OHI Focus on Benefits Book 2022

YOU ORKR BEST PLACE TO W

FOCUS ON

BENEFITS

2022

We recognize that healthcare is a YOU R BEST PLACE TO WORK
rewarding, and sometimes challenging
profession. People in your care need EXPLORE YOUR BENEFITS
you to be your best, when they may be From healthcare to pet insurance, and nearly everything in
experiencing otherwise. That’s why we between, we’ve got options to meet your needs. We are proud to
care so much about everyone who has offer plans that cover medical, prescription, vision and dental
chosen to work at Orlando Health. No needs as well as flexible spending plans, retirement savings, life
matter who you are, no matter what you and disability insurance, and so much more. Orlando Health is
do, you make a difference in the lives of committed to taking care of you.
our community every day. CAREER DEVELOPMENT
We believe in supporting the Total You Your success matters to us and to help you achieve your goals,
with all the things that matter most in we are committed to supporting you with a variety of programs,
your life. That means more than just a tools and resources. Our educational assistance programs can help
paycheck. It means keeping you happy ease the financial stress of continued learning and we also offer a
and healthy. Making it possible for variety of opportunities for personal and professional growth.
you to grow in your career. Giving you WELL-BEING
flexibility to take your dream vacation. We strive to help our team members achieve the highest sense
And helping you take care of anyone of well-being. We understand that overall health includes your
who depends on you – whether it’s your emotional, physical, and financial health. Orlando Health is
children, your mother who lives with pleased to offer programs to help you find balance in your life.
you, or even your new puppy.

2 Orlando Health Team Member Benefits

CONTENTS

BENEFITS “Orlando Health is proud to have such a
diverse, multigenerational workforce. Our
Eligibility & Enrollment 5 benefit programs are designed to be flexible,
to meet the unique needs of each one of our
Medical Plans & Deductions 6–8 team members. We care for each individual,
providing what you need, when you need it,
Prescription Drug Plan 9–10 throughout the different stages of your life.”
Orlando Health Pharmacies 11
– Karen Frenier, Vice President, Human Resources & Chief Human Resources Officer
Health Savings Account 12
READ ON TO LEARN MORE ABOUT HOW WE’RE
Flexible Spending Accounts 13 COMMITTED TO THE TOTAL YOU.

Dental Plans 14 Need assistance with enrollment? Have questions?
We’re ready to help. Visit the Benefit Resources
Vision Plan 15 page on Team Member Connect, or call the
Life Insurance 16 HR Solutions Center at (321) 841-8623
between 7:00 am and 5:00 pm EST,
Paid Time Off 17 Monday - Friday.
For more information about the benefits
Leave of Absence & Extended Leave Plan 18 outlined in this guide, please visit
Team Member Connect at
Disability 19 TeamMemberConnect.OrlandoHealth.com

Family Care Benefits 20
Retirement Savings Plan 21

Additional Benefits & Discounts 22

CAREER  

Education Assistance Programs 23

WELL-BEING

Well-Being Program 24

QUICK REFERENCE

Pre-Enrollment Worksheet 25

Benefits Contact Information 26

Disclosure Notice 27

Orlando Health Team Member Benefits 3

COMMON BENEFITS TERMS

403(b) Retirement Savings Plan, which allows you and Orlando HEALTH SAVINGS ACCOUNT (HSA) If you’re enrolled in
Health to make contributions towards your retirement. the high-deductible health plan, an HSA allows you to save tax-
free money from each paycheck. Orlando Health also contributes
BENEFICIARY Person who is listed as the recipient of the to your account. Balances roll over from year to year and never
proceeds from your benefit plans. expire. If you change jobs or medical plans you may also keep
this account.
COINSURANCE The percentage of covered expenses you pay
(the plan pays the remaining percentage). HIGH DEDUCTIBLE HEALTH PLAN (HDHP) A plan with
a higher deductible than a traditional medical plan. The payroll
COPAYMENT A flat fee you pay at the time of service, contributions are lower – but you pay more health care costs
regardless of the cost of the service, such as the office visit copay. yourself through your deductible – before the plan starts to pay
its share. A high deductible plan (HDHP) can be combined
DEDUCTIBLE The amount you pay for healthcare expenses with a health savings account (HSA), allowing you to pay for
before your plan begins to pay for benefits. certain medical expenses with money free from federal taxes.
The IRS has specific deductible and out-of-pocket maximum
DEPENDENT Your spouse and children who are eligible for requirements for an HDHP.
benefits.
OUT-OF-POCKET MAXIMUM The most you’ll pay for
EXPLANATION OF BENEFITS (EOB) A record that outlines covered services in a plan year. If you meet your out-of-pocket
the healthcare services you used, how much you owe and how maximum, all eligible services will be covered at 100 percent.
much your plan covered. You will recieve an EOB for medical
and dental services. PRE-TAX DEDUCTIONS Money that’s taken from your gross
pay before taxes are calculated, which reduces your taxable wages
FLEXIBLE SPENDING ACCOUNT (FSA) An account that (this is found through your medical, dental, vision, 403(b), FSA
allows you to save pre-tax dollars from every paycheck to be used and HSA accounts).
for eligible expenses, based on which account you select: healthcare
and/or dependent care. You must use the funds or risk losing them. ROTH 403(b) Post-tax contributions from a team member’s
paycheck toward their 403(b) plan

4 Benefits – Common Terms Orlando Health Team Member Benefits

ELIGIBILITY & ENROLLMENT

ARE YOU ELIGIBLE? LET’S GET
(EN)ROLLING
If you’re a regular full-time, variable full-time or part-
time team member, you’re eligible to participate in the NOT SURE WHAT TO
Orlando Health benefit plans. This group, and our pool CHOOSE? MEET ALEX:
team members, are eligible for our retirement plan, along YOUR ONLINE
with auto and pet insurance. (Told you we’re committed BENEFITS COUNSELOR
to the Total You.)
ALEX is an interactive, personalized
Refer to the Summary Plan Description (SPD) for more information. This can be found online tool to help you select your
in Team Member Connect>Benefit Resources>Benefits Compliance Documents. benefit plans. He may be virtual,
CHANGING YOUR BENEFIT CHOICES but he’s really quite helpful. To
Generally, your benefit choices will remain in effect for a full calendar year, so access ALEX, go to MyAlex.com/
make good choices when you enroll. But if you think you want to make changes to OrlandoHealth/2022/OH
your benefits, you’ll have the ability to do so during open enrollment, which is held
annually in the fall. If you have a qualified life event — such as a loss/gain of coverage, ALREADY DECIDED?
marriage, divorce, or birth/adoption of a child — you may be able to make changes
to your selections. Changing is easy. Start the process by submitting your request on Visit Team Member Connect for step-
Team Member Connect within 31 days of your life event and include any necessary by-step instructions, along with the
documents. link to enroll in your benefits. Team
Member Connect is available
NEWBIE? HERE’S WHEN YOU CAN ENROLL at TeamMemberConnect.
New team members are immediately eligible for benefits. You can enroll anytime within OrlandoHealth.com
10 calendar days of your hire date, or the date you are in a benefits-eligible position.
If you do not elect your benefits within 10 days, you’ll have to wait until the next Open
Enrollment to elect coverage (unless you have a qualified life event, as stated above).

