Benefit Plan Manager
Welcome, Jane
Review and approve benefit plan selections for the upcoming renewal period.
🏢
Acme Manufacturing Co.
Client # C-00412 · Benefits Admin: Jane Doe
Related Companies
3 affiliated
▼
Benefits Batches
Action Required
Benefits Batch
Effective Date
01/01/2027
Benefit Groups
2
Plans Offered
6
Review & Approve Benefit Plans
Select plans, set contributions, and finalize
→
BB-2026-001 ● In Progress
Acme Manufacturing Co.
Effective 01/01/2027 · 2 groups · 6 plans
Current Year
$1.42M
381 enrolled
Renewal Year
$1.49M
+4.9% YoY
✓
Review›
2
Compare Plans›
3
Contributions›
4
FSA/HSA›
5
FinalizeBenefit Groups
Full-Time Employees
9 plans
BCBS PPO 1500Selected
BlueCross BlueShield
$714/mo
▲ 5.0% EO
BCBS HMO SelectNew
BlueCross BlueShield
$640/mo
— New
Kaiser HMO GoldNew
Kaiser Permanente
$598/mo
— New
Aetna HDHP 2500New
Aetna
$525/mo
— New
UHC Choice PlusNew
UnitedHealthcare
$702/mo
— New
Delta Dental PPOSelected
Delta Dental
$44/mo
▲ 4.8% EO
EyeMed VisionSelected
EyeMed
$8/mo
— 0.0%
Guardian LTD 60%Selected
Guardian
$30/mo
▲ 7.1% EO
Guardian Basic LifeSelected
Guardian
$919/mo
▲ 4.2%
136
Enrolled
$92K
ER Monthly
▲ 4.9%
Part-Time (30+ hrs)
1 type
BCBS PPO 3000Selected
BlueCross BlueShield
$609/mo
▲ 5.0% EO
36
Enrolled
$11.4K
ER Monthly
▲ 5.0%
Seasonal / Temporary
1 type
BCBS PPO 3000Selected
BlueCross BlueShield
$609/mo
▲ 5.0% EO
12
Enrolled
$3.8K
ER Monthly
▲ 5.0%
Select Plans · Health
Health Plans
Compare plans side by side and set status for each benefit group
⚠️ Renewal plans are pre-selected. New plans must be explicitly selected or rejected before submitting.
Show:
Full-Time Employees
BCBS PPO 1500
BCBS HMO Select New
Kaiser HMO Gold New
Aetna HDHP 2500 New
UHC Choice Plus New
Monthly Premiums
EO — Current
$680
New
New
New
New
EO — Renewal
$714
$640
$598
$525
$702
ES — Renewal
$1,386
$1,210
$1,140
$998
$1,355
EC — Renewal
$1,250
$1,100
$1,035
$908
$1,224
EF — Renewal
$1,911
$1,750
$1,640
$1,445
$1,880
EK — Renewal
$1,386
N/A
N/A
$1,008
$1,355
Year-over-Year Change
▲ 5.0%
New Plan
New Plan
New Plan
New Plan
Plan Details
Plan Type
PPO
HMO
HMO
HDHP / PPO
PPO
Network
Nationwide PPO
Regional HMO
Kaiser Network
Aetna PPO
UHC Choice Plus
Referrals Required
No
Yes
Yes
No
No
Out-of-Network
Covered
Not Covered
Not Covered
Covered
Covered
Cost Sharing
PCP Co-pay
$30
$20
$15
After ded.
$35
Specialist Co-pay
$60
$40
$30
After ded.
$70
Deductible (In-Network)
$1,500
$500
$250
$2,500
$1,750
Deductible (Out-of-Network)
$3,000
N/A
N/A
$5,000
$3,500
OOP Max (In-Network)
$5,000
$3,000
$2,500
$6,500
$5,500
Coinsurance (after deductible)
20%
20%
10%
20%
20%
Prescription Drugs
Generic
$10
$5
$5
After ded.
$12
Preferred Brand
$40
$40
$30
After ded.
$45
Non-Preferred Brand
$80
$80
$60
After ded.
$85
Specialty
20% (max $250)
20% (max $250)
15% (max $200)
20% after ded.
