Eligibility

You are eligible for benefits if you work 30 or more hours per week. You may also enroll your eligible family members under certain plans you choose for yourself. Eligible family members include:

  • Your legally married spouse (spouse coverage rule applies)*
  • Your children who are your natural children, stepchildren, adopted children, or children for whom you have legal custody (age restrictions may apply). Disabled children age 26 or older who meet certain criteria may continue on your health coverage.

*Spouse coverage rule for Medical Plans: spouses are not eligible to enroll in the Simon Pearce Medical plan if they are eligible for coverage through their own employer. 

When Coverage Begins

You must complete the enrollment process within 30 days of your date of hire. Coverage is effective on the first day of the month after hire date. If you fail to enroll on time you will NOT have benefits coverage (except for company-paid benefits). Changes made during Open Enrollment are effective at the start of the next calendar year.

Employees cannot make benefit changes during the year unless you have a qualifying event such as:

  • Marriage or divorce
  • Birth or adoption of a child
  • Child reaching the maximum age limit
  • Death of a spouse or child
  • Change in child custody
  • Change in coverage election made by our spouse during their employer’s
  • Open Enrollment period
  • You lose coverage under your spouse’s plan

To make changes to your benefit elections, you MUST contact Human Resources within 30 days of the Qualifying Event (including newborns). Be prepared to show documentation of the event. If changes are not submitted on time, you must wait until the next Open Enrollment period.

Medical Plan Options

Simon Pearce is pleased to offer you the choice of FOUR (4) plan designs to all eligible employees who work 30 hours or more per week. Employee premium rates may vary based on Part-time (30-35 hours per week) and Full-time (35+ hours/week) status.

  • The BASIC Bronze Plan is a Qualified High Deductible Health Plan (HDHP). Employees can choose to contribute to a Health Savings Account (HSA).  **Election of this plan automatically enrolls you in the Accident Insurance Benefit at the Tier in which you elect the medical at no additional cost**
  • The Bronze Plan is a Qualified High Deductible Health Plan (HDHP). Employees can choose to contribute to a Health Savings Account (HSA).
    • ***Please note that the individual deductible on the Bronze Family Plan is $3,200 vs the $2,800 previously.  Please review the below Summary of Benefits for full information.***
  • The Silver Plan is a Co-Pay Plan. 
  • The Gold Plan offers a Health Reimbursement Account (HRA) which allows you to use funds to pay for your deductible and coinsurance expenses. Pharmacy expenses cannot be paid with HRA funds. Simon Pearce will contribute to this HRA based upon the level of coverage chosen by each employee.
Summary of Benefits and Coverage (SBC)
Summary Plan Documents (SPD)
Transparency in Coverage – Machine Readable Files

By clicking this link, (Cigna – Machine Readable Files), you will be directed to the machine readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.

Prescription Drug Information
MDlive for Cigna
Eligibility

Employees are eligible for medical benefits on the first of the month following the first day of employment.  Employees and dependents enrolled in any of the Cigna medical plans have access to MD Live and Amwell Telehealth benefits.

What is the Cost?

The Cost of Service will be provided when the visit is scheduled. The cost is the same or less than a visit with your primary care provider.

Cigna Telehealth Connection

Contact Us

MDLIVE for Cigna
(888) 726-3171
www.mdliveforcigna.com

Download the App!

Eligibility

Employees classified as Full-Time or Part-Time (30-35) are eligible for dental benefits on the 1st of the month following their first day of employment.

Outline of Benefits and Coverage
Summary Plan Description
Eligibility

Employees classified as Full-Time or Part-Time (30-35) are eligible for vision benefits on the 1st of the month following their first day of employment.

Member Benefit Summary
Health Flex Spending Account (HCRA)

Your HCRA allows you to use pre-tax dollars to pay for qualified health care expenses for you and your eligible dependents. Refer to your plan document for a list of eligible expenses.

Contact Us
Cigna
800-244-6224
www.mycigna.com

Click HERE to be directed to the Cigna HRA Reimbursement Link.

Health Savings Accounts

A HSA is a tax-advantaged account that allows employees to save pre-tax dollars to pay for qualified medical expenses. The HSA is administered by Health Equity, Inc. For a list of eligible expenses please visit healthequity.com

To be eligible to enroll in a HSA, you must meet the following requirements:

  • You are enrolled in the Bronze Plan.
  • You aren’t enrolled in Medicare.
  • You can’t be claimed as a dependent on someone else’s tax return.
  • You aren’t insured under any other medical plan that is not a HDHP.
  • You haven’t received VA benefits (Medical or Rx) during the past 3 months.

