Suquamish Tribe 2024 Benefit Guide | Page 2

WELCOME TO YOUR 2024 BENEFITS !

The Suquamish Tribe is proud to offer a robust benefits package to our employees and their families ! Our benefits package is designed around choice , flexibility and value .
To learn about the available plans and choose which ones are right for your lifestyle and budget , take a look at this Benefits Guide . If you have general questions on your benefits or how to enroll , reach out to Human Resources or a Gallagher Benefit Advocate — their contact info is toward the back of this Guide under “ Your Benefits Contacts .”
In addition , a Summary of Benefits and Coverage ( SBC ) is available at https :// c2mb . ajg . com / suquamishtribe / home / to help you make your healthcare coverage choices . The SBC summarizes information about your medical plan options and is in a standard format required by the Affordable Care Act . A paper copy is also available , free of charge . Please contact Human Resources to request a copy .
Please refer to this guide and online resources . Open enrollment is November 27 – December 8 , 2023 .
WHAT ’ S INSIDE
Open Enrollment Overview ........................................................................................................................................................................ 2 Benefit Eligibility ......................................................................................................................................................................................... 3 Benefit Costs ............................................................................................................................................................................................. 4 Medical Benefits ........................................................................................................................................................................................ 5 Medical Benefits - Plan Highlights ............................................................................................................................................................. 6 Prescription Drug Benefits ......................................................................................................................................................................... 7 Health Reimbursement Arrangement ( HRA ) .............................................................................................................................................. 8 Telehealth ................................................................................................................................................................................................ 10 Care Navigator ........................................................................................................................................................................................ 11 Important Information Regarding Your Medical Benefits .......................................................................................................................... 12 Dental Benefits ........................................................................................................................................................................................ 15 Vision Benefits ......................................................................................................................................................................................... 16 Life & Disability Benefits .......................................................................................................................................................................... 17 Voluntary Life / AD & D Benefits .................................................................................................................................................................. 18 Voluntary Short Term Disability Benefits .................................................................................................................................................. 19 Flexible Spending Accounts ( FSA ) .......................................................................................................................................................... 20 FSA Transportation Assistance ............................................................................................................................................................... 21 Employee Assistance Program ( EAP ) ..................................................................................................................................................... 22 Premium Assistance Under Medicaid and the Children ’ s Health Insurance Program ( CHIP ) .................................................................. 23 Notice of creditable coverage .................................................................................................................................................................. 26 Your Benefits Contacts ............................................................................................................................................................................ 28
Prepared by Gallagher for the Employees of The Suquamish Tribe 1