2020 PLAN BENEFIT IMPROVEMENTS!
As of January 1, 2020, PPO Plans have the following changes:
HEARING BENEFIT
The hearing care benefit, which includes hearing exams and hearing aids (or other non-surgical hearing enhancers) has increased from a $1,000 to a $2,000 maximum in a period of three consecutive calendar years.
VISION BENEFIT: FRAMES
| COVERED EXPENSE | IF YOU SEE A VSP PROVIDER | IF YOU SEE A NON-VSP PROVIDER |
|---|---|---|
| Frames (once/24 months from last date of service) | the plan reimburses up to $150 (was $95) | the plan reimburses up to $70 |
WEEKLY DISABILITY TIME LOSS BENEFIT
The maximum weekly benefit has increased as noted in the table. In addition, your weekly benefit cannot exceed 60% of your average weekly wage, up from 50%, as earned in the eligibility determination month.
| HOURS EMPLOYED IN ELIGIBILITY DETERMINATION MONTH |
OLD MAX WEEKLY BENEFIT | NEW MAX WEEKLY BENEFIT |
|---|---|---|
| Less than 80 | $0 | $0 |
| 80 but less than 120 | $180 | $270 |
| 120 but less than 150 | $240 | $360 |
| 150 or more | $300 | $450 |
With the implementation of the Washington Paid Family and Medical Leave Act, for any period when you are receiving or are eligible to receive benefits under the Washington Paid Family and Medical Leave Act, you will not be eligible to receive the Trust weekly disability benefit.
A Summary of Material Modification describing these changes have been sent to all PPO Plan participants. Please keep that document with your Summary Plan Description.