Please make your selection for each benefit below. All rates are per pay period. Benefit premiums are deducted twice per month. When there are three pay dates in a month, deductions will only be taken for two of them.
Medical Plan Summary of Benefits
"Low Plan" Features
"High Plan" Features
Vision Plan Features
Flexible Spending Accounts allow you to use pre-tax dollars to pay for many healthcare expenses (for you and/or your spouse/dependents) that aren't covered by your health insurance, as well as dependent care expenses. Click on the links in the following two sections to view detailed lists of eligible expenses for each category.
Click on the "Flexible-Spending Calculator" link for a helpful tool that will recommend what your FSA contribution should be, as well as your estimated tax savings.
It is important to be conservative in making elections because any unused funds left in your FSA are not refundable to you.
Flexible-Spending Calculator
Eligible Healthcare Expenses
Dependent Care Overview and List of Qualifying Expenses
System Automation provides full-time employees with $20,000 of group life and accidental death and dismemberment (AD&D) insurance, and pays the full cost of this benefit. Employees may purchase additional coverage for themselves and dependents.
SA-Provided Life/AD&D Insurance Policy Summary
Voluntary Life Insurance/AD&D Policy Summary
Short-Term Disability Coverage Summary
System Automation pays the full cost of your long-term disability benefit (payable up to five years for disabilities occuring before age 60). You have the option to purchase additional LTD benefits which will provide income replacement until your full ("normal") Social Security retirement age.
Long-Term Disability Insurance Summary of Benefits
If you wish to print your form, please do so before you submit it.