Bayfront Health Benefits 2023

2023
Focus on
Benefits

Bayfront Health
St. Petersburg
Imperatives

Benefits

Eligibility and Enrollment..................................................... 5
Medical Plans and Deductions............................................. 6
Prescription Drug Plan.......................................................... 9
Orlando Health Pharmacies................................................. 11
Health Savings Account......................................................... 12
Flexible Spending Accounts.................................................. 13
Dental Plans............................................................................. 14
Vision Plan............................................................................... 15
Life Insurance.......................................................................... 16
Paid Time Off.......................................................................... 17
Leave of Absence and Extended Leave Plan....................... 18
Disability.................................................................................. 19
Family Care Benefits.............................................................. 20
Retirement Savings Plan........................................................ 21

Career  

Education Assistance Programs........................................... 22

Well-Being

Well-Being Program............................................................... 23
Additional Benefits and Discounts ..................................... 24

Quick Reference

Pre-Enrollment Worksheet................................................... 25
Benefits Contact Information............................................... 26
Disclosure Notice.................................................................... 27

Want more information on Benefits?

Visit Visit SWIFT>Menu>Human Resources>Benefits

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B AY F R O NT HE A LT H ST. PET ERSB URG TEAM M EM BER BENEFIT S

We recognize that healthcare is a rewarding, and
sometimes, challenging profession. People in your
care need you to be your best. That’s why we care
so much about everyone who has chosen to work
at Orlando Health.

Here, we are committed to providing you the benefits, programs and services for
the continued assistance and growth of our team members.
We begin your benefits on day one, and we offer flexibility wherever possible so
that you can be present for your passions. In addition, we have invested in well-
being programs designed to provide dedicated support for you and your loved ones.
Providing the benefits you need when you need them is our promise to you.

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Common Benefits Terms

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

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Eligibility and Enrollment

Are You Eligible?

If you’re a regular full-time, variable full-time or part-
time team member, you’re eligible to participate in the
Orlando Health benefit plans. This group, and our pool
team members, are eligible for our retirement plan, along
with auto and pet insurance.

Refer to the Summary Plan Description (SPD) for more information. This can
be found in Team Member Connect>Benefit Resources>Benefits Compliance
Documents.

Work Status Work Hours a Week Let’s Get (En)Rolling
Full-Time (FT) 40 Hours
Variable Full-Time (VFT) Not sure what to choose?
Part-Time (PT) 30 - 39 Hours Meet ALEX: Your Online
24 - 29 Hours Benefits Counselor

Dependent Eligibility Verification ALEX is an interactive,
personalized online tool to help you
Upon enrollment in any Orlando Health medical, dental and/or vision plan, all select your benefit plans. He may be
team members must provide required documentation verifying their dependent’s virtual, but he’s really quite helpful.
eligibility with Mercer Dependent Verification Center. To access ALEX, go to MyAlex.com/
OrlandoHealth/2023/BHSP
Newbie? Here’s When You Can Enroll
Already Decided?
New team members are immediately eligible for benefits. You can enroll anytime
within 10 calendar days of your hire date, or the date you are in a benefits-eligible Visit Team Member Connect for
position. If you do not elect your benefits within 10 days, you’ll have to wait until step-by-step instructions, along
the next Open Enrollment to elect coverage (unless you have a qualified life event with the link to enroll in your
highlighted below). benefits.
Team Member Connect is available
Changing Your Benefit Choices at TeamMemberConnect.
OrlandoHealth.com
Generally, your benefit choices will remain in effect for a full calendar year, so
make good choices when you enroll. But if you think you want to make changes to
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, 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 Team
Member Connect within 31 days of your life event and include any necessary
documents.

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Medical Plans Review the chart below for the features and flexibility of
each plan. Use ALEX, our personalized benefits counselor
Care Plus for assistance in choosing the best plan at MyAlex.com/
OrlandoHealth/2023/BHSP.
Office Visits Minimal office visit
copayments Key Features
HSA Care

Deductible, then 20% coinsurance
For healthcare services (other than preventive care which is covered at 100%)
and prescription drugs, you pay 100% of the cost until you meet the deductible

Deductible A moderate deductible for Has a higher deductible, which must be met before the plan begins to pay
high-cost services 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 Health Savings Account (HSA) and a Limited Purpose
Accounts Flexible Spending Account Flexible Spending Account (FSA) to save money tax-free
(FSA)

Virtual Visits Orlando Health Provider Network

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

Orlando Health-MyChart Tier 1 Orlando Health Network
Tier 2 United Healthcare Choice Plus Network
With MyChart, you can manage your Tier 3 Out of Network
Orlando Health appointments, access
test results, request prescription refills Ongoing Condition and Emerging Care Management
and pay bills all in a few clicks on your
phone, tablet or computer. MyChart is UMR will provide specialized assistance to team members and covered dependents
your healthcare connection, whenever undergoing care for chronic medical conditions. They also provide support
you need it and wherever you are. to members at moderate risk of developing a chronic medical condition. We
Register today by encourage all team members and covered dependents to participate in these
scanning the programs to ensure you are getting the care you need most.
QR Code

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2023 Orlando Health Medical Benefits Overview

