NMC offers employees Voluntary AD&D coverage through Reliance Standard. This plan is designed to provide a continuation of benefits to you in the event of either sickness or accident.

ELIGIBILITY

New employees who start work with NMC become eligible for benefits on the first day of the month following date of hire.

Full-Time and Regular Part-Time employees are eligible to enroll.

Employees are allowed to elect 1x, 2x or 3x their annual salary.

Employment Classification:

Full Time (FT)= 36 to 40 hours per pay week

Regular Part Time (RPT)= 30 to 35.5 hours per pay week

Part Time (PT)= 20 to 29.5 hours per pay week

Regular Per Diem (RPD)= at least 8 hours per pay period

Per Diem (PD)= as needed

Contact Information

Reliance Standard
800-351-7500

www.reliancestandard.com

AD&D Policy # VAR207698

NMC offers employees Short Term Disability coverage through Reliance Standard. This plan is designed to provide a continuation of benefits to you in the event of either sickness or accident.

ELIGIBILITY

New employees who start work with NMC become eligible for benefits on the first day of the month following date of hire. Full Time, Regular Part Time, and Part Time employees are eligible to enroll.

Current employees who transfer from a non-benefit-eligible position to a benefit-eligible position follow the New Employee guidelines above.

Employment Classification:

Full Time (FT)= 36 to 40 hours per pay week

Regular Part Time (RPT)= 30 to 35.5 hours per pay week

Part Time (PT)= 20 to 29.5 hours per pay week

Regular Per Diem (RPD)= at least 8 hours per pay period

Per Diem (PD)= as needed

Class 1 – Each Active Full Time Employee working 32 hours or more per week and Part Time Employee working 20 hours or more per week, except any person working on a temporary or seasonal basis.

Class 2 – Each Active Full‐Time & Part Time Employee (Leadership, Physician, Nurse Practitioner, Physicians Assistant) working 20 hours or more per week, except any person working on a temporary or seasonal basis.

Contact Information

Reliance Standard
800-351-7500

www.reliancestandard.com

Policy # STD165827

Other Forms and Resources:

My Supplemental Life Benefits

Employees are offered Voluntary Life Insurance and Accidental Death & Dismemberment Program in which employees can obtain additional term life insurance coverage for themselves and their dependents.

Supplemental life insurance coverage can be elected in conjunction with the Basic Life coverage. If an employee elects life insurance after they are initially eligible, Evidence of Insurability will be required and the coverage will have to be approved. Full Time and Regular Part Time employees are eligible to enroll.

ELIGIBILITY

New employees who start work with NMC become eligible for benefits on the first day of the month following date of hire.

Current employees who transfer from a non-benefit-eligible position to a benefit-eligible position follow the New Employee guidelines above.

Employment Classification:

Full Time (FT)= 36 to 40 hours per pay week

Regular Part Time (RPT)= 30 to 35.5 hours per pay week

Part Time (PT)= 20 to 29.5 hours per pay week

Regular Per Diem (RPD)= at least 8 hours per pay period

Per Diem (PD)= as needed

Class 1 -Each Active Full-Time or Regular Part Time Employee, except any person working on a temporary or seasonal basis.

Class 2 –Each Active Full-Time or Regular Part Time Executive Employee, except any person working on a temporary or season basis.

Supplemental Life Insurance (100% Employee Funded; age rated premiums)

  • Choice of coverage from 1x to 3x annual base salary to a maximum of $500,000 combination of Basic Life and Supplemental Life
  • Benefits reduce by 35% upon reaching age 70; 50% upon reaching age 75
  • Employee required to give satisfactory evidence of insurability for supplemental life amounts over $250,000

Dependent Life Insurance (100% Employee Funded)

  • Employees may elect coverage on their spouse for $10,000, $20,000, $30,000 or $40,000
  • Employees may elect coverage on their children for $5,000 or $10,000
  • Employees may not elect more coverage for their spouse or child(ren) than they have on themselves
Other Forms and Resources:
Contact Information

Reliance Standard
800-351-7500

www.reliancestandard.com

Policy # GL158280

My FSA Benefits

Flexible Spending Accounts (FSA) allow employees to set aside money on a pretax basis. 

