Employee Benefits

WellSpace Health formerly The Effort is pleased to offer a comprehensive benefits program to our employees including health, welfare, retirement and time-off options.

Benefits Eligibility

Employees scheduled to work 30 or more hours a week are eligible for our health and welfare benefits program and our Paid Time Off (PTO)/Paid Sick Leave (PSL) accrual benefit and paid holidays.

Health and Welfare benefits are effective the first of the month following 30 days of employment.

PTO starts accruing the first day of employment but cannot be used until after 90 days of employment.

Holiday pay is applicable immediately.

Paid Sick Leave starts accruing the first day of employment. To qualify for PSL, an employee must work for the same employer for at least 30 days within a year in California and satisfy a 90-day employment period (similar to a probationary period) before taking any sick leave.

Retirement Plan Eligibility

All classes of employees over the age of 18 are eligible to participate in WellSpace Health’s 401(k) Profit Sharing Plan (full-time, part-time, temporary and on call) after completing three months of service.

Medical Plans

WellSpace Health, Inc. provides you with the power to take charge of your own health and tailor a plan to meet your needs. We have built our health plan with options, resources and overall support to help you make decisions. We offer three medical carriers with six plan choices: Kaiser Permanente, Western Health Advantage (WHA), and Sutter Health Plus. Below is a quick overview of each plan.

Kaiser Permanente

Through the Kaiser HMO Medical plans you simply select a doctor at a Kaiser facility near you. The doctor you choose must be a primary care physician (PCP) practicing in Internal Medicine, Family/General Medicine or Pediatric Medicine. Your PCP will refer you to see a specialist when needed. Most Kaiser locations offer multiple services under one roof.

That means you may be able to see your PCP, get an X-ray, visit the lab and fill your prescription all in the same place. The plan is simple to use – pay your copays at the time of your visit to a provider or when you obtain other medical services. No additional paperwork is required.

Western Health Advantage (WHA)

Through the Western Health Advantage (WHA) HMO Medical plans members have access to a large network of Participating Providers from which to select a Primary Care Physician (PCP). All non-emergency care must be accessed through your PCP. Your PCP provides preventive care, arranges for admission to hospitals, coordinates care you receive from specialists, and helps you make decisions about your health. The plan is simple to use – pay your copays at the time of your visit to a provider or when you obtain other medical services. No additional paperwork is required.

Sutter Health Plus

Through the Sutter Health Plus HMO Medical plans members have access to a Sutter network of participating Providers from which to choose your Primary Care Physician (PCP). All non-emergency care must be accessed through your PCP. Your PCP is responsible for coordinating health care you receive from specialists and other medical providers. All providers and specialist must be in the HMO network. The plan is simple to use – pay your copays at the time of your visit to a provider and when you obtain other medical services. No additional paperwork is required.

Supplemental Medical – Solutions Plus Gap Plan

The Solutions Plus Gap plan (SIS) is designed to help reduce the cost of your out-of-pocket expenses under the Kaiser, WHA and Sutter Health Plus group medical coverage. The Solutions Plus Gap provides payment for covered out-of-pocket expense you may incur while you are either confined in a hospital or being treated as an out-patient for an injury or illness. The payment can be made to you or directly to the provider or facility for covered deductible and co-insurance costs as long as the medical plan carrier considers the service a covered benefit under your plan.

Dental Options

Lincoln Financial provides WellSpace Health’s dental insurance. Lincoln Financial is a well-recognized national insurance carrier offering a large national network of dental providers. We offer both a dental DHMO and a dental PPO Plan, allowing employees to choose the dental plan that works best for them.

With the DHMO plan, you must select a primary dentist from the list. You can enjoy negotiated discounts from the network dentists. You pay a fixed copay for each covered service and there is no Annual Maximum Benefit. The DHMO also includes an orthodontia benefit for both children and adults. Keep in mind that Out-of-Network visits are not covered.

With the PPO plan, you can receive care from any provider. However, if services are obtained from Lincoln’s PPO dental network, members will experience a significant discount on services and less out-of-pocket expenses. The plan includes the following benefits while accessing In-Network services: No cost coverage for Diagnostic and Preventive services with many Basic services covered at 80% and Major services at 50%. The plan calendar year maximum is $1,000 per insured person.

Basic Life and AD&D Benefit

Voluntary Life and Accidental Death & Dismemberment is also offered through Lincoln Financial. This program allows employees to purchase additional insurance at their own expense for themselves and their immediate family members at group rates. With this benefit, you can purchase up to $150,000 of additional coverage for yourself. If you purchase employee coverage, your spouse can be insured for up to $30,000. Children can also be covered up to $10,000 for all eligible children at one monthly cost.