Health Savings Account (HSA)

  • Employees are eligible to participate in a HSA if they are enrolled in the Bronze Plan.
  • The account is 100% employee funded.
  • Employees who wish to contribute to a HSA must activate their account through Health Equity by registering online at myhealthequity.com
  • Employees will also have to name a beneficiary for their account and call Health Equity, Inc at 866-346-5800 to activate their HSA debit card.
  • Contribution Limits:
    • Single – $3,850
    • Family – $7,750
    • Catch-up contribution (age 55+) – $1,000
Contact Us
Health Equity
Download the App Today!

Forms and Plan Documents
Flexible Spending Accounts

With a Flexible Spending Account, you can pay for unreimbursed medical, dental, vision and many more health related expenses on a pre-tax basis. You may deduct up to $3,050 annually. The health care FSA includes a rollover provision that allows employees to rollover up to $610 of unused funds into the next plan year.

With Dependent Care Accounts, employees can put away funds for dependent care expenses on a pre-tax basis. The maximum you may contribute to the dependent care FSA is $5,000 (if single or married & filing jointly) or $2,500 (if married and filing separately).

Employees who elect the Bronze Plan and a Health Savings Account may elect a Limited Purpose Flexible Spending Account, which can only be used for dental and vision expenses.  This IRS rule is in place to help avoid “double dipping” since the HSA can also be used for medical, dental and vision expenses.  For more information, please click on the links below.

To see a complete list of FSA qualified expenses CLICK HERE.

Contributions

Employees contribute funds into their Medical FSA or Dependent Care Account through pre-tax payroll deduction in equal amounts spread over the calendar year.

The Richards Group has entered into a partnership with Health-E Commerce, also known as the FSA/HSA Store. This gives you access to hundreds of products that have been pre-vetted & approved for use with your Flexible Spending or Health Savings Accounts.

Did you know you could use your FSA/HSA to save money on everyday health essentials like baby health items, health trackers, pain relief products and more?

Here are just a few benefits of using the FSA/HSA Store:

  • No Receipts Needed
  • 2,500+ FSA Eligible Products
  • 100% Eligibility Guaranteed
  • Skip the claims process when you use your FSA/HSA card

To see a complete list of FSA qualified expenses CLICK HERE.

This partnership also allows access to their Caring Mill products. Caring Mill is a line of premium healthcare products that support a healthy lifestyle and on average is priced 30% less than branded equivalent products.

With every Caring Mill purchase, a donation is made to Children’s Health Fund, providing necessary treatments to thousands of children in need, throughout the United States.

Curious what your FSA/HSA dollars can cover? Simply enter the product you are looking for in the eligibility list below.

Eligibility

All full-time employees who work at least 30 hours per week are eligible for coverage on the first day of the month following their first day of employment.

Life/AD&D Insurance

Life Insurance provides your named beneficiary with a benefit in the event of your death.

Accidental Death and Dismemberment (AD&D) Insurance provides specified benefits to you in the event of a covered accidental bodily injury that directly causes dismemberment (ie. loss of a hand, foot, or eye). If you death occurs due to a covered accident – both the Life and the AD&D benefit would be payable.

Basic Life/AD&D
(100% Employer Paid)

  • Benefit amount is 1 times your prior W2 earnings not to exceed $50,000
  • Benefits reduce by 50% at age 70

Eligibility

Employees who work 30 hours or more per pay period are eligible for Voluntary Benefits and coverage effective on the first of the month following their first day of employment.

Voluntary Life and AD&D Benefits

(100% Employee Paid)

Eligible employees may purchase Voluntary Life and Accidental Death and Dismemberment (AD&D) coverage through Reliance Standard Life Insurance (RSLI) on themselves and their eligible dependents.

