Part TimeBenefits GuideEffective July 1 - December 31, 2024
You must request a change to yourbenefits within 30 days of your life event(60 days for changes involving Medicaideligibility). Documentation may be required. Open Enrollment is your one chance eachyear to review your coverage options andmake changes to your benefits.Your choices are in effect from January –December of the following year unless youhave a qualifying life event. At Open Enrollment Qualifying life events allow you to changeyour coverage during the year outside ofOpen Enrollment. These include:marriage or divorce, birth or adoption, death of a covered dependent, and a change in eligibility through Medicare,Medicaid, or a spouse or parent'scoverage. If you have a qualifying life eventFor youYou are eligible for benefits as a part timeemployee working 20-29.5 hours per week.Your Spouse or PartnerYour benefit plans are in effect July 1 –December 31 2024. In general, there arethree times you can make benefit selections:Making benefit selectionsGetting startedEligibility Enrolling in coverageYour benefits begin on the first day of themonth following your date of hire. Be sure tosubmit your selections within your first 30days of benefits eligibility. Your benefit selections will be in effectthrough December 31. When you're first eligibleCovering your familyYou may also cover your eligible dependentswhen you elect coverage for yourself.Dependent children are eligible:Telehealth, dental and vision: until age26 regardless of student or marital statusChild life insurance: until age 21, or 26 ifa full-time studentYour ChildrenYou may cover your legal spouse or domesticpartner.ENROLL NOWENROLL NOW
Balance billingWhen you use an out-of-networkmedical or dental provider, theymay bill you the difference betweenwhat they charge and the amountyour insurance pays.CoinsuranceAfter you’ve met your deductible,you’re sometimes responsible for apercentage of the cost of themedical care, dental care, orprescription medication youreceived. This percentage iscoinsurance.CopayA flat fee you pay each time youreceive a copay-eligible medical,dental, or vision service orprescription medication. DeductibleThe amount you’re responsible forpaying in care expenses before themedical or dental plan starts payingdeductible-eligible expenses.In-networkIn-network care is always yourlowest-cost option. Networks aregroups of medical, dental, andvision providers, pharmacies, andfacilities that agree to discount thecost of their care or service.Primary care physicianA primary care physician (PCP) isyour main medical doctor – usuallya general practitioner (GP), familydoctor, internist, OB/GYN, orpediatrician (for children).*Disclaimer*Voluntary benefits are payrolldeductions. Deductions are madefrom the first paycheck of thepreceding month (June) of theservices (July). Please planaccordingly.Annual NoticesWe’re required to tell you about certainrights and responsibilities you have as anemployee of THPRD. You can request a paper copy at nocharge from:Benefits Teambenefits@thprd.orgDownload nowHelpful terms & resourcesWe've removed as much jargon as possible.Getting startedBut you’ll probably still encounter some terms as you enroll in and use yourbenefits, and we want you to be prepared!Have questions? Your advocate is here to help you with all things benefits. See their contactinformation on the next page.
Telehealth ServicesHealthiestYouGroup #: HY13227866-703-1259 | HealthiestYou WebsiteDental insuranceModaGroup #: 10008140503-265-2965 | Moda WebsiteVision insuranceVSPGroup #: 40160324800-877-7195 | VSP WebsiteLife/AD&D & disabilityinsuranceUnumGroup #: 447424800-275-8686 | Unum WebsiteEmployee Assistance Program (EAP)CanopyGroup #: Tualatin Hills Parkand Recreation District800-433-2320 | Canopy EAP WebsiteDependent Care AccountPacificSourceAdministratorsGroup #: P00249800-422-7038 | PSA WebsitePet InsurancePetPartnersGroup #: GPPI-00465866-774-1113 | PetPartners WebsiteStudent Loan Repayment &529 College SavingsBenefitEd844-358-5707 | BenefitEd WebsiteIAP & 457 Plan retirementsavingsMission Square800-669-7400 | MissionSquare WebsiteAlison BeckerClient Service Specialist, OneDigitalalison.becker@onedigital.comGio ArellanoBenefits Technician | HR, THPRDbenefits@thprd.orgContact Information & EnrollmentYou have advocates ready to help you with claims, coverage questions, andmore!Getting started
Total wellbeing:caring for all ofyouSupport for your health, finances, and life.There are five ingredients to wellbeing — each is just asimportant as the others:The recipe to living wellConnection to your passion, the reason you get out ofbed every day.PurposeFeeling connected to where you live, work and play through activities such as volunteeringand mentoring.CommunityThe benefit plan information shown in this guide is illustrative only. To the extent the benefit plan information summarized herein differs from the underlyingplan details specified in the insurance documents that govern the terms and conditions of the plans of insurance described in this guide, the underlyinginsurance documents will govern in all cases.Social & EmotionalHealthy, supportive relationships with family, friends, and most importantly, yourself.Effectively managing feelings and emotions and practicing healthy ways to manage stressand adapt to challengesPhysicalHaving good health and the energy to perform your job life outside of work, such asspending time with family and friends, or participating in activities you enjoy. Think ofphysical wellbeing as nutrition, staying hydrated, getting rest, avoiding illness throughvaccines, preventive screenings, and following doctors’ orders!The ability to effectively understand and plan for day-to-day expenses, short-term, and long-term goals, like paying back student loans, saving for a house, sending children to college,retirement, or caring for aging family membersFinancial
