Seiler Instrument

Benefits

Employee Benefits

Welcome to the Seiler Instrument Employee Benefits portal! Please select the benefits you are interested in so Human Resources may provide you with more detailed information including plan information, premium pricing, and any additional perks or restrictions. Please note - by selecting the benefits listed below, you are not enrolled in these benefits - you are simply requesting more information.

Step 1 of 8

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First and Last Name*
First Last
Seiler Email Address*
Hire Date*
Benefits Available To You
The following benefits will be presented on the next few pages:
1. Medical Insurance
2. Dental and Vision Insurance
3. Group Life Insurance
4. Voluntary Term Life Insurance
5. Short- and Long-term Disability Insurance

Medical Insurance
Seiler's Medical Insurance plan is a High Deductible Health Plan (HDHP) written by Anthem Blue Cross/Blue Shield.

For St. Louis Area residents there are two networks to choose from:
Blue Preferred Select, or
Blue Access Choice

Blue Preferred Select is slightly less expensive because this network does not include Barnes Jewish Christian or Missouri Baptist hospital networks.

For satellite office employees there is one comprehensive network referred to as Blue Card.

Check the provider search at Anthem.com to see if your doctor is in network.

*Please note* Because our plan is an HDHP, any employees and dependents enrolled in Seiler's Medical Insurance plan must first disclose any other active medical coverage, including private insurance, other employer insurance, Medicare and Medicaid.
Health Reimbursement Arrangements and Health Savings Accounts
Seiler's Medical Insurance plan includes a Health Reimbursement Arrangement (HRA).

Single plans have a $5,000 deductible
Multi-member plans have a $10,000 deductible

However, Seiler will reimburse the second half of the deductible through our insurance broker.

Seiler's Medical Insurance plan includes a Health Savings Account (HSA)

Single plans receive a $75 per month ($50 starting in 2017) contribution into a personal HSA

Multi-member plans receive a $150 per month ($125 starting in 2017) contribution into a personal HSA
Are you interested in Medical Insurance through Seiler Instrument?*
- Yes, for myself only
- Yes, for myself and my spouse
- Yes, for myself and my child(ren)
- Yes, for myself, my spouse and my child(ren)
- No, not at this time
Spouse Coverage
You have reported that you are interested in covering your spouse on the Seiler Instrument Medical Insurance plan.

Please be aware that during enrollment, you will be asked to complete a form asking whether your spouse is working and is offered medical insurance at his/her workplace.

If he/she is offered coverage at his/her workplace, you may be required to pay a surcharge in order to cover your spouse on Seiler's medical plan.
Child(ren) Coverage
You have reported that you are interested in covering your child(ren) on the Seiler Instrument Medical Insurance plan.

Please be aware that Seiler is able to insure your child(ren) until age 26. Once your child reaches age 26, he/she will be removed from the insurance at the end of the calendar year (December 31st).
Waive Coverage - Medical Insurance
You have reported that you are not interested in Medical Insurance at this time.

You will have the opportunity to enroll each winter for an effective date of January 1st.

If you lose other coverage, you may qualify for a special enrollment period during the year.