Premiums are determined by the amount of coverage chosen and the age of the employee.  Employees may select amounts in $10,000 increments up to 5X their annual base salary or $500,000, whichever is less. Benefits reduce by 50% upon reaching age 70.
Employees are required to complete an evidence of insurability form for life amounts above $130,000 during initial eligibility; after initial eligibility all benefit amounts require evidence of insurability.  RSLI must approve the evidence of insurability application for coverage to be in force.
Employee’s can purchase Dependent Life Insurance for their spouse or children.  Employees may choose to cover their spouse in increments of $5,000.  The spouse will be required to complete an evidence of insurability form for supplemental life amounts above $25,000 upon initial eligibility; after initial eligibility all benefit amounts are subject to evidence of insurability.  Dependent children under age 19, or 26 if a full time student, are eligible for up to a $10,000 benefit.
Short-Term Disability

(100% Employer Paid)

Employees who work 30 hours or more per pay period are eligible for Short Term Disability Insurance on the first of the month following their first day of employment.

Simon Pearce provides eligible employees with Short Term Disability coverage through RSLI. This benefit begins on the 1st day of a qualified disability due to injury or on the 8th day of a qualified disability due to illness. The benefit is 60% of prior year W2 earnings to a maximum of $750 per week. The maximum benefit period is 26 weeks per eligible disability. Partial benefits are available based on the percent of lost base wages and other circumstances.

 

***Updated Plan Documents will be provided once carrier completes.  For questions please see HR***

Contact Us

Reliance Standard Life Insurance
800-351-7500
www.reliancestandard.com/

Additional Plan Information
Long Term Disability

(100% Employer Paid)

Employees who work 30 hours or more per pay period are automatically enrolled in Long Term Disability Insurance on the first of the month following their first day of employment.

Simon Pearce provides eligible employees with Long Term Disability coverage through RSLI.  Payment of benefits will begin at 26 weeks from the start of a qualified disability.  The plan pays 60% of prior year W2 monthly earnings up to a maximum of $5,000 per month.  Benefits are payable up to age 65 if disability begins prior to age 60, and as long as the employee remains disabled.  Partial benefits are available when earnings are less than 80% of basic monthly pay.

 

***Updated Plan Documents will be provided once carrier completes.  For questions please see HR***

Contact Us

Reliance Standard Life Insurance
800-351-7500
www.reliancestandard.com/

Additional Plan Information
Critical Illness & Accident Insurance

(100% Employee Paid)

Employees who work 17.5 hours or more per pay period are eligible to elect Voluntary Accident and/or Critical Illness coverage and are eligible the 1st of the month following date of hire.

These plans are designed to provide a continuation of benefits to you in the event of either sickness or accident.

Please note that those aged 70 years or older are ineligible to enroll in the accident plan and also at age 70, the critical illness benefit reduces by 50%.

Simon Pearce provides all employees with an Employee Assistance Program (EAP) through Reliance Standard and ACI Specialty Benefits. EAP is a confidential resource that you can access when you need someone to talk to-about a family matter, stress, or a personal problem of any kind.

The ACI consultants are available 24 hours a day, 7 days a week, 365 days a year.  Whether you’re dealing with an issue at work or at home or simply looking for ways to take better care of yourself and your family, you can turn to Work-Life Balance for support.  All employees and members of their household may utilize up to three sessions of assessment, referral, and/or short-term problem solving per assessed problem per year at no cost to the employee.

ACI provides a national network of experienced, professional counselors who can help you, no matter where you are or what kind of situation you are facing.  When you call the program, you can discuss your concerns with a consultant who will connect you with an appropriate counselor in your local area.  You will be offered an appointment within a few business days.To speak with an ACI consultant, call 855-775-4357.

On-line help is also available on the myACI online website where you can watch short videos, listen to podcasts, read or download hundreds of articles, access CDs and booklets, email a consultant, and more.

The EAP can help you with a wide range of issues, including:
  • Personal/Relationship/Family Issues
    From dealing with stress, addiction, grief, midlife issues, to caring for older relatives, raising safe and responsible kids-EAP consultants can help.
  • Financial Health
    Talk with a financial consultant to learn how to get out from under your debts, save and invest for the future, or simply make ends meet.
  • Legal Health
    If you have legal questions, Work-Life Balance legal services offers access to on-staff attorneys for free 30-minute legal consultations and referrals to low-cost and no-cost public community legal resources and local attorneys whom you can contact for a free 30-minute consultation on the phone or in person.

The Simon Pearce EAP through ACI is a confidential service. No one will know if you use the EAP-not your supervisor, Simon Pearce, or your family members. And any information you provide to ACI is confidential and cannot be shared without your explicit consent.

