Benefit Programs
Health & Prescription Drug Insurance Dental Insurance
Vision Insurance
Basic Group Term Life and AD&D Insurance
Voluntary Term Life Insurance Voluntary AD&D Insurance Short & Long Term Disability Long Term Care Insurance Flexible Spending Accounts
401(k) Retirement Savings Program Paid Time Off & Holidays
Buy Vacation Option
Employee Assistance Program Tuition Reimbursement Program
Wellness Programs
Wellness Committee Activities Onsite Wellness Center Annual Health Fair Event EAP Well Coaching Sessions CIGNA Services
Urgent and Convenience Care Healthy Pregnancy/Healthy Babies Your Health First
Comprehensive Oncology Go Mobile
Healthy Rewards
ERCOT is committed to assisting employees in maintaining a healthy, productive lifestyle for themselves and their families. We are proud to offer employees various comprehensive Health & Welfare Plans. Our Health & Welfare Plans focus on preventative health care services that protect employees and their families from the catastrophic financial loss that can result from injury or illness. Our 401(k) Plan offers pre-tax and Roth after-tax deferrals. Our 401(k) Plan also offers institutional share class mutual funds, Targeted Retirement Funds, and a Self-Directed Brokerage Account Option.
Service Center (877) 904-5169
ADP Portal Address https://portal.adp.com
Access: Self-Service/Payroll [email protected]
Access: Benefit Life Events [email protected]
Go Mobile Application Available to download through Portal ADP’s Employee Self Service Enrollment Module will walk you through each benefit plan to assist you in making your benefit elections for ERCOT’s group plans. You have 30 days from your date of hire to complete this process. You will be able to update your eligible dependents and life and AD&D beneficiary (ies) as well. When you are finished making your benefit elections and have reached the Benefits Summary page, be sure to click on the “Submit to Administrator” button. The ADP system will not record your benefits elections unless you click on the “Submit to Administrator” button.
An eligible employee is an employee who is regularly scheduled to work on a full-time basis for at least 30 hours per week and is not a limited assignment of contract worker. ERCOT, Inc. benefits begin on the 1st day of the month following date of hire. If you are hired on the 1st of the month, eligibility is that same day. Dependents eligible to enroll in our Employee Health & Welfare Plans include Spouses, qualifying same sex Domestic Partners and dependent children up to the age of 26.
Eligibility
With the exception of the 401(k) plan, the plan year for our benefits is from July 1st - June 30th of each year. An open enrollment period for benefits will be announced annually in May. The open enrollment period is your only
opportunity to enroll or make changes to certain benefit programs unless you experience a permitted change event in your family. The 401(k) plan year is from January 1st - December 31st of each year. However, with this plan, deferral and investment changes can be accepted at any time.
Our Plan Year
ADP’s Enrollment Module
Benefits At A Glance
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Benefit Providers
Health & Prescription Drug Insurance
CIGNA
Dental Insurance
CIGNA
Vision Insurance
VSP
Term Life & AD&D Insurance
CIGNA
Short & Long Term Disability
CIGNA
Long Term Care Insurance
UNUM
Flexible Spending Accounts
Conexis
401(k) Retirement Savings Plan
Fidelity and AON Investment Consulting
Employee Assistance Program
Alliance Work Partners
Questions, Issues, or Concerns?
Contact Gallagher Benefit Services at
(512) 499-8005 or 1-800-492-8005
and ask to speak with a Benefits Specialist.
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ERCOT offers two health plans through CIGNA’s Open Access Plus network of providers. Neither plan requires a Primary Care Physician or referrals to specialists. Both plans also offer disease management programs, lifestyle management programs and wellness opportunities.
Note: Deductible and maximums are calculated on a calendar year basis, not plan year.
CIGNA offers several valuable services as part of your health care plan. These programs are designed to maximize your access to quality health care when you need it most.
