2013 BENEFITS OPEN ENROLLMENT

ooo oc-. January 1, 2023 – December 31, 2023. 2023.

Who can enroll? Employees working at least 30 hours/week New Hire Waiting Period: First of the month following 60 days of continuous employment Legal spouse IRS Qualified Dependent children under the age of 26 (will term end of month after 26th birthday).

When can you enroll? Within 30 days of your date of hire During annual enrollment Within 30 days of a Qualifying Event.

Key Medical Benefits BCBSLA HDHP $3,300 In-Network Out-of-network Deductible (Individual/Family) $3,300 / $6,600 $6,600 / $13,200 Out-of-Pocket Maximum (Individual/Family) $6,350 / $12,700 $12,700 / $25,400 Coinsurance (Member Pays) 30% 50% CCP’s Contribution to your HRA (per calendar year) $600 Individual / $1,450 Family Covered Services Office Visit (Physician/Specialist) Deductible & Coinsurance Deductible & Coinsurance Routine Preventive Care Covered at 100% Coinsurance; Deductible does not apply Outpatient Diagnostic Lab/X-ray Deductible & Coinsurance Deductible & Coinsurance Outpatient Surgery Deductible & Coinsurance Deductible & Coinsurance Inpatient Hospital Stay Deductible & Coinsurance Deductible & Coinsurance Emergency Room Deductible & Coinsurance Deductible & Coinsurance Urgent Care Facility Deductible & Coinsurance Deductible & Coinsurance.

Key Medical Benefits BCBSLA HDHP $3,300 In-Network Out-of-network Covered Services Office Visit (Physician/Specialist) Deductible & Coinsurance Deductible & Coinsurance Routine Preventive Care Covered at 100% Coinsurance; Deductible does not apply Outpatient Diagnostic Lab/X-ray Deductible & Coinsurance Deductible & Coinsurance Outpatient Surgery Deductible & Coinsurance Deductible & Coinsurance Inpatient Hospital Stay Deductible & Coinsurance Deductible & Coinsurance Emergency Room Deductible & Coinsurance Deductible & Coinsurance Urgent Care Facility Deductible & Coinsurance Deductible & Coinsurance.

Prescription Drugs (Tier 1/Tier 2/Tier 3) Retail Pharmacy (30-day supply) Deductible then Generic – 30% Brand – 50% Mail Order (90-day supply).

HOW TO ENROLL. https://www.dayforcehcm.com company name = capitolcityproduce username = firstname.lastname Click on the benefits tab to access the 2023 Open Enrollment portal.

The deadline to enroll is November 25 2022. Please remember if you fail to complete your online enrollment, you will not be able to change your benefit elections until the next open enrollment period..