Medical Insurance Pricing
If you are interested in seeing pricing for medical insurance, please answer EVERY question below. Otherwise, please click 'next'
Who Will Be Covered?
- Myself only
- Myself and my spouse
- Myself and my child(ren)
- Myself, my spouse, and my child(ren)
Is your spouse offered medical insurance at his/her place of work?
- Yes
- No
Will any smokers be covered on the plan?
- Yes, one or more smokers will be covered by my plan
- No, no smokers will be covered by the plan
What network do you want?
- I live in the St. Louis Area and I want the expanded network (with Barnes/Missouri Baptist)
- I live in the St. Louis Area and I want the restricted network (without Barnes/Missouri Baptist)
- I do not live in the St. Louis Area (national network)
Employee Only, NON-SMOKER, St. Louis Expanded Network
Price: $32.93
Employee Only, NON-SMOKER, St. Louis Restricted Network
Price: $27.05
Employee Only, NON-SMOKER, Satellite Office Network
Price: $27.05
Employee Only, SMOKER, Satellite Office Network
Price: $37.05
Employee Only, SMOKER, St. Louis Restricted Network
Price: $37.05
Employee Only, SMOKER, St. Louis Expanded Network
Price: $42.93
Employee and Spouse, SMOKER, St. Louis Expanded Network
Price: $82.47
Spouse is not offered coverage at his/her work place
Employee and Spouse, SMOKER, St. Louis Restricted Network
Price: $70.78
Spouse is not offered coverage at his/her work place
Employee and Spouse, SMOKER, Satellite Office Network
Price: $70.78
Spouse is not offered coverage at his/her work place
Employee and Spouse, NON-SMOKER, Satellite Office Network
Price: $60.78
Spouse is not offered coverage at his/her work place
Employee and Spouse, NON-SMOKER, St. Louis Restricted Network
Price: $60.78
Spouse is not offered coverage at his/her work place
Employee and Spouse, NON-SMOKER, St. Louis Expanded Network
Price: $72.47
Spouse is not offered coverage at his/her work place
Employee and Spouse, NON-SMOKER, St. Louis Expanded Network
Price: $139.47
Spouse IS offered coverage at his/her work place
Employee and Spouse, NON-SMOKER, St. Louis Restricted Network
Price: $127.78
Spouse IS offered coverage at his/her work place
Employee and Spouse, NON-SMOKER, Satellite Office Network
Price: $127.78
Spouse IS offered coverage at his/her work place
Employee and Spouse, SMOKER, Satellite Office Network
Price: $137.78
Spouse IS offered coverage at his/her work place
Employee and Spouse, SMOKER, St. Louis Restricted Network
Price: $137.78
Spouse IS offered coverage at his/her work place
Employee and Spouse, SMOKER, St. Louis Expanded Network
Price: $149.47
Spouse IS offered coverage at his/her work place
Family, SMOKER, St. Louis Expanded Network
Price: $171.14
Spouse IS offered coverage at his/her work place
Family, SMOKER, St. Louis Restricted Network
Price: $155.04
Spouse IS offered coverage at his/her work place
Family, SMOKER, Satellite Office Network
Price: $155.04
Spouse IS offered coverage at his/her work place
Family, NON-SMOKER, Satellite Office Network
Price: $145.04
Spouse IS offered coverage at his/her work place
Family, NON-SMOKER, St. Louis Restricted Network
Price: $145.04
Spouse IS offered coverage at his/her work place
Family, NON-SMOKER, St. Louis Expanded Network
Price: $161.14
Spouse IS offered coverage at his/her work place
Family, NON-SMOKER, St. Louis Expanded Network
Price: $94.14
Spouse is not offered coverage at his/her work place
Family, NON-SMOKER, St. Louis Restricted Network
Price: $78.04
Spouse is not offered coverage at his/her work place
Family, NON-SMOKER, Satellite Office Network
Price: $78.04
Spouse is not offered coverage at his/her work place
Family, SMOKER, Satellite Office Network
Price: $88.04
Spouse is not offered coverage at his/her work place
Family, SMOKER, St. Louis Restricted Network
Price: $88.04
Spouse is not offered coverage at his/her work place
Family, SMOKER, St. Louis Expanded Network
Price: $104.14
Spouse is not offered coverage at his/her work place
Employee and Child(ren), SMOKER, St. Louis Expanded Network
Price: $75.25
Employee and Child(ren), SMOKER, St. Louis Restricted Network
Price: $65.03
Employee and Child(ren), SMOKER, Satellite Office Network
Price: $65.03
Employee and Child(ren), NON-SMOKER, Satellite Office Network
Price: $55.03
Employee and Child(ren), NON-SMOKER, St. Louis Restricted Network
Price: $55.03
Employee and Child(ren), NON-SMOKER, St. Louis Expanded Network
Price: $65.25

Dental Insurance
Seiler's Dental Insurance is through Guardian. The network is called DentalGuard Preferred and is a national network.

Preventative care is covered 100% and includes:
1. Cleaning every 6 months
2. Fluoride treatments until age 19
3. Oral exams
4. Sealants
5. X-rays

In-network Basic Care is covered at 90%
In-network Major Care is covered at 60%

Check to see if your dentist is in network by going to GuardianAnytime.com and clicking on "Find A Provider"
Are you interested in Dental Insurance through Seiler Instrument?*
- Yes, for myself only
- Yes, for myself and my spouse
- Yes, for myself and one (1) child
- Yes, for my family of three (3) or more individuals
- No, not at this time
Weekly Dental Pricing - Employee Only
Price: $8.07
Weekly Dental Pricing - Employee Plus One (1) Dependent
Price: $16.09
Weekly Dental Pricing - Family
Price: $29.61
Child(ren) Coverage - Dental
You have reported that you are interested in covering your child(ren) on the Seiler Instrument Dental Insurance plan.

Please be aware that Seiler is able to insure your child(ren) until age 26. Once your child reaches age 26, he/she will be removed from the insurance at the end of the calendar month.
Waive Coverage - Dental Insurance
You have reported that you are not interested in Dental Insurance at this time.

You will have the opportunity to enroll each winter for an effective date of January 1st.

If you lose other coverage, you may qualify for a special enrollment period during the year.

Vision Insurance
Seiler's Vision Insurance is through Guardian. There are two network options:

VSP, or
DAVIS

The cost is the same, however VSP is usually better for specialty stores (mom and pop shops) while DAVIS is usually better for chain stores (Pearle Vision, Target, Sears, etc.)

