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The PANTHEOS Group Voluntary Group Benefits
Available Through Payroll Deductions

View the slide show of benefits

Effective 1/1/2010
New Hire Eligibility: First of Month following 30 days of Employment
If waived or not elected, future enrollment/change opportunities on
Open Enrollment date.

Benefit Programs Available
 
Dental Plans
Open Enrollment: January 1

Plan: Delta Dental
Customer Service: (800) 323-1743, www.deltadental.com

By far, the largest and most experience of dental benefits carrier in the Country. Delta Dental covers nearly one-third of Americans. Delta Dentals’ customer service far exceeds industry standards by resolving most inquiries under 15 seconds and on the first call. Delta Dental guarantees service excellence! PANTHEOS has two plans available for employees to choose from:

High Plan PPO
This PPO program allows participants to go to any in or out-of-network general or specialty dentist at the time of treatment. The PANTHEOS Group dental enrollees have access to two networks, Delta Dental PPO and Delta Dental Premier.
- Annual maximum of $1,500 per calendar year
- Routine exams and cleanings twice per benefit year
- Bitewing twice a year, Full Mouth every 3 years
- Basic $ Major services at 80% to 50% of reduced fees after deductible of $50/person or $150/family
- Orthodontia at 50% reduced fee to lifetime maximum of $1,500

PPO Rates:
- Single: $26.35 per month
- Single+Spouse: $52.69 per month
- Single+Children: $62.09 per month
- Family: $112.68 per month

DHMO Plan
Selecting a primary dental provider for all your dental care and receiving referrals for specialty care allows enrollees to minimize their monthly premium expense while experiencing minimal or no co-payments, no deductibles and no annual maximums!
- Routine exams and cleanings twice per benefit year
- Bitewing twice a year, Full Mouth every 3 years
- Other services outlined in Plan Detail

DHMO Rates:
- Single: $16.89 per month
- Single+Spouse: $31.23 per month
- Single+Children: $35.28 per month
- Family: $49.65 per month
DHMO Brochure DHMO Coverage Tiers Pantheos PPO Highlights
Enrollment Form Online Program Find Network Dentist
Composites & Implants ID Card ToGo Dental Benefits
Delta Dental PPO
Certificate of Coverage
Delta Dental HMO
Certificate of Coverage
 
 

 
Vision Insurance
Open Enrollment: January 1

Plan: Ameritas
Network: VSP Network
Customer Service: Ameritas (800) 659-2223  VSP Network: (800) 877-7195 www.vsp.com

Nationwide vision plan using the VSP Network ranked highest in customer satisfaction with an interactive website outlining savings and eligibility while educating its members on eye-care and concerns. The PANTHEOS vision plan provides:
-Routine exam every year ($10 copay)
-Prescription lenses ($25 copay)
-Frames every 2 years ($105 maximum allowance)
-Contacts every year ($105 maximum allowance) if allowance not used for glasses

Vision Rates:
Single: $8.96 per month
Single + Child(ren) $15.64 per month
Single + Spouse $19.32 per month
Family $26.00 per month
Enrollment Form Outline Claim Form
Member Reference Card    
 

 
Life & ADD, LTD and STD
Open Enrollment:
January 1
Plan: Lincoln National Life
www.lfg.com

Lincoln Financial provides a strong financial history, some of the highest ratings in the industry (AA- to A+), real-time online benefit access, interactive voice response system available 24/7, and customer service representatives committed to superior services as well as being able to provide the programs our clients and employees want and desire!

Voluntary Term Life
- Coverage in $10,000 increments up to 5x annual salary
- Minimum coverage of $10,000 up to a maximum of $300,000
- Guaranteed acceptance to $300,000 for all new employees under the age of 70.
- Spousal coverage in $5,000 increments up to 50% of the employee elected amount with maximum coverage to $150,000 up to age 65
- Dependent child coverage of $10,000 for ages 6 months to 19 years

Voluntary Short Term Disability
- Elimination period: 1st day for injury, 8th day for Illness (including maternity)
- Maximum benefit periods: 13 weeks for employees under the age of 70
- Maximum Weekly Benefit up to 60% salary, not to exceed $1000 per week

Voluntary Long Term Disability
- Elimination period: 90 days
- Maximum Benefit Period: To age 65
- Maximum Monthly benefit up to 60% of salary not to exceed $5,000 per month

Since pricing is dependent upon age and salary, premiums will be calculated based on your interest in the plan.
 
