2016 employee benefit summary · 2016-06-27 · according to section 125 of the internal revenue...

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2016 Employee Benefit Summary

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Page 1: 2016 Employee Benefit Summary · 2016-06-27 · according to Section 125 of the Internal Revenue Code. Elections made under Section 125 rules remain in effect for the entire plan

2016 Employee Benefit Summary

Page 2: 2016 Employee Benefit Summary · 2016-06-27 · according to Section 125 of the Internal Revenue Code. Elections made under Section 125 rules remain in effect for the entire plan

Summary

This summary offers an overview of benefits offered at Greenville Health System (GHS). The information should not be construed as a promise or guarantee of benefits or a contract of employment. GHS reserves the right to modify, amend, suspend or end a plan at any time. If a conflict exists between the information provided in this summary and actual plan documents or policies, the documents or policies will govern. Fees are subject to change as plan costs change and/or employee elections change. See your official plan documents for specific details.

Availability of Summary Health Information

Choosing a health coverage option is an important decision. To help you make an informed choice, your plan makes available a Summary of Benefits and Coverage (SBC), which summarizes important information about any health coverage option in a standard format.

The SBC is available at www.mybensite.com/greenvillehr/. A paper copy also is available free of charge by calling 1-800-922-1185.

Page 3: 2016 Employee Benefit Summary · 2016-06-27 · according to Section 125 of the Internal Revenue Code. Elections made under Section 125 rules remain in effect for the entire plan

Got a question?See page 4 for helpful resources.

Table of ContentsResource List .................................................................................................................................................4

Benefit Eligibility and Enrollment ............................................................................................................5

Benefit Plan Enrollment .............................................................................................................................6

Instructions for Benefits Enrollment ...................................................................................................... 7

Employer-sponsored Benefit Plans

Health Plan Highlights ........................................................................................................................8

Disease Management and Care Coordination Programs ...................................................... 10

Prescription Drug Benefits ............................................................................................................... 11

Medical and Prescription Drug Premiums ................................................................................. 13

HealthTrack™ ...................................................................................................................................... 14

Dental Plan Highlights ...................................................................................................................... 16

Flexible Spending Account .............................................................................................................. 17

Basic Life and AD&D Insurance .................................................................................................... 18

Short- and Long-term Disability Insurance ................................................................................ 19

Voluntary Benefit Plans

Vision .................................................................................................................................................... 20

Supplemental Life Insurance ......................................................................................................... 22

Accidental Death & Dismemberment ........................................................................................ 24

Cancer Insurance .............................................................................................................................. 25

Other Benefits and Discounts

Retirement Savings Plans ............................................................................................................... 26

Paid Time Off ..................................................................................................................................... 28

Additional Health Programs .......................................................................................................... 29

Health Discounts ............................................................................................................................... 31

Assistance Programs ........................................................................................................................32

Work/Life Balance ............................................................................................................................33

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Page 4: 2016 Employee Benefit Summary · 2016-06-27 · according to Section 125 of the Internal Revenue Code. Elections made under Section 125 rules remain in effect for the entire plan

Resource List

Customer service professionals are available at the following toll-free numbers:

General Benefits GHS (864) 797-7900 www.mybensite.com/greenvillehr

Provider Directory MyHealth First Network 1-844-MyHFN-MD (694-3663) www. myhfn.org/directory

Medical BCBS SC 1-800-922-1185 www.SouthCarolinaBlues.com

Prescription Drug OPRX (Upstate Pharmacy) Envision Rx

(864) 455-8910 1-800-361-4542

www.ghs.org/formulary www.envisionrx.com

Dental BCBS SC 1-800-922-1185 www.SouthCarolinaBlues.com

Flexible Spending Account Stanley, Hunt, DuPree & Rhine

1-800-768-48731-800-930-2441 www.shdr.com/flex

Basic Life and AD&D The Standard 1-888-937-4783 www.standard.com

Short-term Disability CIGNA 1-800-36-CIGNA (362-4462) www.mycigna.com

Long-term Disability CIGNA 1-800-36-CIGNA (362-4462) www.mycigna.com

Physician IDI: Individual Disability Income UNUM 1-800-633-7490 www.unum.com

Vision VSP 1-800-877-7195 www.vsp.com

Supplemental Term Life The Standard 1-888-937-4783 www.standard.com

Supplemental Universal Life Colonial Life 1-800-625-4341 www.coloniallife.com

Voluntary AD&D The Standard 1-888-937-4783 www.standard.com

Cancer Plan Colonial Life 1-800-325-4368 www.coloniallife.com

Retirement Savings Plan Prudential 1-877-PRU-2100 (778-2100) www.prudential.com/ghs

For options to help your savings grow, see pages 26-27. For education and adoption assistance, and for upstate products and services discounts, see pages 29-33.

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Page 5: 2016 Employee Benefit Summary · 2016-06-27 · according to Section 125 of the Internal Revenue Code. Elections made under Section 125 rules remain in effect for the entire plan

Dependents

Legal Spouse (common-law marriage is recognized in South Carolina)Request the Common-law Marriage Affidavit from your Benefits Representative.

ChildEmployee’s natural, adopted stepchild or child for whom the employee has legal custody who is under age 26. Coverage will end at the end of the month in which the child turns 26.

Documentation

Documentation of dependent eligibility is required at enrollment. Acceptable forms:

• Spouse: Marriage license or Common-law Marriage Affidavit

• Natural Child Documentation: Birth certificate (S.C. wallet card is NOT accepted); for S.C. birth certificates, go to www.scdhec.net/vr/birth.htm or call 1-803-898-3630

• Adopted Child: Court Order of Adoption or Placement for Adoption

• Stepchild: Marriage license and child’s birth certificate

• Foster Child: Legal document of Placement for Foster Care

• Child under Your Legal Guardianship: Court Order of Guardianship

• Incapacitated Child: Notify your Benefits Representative

• Other: Qualified Medical Child Support Order (QMCSO)

You must provide a photocopy of the documentation to your Benefits Representative within 30 days of hire.

GHS Employee Benefits DepartmentThe Employee Benefits Department is open weekdays 8 a.m.-5 p.m.

Got a Benefits Question?• Benefits

(864) 797-7900

• HealthTrack Programs (864) 454-TRAK (8725)

• Prudential Retirement (864) 455-1632 or (864) 454-8664

Benefit Eligibility and Enrollment

Depending on your employment status, you are eligible for different benefits:

Full Time (at least 36 hrs. per wk.)

Part Time (at least 16 hrs. per wk. regular schedule)

PRN (work varying intervals for definite/indefinite period)

Health PlanPrescription Drug PlanDental Plan Employee Wellness Plan Flexible Spending Short-term DisabilityLong-term DisabilityBasic Life and AD&D Vision PlanSupplemental Life Voluntary AD&D Cancer Plan Retirement SavingsPaid Time Off

Health PlanPrescription Drug PlanDental Plan Employee Wellness Plan Flexible SpendingVision Plan Supplemental LifeVoluntary AD&D Cancer Plan Retirement SavingsPaid Time Off

Employee Wellness Classes

Retirement Savings

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Page 6: 2016 Employee Benefit Summary · 2016-06-27 · according to Section 125 of the Internal Revenue Code. Elections made under Section 125 rules remain in effect for the entire plan

Benefit Plan Enrollment

New Hire Enrollment

New hires must enroll in their benefits on eNet (your self-service portal) within 30 days of their hire date. Benefits are effective the first of the month following 30 days of hire.

Mid-year Enrollment

Mid-year changes to benefit elections can be made only if you experience a life event (change in family circumstances) such as loss of coverage AND complete any enrollment changes within 30 days from the date of the event. Premiums will be due for any missed deductions.

