Benefits For You And Your Family
BENEFITS BUILT FOR YOU
At Mitutoyo Research & Development America, Inc. (MRDA), we care about you. That’s why we offer benefits that support your physical, emotional, and financial health.
This overview, in addition to information provided by the carriers, is intended to help you make this important decision. Please read the information provided thoroughly so that you can make the choices that work best for you and your family.
Summary for 2022
MRDA will continue to pay 100% of each employee’s monthly medical (including vision) and dental premiums and pay 75% of the monthly premiums for your covered dependents.
The medical plans will be staying with Kaiser Permanente (Kaiser) with the same options as last year. All three Kaiser plans include an annual vision exam. Below are highlights for each plan:
PPO Plan: $250/$500 Deductible, $4,000/$8,000 Out-of-Pocket Maximum, $20 copay
- Annual out-of-pocket maximum for out-of-network providers: $8,000/$16,000
- If you use a Kaiser provider, copays will be reduced from $20 to $10
- Prescription drug copays: $15 generic/$25 preferred brand/$45 non-preferred brand or generic for 30-day supply
- If you have your prescription filled at a Kaiser pharmacy, copays will be reduced to $5/$15/$35 (30-day)
- Prescription mail order copays: $10/$30/$70 for 90-day supply
- Diagnostic lab and X-ray: deductible applies and then is covered at 90%
- Annual vision exam: covered in full
- Vision hardware (under age 19): frames and lenses are covered in full for one pair per year or 12-month supply of contact lenses are covered at 50% coinsurance per year
- Vision hardware (adult): $150 allowance per consecutive 12 months to be used for eyeglass frames and lenses or contact lenses
HSA Plan: Employee Only Plan deductible: $2,500, With Family Plan deductible: $5,000, then coinsurance 20%
- Employee Only Plan out-of-pocket maximum: $5,100
- With Family Plan out-of-pocket maximum: $5,600 individual/$11,200 whole family (i.e. one family member pays no more than $5,600)
- If you use a Kaiser provider, coinsurance will be reduced from 20% to 10% (after deductible met)
- If you have your prescription filled at a Kaiser pharmacy, prescription drug coinsurance will be reduced from 20% to 10% (after deductible met)
- Vision (exam and hardware): same as PPO plan
CA Kaiser HMO HSA Plan: Both Deductible and Out-of-Pocket Maximum are embedded
- Because this is an HMO plan, all non-emergency services are limited to Kaiser Health Plan providers. Upon enrollment, you may select a primary care physician (PCP) for yourself and each covered family member
- Deductible:
- Employee Only Plan: $2,000
- With Family Plan: $2,800 per individual/$4,000 per family (i.e. with family plan, once an individual meets the individual deductible of $2,800, the plan starts paying benefits for that individual, and the individual starts paying their 20% coinsurance. Deductible for all covered family members combined is $4,000 per year.)
- Out-of-Pocket Maximum:
- Employee Only Plan: $4,000
- With Family Plan: $4,000 per individual/$8,000 per family (i.e. with family plan, if an individual meets the individual out-of-pocket maximum, $4,000, the individual will receive 100% coverage for the remainder of the year. Out-of-pocket maximum for all covered family members combined is $8,000 per year.)
- Prescription drug copays at Kaiser pharmacy (for 30-day supply): after deductible met, $10 copay for generic/$20 copay for brand name/20% coinsurance up to a maximum $150 per prescription per fill for specialty (for 30-day supply)
- Prescription mail order copays (for up to 100-day supply): after deductible met, $20 copay for generic/$40 copay for brand name
- Annual vision exam: 20% coinsurance, deductible does not apply
- Vision hardware (all ages): $250 allowance per 24 months to be used for eyeglass frames and lenses and/or contact lenses
WHEN TO ENROLL
MRDA’s open enrollment period is in the winter every year with a January 1 plan renewal date.
- Current employees: Open enrollment is the time each year when you may make benefit choices for the coming year. This is your annual opportunity to change plans and/or add or drop yourself, spouse, child(ren) from your health coverage.
- New hires: Enrollment must be completed and submitted no more than 30 days after your initial eligibility date or you may not be able to enroll until the plan’s next open enrollment period.
CHANGING YOUR BENEFITS
Once you enroll in your benefits, you cannot make changes until the next annual open enrollment period unless you qualify for Special Enrollment, as described below.
A qualifying family status change includes:
- Marriage or divorce/legal separation
- Birth or adoption of a child
- Death of a covered member
- Change in CHIPRA eligibility
- Commencement of a Qualified Medical Child Support Order
- Employment status change for you or your spouse
- Change in Medicare or Medicaid eligibility
Generally, you must notify Human Resources within 30 days of the qualifying status change in order to make a change to your benefits. All status changes require documentation and the type of benefit change requested must correspond with the event. If the qualifying event is due to loss of coverage other than loss of state medical assistance and/or CHIPRA, the application must be submitted within 30 days of the event.
KEY TERMS TO KNOW
