloading songs or submitting a college application can make you vulnerable to cyber-criminals. MetLife Defender uses patented technology to secure personal information and prevent hackers. Services include: credit monitoring, credit restoration, personal and medical data protection, online account privacy monitoring, and cyber predator protection. To learn more about this product, visit the Other Benefits section in the Health & Wellness Center on BrinkerNation.com.
Coverage under this plan is available for you, your spouse or domestic partner, and your children up to age 26.
Salary Continuation Benefits at a Glance
(For Salaried Team Members)
Length of salaried
service 100% of payMonths at 60% of payMonths at
Less than 2 years 0 4
2 years up to 3 years 1 3
This brochure is intended to be only an overview of the Brinker benefit plans. The complete details about how the plans work are included in the summary plan description and plan documents, which are available on request from the insurance carrier or the Brinker Benefits Service Center. If there are any inconsistencies between this brochure and the plan documents, the plan documents will govern. The company reserves the right to change or end the Brinker benefit plans at any time.
October 2015
Benefits Website
www.BrinkerNation.com
(select “Health & Wellness Center” from the Speed Key)
Brinker Benefits Service Center email: [email protected]
(800) 334-4783
Blue Cross Blue Shield
Group #089529 www.bcbs.com (866) 350-0744 CVS Health Group #BIPCRX www.caremark.com (877) 347-7444
Compass Health Pro
member.compassphs.com
email: [email protected] (855) 748-3413
EyeMed Vision Care Basic: Group # 9700188 Plus: Group # 9700196 www.eyemed.com (866) 299-1358 Fidelity Brinker 401(k) Plan www.401k.com (800) 835-5095 Hyatt Legal Plan www.legalplans.com (800) 821-6400 Kaiser HMO North: Group #35895 South: Group #131395 www.kaiserpermanente.org (800) 464-4000
Magellan Behavioral Health EAP
www.magellanhealth.com (800) 424-6615
MetLife Defender Identity Theft Protection
www.metlifedefender.com (800) 438-6388 MetLife Dental Basic: Group #302111 Plus: Group #302110 www.metlife.com/mybenefits (800) 942-0854
MetLife Long-Term Disability
(Salaried Only) (800) 638-2242
MetLife Supplemental AD&D (800) 638-6420
MetLife Supplemental Life Insurance
Policy #121380 (800) 638-6420
Nationwide Short-Term Disability (Full-Time Hourly Only)
(866) 457-8809
PayFlex Flexible Spending Accounts
Employer ID 122888 www.healthhub.com (800) 284-4885
WageWorks Wellness Account www.wageworks.com
(877) 924-3967
