Additional Benefits Through Empire Life Insurance: If you enroll in one of the Empire BCBS plans, ABC Company will offer you basic Life/AD&D Insurance. The coverage is a flat $25,000 benefit payable to your designated beneficiary. New for 2023 – Supplemental Life Insurance! All full-time employees have access to purchase supplement life insurance at a discounted rate. Please refer to the supplement life insurance section on page 16. Please make sure that your beneficiary is up to date. Vision Insurance: If you enroll in the Empire BCBS plans, Mitchell Martin will offer you vision coverage. The plan allows for one vision exam every 24 months. The coverage is provided to you and any eligible dependents that are covered under your medical plan. You will be responsible for a $15 copayment, if you choose an in-network provider and up to a $40 reimbursement if you choose an out-of-network provider. Empire “Be Active” & Gym Reimbursement Program: If you enroll in one of the Empire BCBS plans, you are eligible for the Be Active and Gym Reimbursement program. Be Active gives members access to wellness features, such as, a fitness coach and chances to win dollar awards. To qualify for gym reimbursement, you must work out at least 35 times at a qualifying fitness center every 6 months. Members can be reimbursed up to $400 per member per year. You can claim your reimbursement by submitting the Empire gym reimbursement form, a copy of the fitness facility member verification form, proof of your fitness center payment and a record of your workout sessions. Your workout record can be an electronic gym printout or a fitness log. 6
Open Enrollment Flipbook Page 5 Page 7