Family status changes/life events include the following:

• Marriage or divorce (legal separation is not recognized in South Carolina)

• Gain or loss of an eligible dependent for reasons such as birth, adoption, court order, disability, death, marriage or reaching the child age limit

• Changes in your spouse’s employment that affect benefit eligibility

• Changes in your spouse’s benefit coverage with another employer that affect benefit eligibility

• Change in your work status (for example, PRN to part-time)

A premium reconciliation will be calculated by your Benefits Representative. Any refund due to you, or retroactive premium owed, will be calculated to the life event date. Life event changes are completed through paper enrollment. Contact your Benefits Representative to receive an enrollment packet.

Documentation of the life event is required within 30 days of the event. Once documentation of the life event is received, coverage will become effective the date the life event occurred. Benefits changes will not be effective until the appropriate documentation has been received and processed by the Benefits department.

If you experience a change in employment status—non-benefit eligible Float Pool (PRN) status to benefit eligible full- or part-time status—you will receive an enrollment packet from your Benefits Representative. Please complete your benefit elections through paper enrollment and return the packet to your Benefits Representative within 30 days of the event.

Open Enrollment

This is your annual opportunity to review and modify your benefit election. Information regarding Open Enrollment is communicated each fall.

Employee Contributions

In most cases, the required premiums/contributions are deducted on a pre-tax basis according to Section 125 of the Internal Revenue Code. Elections made under Section 125 rules remain in effect for the entire plan year (Jan. 1-Dec. 31) unless a change occurs in family circumstances.

Coverage goes into effect Jan. 1, unless otherwise indicated. The enrollment process iscompleted on eNet.

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Any change in your benefit elections must be consistent with a life event.

Page 7: 2016 Employee Benefit Summary · 2016-06-27 · according to Section 125 of the Internal Revenue Code. Elections made under Section 125 rules remain in effect for the entire plan

Instructions for Benefit Plan Enrollment

Step 1–Log onto eNet

Instructions are available on the Plexus home page. You may access eNet two ways:

From a GHS computer, go to Plexus. Under Apps & References, click eNet. Log into eNet, then select Employee Self-Service.

From home, go to www.ghs.org:

1. Click the Employee Access link at the top right of the page.

2. Click eNet Access under Applications.

3. Wait for eNet Sign-in screen to appear.

4. Enter your network ID and password.

5. Click Login.

Step 2–Add/Edit Dependents

You must add any new dependents you will cover before beginning your enrollment. In the Benefits section of eNet, click Dependents. Please confirm that your dependent’s date of birth and Social Security number are both correct.

Step 3–Begin Enrollment

In the Benefits section of eNet, click Open Enrollment. Throughout the process, make sure that you read everything carefully. You will be responsible for knowing and complying with the information provided.

Step 4–Spousal Disclosure Page

Select the appropriate option from the list provided, then click Continue. If a spouse is eligible for group health coverage through his or her employer but covered under the GHS Health Plan, a premium surcharge of $75 per paycheck will be applied.

Step 5–Your Enrollment Options

Select or decline coverage for each benefit type listed. If you do not want coverage for a specific benefit option, choose Decline for that option. If you elect coverage, select the family members you want covered. Costs are displayed biweekly (every two weeks).

Step 6–Update and Complete Enrollment

Click Update to finalize your selection. You will receive a confirmation message that your enrollment is complete. Remember: Enrollment is not final until you Click Update.

Step 8–Print Your Confirmation

Know the location of the printer. Keep the confirmation for your records as proof of enrollment elections.

Step 9–Dependent Documentation

Provide documentation of your newly added dependent’s eligibility to your Benefits Representative within 30 days of change in eligibility or date of hire.

For your convenience, your eNet User ID and Password are the same as your Network ID and Password.

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Page 8: 2016 Employee Benefit Summary · 2016-06-27 · according to Section 125 of the Internal Revenue Code. Elections made under Section 125 rules remain in effect for the entire plan

Health Plan Highlights

What is Health Insurance?

Health insurance is a program that helps pay for medical expenses. As a full- or part-time employee, you have the option of enrolling in the GHS Health Plan, which includes preventive care.

Current GHS employees and covered spouses must complete a Health Risk Assessment (HRA) and wellness screening by Oct. 31, 2016, to receive discounted premiums for the 2017 plan year. The wellness screening results, along with your claims information provided by the health plan, will become a part of your medical record maintained by GHS. This record will assist your physicians in treating and coordinating healthcare for you and your dependents.

New employees hired in 2016 and their covered spouses must complete the online HRA and wellness screening (or acceptable documentation) within 60 days of hire date to receive discounted premiums.

MyHealth First Network

MyHealth First Network (MyHFN) is the preferred provider network (Tier 1) for the GHS Health Plan. MyHFN is a clinically integrated network of approximately 2,000 physicians and healthcare providers that includes GHS and its employed doctors. The network currently spans 11 counties in South Carolina: Abbeville, Anderson, Greenville, Greenwood, Laurens, McCormick, Newberry, Oconee, Pickens, Saluda and Spartanburg. The network’s large geographic footprint enhances its ability to manage large patient populations, offering greater access to care and choice of providers.

For a list of all MyHFN providers, including participating hospitals, please visit www.myhfn.org/directory or call 1-844-MyHFN-MD to find a provider near you.

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GHS Physician Finder 1-844-GHS-DOCS (447-3627) Toll free Mon.-Fri., 8 a.m.-8 p.m.

This service helps you find the primary care physician, medical provider or specialist who best meets your needs and then helps schedule an appointment—in just one call!

Page 9: 2016 Employee Benefit Summary · 2016-06-27 · according to Section 125 of the Internal Revenue Code. Elections made under Section 125 rules remain in effect for the entire plan

Health Plan Features GHS Health Plan Out-of-area PlanTo qualify for this plan, an employee’s home and primary work location must be outside a 30-minute drive time from any hospital in the MyHealth First Network (MyHFN)

Preferred Provider Networks GHS/MyHFNBCBS Network

GHS/MyHFNBCBS Network

Calendar-year DeductibleGHS/MyHFNBCBS NetworkOut of Network

Individual:$750$1,500$3,000

Family:$2,250$4,500$9,000

Individual:$750$1,000$3,000

Family:$2,250$3,000$9,000

Out-of-pocket Maximum(includes annual deductible, coinsurance and copayments)

GHS/MyHFN–MedicalBCBS Network–MedicalRxOut of Network–Medical/Rx

Individual:$3,500$5,400$1,200Unlimited

Family:$7,000$10,800$2,400Unlimited

Individual:$3,500$5,400$1,200Unlimited

Family:$7,000$10,800$2,400Unlimited

CoinsuranceGHS/MyHFNBCBS NetworkOut of Network

20% coinsurance40% coinsurance50% coinsurance

10% coinsurance30% coinsurance50% coinsurance

Office VisitsPrimary Care PhysicianGHS/MyHFNBCBS Network

$20 copay$60 copay

$20 copay$40 copay

Specialist Office VisitGHS/MyHFNBCBS Network

$50 copay$80 copay

$40 copay$60 copay

X-rays Deductible + coinsurance Deductible + coinsurance

Out-of-network Office Visits Out-of-network deductible + 50% Out-of-network deductible + 50%

Wellness Services (In-network Only)Including but not limited to … Routine Physical & Immunizations, Annual GYN Exam/Mammo. Screening, Colonoscopy/Prostate Screening, Well Child Exams

GHS/MyHFN:Plan pays 100%

GHS/MyHFN:Plan pays 100%

BCBS Network:BCBS deductible + 40% coinsurance

BCBS Network:Plan pays 100%

Outpatient Behavioral Health & Addiction Services

$20 copay $20 copay

Emergency & Urgent Care Emergency Room Visit (waived if admitted)

$200 copayIf the visit is not deemed a true emergency, deductible and 50% coinsurance will apply.