20% (max $300)
Key Services
Preventive Care
100% covered
100% covered
100% covered
100% covered
100% covered
Emergency Room
$350 co-pay
$300 co-pay
$250 co-pay
After ded.
$400 co-pay
Urgent Care
$75
$50
$40
$60 after ded.
$80
Mental Health (In-Network)
$30 co-pay
$20 co-pay
$15 co-pay
After ded.
$35 co-pay
Telemedicine
$0
$0
$0
$25
$0
Maternity Care
Covered
Covered
Covered
After ded.
Covered
Chiropractic (20 visits/yr)
$40 co-pay
Not covered
Not covered
$45 after ded.
$50 co-pay
HSA Eligible
No
Yes
No
Yes
No
Cafe Eligible
Yes ☕
Yes ☕
Yes ☕
Yes ☕
Yes ☕
Part-Time (30+ hrs)
BCBS PPO 3000
Monthly Premiums
EO — Current
$580
EO — Renewal
$609
ES — Renewal
$1,155
EF — Renewal
$1,680
Year-over-Year Change
▲ 5.0%
Plan Details
Plan Type
PPO
Network
Nationwide PPO
Referrals Required
No
Cost Sharing
PCP Co-pay
$50
Specialist Co-pay
$100
Deductible (In-Network)
$3,000
OOP Max (In-Network)
$8,000
Coinsurance
20%
Select Plans · Dental
Dental Plans
Compare dental plans for Full-Time Employees
Full-Time Employees
Delta Dental PPO
Monthly Premiums
EO — Current
$42
EO — Renewal
$44
ES — Renewal
$88
EF — Renewal
$126
Year-over-Year Change
▲ 4.8%
Plan Details
Plan Type
PPO
Network
Delta Dental PPO Network
Waiting Period (Orthodontia)
12 months
Cost Sharing
Individual Deductible
$50
Family Deductible
$150
Annual Maximum Benefit
$1,500
Coverage
Preventive (cleanings, X-rays)
100%
Basic (fillings, extractions)
80%
Major (crowns, root canals)
50%
Orthodontia (children)
50% (max $1,000)
Orthodontia (adults)
Not covered
Implants
50%
Emergency Dental
Covered
Select Plans · Vision
Vision Plans
Compare vision plans for Full-Time Employees
Full-Time Employees
EyeMed Vision Access
Monthly Premiums
EO — Current
$8
EO — Renewal
$8
ES — Renewal
$16
EF — Renewal
$22
Year-over-Year Change
— 0.0%
Plan Details
Network
EyeMed Access Network
Eye Exam Frequency
Once per year
Frames Frequency
Once every 24 months
Contact Lens Frequency
Once per year
In-Network Benefits
Routine Eye Exam
$10 co-pay
Frames Allowance
$200
Standard Lenses (single)
$0 co-pay
Standard Lenses (bifocal)
$0 co-pay
Progressive Lenses
$95 co-pay
Contact Lens Allowance
$150
Laser Vision Discount
15% off
Select Plans · LTD
LTD Plans
Compare long-term disability plans for Full-Time Employees
Full-Time Employees
Guardian LTD 60%
Monthly Premiums
EO — Current
$28
EO — Renewal
$30
Enrolled (All Eligible)
142
Year-over-Year Change
▲ 7.1%
Plan Details
Benefit Percentage
60% of pre-disability earnings
Maximum Monthly Benefit
$10,000
Elimination Period
90 days
Benefit Duration
To age 65 (or SSNRA)
Definition of Disability
Own occupation (24 mo), Any occupation after
Additional Features
COLA Rider
Not included
Partial Disability Benefit
Included
Survivor Benefit
3 months benefit
Mental/Nervous Limitation
24-month limitation
Pre-Existing Condition
3/12 rule
Social Security Offset
Yes — all-family offset
Rehabilitation Benefit
Included
Employer Paid / Employee Paid
100% Employer Paid
Edit Contributions · Health
Health Contributions
Set employer and employee contribution amounts per tier
BCBS PPO 1500
BlueCross BlueShield · Full-Time
Contribution Method
Tier
Premium
EE Contrib
ER Contrib
Enrolled
