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Benefits Summary 2009-2010
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MEDICAL INSURANCE
All regular employees working more than 30 hours per week are eligible for Medical, Vision, and Dental benefits listed below on the first day of the month following 60 days of employment.
KAISER PERMANENTE HMO:
Kaiser gives you the freedom of choosing a Primary Care Physician or setting a same day appointment with the next available physician on duty without a referral. There is no deductible or annual maximum, after the $10 co-pay for office visits. Prescription co-payments are $10 (generic) or $20 (brand name) per prescription. There is no payroll contribution for employee, two-party or family under this plan.
For more information call 1-800-788-0710 or go on line -
KAISER PERMANENTE PPO:
With the Kaiser Permanente PPO plan, you have the flexibility you need and the choice of physicians you want. You may choose from over 450,000 physicians within the Private Healthcare Systems (PHCS) Network or you can also see any other licensed provider outside of the PHCS Network and still be covered, though you’ll have greater out-of-pocket expenses. You may choose any of the nearly 60,000 participating pharmacies in the MedImpact pharmacy network.
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| PHCS Provider |
Non PHCS Provider |
| Deductible |
$500 per person, $1,500 maximum |
$500 per person, $7,500 maximum |
| Out-of-Pocket Max |
$1,500 per person, $4,500 maximum |
$4,500 per person, $13,500 maximum |
| Co-insurance |
90% after deductible |
70% after deductible |
| Office Visits |
$15 co-pay |
70% UCR* covered after deductible |
| Preventive Services |
$15 co-pay |
Not covered |
| Prescriptions: |
| Generic |
$15 co-pay |
Not covered |
| Brand |
$40 co-pay
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Not covered |
*UCR = Usual, customary and reasonable – The general level of charges made by other providers for specified covered services within the area where the charge is incurred.
The bi-weekly payroll contribution for employee only coverage is $142.78, two person coverage is $285.56, and family coverage is $404.07.
For more information call 1-800-788-0710 or go on line -
KAISER PERMANENTE POS:
With the Kaiser Permanente POS Plan, you have the flexibility you need and the choice of physicians you want. You can see a Kaiser Permanente physician or pay a little more to see one of the 450,000 physicians who are a part of the Private Healthcare Systems (PHCS) Network. You also have options with your prescriptions. Choose any Kaiser Permanente pharmacy in California or take advantage of the participating pharmacies in the MedImpact pharmacy network.
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| Kaiser Provider |
PHCS Provider |
Non PHCS Provider |
| Deductible |
None |
$500 per person, $1,500 max |
$500 per person, $1,500 max |
| Out-of-Pocket Max |
$1,500 person/$3,000 max |
$1,500 person/$4,500 max |
$1,500 person/$9,000 max |
| Office Visits |
$15 co-pay |
90% UCR after deductible |
70% UCR after deductible |
| Preventive Serrvices |
$15 co-pay |
90% UCR after deductible |
70% UCR after deductible |
| Prescriptions: |
| Generic |
$10 |
$20 |
Not covered |
| Brand |
$30
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$40
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Not covered
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| Non-formulary |
$40
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$50
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Not covered
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*UCR = Usual, customary and reasonable – The general level of charges made by other providers for specified covered services within the area where the charge is incurred.
The bi-weekly payroll contribution for employee only coverage is $78.48, two person coverage is $156.97, and family coverage is $222.12.
For more information call 1-800-788-0710 or go on line -
Employees who have dual medical coverage, may elect to opt-out of the Company’s group plans and receive a monthly compensation of $200.00
VISION INSURANCE
Vision coverage is included with your choice of medical plans and included in the bi-weekly contribution amounts stated above. The benefits are as follows:
KAISER HMO & POS: Frames or contact lenses covered at a $175.00 allowance every 24 months. Must be from Kaiser facility.
KAISER PPO: Exams, frames or contact lenses covered at a $250.00 allowance every 24 months. May use any licensed provider (excluding Kaiser facilities).
DELTA DENTAL INSURANCE
Delta Dental insurance is the only dental plan available to all eligible employees. Under SJWC’s Delta Dental plan, employees are provided with coverage at no charge.
DELTA PREMIER PLAN:
This plan offers coverage through the selection of any Delta Dentist. Preventative treatment is covered at 100%, basic treatment covered at 80%; major dental at 50% with an annual maximum of $1,500 per person. There is an annual deductible of $25 per person per calendar year. Orthodontic benefits for dependent children are covered up to 50% of Delta’s approved fee, subject to a $1,500 lifetime maximum per person.
NON-DELTA DENTIST
TThis plan allows you to select a dentist who is not a member of the Delta Organization. Benefits are covered at the same limits as the Delta Premier Plan, however you will be responsible for any amounts over the Delta approved fee.
For more information call 1-888-335-8227 or go on line -
Employees who have dual medical coverage, may elect to opt-out of the Company’s group plan and receive a monthly compensation of $25.00.
SECTION 125 - FLEXIBLE SPENDING ACCOUNT
San Jose Water Company offers a full Flexible Spending Account (FSA) through Creative Benefits. This plan consists of 3 FSA Accounts – Premium- Only, HealthCare and Dependent Care. Flexible Spending Account is a tax shelter plan, allowed by IRS. Money in your spending account is never taxed. This plan is provided at no cost to all San Jose Water permanent employees working 30+ hours per week.