$200 copayIf the visit is not deemed a true emergency, deductible and 50% coinsurance will apply.

Urgent Treatment Centers $50 copay$75 copay (out of network)

$40 copay $60 copay (out of network)

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Page 10: 2016 Employee Benefit Summary · 2016-06-27 · according to Section 125 of the Internal Revenue Code. Elections made under Section 125 rules remain in effect for the entire plan

Disease Management and Care Coordination Programs

The Disease Management and Care Coordination Programs are coordinated healthcare interventions and communications that help employees and dependents who have certain chronic conditions practice self-care efforts to manage their disease, reduce their risks, and prevent complications.

Employees meet with their health coaches or care managers through telephone calls and/or one-on-one meetings to set goals, develop action plans and review progress. Participants receive appropriate resources and learn to better understand and manage their medications. Health coaches and care managers also maintain communication with the participant’s medical providers, ensuring that all members of the care team, including the participant, are on the same page.

Eligibility Requirements

The program is offered to employees and their spouses covered under the GHS Health Plan who have a confirmed diagnosis for one or more of the following chronic conditions: diabetes, congestive heart failure, chronic obstructive pulmonary disease, asthma, hypertension (high blood pressure), hyperlipidemia (high cholesterol) or any complex, uncontrolled medical condition.

Employees are identified for participation in the programs through a monthly, systematic review of various sources. These include clinical data sources such as medical insurance claims, lab results, pharmacy data, electronic medical records or care management reports.

Once identified, employees are automatically enrolled and are sent a welcome package with detailed information about the program. They may opt out if they choose not to participate.

Employees who think they qualify but have not received a welcome packet may self-refer for further eligibility review.

For more information, contact [email protected] or (864) 522-2060.

The Disease Management and Care Coordination Programs work with all providers in the MyHealth First Network assisting employees in the management of chronic disease.

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Page 11: 2016 Employee Benefit Summary · 2016-06-27 · according to Section 125 of the Internal Revenue Code. Elections made under Section 125 rules remain in effect for the entire plan

Prescription Drug Benefits

What is a Prescription Drug Plan?

Prescription drug plans help pay for prescription drugs and medications.

GHS Prescription Drug Plan

• Plan participants can access drug formulary and information on OPRX, an online tool to help employees manage prescription drug costs. Compare generic and brand name drugs and find helpful resources for information on different medications. Find OPRX at www.ghs.org/formulary and on Plexus.

• Brand name drugs, if generic is available, require that the participant pay the full negotiated price of the brand-name drug (brand-name copay plus the difference between the brand-name and generic cost).

• Maintenance medications must be filled at any Upstate Pharmacy or by mail order through Upstate Pharmacy. Two refills are allowed at a pharmacy other than Upstate Pharmacy.

Upstate Pharmacies offer participants in the prescription drug plan several options, including the following:

• Both 30- or 90-day fills are available. (Please allow 24-48 business hours to fill 90-day prescriptions.)

• Courier delivery of prescriptions to GHS facilities without an Upstate Pharmacy location.

Prescription Drug Benefit

Upstate Pharmacy(30-day supply)

No deductible

Upstate Pharmacy(90-day supply)

No deductible

Includes mail order

Envision Rx Retail PharmaciesCVS, BI-LO, Publix, Walgreens, etc.

(30-day supply)

$50 calendar-year deductible (per person), waived for out-of-area participants

Generic $5 copay $10 copay $10 copay

Preferred Brand $30 $60 $50

Non-preferred Brand

$45 $90 $65

Specialty Generic $50 copay N/A Must be filled at an Upstate Pharmacy

* Specialty Medication

$100 copay N/A Must be filled at an Upstate Pharmacy

* Common conditions that require specialty medications are blood disorders, hepatitis C, HIV/AIDS, infertility, multiple sclerosis, chemotherapy and transplants. Some examples of specialty medications are the brand names Humira, Enbrel and Sprycel.

Save OPRX to your mobile phone’s home screen! Go to www.ghs.org/formulary.

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Page 12: 2016 Employee Benefit Summary · 2016-06-27 · according to Section 125 of the Internal Revenue Code. Elections made under Section 125 rules remain in effect for the entire plan

Courier delivery of prescriptions is available to GHS campuses that don’t have an Upstate Pharmacy location.

Upstate Pharmacy Locations

Upstate Medical PharmacyGreenville Memorial Hospital701 Grove RoadGreenville, SC 29605(864) 455-8910

Upstate Pharmacy–Cross Creek 111 Doctors DriveGreenville, SC 29605 (864) 797-7170

Upstate Pharmacy–CFM Center for Family Medicine877 W. Faris DriveGreenville, SC 29605 (864) 455-6330

Upstate Pharmacy–Eastside 200 Patewood Drive, Suite B150Greenville, SC 29615(864) 454-2369

Upstate Pharmacy–Greer (drive-through)845 S. Buncombe RoadGreer, SC 29650(864) 522-1700

Upstate Pharmacy–IMA1025 Verdae Blvd., Suite AGreenville, SC 29607 (864) 286-7545

Upstate Pharmacy–Oconee Oconee Memorial Hospital298 Memorial DriveSeneca, SC 29605(864) 885-7336

Upstate Specialty Pharmacy Available by phone 24/7 (864) 522-1721

For more information about Upstate Pharmacy locations, hours and services, visit http://www.ghs.org/healthcareservices/upstate-pharmacy.

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Page 13: 2016 Employee Benefit Summary · 2016-06-27 · according to Section 125 of the Internal Revenue Code. Elections made under Section 125 rules remain in effect for the entire plan

Medical and Prescription Drug Premiums

• Employees and spouses who enroll in a GHS Health Plan and complete an HRA and wellness screening by Oct. 31, 2015, will receive a premium discount (see below).

• Employees whose spouses are eligible for their own employers’ plan will pay a $75 surcharge per pay period to cover their spouse in a GHS Health Plan. This does not apply to those who are self-employed; retired; enrolled in Medicare, Tricare or Cobra; or a GHS employee married to a GHS employee.

• Every two weeks, GHS pays between $232 and $830 toward health insurance costs for each full-time employee.

• Your cost is based on employment status, coverage level, base hourly rate of pay and your plan.

• Premiums are automatically adjusted if you have a status change that affects your cost.

• The HR/Payroll System automatically sets up deduction arrears if you do not receive a paycheck or your pay is insufficient to take a deduction (for example, you are on an unpaid leave of absence or FMLA). When a paycheck is next processed, deductions in arrears will be taken—the result could mean little or no net pay on your first check(s) upon return to work.

Every two weeks, GHS pays between $232 and $830 toward health insurance costs for each full-time employee.

BIWEEKLY PREMIUMS FOR FULL- AND PART-TIME EMPLOYEES

BiweeklyHourly Wage

GHS Health Plan w/o Discount

GHS Health Plan with Discount

Out-of-area Plan w/o Discount

Out-of-area Plan with Discount

Full- time

Part- time

Full- time

Part- time

Full- time

Part- time

Full- time

Part- time

EMPL

OYE

E O

NLY

Less than $15$15-$24.99$25-34.99$35 and over

$38$41$44$47

$95$102$110$118

$33$35$38$40

$82$88$95$100

$40$43$46$49

$100$107$115$122

$34$37$40$42

$85$92$100$105

EMPL

OYE

E &

SPO

USE

Less than $15$15-$24.99$25-34.99$35 and over

$139$150$161$173

$209$225$242$260

$119$128$137$148

$179$192$206$222

$146$157$169$182

$219$236$254$273

$125$134$144$155

$188$201$216$233

EMPL

OYE

E &

CH

ILD

REN Less than $15

$15-$24.99$25-34.99$35 and over

$132$141$152$163

$198$212$228$245

$113$120$130$139

$170$180$195$209

$138$149$160$172

$207$224$240$258

$118$127$136$147

$177$191$204$221

FAM

ILY

Less than $15$15-$24.99$25-34.99$35 and over

$180$194$208$224

$270$291$312$336

$153$165$177$191

$230$248$266$287

$189$204$219$235

$284$306$329$353

$161$174$187$200

$242$261$281$300

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Page 14: 2016 Employee Benefit Summary · 2016-06-27 · according to Section 125 of the Internal Revenue Code. Elections made under Section 125 rules remain in effect for the entire plan

HealthTrack

Free to all GHS employees and their spouses, HealthTrack services are available onlineand in person to assist and motivate participants in reaching and maintaining their health goals. A component of Business Health, HealthTrack collaborates with many GHS units to create a systemwide culture of wellness.

