Benefits
Your Benefits Overview
This booklet summarizes First United Bank & Trust’s Benefits Program. You have the opportunity to select a benefits package that meets your personal needs. By reading this booklet, you will gain an understanding of:
- Your available benefit options
- Definitions of words and phrases that describe the benefit plans
- How the benefits can have an overall effect on your tax status
- Taking Advantage of Pre-Tax Benefits
Your Medical Benefits
Employees have a choice between four medical plan options: QHDHP, PPO Low plan, PPO Mid plan, and PPO High plan. Medical coverage may be provided to dependent children up to age 26. The contract year for your group medical plan runs from January 1 of a given year to December 31 of the same year.
QHDHP Option
Low Option
Mid Option
High Option
Benefit Forms
Eligibility:
All active full-time employees working a minimum of 30 hours per week and employees working an average of 30 or more hours weekly over a designated measurement period are eligible.
Contribution Schedule
Please refer to the Wellness Plan and the HRA Account pages for more information about reducing your medical contributions.
2024 Contribution Schedule Per Pay
| QHDHP | Low | Mid | High | |
|---|---|---|---|---|
| Single | $48.78 | $94.51 | $138.58 | $197.02 |
| Husband/Wife | $178.77 | $283.93 | $345.58 | $481.67 |
| Parent/Child(ren) | $168.04 | $233.89 | $291.84 | $419.77 |
| Family | $253.36 | $371.09 | $458.46 | $651.34 |
**If you elect the Low Option plan with Employee Only Coverage and the cost including the wellness score exceeds the 8.39% affordability, your rate will be subsidized to meet the PPACA affordability test.
2025 Contribution Schedule Per Pay
| QHDHP | Low | Mid | High | |
|---|---|---|---|---|
| Single | $53.94 | $104.51 | $153.25 | $217.87 |
| Husband/Wife | $197.69 | $313.98 | $382.15 | $532.64 |
| Parent/Child(ren) | $185.82 | $258.64 | $322.73 | $464.19 |
| Family | $280.17 | $410.36 | $506.98 | $720.27 |
**If you elect the Low Option plan with Employee Only Coverage and the cost including the wellness score exceeds the 8.39% affordability, your rate will be subsidized to meet the PPACA affordability test.
Helpful Resources
Meritain
Phone: (800) 925-2272
www.meritain.com
Pharmacy Helpline (Magellan Rx)
Phone: (800) 424-7548
www.magellanrx.com
Your Wellness Plan Benefits
WellRight Wellness
2024 Wellness Program begins April 16th!
Our wellness program, an online platform powered by WellRight, is available to all employees and their spouses. WellRight is a collection of holistic activities to help you form healthy habits, and reward you for making healthy choices.
All employees and their spouses are encouraged to participate. Employees and spouses on the medical plan can earn incentives towards their medical costs. And employees not on the medical plan who fully participate can also earn an incentive.
The wellness program is structured into four (4) tiers of activities. Each tier has:
- specific activities to complete
- specific wellness incentives tied to the tier
- specific completion dates
The various tiers and activities are noted below:
- Tier 1 – Health Assessment & Biometric Screening (required in order to earn any other tier)
- Tier 2 – Healthy Outcomes (meet 5 of 6 target values based on your screening results)
- Tier 3 – Coaching (6 sessions with a health coach, or 3 sessions with Dr. Scott Watkins, plus 4 online WellRight courses)
- Tier 4 – Healthy Challenges (complete 2 of 3 wellness activities on the WellRight portal)
If you an employee who is not on the medical plan, and complete all four (4) tiers, you will receive a $200 gift card.
Employees hired after April 2, who enroll in the medical plan will automatically receive all four (4) tiers worth of incentive until May 31, 2024, without having to complete any of the activities on the portal. When the new wellness program details are released in early 2024, employees must participate in the wellness program to continue receiving the incentive June through December 2024.