Urgent and Convenience Care Healthy Pregnancy/Healthy Babies Your Health First
Comprehensive Oncology GoMobile
Healthy Rewards
Health & Prescription Drug Insurance
Benefit Basic Plan Buy Up Plan
In-Network Out-of-Network In-Network Out-of-Network
Deductible (Calendar Year) $1,250 per person ($3,750 per family) $2,500 per person ($7,500 per family) $1,000 per person ($3,000 per family) $2,000 per person ($6,000 per family) Out-of-Pocket Maximum (Calendar Year) $3,500 per person ($10,500 per family) $6,000 per person ($18,000 per family) $2,500 per person ($7,500 per family) $5,000 per person ($15,000 per family)
Co-insurance & Hospital Services
Inpatient and Outpatient
80% after deductible 50% after deductible 90% after deductible 60% after deductible Physician Office Visit
Primary Care Physician Specialist $30 copay $40 copay 50% after deductible $20 copay $30 copay 60% after deductible
Airrosti Office Visit $15 copay $15 copay
Emergency Room
Treatment $150 copay $150 copay
Emergency Room
Physician Charges 80% 90%
Urgent Care
Facility and Physician included in copay $50 copay $25 copay Preventative Care 100% no deductible, no copay 50% after deductible 100% no deductible, no copay 50% after deductible Prescription Drugs Retail - up to a 30 day supply
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Dental Insurance
Benefit Preventive Basic Major Orthodontia(Adults & Children)
Deductible
(Calendar Year) None
$50 per person
$150 per family None
Plan Pays 100% 80% 50% 50%
Plan Maximums $2,000 per person per calendar year $1,500 per person
per lifetime
ERCOT offers a single Dental Choice (DPPO)plan through CIGNA.
Through this plan you are not required to have a Primary Care Dentist and have access to In and Out-of-Network dental providers.
Vision Insurance - 100% Employer Paid Premium
ERCOT offers the Signature Plan through Vision Service Providers (VSP). ERCOT pays 100% of the premium cost for Employee and Dependent coverage.
Benefit Your coverage from a VSP Provider
Exam $20 copay, once every 12 months Lenses $25 copay, once every 12 months Frames Up to $130 allowance every 12 months Contacts (in lieu of prescription glasses) Up to $130 allowance every 12 months
CIGNA’s Treatment Cost Estimator
You can estimate and plan for your dental care costs using the Treatment Plan Cost Estimator on myCIGNA.com. The estimator makes it easy and convenient for
you and your family to utilize the benefits associated with receiving dental care.
VSP Diabetic Eyecare Program
The Diabetic Eyecare Program (DEP) provides medical eyecare services for members with Type 1 Diabetes. Designed to enhance VSP’s Signature Plan and reinforce the Eye Health Management message, the Diabetic Eyecare Program supports the concept that a VSP doctor should be a member’s first call for all vision-related concerns and not just for a routine eye exam.
VSP Contact Lens Care Program
VSP’s Contact Lens Care Program includes the newest and most popular contact lenses in the marketplace, including soft specialty lenses like toric, multifocal, and silicone hydrogel. In fact, the program covers more than 68% of the soft contact lenses dispensed in the marketplace today!
VSP Online Ordering Program - A 24/7 Retail Eyewear Solution
Today, the Internet is an integral part of our lives, including how we shop. About 14% of Americans purchase eyewear online, and this number is rising quickly. Guiding the cutting edge of technology and innovation, VSP is developing an online optical retail solution to meet the demands of this changing marketplace by offering convenient access to quality eyewear brands. The excitement has begun! In our first phase, which began July 2011, we’re pleased to present:
more than 100 popular brands of contact lenses with free delivery;
coordination with VSP doctors to ensure quality of care and the ability to browse hundreds of the latest sunglass styles and find VSP doctors that carry their favorites;
virtual try-on tools, where members can see how frames look on their face.
Beginning Summer 2012, VSP doctors will begin featuring Eyeconic™ storefronts as extensions of their practices,
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ERCOT provides Group Term Life and Accidental Death & Dismemberment Insurance to all benefit eligible employees at no cost to employees through CIGNA. Evidence of insurability is not required.
