Magellan Healthcare - Employee Assistance Program (EAP)
Magellan Healthcare offers expert guidance to help address and resolve everyday issues.
Designed to help you manage life’s challenges as well as balance home and work, the Employee Assistance Program is a no-cost, confidential program available to you and your family members. Licensed counselors are available 24 hours a day, 365 days a year, for support, guidance, and referrals to help you resolve a broad range of concerns.
From the everyday issues like job pressures, anxiety, relationships, financial pressures, personal grief, loss, or a disability, Magellan can be your resource for professional support. You and your benefit eligible family members can access this program at any time.
Important Notes
Magellan Healthcare Employee Assistance Program (EAP) is available whenever is most convenient for you, to address anxiety, work-related pressures, relationships, home responsibilities, substance abuse, and much more.
- Call (800) 450-1327 for in-the-moment support from a licensed clinician 24/7/365
- Visit the web portal, www.MagellanAscend.com and enter Principal Core for the company name to learn about self-guided resources offered.
Information and help are free and completely confidential. You can contact the program 24 hours a day, 365 days a year. To get started, call (800) 450-1327, or log in to the Magellan Ascend web portal and enter Principal Core for the company name.
Retirement & Savings
American Exchange offers a 401K plan through Capital Group | American Funds. To learn more about how the American Exchange retirement plans work, and how to make sure you get the most out of your retirement, click the link below.
Eligibility
You must meet the following criteria to become eligible to participate in the Plan:
- Attain age of 21
- Complete one (1) Year of Eligibility Service during which you complete 1,000 hours of service
You will enter the Plan on the first day of the first month and seventh month of the Plan Year coincident with or next following the time you meet the eligibility criteria specified above.
You are excluded from the Plan if you are a member of any of the following classes of employees:
- Employees covered by a collective bargaining agreement, for purposes of Elective Deferral Contributions, Employer Matching Contributions, Safe Harbor Matching Contributions and Non-Elective Contributions.
- Any leased employee, for purposes of Elective Deferral Contributions, Employer Matching Contributions, Safe Harbor Matching Contributions and Non-Elective Contributions.
- Non-resident aliens, for purposes of Elective Deferral Contributions, Employer Matching Contributions, Safe Harbor Matching Contributions and Non-Elective Contributions.
Need Additional Assistance?
- Enrollment Website (for newly eligible employees): Click Here
- Website for participants once enrolled: Click Here
- Participant servicing Phone number: (800) 421-4120
- Advisor Contact: Laura Owsley/Aon Miller (423) 486-1888
- Participant Mobile App: download the “American Funds RKDirect” 401k App
Disability
Disability coverage provides an income replacement benefit in the event you are unable to work due to a non-work-related illness or accident. The ability to work is usually an employee’s most important financial asset. The Social Security Administration estimates that just over 1 in 4 of today’s 20 year-olds will become disabled before reaching age 67. Once an individual has become disabled for over 90 days, the average length of disability is 4 years.
As an American Exchange employee, you are provided Long Term Disability coverage, free of charge*, and have the opportunity to elect Short Term Disability coverage as well. These plans pay a benefit should you remain disabled and unable to work, and provide you with financial protection in the event of a catastrophic illness or injury.
If you newly elect Short Term Disability or Long Term Disability coverage after your initial eligibility period, an Evidence of Insurability for medical underwriting is required. An EOI Form may be obtained from the benefits website or the Benefits Service Center. Any pended elections will be noted on your Benefits Confirmation Statement.
*Exclusions apply
Short Term Disability - Summary of Benefits
Long Term Disability - Summary of Benefits
** Certain exclusions apply
Short Term and Long Term Disability - Pre-existing Conditions
The Short Term and Long Term Disability plans exclude disabilities caused by a pre-existing condition for the first 12 months of coverage. A pre-existing condition is one for which you have been diagnosed or treated within the prior 3 months before newly enrolling in the plan. Once you have been insured with Long Term Disability coverage for 12 months, no coverage restrictions related to pre-existing conditions apply.
Evidence of Insurability
Any changes to disability (except for new hire enrollments / elections) will require medical underwriting. Changes will only be effective once medical underwriting has been completed, and if Principal has decided to approve the change.
Life Insurance
American Exchange provides employer-paid basic life insurance for you through Principal. The plan includes Accidental Death and Dismemberment coverage, or AD&D. If you pass away as a result of an accident, the plans also pay either the amount of your life insurance or a percentage for loss of limbs, speech, hearing, and more.
American Exchange also offers voluntary life insurance for employees, spouses, and children through Principal. Consider your current coverage and whether it would provide adequate protection for your family in the event of your death.