Also available on the WellRight platform are free tools and resources, including online wellness courses and fun personal challenges. These activities don’t count towards the wellness incentive, but every activity done benefits your overall health and well-being.
Refer to the WellRight resources below for full details on the wellness program:
WellRight Participant Medical Incentive Per Pay
| Participation | Employee Participates | Spouse Participates | Employee & Spouse Participate | Non-Participant |
|---|---|---|---|---|
| Tier 1 - Health Assessment & Biometric Screening | ($3.75) | ($3.75) | ($7.50) | $0.00 |
| Tier 2 - Healthy Outcomes | (15.00) | ($15.00) | ($30.00) | $0.00 |
| Tier 3 - Coaching/Courses | ($15.00) | ($15.00) | ($30.00) | $0.00 |
| Tier 4 - Healthy Challenges | ($3.75) | ($3.75) | ($7.50) | $0.00 |
| Total If Full Credit Received | ($37.50) | ($37.50) | ($75.00) | $0.00 |
Your Health Savings Account (HSA) Benefits
Who is eligible to open an HSA?
The main requirement for opening an HSA is having a high-deductible health plan that meets IRS guidelines for the annual deductible and out-of-pocket maximum. To be an eligible individual and qualify for an HSA, you must also meet the following requirements:
- You are not covered by any other non-HDHP health plan, such as a spouse’s plan, that provides any benefits covered by your HDHP plan.
- You are not enrolled in Medicare.
- You do not receive health benefits under TRICARE.
- You have not received Veterans Administration (VA) benefits within the past three months.
- You cannot be claimed as a dependent on another person’s tax return.
- You are not covered by a general-purpose health care flexible spending account (FSA) or health reimbursement account (HRA). Alternative plan designs, such as a limited-purpose FSA or HRA, might be permitted.
What are the “IRS-qualified medical expenses” that I can pay for with my tax-free HSA funds?
You can pay for a wide range of IRS-qualified medical expenses with your HSA, including many that aren’t typically covered by health insurance plans. This includes deductibles, co-insurance, prescriptions, dental and vision care, and more. For a complete list of IRS-qualified medical expenses, visit irs.gov.
Are health insurance premiums considered IRS-qualified medical expenses?
Generally, health insurance premiums ARE NOT considered IRS-qualified medical expenses UNLESS they are for:
- Qualified long-term care insurance,
- COBRA health care continuation coverage
- Health care coverage while an individual is receiving unemployment compensation
- For individuals over 65, the following premiums ARE considered IRS-qualified medical expenses:
- Medicare Parts A, B, D, Medicare HMA
- Employee portion paid for employer-sponsored health insurance
- Employee portion paid for employer-sponsored retiree health insurance
Can I use my tax-free HSA savings to pay for, or reimburse myself for, IRS-qualified medical expenses from a previous year?
Yes, if the IRS-qualified medical expenses were incurred after your HSA was established, you can pay them or reimburse yourself with HSA funds at any time. Just be sure to keep sufficient records to show that these expenses were not previously paid for by another source or taken as an itemized deduction in any prior tax year.
Who is responsible for making sure HSA funds are only used to pay for IRS-qualified medical expenses?
As the HSA accountholder, you are responsible. Therefore, it’s important to keep records of the IRS-qualified medical expenses you pay for with your HSA to exclude those dollars from your gross income.
Can my HSA funds ever be taxed?
HSA funds that are used to pay for non-IRS-qualified medical expenses are considered part of your gross income and subject to an additional 20%. Exceptions include HSA distributions that are made after an accountholder’s death, disability, or after they turn 65.