Enrollment Form Voluntary STD Plan
Voluntary Life Plan Voluntary LTD Plan
VLTD Certificate VSTD Certificate
Voluntary Life Certificate  
 

 
Flexible Spending Accounts - Healthcare and Dependent Care
Plan: Aflac FlexOne Section 125 Healthcare and Dependent Care
Open Enrollment & Re-Enrollment: January 1
Administrator: Aflac
Customer Service: (800) 323-5391, www.aflac.com


Flexible Spending Accounts available through Aflac. Many programs accessible via a debit card where others reimburse through check or direct deposit. Easy to use pre-tax savings to reduce you and your families cost to everyday expenses.

Healthcare: $5000 plan year max (Jan to Dec) for healthcare expenses including co-pays, deductibles, prescriptions and over-the-counter medications.
Dependent Care: $5000 plan year max (Jan to Dec) for dependent expenses for babysitting, nanny services, before & after school programs or daycare. Can also be used for care expenses related to disabled children or parents.

Please read the FSA Participant handbook when considering enrolling in an FSA account. The handbook is available for viewing and download by clicking on Participant Handbook

FlexOne - Summary Plan Description       
FlexOne Enrollment Form FlexOne Information FSA Claim Form


Flexible Spending Accounts - Transit Program
Plan: Aflac TransitOne for Section 132 Transit Program
Open Enrollment: Any Month
Re-Enrollment: January 1
Administrator: Aflac
Customer Service: (800) 323-5391, www.aflac.com


Flexible Spending Accounts available through Aflac. Many programs accessible via a debit card where others reimburse through check or direct deposit. Easy to use pre-tax savings to reduce you and your families cost to everyday expenses.


Transit: RTA/CTA or other public transportation: $120@month
Under the 2009 American Economic Recovery Investment Act, the maximum amount has been increased to $230 per month until 12/31/2010
Parking: $215@month
* Transit program allows enrollment or changes on 1st of every month

TransitOne - Summary Plan Description
TransitOne Claim Form TransitOne Enrollment TransitOne Information
Redi-Flex Direct Deposit Form
(allows employees to elect to have their claims paid via direct deposit)

All Flexible spending accounts require re-enrollment EVERY plan year. Benefits and debit cards will automatically terminate on 12/31 of each year unless a new enrollment form is received for the next plan year. The plan year runs from 1/1 to 12/31. If you decide not to re-enroll, you have 90 days to file your final claims. All claims must be received by 3/31 or your account balances will be lost.



Supplemental Programs
Enrollment: Anytime

Provider: Aflac
www.aflac.com

Programs are available through Aflac. Policies available include:
- Personal Disability Income Protector (Short Term Disability)
- Personal Accident Indemnity Plan
- Personal Cancer Indemnity Plan
- Personal Recovery Plus Hospital Protection
- Personal Hospital Intensive Care Insurance
 

 
Vacation Club
Enrollment: Anytime

Provider: Grand Vacations
Information, Destination Search, FAQ’s, enrollment and reservations all provided at www.GoGrandVacations.com/pantheos
Customer Service: (877) 548-2228

Plan Room Trip
Length
Local Price
Per Month
         
Silver 1 BR 1 WK Domestic $59.00
Gold 2 BR 1 WK Domestic $79.00
Platinum (1) 2 BR or (2) 1 BR 1 WK Domestic or International $99.00
         


 
Complimentary PANTHEOS Benefits

The following benefits are available to all employees and are free of charge! An employee can enroll or opt out at any time during their employment:

Direct Deposit
Free direction of your net pay into as MANY accounts as desired.

Alliant Credit Union
Free checking accounts w/ box of starter checks, savings account with high yield interest, new & used car loans, mortgages, equity lines, lines of credit, unsecured personal loans, Kidz Klub, IRA’s and national ATM network (over 150,000 ATM’s including those located in 7-11’s) and local deposit locations. Visit their website at www.alliantcreditunion.org to look up current interest rates or enroll on-line!

Benefits Announcement

Chase at Work
Free checking accounts and other banking services presented at the worksite.

Wellness Programs with Perspectives EAP - Employee Assistance Program
Some difficulties become complex and overwhelming. Sometimes it’s just a nagging feeling that something isn’t right. You try to deal with it yourself, but it just won’t go away. Whatever the problem, the sooner you call for assistance, the easier it will be to address the issue and return to a healthy home environment and productive work life!

For additional information, please visit the websites listed for each program or
e-mail your request to benefits@mypantheos.com and brochures & applications will be sent to you!
 
 
 
 

 

 


A PROFESSIONAL EMPLOYER ORGANIZATION

 

PANTHEOS
200 S. Frontage Road, Suites 212 & 330
I Burr Ridge, IL 60527 I Phone: 630-321-0133 I Fax: 630-321-0298 I 877-693-9700

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