HealthTrack offers health risk assessments, wellness screenings, health education seminars and programs, incentive programs and more—all at no cost!

2017 Health Insurance Premium Discount Requirements

GHS employees and covered spouses must complete a wellness screening and online HRA by Oct. 31, 2016, to receive a premium discount in 2017. To complete your HRA and schedule your wellness screening, log on to OneCommunity, the GHS wellness portal, at www.ghsonecommunity.com. If you are new to OneCommunity, register your account, and then log on.

Note to new employees: In order to qualify for the premium discount, you and your covered spouse must complete a wellness screening and online HRA within 60 days of hire date.

About Your HRA

Your HRA can help you identify potential factors that may affect your health. The Health Report generated for you in OneCommunity provides a snapshot of your overall health as well as education about certain risk factors and suggestions for how you can better manage your health.

About Your Wellness Screening

GHS believes that it is important for all employees to be aware of and manage their health and wellbeing. Annual wellness screenings are the first step toward your awareness of your personal health status. When you are healthy, GHS is healthy—and better able to serve its mission to heal compassionately, teach innovatively and improve constantly.

Each year, GHS offers complimentary wellness screenings to employees and their spouse. The wellness screening includes a full lipid panel (total cholesterol, LDL, HDL, triglyceride) and A1c (diabetes indicator) blood draw along with height, weight, waist, and blood pressure measurements.

In 2016, employees can take part in interactive opportunities to understand what their personal numbers mean and learn more about available GHS resources.

Each month, between April 1 and Sept. 30, 2016, screening services will visit one campus. At the first of each quarter, watch the GHS e-newsletter What’s Happening at GHS and Plexus for the2016 Screening Schedules. Schedule your screening on OneCommunity.com.

OneCommunityOneCommunity is GHS’ portal for employee health and wellness. Go to www.ghsonecommunity.com to complete your Health Risk Assessment (HRA), schedule a wellness screening, review your health score, and take advantage of the many programs and activities HealthTrack offers.

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New for HealthTrack in 2016

HealthTrack’s goal in 2016 is to meet employees wherever they are in their wellness journey. To encourage and motivate employees, HealthTrack has revamped its incentive program to offer more choices and reward accomplishments more quickly.

Now, for the first time, all full-and part-time employees can earn incentives for participating in health and wellness activities. Membership in the GHS Health Plan is not required! Here are three exciting features:

New in 2016

• NO categories! Complete any activity from our expanded list of programs, classes and events. Find these under the Opportunities tab on onecommunity.com.

• NO requirements based on screening results. Choose the activities you want to do.

• Instant incentives (HealthTrack points). Complete an activity and earn instant reward points—then redeem them for great gifts on an online mall. (No more semi-annual incentives!)

Each employee can earn a total of 3,000 HealthTrack Points between Nov. 1, 2015-Oct. 31, 2016. Points are awarded after a completed activity is logged in OneCommunity.

Getting Started

Log on to www.ghsonecommunity.com. If you are new to OneCommunity, register your account and then log on.

Complete the HRA. The earlier you start, the more time you have to earn points.

Note: Wellness screenings are not required to earn and redeem Healthtrack Points. However, getting a screening sometime during the year is highly encouraged. Screenings are free to all employees and a great way to keep track of your health goals.

Redeeming Your Points

Log on to your account in www.ghsonecommunity.com. Click the Opportunities tab, then click on the “piggy bank” icon to get to the online mall.

Your Opportunities page will show the points you have accumulated—the online mall will show you how many points you have left to redeem.

Points earned Nov. 1, 2015-Oct. 31, 2016, will expire on Oct. 31, 2016.

Wellness specialists are assigned to each campus to assist with HealthTrack programsand answer questions about OneCommunity, rebate incentives and other services. Tospeak with a wellness specialist, call 454-TRAK. At the prompt, enter the number givenfor the campus most convenient to you.

Confidentiality Note• All employee information

remains confidential and is not shared with management staff.

• Access is limited—information that includes identifiable personal health information is used only in connection with evaluation, diagnosis, treatment and monitoring.

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Page 16: 2016 Employee Benefit Summary · 2016-06-27 · according to Section 125 of the Internal Revenue Code. Elections made under Section 125 rules remain in effect for the entire plan

Dental Plan Highlights

What is Dental Insurance?

Dental insurance pays a portion of costs associated with dental care. The GHS Dental Plan includes 100% coverage for preventive care.

GHS offers dental benefits to full- and part-time employees and their eligible dependents. Coverage is effective the first of the month following 30 days of employment.

This plan, administered by BCBS, lets you receive care from any licensed dental provider. However, if your dentist is in the BCBS network, you will not have to pay charges over the BCBS reimbursement amount (reasonable and customary).

New for 2016Use your full Calendar-year Maximum Benefit for non-preventive care. Preventive services, such as cleanings, are not applied to your maximum benefit.

Dental Plan Features Coverage Levels

Calendar-year Deductibleper person

$25

Calendar-year Maximum Benefitper person

$2,000

Preventive/Diagnostic Servicesincludes exams, cleanings, X-rays

100%, No Deductible

Basic Servicesincludes fillings, extractions, endodontics, periodontics

80% After Deductible

Major Servicesinlays, onlays, bridges, dentures, other crowns

50% After Deductible

Orthodontia Serviceslimited to covered dependent children under age 19

50% After Deductible

Orthodontia Lifetime Maximumper person—limited to covered dependent children under age 19

$2,000

Reasonable and Customary Charges 90th Percentile

Dental Plan (Biweekly Cost)

Full-time Employee Part-time Employee

Employee Only $4.46 $4.91

Family $13.49 $15.70

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Want to Know More?Find details about flexible spending accounts including a full list of covered healthcare and dependent care expenses at www.shdr.com/flex or contact SHDR Customer Service at 1-800-930-2441 or [email protected]

Flexible Spending Account (FSA)

Flexible Spending Accounts (FSAs) allow you to set aside money on a pre-tax basis to pay for expenses not covered under a traditional medical, dental or vision plan, or to help cover dependent care expenses. With your FSA, you save approximately $0.30 on every dollar you spend on eligible expenses!

GHS offers Healthcare and Dependent Care FSAs through Stanley, Hunt, Dupree & Rhine (SHDR). Enroll in FSAs through eNet during Open Enrollment for the next plan year. Already enrolled? You must re-enroll each year, even if you elect the same amount.

About Your FSA

• The amount that you set aside for your FSA is deducted from your paycheck in 26 equal amounts throughout the plan year. It then is held in a separate account for you.

• When you use your SHDR debit card or file a paper claim for eligible expenses, SHDR reimburses you from your account via direct deposit to your checking account.

• The plan year is Jan. 1-Dec. 31; however, you can request reimbursement for expenses you incur through March 15 of the next plan year. For example, the deadline for reimbursement requests for the 2015 plan year is April 30, 2016.

