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What You Need to Know

Click on each of the topics below for details on other changes that are effective on August 1, 2023.

AHR Layered Plan: Important Information ▼

The PPO and HDHP/HSA Plans consist of two parts:

  • Plan 1: A major medical plan, through BlueCross BlueShield of Illinois, to cover big expenses
  • Plan 2: A layered plan (also known as gap plan), through AHR, to cover routine care before you reach your major medical plan deductible and out-of-pocket maximum. This is the part of the health plan that you elect during the enrollment process.

With the AHR Plan, you get better coverage, a lower out-of-pocket maximum, and everyone saves money!

Learn more below about your AHR layered plan!

If you still have questions about your benefits, always call AHR first! AHR has the answers on how your overall plan design works together and will only direct you to BCBSIL when necessary.

2023-2024 Benefits Summary ▼

Summary of Benefits and Coverage (SBC) Documents ▼

Basic Plan

Bronze Plan

Gold Plan

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Your 2023-2024 Benefits

We are pleased to offer a comprehensive benefits program, that offers you choice and flexibility, so you can take charge of your physical, financial, and emotional well-being. For detailed information about each of the benefits plans and programs available to you and your family, please click on the down arrow for each benefit listed below.

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Medical & Prescription - Major Medical & AHR Layered/Gap Plans!

Administered by BlueCross BlueShield

Preferred Provider Organization (PPO)
A PPO plan offers the freedom to receive care from any in- or out-of-network doctor, specialist or hospital without a referral. You have a deductible to meet and once the deductible is met, coinsurance (or the cost share between you and the carrier) kicks in. The types of medical services that accumulate towards your deductible are inpatient hospital stays, outpatient surgeries, labs (blood work) and x-rays (MRIs, PET scans, CT scans, etc.). If you go to the doctor, see a specialist, utilize the ER or take a prescription drug, you’ll pay a copay for those specific services. Copays do not accumulate towards your deductible but they do accumulate towards your overall out-of-pocket maximum.

High Deductible Health Plan (HDHP) with Health Savings Account (HSA)
This medical plan option is comprised of two components (1) a High Deductible Health Plan (HDHP) and (2) a tax-exempt savings account called a Health Savings Account (HSA). The HDHP is a high deductible PPO plan that provides health care benefits after the deductible has been met. All medical services, with the exception of preventive care, are paid for by you at 100%, less carrier discounts, prior to meeting your entire annual deductible. This includes routine office visits, procedures, lab work, prescription drugs, etc.

Learn More

Layered/Gap Insurance

Effective 8/1/2023, Cozzini’s medical plans will include a layered/gap insurance plan that will be administered by American Health Resources (AHR).

The PPO and HDHP/HSA Plans will consist of two parts:

  • Plan 1: A major medical plan, through BlueCross BlueShield of Illinois, to cover big expenses
  • Plan 2: A layered plan (also known as gap plan), through AHR, to cover routine care before you reach your major medical plan deductible and out-of-pocket maximum. This is the part of the health plan that you elect during the enrollment process.

What is the main reason for this change? You get better coverage, a lower out-of-pocket maximum, and everyone saves money!

AHR has answers on how your overall plan design works together and will only direct you to BCBSIL when necessary

  • You will receive an ID card from both BCBSIL and AHR (see AHR card example below)
  • Use both your BCBSIL ID card and your AHR ID card at your doctor or clinic to make sure your claims are applied to your BCBSIL deductible and your layered insurance gap deductible/copays
  • BCBSIL will send your claim information directly to AHR and AHR will automatically pay it, based on the plan design, directly to the medical provider
  • After AHR processes your claim, you will receive email confirmation
  • IMPORTANT: At the Doctor, Lab, Outpatient Facility or Hospital always show both your BCBSIL ID card and your AHR ID card.
    The instructions on the AHR card indicate that your provider may collect the copay illustrated. However if they don’t require
    payment on the date of service, once your claim HSA been processed by BCBSIL/AHR your provider will send you an invoice for
    appropriate amount due.
  • IMPORTANT: At the Pharmacy, make sure to use both your BCBSIL ID card and your AHR ID card, pay your copay/cost, and you’re all set! Remember, BCBSIL is primary coverage and AHR (through Southern Scripts Rx) is secondary coverage
  • Mail Order Pharmacy: Use Express Scripts through BCBSIL and submit your claims to AHR via email, fax, online or by mail

To log in to your account, go to www.ahr.net and click the AHR Login. Your user ID and password will be provided to you one your enrollment HSA been completed.