Long Term Disability (LTD) Benefit

Lincoln Financial provides Long Term Disability coverage to all eligible employees. This is an employer-paid benefit. LTD insurance replaces a percentage of your income during extended periods of illness or injury that prevent you from performing your regular work. The benefits will coordinate with any other income benefits the insured employee receives. The benefit amount provided by the plan is up to 60% of monthly earnings to a maximum monthly benefit of $6,000.

Legalshield and Identity Theft Shield Voluntary Benefit

This program allows all employees to purchase legal and identity theft protection services for themselves and their family members. With these products you have access to professional legal counsel not only for traditional legal problems, but for everyday events. In addition, Identity Theft Shield provides regular monitoring of your credit report, plus access to professionals to assist you should you encounter identity theft involving your finances, driver’s license, Social Security number, medical benefits or cyber activity.

401(k) Profit Sharing Plan

Achieving financial security for your future is not just a matter of how much you earn, but more importantly, it’s a matter of how much you save. By saving regularly through WellSpace Health’s 401(k) Retirement Savings Plan, even if only a few dollars each payday, you can accumulate more money in a few years than you would think possible. You are able to make two kinds of Elective Deferrals including Pre-Tax Elective Deferrals or Roth After-Tax Elective Deferrals.

WellSpace Health, Inc. wants to help you meet your financial goals with this Plan and makes a matching contribution equal to 25% of your compensation deferral amounts up to legal limits imposed by the I.R.S. Matching contributions are posted to your account on a per pay period basis based on your current deferral percentage election in effect on each particular pay date.

Part-time, temporary and on call employees interested in enrolling in the 401(k) plan should contact the Human Resources Department to enroll in the plan after eligibility requirements have been met.

Holidays

WellSpace Health observes the following ten holidays which are paid for eligible employees:

  • New Year’s Day
  • Labor Day
  • Martin Luther King’s Birthday
  • Thanksgiving Day
  • President’s Day
  • Day after Thanksgiving
  • Memorial Day
  • Christmas Day
  • Independence Day
  • Floating Holiday
  • Paid Time Off

    PTO is accrued and is intended to strike a balance between assisting employees with their time off needs and ensuring that WellSpace Health has the staff to operate effectively. PTO is designed to provide pay for employees to take time off due to vacation, personal business, and illness (either the employee’s or his/her immediate family members’). PTO is accrued on a per pay period basis. Any unused PTO will be paid upon termination at the employee’s usual rate of pay.

    WellSpace Health offers four weeks of PTO for full-time employees (40 hours per week). Full-time employees working at least 30 hours per week receive .05 hours of PTO for each eligible hour worked. WellSpace Health’s PTO accrual rates increase over time as higher levels of seniority are met.

    Paid Sick Leave

    All employees are eligible for PSL. PSL is in addition to our existing PTO policy for all benefit-eligible employees. The max accrual amount of PSL is 48 hours. The accrual method for all employees is established at a rate of 1 hour of paid sick leave for every 30 hours worked. PSL is accrued on a per pay period basis. Any unused PSL will not be paid out upon termination of employment with the organization. For a more detailed description, contact Human Resources Department.

    New Hire Enrollment Process

    The Human Resources Department conducts monthly benefit orientation meetings for 30+ hour or 40 hour per week employees early in the month preceding your benefit eligibility date (e.g., meeting on 05/05/2017 for effective date of 06/01/2017). You will receive an email invitation from Human Resources inviting you to the benefit orientation meeting applicable to your eligibility date. It is important that you attend this meeting to learn about the benefits available to you and to complete your forms within the new hire enrollment period. Enrollments not received during the new hire enrollment period window, will be effective during the next Open Enrollment period which usually occurs in September of each year for a October 1st effective date.

    Continuing Medical and Dental Education for Providers

    WellSpace Health offers professional time off and continuing education allowance for full-time benefit eligible providers. For information about the policy, contact Human Resources Department.

    Questions

    Please contact Dinah Martinez, HR Coordinator, as follows:

    Email: dimartinez@wellspacehealth.org
    Office: 916-469-4699
    Fax: 916-313-8425

    The document is used to serve as a high level summary of WellSpace Health’s benefit offerings. Great care has been taken to ensure that this guide is accurate. However, oversights can occur or condensed summaries can be misinterpreted. If there is a difference between this overview and the official plan documents governing the plans, the plan documents will prevail. WellSpace Health reserves the right to amend or terminate the program in whole or in part at any time. This is not a complete detailed description, nor is it a contract of employment or a guarantee of benefits.

     

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