Basic Benefits:
1. $10 standard exam
2. $25 for standard, bi-focal, or tri-focal lenses
3. $130 frame allowance, every other year
4. Discounts on laser surgery, contacts, lens coatings, and more

Check to see if your vision provider is in network by going to GuardianAnytime.com and clicking on "Find A Provider"
Are you interested in Vision Insurance through Seiler Instrument?*
- Yes, for myself only
- Yes, for myself and my spouse
- Yes, for myself and one (1) child
- Yes, for my family of three (3) or more individuals
- No, not at this time
Which network do you prefer?*
- VPS (specialty / "mom and pop shops")
- DAVIS (chain stores)
VSP Weekly Vision Pricing - Employee Only
Price: $1.86
VSP - Specialty stores / "mom and pop shops"
DAVIS Weekly Vision Pricing - Employee Only
Price: $1.50
DAVIS - Chain stores
VSP Weekly Vision Pricing - Employee Plus One (1) Dependent
Price: $2.82
VSP - Specialty stores / "mom and pop shops"
VSP Weekly Vision Pricing - Employee Plus One (1) Dependent
Price: $2.82
VSP - Specialty stores / "mom and pop shops"
DAVIS Weekly Vision Pricing - Employee Plus One (1) Dependent
Price: $2.28
DAVIS - Chain stores
DAVIS Weekly Vision Pricing - Employee Plus One (1) Dependent
Price: $2.28
DAVIS - Chain stores
VSP Weekly Vision Pricing - Family
Price: $4.95
VSP - Specialty stores / "mom and pop shops"
DAVIS Weekly Vision Pricing - Family
Price: $4.00
DAVIS - Chain stores
Child(ren) Coverage - Vision
You have reported that you are interested in covering your child(ren) on the Seiler Instrument Vision Insurance plan.

Please be aware that Seiler is able to insure your child(ren) until age 26. Once your child reaches age 26, he/she will be removed from the insurance at the end of the calendar month.
Waive Coverage - Vision Insurance
You have reported that you are not interested in Vision Insurance at this time.

You will have the opportunity to enroll each winter for an effective date of January 1st.

If you lose other coverage, you may qualify for a special enrollment period during the year.

Group Life Insurance
Through Sun Life Insurance Company, Seiler provides life insurance to every current employee at no cost.

Each employee is covered by a minimum of $50,000 and designates any beneficiaries of his/her choosing.

Some professional and managerial positions receive more than $50,000 in coverage. In such cases, the employee pays a very minor weekly tax through payroll.
Group Life Insurance - may include minor tax assessment
Price: $0.00
Voluntary Term Life Insurance
Through Sun Life Insurance Company, Seiler offers additional life insurance, at cost, to the employee.

Employees may also choose to cover their spouse and/or dependents.

Voluntary Term Life Insurance rates vary - you will need to see Human Resources for details.
Are you interested in Voluntary Term Life Insurance through Seiler Instrument?*
- Yes, for myself only
- Yes, for myself and my spouse
- Yes, for myself and my child(ren)
- Yes, for myself, my spouse and my child(ren)
- No, not at this time
Voluntary Term Life - Costs Vary, see HR
Price: $0.00
Waive Coverage - Voluntary Term Life Insurance
You have reported that you are not interested in Voluntary Term Life Insurance at this time.

You will have the opportunity to enroll each winter for an effective date of January 1st.

However, you may be required to complete a medical questionnaire if you decide to enroll in the future.

Short- And Long-Term Disability Insurance
Through Sun Life Insurance Company, Seiler offers Short- and Long-term Disability Insurance, at cost, to the employee.

Both Short- and Long-Term Disability Insurance pay 60% of your weekly base earnings (bonuses and commissions are not included in this calculation).

Short-term Disability begins paying after 1 day for an accident and after 8 days for an illness. Payments continue for 13 weeks.

Long-term Disability beings paying after 13 weeks and continues until you are able to return to work, collect social security disability, or collect another form of disability payment.

Premiums for Disability Insurance vary, you will need to see Human Resources for more information.
Are you interested in Short- or Long-Term Disability Insurance through Seiler Instrument?*
- Yes, Short-term Only
- Yes, Long-term Only
- Yes, Both
- No, Not At This Time
Short-term Disability - Costs Vary, see HR
Price: $0.00
Long-term Disability - Costs Vary, see HR
Price: $0.00
Waive Coverage - Disability Insurance
You have reported that you are not interested in Disability Insurance at this time.

You will have the opportunity to enroll each winter for an effective date of January 1st.

However, you may be required to complete a medical questionnaire if you decide to enroll in the future.

Thanks for taking the time to help us help you!*
Please use the space below to provide some times you are available to meet with/call Human Resources and complete your enrollment paperwork.

We will contact you shortly to confirm an appointment time and to provide you with information regarding the benefits that interest you.
Name
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3433 Tree Court Industrial Blvd | St. Louis, MO 63122 | 800-489-2282

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Employee Benefits

Step 1 of 8

Benefits Available To You

Medical Insurance

Health Reimbursement Arrangements and Health Savings Accounts

Spouse Coverage

Child(ren) Coverage

Waive Coverage - Medical Insurance

Medical Insurance Pricing

Dental Insurance

Child(ren) Coverage - Dental

Waive Coverage - Dental Insurance

Vision Insurance

Child(ren) Coverage - Vision

Waive Coverage - Vision Insurance

Group Life Insurance

Voluntary Term Life Insurance

Waive Coverage - Voluntary Term Life Insurance

Short- And Long-Term Disability Insurance

Waive Coverage - Disability Insurance