
Benefits are more important than ever and we encourage you to spend extra time evaluating your benefit options. As such, we have partnered with EOI Service Company so you can enroll with the guidance of a professional benefit counselor.
During your confidential appointment, the benefit counselor will:
Texas Employees:
ELIGIBILITY
All benefits and eligibility are subject to the terms and conditions of the benefit plans; including group insurance contracts.
MAKING CHANGES
Changes are permitted outside of open enrollment for:
Coverage remains in effect for the entire plan year, January 1st - December 31st, and adding or removing dependents is not allowed mid-year. Exceptions to changes are only permitted with an approved “Qualifying Event”. These changes must be submitted within 30 days of the event.
Qualifying Events include:
Health Insurance can be confusing.
Here’s a list of healthcare terms you might need to know to help you choose a plan and then use that plan effectively.
Open Enrollment: The period of time each year when a health insurance plan allows members to enroll or change their plan.
Premium: The amount you or your employer pays each month in exchange for your health insurance.
Copay: The fixed amount you pay up front when you receive medical service. For example, some plans require a $30 copay for a visit to a Primary Care Physician and a $60 copay for a visit to a Specialist.
Deductible: The amount that you must pay for medical services before your health insurance plan begins to contribute payment. After reaching this amount, the insurance covers their percentage of your services. The lower the deductible, the sooner insurance starts to pay.
Coinsurance: This is the percentage that you pay of your medical bills, after fulfilling your deductible amount. For example, if the coinsurance percentage is 80% and the cost of your x-ray was $1,000, the insurance would cover $800 of the bill, and you pay the remaining $200. This charge is in addition to your copay. Coinsurance is paid until the out-of-pocket maximum is reached.
Out-of-Pocket Maximum: This is the maximum amount you will have to pay for your medical expenses for the entire year, as long as the doctors and services are covered and in-network. After this amount is reached, insurance pays 100% of covered, in-network medical bills and pharmacy expenses.
In-Network: These are providers the insurance company has selected and agreed upon contracted rates for medical and pharmaceutical expenses. Your costs are lower with in-network providers and some plans only pay when you stay in-network for your care.
Out-of-Network: These are providers that have NOT agreed upon the insurance contracted rates for medical and pharmaceutical expenses. You may pay more when you receive out-of-network care and some plans do not cover these providers or services at all.
Provider: Any person or institution that provides medical care. Examples of providers include doctors, nurses, hospitals, and clinics.
Claim: A request by a plan member or healthcare provider that the insurance company pays for its share of a medical service. Your insurance plan receives a claim every time you receive medical care.
Pre-Authorization: When your insurance requires a pre-approval for a service or drug to ensure that the service or drug is medically necessary and that your insurance will help pay for it.
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.
Health Insurance Through ICHRA
WHAT IS ICHRA?
An Individual Coverage Health Reimbursement Arrangement (ICHRA) is a modern way for you to get health coverage. Instead of being limited to a one-size-fits-all group plan, ICHRA gives you more flexibility and control over your healthcare by letting you choose the individual plan that best suits your needs. Your employer will contribute monthly towards your health insurance premiums.
Payments
The Big Plan (TBP) will work with your employer to cover the entire premium, even if your employer’s ICHRA contribution is less than the full price of your selected plan. The difference between your employer’s contribution and the total premium will be deducted from your paycheck.
Important: The plan you are enrolled in is an individual plan. You may receive a bill in the mail reflecting the full premium. Do not pay this bill or cancel your policy. If you receive a delinquent notice or a notice of cancellation, contact us immediately at help@thebigplan.com. Once your plan is active, you’ll receive an email confirmation.
Limited Medical
Paradigm offers 2 additional medical options through The American Worker. Click here for a chart provides a brief overview of these benefits beginning January 1st.
Administered by MetLife
Keep a smile on your face and more money in your pocket with our dental plan. Having a dental plan that covers exams, X-rays, fillings and more can help you save money and live healthier.
You have two options available:
Please review and carefully choose the best plan for you and your family.
Click here for information on MyBenefits Registration!
Administered by MetLife
Even if you don’t wear glasses, regular visits to your eye doctor are important to your overall health. That’s because a routine eye exam can often detect early signs of serious health conditions like diabetes. Please review and carefully choose the best plan for you and your family.
Click here for information on MyBenefits Registration!
Administered by hsabank
A Health Savings Account (HSA) is a tax-advantaged account designed to pay for medical expenses now and save for the future. It’s a perfect compliment to any high deductible health plan and empowers accountholders to take control of their health.
You can open an account with HSA Bank by enrolling online through our website at www.hsabank.com. To do this click the button titled “Open an HSA” this is located on top right side of our main page. However, if you are signing up through your employer or an insurance agent, please inquire about a custom link as they may be different from our standard enrollment process.
Triple tax advantage: Health savings accounts offer a three-pronged tax benefit:
If you have any questions or would like further assistance, please feel free to contact our Client Assistance Center toll-free at 1-800-357-6246 or international 920-803-4100. Our representatives are available 24 hours a day, 7 days a week.