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Frequently Asked Questions

Telemedicine 

Getting sick is never convenient, and finding time to get to the doctor can be hard. Blue Cross and Blue Shield of Illinois (BCBSIL) provides you and your covered dependents access to care for non-emergency medical issues and
behavioral health needs through MDLIVE.

Whether you’re at home or traveling, access to a board-certified doctor is available 24 hours a day, seven days a week. You can speak to a doctor immediately or schedule an appointment based on your availability. Virtual visits can also be a better alternative to going to the emergency room or an urgent care center.

Telemedicince

Additional Medical Benefits!

  • Livongo—Diabetes & Hypertension Management
  • Hinge Health—Musculoskeletal (MSK) Program
  • Wondr—Metabolic Syndrome Reversal Program
  • Mail order
  • Tips to Save Money

Additional Medical Benefits

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Dental ▼

Administered by BlueCross BlueShield

Preferred Provider Organization (PPO)
These dental plans allow the flexibility to select any dentist in-network or out-of-network. By staying in-network, the contract between your dentist and insurance carrier will make your annual benefit period maximum last longer.

Dental coverage focuses on preventive and diagnostic procedures in an effort to avoid more expensive services associated with dental disease and surgery. The type of service or procedure received determines the amount of coverage for each visit. Each type of service fits into a class of services according to complexity and cost.

Learn More

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Vision ▼

Administered by Dearborn National (BCBS)

Vision insurance helps offset the costs of routine eye exams and also helps pay for vision correction eye wear, like eyeglasses and contacts, that may be prescribed by an eye-care provider.

By accessing in-network vision providers, you're able to reap the benefit of true vision insurance coverage. You're eligible
for an eye exam and lenses or contact lenses every 12 months and frames every 24 months. Out-of-network providers will merely offer you an allowance towards your vision services. 

Eye-care providers include many independent optical shops and national chains. 

Learn More

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Flexible Spending Account (FSA) ▼

Administered by Ameriflex

Flexible Spending Accounts (FSA)

Flexible Spending Accounts (FSA) allow you to save money on a pre-tax basis to pay for qualified medical, dental, and vision ex-penses and/or dependent care expenses you may incur throughout the year. The money you put into your FSA is done so on a pre-tax basis. This means you are lowering your taxable income and also not paying taxes when the money is used for qualified expenses. FSA’s are “use it or lose it” accounts.

Healthcare Flexible Spending Account: 

You may contribute up to $3,050 per plan year to pay for qualified medical, dental and vision expenses for yourself and eligible family members. Funds in this account can be used to cover all eligible expenses on your tax dependents even if they are not enrolled under your plans. Eligible reimbursable expenses include plan deductibles and copays (if applicable), orthodontia expenses not covered by your dental plan, prescription drugs and over the counter medications, prescription eye glasses and contact lenses, Lasik eye surgery and much more. You do not need to be enrolled in the Cozzini Benefit Plans to qualify.

Dependent Flexible Spending Account:

You may contribute up to $5,000 per plan year to pay for qualified eligible dependent care expenses. Funds in this account are saved on a tax-free basis. You do not need to be enrolled in the Cozzini Benefit Plans to qualify. Dependent Care FSA’s are not.
Front loaded and there are no rollover benefits associated with this option.

FSAs do have a use-it or-lose-it provision, so be conservative when electing how much to contribute. You are eligible to rollover up to $610 to the next year. Rollover applies to Health Care FSA and Limited Purpose FSA only.

