Employee Insurance

Beech Street Corporation is the oldest independently owned Preferred Provider Organization (PPO) in the United States. Established in 1951 as a Third Party Administrator (TPA) for the Workers' Compensation sector of the healthcare industry, Beech Street expanded its business model by becoming a full-service PPO in 1984.During the past five years, Beech Street has consistently been recognized as being one of the top three PPOs in the United States.

Beech Street offers network access for health benefits, healthcare management services, out-of-network cost containment programs and Internet technology solutions to over 700 clients and their 16 million members nationwide. Quality medical care, substantial savings, and freedom of choice are all components of Beech Street 's commitment to delivering the value-added services expected of a national PPO.

Beech Street strives to identify the most respected hospitals, physicians, and specialty providers throughout the country so the patients accessing our network receive the highest level of care. Currently, Beech Street contracts with over 3,800 hospitals, 52,000 specialty care facilities and more than 400,000 providers, so it's not difficult to find a Beech Street provider in any area of the country.

General Specifications

Open enrollment periods are for a limited time

New client initial open enrollment periods are during specified dates for a 60 day period

Annual open enrollment periods are during specified dates for a 30 day period only

Open enrollment periods for new hires are for 30 days from job start date

Ø After four consecutive weeks without a weekly deduction or direct payment, the employee will become eligible for COBRA

Ø Full or partial coverage may be dropped voluntarily at any time by the insured, however
cannot be reinstated until the next open enrollment period (excluding any Section 125
plan clients)

Ø The only changes that may be made to benefits outside of the open enrollment period are "Life Change Events" (marriage, divorce, birth, death, adoption, etc) or a qualifying event. Changes need to be made within 31 days of event. Changes are NOT to be made in our system until receipt of documentation of status change.

New optional benefits & Cost

Dental

Employee Employee + 1 Employee + Family

$3.84 $7.38 $12.92 (per week)

No network, see any licensed dentist of choice

$15 co-pay for dentist office visit

Immediate coverage at 100% for wellness visit, with no waiting period

6 month waiting period and deductibles apply for all other procedures, unless stated otherwise for rollover clients

$50 deductible for EO and E+1 coverage, $100 deductible for E+F coverage

Maximum yearly dental benefit paid per insured member is $500 during the first year, with annual increases for the second and third years of coverage

$1,500 lifetime maximum for all three years on Orthodontia/Braces only

Short Term Disability

$4.20 per week–Cost will not change

Pays benefits when an employee is out due to a non-work related accident or covered sickness

Pays up to $650.00 per month after a 7 day waiting period

Benefits paid up to 26 weeks maximum

Premiums must be kept current

Term Life Insurance Coverage

Employee Employee + 1 Employee + Family

$0.60 $0.90 $1.80

Term of coverage is in effect as long as premiums are paid

Benefit of $10,000 paid on life of employee (Age limits apply)

Benefit of $5,000 paid on life of each dependent, spouse or child (6 months to 24 years of age)

Vision Discount Card

Employee Employee + 1 Employee + Family

$.50 $.70 $1.00

Exams Up to 20%

Frames Up to 50%

Lenses Up to 25%

CRT Up to 20%

LASIK Up to 25%

Online Contact Lenses

New additional benefits available

Group Voluntary Accident – Requires accidental causation

Employee Employee+1 Family

$2.04 $4.97 $4.97

AD&D Up to $100,000

Common Carrier Accidental Death

Dismemberment

Dislocation/Fracture

Initial Hospital Confinement

Hospital Confinement

Intensive Care

Ambulance Services

Medical Expenses

Outpatient Physician's Treatment

Group Voluntary Critical Illness

Employee Employee + 1 Family

$2.20 $3.25 $3.30

Heart Attack

Heart Transplant

Stroke

Coronary Artery By-Pass Surgery

Major Organ Transplant (other than heart)

End Stage Renal Failure

Paralysis (not as a result of a stroke)

Alzheimer's Disease

Invasive cancer

Carcinoma in Situ