Your Dental Benefits
Contribution Schedule Per Pay
| High Plan | Low Plan | |
|---|---|---|
| Single | $17.59 | $13.55 |
| Husband/Wife | $39.58 | $30.87 |
| Parent/Child(ren) | $35.06 | $25.47 |
| Family | $57.94 | $43.06 |
Helpful Resources
Delta Dental
Phone: (800) 932-0783
www.deltadental.com
Group Number 16135
Your Vision Benefits
Contribution Schedule
| Part Time Rates | Full Time Rates | |
|---|---|---|
| Single | $1.90 | $1.14 |
| Husband/Wife | $3.41 | $2.05 |
| Parent/Child(ren) | $3.98 | $2.39 |
| Family | $4.93 | $2.96 |
Cobra Schedule
| COBRA Rate | |
|---|---|
| Single | $7.59 |
| Husband/Wife | $13.65 |
| Parent/Child(ren) | $15.93 |
| Family | $19.72 |
Helpful Resources
National Vision Administrators, LLC
Phone: (800) 672-7723
www.e-nva.com
National Guardian Life Insurance Company
Phone: (800) 988-0826
www.nglic.com
Your Group Life and AD&D Benefits
Life Insurance and AD&D Benefits (Employer Paid)
Life Amount:
Class 1: 2x annual base salary to a maximum of $425,000
Class 2: $15,000
AD&D Principal Sum
Class 1: 2x annual base salary to a maximum of $425,000
Class 2: $15,000
Reductions
Upon attainment of age 65, the Life Insurance and AD&D Principal Sum will reduce by 35%. Upon attainment of age 70, the Life Insurance and AD&D Principal Sum will reduce by 50% of the original amount.
Group Life is 100% paid for by the company.
It is important that you keep your beneficiary information current.
Eligibility:
Class 1: Full-time employees working a minimum of 36 hours per week.
Class 2: Part-time employees working a minimum of 20 hours per week.
Benefit Forms
Coming Soon
Contribution Schedule
Group Life is 100% paid for by the company.
Helpful Resources
American United Life Insurance Company (AUL) / OneAmerica
Phone: (800) 553-5318
www.employeebenefits.aul.com
Your Voluntary Life Benefits
You may purchase up to five times your salary in increments of $10,000*, subject to a minimum of $20,000. During your initial enrollment period, you may elect up to the guaranteed coverage amount of $100,000 with no medical questions asked, as long as you do not exceed the limits above. Any future new election or increase in excess of $10,000 to an existing election will require completion of a medical questionnaire and approval from AUL. You may annually increase your existing election by $10,000 with NO evidence of insurability required. Life insurance coverage will be subject to a reduction schedule beginning at age 70 (refer to your certificate of insurance for more details).
Eligibility:
All employees working a minimum of 20 hours per week.
Benefit Forms
Employee Life Contribution Schedule Per Pay
| $20,000 | $30,000 | $40,000 | $50,000 | $70,000 | $100,000 | |
|---|---|---|---|---|---|---|
| Up to age 29 | $0.50 | $0.75 | $1.00 | $1.00 | $1.75 | $2.50 |
| 30-34 | $0.70 | $1.05 | $1.40 | $1.75 | $2.45 | $3.50 |
| 35-39 | $0.90 | $1.35 | $1.80 | $2.25 | $3.15 | $4.50 |
| 40-44 | $1.30 | $1.95 | $2.60 | $3.25 | $4.55 | $6.50 |
| 45-49 | $2.10 | $3.15 | $4.20 | $5.25 | $7.35 | $10.50 |
| 50-54 | $3.50 | $5.25 | $7.00 | $8.75 | $12.25 | $17.50 |
| 55-59 | $6.20 | $9.30 | $12.40 | $15.50 | $21.70 | $31.00 |
| 60-64 | $11.30 | $16.95 | $22.60 | $28.25 | $39.55 | $56.50 |
| 65-69 | $17.70 | $26.55 | $35.40 | $44.25 | $61.95 | $88.50 |
| 70-74 | $24.10 | $36.15 | $48.20 | $60.25 | $84.35 | $120.50 |
| 75 + | $52.00 | $78.00 | $104.00 | $130.00 | $182.00 | $260.00 |
Spouse Life Contribution Schedule Per Pay
| $10,000 | $15,000 | $20,000 | $25,000 | $35,000 | $50,000 | |
