Our Lady of Lourdes Health Care Services, Inc.
Administrative & General Policy
POLICY NUMBER: / LHS AS0190PER
NURSING CODE:
PAGE NUMBER: / 1 of 4
TITLE: / Health and Welfare Benefit Plans

ACCOUNTABILITY:

Vice President of Human Resources

RELATION TO MISSION:

Our Lady of Lourdes Health Care Services, Inc., (OLLHCS, Inc.) a Catholic Health System – a member of Catholic Health East - dedicated to its Franciscan tradition of serving all, will demonstrate the value of STEWARDSHIP by providing health and welfare benefit plans (medical, dental, flexible spending, life and Long Term Disability) to eligible associates.

RELATION TO OPERATION:

In order to provide health and welfare coverage for associates and their eligible dependents, all eligible associates are provided the opportunity to participate in these plans.

Source:

A0080PER - Dental Insurance

A190PER – Health Insurance

A0280PER – Life Insurance

Eligibility:

Benefit / Required Budgeted Hours Per Week / Date Eligible
Medical / 20 / Date of Hire
Dental / 20 / The date following three consecutive months of active employment
Flexible Spending Accounts / 20 / The date following three consecutive months of active employment
Life / 20 / The date following three consecutive months of active employment
Long Term Disability / 20 / The date following three consecutive months of active employment

Note: If a change in status occurs increasing an associate’s budgeted hours and changes eligibility, the associate’s prior health system service will count towards satisfying the three month waiting period for the employer contribution.

Associate Premium Contributions:

Medical and Dental Plans

  1. For single coverage, the associate contribution will be the same for full and part time status.
  2. For family coverage, the associate contribution will vary based on full time or part time status. OLLHCS, Inc. may subsidize coverage for full time associates at an amount level than part time associates.

If an associate chooses medical coverage to begin on their date of hire, s/he is required to pay the full cost of coverage for the first threemonths. The employer contribution begins after three months of continuous service.

For Life Insurance and Long Term Disability Plans

Life Insurance coverage equal to at least one times the associate’s annual base salary is provided by OLLHCS, Inc. Additional coverage for the associate, spouse and/or dependent children may be available on an associate-paid basis.

Long Term Disability coverage equal to at least 50% of the associate’s annual base salary is provided by OLLHCS, Inc. Additional coverage for the associate may be available on an associate-paid basis.

Enrollment Procedures
  1. An associate must enroll for benefits within 31 days of hire or s/he must wait for the next open enrollment. An associate enrolls in Lawson Employee Self-Serve (ESS) where s/he reviews his / her pay and benefits.
  1. If medical and/or dental coverage is discontinued due to reduction of hours, termination of employment (other than gross misconduct) or loss of dependent status, coverage may be continued on a monthly basis under benefit continuation procedures.
  1. For Life Insurance, beneficiary information is maintained by the associate using ESS. In the absence of a signed beneficiary designation, proceeds under the plan(s) will be paid in accordance with the terms set forth by the life carrier.
Plan Documentation
  1. Summary Plan Descriptions (SPDs) and specific rates for coverage are available on Human Resources SharePoint.
  1. Plan Documents and Master Contracts for each plan offered are maintained in Human Resources and are available to participants upon request. These documents describe the terms, conditions and provisions of the plans.
  1. All health and welfare plans will be administered in accordance with HIPAA privacy regulations and the Genetic Information Nondiscrimination Act: 2007-2008. These regulations vary depending on the type of plan and the employer’s access to personal health information. Specific information is contained with the health plan’s documents.

APPROVED BY:

Alexander J. Hatala, President and Chief Executive Officer

ORIGINAL & REVISION DATE(s): / 9/25/87, 04/03/96, 07/28/99, 07/28/02, 01/25/06, 01/31/09
NEW EFFECTIVE DATE: / 03/01/11
REQUIRES REAUTHORIZATION IN: / 03/31/14

AS0190PER

Health & Welfare Benefit Plans

NOTE: ANY PRINTED COPY OF THIS POLICY IS ONLY AS CURRENT AS OF THE DATE IT WAS PRINTED; IT MAY NOT REFLECT SUBSEQUENT REVISIONS. REFER TO THE ON-LINE VERSION FOR THE MOST CURRENT POLICY. USE OF THIS DOCUMENT IS LIMITED TO LOURDES HEALTH SYSTEM STAFF ONLY. IT IS NOT TO BE COPIED OR DISTRIBUTED OUTSIDE THE INSTITUTION WITHOUT ADMINISTRATIVE PERMISSION.

OUR LADY OF LOURDES HEALTH CARE SERVICES, INC.PRINTED ON: 10/25/18