Benefits Summary

City of McAllen » City Departments » Employee Benefits » Benefits Summary

Overview

Need an enrollment form, claim form, or other information related to your benefits? Select a link below to see related information, links, downloads, and more.

1. Health Insurance
2. Dental Insurance
3. Vision Insurance
4. Basic Life Insurance
5. Retirement Benefits
6. Nationwide Retirement Solutions
7. Supplemental Life Insurance
8. Disability Insurance
9. Cafeteria Flexible Plan
10. ICMA Deferred Compensation
11. Colonial Supplemental Insurance
12. Additional City Employee Benefits

Health Insurance

Provider	http://www.bcbstx.com Dallas, Texas 1-800-521-2227
Payroll Deductions	Employee Only: 100% Paid By City of McAllen Employee + 1 Dependent: $146.54 per month Employee w/family: $181.28 per month
Coverage	In Network: 80/20 Out of Network: 50/50
Deductibles	In Network: $750 employee / $1,500 employee & dependents Out of Network: $1000 employee / 3000 employee and dependents $2,000 individual out of pocket / in network $4,000 individual out of pocket / out of network
Co-Pay	Primary Care: $25 per visit Specialist Physician: $35 per visit
Prescriptions	Retail 30 day supply: $5 generic / $30 Formulary / $50 Non-Formulary Mail-In 90 day supply: $10 generic / $60 Formulary / $100 Non-Formulary
Download Forms	Health Insurance Enrollment Form Health Insurance Claim Form Prescription Mail Order Form
Schedule of Benefits	Health Insurance Schedule of Benefits 2011-12 Schedule of Benefits - Retirees Under 65 Schedule of Benefits - Retirees Over 65
Additional Documents	Health Insurance Benefits Handbook Health Insurance Benefits Handbook - Amendment 10/01/2011 Health Insurance Preferred Lab Directory In-Network Anesthesiologists Deductible Incentive Flyer
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Dental Insurance

Provider	http://www.ameritasgroup.com 1-800-659-2223
Payroll Deductions	Employee Only: $22.68 per month Employee w/family: $66.36 per month
Coverage	Preventive Procedures: 100% Basic Procedures: 80% Major Procedures: 50% Orthodontia: 50%
Deductables	Preventative Procedures: $0 Basic & Major Procedures: $50
Maximums	Per Person: $1500 per calendar year Orthodotnia Services: $1000 lifetime maximum
Download Forms	Dental Claim Form
Additional Documents	Summary of Benefits Dental Provider List
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Vision Insurance

Provider	http://www.avesis.com 1-800-828-9341
Payroll Deductions	Employee Only: $6.61 per month Employee w/family: $15.20 per month
Coverage	Vision Exam: $10 copay Materials: $0 copay
Coverage (Out of Network)	Exams Optometrist: up to $35 Opthalmologist: up to $35 Lenses Single Vision: up to $25 Bifocal: up to $40 Trifocal: up to $50 Lenticular: up to $80 Frames: up to $45 Contact Lenses Elective: up to $130 Necessary: up to $250
Download Forms	Vision Insurance Enrollment Form
Additional Documents	Vision Summary of Benefits Vision Provider List

Basic Life Insurance

Provider	Lincoln Financial Group 1-800-487-1485
Payroll Deductions	100% Paid by City of McAllen for full-time permanent employees
Benefits	Two times salary, maximum of $100,000
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Retirement

Provider	Texas Municipal Retirement System 1-800-955-7736
Payroll Deductions	7% (Mandatory deduction for full-time permanent employees only)
Benefits	2 to 1 match by the City of McAllen
Download Forms	TMRS Address or Name Change Form TMRS Service Retirement Packet TMRS Application for Military Service Credit Purchase TMRS Application for Restricted Prior Service Credit
Additional Documents	TMRS Summary of Benefits Notice: ERS Buy Backs TMRS Important Memo
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Nationwide Retirement Solutions
(Uniformed Firefighters Only)

Provider	Nationwide Retirement Solutions
Payroll Deductions	$10.00 minimum contribution per pay-period; $16,000 maximum per year
Download Forms	Participation Agreement, deduction & Authorization Form
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Optional Supplemental Life Insurance

Provider	Lincoln Financial Group 1-800-487-1485
Payroll Deductions	Premiums vary depending on employees' yearly income, age, and amount of policy purchased.
Coverage	The supplemental life benefits three times employee salary up to $300,000 plan maximum, and the guarantee issue amount on a combined basis for the basic and supplemental plan.
Maximums	Employee: $300,000 Spouse: $50,000 Child: $10,000
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Optional Disability Insurance

Provider	Lincoln Financial Group 1-800-423-2765
Payroll Deductions	Premiums vary depending on yearly income and type of disability
Benefits	The supplement insurance offers disability benefits that include short-term and long-term disability benefits.
Download Forms	Disability Insurance Claim Form - Short Term Disability Disability Insurance Claim Form - Long Term Disability
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Optional Cafeteria Flexible Plan

Provider	JEM Flexible Spending Account http://www.mbicard.com 1-800-943-9179
Payroll Deductions	Employee chooses the amount to be deducted each pay period
Benefits	The fully cafeteria flexible plan includes the flexible spending medical account, child-care account or the premiums only.
Download Forms	JEM Flexible Spending Account Claim Form JEM Flexible Spending Account Change Form Information on Flexible Spending Plan
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I.C.M.A. Deferred Compensation Plan

Provider	http://www.icmarc.com
Payroll Deductions	$10.00 minimum contribution per pay-period and the maximum per-year is $16,000
Download Forms	ICMA Employee Information Change Form ICMA Deferral Amount Change Form ICMA Emergency Withdrawal Form
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Colonial Supplemental Insurance

Provider	http://www.coloniallife.com
Payroll Deductions	Premiums vary depending on policy type and level
Coverage	Cancer Accidental Medical Bridge Medical Illness
Download Forms	Colonial Insurance Request For Service Form Colonial Insurance Claim Form
Brochures	Colonial Accident Brochure Colonial Cancer Brochure Colonial Critical Illness Brochure Colonial Hospital Confinement Indemnity Brochure
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