ER Total/mo
EOEmployee Only
$714
$94
$32,240
ESEmp + Spouse
$1,386
$496
$33,820
ECEmp + Child(ren)
$1,250
$410
$20,160
EFFamily
$1,911
$811
$19,800
EKDomestic Partner
$1,386
$496
$3,560
BCBS PPO 1500
BCBS HMO Select New Plan
BlueCross BlueShield · Full-Time
Contribution Method
Tier
Premium
EE Contrib
ER Contrib
Enrolled
ER Total/mo
EOEmployee Only
$640
$0
$0
ESEmp + Spouse
$1,210
$0
$0
ECEmp + Child(ren)
$1,100
$0
$0
EFFamily
$1,750
$0
$0
BCBS HMO Select
BCBS PPO 3000 Part-Time
BlueCross BlueShield · Part-Time
Contribution Method
Tier
Premium
EE Contrib
ER Contrib
Enrolled
ER Total/mo
EOEmployee Only
$609
$309
$5,400
ESEmp + Spouse
$1,155
$655
$5,000
EFFamily
$1,680
$980
$5,600
BCBS PPO 3000
Edit Contributions · Dental
Dental Contributions
Set employer and employee contribution amounts per tier
Delta Dental PPO
Delta Dental · Full-Time
Contribution Method
Tier
Premium
EE Contrib
ER Contrib
Enrolled
ER Total/mo
EOEmployee Only
$44
$2
$2,310
ESEmp + Spouse
$88
$20
$2,176
EFFamily
$126
$36
$2,520
Delta Dental PPO
Edit Contributions · Vision
Vision Contributions
Set employer and employee contribution amounts per tier
EyeMed Vision Access
EyeMed · Full-Time
Contribution Method
Tier
Premium
EE Contrib
ER Contrib
Enrolled
ER Total/mo
EOEmployee Only
$8
$0
$352
ESEmp + Spouse
$16
$0
$448
EFFamily
$22
$0
$484
EyeMed Vision Access
Edit Contributions · LTD
LTD Contributions
Set employer contribution amounts
Guardian LTD 60%
Guardian · Full-Time · Employer Paid
Contribution Method
Tier
Premium
EE Contrib
ER Contrib
Enrolled
ER Total/mo
EOEmployee Only
$30
$0
$4,260
Guardian LTD 60%
Edit Contributions · Health
Health Contributions
Set employer and employee contribution amounts per coverage tier
BCBS PPO 1500
BlueCross BlueShield · Full-Time
Contribution Method
Tier
Premium
EE Contrib
ER Contrib
Enrolled
ER Total/mo
EOEmployee Only
$714
$94
$32,240
ESEmp + Spouse
$1,386
$496
$33,820
ECEmp + Child(ren)
$1,250
$410
$20,160
EFFamily
$1,911
$811
$19,800
EKDomestic Partner
$1,386
$496
$3,560
BCBS PPO 1500
BCBS HMO Select New
BlueCross BlueShield · Full-Time
Contribution Method
Tier
Premium
EE Contrib
ER Contrib
Enrolled
ER Total/mo
EOEmployee Only
$640
$0
$0
ESEmp + Spouse
$1,210
$0
$0
ECEmp + Child(ren)
$1,100
$0
$0
EFFamily
$1,750
$0
$0
BCBS HMO Select
BCBS PPO 3000 Part-Time
BlueCross BlueShield · Part-Time
Contribution Method
Tier
Premium
EE Contrib
ER Contrib
Enrolled
ER Total/mo
EOEmployee Only
$609
$309
$5,400
ESEmp + Spouse
$1,155
$655
$5,000
EFFamily
$1,680
$980
$5,600
BCBS PPO 3000
Edit Contributions · Dental
Dental Contributions
Set employer and employee contribution amounts per coverage tier
Delta Dental PPO
Delta Dental · Full-Time
Contribution Method
Tier
Premium
EE Contrib
ER Contrib
Enrolled
ER Total/mo
EOEmployee Only
$44
$2
$2,310
ESEmp + Spouse
$88
$20
$2,176
EFFamily
$126
$36
$2,520
Delta Dental PPO
Edit Contributions · Vision
Vision Contributions
Set employer and employee contribution amounts per coverage tier
EyeMed Vision Access
EyeMed · Full-Time
Contribution Method
Tier
Premium
EE Contrib
ER Contrib
Enrolled
ER Total/mo
EOEmployee Only
$8
$0
$352
ESEmp + Spouse
$16
$0
$448
EFFamily
$22
$0
$484
EyeMed Vision Access
