12-B4 - 2025-26 City of Burleson Guide.pdf

HELPING YOU THRIVE

guide

LOOK INSIDE

FOR IMPORTANT

INFORMATION ON

YOUR 2026 BENEFITS

PROGRAM.

2026 BENEFITS

FOR EMPLOYEES OF THE CITY OF BURLESON

welcome

FINANCIAL

Life and Accidental Death & Dismemberment .(AD&D) Insurance Disability Insurance Pet Insurance Retirement Plans

WORK-LIFE

Employee Assistance Program (EAP) First Responder Health Longevity Pay Tuition Reimbursement Charitable Giving Discount Programs Paid Leave Programs (Paid Time Off)

RATES

BENEFITS CONTACT DIRECTORY

Look Inside

GETTING STARTED

Eligibility & Enrollment Qualifying Life Events

HEALTH

Medical & Prescription Drug Coverage Health Savings Accounts (HSAs) Health Care & Dependent Care Flexible Spending Accounts (FSAs) Health Care Tools & Resources Wellness Program Dental Coverage Vision Coverage the City of Burleson, as an employer of choice, offers a comprehensive and competitive benefits program that provides you with options when it comes to choosing what’s right for you and your family. We are also committed to providing you with the tools and resources you need to live well. At the same time, we look to you to use the health care resources at your disposal to make informed decisions.

Please review this guide carefully for highlights of our benefits and discuss your options with your family.

Getting Started

WHO IS ELIGIBLE

You are eligible for benefits if you are a regular, full-time employee working 30 or more hours per week. You may also enroll your eligible dependents under certain plans you choose for yourself. Eligible dependents include:

• Your legally married spouse, registered domestic partner or registered spouse through informal marriage.

• Your children who are your natural children, stepchildren, adopted children, your registered domestic partner’s children or children for whom you have legal custody (up to age 26). Disabled children age 26 or older who meet certain criteria may continue on your health coverage.

NEW HIRE WAITING PERIOD

New hire insurance benefits will begin immediately. Insurance elections should be made no later than two weeks after your hire date (the sooner, the better). Note: Premium deductions will be taken from your first paycheck, regardless of your start date.

DEPENDENT ELIGIBILITY VERIFICATION

If you are adding dependents to your health and/or dental coverage, you must submit copies of documentation in the BenTek Document Center or to Human Resources verifying their eligibility within 30 days of your hire date or qualifying life event (if applicable). You must also submit your dependents’ Social Security numbers. Examples of documentation include:

• Marriage certificate

» If you’ve been married longer than the current calendar year, you must also provide your current year tax filing showing filing status and joint return with spouse’s name included (may block out dollar amounts and other confidential information)

OPT-OUT OPTION

If you are a full-time employee covered under the City’s health plan and are eligible for coverage through another plan (e.g., spouse’s or parent’s plan, retirement or military), you may opt out of health coverage with the City and receive $200 per month. To opt out, submit written proof of coverage through your other plan. Please note you may not enroll in City health coverage until our annual Open Enrollment period, unless you experience a qualifying life event. If you and your spouse are both employed by the City, you may enroll in separate plans or elect to be a dependent of the other. Enrolling as a dependent is not considered opting out because you would still be covered by the City plan.

BENEFITS & ENROLLMENT SUPPORT

If you have questions on your benefits, please contact Human Resources or Advocate 4 Me at (866) 844-4864 or myuhc.com. For help enrolling in coverage, contact the BenTek®

Support Line at support@mybentek.com or (888) 523-6835 Monday through Friday, 8:30 a.m. to 5 p.m. CT.

How to Enroll Log into mybentek.com/ cityofburleson, then:

• If you are a first-time user, click on

“Create an Account” and follow the step-by-step instructions. Use your first and last name as a username (e.g., john.smith or jane.johnson).

Note: You will need your employee ID number and the last four digits of your Social Security number.

• Click on the Menu button and then “Employee Benefits Center.”

Depending on your reason for enrolling, select “New Hire Orientation,” “Open Enrollment” or “Qualifying Event.”

Qualifying Life Events Due to IRS regulations, you cannot change your elections until the next annual Open Enrollment period, unless you have a qualifying life event during the year. The following are examples of the most common qualifying life events:

limit

• Death of a spouse, registered domestic partner (RDP) or child

by your spouse/RDP during their employer’s Open Enrollment period

• Your or your dependents’ loss of coverage on another plan

It is your responsibility to provide appropriate documentation and make changes to your benefit elections in BenTek and by contacting Human Resources within 30 days of the event. If you fail to do so, you will not be able to enroll or make changes until the next Open Enrollment period.

http://www.myuhc.com mailto:support%40mybentek.com?subject= http://mybentek.com/cityofburleson http://mybentek.com/cityofburleson

Medical Coverage

UNITEDHEALTHCARE (UHC)

We are proud to offer medical coverage that not only provides coverage for illness and injury, but also enables you and your family to focus on staying well. Both plans are exclusive provider organization (EPO) plans, meaning they generally do not provide out-of-network coverage. The following is a high-level overview of the coverage available to you. For complete coverage details, please refer to the Summary Plan Description (SPD), found on BurlesonTX.com/employeeforms.

Note: The Extended Non-Network Reimbursement Program (ENRP) reimburses you for out-of-network claims. You may be responsible for paying the difference between what the out-of-network provider charges and what the plan covers. This is known as balance billing.