Work Status Work Hours a Week
Full-Time (FT) 40 Hours
Variable Full-Time (VFT)
Part-Time (PT) 30 - 39 Hours
24 - 29 Hours

Orlando Health Team Member Benefits Benefits – Eligibility & Enrollment 5

MEDICAL PLANS

Orlando Health is pleased to offer three medical plans to choose from: Exclusive Care, Care
Plus, and HSA Care. Choosing the plan that offers the features and flexibility you need is the
first step towards caring for the Total You. Use ALEX, our personalized benefits counselor
for assistance in choosing the best plan at MyAlex.com/OrlandoHealth/2022/OH.

Exclusive Care KEY FEATURES HSA Care

Care Plus

Network There are no out-of-network In-network and out-of- In-network and out-of-network benefits are available
benefits in this plan, (except network benefits are offering you more flexibility
available offering you more
in emergency situations
or traveling outside of the flexibility

network area)

Office Minimal office visit Minimal office visit Deductible, then 100%
Visits copayments copayments
For healthcare services (other than preventive care
which is covered at 100%) and prescription drugs,

you pay the cost until you meet the deductible

Deductible A low deductible for high-cost A moderate deductible for Has a higher deductible, which must be met before the
services high-cost services plan begins to pay benefits. Healthcare and prescription

drugs costs are combined to meet the deductible

When covering more than one person, the family
deductible must be met before the plan begins to pay
benefits, even when one family member has reached the

individual deductible

Pre-Tax Eligible to elect a Healthcare Eligible to elect a Eligible to elect a Health Savings Account (HSA)
Accounts Flexible Spending Account Healthcare Flexible and a Limited Purpose Flexible Spending Account (FSA)
Spending Account (FSA)
(FSA) to save money tax-free

VIRTUAL VISITS ORLANDO HEALTH PROVIDER NETWORK
Sometimes, circumstances or your What’s the best thing about working with the best healthcare team in Florida? The
schedule make it difficult to go see the fact that you can be cared for by us as well. Utilizing providers in the Orlando Health
doctor. That’s why we offer virtual visits, Network will provide the highest level of coverage for any of the medical plans. You’ll
the easy to way to get on-demand, quality be asked to designate a Primary Care Physician (PCP) for all medical plan options.
healthcare, when and where you need Your PCP will help you navigate your care. To locate an in-network provider, visit
it. To take advantage of this easy way UMR.com/OrlandoHealth or contact UMR for assistance at (844) 614-8435.
to get care, register for Virtual Visits at In the Care Plus Plan, team members may use the United Health Care (UHC) Choice
VirtualVisit.OrlandoHealth.com. Plus Network for the tier 2 network, as shown on page 7.

6 Benefits – Medical Plan Orlando Health Team Member Benefits

2022 ORLANDO HEALTH MEDICAL BENEFITS OVERVIEW

Exclusive Care Care Plus HSA Care

Medical Coverage In-Network Out-of-Network In-Network UHC Network Out-of-Network In-Network Out-of-Network
$3,000/
Annual Deductible $250/ $1,000/ $3,000/ $6,000 $3,000/ $6,750/
Single/Family $500 $2,000 $6,000 $3,000 $6,000 $13,500
$6,750/
Individual per $250 $1,000 $3,000 $13,500 $6,000 $13,500
Family pays 50%
$3,000/ N/A $3,000/ $6,750/ $3,000/ $6,750/
Out of Pocket Max, $6,000 $6,000 $13,500 $0 $6,000 $13,500
Single/Family
Deductible &
General 0% 0% 50% Coinsurance 0% 0%
Coinsurance OFFICE VISITS
Deductible &
Preventive Care $0 $0 $0 Coinsurance $0
Deductible,
Virtual Visit $10 $15 Deductible & then $250*
Coinsurance
**
Primary Care $25 Not Covered $30 $50 Deductible Deductible
Physician Deductible &
Coinsurance
Specialist $40 $50 $70

Maternity Care $300 $300 $400
(Physician Services)

EMERGENCY SERVICES

Urgent Care $30 CareSpot, $80 $40 CareSpot, $80 Deductible
Services $60 Others $80 Others

Emergency Dept $150* $150* Deductible, Deductible, Deductible **
Visit then $250* then $250*

Ambulance $150 ** $150 $150 **
Services

OUTPATIENT SERVICES

Minor Diagnostics $0 OH/ $10 OH/ $45
(Labs) $20 Others $25 Others

Minor Diagnostics $20 OH/ $25 OH/ $60
(X-rays) $30 Others $40 Others

Major Diagnostics Deductible, Not Covered Deductible, Deductible Deductible
then $250 then $350

Outpatient Surgery Deductible, Deductible, Deductible &
then $250 then $350 Coinsurance

Durable Medical Purchase: $40 Purchase: $50
Equipment (DME) Rental: $25/mo Rental: $30

IN-PATIENT SERVICES

In-patient Services Deductible, Not Covered Deductible, Deductible & Deductible & Deductible Deductible
then $250 then $500 Coinsurance Coinsurance
daily, 2 day daily, 2 day

max max

*Waived if admitted. **Same as in-network, if true emergency.

Orlando Health Team Member Benefits Benefits – Medical Plan 7

2022 MEDICAL PLAN DEDUCTIONS

Tier Exclusive Care Care Plus HSA Care

TM Only Bi-Weekly Monthly Bi-Weekly Monthly Bi-Weekly Monthly
TM & Spouse
TM & Child(ren) SALARY UNDER $30,000

Full Family $40.41 $87.55 $28.35 $61.43 $5.66 $12.26
$56.59 $122.62
TM Only $126.10 $273.21 $101.98 $220.96 $49.52 $107.29
TM & Spouse $87.72 $190.06
TM & Child(ren) $110.33 $239.05 $89.23 $193.34

Full Family $195.45 $423.47 $158.07 $342.49
$42.67
TM Only SALARY BETWEEN $30,000 - $60,000
TM & Spouse
TM & Child(ren) $92.45 $30.61 $66.33 $7.92 $17.16
$68.48 $148.37
Full Family $133.91 $290.13 $109.25 $236.70 $59.92 $129.82
$106.14 $229.97
TM Only $117.17 $253.86 $95.59 $207.11
TM & Spouse
TM & Child(ren) $207.55 $449.69 $169.33 $366.88
$54.14
Full Family SALARY BETWEEN $60,000 - $90,000

$117.31 $33.78 $73.19 $11.09 $24.02
$110.93 $240.34
$180.43 $390.93 $156.31 $338.68 $97.06 $210.29
$171.93 $372.51
$165.72 $359.05 $136.77 $296.34

$279.66 $605.92 $242.28 $524.94
$67.62
SALARY ABOVE $90,000

$146.52 $37.11 $80.40 $14.41 $31.23
$144.20 $312.44
$217.40 $471.03 $189.59 $410.78 $126.18 $273.38
$223.50 $484.26
$192.53 $417.14 $165.89 $359.43

$317.39 $687.67 $280.01 $606.69

*Part-time Team Member premiums will fall into the salary tier equivalent to annual salary on full-time basis.
Please note: The rates listed for the medical plan reflect a $5 discount for non-smokers as a reward for practicing a healthy lifestyle.
Therefore, if you have used tobacco products in the past 12 months, your rates will be $5 more per pay period than those listed above.