• Funds you do not use are forfeited per IRS regulations

Maximum Amount You Can Set Aside

• The Healthcare maximum is $2,550.• The Dependent Care annual is $5,000

Eligible Dependent Care Expenses

For children up to age 13:• Before- and after-school programs• Au pair/nanny expenses• Nursery and pre-school tuition• Day care centers• Summer and sports day camp

For adults: Expenses are for adult day care for adults who cannot care for themselves that you claim as dependents on your income tax return. Care may be provided in the home by a licensed caretaker or in a licensed adult day care center. These expenses offset any allowable federal tax credit for dependent care.

Note: Medical expenses for dependents are not covered by a Dependent Care FSA.

GHS offers two flexible spending accounts: Healthcare and Dependent Care. You save approximately $0.30 on every dollar you spend through these accounts!

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Learn 10 things to know about the child and dependent care credit at www.irs.gov.

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Basic Life and AD&D Insurance

What is Basic Life Insurance?

This plan provides coverage at a fixed rate of payments for a limited time and is the least expensive way to purchase a substantial death benefit on a coverage amount over a specific period. Primarily, it helps your beneficiaries cover your financial responsibilities following your death such as funeral expenses, mortgage payments and college tuition.

What is Accidental Death & Dismemberment (AD&D)?

An AD&D policy pays benefits to your beneficiaries if your cause of death is an accident. Additionally, it also pays you benefits for the loss of limbs due to an accident.

GHS full-time employees are automatically enrolled in a Basic Life and AD&D plan. This coverage is equal to two times base annual salary (maximum $500,000).

Additional Information about Group Life and AD&D Plans at GHS:

• Coverage is effective the first day of the month following 30 days of employment or the first day of the month following change to an eligible status.

• The imputed value of group life insurance greater than $50,000 appears on your pay stub as IMP LIFE. Such an amount is considered taxable income.

• The benefit amount reduces at age 70 to 60%, age 75 to 40% and age 80 to 30% of face value.

• An accelerated death benefit is available for terminally ill participants.

Conversion to an individual whole life policy is available if application is made within 31 days of the date that coverage ends.

Monthly Cost

• Full-time employee—paid in full by GHS

GHS offers employees two times their annual base salary (up to $500,000) in company-paid life insurance for full-time employees.

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Note to PhysiciansMost physicians are not covered under the employer-paid short-term disability insurance described in the chart on the left. Physicians can find additional information in their contracts or by calling (864) 797-7900.

Short- and Long-term Disability Insurance

What is Short-term Disability?

This benefit pays a portion of an employee’s salary during a period of short-term disability.

What is Long-term Disability?

Long-term disability insurance protects an employee from loss of income in the event that he or she is unable to work due to illness, injury or accident for a long period.GHS provides an employer-paid short-term disability and long-term disability insurance benefit for full-time employees. Part-time employees and physicians who receive salary continuation in their employment contract are excluded. The following is a summary of disability insurance benefits and related income replacement:

Full-time Eligible Employees (Non-physician)

Provision Short-term Disability Core Benefit

Long-term Disability

Plan Funding 100% Employer Paid 100% Employer Paid

Scheduled Benefit 50% 60%

Maximum Benefit $4,000/Week $15,000/Month

Benefits Begin Day 1 HospitalizationDay 8 Illness, Accident or Injury

6 months

Benefit Duration 26 weeks (182 days) Until age 65 (but not less than 5 years if you become disabled before age 60)

Pre-existing Condition Limitation

None Received medical treatment, consultation, care or services, including diagnostic measures, or prescribed drugs in the 3 months just before the effective date of coverage and disability begins in first 12 months after the effective date of coverage

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Voluntary Benefit Plan–Vision

What is Vision Insurance?

Vision insurance provides coverage for services offered by eyecare professionals such as ophthalmologists and optometrists. You may receive an annual eye exam and partial coverage for eyeglasses and contact lenses.

Vision Plan (VSP) Highlights

In 2016, employees can choose from two affordable vision plans from VSP: Choice Base Plan and Choice Premier Plan. Choose the plan that is right for you. Visit www.vsp.com for a listing of preferred providers.

You will not receive an ID card from VSP. However, you can print a personalized ID card at www.vsp.com. Your VSP ID will be your Social Security Number.

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Vision Benefit Description Choice Base Plan

Choice Premier Plan

WellVision Exam Once per calendar year $20 copay $10 copay

Prescription Glasses $20 copay $10 copay

Frames Once every other calendar year

Incl. in prescriptionglasses copay

Incl. in prescription glasses copay

Frame allowance Allowance on standard framesAllowance on featured frame brandsAllowance at Costco

$145

$165

$75

$170

$190

$105

Lenses (single vsion, lined bifocal and lined trifocal)

Once per calendar year Incl. in prescription glasses copay

Incl. in prescription glasses copay

Lens Enhancements Standard progressive lensesPremium progressive lensesCustom progressive lensesPolycarbonate lensesScratch coatingAnti-reflective coatingAvg. savings other lens enhancements

$55$95-$105$150-$175$0$0Premier Only

20-25%

$0$0$0$0$0$0

20-25%

Contact Lenses(instead of glasses)

Once per calendar year

Allowance for contactsContact lens exam (fitting and evaluation)

Copay does not apply$145Up to $60

Copay does not apply$170Up to $60

VSP also offers a diabetic eye care program and extra savings on uncovered services.Learn more at www.mybensite/greenvillehr.

Vision Plan –Biweekly Cost Base Plan Premier Plan

Employee only $3.44 $6.68

Employee + spouse $5.44 $10.57

Employee + child(ren) $5.51 $10.71

Employee + family $8.95 $17.40

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Age-specific rate information appears on the GHS Benefits website: www.mybensite.com/greenvillehr. Newly hired employees can enroll in Colonial Life Universal Life Insurance by calling 1-800-625-4341.

Voluntary Benefit Plan–Supplemental Life

Voluntary Life Insurance Policies

Life insurance policies allow you to ensure that your beneficiaries will be provided for after your death. In addition to the Basic Life Insurance provided by GHS, we are pleased to offer employees two options for supplemental life insurance:

Colonial Life Universal Life Insurance with Long-term Care RiderThis is a group universal life insurance policy. This type of policy combines insurance protection with a savings/investment element.

The Standard Term Life InsuranceTerm life insurance provides coverage at a fixed rate of payments for a limited period and is the least expensive way to purchase a substantial death benefit on a coverage amount over a specific time. Its primary use is to cover financial responsibilities to your beneficiaries upon your death such as funeral expenses, mortgage payments and college tuition.

Both policies include the following features:

• Full- and part-time employees can purchase life insurance for themselves and their eligible dependents through payroll deduction of premiums.

• Coverage is effective the first day of the month following a 30-day waiting period for guarantee issue amounts (no health questions) OR the first day of the month following underwriting approval for amounts over guarantee issue (see charts on next page). A specified amount is available without health questions if application is made within 30 days of employment or reclassification date.

• Coverage can continue after employment ends.

Colonial Life Universal Life Insurance with Long-term Care Rider

• Rates do not increase with age or when you leave employment.

• Cash Value: Premiums build cash value based on current interest rates (guaranteed 4% minimum).

• Rates reflect tobacco and non-tobacco use.

• Accelerated Death Benefit is available.

• Restoration of Benefits Rider restores the death benefit on a monthly basis when long-term care payments are made up to one times the death benefit.

Colonial Minimum Coverage

Maximum Coverage

Guaranteed Issue Coverage(No Health Questions)

Employee $5,000 Unlimited Based on Underwriting

$16/week up to $150,000

Spouse $5,000 Unlimited Based on Underwriting

$8/week up to $50,000

Children $1,000 $10,000 $10,000

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Newly Hired Employees Can Enroll in The Standard Term Life Insurance Online:Download the application form at www.standard.com. Complete the form and submit it to your benefits representative.

