2021/2022

Benefits Hub

You must enroll in your benefits between August 2 and August 13

We have developed this Benefits Hub for you as your benefits one-stop-shop – available to you year-round! Get access to things like plan details, vendor contact information, and helpful compliance documentation.

At the bottom of each benefit tile, you will see radio buttons – Documents, Contacts, and View Plan Detail. Click within each button to access key benefit detail.

To get started, click a Benefit Icon to the left or just start scrolling.

Medical Plans

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We are offering you 3 Aetna plans. Make sure to View Plan Detail before enrolling!

Premier Care Lifestyle HSA

Network Coverage:

In-Network only


Deductible: Generally, you must pay all of the costs from providers up to the deductible amount before this plan begins to pay. Services covered before you meet your deductible include In-network preventive care.

$2,700 / $5,400


Doctor Visits:

30% after deductible


Generic Drugs:

$10 after deductible

Premier Care Traditional

Network Coverage:

In-Network only


Deductible:

$500 / $1,500


Doctor Visits:

$25 copay


Generic Drugs:

$15 copay

Flex Choice POS

Network Coverage:

In- and Out-of-Network Coverage


Deductible:

$1,000 / $3,000


Doctor Visits:

$30 copay


Generic Drugs:

$10 copay

Find a Provider
Documents
Contacts
View Plan Detail

Pharmacy


MedImpact Prescription Drug is included with each Aetna medical plan. View covered drug lists under Documents.

Documents
Contacts
View Plan Detail

Dental Plans

You are offered two dental plans! A DHMO with lower premiums and a Cigna Advantage DPPO Network plan with an annual benefit of $2,000.

If no action is taken during open enrollment, your plans will be automatically transitioned to Cigna.

Dental HMO

Network Coverage:

In-Network Only


Deductible:

$0


Basic:

Copay schedule


Major:

Copay schedule


Orthodontic:

Copay schedule

Dental PPO

Network Coverage:

In- and Out-of-Network Coverage


Deductible:

$50 / $150


Basic:

80% after deductible


Major:

50% after deductible


Orthodontic:

50% no deductible

Find a Provider
Documents
Contacts
View Plan Detail

Vision Plans

We offer you 2 vision plans: VSP Base and VSP Buy-up Premier. Use the buttons at the bottom to view more information about each plan.

Vision Base

Network Coverage:

In- and Out-of-Network Coverage


Wellness Exam:

$10


Prescription Glasses:

$25


Frame Allowance:

$150


Contacts:

$150

Vision Buy-Up Premier

Network Coverage:

In- and Out-of-Network Coverage


Wellness Exam:

$10


Prescription Glasses:

$25


Frame Allowance:

$200


Contacts:

$200

Find a Provider
Documents
Contacts
View Plan Detail

Health Savings Account

A health savings account (HSA) is a powerful tool that helps you save on healthcare expenses now and in the future.

An HSA, paired with our Premier Care Lifestyle HSA plan, is like a normal savings account – the money is yours and never expires. And, your contributions to your HSA are tax deductible!

2021 Limits

Individual Limit:

$3,600


Family Limit:

$7,200


Catch-Up Contributions: If you’re age 55 and older, you can contribute an additional amount annually as defined by the IRS each calendar year.

$1,000

2022 Limits

Individual Limit:

$3,650


Family Limit:

$7,300


Catch-up Contributions:

$1,000

Documents
Contacts
View Plan Detail

Flexible Spending Account

You can elect to have a portion of your paycheck contributed pre-tax to a flexible spending account (FSA) to pay for qualified medical and dependent care expenses.

Health Care FSA Eligibility:
Premier Care Traditional ACO or Flex Choice POS medical plans

Dependent Care FSA Eligibility:
All medical plans

Health Care FSA

Helps you pay for expenses such as co-payments, dental, and vision.


Annual Contribution Limit:

$2,750


Rollover:

None

Dependent Care FSA

Helps you pay for expenses such as day care, preschool, and elderly care.


Annual Contribution Limit:

$5,000


Rollover:

None

Documents
Contacts
View Plan Detail

Employee Assistance Program

Feel Supported. If you are feeling stressed or are worrying about your family or money, connect up to 5 times per issue with a licensed counselor for help. Go to metlifeeap.lifeworks.com, user name: metlifeeap and password: eap, or call 888-319-7819.

Documents
Contacts
View Plan Detail

Life & Disability

We provide these benefits at no cost to you. You do not need to re-enroll in these benefits each year in order to receive them. No action required.

Included Benefits

✓ Life and Accidental Death & Personal Loss


✓ Short-Term Disability


✓ Long-Term Disability

View Plan Detail

Financial Protection

Protect your life — and everything in it

By signing up for the right mix of benefits, you can plan for less financial risk and improved wellness. That’s the power of a comprehensive benefits package. See how the right combination of products can help you protect everything that matters.

Included Benefits

✓ Supplemental Life and Accidental Death & Personal Loss


✓ Accident


✓ Hospital Indemnity


✓ Critical Illness


✓ Group Term Life


✓ Supplemental Short-Term Disability


✓ Legal


✓ 401(k)


View Plan Detail

Family-Planning Benefit

By Progyny™

Progyny knows the road to parenthood can be challenging — they were founded by people who’ve faced obstacles to fertility first-hand. That’s why they partner with the nation’s leading fertility specialists to bring you a smarter approach with better care and more successful outcomes. Progyny is designed so that more options are available to anyone who wants to have a child.

Included Benefits

✓ Access to a premier fertility specialist network


✓ Integrated fertility medication benefit


✓ You'll get your own Patient Care Advocate


✓ And more!


Get started

Compliance

Your hub for compliance information, forms, and contacts you may not have found elsewhere.

Open the box

99 Cents Only permits INSURERS to offer employees of 99 Cents Only certain voluntary insurance programs. Whether you choose to enroll in any of these programs is completely optional and voluntary. 99 Cents Only does not make a contribution towards the cost of these programs and employees pay the full cost of premiums on an after-tax basis. 99 Cents Only does not sponsor, maintain, endorse, recommend, or promote these voluntary programs. 99 Cents Only's involvement regarding these voluntary insurance programs is strictly limited to allowing the insurer access to employees to publicize these programs and 99 Cents Only may perform certain ministerial functions such as payroll deduction and forwarding employee premium payments to the insurer. 99 Cents Only does not receive any consideration in the form of cash or otherwise in connection with the program, other than reasonable compensation, excluding any profit, for administrative services actually rendered in connection with payroll deductions. Accordingly, these voluntary insurance programs are not subject to ERISA and related regulations. All questions or claims regarding these programs should be directed to the insurer.

In the event of any conflict between the content contained herein and the Summary Plan Description (SPD), the provisions of the Summary Plan Description (SPD) shall prevail.
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