Benefit Reductions Due to Age
All life insurance options include a reduction of benefits beginning at age 65. Life insurance reduced to 65% at age 65 and to 50% at age 70
Employer-Paid Basic Life & Accidental Death & Dismemberment (AD&D)
American Exchange provides all eligible employees a Basic Life and AD&D benefit, equal to 2 times your annual earnings. This Basic Life and AD&D benefit is provided at no cost to you. The AD&D benefit provides an additional payment in the event of a death or loss of limb(s), speech, hearing, and more caused by a covered accident.
Employee Voluntary Life Insurance (employee-paid option)
You may also elect additional Voluntary Life and AD&D coverage for yourself, your spouse, and your children. Employees may elect Voluntary Life insurance in increments of $10,000 up to a maximum of $300,000, for yourself.
Spouse Voluntary Life (employee-paid option)
You may elect voluntary life insurance for your spouse, in increments of $5,000, up to a maximum of $100,000.
Child Voluntary Life (employee-paid option)
You may elect voluntary life insurance for your child, in a flat amount of $10,000.
Evidence of Insurability
Changes to coverage (outside of new hire enrollments and elections) will be subject to medical underwriting, and will not be effective, until approved.
Guaranteed Issue for New Hires
New Hires may elect the following coverages, with no Medical Underwriting required:
- Employees
- Under Age 70 - $100,000
- 70 or older - $10,000
- Spouses
- Under Age 70 - $25,000
- 70 or older - $10,000
Vision
The American Exchange vision plan provides coverage for an exam plus either frames or contacts. If you see an in-network provider, you pay a copay for your eye exam. The plan pays a benefit of up to $130 for frames or contact lenses. Additional copays apply for eyeglass lens options.
With the Principal vision plan, you may visit any vision provider. Using participating VSP providers will help you to maximize your benefits. You can find participating providers by going to: https://www.vsp.com/eye-doctor search for an Eye Doctor by entering your zip code or doctor’s name. When you visit a participating VSP vision provider, you will have a higher benefit and lower out-of-pocket costs, and you will receive the benefit at the time of service (no need to file claims). If you go out-of-network, you will need to pay at the time of service and file a claim for reimbursement.
| Vision Summary of Benefits | In-Network |
|---|---|
|
Exam
|
|
| Standard | $10 copay |
| Retinal Imaging | Up to $39 copay |
|
Lenses - Glasses
|
|
| Single | Covered in full after $25 copay |
| Bifocal | Covered in full after $25 copay |
| Trifocal | Covered in full after $25 copay |
| Lenticular | Covered in full after $25 copay |
|
Frames
|
$130 Allowance |
|
Contact Lenses
|
|
| Fit and Follow-up | Up to $60 Copay |
| Elective Lenses | $130 allowance |
| Medically necessary | Covered in full after $25 copay |
Frequency Limitation
This vision plan has frequency limitations. The exam benefit and lens benefit are once per 12 months. The frame benefit is once per 24 months.
Network
The Principal Vision plan uses the VSP network, effective 5/1/2022. Coverage can be verified by you or your provider by calling (800) 877-7195.
Dental
American Exchange offers dental insurance through Principal. The Principal dental plan includes preventive care at 100% (no deductible) and two cleanings per calendar year. The Dental plan also offers coverage for Basic care services at 80% (after a $50 deductible) and Major care services at 50% (after a $50 deductible). The dental plan has an annual benefit maximum of $2,000.
To reduce your out-of-pocket costs and prevent balance billing, you are encouraged to use in-network dentists. Visit https://www.principal.com/find-dentist to locate participating dentists. Please refer to the Benefits Summaries for complete details. If you have further questions or would like a customer service representative to assist you in finding an In Network provider, please contact Principal's Group Benefits Administration department at: (800) 843-1371.
Below is a brief summary of your annual deductible and co-insurance costs. Please refer to the complete Benefit Summaries for additional details.
| Principal Dental Coverage | Plan Benefits |
|---|---|
|
Deductible
|
$50 individual | $150 Family |
|
Type A - Preventive Services (Deductible Waived): Cleanings, Exam, and X-rays
|
Plan pays 100% |
|
Type B - Basic Services (After Deductible): Fillings, Oral Surgery, Periodontics, and more
|
Plan pays 80% after deductible |
|
Type C - Major Services (After Deductible): Crowns, Implants, Bridges, and more
|
Plan pays 50% after deductible |
|
Annual Maximum (per person)
|
$2,000 per person |
Important Notes
- Deductible (waived for preventive)
- Family deductible is 3 x per person deductible.