Click HerePart Time Variable (PT) and Part-Time Benefit (PTB) employees are eligible to accrue paid time off (PTO)upon hire or change in status and for benefits the first of the month, following their date of hire. Paid Time Off and AccrualsPTO EligibilityPTO is accrued in addition to sick leave and may be utilized by employees for any reason. To makeadequate preparation, PTO requests must be submitted to the employee's immediate supervisor at leasttwo (2) week weeks prior to the time/date when the leave is to begin. ProcedureAccrualsPaid time off (PTO) will accrue at a rate of one (1) hour for every thirty (30) hours worked. PTO may be usedin any increment to replace scheduled hours on the day or days on which leave is taken.Part Time Variable (PT) and Part-Time Benefit (PTB) employees begin accruing PTO on their date of hire andmay begin requesting time off in the pay period after PTO is accrued. There is no accrual cap for PTO. All part-time variable (PT), part-time benefits (PTB) eligible and seasonal employees who are required towork on either a scheduled or observed district holiday will be compensated by one and one half (1½) hourspay for each hour worked.Holiday PayLearn more about time off provided to you as a part-time and seasonal employee.Compassionate LeaveTHPRD provides all part-time and seasonal employees with, paid compassionate leave in the event of a death inthe employee's immediate family member. Paid compassionate leave is granted to grieve, make funeralarrangements (if necessary) and/or to attend memorial services or attending to personal matters necessitated bythe death.January 1Day Observed3rd Monday in FebruaryDay ObservedJune 19July 41st Monday in SeptemberNovember 114th Thursday in November4th Friday in NovemberDecember 25New Year's DayMartin Luther King, Jr. DayPresidents' DayMemorial DayJuneteenth Fourth of JulyLabor Day 1stVeterans DayThanksgiving DayDay after ThanksgivingChristmas DayThe District observes the following holidays:
The information shown in this presentation is an illustrative summary only. The underlying plan contract or document governs all aspects of the plan. Finalrates are dependent on actual enrollment, insurance carrier or plan rules, plan selection, and eligibility criteria. Please refer to the plan document, contract,and other notices contained in this document, applications, and other corresponding communications for additional information.In-network careHealthiestYou Telehealth ServicesVirtual care copay$0 copay, unlimited visitsTelehealth visit typesGeneral medicalMental/behavioral healthDermatologyNutritionBack and joint careAppointment availability24/7 availability for general medical7 days/week for all other visit typesAccessibilityWeb, phone or mobile appYour cost for coverageEmployee onlyEmployee + familyPer month$ 0.00$ 0.00See plan detailsImportant information about TelehealthThe HealthiestYou Telehealth program is not medical insurance, but rather a healthcare service that offers convenient access todoctors virtually. The program only covers specified non-emergency care that can be treated virtually within the parameters of theprogram. Some examples of what HealthiestYou can be used for include allergies, cold and flu symptoms, back pain, behavioralhealth, nutrition/dietician services, and rashes. HealthiestYou providers are US board-certified and licensed medical professionals,and they can diagnose and treat conditions and prescribe medication when necessary, however telehealth is not a replacement forall health care. Telehealth servicesAccess no-cost quality care in the convenience of your own home, onyour lunch break, or on the way to your child’s soccer game! Whether it's a nagging cough, middle-of-the-night fever, or asuspicious-looking mole or rash — telehealth through HealthiestYou ishere when you need it. Connect with a board-certified physician 24hours a day, 7 days a week.No-cost virtual health care that fits your scheduleHealthiestYou OverviewRegister Your AccountAdd a Spouse/DependentUpdate Medical HistoryYour accountGeneral MedicalMental HealthDermatologyNutritionRequesting visitsHelpful videos
