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| Medical Coverage: Humana/ChoiceCare Network PPO |
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Co-Payment Pharmacy LEVEL 1 $10.00 |
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Co-Payment Pharmacy LEVEL 2 $30.00 |
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Co-Payment Pharmacy LEVEL 3 $50.00 |
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Co-Payment Pharmacy LEVEL 4 25% |
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Co-Payment Professional (Physician)
Visit - Office LEVEL 1 PREVENTIVE $20.00
Visit In plan network |
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Co-Payment Professional (Physician) Visit - Office LEVEL
2 PREVENTIVE $35.00 Visit In plan network |
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Co-Payment Professional (Physician) Visit - Office LEVEL 1 $20.00
Visit In plan network |
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Co-Payment Professional (Physician) Visit - Office LEVEL 2 $35.00 Visit In plan network
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Co-Payment Hospital - Emergency Medical $100.00 Visit In plan network
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Co-Payment URGENT CARE CENTER $35.00 Visit In plan network
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Co-Payment Professional (Physician) Visit - Office PHYSICIAN $20.00 Visit In plan network
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Co-Payment Individual Professional (Physician) Visit - Office SPECIALIST $35.00 Visit In plan network
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Co-Payment Professional (Physician) Visit - Office SPECIALIST $35.00 Visit In plan network
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Co-Payment Hospital - Emergency Medical $100.00 Visit Out of plan network
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Co-Insurance General Benefits 100% Visit In plan network
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Co-Insurance Immunizations UP TO 18 YEARS 100% Visit In plan network
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Co-Insurance Professional (Physician) Visit - Office PREVENTIVE 100% Visit
In plan network |
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Co-Insurance PREVENTIVE LAB 100% Visit In plan network |
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Co-Insurance PREVENTIVE X-RAY 100% Visit In plan network |
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Co-Insurance PREVENTIVE MAMMOGRAPHY 100% Visit In plan network |
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Co-Insurance Professional (Physician) Visit - Office 100% Visit In plan network |
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Co-Insurance Pharmacy APPLIES TO ALL IN NETWORK LEVELS 100% In plan network |
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Co-Insurance General Benefits 60% Visit Out of plan network |
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Co-Insurance Immunizations UP TO 18 YEARS 60% Visit Out of plan network |
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Co-Insurance Professional (Physician) Visit - Office PREVENTIVE 60% Visit
Out of plan network |
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Co-Insurance PREVENTIVE LAB 60% Visit Out of plan network |
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Co-Insurance PREVENTIVE X-RAY 60% Visit Out of plan network |
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Co-Insurance PREVENTIVE MAMMOGRAPHY 60% Visit Out of plan network |
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Co-Insurance Professional (Physician) Visit - Office 60% Visit Out of plan network |
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Co-Insurance Pharmacy LEVELS 1,2,&3 PER PRESCRIPTION 70% Out of plan network |
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Co-Insurance Pharmacy APPLIES TO ALL OUT OF NETWORK LEVELS 70% Out of plan network |
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Deductible Individual $1,000.00 Calendar Year In plan network |
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Deductible Family $2,000.00 Calendar Year In plan network |
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Deductible Individual $2,000.00 Calendar Year Out of plan network |
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Deductible Family $4,000.00 Calendar Year Out of plan network |
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Limitations $5,000,000.00 Lifetime In plan network |
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Out of Pocket (Stop Loss) Individual Pharmacy LEVEL 4 $2,500.00 Calendar Year |
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Out of Pocket (Stop Loss) Individual $0.00 Calendar Year In plan network |
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Out of Pocket (Stop Loss) Family $0.00 Calendar Year In plan network |
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Out of Pocket (Stop Loss) Individual $2,000.00 Calendar Year Out of plan network |
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Out of Pocket (Stop Loss) Family $4,000.00 Calendar Year Out of plan network |
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Annual Deductibles may apply before the Co-Insurance benefit. Please refer
to the Certificate of Coverage |
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Dental Coverage:
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Bitewing X-Ray Set Per Year - 1 |
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Cleanings Per Year - 2 |
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Fluoride Treatments Per Year, Age Limits Apply - 2 |
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In Network Basic Coinsurance 80% |
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In Network Family Deductible $150 |
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In Network Individual Annual Maximum $1,000 |
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In Network Individual Deductible $50 |
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In Network Major Coinsurance 50% |
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In Network Preventive Coinsurance 100% |
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Out of Network Basic Coinsurance 80% |
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Out of Network Family Deductible $150 |
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Out of Network Individual Annual Maximum $1,000 |
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Out of Network Individual Deductible $50 |
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Out of Network Major Coinsurance 50% |
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Out of Network Preventive Coinsurance 100% |
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Periodontal Cleanings Per Year. Following Active Periodontal Therapy 2 |
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Periodontal Surgeries - Quadrant Per Three Years - 1 |
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Preventive Exams Per Year - 2 |
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Root Planing And Scaling - Quadrant Per Three Years - 1 |
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Annual Deductibles may apply before the Co-Insurance benefit. Please refer to the Certificate of Coverage
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| Retirement / 401(k) |
| Paychex Retirement Services |
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| Paid Time Off/Holidays |
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Paid Time Off and Holidays are available to Fulltime
Salaried ICONMA employees |
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Paid Time Off is earned/accrued
on a per payroll basis based on the following: |
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3.077 hours per payroll totaling 80 hours by the end
of the year of employment. |
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Paid Time Off includes Vacation, and Personal/Sick Days |
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New Years Day (January 1) |
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Memorial Day (Always celebrated on Monday) |
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Independence Day (July 4) |
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Labor Day (Always celebrated on Monday) |
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Thanksgiving Day (Always celebrated on Thursday) |
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Christmas Day (December 25) |
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Other
Humana Life Coverage:
$15,000 |
BENEFITS PROGRAMS AVAILABLE
FOR NON-SALARIED W-2 CONSULTANTS
ICONMA makes comprehensive benefits
programs available to non-salaried consultants. However, payment of
all or part of the premium(s) may be required. For additional details,
please consultant your recruiter or the Human Resources department. |
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COMPETITIVE COMPENSATION PLANS
ICONMA has built a reputation for
attracting top professional because of our highly competitive compensation
programs, benefits, career development and projects with Fortune 500
clients. We offer professionals salaries commensurate with experience
and performance.
* BENEFITS INFORMATION PUBLISHED
HEREIN IS SUBJECT TO CHANGE WITHOUT NOTICE
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