Edit Contributions · LTD
LTD Contributions
Set employer contribution amounts for LTD coverage
Guardian LTD 60%
Guardian · Full-Time · Employer Paid
Contribution Method
Tier
Premium
EE Contrib
ER Contrib
Enrolled
ER Total/mo
EOEmployee Only
$30
$0
$4,260
Guardian LTD 60%
Edit Contributions · Life
Life / Age-Banded Contributions
Premiums vary by employee age band — Full-Time Employees
Guardian Basic Life & AD&D
Guardian · Full-Time · Employer Paid · 1x Annual Salary
Contribution Method
Age Band
Rate/$1K
EE Contrib
ER Rate/$1K
Enrolled
ER Total/mo
<25Under 25
$0.060
$0.00
$14
25–29
$0.070
$0.00
$30
30–34
$0.080
$0.00
$53
35–39
$0.090
$0.00
$76
40–44
$0.120
$0.00
$87
45–49
$0.180
$0.00
$108
50–54
$0.270
$0.00
$130
55–59
$0.410
$0.00
$123
60–64
$0.620
$0.00
$149
65+Reduced benefit
$0.830
$0.00
$149
Guardian Basic Life & AD&D · Rate per \$1,000 of coverage
Guardian Vol. Life & AD&D
Guardian · Full-Time · Employee Paid · Up to 5× Salary
Contribution Method
Age Band
Rate/$1K
ER Contrib
EE Rate/$1K
Enrolled
EE Total/mo
<25Under 25
$0.060
$0.00
$7
25–29
$0.070
$0.00
$17
30–34
$0.080
$0.00
$29
35–39
$0.090
$0.00
$43
40–44
$0.120
$0.00
$50
45–49
$0.180
$0.00
$65
50–54
$0.270
$0.00
$81
55–59
$0.410
$0.00
$98
60–64
$0.620
$0.00
$74
65+Reduced benefit
$0.830
$0.00
$0
Guardian Vol. Life & AD&D · Rate per $1,000 of coverage
Select Plans · Life
Life / AD&D Plans
Age-banded rates — Full-Time Employees
Full-Time Employees
Guardian Basic Life & AD&D
Guardian Vol. Life & AD&D
Age-Banded Rates (per $1,000 of coverage/mo)
Under 25
$0.060
$0.060
25 – 29
$0.070
$0.070
30 – 34
$0.080
$0.080
35 – 39
$0.090
$0.090
40 – 44
$0.120
$0.120
45 – 49
$0.180
$0.180
50 – 54
$0.270
$0.270
55 – 59
$0.410
$0.410
60 – 64
$0.620
$0.620
65+
$0.830
$0.830
Year-over-Year Change
▲ 4.2%
New Plan
Plan Details
Benefit Multiple
1× Annual Salary
Up to 5× Salary
Maximum Benefit
$500,000
$500,000
Minimum Benefit
$10,000
$10,000
AD&D Included
Yes — 1× Salary
Yes — matches life
Guarantee Issue
Yes (no EOI)
$150K new hires
Spouse Benefit
N/A
Up to $250K
Child Benefit
N/A
$10K flat
Portability
Available
Available
Conversion Option
Available
Available
Waiver of Premium
Included
Included
Age Reduction Schedule
65% at 65 · 50% at 70
65% at 65 · 50% at 70
Employer / Employee Paid
100% Employer Paid
100% Employee Paid
Step 4
FSA / HSA / Commuter
Supplemental benefit accounts for Full-Time Employees
Health Savings Account (HSA)
Available with HDHP-qualified plans
ER Contribution$500
Frequency
2026 IRS Limit (Single)$4,300
Flexible Spending Account (FSA)
Pre-tax medical expense account
ER ContributionNone
Rollover Rule
2026 IRS Limit$3,300
Commuter Benefits
Not offered
Final Step
Selection Summary
Review selections, acknowledge disclaimers, and sign
Total ER Monthly
$138K
All groups combined
Total EE Monthly
$62K
Employee contributions
Benefit Groups
2
FT · PT
Total Enrolled
528
Across all plans
Plan Detail
Scroll right on small screens →
Health Plans
| Plan | Group | Status | EO | ES | EC | EF | EK | Enrolled | EE/mo | ER/mo | |||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| EE | ER | EE | ER | EE | ER | EE | ER | EE | ER | ||||||