8 Benefits – Medical Plan Orlando Health Team Member Benefits

PRESCRIPTION DRUG PLAN

RETAIL PHARMACIES
Retail pharmacies outside of the Orlando Health (OH) network can
be used for prescriptions that you need filled immediately or for a
short time only.
• Prescriptions may be filled at an OptumRx Network retail

pharmacy, like CVS or Walgreens, for up to a 30-day supply
• Medical plan participants must have prescriptions filled at a

pharmacy within the network
• Refer to the Scripts Pharmacy website at OrlandoHealth.com/

Services-And-Specialties/Scripts-Pharmacy for an in-network
pharmacy. Members may also call (844) 614-8435 or refer to the
UMR.com/OrlandoHealth website to locate an in-network
pharmacy.

MAINTENANCE MEDICATIONS
All maintenance medications (drugs you use on a regular basis for long-term health conditions)
must be filled under a mandatory 90-day supply through an Orlando Health Scripts onsite
pharmacy after the initial dispensing of up to a 30-day supply.
Orlando Health offers two easy methods to fill them:

SCRIPTS MAIL ORDER SERVICE
Scripts mail order pharmacy services enable you to obtain up to a 90-day
supply of maintenance medications, sent directly to your home. Visit
Team Member Connect for more information.
ADVANTAGE 90
The Advantage 90 program allows team members walk-in service for
their 90-day maintenance medications. This benefit is available through an
Orlando Health onsite pharmacy.
Please visit the Scripts Pharmacy website at OrlandoHealth.com/Services-and-
Specialties/Scripts-Pharmacy for more information.

Orlando Health Team Member Benefits Benefits – Prescription Drug Plan 9

PRESCRIPTION DRUG PLAN

THE PRESCRIPTION DRUG PLAN IS INCLUDED AS PART OF YOUR MEDICAL PLAN ELECTION.

Exclusive Care and Care Plus Plans HSA Care

Annual Deductible - Single/Family N/A $3,000/ $6,000 $6,750/$13,500
In-Network In-Network
Prescription Drugs Retail Deductible Out-of-Network
(Up to 30-day Supply) Coinsurance Maximum
File claim with
Tier 1 Generic OptumRX

Tier 2 Preferred brand 20% $20 Deductible File claim with
20% $60 OptumRX
Tier 3 Non-preferred brand 20% $100

Tier 4 Specialty - Obtain at an onsite 20% $150
Orlando Health Pharmacy only
Coinsurance Maximum Deductible File claim with
Prescription Drugs – Mail-Order or Advantage OptumRX
90 (mandatory for maintenance drugs)
Tier 1 Generic 20% $50

Tier 2 Preferred brand 20% $150 Deductible File claim with
Tier 3 Non-preferred brand 20% $250 OptumRX

Tier 4 Specialty Medications N/A N/A

SPECIALTY MEDICATIONS & PRIOR AUTHORIZATIONS

Certain medications, including Specialty Medications, require a prior authorization before they will be covered by your plan.
Specialty medications will be limited to a 30-day supply and must be obtained from a Scripts Specialty Pharmacy.

If you are currently taking any specialty medications and need to request prior authorization,
please call our clinical call center at (800) 711-4555.

10 Benefits – Presciption Drug Plan Orlando Health Team Member Benefits

ORLANDO HEALTH PHARMACIES

SCRIPTS PHARMACY – MAIL ORDER SCRIPTS PHARMACY
ORLANDO HEALTH HEART & VASCULAR INSTITUTE
Mail your prescriptions to:
P.O. Box 568624, Orlando, FL 32856-8624 1222 South Orange Ave., Orlando, FL 32806
(321) 841-8251  |  Fax (321) 843-6996 (321) 841-1649 | Fax (321) 843-4694
9:00 am to 5:30 pm, Monday – Friday 9:00 am to 7:00 pm, Monday – Friday

SCRIPTS SPECIALTY PHARMACY SCRIPTS PHARMACY
ORLANDO HEALTH MEDICAL PAVILION – LAKE MARY
1111 Blackwood Ave., Ocoee, FL 34761
(321) 842-1622  |  Fax (321) 842-1629 392 Rinehart Rd., Ste. 1400, Lake Mary, FL 32746
9:00 am to 5:30 pm, Monday – Friday (321) 842-0640  |  Fax (321) 842-0641
8:30 am to 5:00 pm, Monday – Friday
SCRIPTS PHARMACY
BAYFRONT HEALTH ST. PETERSBURG SCRIPTS PHARMACY
ORLANDO HEALTH MEDICAL PAVILION – SPRING LAKE
701 6th St. South, St. Petersburg, FL 33701
Tel (727) 893-6334 | Fax (727) 893-6337 7243 Della Dr., Ste. F, Orlando, FL 32819
9:00 am to 5:30 pm, Monday – Friday (321) 842-0010  |  Fax (321) 842-0019
8:30 am to 5:30 pm, Monday – Thursday
SCRIPTS PHARMACY 8:30 am to 1:30 pm, Friday
ORLANDO HEALTH ARNOLD PALMER HOSPITAL
SCRIPTS PHARMACY – PICK-UP KIOSK
92 W. Miller St., Orlando, FL 32806 ORLANDO HEALTH SOUTH LAKE HOSPITAL
(321) 841-1648  |  Fax (321) 841-9102
9:00 am to 7:00 pm, Monday – Friday 1900 Don Wickham Dr., Clermont, FL 34711
9:00 am to 5:00 pm, Saturday & Sunday Sign up to be a Script Center User
(407) 296-1912
SCRIPTS PHARMACY Prescription Pick-Up 24/7
ORLANDO HEALTH DR. P. PHILLIPS HOSPITAL
SCRIPTS PHARMACY – PICK-UP KIOSK
9400 Turkey Lake Rd., Orlando, FL 32819 ORLANDO HEALTH SOUTH SEMINOLE HOSPITAL
(321) 842-7230  |  Fax (321) 842-7265
9:00 am to 7:00 pm, Monday – Friday 555 W. SR 434, Longwood, FL 32750
Sign up to be a Script Center User
SCRIPTS PHARMACY (321) 842-0640
ORLANDO HEALTH – HEALTH CENTRAL HOSPITAL Prescription pick-up 24/7

10000 W. Colonial Dr., Ocoee, FL 34761 Benefits – Pharmacy Directory 11
(407) 296-1912  |  Fax (407) 296-2036
9:00 am to 7:00 pm, Monday – Friday