|---|---|---|---|---|---|---|
| Up to age 29 | $0.25 | $0.38 | $0.50 | $0.63 | $0.88 | $1.25 |
| 30-34 | $0.35 | $0.53 | $0.70 | $0.88 | $1.23 | $1.75 |
| 35-39 | $0.45 | $0.68 | $0.90 | $1.13 | $1.58 | $2.25 |
| 40-44 | $0.65 | $0.98 | $1.30 | $1.63 | $2.28 | $3.25 |
| 45-49 | $1.05 | $1.58 | $2.10 | $2.63 | $3.68 | $5.25 |
| 50-54 | $1.75 | $2.68 | $3.50 | $4.38 | $6.13 | $8.75 |
| 55-59 | $3.10 | $4.65 | $6.20 | $7.75 | $10.85 | $15.50 |
| 60-64 | $5.65 | $8.48 | $11.30 | $14.13 | $19.78 | $28.25 |
| 65-69 | $8.85 | $13.28 | $17.70 | $22.13 | $30.98 | $44.25 |
| 70-74 | $12.05 | $18.08 | $24.10 | $30.13 | $42.18 | $60.25 |
| 75 + | $26.00 | $39.00 | $52.00 | $65.00 | $91.00 | $130.00 |
Dependent Child(ren) Contribution Schedule Per Pay
| Amount of Coverage | Cost Per Pay |
|---|---|
| $10,000 | $0.85 |
Amounts will be adjusted in January of every year to coincide with the rate for your age at that time. You will be given the opportunity to enroll or increase/decrease the amount of voluntary life coverage during open enrollment each year. However, a medical questionnaire will be required for new enrollees and/or increased amounts of coverage.
You will have 30 days from a qualifying event date to add coverage on newly acquired dependents (i.e. you get married or have a child) with no medical questions asked subject to the provisions outlined below.
Helpful Resources
American United Life Insurance Company (AUL) / OneAmerica
Phone: (800) 553-5318
www.employeebenefits.aul.com
Your Long Term Disability Benefits
| Plan Summary | |
|---|---|
| Monthly Benefit Amount | 60% of basic monthly earnings to a maximum benefit of $9,000 per month |
| Duration of Benefit | SSFRA (Social Security Full Retirement Age as figured by the 1983 amendment or any later amendment to the Social Security Act) |
| Social Security Integration | Family |
| Elimination Period | 120 days of disability |
Eligibility:
All full-time employees working a minimum of 36 hours per week.
Benefit Forms
Coming Soon
Contribution Schedule
Long Term Disability is 100% paid for by the company.
Helpful Resources
American United Life Insurance Company (AUL) / OneAmerica
Phone: (800) 553-5318
www.employeebenefits.aul.com
Your Flexible Spending Account Benefits
First United Bank & Trust offers employees the option to participate in two spending account plans.
Flexible Spending Accounts are a great way for you and your family to save money by reducing your taxable income. There are two types of spending accounts in which you may choose to participate, Medical Spending Accounts and Dependent Care Accounts.
Eligibility:
All full-time employees who work at least thirty (30) hours per week are eligible for medical coverage the first of the month following their date of hire.
Benefit Forms
Helpful Resources
Webber Advisors Claims Support
Email: claims@webberadvisors.com
Phone: (800) 326-9850
Fax: (814) 317-1610
P.O. Box 593
Hollidaysburg, PA 16648
Your Retirement Benefits
Contribution Schedule
As a participant under the Plan, you may elect to contribute a portion of your compensation to the Plan.
Extra Information
The Summary Plan Description (“SPD”) contains information regarding when you may become eligible to participate in the Plan, your Plan benefits, your distribution options, and many other features of the Plan. You should take the time to read this SPD to get a better understanding of your rights and obligations under the Plan.
Helpful Resources
First United Bank & Trust
19 S. Second Street
Oakland, MD 21550
Phone: (301) 334-9471