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Prevea Health

Employee benefits

 

 

Benefits overview

 

Who is Eligible?

All regular scheduled full-time (who work a minimum of 30 hours per week) and part-time employees (who work a minimum of 20 hours per week) are eligible for benefits.  Casual and PRN employees are eligible to contribute to the Retirement plan. Seasonal, flex, interns and temporary colleagues are not eligible for benefits.
 

Covered Dependents

You can enroll eligible family members for medical, dental, Optional Life Insurance and AD&D coverage.  Eligible dependents include:
  • Your spouse to whom you are legally married. Does not include common law marriages.
  • Dependent children up to age 26
  • Unmarried dependent child(ren) of any age who has a physical or mental disability and is incapable of self-sustaining employment, as long as the disability begins before the child reaches age 26; you must provide proof of the child’s disability.
 

Changes to your benefits

Annual Open Enrollment in your opportunity to add/drop dependents, change coverage, drop coverage or elect additional coverage. However, during your employment, you may update or make changes to your benefit(s) when you experience a qualifying life event or employment change. When you experience a qualified life event, you have 30 days of such event to notify the HR Department as well as supporting documentation. If you miss this deadline, you will need to wait until the next annual open enrollment period to make changes to your benefits. Based on IRS rules, you can generally make changes during the year only if you have a  qualifying change in your family or employment status.

This includes:
  • Marriage or Divorce
  • Birth or Adoption
  • Change in employment status for you or your dependent, when the change affects eligibility
  • Loss of eligibility of other health care coverage/program
  • Loss of eligibility for your child because of marriage, exceeding the plan’s age eligibility limit or no longer being disabled
  • Death of your spouse or your child
  • Change in Day Care providers, the hours for which care is needed, or the cost of Daycare
  • Change in other medical or dental coverage as a result of the annual enrollment for the employer of your spouse or eligible child occurring at a different time than Prevea
  • When you have a qualifying life event change, you have within 30 days of such an event to notify Prevea’s Benefits Team.
 

Benefit resource information

The chart below provides an overview of the benefits and optional coverages offered to you and your eligible dependents. More details about the benefits listed below are outlined in this document.
 
Benefits Provider Phone number Website
Medical Plan Benefits​ Dean Health Plan Administrative Services 1-877-234-4516 www.deancare.com/aso
Pharmacy Benefits Navitus Health Solutions 1-866-333-2757 www.deancare.com/aso
Virtual Care

(online access to medical providers for review of treatment options)
Prevea Virtual Care www.prevea.com/virtualcare
Dental Plan Benefits Aetna 1-877-238-6200 www.aetna.com or www.aetna.com/mobile
Vision Benefits

(Preventive exams are covered as specified in the Medical plan)
Dean Health Plan Administrative Services 1-877-234-4516 www.deancare.com/aso
Employee Assistance Program (EAP) Prevea Behavioral Care Green Bay:  920-272-1200

Sheboygan: 920-458-5557

Eau Claire:   715-717-5899
www.prevea.com
Group Base Life/AD&D Insurance

Voluntary Life/AD&D Insurance
Prudential 1-800-524-0542 www.prudential.com
Short-Term Disability Plan Prevea Health HR (920) 272-1163
Long Term Disability Insurance Prudential 1-800-842-1718 www.prudential.com
Health Savings Account Associated Bank 1-800-270-7719 www.hsa.associatedbank.com
Flexible Spending Accounts Discovery Benefits 1-866-451-3245 www.discoverybenefits.com
Retirement Account Transamerica 1-800-755-5801 www.prevea.trsretire.com