The information shown in this presentation is an illustrative summary only. The underlying plan contract or document governs all aspects of the plan. Finalrates are dependent on actual enrollment, insurance carrier or plan rules, plan selection, and eligibility criteria. Please refer to the plan document, contract,and other notices contained in this document, applications, and other corresponding communications for additional information.Dental insuranceModa Premier PPO DentalNetwork name:Premier NetworkIn-networkOut-of-networkAnnual deductible$0$0Annual maximum benefit$2,500 per individual $2,500 per individual Preventive careCovered at 100%Covered at 100%Basic careCovered at 100%Covered at 100%Major careCovered at 60%Covered at 60%Orthodontic careCovered at 50%$3,000 Lifetime Maximum per individualYour cost for coverageEmployee onlyEmployee + spouseEmployee + child(ren)Employee + familyPer month$ 0.00$ 67.86$ 0.00$ 81.12You'll get in-network preventive care at 100% alongwith coverage for basic and major dental services.Orthodontic care is covered.Your dental coverage is through Moda.Stay in-network to avoid balance billing (the difference between what an out-of-network provider charges and the amount your insurance pays). Learn about dental care categoriesSee plan details
Your vision coverage is through VSP.You'll get an annual exam with coverage for lensesand frames, or contacts in lieu of glasses. Don’t needprescription eyewear? Use the LightCare benefit topurchase blue light glasses or UV sunglasses.Vision insuranceIn-network careVSP Vision PlanNetwork name:VSP SignatureAnnual eye exam (every 12 months)$10 copayPrescription glasses$25 copayLenses (every 12 months)Included in prescription glassesFrames(every 24 months)Up to $200 allowance ($220 allowance for featured brands)Contact lenses in place of Glasses(every 12 months)Up to $200 allowanceVSP LightCare in place ofPrescription Eyewear(every 24 months)Up to $200 allowance for non-prescription blue light filtering glassesor sunglasses Your cost for coverageEmployee onlyEmployee + spouseEmployee + child(ren)Employee + familyPer month$ 0.00$ 7.85$ 0.00$ 13.08See plan detailsYour vision plan covers either glasses (lenses and frames) or contact lenses each year. If you receive contact lenses, they will be instead of your glasses benefit.Stay in-network to avoid balance billing (the difference between what an out-of-network provider charges and the amount your insurance pays).
Basic lifeBasic AD&DTHPRD provides$10,000Matches LifeSee plan detailsFor youFor your spouseFor yourchild(ren)Coverageincrements$10,000$5,000$2,000Coveragemaximum5x your annualearnings up to$500,000Your (employee)coverage amount up to $150,000$10,000Medical question limit$100,000$50,000Does not applyWhat's AD&D?Accidental death anddismemberment (AD&D) insurancemay pay:your beneficiary if you passaway due to an accidentyou a partial benefit if you losespecified bodily functions(sight, limbs, etc.)Medical question limitWhen you’re first eligible (a newhire), you can purchase lifeinsurance up to this limit withoutany medical questions required. Medical questions and approvalwill be required for all futureincrease and purchase requests.THPRD provides life and AD&D insurance at no cost to you.You may also purchase additional coverage for you, your spouse, andyour eligible child(ren). You pay for this optional coverage; see yourbenefit summary for cost information.Additional life and AD&D insuranceLife insurance pays a benefit if you pass away whileyou're covered. Accidental Death andDismemberment (AD&D) insurance offers additionalsupport if you pass away or are seriously injured dueto an accident.Financial peace of mind through Unum.Life and AD&DinsuranceMake sure to designate a beneficiary for your life insurance coverage toensure your family is cared for according to your wishes.The benefit plan information shown in this guide is illustrative only. To the extent the benefit plan information summarized herein differs from the underlyingplan details specified in the insurance documents that govern the terms and conditions of the plans of insurance described in this guide, the underlyinginsurance documents will govern in all cases.Basic life and AD&D insurance
See plan detailsBenefits beginAfter 90 days of inability to work due to illness orinjuryCoverage amount60% of your income up to $2,500 per monthPayments maycontinueTypically for 2 years, but in some cases until yourSocial Security Normal Retirement Age if youremain unable to work.Long-term disability coverage can provide lasting income protection ifyou remain unable to work. You pay for this optional coverage; see yourbenefit summary for cost information.Voluntary long-term disabilityPre-existing conditionlimitations If you make a disability claimwithin the first year of beingcovered, check your plandetails to see how pre-existingcondition limitations mightimpact your coverage.Disability insurance The benefit plan information shown in this guide is illustrative only. To the extent the benefit plan information summarized herein differs from the underlyingplan details specified in the insurance documents that govern the terms and conditions of the plans of insurance described in this guide, the underlyinginsurance documents will govern in all cases.Protect your paycheck with disabilityinsurance through Unum.Disability coverage insures your paycheck, replacinga portion of your income if you’re unable to workdue to a covered illness or injury.UNDER DEVELOPMENT