Orlando Health Team Member Benefits

H E A LT H S AV I N G S A C C O U N T

A Health Savings Account (HSA) is a tax- ELIGIBILITY
advantaged savings account you can use in
conjunction with the HSA Care medical plan. To take advantage of an HSA, you must:
The funds in the account are used to pay for • Enroll in the HSA Care Medical Plan
eligible out-of-pocket healthcare expenses • Not be covered by other health insurance, such as another
such as services applied to the deductible,
dental care, vision exams and more. employer sponsored health plan through a spouse, any part
of Medicare or TRICARE
Concerned you might not use all the funds in your HSA account? • Not be claimed as a tax dependent on someone else’s taxes
Don’t worry. An HSA is not a “use-it-or-lose-it” account, and any • Your address can not be a PO Box
leftover funds roll over year-to-year. You must re-enroll in the
HSA each year. CONTRIBUTIONS & IRS LIMITS
Orlando Health will make matching contributions dollar for
dollar of a team member’s contribution up to $700 for team Contribution limits include both your contributions, as well as
member-only coverage and $1,400 for coverage levels that Orlando Health matching contributions.
include dependents. Combined contributions cannot exceed the • Individual: $3,650
IRS maximum annual limit. • Family: $7,300
Catch-up contributions of $1,000 are available for team members • Annual election amount will be a pre-tax deduction per pay
who are age 55 or older and not enrolled in Medicare.
period in equal installments throughout the year
• A $1,000 minimum account balance is required to invest

your assets
• Funds in the account belong to you and will be portable

upon retirement or termination

Coverage Level Maximum Team Member Maximum Employer Match Total
Team Member Contribution $700 $3,650

$2,950

Team Member+Dependents $5,900 $1,400 $7,300

Catch-up contributions of $1,000 are available for team members who are age 55 or older

12 Benefits – Health Savings Account Orlando Health Team Member Benefits

FLEXIBLE SPENDING ACCOUNTS

Flexible Spending Accounts (FSAs) allow you to set aside CHILD CARE TAX CREDIT
pre-tax dollars to pay for eligible healthcare and dependent VS. DEPENDENT CARE
care expenses. SPENDING ACCOUNT

Your annual election is divided evenly over the paychecks for the calendar year. FSAs Dependent care expenses that are eligible
are “use-it-or-lose-it” benefits, meaning that you must use the money in your account for reimbursement are also eligible for
by a certain date or you forfeit the balance. You do not need to participate in an Orlando a federal income tax credit. You can
Health medical, dental, or vision plan to contribute to an FSA. You must re-enroll in the apply for only one of these two favorable
FSA each year. tax treatments — not both — for the
Health Equity provides a variety of ways to access your account, including a debit card. same expenses. For information about
You will need to provide verification of your eligible expense for each transaction, the federal income tax credit, see IRS
including a copy of an itemized receipt with the incurred date of the expense, type of Publication 596, available at IRS.gov.
expense, and the provider’s name.
For a listing of eligible FSA expenses, please refer to IRS Publications 502 and 503
available at IRS.gov or call 800-TAX-FORM.

Benefits Healthcare FSA Limited Purpose FSA Dependent Care FSA
All benefits eligible team members
Who is Team members enrolled in Team members enrolled in HSA Care.
eligible? Exclusive Care, Care Plus or The IRS does not allow team members to
be in the Healthcare FSA and a Health
not enrolled in medical Savings Account (HSA) at the same time

Eligible Medical copays, deductibles, The Limited Purpose FSA allows you to Daycare, in-home childcare fees (income
Expenses prescription, drug copays, participate in both the HSA and an FSA must be claimed by care provider), local

dental and orthodontic expenses, Dental and orthodontic expenses, day camp fees for children up to the
vision expenses vision expenses, hearing expenses age of 13, or elderly parent living in
your home who is physically or mentally
How much $200 – $2,750 $200 – $2,750 unable to care for himself or herself
may I
Bi-Weekly Paid: $200 – $5,000
contribute? ($2,500 if married filing

separate income tax returns)

When is Immediately upon enrollment Immediately upon enrollment Monthly Paid: $200 – $1,200
the money in the plan year in the plan year
available? Funds are available after each payroll
Dates of service between Dates of service between deposit. You may be reimbursed up to
How long January 1, 2022 – March 15, 2023 January 1, 2022 – March 15, 2023.
is the your contributions
money You have until March 31, 2023
to submit claims and request Dates of service between
available? January 1, 2022 – December 31, 2022
reimbursement
You have until March 31, 2023 to submit You have until March 31, 2023 to submit
claims and request reimbursement claims and request reimbursement

Orlando Health Team Member Benefits Benefits – Flexible Spending Accounts 13

DENTAL PLANS

At Orlando Health, there’s nothing we love more than seeing you
smile. (And we know our patients love it, too.) That’s why we’re
pleased to offer three dental plan options through Cigna. Two plans leverage
a broad Dental Preferred Provider (PPO) Network, while the other uses a narrower Dental
Health Maintenance Organization (HMO) network.

CIGNA DENTAL PREFERRED PROVIDER CIGNA DENTAL HEALTH MAINTENANCE
ORGANIZATION (DPPO) ORGANIZATION (DHMO)

The two DPPO plans offered are called Preventative and Premier. With the DHMO, team members select a network general dentist
Both plans are based on Cigna’s DPPO Advantage network, one who will handle all their dental care needs. After enrolling in the
of the largest networks in the country. The plans are different DHMO, a team member will receive a Patient Charge Schedule
regarding the coinsurance level, calendar year deductible, (PCS*) that lists the exact payments (copays) needed to be made
orthodontia coverage and plan maximum. Please refer to the for specific procedures. The PCS is beneficial because there are
comparison chart below. no hidden charges — team members know up front what they
will need to pay for their dental care.
With the Cigna DPPO, you have the freedom to visit any licensed
dentist, but you can save money if you visit a DPPO Advantage Note: there is no out-of-network coverage under the DHMO.
Network dentist. Out-of-network dentists can bill you for the For more information regarding the dental plans, visit Team
difference between the payment they receive from your plan and Member Connect.
their full price.

DENTAL PLAN COMPARISON

Preventative Premier DHMO

In-Network Out-of-Network In-Network Out-of-Network In-Network Only

Calendar Year Deductible $25/$75 $25/$75 $50/$150 $50/$150 $0/$0
Individual/Family

Calendar Year/Max Benefit $500 $500 $1,500 $1,000 None
Office Visit Copay $0 $0 $5
Preventive 50% $0 $0
100% 100%
Basic Restorative Care 50%+Ded 50%+Ded 100% 80% *
Major Restorative Care Not Covered Not Covered *
80%+Ded 60%+Ded
Orthodontics Coverage for
Children & Adults 50%+Ded 40%+Ded

Tier Not Covered Not Covered 50%,up to 50%,up to *
lifetime max lifetime max
TM Only
TM + 1 $1,500 $1,500
TM + 2 or More
Preventative Premier DHMO

Bi-Weekly Monthly Bi-Weekly Monthly Bi-Weekly Monthly

$9.51 $20.60 $13.97 $30.26 $7.62 $16.51

$19.03 $41.23 $26.62 $57.68 $12.61 $27.32

$32.34 $70.07 $46.58 $100.93 $18.66 $40.44

*This can be found in Team Member Connect>Benefit Resources>Health Benefits>Dental.