Medical Coverage Tier 1 Network Care Plus Out-of-Network Tier 1 Network HSA Care Out-of-Network
(OH Network Tier 2 Network $4,000/$8,000 (OH Network Tier 2 Network
Annual Deductible (UHC Providers) (UHC Providers)
Single/Family Providers) $1,250/$2,500 Providers)
Individual per $750/$1,500 $3,000/$6,000 $3,000/$6,000 $7,000/$14,000
Family pays
$750 $1,250 $4,000 $6,000 $6,000 $14,000
Out of Pocket Max, $5,000/$10,000
Single/Family $4,000/$8,000 $4,000/$8,000 $8,000/ $16,000 $5,000/ $10,000 $7,000/$14,000
0% 20% 20% 20% 0%
General Coinsurance 50%
$0 $0 Office Visits $0 $0 Deductible
Preventive Care Deductible and Deductible
Deductible Deductible and Deductible
Coinsurance Coinsurance Deductible
Deductible and Deductible
Virtual Visit $0 $45 PCP Deductible and Coinsurance Deductible and
$75 Specialist Coinsurance Coinsurance Deductible
Deductible and **
Primary Care Physician $30 $45 Deductible and Coinsurance Deductible and **
$50 Coinsurance Coinsurance
Specialist $300 Deductible and Deductible
Maternity Care $75 Deductible and Coinsurance Deductible and Deductible
(Physician Services) $300 and Coinsurance Coinsurance Deductible
Coinsurance Deductible and
Deductible and Coinsurance Deductible and Deductible
Coinsurance Coinsurance Deductible
Deductible and
Urgent Care Services $50 CareSpot $75 Emergency Services Coinsurance Deductible and
Emergency Dept Visit $75 Others Deductible, Deductible and Coinsurance
Ambulance Services Deductible, then $250* Coinsurance Deductible and
then $250* Coinsurance Deductible and
** Coinsurance
$250 Deductible and
$250 ** Coinsurance Deductible and
Coinsurance
Outpatient Services Deductible and
Coinsurance Deductible and
Minor Diagnostics $25 OH $40 Deductible and Coinsurance
(Labs) $40 Others Coinsurance Deductible and
Coinsurance Deductible and
Minor Diagnostics $25 OH $40 Deductible and Coinsurance
(X-rays) $40 Others Coinsurance Deductible and
Deductible, then Coinsurance Deductible and
Major Diagnostics Deductible, Deductible and Coinsurance
$350 then $350 and Coinsurance Deductible and
Outpatient Surgery Deductible, then Coinsurance Coinsurance Deductible and
Durable Medical Coinsurance
Equipment (DME) $350 Deductible, Deductible and Deductible and
Purchase $75 then $350 and Coinsurance Coinsurance
Inpatient Services Coinsurance
Rental $50
Purchase $75 Deductible and
Deductible, Rental $50 Coinsurance
then $500 daily,
Inpatient Services
3 day max
Deductible, then Deductible and Deductible and Deductible
$500 daily, Coinsurance Coinsurance

3 day max and
Coinsurance

*Waived if admitted. **Same as in-network, if true emergency. 7

Tier 2023 Bayfront Health St. Petersburg Medical Plan Deductions HSA Care
TM Only Care Plus Biweekly
Biweekly
$35.31
Full-Time and Variable Full-Time $84.96
$72.82
$53.51 $129.46

TM and Spouse $123.18 $47.67
$114.69
TM and Child(ren) $105.59 $98.31
$174.78
Full Family $187.71
TM Only Part-Time

$65.87

TM and Spouse $152.92

TM and Child(ren) $131.08

Full Family $233.02

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Prescription Drug Plan

Retail Pharmacies Maintenance Medications

Retail pharmacies outside of the Orlando Health (OH) All maintenance medications (drugs you use on a regular
network can be used for prescriptions that you need filled basis for long-term health conditions) must be filled under a
immediately or for a short time only. mandatory 90-day supply through an Orlando Health Scripts
• Prescriptions may be filled at an OptumRx Network retail onsite pharmacy after the initial dispensing of up to a 30-day
supply.
pharmacy, like CVS or Walgreens, for up to a 30-day
supply Orlando Health offers two easy methods to refill these
• Medical plan participants must have prescriptions filled at maintenance medications:
a pharmacy within the network
• Refer to the Scripts Pharmacy website at OrlandoHealth. Scripts Mail Order Service
com/Services-And-Specialties/Scripts-Pharmacy for an in- Scripts mail order pharmacy services enable you to obtain
network pharmacy. Members may also call (844) 614-8435 up to a 90-day supply of maintenance medications, sent
or refer to the GO.UMR.com/BHSP-OrlandoHealth website directly to your home. Visit Team Member Connect for more
to locate an in-network pharmacy. information.

Mandatory Generic Advantage 90
The Advantage 90 program allows team members walk-
By law, brand and generic drugs must meet the same in service for their 90-day maintenance medications. This
standards for safety and effectiveness. Generic equivalents benefit is available through an Orlando Health onsite
of prescription drugs will be dispensed if available. If you or pharmacy.
your physician request the brand-name drug when a generic Please visit the Scripts Pharmacy website at OrlandoHealth.
is available, you will be responsible for the entire cost of your com/Services-and-Specialties/Scripts-Pharmacy for more
prescription. Ask your doctor to prescribe generic drugs information.
whenever possible.
9

Prescription Drug Plan The prescription drug plan is included
as part of your medical plan election.