| BCBS PPO 1500 | Full-Time | Selected | $94 | $620 | $496 | $890 | $410 | $840 | $811 | $1,100 | $496 | $890 | 136 | $12,880 | $109,580 |
| BCBS HMO Select | Full-Time | New | $0 | $640 | $0 | $1,210 | $0 | $1,100 | $0 | $1,750 | — | — | 0 | $0 | $0 |
| BCBS PPO 3000 | Part-Time | Selected | $309 | $300 | $655 | $500 | — | — | $980 | $700 | — | — | 36 | $26,520 | $16,000 |
| Totals | 172 | $39,400 | $125,580 | ||||||||||||
Dental Plans
| Plan | Group | Status | EO | ES | EF | Enrolled | EE/mo | ER/mo | |||
|---|---|---|---|---|---|---|---|---|---|---|---|
| EE | ER | EE | ER | EE | ER | ||||||
| Delta Dental PPO | Full-Time | Selected | $2 | $42 | $20 | $68 | $36 | $90 | 115 | $1,596 | $7,006 |
| Totals | 115 | $1,596 | $7,006 | ||||||||
Vision Plans
| Plan | Group | Status | EO | ES | EF | Enrolled | EE/mo | ER/mo | |||
|---|---|---|---|---|---|---|---|---|---|---|---|
| EE | ER | EE | ER | EE | ER | ||||||
| EyeMed Vision Access | Full-Time | Selected | $0 | $8 | $0 | $16 | $0 | $22 | 94 | $0 | $1,284 |
| Totals | 94 | $0 | $1,284 | ||||||||
LTD Plans
| Plan | Group | Status | EO EE | EO ER | Enrolled | EE/mo | ER/mo |
|---|---|---|---|---|---|---|---|
| Guardian LTD 60% | Full-Time | Selected | $0 | $30 | 142 | $0 | $4,260 |
| Totals | 142 | $0 | $4,260 | ||||
Life / AD&D Plans
| Plan | Group | Funding | Status | Enrolled | EE/mo | ER/mo | |
|---|---|---|---|---|---|---|---|
| Guardian Basic Life & AD&D | Full-Time | Employer | Selected | 156 | $0 | $919 | ▼ Age Bands |
| Guardian Vol. Life & AD&D | Full-Time | Employee | Selected | 88 | $464 | $0 | ▼ Age Bands |
FSA / HSA / Commuter
HSA — ER Contribution$500 · One-Time
FSAActive ✓
Commuter BenefitsNot offered
Notes from your PEO
Read-only
Disclaimers
Required AcknowledgmentsReview Required
Plan Selection Acknowledgment
By submitting these selections, you confirm they accurately reflect coverage elections for the upcoming plan year. Selections are binding once submitted and cannot be modified without written authorization from your Benefits Representative.
Employer Contribution Rates
Employer contribution amounts are estimates based on current enrollment. Final billing may vary based on actual enrollment counts and carrier rate adjustments effective at plan year start.
ERISA & Compliance Notice
These benefit plans are subject to ERISA provisions. Summary Plan Descriptions (SPDs) are available upon request. Participants have the right to examine plan documents and receive summary information.
I have read and understand all disclaimers above, including the Plan Selection Acknowledgment, Employer Contribution Rates notice, and ERISA & Compliance Notice.
Authorization & Signature
Sign to Authorize Submission
By signing below, you authorize submission of benefit plan selections for Acme Manufacturing Co. (BB-2026-001).
I acknowledge I have reviewed all benefit plan selections and authorize their submission. Submitted selections cannot be changed without contacting my Benefits Representative.
Selections Approved
Your benefit plan selections for batch BB-2026-001 have been submitted and the batch is now locked.
Effective Date
01/01/2027
Contact your Benefits Representative if you submitted in error.
🔒 Batch Locked