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Checklist

Checklist. Insurance Insurance Election Form Health Insurance Dental Insurance Audio/Visual Insurance Flexible Spending and Dependent Care Election Form Life and Disability Insurance Beneficiary Designation Form Retirement Plans

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Checklist

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  1. Checklist Insurance • Insurance Election Form • Health Insurance • Dental Insurance • Audio/Visual Insurance • Flexible Spending and Dependent Care Election Form Life and Disability Insurance • Beneficiary Designation Form Retirement Plans • GRAEF Retirement Savings Plan New Participant Enrollment Form • GRAEF Retirement Savings Plan and GRAEF ESOP Beneficiary Designation Form Employment • Federal Form I-9 • Status Sheet • Federal W4 Form • Direct Deposit Signup Form

  2. Benefits • Medical Insurance (three options) • Dental Insurance • Audio / Visual Insurance • Flexible Spending • Life Insurance • Retirement Savings (401k and Profit Sharing) • Legally Required Notices • Form I-9 • Status Sheet • Federal Form W-4 • Direct Deposit Signup

  3. Medical plan options

  4. How do I enroll in Medical coverage?

  5. How do I enroll in Medical coverage?

  6. How do I enroll in Medical coverage?

  7. How do I enroll in Medical coverage?

  8. How do I enroll in Medical coverage?

  9. How do I enroll in Medical coverage?

  10. Dental Insurance • Benefits • $20 one time Deductible per year • $1500 Single / $2000 Family annual maximum • $3000 lifetime maximum for Orthodontics • 70% coverage for most services (cleanings, exams, x-rays, fillings, oral surgery) • 50% coverage for major services (implants, crowns and dentures) • 50% coverage for orthodontics • You will be covered at any dentist • Monthly employee premium • $0 for Single coverage • $30 for Employee & Spouse or Employee & Child(ren) coverage • $65 for Family coverage

  11. How do I enroll in Dental coverage?

  12. How do I enroll in Dental coverage?

  13. Audio Visual Insurance • Benefits • $10 deductible (combined) • Audio • $1000 lifetime maximum • $25 reimbursement / exam • $300 reimbursement / hearing aids • Vision • Single lenses, frames, exam fee - $350 in a two year period • Bi-focals, frames, exam fee - $400 in a two year period • Tri-focals, frames, exam fee - $450 in a two year period • Contact lenses and exam fee -$175 per year * Not allowed – reimbursement for both contact lenses and glasses in the same calendar year • You will be covered at any vision or hearing provider • Monthly employee premium • $0 for single coverage • $15 for family coverage

  14. How do I enroll in Audio Visual coverage?

  15. How do I enroll in Audio Visual coverage?

  16. Flexible Spending and Dependent Care • You may contribute up to $6000 per year into a Flexible Spending Account • You cannot have a Flexible Spending Account during the same time in which you’re contributing to a Health Savings Account • You may contribute up to $5000 per year into a Dependent Care Account

  17. How do I enroll for Flexible Spending and Dependent Care?

  18. How do I enroll for Flexible Spending and Dependent Care?

  19. How do I enroll for Flexible Spending and Dependent Care?

  20. How do I enroll for Flexible Spending and Dependent Care?

  21. How do I enroll for Flexible Spending and Dependent Care?

  22. Life and Disability Insurance • Life Benefits • The company provides $50,000 in Life Insurance at NO COST to you • You may purchase additional term Life Insurance at the reduced “group” rate • Disability Benefits • GRAEF provides both Short Term and Long Term Disability at NO COST to you • You will receive 70% of your salary starting on the 8th day following a serious injury or accident • On the 91st day, you will receive 60% of your salary

  23. How do I enroll for Life and Disability coverage?

  24. How do I enroll for Life and Disability coverage?

  25. How do I enroll for Life and Disability coverage?

  26. How do I enroll for Life and Disability coverage?

  27. How do I enroll for Life and Disability coverage?

  28. Retirement Plans • GRAEF Retirement Savings Plan (401K) • Pre-tax and Post-tax Options • GRAEF may match up to 50% on the first 4% of your 401k contribution • You must be employed on the last day of the year and have worked at least 500 hours in that year to qualify for the company contribution • ESOP • You must be employed on the last day of the year and have worked at least 500 hours in that year to qualify for the company contribution

  29. How do I enroll for the 401k Plan?

  30. How do I enroll for the 401k Plan?

  31. How do I enroll for the 401k Plan?

  32. How do I enroll for the 401k Plan?

  33. How do I enroll for the 401k Plan?

  34. How do I enroll for the 401K Plan?

  35. How do I enroll for the 401k Plan?

  36. How do I enroll for the 401k Plan?

  37. Legally Required Notices • Please make sure to review the legally required government notices on Yammer, which is GRAEF’s collaborative network environment! They are available in the GRAEF Human Resources Group file tab. • CHIP • Medicare Part D • Combined Notice • Grandfathered Health Plan • Special Enrollment Notice-Medicaid and CHIP Special Enrollment Added • Women’s Health and Cancer Rights Act • Michelle Law • HIPAA Notice of Availability • Summary Plan Descriptions • Retirement Savings Plan Fee Disclosure • If you prefer to receive these notices in writing on paper, you may contact Human Resources and we will provide you one to you at no charge. • Check your GRAEF email inbox on your first day for more information on how to get access to Yammer and where these notices are located!

  38. Form I-9, Employment Eligibility Verification

  39. Form I-9, Employment Eligibility Verification

  40. Form I-9, Employment Eligibility Verification

  41. Status Sheet

  42. Status Sheet

  43. Status Sheet

  44. Status Sheet

  45. Status Sheet

  46. Status Sheet

  47. Federal Form W-4

  48. Federal Form W-4

  49. Federal Form W-4

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