14 Benefits – Dental Plan Orlando Health Team Member Benefits

VISION PLAN

EYEMED VISION Benefit Member Cost In-Network Out-of-Network (OON)
Reimbursement
Looking for a vision plan that’s outta Frequencies
sight? (See what we did there?) Exam: once every calendar year
Eye Exam
Orlando Health is pleased to offer you Retinal Imaging Lenses in lieu of contacts: once every calendar year
vision insurance through EyeMed, one Standard Contact Lens Fit & Follow Up
of America’s most trusted vision benefit Premium Contact Lens Fit & Follow Up Frames: once every calendar year
companies. Frame Allowance
$15 copay Up to $35
Register at EyeMed’s member portal Single vision
at EyeMed.com to view and manage Bifocal Up to $39 N/A
your benefits, explore eligibility status, Trifocal
download ID cards, and find the right Up to $40 N/A
provider. Lenticular
Progressive standard 10% off retail N/A
If you have questions or need assistance, Progressive premium tiers 1–3
EyeMed’s Customer Care Center Progressive premium tier 4 $0 copay; 20% off balance Up to $60
is ready to help. Please over $150 allowance
contact them at Tint LENSES
(866) 800-5457. UV
Scratch $10 copay Up to $25
S AV I N G S Polycarbonate
FOR MEMBERS Standard anti-reflective $10 copay Up to $40
Photochromic
40% OFF Other add-ons $10 copay Up to $60
Additional pairs of glasses and a Premium AR (tiers 1 and 2)
15% discount on conventional contact $10 copay Up to $60
lenses once funded benefit is used — Conventional
an industry exclusive. $10 copay Up to $60
Disposable
20% OFF Medically necessary $10–$55 copay Up to $60
Any item not covered by the plan,
including non-prescription sunglasses. NETWORK $10 copay; 20% off retail Up to $60
price less $120 allowance
LASIK LENS OPTIONS
Lasik or PRK from US Laser Network
15% off retail price or 5% off $15 N/A
promotional price
$15 N/A
HEARING CARE
Through Amplifon Hearing Health $15 N/A
Care Network, members receive up
to 64% off hearing aids, an extended $0 Up to $20
warranty, free batteries and a low
price guarantee. $45 N/A

$0 Up to $38

20% off retail price N/A

$57–$68 N/A
CONTACT LENSES

$0 Copay; 15% off balance Up to $150
over $150 allowance

$0 Copay; 100% of balance Up to $150
over $150 allowance

$0 Copay; paid-in-full Up to $210

INSIGHT

Vision Plan Deductions

Coverage Tier Team Member (TM) Vision Bi-Weekly Vision Monthly
TM Only $5.28 $11.43
TM + 1 $10.19 $22.07
$14.14 $30.64
TM + 2 or More

Orlando Health Team Member Benefits Benefits – Vision Plan 15

LIFE INSURANCE

IT’S IMPORTANT TO PROTECT THOSE WHO DEPEND ON YOU,
SHOULD SOMETHING UNEXPECTED HAPPEN.

That’s why we offer Life Insurance and Accidental Death & Dismemberment (AD&D)
coverage. You are eligible to participate in the Orlando Health Basic and Supplemental
Life plans if you are a regular full-time, variable full-time, or part-time team member.

BASIC LIFE AND AD&D COSTS DEPENDENT
LIFE INSURANCE
Orlando Health pays the full cost of this The cost for Supplemental Life Insurance You may also enroll your spouse and
coverage. coverage is based on your age, annual dependent children for life insurance
base pay, the amount of coverage and coverage. You pay for the coverage with
All regular full-time, variable full- whether or not you are a tobacco user. after-tax dollars from your pay. When you
time and part-time team members are (You qualify as a non-tobacco user if receive it, the life insurance benefit is not
automatically enrolled. Your life insurance you have not used tobacco for the last taxable.
benefit is based on the following: 12 consecutive months.) Your payroll You may enroll your spouse up to
• For regular full-time team members: deduction will change mid-year with $100,000 and dependent children up
salary and annually with age-band to $40,000 for Life Insurance coverage.
your annual base pay based on 40 changes. Children between the ages of birth to 14
hours per week in the system days are eligible for $10,000 in coverage.
• For variable full-time and part-time EVIDENCE OF INSURABILITY All eligible dependent children are eligible
team members: your annual base (EOI) for one combined payroll deduction.
pay based on your weekly standard If your spouse and/or child works for
hours in the system Under certain circumstances, an Evidence Orlando Health, they are not an eligible
You must pay federal income tax on the of Insurability (EOI) may be required to dependent for the Dependent Life
value of any Orlando Health Basic Life obtain approval for Basic, Supplemental Insurance. If both parents are employed
Insurance coverage over $50,000. This or Spouse Life Insurance coverage. If at Orlando Health, only one parent may
value is called “imputed income” and is needed, EOI forms will be sent to you cover the child(ren).
included on your paycheck and on your directly from the life insurance carrier for
W-2 form at the end of the year. Basic the following reasons: DON’T
Life coverage cannot exceed $2,000,000. FORGET
with Evidence of Insurability required for • If you are electing four or five
coverage over $1,000,000. times your annual base pay for You must add your beneficiaries to
Supplemental Life Insurance, the Basic Life Insurance in Team
S U P P L E M E N TA L amounts over $1,000,000, Basic Member Connect. Your designation
LIFE COVERAGE Life over $1,000,000, Spouse Life will apply to the Basic and the
over $50,000 or increasing coverage Supplemental Life Insurance. You are
You pay the full cost of this additional during open enrollment. automatically the beneficiary for all
coverage. Dependent Life Insurance you select.
• In the event you must complete
You can purchase Supplemental Life EOI, be sure to complete all tasks in
Insurance coverage (rounded to the next a timely manner to avoid delayed
higher $1,000) in the amount of one to coverage
five times your annual base pay. Amounts
above three times your annual base pay
or over $1,000,000 require evidence of
insurability. Supplemental Life coverage
cannot exceed $2,000,000.

16 Benefits – Life Insurance Orlando Health Team Member Benefits

PAID TIME OFF (PTO)

IT’S TIME TO LEARN HOW OUR TIME OFF WORKS.

We know the flexibility to take time off work is important to your well-being. That’s why
Orlando Health offers a comprehensive Paid Time Off (PTO) policy that gives you time
off for vacation, holidays, personal business or personal and family illness. Please refer to
the PTO policy #5916-1001 for more information.

PAY M E N T M E T HO D ELIGIBILITY PTO DONATION PROGRAM

PTO hours are paid at your base hourly Full-time (FT), variable full-time (VFT) The PTO Donation Program gives you
rate of pay in effect at the time you use and part-time (PT) team members accrue the ability to voluntarily transfer some of
the hours. You may use PTO hours PTO hours based on the number of actual your accrued PTO hours to a fellow team
at your current base hourly rate in hours worked. member. It’s a great way to help a fellow
minimum increments of 5 minutes. You may schedule time off based on your team member, should the need arise. For
However, to maintain your employment available PTO hours. You may not borrow details, please refer to the PTO Donation
status, the number of PTO hours used against PTO hours to be earned in the Program policy #5916-1032 for details.
plus hours worked must equal the future or be paid in advance of the regular
standard number of hours required for payday for PTO hours.
your status.

VOLUNTARY PTO CASH-IN
PTO cash-in allows team members to voluntarily cash-in PTO
hours at 75% value in February and August each year. Team
members must have utilized PTO in the previous 12 months that
is equal to their weekly standard hours.