  • Funds in a medical FSA may be used to reimburse you for expenses related to medical, prescription, dental, vision and limited over the counter expenses.
  • Employees may contribute up to $2,750 into a medical FSA in 2021.
  • Funds may be used to pay for eligible expenses incurred by any tax dependent.
  • Funds are available in their entirety on the effective date of the FSA.

*Employees who choose the HSA Medical Plan and elect to contribute to a Health Savings Account (HSA) may elect a medical FSA, but may only use funds to reimburse dental and vision expenses.  This is considered a Limited Purpose FSA.

  • A Dependent Care Account (DCA) is an FSA that allows employees to put funds away on a pre-tax basis to pay for costs associated with day care and day camp expenses for their children under age 13.
  • DCA funds are available for distribution as they are deposited into the account.
  • Employees may elect up to $5,000 per household ($2,500 if married and filing separately).

Employees will receive an Allegiance Debit Card if they enroll in a Flexible Spending Account, FSA or DCA.

CLAIMS FILING PROCEDURE:

Written notice of the Participant’s or the Dependent’s claims (proof of claims) must be given to the Contract Administrator as soon as is reasonably possible but prior to the end of the Run-out Period, which is ninety (90) days after the end of the Plan Year.  Claims submitted after the Run-out Date will be denied.

My HSA Benefits

Full Time, Regular Part Time & Part Time employees are eligible to contribute to a Health Savings Account if enrolled in the HSA Medical Plan which is a Qualified High Deductible Health Plan.  All employee’s contributions can be deducted pre-tax & may be changed throughout the year as long as the total contribution does not exceed the Federal Maximums.

NMC will make a dollar for dollar contribution into your HSA in the amount of $20 individual and $40 family per pay period.
*Employees who elect the H.SA Medical Plan and the Health Savings Account may also elect a medical Flexible Spending Account, but funds from the FSA may only be used for dental and vision expenses.  This is considered a Limited Purpose FSA.
Contact Information

Health Equity
866-346-5800
www.healthequity.com

My Critical Illness and Accident Benefits

NMC offers employees Worksite Benefits through Reliance Standard. These plans are designed to provide a continuation of benefits to you in the event of either sickness or accident.

ELIGIBILITY:

Each Active, Full-time employee working 17.5 or more hours per week, and Part-time employee working 17.5 or more hours per week, except any person working on a temporary or seasonal basis.

Accidental Forms and Resources:
Critical Illness Forms and Resources:

Did you know…

A COVID-19 Test is covered under the wellness benefit on the Critical Illness Policy. Simply attach the COVID-19 Screening proof from your provider to the wellness benefit claim form linked above and return to Reliance Standard. For more information regarding the wellness benefit, please refer to your Certificate.

Contact Information

Reliance Standard
800-351-7500

www.reliancestandard.com

Accident Policy # VAI826138
Critical Illness Policy # VCI801059

My Pet Insurance Benefits

NEW! Effective 9/17/20 choose the level of coverage that fits your needs! Get 90%, 70%, or 50% reimbursement on vet bills and more. Refer to the My Pet Protection document for more information or click to enroll on the right.

You may purchase voluntary pet insurance coverage on dogs, cats, and birds. Discounts are given for insuring more than one pet per owner. Premiums can be paid through payroll deductions. Employees opting for this coverage will be required to complete paperwork to provide directly to the insurer. To enroll click on the pet insurance link below.

Eligibility:

Full Time, Flexible Full Time, Regular Part Time or Part Time employees may enroll on the first of the month following one full month of employment. Employees have the ability to enroll with VPI by phone or online anytime throughout the year.
To enroll in Pet Insurance click here to get started.
Contributions:

Voluntary Pet Insurance is 100% employee funded.

Contact Information

Nationwide
(877) 738-7874

To enroll in Pet Insurance click here to get started.

Worldwide, collect 603-328-1966

The Northwestern Medical Center tuition assistance program is designed to help NMC employees pay back student loan debt and improve their financial well-being.