Life Benefit: 1x Annual Salary
Life Benefit Maximum: $400,000
AD&D Benefit: 1x Annual Salary AD&D Benefit Maximum: $400,000
Basic Group Term Life & AD&D Insurance - 100% Employer Paid Premium
Voluntary Term Life & AD&D Insurance
Employees may apply for Additional Life and AD&D Insurance for themselves and their families to supplement the coverage provided by ERCOT. Additional Life and AD&D Insurance is also provided by CIGNA and may be purchased through payroll deductions.
Employee Maximum Benefit: 5x Annual Salary or $500,000
Increments: $1,000
Open Enrollment Guarantee: $10,000
Spouse Maximum Benefit: Lesser of 100% of Employee amount or $500,000
Increments: $1,000
Open Enrollment Guarantee: N/A
Child(ren) Maximum Benefits: Up to $10,000
Increments: $1,000
Guaranteed Issue Amount: $10,000
Voluntary Term Life
Monthly Rate Per $1,000 of Benefits:
Age Employee Spouse
<25 $0.081 $0.081 25-29 $0.069 $0.069 30-34 $0.077 $0.077 35-39 $0.110 $0.110 40-44 $0.156 $0.156 45-49 $0.246 $0.246 50-54 $0.381 $0.381 55-59 $0.574 $0.574 60-64 $0.978 $0.978 65-69 $1.658 $1.658 70-74 $2.958 $2.958 75-80 $5.984 $5.984
Child(ren) Voluntary Life Monthly Rate: $0.20 per $1,000
$10,000 = $2.00 per month; insures all of your children.
Voluntary AD&D Monthly Rate per $1,000 of Benefits:
Employee $0.025
Spouse $0.045
Child(ren) $0.045
Note: All of you and your family’s current life and AD&D coverages have conversion and portability options. This means that you can take the policy with you if you leave ERCOT’s employment.
Our life, accident, and disability plans include several valuable programs at no additional cost to help you and
your family with your health, well-being, and sense of security throughout your lifetimes. Please see your
benefits book or the intranet for more information. Identity Theft Program
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Disability Benefits - 100% Employer Paid Premiums
Short and Long Term Disability benefits are provided to you for your income protection in the event you become disabled and unable to work due to a non-occupational illness or injury. ERCOT provides all benefits eligible employees with Short and Long Term Disability coverage through CIGNA at no cost to employees.
Short Term Disability pay may begin on the 8th calendar day of absence and the maximum benefits duration is up to 26 weeks/182 calendar days. If you meet your Short Term Disability benefit maximum, your claim may be transferred and you may continue to draw benefits under the Long Term Disability benefit option. CIGNA Is responsible for administering and reviewing your disability claims.
Long Term Disability
Monthly Benefit: 60% of monthly income 1
Maximum Benefit: $10,000 per month
Minimum Benefit: $100 or 10% of benefit
Benefit Elimination Period: 182-day period 2
Rehabilitation Period: Included
Survivor Benefit: 3 months lump sum
Maximum Benefit Duration: Social Security Normal Retirement Age Pre-Existing Conditions: 3 months prior / 12 months insured 3
Earnings Definition: Employee’s annual wage or salary excluding
bonuses, commissions, overtime pay or extra compensation.
1. Monthly benefits will be offset by any Social Security benefits received during the disability period and starts on the 183rd day of disability. 2. STD pay must be exhausted before LTD pay begins.
3. Pre-Existing Condition Exclusion applies to conditions for which you receive medical services within 3 months of the coverage effective date. No Long Term Disability benefits are payable for disability resulting from such a condition if the disability period begins within the first 12 months of coverage.
