2019 BENEFITS

We strive to reward our employees for their outstanding work, and offer benefits to promote their professional, personal, and financial well-being.

Our employees are our biggest asset, so we strive to make working for us a great experience for each employee. To this end, we offer benefits and programs that improve the quality of daily life for our employees now and into the future.

Medical

Your Medical Benefits

Eligibility:

All full-time employees who work at least thirty (30) hours per week are eligible for medical coverage the first of the month following their date of hire.

Elements Choice PPO 6500 Summary of Benefits
Elements Choice PPO 6500 Evidence of Coverage and Disclosure Form
HSA PPO 2000 Summary of Benefits
HSA PPO 2000 Evidence of Coverage and Disclosure
Solution PPO 1500 Summary of Benefits
Solution PPO 1500 Evidence of Coverage and Disclosure
Classic PPO 250 Summary of Benefits
Classic PPO 250 Evidence of Coverage and Disclosure Form
Infertility Treatment Rider *For Classic PPO 250 Medical Plan Only*
Special Footwear and Hearing Aid Rider *For Classic PPO 250 Medical Plan Only*
Evidence of Coverage Certificate
MemberAccess Flyer
Benefit Forms
Claim Form
Helpful Resources
Plan Provider Directory

Carrier Service Contact
Anthem Blue Cross
https://www.anthem.com/ca/
1-800-888-8288

Anthem Preventive Healthcare Guidelines
Anthem Live Health Online Flyer
Anthem Member Website Registration Flyer
Anthem HEAL Flyer
Anthem Provider Finder
Anthem Special Footwear & Hearing Aid Rider
Anthem Infertility Treatment Rider - Blue Cross PPO Plans
Bi-Weekly Contribution Schedule

 

Anthem Elements Choice PPO 6500
Employee $0
Employee + child $0
Employee + spouse $0
Employee + family $0

 

Anthem PPO HSA 2000
Employee $22.27
Employee + child $60.61
Employee + spouse $79.78
Employee + family $122.91

 

Anthem Solution PPO 1500 (BASE)
Employee $51.33
Employee + child $112.92
Employee + spouse $143.72
Employee + family $213.01

 

Classic PPO 250/20/10
Employee $111.64
Employee + child $221.48
Employee + spouse $276.40
Employee + family $399.97

Dental

Your Dental Benefits

Eligibility:

All full-time employees who work at least thirty (30) hours per week are eligible for Dental coverage the first of the month following their date of hire.

PPO Dental Benefit Highlights
Benefit Forms
Bi-Weekly Contribution Schedule

 

Dental PPO
Employee $3.61
Employee + child $9.20
Employee + spouse $12.19
Employee + family $19.09
Helpful Resources
Plan Provider Directory

Carrier Service Contact
Guardian
www.guardiandirect.com
1-800-541-7846

Vision

Your Vision Benefits

Eligibility:

All full-time employees who work at least thirty (30) hours per week are eligible for Vision coverage the first of the month following their date of hire.

Benefit Summary
Certificate of Insurance
Benefit Forms
Claim Form
Bi-Weekly Contribution Schedule

 

Anthem Blue View Vision PPO BVSA
Employee $0.64
Employee + child $1.61
Employee + spouse $1.66
Employee + family $2.63
Helpful Resources
Plan Provider Directory

Carrier Service Contact
Anthem Blue Cross
https://www.anthem.com/ca/
1-800-888-8288

Group Life

Your Group Life Benefits

Eligibility:

All full-time employees who work at least thirty (30) hours per week are eligible for Group Life coverage the first of the month following their date of hire.

Benefit Summary
Benefit Forms
Evidence of Insurability
Helpful Resources

Carrier Service Contact
Anthem Blue Cross
https://www.anthem.com/ca/
1-800-888-8288

Voluntary Life

Your Voluntary Life Benefits

Eligibility:

All full-time employees who work at least thirty (30) hours per week are eligible for Voluntary Life coverage the first of the month following their date of hire.

Benefit Summary
Benefit Summary Description
Benefit Forms
Evidence of Insurability
Helpful Resources

Carrier Service Contact
Anthem Blue Cross
https://www.anthem.com/ca/
1-800-888-8288

Critical Illness

Your Critical Illness Benefits

Eligibility:

All full-time employees who work at least thirty (30) hours per week are eligible for Accident coverage the first of the month following their date of hire.

Benefit Summary

*Please note although brochure states California, it applies to all out-of-state Employees as well.

Benefit Forms
Beneficiary Designation Form
Transamerica Claim Form
Wellness and TC Claim Instructions

You can file your claim online! Click this button to start your claim.

