$3,300 (I) / $6,600 (F)
Annual Deductible
$5,000 (I) / $10,000 (F)
Out-of-Pocket Maximum
You pay 20% after deductible
Primary Care/Office Visit
You pay 20% after deductible
Specialist Visit
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$3,300 (I) / $6,600 (F)
Annual Deductible
$5,000 (I) / $10,000 (F)
Out-of-Pocket Maximum
You pay 20% after deductible
Primary Care/Office Visit
You pay 20% after deductible
Specialist Visit
Network
The “PPO Savings” Plan is a High Deductible Health Plan (HDHP). You may use a Health Savings Account (HSA) to set aside money pre-tax to pay for qualified medical expenses. The Firm contributes up to $1,000 per year to your HSA (excluding Partners and Of Counsel).
Tier 1: $10 copay after deductible
Tier 2: $30 copay after deductible
Tier 3: $50 copay after deductible
Specialty: $30 copay up to $250/prescription after deductible
None
Annual Deductible
$1,500 (I) / $3,200 (F)
Out-of-Pocket Maximum
$15 copay
Primary Care/Office Visit
$30 copay
Specialist Visit
Network
Health Maintenance Organization (HMO) plans provide benefits through a network of contracted health care providers. Your medical care will be coordinated by your chosen Primary Care Physician (PCP). Should you require the care of specialists, your PCP will refer you to specialists within the HMO network.
Tier 1: $10 copay
Tier 2: $30 copay
Tier 3: $50 copay
Specialty: 30% copay up to $250/prescription
None
Annual Deductible
$2,500 (I) / $5,000 (F)
Out-of-Pocket Maximum
$20 copay
Primary Care/Office Visit
Specialist Visit
Network
With Kaiser, you have the benefit of receiving all your services under one roof. The Kaiser plan comes with a Medical Expense Reimbursement Plan (MERP). Kaiser members will receive a WEX payment card loaded with $2,500 per member up to $5,000 total.
Generic: $10 copay
Brand: $30 copay
Specialty: 20% copay up to $250/prescription
DHMO plans offer the highest level of coverage. There are no deductibles or annual benefit maximum and there are set copayments for services you receive.
If you choose to enroll in this plan, you must select a primary dentist participating in the DHMO network. Should you require the care of a specialist, your Primary Care Dentist (PCD) will refer you to a specialist within the DHMO network. You will not be covered for any services provided by an out-of-network dentist except in the case of an emergency.
None
Annual Deductible
Unlimited
Calendar Year Maximum
Copays vary
Basic Services
Children: $2,000 copay | Adult: $2,000 copay
Orthodontic Services
PPO plans provide you with the freedom to use a dentist of your choice or access the PPO network of dentists. If you use a dentist participating in the PPO network, your out-of-pocket expenses will be reduced, as fees are subject to a negotiated rate.
If you use an out-of-network provider, you are responsible for paying the difference in cost between the out-of-network provider’s charges and the allowed amount. It is recommended that any services in excess of $300 be sent to Aetna for pre-determination before services are rendered.
$25 (I) / $75 (F)
Annual Deductible
$2,000/person
Calendar Year Maximum
You pay 0% after deductible
Basic Services
You pay 50% after deductible up to $1,500/person maximum | Covers children only
Orthodontic Services
VSP provides comprehensive vision coverage, offering savings on eye exams, prescription glasses, and contact lenses. With access to a nationwide network of eye doctors, members receive annual eye exams with low copays and discounts on frames, lenses, and elective services. The plan helps cover routine vision needs while promoting overall eye health.
$10 copay
Eye Exam Copay
Plan pays 100%
Lenses
Plan pays $130 then 20% of remaining balance
Frames
$130 allowance
Contacts
Triple tax savings for health expenses now and later.
Stretch your dollars on everyday medical expenses.
Pre-tax savings for daycare, after-school care & more.
Extra savings for dental and vision care.
Core coverage your family can count on.
Support when recovery takes longer than expected.
Get cash support when the unexpected hits.
A financial cushion during life's biggest curveballs.
Cash benefits for hospital stays and recovery.
Income protection for temporary disabilities or medical leave.
Additional coverage for you and your family if you want it.
Peace of mind for your furry (or feathery) family.
Peace of mind for your furry (or feathery) family.
24/7 Counseling and Life Assistance
JMBM Medicare NoticeFor more information on Medicare or to enroll, please contact:
Ted Porter, JMBM’s Medicare Consultant
Executive Vice President
CA License #0B07958
CA License #0L81076
3050 Citrus Circle, Suite #114
Walnut Creek, CA. 94598
925-934-1376 office
925-639-0709 mobile
You must make changes within 60 days of a Medicare/Medicaid event. You have the right to elect coverage during the plan year if you or your dependent's Medicaid/Children's Health Insurance Program (CHIP) coverage terminates due to discontinuation of eligibility under the program or if you become eligible for a Medicaid/CHIP premium assistance subsidy (if available in your state) providing you request enrollment within 60 days of the loss of coverage or eligibility for premium subsidy.
The person(s) you choose to receive certain benefits (like life insurance or 401(k) funds) if you pass away.
A flat dollar amount you pay when you receive certain healthcare services, such as a doctor visit or prescription.
The amount you pay out of pocket for healthcare before your insurance starts to share costs.
A free and confidential program that provides support for personal, family, and work-related issues — such as counseling, legal or financial advice, and other life resources.
A statement from your insurance company showing what was paid for a healthcare service, what you may owe, and what the provider billed. An EOB is not a bill.
Tax-advantaged accounts you can use to pay for eligible healthcare expenses. HSAs are paired with high-deductible health plans and can roll over year to year.
Healthcare providers and facilities that contract with your insurance plan — using them typically costs you less.
The most you’ll pay in a plan year for covered services. After you reach this limit, your plan pays 100% of covered costs.
The amount you pay (usually through payroll deductions) to have coverage under an insurance plan.
Routine care — like checkups, screenings, and vaccines — designed to help you stay healthy. Covered at 100% in-network on most plans.
A life change — like marriage, birth of a child, or loss of other coverage — that allows you to update your benefits outside of the annual enrollment period.
Optional extras you can elect (often at a group rate), like accident insurance, legal services, identity theft protection, or pet insurance.
Education
EmployeeConnect Services Employee FlyerEmployeeConnect Services Employee FlyerEducation
EmployeeConnect Mobile App InstructionsEmployeeConnect Mobile App InstructionsVoluntary Short-term Disability
Certificate (All Other Employees)Certificate (All Other Employees)Long-term Disability
Class 3 Certificate (Of Counsel)Class 3 Certificate (Of Counsel)Long-term Disability
Class 2 Certificate (All Other Employees)Class 2 Certificate (All Other Employees)Education
Accident/Critical Illness/Hospital Indemnity: BeWell BenefitAccident/Critical Illness/Hospital Indemnity: BeWell BenefitCompliance Notices
Compliance & Surprise Billing NoticeCompliance & Surprise Billing Notice