Care Plus HSA Care

N/A $3,000/$6,000 $7,000/$14,000
In-Network
Annual Deductible – Single/Family In-Network Out-of-Network

Prescription Drugs Retail Coinsurance Maximum Deductible and File claim with
(Up to 30-day Supply) Coinsurance OptumRX
20% $20
Tier 1 Generic Deductible and File claim with
Coinsurance OptumRX
Tier 2 Preferred brand 20% $60
Deductible and File claim with
Tier 3 Non-preferred brand 20% $120 Coinsurance OptumRX

Tier 4 Specialty 20% $200 Deductible and File claim with
Maximum Coinsurance OptumRX

$50 Deductible and File claim with
Coinsurance OptumRX

Prescription Drugs – Mail-Order or Coinsurance Deductible and File claim with
Advantage 90 (mandatory for maintenance 20% Coinsurance OptumRX

drugs) Deductible and File claim with
Coinsurance OptumRX
Tier 1 Generic
Deductible and File claim with
Tier 2 Preferred brand 20% $150 Coinsurance OptumRX

Tier 3 Non-preferred brand 20% $300 Deductible and File claim with
Tier 4 Specialty Medications N/A N/A Coinsurance OptumRX

N/A N/A

Specialty Medications and 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.

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Orlando Health
Scripts Pharmacies

Scripts Pharmacy – Mail Order Scripts Pharmacy Orlando Health Heart and Vascular Institute
Mail Your Prescriptions To: 1222 South Orange Ave., Orlando, FL 32806
P.O. Box 568624 | Orlando, FL 32856-8624 (321) 841-1649 | (321) 843-4694 fax
Visit OrlandoHealth.com/Scripts For More Details Monday through Friday | 9:00 am to 7:00 pm
(321) 841-8251 | (321) 843-6996 fax
Monday through Friday | 9:00 am to 5:30 pm Scripts Pharmacy Orlando Health Medical Pavilion – Lake Mary
392 Rinehart Rd., Ste. 1400 | Lake Mary, FL 32746
Scripts Specialty Pharmacy (321) 842-0640 | (321) 842-0641 fax
1111 Blackwood Ave. | Ocoee, FL 34761 Monday through Friday | 8:30 am to 5:00 pm
(321) 842-1622 | (321) 842-1629 fax
Monday through Friday | 9:00 am to 5:30 pm Scripts Pharmacy Orlando Health South Lake Hospital
1920 Don Wickham Dr., Ste. 135 | Clermont, FL 34711
Scripts Pharmacy Bayfront Health St. Petersburg (407) 407-0130 | (407) 407-0134 fax
701 6th St. South | St. Petersburg, FL 33701 Monday through Friday | 9:00 am to 5:30 pm
(727) 893-6334 | (727) 893-6337 fax
Monday through Friday | 9:00 am to 5:30 pm Scripts Pharmacy – Pick-Up Kiosk
Orlando Health St. Cloud Hospital
Scripts Pharmacy Orlando Health Arnold Palmer Hospital 2906 17th St. | St. Cloud, FL 34769
92 W. Miller St. | Orlando, FL 32806 Sign Up To Be A Script Center User
(321) 841-1648 | (321) 841-9102 fax (321) 841-8251
Monday through Friday | 9:00 am to 7:00 pm Prescription Pick-Up 24/7
Saturday and Sunday | 9:00 am to 5:00 pm
Scripts Pharmacy – Pick-Up Kiosk
Scripts Pharmacy Orlando Health Dr. P. Phillips Hospital Orlando Health South Seminole Hospital
9400 Turkey Lake Rd. | Orlando, FL 32819 555 W. Sr 434 | Longwood, FL 32750
(321) 842-7230 | (321) 842-7265 fax Sign Up To Be A Script Center User
Monday through Friday | 9:00 am to 7:00 pm (321) 842-0640
Saturday and Sunday | 9:00 am to 5:00 pm Prescription Pick-Up 24/7

Scripts Pharmacy Orlando Health – Health Central Hospital Scripts Pharmacy (Coming In March 2023)
10000 W. Colonial Dr. | Ocoee, FL 34761 Orlando Health Jewett Orthopedic Institute
(407) 296-1912 | (407) 296-2036 fax 60 Columbus St. | Orlando, FL 32806
Monday through Friday | 9:00 am to 7:00 pm
Saturday | 9:00 am to 5:00 pm 11
Sunday | Noon to 5:00 pm

Health Savings Account

A Health Savings Account (HSA) is a tax-advantaged savings account you can use in
conjunction with the HSA Care medical plan. The funds in the account are used to pay
for eligible out-of-pocket healthcare expenses such as services applied to the deductible,
dental care, vision exams and more.

Concerned you might not use all the funds in your HSA account? Don’t worry. An HSA is not a “use-it-or-lose-it” account,
and any leftover funds roll over year-to-year. You must re-enroll in the HSA each year.
Orlando Health will make matching contributions dollar for dollar of a team member’s contribution up to $520 for team
member-only coverage and $1,040 for coverage levels that include dependents. Combined contributions cannot exceed the
IRS maximum annual limit.
Catch-up contributions of $1,000 are available for team members who are age 55 or older and not enrolled in Medicare.

Eligibility

To take advantage of an HSA, you must:
• Enroll in the HSA Care Medical Plan
• Not be covered by other health insurance, such as another employer sponsored health plan through a spouse, any part of

Medicare or TRICARE
• Not be claimed as a tax dependent on someone else’s taxes
• Your address cannot be a PO Box

Contributions and IRS Limits

Contribution limits include both your contributions, as well as Orlando Health matching contributions.
• Individual $3,850/Family $7,750
• Annual election amount will be a pre-tax deduction per pay 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
• For contributions to be deposited into your account, you cannot have any unused funds in a Health Care FSA.

Coverage Level Maximum Team Member Contribution Maximum Employer Match Total
Team Member $3,330 $520 $3,850
$7,750
Team Member+Dependents $6,710 $1,040

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

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Flexible Spending Accounts

Flexible Spending Accounts (FSAs) allow you to set aside Child Care Tax Credit vs.
pre-tax dollars to pay for eligible healthcare and dependent Dependent Care Spending
care expenses. Account

Your annual election is divided evenly over the paychecks for the calendar year. Dependent care expenses that are
FSAs are “use-it-or-lose-it” benefits, meaning that you must use the money in your eligible for reimbursement are also
account by a certain date or you forfeit the balance. You do not need to participate in eligible for a federal income tax
an Orlando Health medical, dental, or vision plan to contribute to an FSA. You must credit. You can apply for only one of
re-enroll in the FSA each year. these two favorable tax treatments
Health Equity provides a variety of ways to access your account, including a — not both — for the same
debit card. You will need to provide verification of your eligible expense for each expenses. For information about the
transaction, including a copy of an itemized receipt with the incurred date of the federal income tax credit, see IRS
expense, type of expense, and the provider’s name. Publication 596, available at IRS.gov.
For a listing of eligible FSA expenses, please refer to IRS Publications 502 and 503
available at IRS.gov or call (800) TAX-FORM (829-3676).

Benefits Healthcare FSA Limited Purpose FSA Dependent Care FSA
Team members enrolled in Team members enrolled in HSA Care.
Who is Care Plus or not enrolled in The IRS does not allow team members All benefits eligible team members
eligible? medical to be in the Healthcare FSA and a Health
Savings Account (HSA) at the same time Daycare, in-home childcare fees (income
Eligible The Limited Purpose FSA allows you to must be claimed by care provider), local day
Expenses participate in both the HSA and an FSA camp fees for children up to the age of 13,
or elderly parent living in your home who
How much Medical copays, deductibles, Dental and orthodontic expenses, is physically or mentally unable to care for
may I prescription, drug copays, vision expenses, hearing expenses himself or herself
contribute? dental and orthodontic Biweekly Paid: $200 – $5,000 ($2,500 if
When is expenses, vision expenses married filing separate income tax returns)
the money Monthly Paid: $200 – $1,200
available? $200 – $2,850 $200 – $2,850 Funds are available after each payroll
How long is deposit. You may be reimbursed up to your
the money Immediately upon Immediately upon enrollment contributions
available? enrollment in the plan year Dates of service between
in the plan year January 1, 2023 – December 31, 2023
You have until March 31, 2024 to submit
Dates of service between January 1, 2023 – March 15, 2024 claims and request reimbursement
You have until March 31, 2024 to submit claims and request
reimbursement

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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 Organization Cigna Dental Health Maintenance Organization
(DPPO) (DHMO)

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

Dental Plan Comparison

Preventative Premier DHMO
In-Network Only
In-Network Out-of- In-Network Out-of-
Network Network
$25/$75
Calendar Year Deductible $25/$75 $50/$150 $50/$150 $0/$0
Individual/Family $500
$0 $500 $1,500 $1,000 None
Calendar Year/Max Benefit 100% $0 $0 $0 $5
Office Visit Copay 50%+Ded 50% 80%
Preventive Not Covered 50%+Ded 100% 100%
Basic Restorative Care Not Covered 80%+Ded 60%+Ded *
Major Restorative Care 50%+Ded 40%+Ded *
50%, up to 50%, up to
Orthodontics Coverage for Not Covered Not Covered lifetime max lifetime max *
Children and Adults
$1,500 $1,500

Tier Preventative Premier DHMO

TM Only Biweekly Monthly Biweekly Monthly Biweekly Monthly
TM + 1 $9.51 $20.60 $13.97 $30.26 $7.62 $16.51
TM + 2 or More $19.03 $41.23 $26.62 $57.68 $12.61 $27.32
$32.34 $70.07 $46.58 $100.93 $18.66 $40.44

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

B AY F R O NT HE A LT H ST. PET ERSB URG TEAM M EM BER BENEFIT S

Vision Plan Benefit Member Cost Out-of-Network (OON)
In-Network Reimbursement
EyeMed Vision Frequencies
Exam: once every calendar year
Orlando Health is pleased Eye Exam
to offer you vision insurance Retinal Imaging Lenses in lieu of contacts: once every calendar year
through EyeMed, one of Standard Contact Lens Fit and
America’s most trusted Frames: once every calendar year
vision benefit companies. Follow Up
Premium Contact Lens Fit and $15 copay Up to $35
Register at EyeMed’s member portal
at EyeMed.com to view and manage Follow Up Up to $39 N/A
your benefits, explore eligibility status, Frame Allowance
download ID cards, and find the right Up to $40 N/A
provider. Single vision
If you have questions or need Bifocal 10% off retail N/A
assistance, EyeMed’s Customer Care Trifocal
Center is ready to help. Please contact $0 copay; 20% off balance over Up to $60
them at (866) 800-5457. Lenticular $150 allowance
Progressive standard Up to $25
Savings for Progressive premium tiers 1–3 Lenses Up to $40
Members Progressive premium tier 4 $10 copay Up to $60
$10 copay Up to $60
40% off Tint $10 copay Up to $60
UV $10 copay Up to $60
Additional pairs of glasses and a Scratch $10 copay Up to $60
15% discount on conventional Polycarbonate
contact lenses once funded benefit Standard anti-reflective $10–$55 copay N/A
is used — an industry exclusive. Photochromic $10 copay; 20% off retail price N/A
Other add-ons N/A
20% off Premium AR (tiers 1 and 2) less $120 allowance Up to $20
N/A
Any item not covered by the plan, Conventional Lens Options Up to $38
including non-prescription $15 N/A
sunglasses. Disposable $15 N/A
Medically necessary $15
Lasik $0 Up to $150
Network $45
Lasik or PRK from US Laser $0 Up to $150
Network 15% off retail price or 5% Up to $210
off promotional price 20% off retail price
$57–$68
Hearing Care
Contact Lenses
Through Amplifon Hearing Health $0 copay; 15% off balance over
Care Network, members receive
up to 64% off hearing aids, an $150 allowance
extended warranty, free batteries $0 copay; 100% of balance
and a low price guarantee.
over $150 allowance
$0 copay; paid-in-full

INSIGHT

Vision Plan Deductions

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

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 and Dismemberment
(AD and 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 and D Costs

Orlando Health pays the full cost of this coverage. All regular The cost for Supplemental Life Insurance coverage is based
full-time, variable full-time and part-time team members are on your age, annual base pay, the amount of coverage and
automatically enrolled. Your life insurance benefit is based on whether or not you are a tobacco user. (You qualify as a
the following: non-tobacco user if you have not used tobacco for the last
• For regular full-time team members: your annual base 12 consecutive months.) Your payroll deduction will change
mid-year with salary and annually with age-band changes.
pay based on 40 hours per week in the system
• For variable full-time and part-time team members: Evidence of Insurability (EOI)

your annual base pay based on your weekly standard Under certain circumstances, an Evidence of Insurability
hours in the system (EOI) may be required to obtain approval for Basic,
You must pay federal income tax on the value of any Orlando Supplemental or Spouse Life Insurance coverage. If needed,
Health Basic Life Insurance coverage over $50,000. This EOI forms will be sent to you directly from the life insurance
value is called “imputed income” and is included on your carrier for the following reasons:
paycheck and on your W-2 form at the end of the year. Basic • If you are electing four or five times your annual base
Life coverage cannot exceed $2,000,000, with Evidence of
Insurability required for coverage over $1,000,000. pay for Supplemental Life Insurance, amounts over
$1,000,000, Basic Life over $1,000,000, Spouse Life over
Supplemental Life Coverage $50,000 or increasing coverage during open enrollment.
• In the event you must complete EOI, be sure to complete
You pay the full cost of this additional coverage. You can all tasks in a timely manner to avoid delayed coverage
purchase Supplemental Life Insurance coverage (rounded
to the next higher $1,000) in the amount of one to five Dependent Life Insurance
times your annual base pay. Amounts above three times
your annual base pay or over $1,000,000 require evidence You may also enroll your spouse and dependent children
of insurability. Supplemental Life coverage cannot exceed for life insurance coverage. You pay for the coverage with
$2,000,000. after-tax dollars from your pay. When you receive it, the life
insurance benefit is not taxable.
Don’t Forget You may enroll your spouse up to $100,000 and dependent
children up to $40,000 for Life Insurance coverage. Children
You must add your beneficiaries to the Basic Life between the ages of birth to 14 days are eligible for $10,000 in
Insurance in Team Member Connect. Your designation coverage. All eligible dependent children are eligible for one
will apply to the Basic and the Supplemental Life combined payroll deduction.
Insurance. You are automatically the beneficiary for all If your spouse and/or child works for Orlando Health,
Dependent Life Insurance you select. they are not an eligible dependent for the Dependent Life
Insurance. If both parents are employed at Orlando Health,
16 only one parent may cover the child(ren).

B AY F R O NT HE A LT H ST. PET ERSB URG TEAM M EM BER BENEFIT S

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. Executives and physicians please refer to your
specific contract and offer letter regarding time off.

Payment Method Voluntary PTO Cash-In

PTO hours are paid at your base hourly rate of pay in effect at the time you use PTO cash-in allows team members to
the hours. You may use PTO hours at your current base hourly rate in minimum voluntarily cash-in PTO hours at 75%
increments of five minutes. However, to maintain your employment status, the value in February, May, August and
number of PTO hours used plus hours worked must equal the standard number of November each year.
hours required for your status.

Eligibility

Full-time (FT), variable full-time (VFT) and part-time (PT) team members accrue
PTO hours based on the number of actual hours worked.
You may schedule time off based on your available PTO hours. You may not
borrow against PTO hours to be earned in the future or be paid in advance of the
regular payday for PTO hours.

PTO Donation Program

The PTO Donation Program gives you the ability to voluntarily transfer some of
your accrued PTO hours to a fellow team member. It’s a great way to help a fellow
team member, should the need arise. For details, please refer to the PTO Donation
Program policy #5916-1032 for details.

Paid Time Off Accruals Accrual per Hours Worked Maximum Accrual Biweekly Pay Period
0.0947 7.576 hours
Years of Service 0.0984 7.848 hours
0 to 2.99 0.1120 8.960 hours
3 to 4.99 0.1192 9.536 hours
5 to 9.99 0.1327 10.616 hours
10 to 14.99
15+

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.)

17

Leave of Absence and Extended Leave Plan

Even when you can’t be here with us, we’re here for you.

At Orlando Health, we know that team members are sometimes unable to work due to an ongoing illness or other
circumstances. We hope that never happens to you, but if it does, know that we have options to help.

Leave of Absence Extended Leave Plan (ELP)

If you need to take a Leave of Absence The Extended Leave Plan is a personal extended illness benefits program that is
(LOA), contact our leave administrator, available after 24 consecutive work hours missed due to a personal illness. This
New York Life (NYL) beginning benefit can also be used to supplement voluntary short-term disability benefits.
01/01/23. They will review your leave Team members accrue hours towards this plan based on hours worked per pay
request to determine what type of leave period up to the accrual limit. ELP does not carry a cash value. It cannot be paid
you may be eligible for, such as a Family out upon termination or cashed in at any time. For more information, please refer
Medical Leave. A leave of absence may to the Extended Leave Plan policy #5916-1019.
also have income protection benefits
available, such as short-term and long- Extended Leave Accruals
term disability, if enrolled.
Accrual per Hour Per Pay Period Accrual Annual Accrual Max
Worked Max

0.0154 1.232 32.03

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B AY F R O NT HE A LT H ST. PET ERSB URG TEAM M EM BER BENEFIT S

Disability

Short-Term Disability (STD) Long-Term Disability (LTD)

You pay the full cost of this insurance. Short-Term Disability insurance provides Orlando Health pays the full cost of
a biweekly benefit that equals 60% of your pre-disability base earnings (up to a this insurance. LTD insurance provides
$1,000 weekly maximum) if you are unable to work due to a non-work-related a monthly benefit that equals 60% of
injury or illness during the first six months of your disability. This benefit applies your pre-disability base earnings up to
to full-time, variable full-time and part-time team members. If you have STD a $10,000 monthly maximum. Full-
coverage, you must apply for disability benefits while on a medical leave of absence time, variable full-time and part-time
with New York Life (NYL). Executives and physicians please refer to your specific team members are eligible to receive
contract and offer letter regarding disability options. this benefit after 180 days of continuous
total or partial disability.
Waiting Period
There are three different plan options to choose from, with various waiting periods. How to File a Claim
A waiting period is the amount of time before the plan begins paying benefits. For If you have an illness or injury that
example, with the Short-Term Disability/15-day plan, you would receive Short- may qualify as a disability, call New
Term Disability payments on day 15 of an approved disability. York Life (NYL) at (888) 842-4462. A
representative will assist you with your
Pre-Existing Conditions disability claim.
A pre-existing condition is defined as any sickness, medical condition or injury
for which treatment was provided, recommended, or prescribed preceding the
date your Short-Term or Long-Term Disability went into effect. Please refer to the
Summary Plan Description (SPD) for more detailed information on pre-existing
conditions and their application under the policy. This can be found in Team
Member Connect>Benefit Resources>Benefits Compliance Documents.

Plan Name Waiting Period Rate Per $100 of Benefit Amount
STD/15 14 days $1.668

STD/30 29 days $1.265
STD/60 59 days $0.955

19

Family Care Benefits

Life happens. So we created benefits for that.

Orlando Health is committed to supporting our team members as they care for
their families. Whether something unexpected happens or you’re going 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. Resources for Your Family’s
Ongoing Needs
Back-up Childcare
Through our membership with Sitter
When there’s a school closure, your child is sick or your nanny cancels, Bright City, you’ll have access to providers
Horizons can assist you with skilled and trusted care in your home or at a who can help meet your family where
designated back-up center designed for working parents just like you. they are. Whether you need tutoring,
Team members are responsible for a small copay to help cover the costs of back- pet-sitting or house-cleaning services,
up care, but Orlando Health covers most — helping you focus on your family, not we’re here to help connect you to
your wallet. Center-based back-up care at a dedicated back-up center requires a discounted and reliable resources.
$10 daily copay for one child or $15 copay for the whole family. In-home care is
only $4 per hour copay, up to 10 hours. Fertility Benefits
Register Now! Visit Clients.BrightHorizons.com/OrlandoHealth and use the
Employer Username: Orlando and Password: Benefits4you. You can also download Through our medical and prescription
the Bright Horizons App. Search “back-up care” in the App Store or Google Play. drug program, Orlando Health
Any questions? Call Bright Horizons at (877) BH-CARES (242-2737). For your provides coverage for fertility
Directory ID, use your network login ID, such as Z12345Z. medication therapy, in-vitro
fertilization, and other medical services,
Elder Care Back-up up to the $5,000 lifetime maximum.
Please contact UMR at (844) 614-8435
When your loved one needs temporary support with the activities of daily living, for more details about covered services.
it can be hard to balance your responsibilities between home and work. With Optum Specialty Pharmacy offers
nationwide coverage and partner agencies that are all vetted, on-boarded and discounted rates for those who have
trained through Bright Horizons, you can count on skilled, compassionate, and reached the plan maximum. Call (877)
affordable help. Back-up elder care can be provided in-home for just $4 per hour 358-9016 for details.
copay, up to 10 hours.
Adoption Assistance
Virtual Tutoring
Now that you are a part of our family,
Orlando Health has partnered with Bright Horizons to provide your child (ages we’d love to help yours grow. Orlando
5-18) help in reading, math, science, social studies and more than 300 other Health will contribute up to $5,000 per
subjects, as well as targeted support with a math or reading expert who can identify year toward eligible adoption expenses
areas of opportunity to help your child excel. The program is also open to adult including adoption fees, court costs,
learners who are preparing for graduate school or additional licenses/courses. attorney fees, travel expenses (meals
A back-up care day can be exchanged for four hours of virtual tutoring with a cost and lodging) and other expenses related
of $10. Reserve by submitting a tutoring request through the back-up care site and to legal adoption. For more details,
then schedule the days and times that work best for your family. refer to the Adoption Assistance Policy.

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B AY F R O NT HE A LT H ST. PET ERSB URG TEAM M EM BER BENEFIT S

Retirement Savings Plan

Let’s Get Retirement Ready

No matter how much you love your career, you likely still dream about retirement. Experts recommend
saving 10-15 percent of your income in a retirement account annually. This is made up of both your
contributions and money from Orlando Health.

Auto Enrollment Matching Contributions: It’s Free Money.

All eligible team members are Orlando Health will match dollar for dollar on the first 2% you contribute to your
immediately set up with a 2% auto account each pay period. After that, Orlando Health will match $0.50 for every
enrollment into the Retirement $1, up to 8% of eligible earnings or up to 10% for team members with 10+ years
Savings Plan, which automatically of service. The Orlando Health match will be made on both pre-tax and Roth
increases each year by 1%, up to 8%. contributions, up to applicable limits.
This increase occurs on the team
member’s date-of-hire anniversary. Here Is How the Match Works:
Team members can opt out of auto
enrollment at any time by contacting Team Member % Orlando Health Match % Total
Fidelity at NetBenefits.com/ 2% 2% 4%
OrlandoHealth or (800) 343-0860. 4% 3% 7%
You may make pre-tax or Roth post- 6% 4% 10%
tax contributions up to 50% of your 8% 5% 13%
pay. The IRS annual limit is $20,500 for 5% 15%
2022 and may be indexed annually. 10% with less than 10 years of service 6% 16%
10% with more than 10 years of service
Catch-Up Contributions
Help Is Always Available
If you are 50 or older you may
contribute an additional $6,500 for a Financial planning may seem overwhelming. Fortunately, Orlando Health has
maximum of $27,000 for 2022, which financial service representatives available to personally meet with you and provide
may be indexed annually. You may assistance in the following areas:
make changes to your contributions at • Enrolling in the plan and selecting your investments
any time during the year. • Taking a loan or hardship withdrawal from the plan
• Rolling over an existing qualified plan into the Retirement Savings Plan
Vesting To schedule an appointment with a Financial Service Representative, please
contact Fidelity at (800) 642-7131.
Vesting means ownership of the Please refer to the Retirement Savings Plan Summary for plan details. This can
money in your retirement account. be found in Team Member Connect>Benefit Resources>Benefits Compliance
You are always 100% vested in your Documents.
contributions, including any earnings.
You are 100% vested in Orlando Retirement Gift
Health’s contributions after three years
of service with 1,000 hours or more Upon retirement, you will receive a contribution to your retirement account of
each year. $5,000, if you retire in good standing. To be eligible, your age and consecutive years
of Orlando Health service must equal at least 75, with the minimum age being 55,
and you must also be 100% vested in the Orlando Health Retirement Savings Plan.

21

Education Assistance Programs

Preferred Education Program Student Loan Repayment

The Preferred Education Program allows team members We understand that student loan debt can take a financial and
to attend a partner college for free. That’s because Orlando mental toll on you, whether you’re just starting your career or
Health pays the cost of tuition and books directly to the taking steps to further it. That’s why we’re proud to be one of a
college for those who are considered residents of Florida for small number of employers that offers student loan repayment
tuition purposes. assistance and tuition reimbursement benefits.
The Preferred Education Program offers an opportunity Team members with less than five years of service (in a
for team members to pursue an associate degree, bachelor’s non-leadership position) are eligible for this benefit. The
degree, or technical certificate in more than 120 programs. only requirements are that you obtained your degree prior to
These include nursing, diagnostic medical sonography, your hire date, your position requires a bachelor’s degree or
respiratory care, emergency medical technology, business, higher, or you are a registered nurse hired with an associate or
accounting, health services administration, food service bachelor’s degree.
management, and many more.
Best of all, there’s no waiting on reimbursement for courses Career Online High School and My Time English
or a financial cap. Partners currently include Valencia
College, Seminole State College, St. Petersburg and Lake- Have you always wanted to complete your High School
Sumter State College. Diploma or GED, but just can’t find the time or resources?
Are you interested in enhancing your English language skills
Tuition Reimbursement due to English not being your first language? Orlando Health
now offers both of these programs at no cost to part-time
We also offer a Tuition Reimbursement Program, for team and full-time team members! Career Online High School
members pursuing degrees from additional colleges and is an 18-month program that is self-paced and online. Plus,
universities. The program reimburses your tuition expense, you will be assigned a coach to help you be successful. My
up to $5,000 per year for full-time and variable full-time and Time English is a 12-month program for team members with
$2,500 for part-time. alternate first languages who want to improve their English
This benefit is available for any program, with no restrictions speaking and comprehension skills. Sign up today through
on degree pursuit — even if the degree isn’t required for your EdAssist.
job description. It’s our way of helping you grow — not only
as an Orlando Health team member, but as a person.
These degree programs can include any of the following:
• Professional certificates (like technical programs or

vocational training)
• Associate degrees
• Bachelor’s degrees
• Master’s and Doctorate degrees
Through our partner at EdAssist, Orlando Health has access
to an expansive list of accredited schools offering in-person
and online programs — many with tuition discounts and
even 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
22 feature on the EdAssist portal or call the Contact Center at (833) 890-3226.

B AY F R O NT HE A LT H ST. PET ERSB URG TEAM M EM BER BENEFIT S

Well-Being Program

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>Menu>Human Resources>LifeWorks and Well-Being Benefits.

LifeWorks Financial Well-Being

We know life and work can be challenging, and we’re here to Fidelity Retirement Service Representatives: Individuals meet
help. Orlando Health is pleased to offer well-being services personally to get you enrolled in the retirement plan, take a loan
and support for our team members through our selected or hardship withdrawal, or rollover a prior plan. To schedule an
partner, LifeWorks. The LifeWorks Well-Being Program appointment, call Fidelity at (800) 642-7131.
offers team members and their families free 24/7 access to Orlando Health Pathways: A program offering one-on-one
work-life counseling, coaching and wellness services. coaching to help you achieve financial stability.
Earn up to $500 annually which includes assessment, Team Member Support Fund: Offers financial support during
habitudes, snackable, challenges and more for team members difficult situations.
enrolled in our medical plan!
Employee Assistance Program (EAP): Get confidential, 24/7 Physical Well-Being
access to counselors and coaches for personal, family or work
issues. Active and Fit: For only $25 per month, you have access to
CareNow Programs: Discover self-directed digital programs 11,000+ fitness centers and 2,500+ on-demand workout videos.
to help you develop positive coping strategies in dealing with Visit ActiveAndFitDirect.com/fitness/AF791517OR to get moving.
life’s challenges, including stress, anxiety, depression and Real Appeal Weight Loss Program: Medical plan participants
divorce. have access to a free online weight loss program, which
Life Coaching: Offering powerful and dynamic professional includes coaching, apps, and an at-home success kit. Start your
relationships, a life coach can help you achieve identified transformation with Real Appeal at Enroll.RealAppeal.com.
goals by acknowledging barriers, developing a strategic
approach and providing accountability.

Additional LifeWorks Services:

• Childcare provider search and referral
• Mindfulness Program
• Work-Life solutions
• Legal resources, including will preparation
• Parenting resources
• Guidance on financial issues, like budgeting, home

buying, and tax planning
• Everyday guidance on home remodeling and repair,

car buying, and pet care

Visit Login.LifeWorks.com Use your

Orlando Health email address to log in.

Call (855) 395-1072

23

Additional Benefits and Discounts

Discounts

The only thing more fun than spending money is saving it. That’s why Orlando Health partners with a
variety of different providers so you can enjoy discounts on attractions, cell phones, vacations and more.
Visit OrlandoHealth.com/For-Team-Members, Team Member Discounts, for more information.

Choice Auto Insurance

Orlando Health offers you access to a program designed to make shopping for auto insurance easier
than ever. In minutes, you can compare coverage, rates and discounts from some of America’s top-rated
insurance companies.
To get a quote and/or enroll, call (855) 589-0565 or visit VoluntaryBenefits-OrlandoHealth.com.

Group Accident Insurance

Aflac Group Accident Insurance pays cash benefits to you that can be used toward medical expenses
or everyday bills — like 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.

Critical Illness Benefits

Group Critical Illness is a valuable voluntary insurance available through Aflac, which helps to insure
some of the risk and pay for expenses you may incur if you are diagnosed with a critical illness. Benefits
are paid directly to you as a non-taxable lump-sum benefit. You choose level of coverage with benefit
amounts of $10,000, $20,000, or $30,000.

Pet Insurance

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 to offer a benefit for all your pets as well.
As an Orlando Health team member, you can elect employee group discounted pet health insurance for
your dog(s), cat(s), exotic or avian pet through payroll deduction with Nationwide Pet Insurance.
Nationwide’s pet health insurance plans give you the freedom to use any vet, anywhere, including
specialists and emergency providers. Discount pricing is available for up to five additional pets.
Coverage, pricing, and other details – as well as the ability to enroll – can be found on Team Member
Connect. To obtain pricing for other pets, please contact Nationwide directly at (800) 540-2016.

24

B AY F R O NT HE A LT H ST. PET ERSB URG TEAM M EM BER BENEFIT S

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

Flexible Spending Account - Health Dental
Preventative
Annual Election Amount: $____________________ Premier Team Member (TM) Only
Can be selected with the Care Plus Medical Plan Dental DHMO TM + 1
TM + 2
Vision Team Member (TM) Only Accident Insurance
Vision Plan TM + 1 Accident Insurance Team Member (TM) Only
TM + 2 TM + Spouse
TM + Child(ren)
Full Family

Critical Illness Insurance $10,000 Basic Life Insurance
Team Member (TM) Only $20,000 Select your beneficiaries
$30,000 Allocate percentage to beneficiaries
TM + Spouse
3x salary
TM + Child(ren)
$20,000
Full Family

Supplemental Life Insurance Spouse Life Insurance
Election Amount:________________________
1x salary 2x salary $10,000 increments, up to $100,000

4x salary 5x salary Short-Term Disability
15-day
Child Life Insurance $10,000 30-day
$5,000 $40,000 60-day
$30,000

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

25

Benefits Contact Information

Page When You Have Questions About Contact Website Contact Number
TeamMemberConnect.OrlandoHealth.com (321) 841-8623
Benefits HR Solutions Visit SWIFT>Human Resources>Benefits
Center

5 Dependent Verification Mercer https://dependentverification.mercer.com/ (855) 978-2122
orlando/client/default.aspx

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

9-11 Prescriptions OptumRX UMR.com (877) 559-2955
My.HealthEquity.com (866) 960-8055
12 Health Savings Account (HSA) Health Equity Participant.WageWorks.com (877) 924-3967
MyCigna.com (800) 244-6224
13 Flexible Spending Account (FSA) Health Equity EyeMed.com (866) 268-4063

14 Dental Plan Cigna

15 Vision Plan EyeMed

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

18 Request for Leave of Absence New York Life MyNYLgbs.com (888) 842-4462
(NYL)

19 Short-/Long-Term Disability New York Life MyNYLgbs.com (888) 842-4462
(NYL)

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

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

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

23 Employee Assistance Program LifeWorks Login.LifeWorks.com (855) 395-1072
and Well-Being Program

24 Accident and Critical Illness AFLAC AFLACGroupInsurance.com (407) 452-5049 or
(800) 433-3036
24 Pet Insurance Nationwide VoluntaryBenefits-OrlandoHealth.com
24 Auto Insurance Mercer VoluntaryBenefits-OrlandoHealth.com (800) 540-2016
WageWorks MyBenefits.WageWorks.com
COBRA – Health Equity (855) 589-0565
26
(877) 722-2667

B AY F R O NT HE A LT H ST. PET ERSB URG TEAM M EM BER BENEFIT S

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.

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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To learn more, visit OrlandoHealth.com

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