24/7/365 access to care. 800-433-2320 Canopy EAP WebsiteSee plan detailsEAP features:Confidential. No one at THPRD will ever know you called orwhat was discussed.Available 24/7/365. Life doesn't happen during office hours.The EAP is here when you need them.Family care is included. Anyone living in your home is eligiblefor EAP services at no cost.Face-to-face visits. When needed, each person can receive upto 6 face-to-face (or virtual) visits with a licensed counselor perissue per year. At no cost. Additional visits - if needed - will gothrough your health insurance.The benefit plan information shown in this guide is illustrative only. To the extent the benefit plan information summarized herein differs from the underlyingplan details specified in the insurance documents that govern the terms and conditions of the plans of insurance described in this guide, the underlyinginsurance documents will govern in all cases.Our Employee Assistance Plan (EAP) is a confidential service withaccess to guidance and resources at no cost for: mental health concerns (including substance abuse oraddiction),adoption, parenting, or caregiving needs,financial or legal support,familial relationships and friendships,coping with day-to-day challenges, andso much more.Essentially, if it's part of your life, our EAP is here for you.Access support online, through live chat, or over the phone.24/7/365.Everyone needs support sometimes (even superheroes)EmployeeAssistanceProgram (EAP)Care for your mind – and your life – withsupport through Canopy.Confidential care designed for all that life brings.Canopy EAP OrientationVideo (1:12)Canopy EAP MentalHealth Referral Video(1:30)
Dependent CareAccountPay for eligible child or disabled adult care while you work or attend school.Dependent care FSA2024 maximum contribution$5,000 if Single or Married Filing Jointly$2,500 per person if Married Filing SeparatelyOnly the amount you’ve actually contributed is available for use at any one time.Estimate carefully! Unused funds will be forfeited at the end of the year per IRS regulations.See plan detailsDependent care expenses can add up. Paying withtax-free funds can help. Pay for qualifying expenses with tax-freemoney using your Dependent Care Accountthrough PacificSource Administrators.Eligible expensesYou can depend ondependent care (6:39)
See plan detailsProtect your furry best friend with PetPartners PetInsurance. You'll get access to licensed veterinariansfor routine care, emergencies, lab tests and wellnessvisits.You can enroll any number of pets in basic coverage,with the option to purchase a wellness benefit. You payfor this optional coverage.Pet insurancePet insurance reimburses you for the cost of accidentsand illnesses throughout your pet’s life.Additional benefitsThe benefit plan information shown in this guide is illustrative only. To the extent the benefit plan information summarized herein differs from the underlyingplan details specified in the insurance documents that govern the terms and conditions of the plans of insurance described in this guide, the underlyinginsurance documents will govern in all cases.BenefitEdTHPRD can help you pay down student loans throughthe Student Loan Repayment and 529 College SavingsPlan Program with BenefitEd. You will receive an emailto enroll into the program prior to becoming eligible. See plan details
See plan detailsLearn how investingand saving actuallyworks - and can workfor you.Retirement savingsplanThe information shown in this presentation is an illustrative summary only. The underlying plan contract or document governs all aspects of the plan. Finalrates are dependent on actual enrollment, insurance carrier or plan rules, plan selection, and eligibility criteria. Please refer to the plan document, contract,and other notices contained in this document, applications, and other corresponding communications for additional information.Set your future self up for financial stability with aretirement plan through MissionSquare.The key to saving for retirement is to start early and stay committed.Making the choice to invest in yourself by contributing to your employersponsored retirement plan is a decision that may have a big impact onyour ability to retire confidently.457(b) Deferred Compensation PlanEmployees can choose to defer contributions from their salary into the457(b) plan on a pre-tax or Roth basis. The Roth option allows for after-taxdeferrals and therefore tax-free distributions in retirement. The 457(b) actsand feels much like a 401(k) plan where employees have the option toinvest their money for retirement, however there is never a 10% penaltyfor withdrawals, no matter what age you separate from service. The IRS limits for investing in 2024 are $22,500 for anyone under the ageof 50, $30,000 for anyone over the age of 50, and $45,000 for anyonewithin three years of normal retirement age.If an employee has outside qualified retirement assets, they can choose toroll them into the 457(b) plan. All contributions an employee makes arealways 100% vested.