Long Term Care Insurance - Basic Plan - 100% Employer Paid Premiums
ERCOT provides Basic Long Term Care Insurance through UNUM at no cost to employees. Basic Long Term Care benefits may begin after a 90 day Elimination Period and can provide either a $1,000 per month Facility benefit, 60% Assisted Living Facility benefit or 50% Professional Home Care benefit. The Basic Lifetime Benefit Maximum is $36,000. Employees may also apply for Additional Long Term Care Insurance for themselves and their families to supplement the basic coverage provided by ERCOT. Additional Long Term Care Insurance is also provided by Unum and employee and spouse coverages are purchased through payroll deduction.
Note: This coverage has a portability option. This means you can take your policy with you if you leave ERCOT.
Short Term Disability
Weekly Benefit:
<1 year of service 60% Weekly Income
1-2 years of service 70% Weekly Income
2-3 years of service 80% Weekly Income
3-4 years of service 90% Weekly income
4+ years of service 100% Weekly Income
• Benefit Elimination Period: 7-day period
• Maximum Benefit Duration: 26 weeks (182 calendar days)
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Flexible Spending Account
Flexible Spending Accounts (FSA) help you save money by using pre-tax dollars for qualified health care and dependent care expenses.
Plan Highlights
Minimum/Maximums Annual Elections:
Health Care - $100/$5,000/per employee; Dependent Care - $100/$5,000/per household
Your annual elections must remain the same throughout the plan year unless you have a permitted event. HCA Grace Period
You have until September 15, 2013 to incur eligible expenses and avoid the use it or lose it IRS rule. HCA and DCA Claim Run Out Period
You have until September 30, 2013 to submit your claims incurred during the plan year (07/01/2012-06/30/2013).
All employees participating in a HCA will have access to a stored value debit card. Additional cards and replacement cards may be requested once your account has been set up. Go to www.conexis.com to request additional cards.
Reminder: The IRS “Use it or Lose it” rule applies to both accounts.
Health Care FSA (HCA)
You can set aside up to $5,000 in a tax-free (from Social Security, Medicare, and Income Tax) FSA account.
Use pre-tax dollars to pay for medical, dental, vision care and medications or medical supplies. You have immediate access to the entire contribution amount from the first day of the benefit year, before all scheduled contributions have been made.
Your FSA may be used for eligible expenses* for any qualified dependent as defined by the IRS.
Dependent Care FSA (DCA)
You can set aside up to $5,000 per household in a tax-free (from Social Security, Medicare, and Income Tax) FSA account.
You only have access to the contributions that have been made up to the time of your claim. Eligible expenses* include costs for daycare, day camps and elder care.
You and your spouse must be working to qualify for this benefit.
*Reference IRS Publication 502 for healthcare expenses & IRS Publication 503 for dependent care expenses: Healthcare Expenses: http://www.irs.gov/publications/p502/
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401K Retirement Savings Plan
ERCOT offers a 401(k) Plan through Fidelity to help employees set aside pre-tax and post-tax dollars for their retirement. Eligible employees may enroll in the 401(k) plan at any time.
Employee Contributions
Employees may elect in whole percentages to defer pre-tax and/or post-tax contributions. Auto-enrollment after 30 days of employment will be selected for you at a 3% deferral and invested in a Targeted Retirement Fund if you have not made a deferral or an investment election.
Company Contributions
Employees may contribute up to 99% of their salary each pay period subject to IRS deferral maximums. ERCOT currently matches 75% of the employee’s contribution up to 6%. ERCOT currently contributes a fixed non-elective contribution at 10% of salary for all employees (regardless of employee contribution).
Vesting Schedule
The Company Vesting Schedule is based upon years of employment with ERCOT.
Investments Options 15 Mutual Funds
11 Targeted Retirement Funds
Self-Directed Brokerage Account (SDBA)
Vesting Schedule for Company Match
Completion of 1 year employment 20%
Completion of 2 years employment 40%
Completion of 3 years employment 60%
Completion of 4 years employment 80%
Completion of 5 years employment 100%
Vesting Schedule for Fixed Non-Elective Contribution
Completion of 1 year employment 0%
Completion of 2 years employment 0%
Completion of 3 years employment 100%
Vacation
Paid vacation time is based upon years of service with ERCOT and is accrued on a per pay period basis.