Prudential Minimum Incremental Unit

Guarantee Issue

Maximum

Employee 1 x Annual Earnings

Elect 1 to 8 x Annual Earnings

Lesser of a) 500,000 or b) 2 x Annual Earnings

$2,000,000

Spouse $10,000 $10,000 $50,000 $250,000

Child $5,000 $5,000 $25,000 $25,000

Employee & Spouse

Age-based Rates

Per $10,000 Calculate Your Premium(If you are covering your spouse, perform this calculation for yourself and then for your spouse.)

<25 $0.0701. Enter elected amount. Line 1 _________

25-29 $0.080

30-34 $0.1102. Divide Line 1 by $1,000. Line 2 ________

35-39 $0.120

40-44 $0.1403. Enter rate from table at left. Line 3 ________

45-49 $0.200

50-54 $0.3104. Multiply Line 2 by Line 3. Line 4 ________

55-59 $0.580

60-64 $0.890 5. Multiply Line 4 by 12; then divide by 26 for biweekly cost.

Line 5 ________65-69 $1.710

70-74 $2.780 6. Add your Line 5 amount to your spouse’s Line 5 amount for the total biweekly premium to cover you and your spouse.75+ $2.780

The Standard Term Life Insurance

• Rates increase every five years and when you leave employment if you elect to continue coverage through portability.

• Rates are not related to tobacco use.

• Waiver of Premium Rider is included.

• Guaranteed Issue Coverage amounts are available to 2016 new hires.

• Your coverage level amount reduces as your age increases: 40% at age 70, 50% at age 75, 70% at age 80.

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Voluntary Benefit Plan–Accidental Death & Dismemberment

What is Accidental Death & Dismemberment?

An AD&D policy pays benefits to your beneficiaries if your cause of death is an accident. Additionally, it also pays benefits for the loss of limbs due to an accident.

Voluntary AD&D Insurance

• Employees must elect coverage on eNet.

• Coverage is provided by The Standard.

• Coverage is effective the first of the month following 30 days of employment or status change.

• Minimum benefit is 1x annual earnings; maximum benefit is the lesser of 8x annual earnings or $500,000.

• Coverage for dependents is available in three ways:

• Employee 100%; spouse 50%; each child 10% (maximum $25,000 each child)

• Employee 100%; spouse 60% (no children covered)

• Employee 100%; each child 15% (maximum $25,000 each child)

• Coverage is provided regardless of health. Benefits are payable if bodily injury occurs that results in death, dismemberment or paralysis within one year of an accident.

• Coverage is effective the first of the month following 30 days of employment or status change.

• Voluntary AD&D coverage is not portable.

Voluntary AD&D Rates• Employee: $.022/month/

$1,000 coverage

• Family: $.033/month/ $1,000 coverage

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Voluntary Benefit Plan–Cancer Insurance

What is a Cancer Policy?

This type of policy can help you with the numerous expenses that your health plan doesn’t cover, such as out-of-network treatments, home health care needs and experimental treatments. This coverage also assists with non-medical expenses such as loss of income, child care, travel expenses related to your care and deductibles and copays.

Full- and part-time employees, spouses ages 17-70 and dependent children up to age 26 are eligible to enroll for this benefit!

Coverage is effective the first of the month following 30 days of employment or status change.

• 12-month pre-existing limitations apply.

• Guaranteed issue is provided for applications made during the initial 30-day eligibility enrollment period (note: see above).

For claims, filing instructions and claim forms, go to www.mybensite.com/greenvillehr and click on the Voluntary tab. You also may contact Colonial Life at 1-800-325-4368 or www.coloniallife.com.

A complete listing of the plan benefits and exclusions can be found on the GHS Benefits website: www.mybensite.com/greenvillehr.

Benefit Basic Plan Enhanced Plan

Initial cancer diagnosisPaid for the first diagnosis of internal (not skin) cancer

$2,000 $4,000

Cancer Screening/Wellness Benefit, per calendar year $50 $100

Hospital confinement in a calendar year $100/day $300/day

After first 30 days of hospital confinement in a calendar year $200/day $600/day

Hospital intensive care unit confinement $200/day $600/day

Private full-time nursing $100/day $300/day

Radiation/Chemotherapy $150/day $5,000/year max $300/day $10,000/year max

Anti-nausea Medication, per day ($200 calendar-year maximum) $50 $50

Blood/Plasma/Platelets/Immunoglobulins $150/day $5,000/year max $300/day $10,000/year max

Bone Marrow Stem Cell Transplant, per lifetime $10,000 $10,000

Peripheral Stem Cell Transplant, per lifetime $5,000 $5,000

Transportation, per mile, up to 700 miles per round trip $0.40 $0.40

Lodging, per day, up to 70 days per calendar year $50 $50

Cancer Insurance Basic Biweekly Cost Enhanced Biweekly Cost

Employee $5.91 $12.97

Family $9.86 $21.55

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Retirement Savings Plans

GHS offers all employees the opportunity to save for retirement through several options with tax savings advantages.

403(b) Plan

A 403(b) retirement savings plan is similar to 401(k) plans available to for-profit organizations. At GHS, all employees (including PRN) are automatically enrolled in the 403(b) Retirement Savings Plan. Your initial contribution is 3% of your eligible earnings. Newly hired employees are enrolled 30 days after their first paycheck. Your contributions are deducted from your paycheck before federal and state taxes.

You can opt out or make changes to your contribution amount at any time. Contact Prudential Customer Service at 1-877-778-2100. If you opt out of automatic enrollment, but still want to contribute to the 403(b) Plan, you must contribute a minimum of 1% of your eligible earnings.

You also may contribute to the Roth option. Roth contributions are deducted after federal and state taxes.

Matching ContributionsGHS may match your contributions to the 403(b) Plan. The match amount will depend on GHS’ financial performance during the previous fiscal year and approval by the Board of Trustees. GHS will deposit the matched amount into your 401(a) account, which GHS creates for you. Participants are vested immediately in matching contributions.

457(b) Plan

Pre-tax contributions to the 457(b) Plan are available for penalty-free withdrawals when you leave employment, regardless of age. This account allows contributions up to the IRS annual maximum in addition to any contributions to the 403(b) plan. Contributions to the 457(b) plan, however, are not eligible for matching contributions by GHS.

401 (a) Plan

All full-and part-time employees are enrolled in the 401(a) Plan. GHS makes an annual employer contribution of 3% of your eligible earnings. If you have contributed to the 403(b) plan, any matching contribution also is made to this account.

Get Help On-siteTwo on-site Prudential Retirement representatives can help you with retirement planning, plan enrollment and education about investment options. Call (864) 454-8664 or (864) 455-1632. Learn more or review your Retirement Savings Plans online at www.prudential.com/ghs.

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Vesting

The Employer Contribution has a three-year vesting schedule. This means that you must be employed full- or part-time for three consecutive plan years before you are vested. PRN employees are not eligible for the employer contribution.

The matching contribution is vested immediately for full- and part-time employees. PRN employees are not eligible for the matching contribution.

Frequently Asked Questions

Can I decide how to invest my contributions?Yes! You can create a diverse investment platform. On-site Prudential representatives are happy to help you choose your investments.

If you do not make investment selections, your account is set up in Prudential’s GoalMaker portfolio, which invests your account in the most conservative investment platform based on your age.

What is the maximum amount I can contribute to my 403(b) or 457(b) plans each year?As of January 1, 2016, the maximum annual contribution is $18,000 for each plan. If you are age 50 or older, you may contribute an additional $6,000 for each plan. This may change subject to IRS regulations.

When can I withdraw from my Retirement Savings Plans?You may request a withdrawal upon retirement, employment termination or disability. In the event of your death, your legal representative/family member will make this request. You are not taxed on contributions to your 403(b) until you withdraw funds. An additional penalty tax applies for early withdrawal.