File Online Claim

Helpful Resources

Carrier Service Contact
Transamerica
transamericaemployeebenefits.com

Accident

Your Accident Benefits

Eligibility:

All full-time employees who work at least thirty (30) hours per week are eligible for Accident coverage the first of the month following their date of hire.

Benefit Summary

*Please note although brochure states California, it applies to all out-of-state Employees as well.

Benefit Forms
Beneficiary Designation Form
Transamerica Claim Form
Wellness and TC Claim Instructions

You can file your claim online! Click this button to start your claim.

File Online Claim

Helpful Resources

Carrier Service Contact
Transamerica
transamericaemployeebenefits.com

Long Term Disability

Your Long Term Disability Benefits

Eligibility:

All full-time employees who work at least thirty (30) hours per week are eligible for Long Term Disability coverage the first of the month following their date of hire.

All Eligible Employees Benefit Summary
Benefit Forms
Helpful Resources

Carrier Service Contact
Anthem Blue Cross
https://www.anthem.com/ca/
1-800-888-8288

Short Term Disability

Your Short Term Disability Benefits

Eligibility:

All full-time employees who work at least thirty (30) hours per week are eligible for Short Term Disability coverage the first of the month following their date of hire.

All Eligible Employees Benefit Summary
Benefit Forms
Helpful Resources

Carrier Service Contact
Anthem Blue Cross
https://www.anthem.com/ca/
1-800-888-8288

Flexible Spending Account

Your Flexible Spending Account Benefits

Eligibility:

All full-time employees who work at least thirty (30) hours per week are eligible for FSA coverage the first of the month following their date of hire.

IRS Contribution Maximums:
$2,700 IRS Max for Medical FSA
$5,000 IRS Max for Dependent Care FSA

Benefit Forms
Dependent Care Annual Information Form
FSA Employee Guide
FSA Disbursement Form
Flexible Benefit Plan Flyer
Flexible Spending Account Debit Card Request Form
Health Expenses Subscriber Guide
Sample Eligible Expenses for HSA, HRA and FSA

Helpful Resources

Carrier Service Contact
Sterling Administration
www.sterlingadministration.com
1-800-617-4729

Retirement

Your Retirement Benefits

Eligibility:

All full-time employees who work at least thirty (30) hours per week are eligible for Retirement coverage after completion of 250 hours of work and 3 months of employment.

Summary Plan Description
Benefit Forms
Safe Harbor and Automatic Deferral Notice
Safe Harbor and Automatic Deferral Notice Additional Information
Electronic Delivery
Online Enrollment (with ACA) Instructions
Participant Fee Disclosure
QDIA Notice 2019

EAP

Your EAP Benefits

Eligibility:

All full-time employees who work at least thirty (30) hours per week are eligible for EAP coverage the first of the month following their date of hire.

Employee EAP Guide
Introductory Employee EAP Letter
Introductory Manager EAP Letter
2019 Promos Complete
Manager EAP Guide
Helpful Resources

Empathia – Life Matters

Website: www.empathia.com

Financial Wellness

Your Financial Wellness Benefits

Revasum employees are able to access a Financial Wellness learning program called SmartDollar. This program has something for everyone, no matter their experience level with finances. SmartDollar has helped millions of people take control of their money, get out of debt, and prepare for retirement by focusing on wealth management and behavior change.

SmartDollar is completely free for all Revasum employees & their spouses. They have access to:

  • A Proven, Step-by-Step Plan

Learn about the 7 Baby Steps that have helped millions of people get out of debt, invest, build wealth, and give generously

  • Video Lessons and Expert Advice

Learn from the experts! Through video lessons and real-world content applications, our team of experts, including Dave Ramsey, will inspire you to take action and reach your dreams

  • Online Tools Accessible 24/7 on Any Device

Jump start your finances as quickly as possible with our budgeting tool, savings tracker, and debt snowball tool

SmartDollar Flyer

Benefit Time Off

Your Benefit Time Off

Full-time employees are eligible for vacation, sick, and holiday pay – as outlined below:

Length of Service Hour Accrual (pay period)
0 – 23 months 3.0769
At 2 years 4.6153
At 3 years 6.1538
At 4 years 7.6923
Cap is always 120 hours

 

  • 5 days paid sick time
  • 3 days paid bereavement leave to handle matters related to death and grieving of an immediate family member, or up to 5 paid bereavement days if travel is necessary.
  • 10 paid holidays:
    • New Year’s Day
    • President’s Day
    • Memorial Day
    • Independence Day
    • Labor Day
    • Thanksgiving
    • Day after Thanksgiving
    • Christmas Day
    • 2 Other Fixed Holidays (determined by Revasum at the start of each calendar year and subject to change year to year)

Part-time employees in California qualify for sick time, per state regulations, based on the number of hours worked per week.