- Combined deductibles: deductibles for basic and major in-network and non-network services are combined.
- Combined annual maximums: calendar year maximums for preventive, basic and major services are combined.
- Members utilizing participating network dentists will enjoy discounted dental fees in addition to protection from balance billing for charges above the dentist’s maximum allowable charges. Members utilizing non-participating dentists will have the same benefits but may be subject to balance billing.
Claims Process
In-Network
- Participating network dentists file the claim and accept payment from Principal
- Employees should not need to pay at the time of service for participating providers
Out-of-Network
- For out-of-network dentists, if the dentist does not agree to file the claim as out-of-network with Principal, employee pays at the time of service and files a claim for reimbursement
- The plan reimburses at the Maximum Allowable Charge for the service. This means that if you utilize an out-of-network provider, you could be balance billed for the difference in amounts between the provider Billed Charges and the Maximum Allowable Charge for the service.
Medical
American Exchange is proud to offer Bywater as the medical plan administrator for the American Exchange medical plan. Bywater offers excellent customer care and utilizes the Cigna PPO Network of providers. The structure of American Exchanges medical plans a single PPO plan option.
Need assistance finding an In Network Provider? Please see the Cigna Find a Doc flyer in the medical section of the resources page for instructions.
The PPO 6000 plan offers first dollar coverage for services like office visits, Urgent Care visits, and prescription drugs. For most other services, you are responsible for a deductible and coinsurance until you meet your out-of-pocket maximum. Please be aware that copays do not count towards your deductible, only your out-of-pocket maximum. Preventive care is always covered at 100% before the deductible.
| PPO 6000 Plan - In network coverage only | |
|---|---|
|
Deductible
|
|
|
You
|
$6,000 |
|
You + Family
|
$12,000 |
|
Medical Out-of-Pocket Max
|
|
|
You
|
$7,500 |
|
You + Family
|
$15,000 |
|
Coinsurance (Plan Pays)
|
Member pays 30% after deductible |
|
Medical
|
|
|
ER
|
$1,000 Copay, waived if admitted |
|
Urgent Care
|
$125 Copay |
|
PCP Visit
|
$65 Copay |
|
Specialist Visit
|
$125 Copay |
|
Preventive Care
|
100% |
|
Retail Pharmacy: 30-day Supply
|
|
|
Generic Drug
|
$5 Copay |
|
Brand Name Drug
|
$25 Copay |
|
Non-Preferred Drug
|
$150 Copay |
|
Preventative Drug
|
No Charge |
|
Mail Order Pharmacy: 90-day Supply
|
|
|
Generic Drug
|
$12.50 Copay |
|
Brand Name Drug
|
$62.50 Copay |
|
Non-Preferred Drug
|
$375 Copay |
Garner - Medical Concierge
Find the BEST doctors in your area
Garner is a free benefit that helps you find the highest quality doctors while saving you up to $6,000 individual / $12,000 per family in costs from that care.
How does Garner deliver on both lower costs and better healthcare?
Contrary to popular opinion, the best doctors are often the least expensive. Missed diagnoses, unnecessary surgeries, and bad health outcomes are expensive. By setting you up with the best doctors, you not only get better care, but the cost is also lower for both you and American Exchange. As a result, American Exchange covers your entire medical bill up to $6,000 individual / $12,000 per family when you visit a Garner-approved doctor or medical provider.
Visit getgarner.com/signup to get started.
- Email concierge@getgarner.com or
- Call (866) 761-9586 to locate the top doctors in your area
How does it work?
- A member must use Garner to get a recommendation before visiting the provider.
- Visit the provider recommended by Garner, and the member’s out-of-pocket medical bills will be paid automatically.
Your ID Card
Your Bywater ID card contains all the information you, your doctor’s office, and pharmacist will need to access your health insurance information.
Please be sure to show your card the FIRST TIME you visit your healthcare provider or pharmacy. Your provider will need to call Bywater at (800) 337-0792 to verify your eligibility and benefits.
Transparency in Coverage - Machine-Readable Files (MRFs)
The Departments of Health and Human Services, Labor and the Treasury implemented the Transparency in Coverage Final Rule which requires that group health plans, for plan years on or after January 1, 2022, disclose machine-readable files (MRFs) on a public website starting July 1, 2022.
The MRFs can be found on the Bywater website and include the following:
- In-network negotiated payment rates, and
- Historical out-of-network allowed amounts
Data in these files will be in the JSON file format and will be updated monthly. You will find the MRFs here:
