A group benefits package can include several separate policies. Having health insurance does not automatically mean an employee also has dental, vision, life, or disability coverage. The employer’s benefit summary and each policy explain what is offered.
Health insurance
Medical plans help pay for covered healthcare. Review provider networks, prescription coverage, deductibles, copays, and the out-of-pocket limit. Coverage and cost sharing depend on the plan and service.
Dental and vision
Dental plans may cover preventive care and contribute toward other treatment, with annual limits or waiting periods. Vision benefits often help with routine exams and glasses or contacts. Do not assume orthodontics or corrective surgery is included.
Life and disability insurance
Life insurance pays a benefit to a named beneficiary when a covered person dies, subject to the policy. Disability coverage can replace part of income after a covered disability. Definitions, waiting periods, benefit amounts, and exclusions matter.
Accounts and other benefits
An employer may offer spending accounts or other programs alongside insurance. These have their own eligibility and use rules. Ask your administrator which options are available and how they work with your coverage.
Five details to confirm
- Which benefits you are eligible for.
- Whether a spouse or children can enroll.
- Your cost per pay period.
- The deadline and coverage start date.
- What happens to coverage if your job or hours change.
Request the Summary of Benefits and Coverage for medical plans and the benefit details for other policies. Get help understanding your current benefits or discuss options for your business.
Helpful reference: How to use a Summary of Benefits and Coverage.