Years of Service PAID TIME OFF ACCRUALS Maximum Accrual
0 to 2.99 Bi-Weekly Pay Period
3 to 4.99 Accrual per Hours Worked
5 to 9.99 0.0947 7.576 hours
0.0981
10 to 14.99 0.1120 7.848 hours
15+ 0.1270
0.1460 8.960 hours

10.160 hours

11.680 hours

You accrue hours each pay period to a maximum amount based upon your Benefits Service Date.
This date will change if your status changes from or to a benefits-eligible status (Example: FT to Pool.)

Orlando Health Team Member Benefits Benefits – Paid Time Off 17

L E AV E O F A B S E N C E &
E X T E N D E D L E AV E P L A N

EVEN WHEN YOU CAN’T BE HERE WITH L E AV E O F A B S E N C E
US, WE’RE HERE FOR YOU. If you need to take a Leave of Absence (LOA), contact our leave
administrator, ReedGroup. They will review your leave request
At Orlando Health, we know that team to determine what type of leave you may be eligible for, such as a
members are sometimes unable to Family Medical Leave. A leave of absence may also have income
work due to an ongoing illness or other protection benefits available, such as short-term and long-term
circumstances. We hope that never disability, if enrolled.
happens to you, but if it does, know that
we have options to help.

E X T E N D E D L E AV E P L A N
The Extended Leave Plan is a personal extended illness benefits
program that is available after 24 consecutive work hours
missed due to a personal illness. This benefit can also be used
to supplement voluntary short-term disability benefits. Team
members accrue hours towards this plan based on hours worked
per pay period up to the accrual limit. ELP does not carry a cash
value. It cannot be paid out upon termination or cashed in at any
time. For more information, please refer to the Extended Leave
Plan policy #5916-1019.

Accrual per hour worked E X T E N D E D L E AV E A C C R U A L S Annual Accrual Max
0.0154 32.03
Per Pay Period Accrual Max
1.232

18 Benefits – Extended Leave Orlando Health Team Member Benefits

DISABILITY

SHORT-TERM DISABILITY (STD) PRE-EXISTING CONDITIONS
A pre-existing condition is defined as any sickness, medical
You pay the full cost of this insurance. condition or injury for which treatment was provided,
recommended, or prescribed preceding the date your Short-
Short-Term Disability insurance provides a bi-weekly benefit that Term or Long-Term Disability went into effect. Please refer to the
equals 60% of your pre-disability base earnings (up to a $1,000 Summary Plan Description (SPD) for more detailed information
weekly maximum) if you are unable to work due to a non- on pre-existing conditions and their application under the
work-related injury or illness during the first six months of your policy. This can be found in Team Member Connect>Benefit
disability. This benefit applies to full-time, variable full-time and Resources>Benefits Compliance Documents.
part-time team members. If you have STD coverage, you must
apply for disability benefits while on a medical leave of absence LONG-TERM DISABILITY (LTD)
with ReedGroup. Orlando Health pays the full cost of this insurance.
LTD insurance provides a monthly benefit that equals 60% of your
WA ITING PE R I O D pre-disability base earnings up to a $10,000 monthly maximum.
Full-time, variable full-time and part-time team members are
There are three different plan options to choose from, with eligible to receive this benefit after 180 days of continuous total or
various waiting periods. A waiting period is the amount of time partial disability.
before the plan begins paying benefits. For example, with the
Short-Term Disability/15-day plan, you would receive Short-
Term Disability payments on day 15 of an approved disability.

Plan Name Waiting Period Rate Per $100 of Benefit HOW TO FILE A CLAIM
Amount If you have an illness or injury that may qualify as a disability,
STD/15 14 days $1.668 call ReedGroup at (866) 337-1593. A representative will assist
STD/30 29 days you with your disability claim.
STD/60 59 days $1.265
$0.955

Orlando Health Team Member Benefits Benefits – Disability 19

FAMILY CARE BENEFITS

L I F E HA P P E N S. S O WE C R E AT E D B E N E F I T S F O R T H AT.

Orlando Health is committed to supporting our team members as they
care for their families, even when the unexpected happens. Whether it’s a
school closing, a family member recovering from illness or your transition
back to work after the birth or adoption of a child, we’re here for you.

Team Members get up to 10 back up childcare or eldercare days per year. REGISTER NOW!
Visit Clients.BrightHorizons.com/
BACK-UP CHILDCARE ELDER CARE BACK-UP OrlandoHealth and use the
Employer Username: Orlando and
When there’s a school closure, your child When your loved one needs temporary Password: Benefits4you. You can
is sick or your nanny cancels, Bright support with the activities of daily also download the Bright Horizons
Horizons can assist you with skilled living, it can be hard to balance your App. Search “back-up care” in the
and trusted care in your home or at a responsibilities between home and work. App Store or Google Play. Any
designated back-up center designed for With nationwide coverage and partner questions? Call Bright Horizons at
working parents just like you. agencies that are all vetted, on-boarded (877) BH-CARES (242-2737).
Team members are responsible for a small and trained through Bright Horizons, you For your Directory ID, use your
copay to help cover the costs of back-up can count on skilled, compassionate, and network login ID, such as Z12345Z.
care, but Orlando Health covers most affordable help. Back-up elder care can
— helping you focus on your family, not be provided in-home for just $4 per hour FERTILITY BENEFITS
your pocketbook. Center-based back- copay, up to 10 hours. Through our medical and prescription
up care at a dedicated back-up center VIRTUAL TUTORING drug program, Orlando Health provides
requires a $10 daily copay for one child Orlando Health has partnered with Bright coverage for fertility medication therapy,
or $15 copay for the whole family. In- Horizons to provide your child (ages 5-18) in-vitro fertilization, and other medical
home care is only $4 per hour copay, help in reading, math, science, social services, up to the $5,000 lifetime
up to 10 hours. studies and more than 300 other subjects, maximum. Please contact UMR at
(844) 614-8435 for more details about
as well as targeted support with a math covered services.
or reading expert who can identify ADOPTION ASSISTANCE
areas of opportunity to help your Now that you are a part of our family,
child excel. we’d love to help yours grow. Orlando
Health will contribute up to $5,000 per
A back-up care day can be year toward eligible adoption expenses
exchanged for 4 hours of including adoption fees, court costs,
virtual tutoring with a cost attorney fees, travel expenses (meals and
of $10. Reserve by submitting a lodging) and other expenses related to
tutoring request through the back- legal adoption. For more details, refer to
up care site and then schedule the days the Adoption Assistance Policy.
and times that work best for your family.

RESOURCES FOR YOUR FAMILY’S ONGOING NEEDS

Through our membership with Sitter City, you’ll have access to providers who can help
meet your family where they are. Whether you need tutoring, pet-sitting or house-
cleaning services, we’re here to help connect you to discounted and reliable resources.