Administered by MetLife
Long-Term Disability
Paradigm offers disability through MetLife. The following list provides a brief overview of these benefits:
Monthly Benefit Amount: $100-$10,000 (60% of Pre-disability Earnings)
Benefit Amount Increments: Employees will have the option of selecting a flat dollar amount in increments of $25 per week
Elimination Period: 180 days or until the end of the STD maximum benefit period
Benefit Duration: The later of your normal retirement age as defined by Social Security
Pre-Existing Condition Limitation: 12/12
Own Occupation Period: 24 months
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Accidents can happen anytime—at work, during your commute, while playing sports, or even doing something as simple as walking down the stairs. And when they do, the unexpected costs can add up fast. Accident Insurance through MetLife helps fill the financial gaps left by your medical plan by paying cash benefits directly to you, regardless of other insurance you may have.
This 24/7 coverage applies whether the injury happens on or off the job and includes a wide range of scenarios. Benefits are paid for:
Broken bones and dislocations
Concussions, burns, and eye injuries
Emergency room visits and ambulance rides
Follow-up doctor visits and physical therapy
Hospital stays (regular or ICU)
Surgery, prosthetics, and medical appliances
Accidental death, dismemberment, or paralysis
There's also a $50 annual health screening benefit that rewards you for completing preventive screenings like physicals, mammograms, or cholesterol checks. Plus, if the accident occurs while participating in an organized sports activity, benefit payouts may increase by 25%, helping cover even more of your out-of-pocket expenses.
You can use the cash however you need—to help with medical bills, travel costs, child care, or even everyday household expenses while you recover.
Click here to download more information!
When a serious illness strikes, it can bring more than just a health crisis—it can also bring financial uncertainty. MetLife Critical Illness Insurance offers peace of mind by paying a lump-sum benefit directly to you if you're diagnosed with a covered condition. This money is yours to use however you need—whether that’s medical bills, travel to specialists, groceries, or rent.
Coverage includes a wide range of conditions:
Cancer (invasive and non-invasive), heart attack, stroke, and major organ transplant
Kidney failure, ALS, Alzheimer’s, and Parkinson’s
Infectious diseases (like COVID-19, encephalitis, or tuberculosis) that result in hospitalization
Childhood illnesses including type 1 diabetes, cerebral palsy, and spina bifida
If you experience a second occurrence of a previously covered illness, many conditions are also eligible for a recurrence benefit—meaning you could receive a second lump-sum payment for the same diagnosis after a designated suspension period.
You’ll also receive a $50 health screening benefit each year just for completing preventive care like a wellness exam or certain lab tests. Coverage is available for you and your eligible family members, and it’s portable—so you can take it with you if you leave your job.
Click here to download more information!
Hospital stays—whether planned or unexpected—can result in out-of-pocket costs even if you have health insurance. Hospital Indemnity Insurance from MetLife helps protect your wallet by providing fixed cash benefits when you're admitted to a hospital due to an accident or illness.
This plan pays you directly, regardless of what your regular health insurance covers. You can use the money however you need—whether it's to pay for your deductible, cover lost income, help with household expenses, or reduce financial stress during recovery.
Covered benefits include:
Hospital admission: $1,000 per admission (up to 4 times per year)
ICU admission: Additional $1,000 on top of the hospital admission
Daily confinement benefits: $150 per day in a standard room and another $150 per day if in the ICU (up to 31 days)
Newborn nursery care: $200 per day, for up to 3 days
Inpatient rehabilitation: $75 per day, up to 15 days/year
Health screening benefit: $50 annually for completing eligible wellness tests
You can enroll yourself and eligible family members, and coverage is portable—so you can keep your plan if you change jobs. This policy is designed to give you peace of mind and financial flexibility during hospitalizations.
Click here to download more information!
Administered by Farmer's Insurance
As an employee you have access to auto and home insurance from Farmers GroupSelect. This program provides you with special savings, outstanding customer service, and a full suite of products. In addition to auto and homeowners insurance, we offer a variety of other policies and endorsements including:
Program Discounts and Features:
Take advantage of special Farmers GroupSelect discounts and benefits that could save you hundreds.
Switch & Save Today!
You may apply for auto and home insurance through this program for eligible group members at any time. Take advantage of these savings today and call 800-438-6381 or visit www.myautohome.farmers.com.
Advertisement produced on behalf of the following specific insurers seeking to obtain business for insurance underwritten by Farmers Property and Casualty Insurance (a MN licensee) and certain of its affiliates: Economy Fire & Casualty Company, Economy Preferred Insurance Company, Farmers Casualty Insurance Company (a MN licensee), Farmers Direct Property and Casualty Insurance Company, Farmers Group Property and Casualty Insurance Company, or Farmers Lloyds Insurance Company of Texas, all with administrative home offices in Warwick, RI. Coverage, rates, discounts, and policy features vary by state and product and are available in most states to those who qualify. © 2022 Farmers Insurance® 4559718.1
Get affordable access to experienced attorneys for common legal needs, including estate planning, home sales, family matters, and tax issues. For $19.75/month, you receive unlimited consultations and fully covered services when using a network attorney—no copays or deductibles.
How it works
Choose a network attorney online at legalplans.com.
Contact the attorney with your case number to schedule an appointment.
You may use an out-of-network attorney and receive partial reimbursement.
MetLife Legal Plans makes legal support simple, convenient, and cost-effective.
Click here to download a list of carrier contact information.
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.