The maximum election amounts for the plan are as follows:
FSA Election Maximum Amount HealthCare $2,500
FSA Election Maximum Amount Dependent Care $5,000
For more information call 1-888-295-5656 or go on line -
LIFE INSURANCE
LIFE/ACCIDENTAL DEATH & DISMEMBERMENT: All employees are eligible on the first day of the month following 60 days of employment. Union employees are covered at one times their annual base salary. Administrative employees are covered at two times their annual salary. Premiums are paid for by the Company.
OPTIONAL -LIFE/ACCIDENTIAL DEATH & DISMEMBEMBERMENT INSURANCE
Additional life insurance of $15,000, $25,000, $50,000 or $100,000 can be purchased at the employee’s expense at an additional low premium rate. AD&D coverage is equal to the life insurance benefit and is paid in the case of an accidental death. Dismemberment benefits are paid as outlined in the certificate.
LONG TERM DISABILITY:Includes free ID theft recovery services through insurer. All employees are eligible on the first day of the month following their employment date. Income protection received for long term illness/disability in excess of six months at 60% of monthly base pay. Short-term disability provided by the State of California.
401(K) PLAN
Employees are eligible to enter the 401(K) plan on the first day of the calendar month following employment. The maximum allowable contribution is 25% per pay period. The Company matches 100% of the employees’ first 3% contribution and 50% of the employees’ next 2% contribution. All employees may change the amount of their deferral up or down once per month. The maximum contribution in 2010 is $16,500. Company contributions are immediately 100% vested. The following fourteen funds are offered: Vanguard 500 Index Fund, Vanguard Treasury Money Market Fund, Dodge & Cox Stock Fund, Vanguard Total Bond Market Index Fund, Vanguard Small-Cap Index Fund, Vanguard Mid-Cap Index, Vanguard PRIMECAP, Dodge & Cox International Stock Fund, and five Vanguard Target Retirement Funds.
For more information call 1-800-523-1188 or go on-line -
EMPLOYEE STOCK PURCHASE PLAN (ESPP)
Employees are eligible to enter the ESPP after one year of completed service prior to the start of the Offering Period. Each offering period consists of six months beginning on February 1 and ending on July 31, and beginning again on August 1 and ending on January 31 of each year. Employees may contribute between 1% and 10% of base salary to purchase stock at 85% of the fair market value (closing price) on the Purchase Date. All employees may change the amount of their deferral down once per offering period.
RETIREMENT PLAN
Employees are eligible for the Retirement Plan as of the date of employment (see Plan provisions). Participants receive a quarterly pay credit based on years of service as follows:
| Less than 5 years |
5% |
| 5 - 9 |
6% |
| 10 - 14 |
7% |
| 15 - 19 |
9% |
| 20 or more |
11% |
A quarterly interest rate based on the 30-year T-Bill is also applied, with a guarantee of at least 3% and a maximum of 6%. This plan has a 3-year cliff vesting schedule and upon termination is payable as a lump sum or annuity to the Participant or his/her beneficiary. Participants who attain the “Magic 75” are eligible for the retiree monthly medical benefit of $150 per retiree and $100 for a spouse at age 55, $200 each at age 60, and $250 each at age 65.
HOLIDAY PAY/VACATION
SJWC recognizes and observes 14 paid Holidays for full-time and regular part-time employees. All employees are eligible immediate following the date of hire. The Holiday Schedule will be determined and announced by management each year.
Vacation time will be accrued and accredited as illustrated below:
| Years of Service |
Accrued Vacation Per Year |
| After 1 year to 4 years |
2 weeks |
| 5 to 12 years |
3 weeks |
| 13 to 19 years |
4 weeks |
| 20 to 27 |
5 weeks |
| After 28 |
6 weeks |
SICK TIME LEAVE
After one year of service, employees are eligible for up to eighty (80) hours per year to a maximum accrual of 1,040 hours. Employees may use up to forty hours of their accumulated sick leave per calendar year for immediate family care.
TUITION REIMBURSEMENT
All employees are eligible following six (6) months of full-time employment. Reimbursement includes tuition, books, and registration for job-related courses or courses related to a position within SJWC. Approval must be received prior to commencement of classes. The maximum annual reimbursement is $3,000 for union employees and $5,000 for administrative employees.
COMMUTER ASSISTANCE PROGRAM
The Commuter Assistance Program (CAP) benefits employees who live at least 20 miles from the Main Office or Bascom Avenue sites. Regularly scheduled trains and buses and a customized shuttle service are used to transport employees to and from work Monday – Friday (excluding holidays) during commute hours. The Company reimburses participating employees at a rate of 50% of the cost of the appropriate monthly ticket (subject to federal income tax; however, up to $120.00 of each ticket is tax exempt).
The descriptions of San Jose Water Company benefits presented here summarize the highlights of the plans. If any statement here, or in any other communication, conflicts with applicable plan documents, the documents will govern. San Jose Water Company reserves the right to amend or terminate any of its employee benefit plans in any respect and at any time.
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