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Disability ▼

Administered by Dearborn National (BCBS)

If you become ill or suffer an injury that prevents you from working disability insurance replaces a portion of your income for a defined maximum period of time. Cozzini Bros., Inc provides short term disability at no cost to its’ employees and long term disability can be elected and paid for through payroll deductions.

Voluntary Short-Term Disability

Short-term disability is designed to replaces part your income in the event of a temporary disability such as an illness, recovery from a surgical procedure and more.

Long-Term Disability

Voluntary Long-Term Disability offers gives you a way to have an income stream when they are unable to work for a long period of time due to an unexpected injury or illness so they can continue to make mortgage payments, car loan payments, monthly bills, and other expenses that could cause major stress during a period of uncertainty.

Learn More

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Life and AD&D Insurance ▼

Administered by Dearborn National (BCBS)

Basic Life and AD&D Insurance

Basic Life Insurance helps ease your loved ones’ financial burden. Your designated beneficiary will receive a benefit if you pass away from a covered accident or illness. In addition, Accidental Death and Dismemberment (AD&D) provides a benefit to your beneficiary if you pass on or become dismembered due to a specifically covered accident. Always make sure your beneficiaries are updated. The cost of the benefit is 100% paid for by the company.

Voluntary Life Insurance and Accident & Death Insurance

Voluntary Term Life/AD&D allows you to purchase additional coverage at your own financial expense to ease your loved ones’ financial burden if something should happen to you. Costs are determined on group discounted rates. Always make sure your beneficiary information is updated. A spouse or domestic partners maximum election cannot exceed the amount the employee takes out on themselves. The cost of the benefit is 100% paid for by you. Your age and the amount of insurance you elect determines the premium you’ll pay. Children can be covered until they reach age 26. Costs will go up as you age. See your plan documents for more detail.

Learn More

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Retirement▼

The 401(k) Plan is an employer sponsored retirement plan that allows employees to save and invest for the purpose of building savings for retirement. Saving through a 401(k) Plan is an easy way to set aside money for your future.

  • Automatic Enrollment for 401(k) Contributions: 1% of compensation; will increase by 1% each year
  • Contributions to your account
  • Company match: Dollar for Dollar on the first 3% you contribute
  • Automatic Escalation: Your contribution will increase by 1% each year
  • Investing your account
  • Vesting
  • Distributions
  • Loans
  • Directed Investments

Learn More

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Whole Life Insurance ▼

Cozzini is proud to include Premier Whole Life as a new benefit offering to employees. Whole Life insurance is a portable form of life insurance that is designed to provide long-term insurance protection for employees during their working years and beyond. The coverage amount that is chosen and the policy premiums are guaranteed to be fixed for the life of the policy as long as the premium payments are met. The policies also include optional benefits that include an Accelerated Death Benefit and Long Term Care Benefit.

What is Whole Life Insurance?

Whole Life Insurance is an individual life insurance policy that pays a benefit to your beneficiary if you pass away. Your premium payments will stay the same for the life of the policy, as long as you meet the required premium payments. Plus, the policy builds cash value, which you can borrow against. Any unpaid loan would be subtracted from the benefit that is paid to your beneficiary.

Features of Premier Whole Life Insurance include:

  • Flexibility: After the first policy year, the death benefit may be increased to meet your changing needs
  • Payroll deduction: Premiums are paid through convenient payroll deductions
  • Keep your coverage: Should you leave your current employer, or retire, you can take your coverage with you and choose one of a number of convenient payment plans

How can life insurance help?

Examples of how your life insurance benefit could be used include:

  • Pay off any remaining medical bills, funeral costs and debts
  • Provide ongoing financial support to your family
  • Keep your family in your home by paying off the mortgage
  • Fund your children’s education

Learn More

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Accident ▼

Administered by Voya

Voluntary Accident provides you with a lump-sum payment if you experience one or more of the events outlined by the plan coverage. The benefits covers accidents sustained on or off your job. The cost of the benefit is 100% paid for by you. You are eligible to receive a $50 reimbursement by submitting proof you completed a wellness screening or procedure. Covered screenings/procedures are outlined in the plan documents. Examples of covered benefits include, but are not limited to:

Benefits Received from Covered Accident
  • Ground/Air Ambulance—$400/$2,000
  • Emergency Room Treatment—$250
  • Fractures—Up to $10,000
  • Dislocations—Up to $8,000
  • Hospital/ICU Admission—$1,750
  • Hospital/ICU Confinement—$275/$450 per day
  • Initial/Follow-Up Physician’s Office—$100 per visit
  • AD&D (Employee/Spouse or DP/Children) - $40,000/$15,000/$8,000

Learn More

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Critical Illness ▼

Administered by Voya

Critical Illness Insurance can help safeguard your finances by providing you with a lump-sum payment when your family needs it most. you meet the policy requirements, Critical Illness insurance will provide you with a lump-sum payment upon diagnoses for one or more of the covered conditions. The cost of the benefit is 100% paid for by you. Spouse/Domestic Partner and Dependent Children will be enrolled at 50% of the elected Employee amount if enrolled in coverage. Below include some, but not all, covered illnesses and the percentage of your benefit to be paid if you or a covered dependent experience them.

You are eligible to receive a $50 reimbursement by submitting proof you completed a wellness screening or procedure. Covered screenings/procedures are outlined in the plan documents.

Learn More

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Hospital Indemnity ▼

Voluntary Hospital Indemnity provides you with a lump-sum payment if you or a covered dependent will be confined to a hospital or ICU room for an extended period of time. The benefit will provide a lump-sum payment for admission to a room and provide a daily lump-sum benefit for each additional day you remain hospitalized. The cost of the benefit is 100% paid for by you.

Benefits Received from Hospitalization

  • Hospital/ICU Admission—$500 per confinement (1 admission per calendar year)
  • Hospital Confinement—$100/day (up to 30 days per confinement)
  • ICU Confinement—$200/day (up to 15 days per confinement)
  • Rehabilitation Unit Confinement—$50/day (up to 10 days per confinement)

Learn More

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Employee Assistance Program (EAP)▼

Administered by Dearborn National (BCBS)

EAP is a confidential service that offers caring and professional assistance for a broad range of concerns; including stress management,
depression and anxiety, relationship or family conflicts, workplace conflicts, legal or financial difficulties, and drug or alcohol abuse. Receive up to 3 face-to-face sessions per issue per year. Services are confidential—neither your employer nor co-workers have knowledge of your request for help. EAP services are available 24 hours a day/7 days a week for you and your eligible dependents through unlimited telephonic service. There is no cost, it’s just there for you when you need it.

  • Stress and Depression
  • Life Transitions
  • Grief and Loss
  • Parenting and Child Care
  • Elder Care Referrals
  • Domestic Violence
  • Workplace Conflict
  • Work/Life Balance
  • Addition and Recovery
  • Financial Issues
  • Legal Assistance 
  • And More
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Beneficiary Resource Services ▼

When a loved one dies, families often face complex issues ranging from estate planning, legal questions, funeral planning, coping
with grief and financial uncertainties. Dearborn offers a program available to all employees that combines family wellness
and security, including the following services:

  • Emotional Support
  • Grief and Financial Counseling
  • Funeral Planning
  • Legal Support
  • Online Will Preparation

You can reach Beneficiary Resource Services at (800) 769-9187 or visit www.beneficiaryresource.com.

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Travel Resources ▼

All employees have access to Dearborn’s Travel Resource Services provider which offers around the clock emergency and
information services, including the following:

  • 24 hour emergency services when traveling more than 100 miles from home
  • Medical Search and Referral
  • Medical Evacuation & Emergency Travel Arrangements
  • Travel Companion Services (for dependents, too)
  • Legal Assistance
  • Replacement of medication and eyeglasses
  • Emergency cash

You can reach Travel Resource Services at (202) 659-7807 or at ops@europassistance-usa.com

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Contact Carriers ▼

Click here to view the carrier contact information.

Don't Miss Out

This annual enrollment period is the only opportunity to enroll in benefits until the next open enrollment period unless you experience a qualifying life event and request a change to your benefits within 30 days of the life event.