I plan to retire early. When can I start withdrawing from my accounts without penalty?Your pre-tax contributions to the 403(b) plan are normally available for penalty-free withdrawal if you leave GHS employment at age 55 or older. If you leave before age 55, penalty-free withdrawals begin at age 59 ½.

Can I borrow from my Retirement Savings Plans?You may take one loan from your 403(b) plan. You may borrow up to 50% of your 403(b) account balance to a maximum of $50,000.

I am in a real financial bind. Can I make a hardship withdrawal?You may make a hardship withdrawal from your 403(b) plan to pay medical or college expenses, make a down payment for your primary residence, or to avoid eviction/foreclosure. A hardship withdrawal is available only after you have exhausted your loan options. Documentation of need is required.

You can make a hardship withdrawal from your 457(b) plan, but only for unforeseeable emergencies. Documentation of need is required.

What are the administrative fees?Administrative fees for the Prudential Retirement Savings Plans are billed quarterlyat $6.25 per retirement savings plan and deducted from your respective accounts. Depending on how many accounts you have, the maximum administrative fee is $100.

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Paid Time Off (PTO)

PTO is compensation at regular base rate for hours away from scheduled work for vacation, holidays, illness and personal time (subject to supervisory approval).

• PTO is accrued every two weeks. The maximum PTO balance is 1,040 hours.

• Employees with 700 or more hours of PTO may sell back to GHS up to 200 hours each year at a 50% discount. This transaction is prospective and irrevocable; once hours are sold back to GHS, they cannot be returned to the employee for any reason.

• Seven holidays are observed: New Year’s Day, Martin Luther King Day, Memorial Day, Independence Day, Labor Day, Thanksgiving Day and Christmas Day.

• Employees who must work Thanksgiving, Christmas or New Year’s Day are eligible to receive holiday pay. Holiday pay is given to employees with jobs that regularly require staffing on those days. Holiday pay is 1.5 times the employee’s hourly rate.

• Upon voluntary resignation with appropriate notice and completion of at least one year of service, a portion of accrued PTO may be paid upon termination. Refer to PTO policy S-102-10 for specific details.

Full-time Employees: Biweekly PTO Accrual per Years of Service and Job Level

0-4 years 5-9 years 10-14 years 15-19 years 20 years or more

PTO Level 1 Technical and Support(Grades 01-08 and 71-75)

6.77 7.69 8.62 9.54 10.46

PTO Level 2 Professional(Grades 09-23 and 76-85)

7.69 8.62 9.54 10.46 10.46

PTO Level 3 Management Staff(Supervisors and Managers)

8.62 9.54 10.46 10.46 10.46

PTO Level 4 Administration Staff (Leadership)

9.54 10.46 10.46 10.46 10.46

Part-time Employees: Biweekly PTO Accrual per Years of Service

0-4 years 2 hours per 40 hours worked

5-9 years 3 hours per 40 hours worked

10 or more years 4 hours per 40 hours worked

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Additional Health Programs

Bariatric Services

GHS employees and covered family members can receive special pricing for successfully completing the weight-loss program through GHS Bariatric Solutions. Participants pay a one-time $100 program entry fee. Before any bariatric surgical procedure, participants pay $100 to Hillcrest Memorial Hospital, the provider hospital, even if their deductible and coinsurance is higher.

Any incidental expenses (ex., EKG, cardiology office visit) will be applied to the plan deductible, then coinsurance. The amount will vary depending on other services received by the participant within the plan year.

For more information about the program, call GHS Bariatric Solutions at (864) 676-1072 or visit www.ghsbariatricsolutions.com. Employees may verify remaining deductible and maximum out-of-pocket expenses at www.southcarolinablues.com or by calling BlueCross/BlueShield South Carolina toll-free at 1-888-410-2227.

In addition, program participants who meet the HealthTrack BMI target during their program, can receive results-based incentives in HealthTrack Points (see page 15). Participants who meet and maintain their weight loss goals for 24 months will receive an additional $200.

Spine, Shoulder and Knee Program

Musculoskeletal injuries to the back, neck, shoulders and knees are among the most common, and the most expensive health concerns in the nation.

Targeted to GHS Health Plan participants, the Spine, Shoulder and Knee Program seeks to improve outcomes, increase patient satisfaction, reduce wait times and avoid unnecessary tests and treatments. GHS physicians and physical therapists have developed evidence-based care pathways to provide faster access and active treatment to help participants return more quickly to the activities they value.

All GHS providers and hospitals are members of the MyHealth First Network, the preferred provider network for the GHS Health Plan. For a full list of MyHFN providers, go to www.myHFN.org.

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How does the Spine, Shoulder and Knee Program work?The participant first meets with a physical therapist for an evaluation. If there are concerning symptoms, the participant will be scheduled to see an on-site physician.

Otherwise, the physical therapist begins individualized conservative care. Participants receive a research-backed treatment plan and their results are continually measured against national benchmarks for progress, experience and outcomes.

Most participants will need physical therapy only. If non-resolving symptoms continue after therapy, participants have convenient access to the next appropriate level of care.

Who is eligible?GHS employees participating in the GHS Health Plan and their covered adult dependents (spouses and children age 18-26) who suffer acute, recurrent or persistent pain in the back, neck, shoulder or knee are eligible.

How much does it cost?Participants pay $20 per physical therapy visit. No physician copays, deductibles, or coinsurance costs are associated with these visits. Additional costs may apply, however, if the participant’s condition requires additional care such as medication, imaging or surgery.

Note: Participants who do not follow the treatment plan as agreed upon during the first visit will be deemed non-compliant and therefore required to pay all deductible and coinsurance costs going forward.

What are the benefits?

• Improved clinical outcomes and health for you and your covered family members

• Improved access to and communication with your healthcare team

• Care begins during your first appointment

• Cost savings

How do I sign up?No physician referral is required. Call (864) 528-5755 to schedule an appointment at a participating ATI Therapy location. Walk-ins are welcome; however, an appointment is recommended to reduce wait time.

Additional Benefits to Health Plan Participants

GHS offers health plan participants these added benefits when medically necessary according to plan guidelines and when provided by providers in the MyHealth First Network (MyHFN):

• Nutritional evaluation and counseling is covered 100%.

• Diabetes education is covered 100%.

• Immunizations for dependents up to age 21, including Gardasil, are covered 100%.

• TMJ (temporomandibular joint syndrome) coverage under the health plan deductible then coinsurance ($2,500 maximum per year).

• Newborn baby equipment expenses are reimbursed up to $75. Go to www.mybensite.com/greenvillehr to learn more and to obtain a reimbursement form.

Participating ATI Therapy Locations Greenville–Patewood (2 locations)

200 Patewood Drive, C150Mon.-Thurs., 7 a.m.-7 p.m.; Fri., 7 a.m.-6 p.m.(864) 454-0904

200 Patewood Drive, C250Mon.-Fri., 8 a.m.-6 p.m.(864) 454-0952

Greenville–Cross Creek 111 Doctors Drive Mon.-Fri., 7:30 a.m.-6 p.m. (864) 797-7020

Greenville–Verdae1025 Verdae Blvd., Suite E Mon.-Fri., 8 a.m.-5 p.m.(864) 286-7480

Greer–Greer Medical Campus315 Medical Parkway, Suite 150Mon.-Fri., 7:20 a.m.-6 p.m.(864) 528-5755

Greer–Riverside1305 S. Suber RoadMon.-Fri., 8 a.m.-6:30 p.m.(864) 989-4700

Simpsonville–Hillcrest727 S.E. Main St., Suite 200Mon.-Fri., 8 a.m.-6 p.m.(864) 454-6670

Simpsonville–Five Forks300 Scuffletown RoadMon.-Thurs., 7 a.m.-7 p.m.Fri., 7 a.m.-6 p.m.(864) 329-8110

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Health Discounts

Cosmetic Services Discount

The GHS Division of Plastic Surgery & Aesthetics offers up to a 20% discount on certainsurgical and non-surgical cosmetic procedures for all GHS employees and dependents 18 years and older. Charges may be payroll deducted. For information, call (864) 454-4570. Health plan membership is not required.

