Employee Benefits
For Benefit Plans effective December 1, 2022—November 30, 2023
Who May Enroll
If you are a regular full‐time Team Member working at least 30 hours per week, you and your eligible dependents may participate in HOPE’s benefits program. Your eligible dependents include:
Legally married spouse
Certified Domestic Partner
Children under the age of 26
Disabled dependent children
When You Can Enroll
As an eligible employee, you may enroll at the following times:
As a new hire, you are eligible for benefits on the first of the month following 30 days
Each year, during open enrollment
Within 30 days of a qualifying event as defined by the IRS
Benefit Plans Offered / Employee Contributions
Blue Shield Medical HMO & PPO*
HMO & PPO: Company pays 100% for Employee
Company pays 0% for Dependents
Blue Shield Dental PPO / Sun Life Vision*
Company pays 100% for Employee
Company pays 0% for Dependents
Sun Life Group Life/AD&D, Short Term Disability, & Long Term Disability
Company pays 100% for Employee
IGOE Medical & Dependent Care Flexible Spending Account
Employee pays 100%
IGOE Lifestyle Spending Account
Employer contributes $1,200 per eligible employee per year
* Please refer to your Ease account for more plan details and your specific per pay period cost.
Waiving Medical Coverage
If you are declining enrollment for yourself, or your dependents (including your spouse/DP) because of other health insurance coverage, you may in the future be able to enroll yourself, or your dependents in the Medical Plan, provided that you request enrollment within 30 days after your other coverage ends.
Medical Insurance
Plan Name | BLUE SHIELD Platinum Access + HMO 0/20 |
BLUE SHIELD Platinum Full PPO 0/10 |
|
---|---|---|---|
HEALTH BENEFITS | In Network | In Network | Non-Network |
Annual Deductible (Indiv., Family) | $0 | $0 | $1,000 / $2,000 |
Co-Insurance (Plan Pays) | N/A | 90% | 60% |
Office Visit (PCP, Specialist) | $20 / $40 | $10 / $25 | 40% |
Teledoc (Virtual visits) | $5 | $5 | Not Covered |
Inpatient Hospital | $500 / admission | 10% | ded., 40% up to $2,000/day |
Emergency Visit | $200 | $150 Copay + 10% | $150 Copay + 10% |
Urgent Care | $20 | $10 | 40% |
Out-of-Pocket Maximum (Indiv., Family) | $1,900 / $3,800 | $4,500/ $9,000 | $9,000 / $18,000 |
Retail Prescription Drug Tier 1, 2, 3 |
$5, $15, $25 | $5, $30, $50 | Not Covered |
Dental Insurance
Plan Name | BLUE SHIELD | |
---|---|---|
HEALTH BENEFITS | In Network | Non-Network |
Calendar Year Maximum | $3,000 | $3,000 |
Annual Deductible (Indiv., Family) | $25 / $75 | $25 / $75 |
Preventive | No Charge | No Charge |
Basic Services | 0% | 20% |
Major Services | 80% | 50% |
Orthodontia: | Lifetime Max: $3,000 Child & Adult |
Vision Insurance
Plan Name | BLUE SHIELD | |
---|---|---|
HEALTH BENEFITS | In Network | Non-Network |
Examination (12 Months) | $10 | Up to $45 |
Lenses (12 Months) | ||
- Single vision lenses | $25 Copay | Up to $30 |
- Bifocal lenses | $25 Copay | Up to $50 |
- Trifocal lenses | $25 Copay | Up to $60 |
Frames ( 12 Months) | $180 Allowance | Up to $70 |
Contact Lenses* | ||
- Cosmetic/ Elective | $180 Allowance | Up to $150 |
- Medically Necessary | Covered in Full | Up to $210 |
Corporate Discounts
Fantasy Island PerksEnjoy discounts, rewards and perks on thousands of brand you love in a variety of categories for you and your family through the Fantasy Island Perks program, such as movie tickets, hotels and travel, financial wellness tools and more!
To access:
Go to: https://fantasyislandperks.benefithub.com
Enter Code: EAJF7F
Complete Registration
Additional Benefits
Basic Life and AD&D InsuranceOffered at 1 x your base annual salary to a maxi-mum benefit of $200,000. No cost to employee. Health Questionnaire required for amount over the Guarantee Issue of $100,000.
Provides income protection for short term disabilities. Employees in CA also have payroll deducted programs that are mandated to provide this important protection. No cost to employee.
Provides income protection for long term disabilities. No cost to employee.
Provides support, resources and information for personal and work-life issues. No cost to employee.
(877) 595-5281 | guidanceresources.com
Go to guidanceresources.com, click on Register
Type in Web ID: EAPBusiness
Type Company name: HOME, then space
Select: Home Ownership for Personal Empowerment, click submit
Create your UN/PW
Provides services such as medical consultation, critical care monitoring, and legal/interpreter referrals in the event of an emergency while traveling. No cost to employee.
(800) 872-1414 (within US)
Your Contacts
Medical & Dental - Blue Shield | |
---|---|
Group Number | W0076967 |
PPO Member Services | (888) 256-3650 | www.blueshieldca.com |
HMO Member Services | (888) 319-5999 | www.blueshieldca.com |
Pharmacy Services | (866) 346-7200 |
Teladoc Member Services | (800) Teladoc (835-2362) | blueshieldca.com/teladoc |
Dental Member Services | (888) 273-4546 |
How to find a dentist | https://www.blueshieldca.com/fad/location |
Wellness Discounts | www.blueshieldca.com/bewell |
Nursehelp 24/7 | (877) 304-0504 |
Vision, Life and AD&D / Short Term Disability / Long Term Disability
EAP / Travel Assistance / Identity Theft Protection - Sun Life/ |
|
---|---|
Group Number | 902175 |
Vision, Life/AD&D, STD, LTD Member Services | (800) 247-6875 | www.sunlife.com/us |
How to find a vision provider | (800) 877-7195 | www.vsp.com/eye-doctor |
Employee Assistance Program (Guidance Resources) | (877) 595-5281 | www.guidanceresources.com Web ID: EAPBusiness |
Travel Assistance (Assist America) | Member Number: 01-AA-SUL-100101
(800) 872-1414 (within US) (301) 656-4152 (outside the U.S.) |
Identity Theft Protection | Member Number: 01-AA-SUL-100101
(877) 409-9597 Access Code: 18327 |
Fantasy Island Perks | |
---|---|
Member Website | https://fantasyislandperks.benefithub.com
To register use code: EAJF7F |
2211 Michelson Drive, Suite 1200 | Irvine, California 92612
Telephone: (949) 833-2983 | Fax: (949) 833-9549
Learn more at www.burnhambenefits.com