Standard Paid Vacation Accrual Schedule
1st until the 5th year of continuous
service 2 weeks (80 hours) 5th until the 10th year of continuous
service 3 weeks (120 hours) 10+ years of continuous service 4 weeks (160 hours)
Sick Leave
Employees may receive up to 10 sick days per year. Sick leave is accumulated on a per pay period basis.
Holidays
ERCOT employees receive up to 12 paid holidays per year, including 8 regularly scheduled holidays and up to 4 floating holidays.
ERCOT Recognized Holidays
New Year’s Day Memorial Day Independence Day Labor Day
Thanksgiving Day
Friday Following Thanksgiving Christmas Eve
Christmas Day
Floating Holidays Pro-rated based on date of hire for first year
January 1 - February 28/29 4 floating holidays March 1 - May 31 3 floating holidays June 1 - August 31 2 floating holidays September 1 - November 30 1 floating holiday December 1 - December 31 0 floating holidays
Buy Vacation
Employees can elect to buy up to forty (40) hours of vacation (increments of 8 hours) upon hire and during open enrollment periods.
Paid Time Off & Holidays
Financial Planning Session
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Employee Assistance Program - 100% Employer Paid Premium
ERCOT provides an Employee Assistance Program with Alliance Work Partners to all employees and their dependents at no cost to employees. The EAP provides professional counseling and confidential assistance for a variety of personal and workplace issues. There are four different programs that are accessible to you through the EAP: Counseling, Work/Life Services, Help Net and Wellness Coach.
Tuition Reimbursement Program
Traditionally, employees take advantage of tuition reimbursement to earn their undergraduate and graduate degrees, however, this benefit can also be used for all career-enhancing coursework within established guidelines that promote professional development. All active full-time ERCOT employees who have completed six months of service are eligible to receive $5,000 per calendar year to use toward educational enrichment. Management approval is required before the start of coursework and proof of successful completion is required prior to receiving reimbursement.
This brochure highlights some of the main features of your benefit programs, but does not include all plan rules, features, limitations or exclusions. The terms of your benefit plans are governed by legal documents, including insurance contracts. Should there be any inconsistencies between this brochure and the legal plan documents, the plan documents are the final authority.
Well Coaching Sessions
EAP Is available to meet with employees on a one-on-one quarterly basis to discuss your personal health and well-being concerns and questions.
EAP Contact Information:
Group # ERCOT
Teen Hotline: 800-343-8336 or 512-328-1144 Customer Service: 800-334-3822
Customer Service Hours: 24 hours per day / 365 days per year www.alliancewp.com
*Note: Domestic Partner rates are subject to post-tax deductions and imputed income.
Total Monthly Premium Employer Pays (Monthly) Employee Monthly Premium Employee Pays (Per Pay Period)
Health Basic Plan
Employee: $500.11 $476.11 $24.00 $12.00 Employee + Spouse/Domestic Partner:* $1,014.02 $953.02 $61.00 $30.50 Employee + Child(ren): $891.46 $838.46 $53.00 $26.50 Employee + Family: $1,445.94 $1,358.94 $87.00 $43.50
Health Buy-Up Plan
Employee: $593.68 $486.68 $107.00 $53.50 Employee + Spouse/Domestic Partner:* $1,245.93 $1,009.93 $236.00 $118.00 Employee + Child(ren): $1,058.23 $858.23 $200.00 $100.00 Employee + Family: $1,716.43 $1,392.43 $324.00 $162.00
Dental Plan
Employee: $30.39 $30.39 $0.00 $0.00
Employee + Spouse/Domestic Partner:* $66.84 $60.84 $6.00 $3.00 Employee + Child(ren): $54.67 $49.67 $5.00 $2.50 Employee + Family: $115.44 $107.44 $8.00 $4.00
Vision Plan
Employee: $5.12 $5.12 $0.00 $0.00
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