GHS employees can receive a 10% discount on all Carolina Aesthetics products andservices (except BOTOX cosmetic and dermal fillers). This discount cannot be combined with other discounts. For information, call (864) 233-8088.

Employee Care Centers

Employees receive care for common medical problems, such as earaches, sore throats and rashes. They also can receive help to improve their overall health through education, coaching and referrals for weight loss, smoking cessation and chronic diseases.

ECCs are located on the GMMC, Greer, Patewood and Simpsonville campuses. Cost is $20 a visit through payroll deduction using an employee ID badge. Always bring your ID badge, please. To make an appointment (no walk-ins, please) call 455-2455. To learn more, visit www.mybensite.com/greenvillehr.

Eye Health Discount

GHS Eye Institute offers a 20% discount to GHS employees and their family members for services not covered by vision plans such as LASIK, cosmetic eyelid surgery and dry eye treatment. Access to financing through Wells Fargo also is available.

In addition to being a preferred provider in the GHS Health Plan, the Eye Institute also is a participating VSP provider. (See voluntary vision insurance plan on page 21.)

GHS Eye Institute provides comprehensive vision care and ophthalmology services, including dry eye treatment, cataract surgery, glaucoma management, diabetic eye exams and even a “pink eye” clinic. The on-site optical shop offers a full range of glasses, contact lenses and sunglasses.

Learn more at www.ghs.org/healthcareservices/surgery/eye-institute-ophthalmology or call (864) 522-3900. For the new Spartanburg location, call (864) 515-7588.

In addition to the many benefits already mentioned, GHS provides employees and/or members of their immediate family with savings for numerous other services.

New Benefit! GHS Virtual CareGHS Virtual Care is a new telemedicine program offered through GHS Business Health for people in the system’s health plan. An extension of our Employee Care Centers (ECC), this service lets participants meet with a nurse practitioner “face to face” to diagnose and treat minor illnesses such as bladder infections, colds, allergies, sore throat and ear pain.

To use this service, GHS health plan participants make a same-day appointment with an ECC nurse practitioner through MyChart. At their appointment time (weekdays, 8 a.m.-8 p.m.), they will login to GHS Virtual Care to meet with a provider in a way similar to Skype or FaceTime.

Cost is only $20. Patients are not charged if a diagnosis cannot be made during the visit. Note: A MyChart account and app are required to access GHS Virtual Care. Register for MyChart and download the app at mychart.ghs.org.

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Assistance Programs

Adoption Benefit Assistance

• Full- and part-time employees with 90 days service are eligible

• Up to $2,500 reimbursement per adopted child for adoption-related expenses

• Up to 12 weeks of leave under FMLA or personal leave (if not eligible for FMLA) can be allowed for pre- and post-adoption time off

For information, call the GHS Benefits Department at (864) 797-7900.

Education Assistance

For more information about GHS education assistance programs, contact EdAssist at 1-855-687-7631 or [email protected].

Education Assistance for Approved Hard-to-fill Positions:

• Must be employed by GHS before start of class

• Reimbursement at 100% up to $4,000 per fiscal year

• Full- or part-time employment status required

Education Assistance for Other Positions:

• Must be employed by GHS one year before start of class

• Reimbursement at 75% up to $4,000 per fiscal year

• Full- or part-time employment status required

Work Obligation for Education Assistance Programs:

• Full- or part-time status; begins from day of last class

• Up to $2,000; one year of full- or part-time employment required

• $2,001 to $4,000; two years of full- or part-time employment required

• Over $4,000; three years of full- or part-time employment required

Employee Assistance Program (EAP)

Employees and their families receive help in coping with problems such as marriage and family issues, emotional and mental distress (anxiety, grief, depression), stress, substance abuse and financial concerns. Services are free and confidential. To make an appointment, call (864) 455-2360 or 1-800-868-6869. For more information, go to www.mybensite.com/greenvillehr.

Remember: Full- and part-time employees, their spouses and dependents up to age 26 can use these services at no cost. Enrollment in the GHS Health Plan is not required.

Housing Assistance

GHS collaborates with Community Works Carolina and other community partners to help employees buy their first home (within five miles of a GHS hospital in Greenville County). GHS will provide down payment and closing assistance up to $5,000 per household. Cost to attend the Home Buyer Education Class is $50 per person. Individuals must pre-register and pay in full before the class. To see if you qualify, contact (864) 235-6331 or www.communityworkscarolina.org.

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Work/Life Balance*

Compassionate Leave

GHS provides compassionate leave to full- and part-time employees when death occurs in their immediate or extended family to compensate for needed time off from work.

Employee Appreciation Discount Program

Visit www.ghsemployeediscounts.com/discounts for service and product discounts.

Employee Recreation Committee

Activities for employees and their families include sports activities such as bowling, fishing and golf; arts and crafts; Easter Egg Hunt and Cookies with Santa. For more information, visit Plexus.

GHS Federal Credit Union

Available financial services include draft and share accounts, loans with convenience of payroll deduction, and discount tickets to local theaters and attractions. Learn more at www.myghsfcu.coop or call the Main Branch at (864) 288-8046.

Greenville Memorial Childcare Center

On-site, high-quality childcare and early education programs are located on Greenville Memorial Medical Campus. The center serves children ages 6 weeks-5 years and is open 6:30 a.m.-8 p.m. weekdays. Visit http://centers.brighthorizons.com/ghs or email [email protected].

Life Center® Health & Conditioning Club

Employees receive a discount on monthly dues for full-, part-time and PRN employees; payroll deduction of monthly dues is available for full- and part-time employees. Call (864) 455-4231. PATH membership lets employees also use Greenville County YMCAs.

PTO Donation Program

Eligible employees have the opportunity to voluntarily transfer certain amounts of accrued PTO from their PTO account to help support co-workers in times of extraordinary hardship. For more information, visit www.mybensite.com/greenvillehr.

Travel Assistance

The Standard includes Travel Assistance through UnitedHealthcare Global. It provides an additional sense of security for you and eligible family members any time you travel more than 100 miles from home or internationally for trips up to 180 days. There is no enrollment process—insured employees are automatically covered. For more information, visit www.mybensite.com/greenvillehr.

Life Services Toolkit

Group Life insurance through GHS assures you that your family will receive some financial assistance in the event of a death. But coverage under a group life policy from The Standard does more than help protect your family from financial hardship after a loss. Online tools and services can help you create a will, make advance funeral plans and put your finances in order. For more information, visit www.mybensite.com/greenvillehr.

*Available corporate discount plans are not an endorsement of services or products.

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Greenville Health System Campuses

Greenville Memorial Medical Campus701 Grove RoadGreenville, SC 29605(864) 455-7000

Greer Medical Campus830 S. Buncombe RoadGreer, SC 29650(864) 797-8000

Laurens County Medical Campus22725 Highway 76 EastClinton, SC 29325(864) 833-9100

North Greenville Medical Campus807 N. Main St.Travelers Rest, SC 29690(864) 455-9206

Oconee Medical Campus298 Memorial DriveSeneca, SC 29672(864) 482-3100

Patewood Medical Campus175 Patewood DriveGreenville, SC 29615(864) 797-1000

Simpsonville Medical Campus729 S.E. Main St.Simpsonville, SC 29681(864) 454-6100

ghs.org

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