Contact Us
ACI Specialty Benefits
855-775-4357

http://rsli.acieap.com

Computer Login:
User ID: Email Address

Password: RSLI859

Download the myACI Mobile App!

iOS Users:

Username: RSLI

Password: 859

Android Users:
RSLI859

 

Forms & Plan Documents

Eligibility

All employees enrolled in a medical plan with Simon Pearce are eligible to utilize Health Advocate services.

Health Advocate Benefits

Simon Pearce provides this service free to employees.  Employees can receive assistance from Health Advocate with understanding claims, working with providers, finding appropriate providers and many other services.  This service is 100% confidential.

Eligibility

Simon Pearce encourages employees to save for their retirement.  All employees who are 18 years of age are eligible to participate in this plan on the first of the month following the first day of employment.

Retirement Benefits

The Simon Pearce 401(k) Retirement Plan offers several different investment options within the fund group.  There are 2 components to the retirement plan:

  • 401(k) plan: Eligible employees can defer from their paycheck on a pretax and/or after tax basis up to 50% of their eligible earning up to the IRS maximum.  Participants are always 100% vested in this money.
  • Simon Pearce matches contributions with each pay period. Details of the match and vesting schedules can be found with the 401k enrollment packet provided during onboarding.

For more information, or to get started visit your employee website at: my.vanguardplan.com

From here you will be able to choose statement delivery preference (default is paperless), enter beneficiary information and opt-in for automatic account rebalancing.

Contributions

Employees may contribute up to the IRS annual maximum into this retirement plan.

Want to Learn More?

Click on the image below to view a short informative video on Simon Pearce’s 401(k) Retirement Plan

Contact Us
Phone: 866-794-2145 (M-F, 8am – 8pm EST)
Forms and Plan Documents
Financial Advisor

Melanie Brown from Hickok & Boardman is available for on-sit consultations and financial advice at NO COST to you.

She can be reached at melanie.brown@hbretire.com or 802-488-8715

From investment advice to outside money management, H &B has the knowledge, tools, and resources to help make your financial goals come true.

Additional Information

SmartConnect - Medicare Resource

The Richards Group has partnered with SmartConnect™, an exclusive, no-cost program created specifically to connect Medicare-eligible working adults to the world of Medicare benefits. Whether you plan to continue working or are transitioning to retirement, SmartConnect tailors solutions designed around your needs. Agents will provide an unfiltered view of the entire range of options and prices available.

SmartConnect Contact Information

For more information or to get started, please click on the following link https://gps.smartmatch.com/therichardsgroup
Additional Information & Resources
Upcoming Event: SmartConnect Medicare Webinars
My Time Off Benefits

Simon Pearce recognizes the importance of providing employees with Work /Life balance. Since many of our locations are open on weekends and holidays, we combine our paid vacation, personal, and sick days into one category called “PTO” (Paid-Time-Off). We encourage all of our employees to use their paid time off for the rest and relaxation that is well deserved.

PTO Tiers Chart

For more info please see the document that correlates to your position

Eligibility

All full-time employees who work at least 30 hours per week are eligible for coverage on the first day of the month following their first day of employment. This benefit is provided by the company at no charge to employees.

Contact Us
WalletArmor ID Theft
1-855-246-7347
On Call International
1-800-456-3893 (Toll free, In the US)
603-328-1966 (Worldwide, collect)
My Additional Benefits

Employee Perks

Eligibility

In order to participate in the plan, you must satisfy certain age and service conditions under the plan:

1. Minimum age requirement: In order to participate in the plan, you must be at age 21.

Student Loan Assistance

The Simon Pearce student loan consolidation program is designed to help Simon Pearce employees pay back student loan debt and improve their financial well-being.

Utilizing Simon Pearce’s relationship with The Richards Group, consultation services provided through GradFin are provided free of chargeGradFin is a new employee benefit program that is revolutionizing the way employees can reduce their student loan debt.

GradFin will:

  • Provide one-on-one education consultations with GradFin Consultation Experts to review your current loan status and discuss personalized payoff options to save on your loans.
  • Offer a competitive interest rate reduction when you refinance your loans.
  • Provide up to a $300 bonus to you when you refinance your loans with GradFin. The $300 bonus will be applied to the principal balance of the closed loan.
  • Offer the lowest interest rates in the industry through their lending platform which is made up of ten lenders to maximize the chances that you will be approved for a new loan.
Contact Us

GradFin

Phone: (844) GRADFIN

Website: https://gradfin.com/platform/trg/

For more information or to schedule a 15-minute appointment with a GradFin Consultation Expert click HERE!

Forms & Plan Documents