20 Benefits – Family Care Benefits Orlando Health Team Member Benefits

R E T I R E M E N T S AV I N G S P L A N

LET’S GET RETIREMENT READY MATCHING CONTRIBUTIONS:
I T ’S F R E E M O N E Y.
No matter how much you love your career, you likely
still dream about retirement. Experts recommend Orlando Health will match dollar for dollar on
saving 10-15 percent of your income in a retirement the first 2% you contribute to your account each
account annually. This is made up of both your pay period. After that, Orlando Health will match
contributions and money from Orlando Health. $0.50 for every $1, up to 8% of eligible earnings
or up to 10% for team members with 10+ years of
AUTO ENROLLMENT service. The Orlando Health match will be made
All eligible team members are immediately set up with a 2% auto enrollment on both pre-tax and Roth contributions, up to
into the Retirement Savings Plan, which automatically increases each year applicable limits.
by 1%, up to 8%. This increase occurs on the team member’s date-of-hire
anniversary. Team members can opt out of auto enrollment at any time by HERE IS HOW THE MATCH WORKS:
contacting Fidelity at NetBenefits.com/OrlandoHealth or (800) 343-0860.
You may make pre-tax or Roth post-tax contributions up to 50% of your pay. Team Member % Orlando Health Total
The IRS annual limit is $19,500 for 2022 and may be indexed annually. Match %
CATCH-UP CONTRIBUTIONS 2% 2% 4%
If you are 50 or older you may contribute an additional $6,500 for a maximum 4% 3% 7%
of $26,000 for 2022, which may be indexed annually. You may make changes to 6% 4% 10%
your contributions at any time during the year. 8% 5% 13%
VESTING 10% with less than 15%
Vesting means ownership of the money in your retirement account. You are 10 years of service 5%
always 100% vested in your contributions, including any earnings. You are 10% with more than 16%
100% vested in Orlando Health’s contributions after three years of service with 10 years of service 6%
1,000 hours or more each year.
H E L P I S A LWAY S AVA I L A B L E
RETIREMENT GIFT
Upon retirement, you will Financial planning may seem overwhelming.
receive a contribution to Fortunately, Orlando Health has financial service
your retirement account of representatives available to personally meet with
$5,000, if you retire in good you and provide assistance in the following areas:
standing. To be eligible, • Enrolling in the plan and selecting your
your age and consecutive
years of Orlando Health investments
service must equal at least • Taking a loan or hardship withdrawal from
75, with the minimum age
being 55, and you must the plan
also be 100% vested in the • Rolling over an existing qualified plan into
Orlando Health Retirement
Savings Plan. the Retirement Savings Plan

To schedule an appointment with a Financial
Service Representative, please contact Fidelity at
(800) 642-7131.

Please refer to the Retirement Savings Plan
Summary for plan details. This can be
found in Team Member Connect>Benefit
Resources>Benefits Compliance Documents.

Orlando Health Team Member Benefits Benefits – Retirement Savings Plan 21

ADDITIONAL BENEFITS & DISCOUNTS

DISCOUNTS CRITICAL ILLNESS BENEFITS
Group Critical Illness is a valuable voluntary insurance available
The only thing more fun than spending money is saving it. That’s through Aflac, which helps to insure some of the risk and pay
why Orlando Health partners with a variety of different providers for expenses you may incur if you are diagnosed with a critical
so you can enjoy discounts on attractions, cell phones, vacations illness. Benefits are paid directly to you as a non-taxable lump-
and more. sum benefit. You choose level of coverage with benefit amounts
of $10,000, $20,000, or $30,000.
Visit OrlandoHealth.com/For-Team-Members, Team Member PET INSURANCE
Discounts, for more information. Some members of your family may have fur or feathers, but that
doesn’t mean they don’t need insurance. That’s why we’re excited
CHOICE AUTO INSURANCE to offer a benefit for all your pets as well.
As an Orlando Health team member, you can elect employee
Orlando Health offers you access to a program designed to make group discounted pet health insurance for your dog(s), cat(s),
shopping for auto insurance easier than ever. In minutes, you can exotic or avian pet through payroll deduction with Nationwide
compare coverage, rates and discounts from some of America’s Pet Insurance.
top-rated insurance companies. To get a quote and/or enroll, call Nationwide’s pet health insurance plans give you the freedom
(855) 589-0565 or visit VoluntaryBenefits-OrlandoHealth.com. to use any vet, anywhere, including specialists and emergency
providers. Discount pricing is available for up to five additional
GROUP ACCIDENT INSURANCE pets. Coverage, pricing, and other details – as well as the ability
to enroll – can be found on Team Member Connect. To obtain
Aflac Group Accident Insurance pays cash benefits to you that pricing for other pets, please contact Nationwide directly at
can be used toward medical expenses or everyday bills — like (800) 540-2016.
rent or mortgage, utilities, and groceries — to help you stay up
to speed while recovering from an accident that is non-work-
related. This benefit kicks in regardless of an existing employer-
sponsored healthcare benefit, and there are no limits on the
number of claims a certificate holder can file. Group Accident
Insurance includes a wide range of benefit coverage with more
than 50 covered events.

22 Benefits – Additional Benefits & Discounts Orlando Health Team Member Benefits

EDUCATION ASSISTANCE PROGRAMS

PREFERRED EDUCATION PROGRAM

The Preferred Education Program allows team members to attend
a partner college for free. That’s because Orlando Health pays
the cost of tuition and books directly to the college.

The Preferred Education Program offers an opportunity for team members to pursue an
associate degree, bachelor’s degree, or technical certificate in more than 120 programs.
These include nursing, diagnostic medical sonography, respiratory care, emergency
medical technology, business, accounting, health services administration, food service
management, and many more.
Best of all, there’s no waiting on reimbursement for courses or a financial cap. Partners
currently include Valencia and Seminole State College. Coming in 2022: St. Petersburg
College and Lake-Sumter State College.

TUITION REIMBURSEMENT STUDENT LOAN
R E PAY M E N T
We also offer a Tuition Reimbursement Program, for team
members pursuing degrees from additional colleges and We understand that student loan debt can take a financial and
universities. The program reimburses your tuition expense, up to mental toll on you, whether you’re just starting your career or
$5,000 per year for full-time and variable full-time and $2,500 for taking steps to further it. That’s why we’re proud to be one of a
part-time. small number of employers that offers student loan repayment
assistance and tuition reimbursement benefits.
This benefit is available for any program, with no restrictions on Team members with less than five years of service (in a non-
degree pursuit — even if the degree isn’t required for your job leadership position) are eligible for this benefit. The only
description. It’s our way of helping you grow — not only as an requirements are that you obtained your degree prior to your hire
Orlando Health team member, but as a person. date, your position requires a bachelor’s degree or higher, or you
are a registered nurse hired with an associates or bachelor’s degree.
These degree programs can include any of the following:
• Professional certificates (like technical programs or HOW DOES STUDENT LOAN REPAYMENT WORK?

vocational training) Glad you asked. Orlando Health will pay $100 a month for the
• Associate degrees first five years of your employment directly to your loan servicer.
• Bachelor’s degrees Since Orlando Health’s payment goes directly to your loan
• Master’s and Doctorate degrees principal, it will help take time off the life of your loan and save
you even more money in interest. That’s a lifetime contribution
Through our partner at EdAssist, Orlando Health has access of up to $6,000 toward your student loans. For additional
to an expansive list of accredited schools offering in-person information, please review the Student Loan Repayment policy
and online programs — many with tuition discounts and even 5916-1010.
deferred payment options.

For additional information, please view the Education Assistance Policy, 5916-1009.
You can visit OrlandoHealth.EDAssist.com and click “Contact Us” from the left menu.
You can also use the Live Chat feature on the EdAssist portal or call the Contact Center at (833) 890-3226.

Orlando Health Team Member Benefits Career – Education Assistance Program 23

WELL-BEING PROGRAM

To focus on the Total You, Orlando Health is proud to offer a
multi-faceted Well-Being program to surround you with support: 

To learn more about the Well-Being Program, please visit
Swift > Human Resources > Your Well-Being.

LIFEWORKS FINANCIAL WELL-BEING
We know life and work can be challenging, and we’re here to help. Orlando Health is Fidelity Retirement Service
pleased to offer well-being services and support for our team members through our Representatives: Individuals meet
selected partner, LifeWorks. The LifeWorks Well-Being Program offers team members and personally to get you enrolled in the
their families free 24/7 access to work-life counseling, coaching and wellness services. retirement plan, take a loan or hardship
withdrawal, or rollover a prior plan. To
Employee Assistance Program (EAP): Get confidential, 24/7 access to counselors and schedule an appointment, call Fidelity at
coaches for personal, family or work issues. (800) 642-7131.

CareNow Programs: Discover self-directed digital programs to help you develop Orlando Health Pathways: A program
positive coping strategies in dealing with life’s challenges, including stress, anxiety, offering one-on-one coaching to help you
depression and divorce. achieve financial stability.

Life Coaching: Offering powerful and dynamic professional relationships, a life coach Team Member Support Fund: Offers
can help you achieve identified goals by acknowledging barriers, developing a strategic financial support during difficult
approach and providing accountability. situations.

Additional LifeWorks Services: PHYSICAL WELL-BEING
• Childcare provider search & referral New for 2022: Expanded services with
• Mindfulness Program LifeWorks to include a well-being
• Work-Life solutions assessment, personalized well-being
• Legal resources, including will preparation content, health and wellness coaching,
• Parenting resources and participation-driven rewards
• Guidance on financial issues, like budgeting, home buying, and tax planning program.
• Everyday guidance on home remodeling & repair, car buying, and pet care
Active & Fit: For only $25 per month,
VISIT you have access to 11,000+ fitness centers
and 2,500+ on-demand workout videos.
Login.LifeWorks.com Visit ActiveAndFitDirect.com/fitness/
Use your Orlando Health AF791517OR to get moving.
email address to log in.
Real Appeal Weight Loss Program:
CALL Medical plan participants have access
to a free online weight loss program,
(855) 395-1072 which includes coaching, apps, and
an at-home success kit. Start your
transformation with Real Appeal at
Enroll.RealAppeal.com.

24 Well-Being Program Orlando Health Team Member Benefits

PRE-ENROLLMENT WORKSHEET

Please review the benefit plans below and indicate which plan you’d like to enroll in.
Once you are ready to enroll online, use this reference as an easy and efficient way to
complete your enrollment within Team Member Connect. When your online enrollment
is complete in Team Member Connect, please click on the Save & Continue and Finalize
Elections buttons to submit your enrollment elections.

Medical Health Savings Account (HSA)
Annual Election Amount: $_______________
Exclusive Care Team Member (TM) Only Can be selected with the HSA Care Medical Plan
Care Plus TM + Spouse
HSA Care TM + Child(ren)
Primary Care Physician ID: Full Family
______________________

Flexible Spending Account - Health Dental

Annual Election Amount: $_______________ Preventative Team Member (TM) Only
Premier TM + 1
Dental DHMO TM + 2

Vision Accident Insurance

Vision Plan Team Member (TM) Only Accident Insurance Team Member (TM) Only
TM + 1 TM + Spouse
TM + 2 TM + Child(ren)
Full Family

Critical Illness Insurance $10,000 Basic Life Insurance
$20,000
Team Member (TM) Only $30,000 Select your beneficiaries
TM + Spouse Allocate percentage to beneficiaries
TM + Child(ren)
Full Family

Supplemental Life Insurance Spouse Life Insurance

1x salary 2x salary 3x salary Election Amount:___________________
4x salary 5x salary $10,000 increments, up to $100,000

Child Life Insurance Short-Term Disability

$5,000 $10,000 $20,000 15 day
$30,000 $40,000 30 day
60 day

Flexible Spending Account - Dependent Care
Annual Election Amount: $_______________

Orlando Health Team Member Benefits Pre-Enrollment Worksheet 25

BENEFITS CONTACT INFORMATION

Page When You Have Contact Website Contact Number
Questions About
HR Solutions Center TeamMemberConnect.OrlandoHealth.com (321) 841-8623;
Benefits Fax: (321) 843-6370

6-8 Medical Plan, Provider Network, UMR UMR.com/OrlandoHealth (844) 614-8435
Pre-Certification & Appeals

9-11 Prescriptions OptumRX UMR.com (877) 559-2955

12 Health Savings Account (HSA) Health Equity My.HealthEquity.com (866) 960-8055

13 Flexible Spending Account (FSA) Health Equity Participant.Wageworks.com (877) 924-3967

14 Dental Plan Cigna MyCigna.com (800) 244-6224

15 Vision Plan EyeMed EyeMed.com (866) 268-4063

16 Life Insurance New York Life MyCigna.com (888) 842-4462

18 Request for Leave of Absence ReedGroup OrlandoHealth.MyLeaveProService.com (866) 337-1593;
Fax: (720) 305-0039

19 Short-/Long-Term Disability ReedGroup/ OrlandoHealth.MyLeaveProService.com (866) 337-1593;
New York Life Fax: (720) 305-0039

20 Back-up Childcare/Elder Care Bright Horizons Clients.BrightHorizons.com/OrlandoHealth (877) BH-CARES
(242-2737)

21 Retirement Savings Plan (RSP) Fidelity Investments NetBenefits.com/OrlandoHealth (800) 343-0860

22 Accident & Critical Illness AFLAC AflacGroupInsurance.com (407) 452-5049 or
(800) 433-3036

22 Pet Insurance Nationwide VoluntaryBenefits-OrlandoHealth.com (800) 540-2016

22 Auto Insurance Mercer VoluntaryBenefits-OrlandoHealth.com (855) 589-0565

23 Education Assistance Programs EdAssist OrlandoHealth.EdAssist.com (833) 890-3226

24 Employee Assistance Program LifeWorks Login.LifeWorks.com (855) 395-1072
& Well-Being Program

26 Contact Information Orlando Health Team Member Benefits

DISCLOSURES

Orlando Health complies with applicable State and Federal civil rights laws and does not discriminate on the basis of race, color, religion,
national origin, sex, sexual orientation, gender identity, ancestry, place of birth, age, or physical or mental condition.

Orlando Health Team Member Benefits Disclosures 27

ABOUT THIS GUIDE

This guide describes the benefit plans and policies available to
you as a team member of Orlando Health. The details of these
plans and policies are contained in the official plan and policy
documents, including some insurance contracts. This guide is
meant only to cover the major points of each plan or policy.
It does not contain all of the details that are included in your
Summary Plan Descriptions (as required by ERISA) found in
your other team member benefit materials on Team Member
Connect/Benefits Resources. If there is ever a question about
one of these plans and policies, or if there is a conflict between
the information in this guide and the formal language of the
plan or policy documents, the formal wording in the plan or

policy documents will govern.

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