Plan Feature High-Deductible/HSA Plan Copay Plan

In-Network In-Network

Network Choice Network

Annual Deductible

Individual $3,500 $2,500

Family $7,000 $5,000

Annual Out-of-Pocket Maximum (includes deductible)

Individual $5,000 $4,000

Family $10,000 $8,000

Annual City Contribution to the Health Savings Account (HSA) — January: First half deposited; July: Second half deposited

Individual $850 N/A

Family $1,700 N/A

Services

Office Visit You pay 20% after deductible $25 copay

Specialist Visit You pay 20% after deductible $50 copay

Wellness Visit Covered at 100% Covered at 100%

Hospital Stay (Inpatient & Outpatient) You pay 20% after deductible You pay 20% after deductible

Urgent Care You pay 20% after deductible $50 copay

Telemedicine (Virtual Visits) $54 copay $0 with designated virtual network provider

Emergency Room You pay 20% after deductible $250 copay

LabCorp/Quest Preferred Network Lab (Non-Routine) You pay 20% after deductible You pay 20% after deductible

Prescription Drugs (Generic/Brand/Non-Formulary/Specialty)

Retail Pharmacy (30-day supply) $0/$35/$70/$200 after deductible $0/$35/$70/$200 copay

Mail Order (90-day supply)* $0/$70/$140 after deductible $0/$70/$140 copay

*Biotech medication is not eligible.

health

Annual Medical Preventive Exam Remember, there is no waiting period between annual exams—you can schedule your annual preventive exam even if it’s been less than 12 months since your last exam. Regular checkups and preventive care are the best way to stay on top of your health and ensure your well-being.

Finding an In-Network Provider You will typically pay less when you stay inside your plan’s network. To find in-network medical, dental and vision providers, go to www.myuhc.com.

http://www.Burlesontx.com/employeeforms http://www.myuhc.com/

HSA BANK

Our High-Deductible/HSA Plan offers comprehensive health care coverage at a lower premium and higher deductible than traditional health care plans. As its name suggests, the plan also features an HSA. You can use funds in this account to pay for eligible services, or you can choose to pay for these expenses out of your own pocket and save your HSA funds for future expenses on a tax-free basis. Note: You can only use HSA funds as they are deposited in your account. You can always reimburse yourself later once you have accumulated funds in your account.

HOW YOUR HSA IS FUNDED

City Contributions If you enroll in the High-Deductible/HSA Plan, you will receive an annual City contribution of $850 for individual coverage and $1,700 for all other tiers into an HSA. The City will make these contributions in two deposits; the first half in January and the second half in July. This contribution is meant to partially offset the High-Deductible/HSA Plan’s higher deductible.

Note: Employees hired after January 1 or July 1 will have their first HSA City contribution prorated based on their hire date. Deposits may take up to 45 days to be available for use in your account, depending upon the timing of enrollment.

Your Contributions* There are several ways to contribute money to your HSA:

your taxes

• Catch-up contributions up to $1,000 per year if you are over age

55 (until you enroll in Medicare)

Total Annual Contribution Limit It is important to note that your contributions, when combined with any contributions from the City, may not exceed the IRS annual maximum of $4,400 for individual coverage and $8,750 for family coverage in 2026. Note: Individuals 55 and older may make additional “catch-up” contributions of up to $1,000 each year until they enroll in Medicare.

QUALIFIED HEALTH CARE EXPENSES

The HSA enables you to pay for the following qualified health care expenses on a tax-free basis:

• Qualified medical, dental and vision expenses not covered by the plan, as defined by the IRS in Publication 502, available online at irs.gov/pub/irs-pdf/p502.pdf

compensation

• Medicare and, for those over age 65, retiree health insurance premiums (excluding Medicare Supplement and Medigap premiums)

HSA RESTRICTIONS

To be eligible to open an HSA and receive the City contribution (if applicable):

• You must be enrolled in an HSA-qualified high-deductible health plan (HDHP) with the City.

• You cannot be covered by any other medical plan that is not an

HSA-qualified HDHP.

• You must not be eligible to be claimed as a dependent on another individual’s tax return.

benefits within the last three months, except for preventive care and/or service-related disability.

spending account (FSA) or health reimbursement account (HRA). However, you may enroll in a limited-purpose health care

FSA.

THE HRA VS. HSA

If you are enrolled in the High-Deductible/HSA Plan but are not eligible to open an HSA, you may participate in a health reimbursement account (HRA) instead. Unlike the HSA, you may not contribute to the HRA. Instead, the City will contribute $850 for individual coverage and $1,700 for all other tiers to your account each year, and unused funds roll over from year to year.

The City will make these contributions in two deposits; the first half in January and the second half in July.

*You must be enrolled in a qualified high-deductible health plan to contribute to an HSA.

Health Savings Account (HSA) http://www.irs.gov/pub/irs-pdf/p502.pdf

FSA RULES

YOU MUST ENROLL EACH

YEAR TO PARTICIPATE.

Because FSAs can give you a significant tax advantage, they must be administered according to specific IRS rules:

Health care FSA: Unused funds of up to $660 from one year can carry over to the following year.

Carryover funds will not count against or offset the amount that you can contribute annually.

Unused funds over $660 will NOT be returned to you or carried over to the following year.

Dependent care FSA:

Unused funds will NOT be returned to you or carried over to the following year.

You can incur expenses through December 31, 2026, and must file claims by March 31, 2027.

health Health Care & Dependent Care FSA

FLORES

We provide you with an opportunity to participate in up to two different flexible spending accounts (FSAs), which allow you to set aside a portion of your income, before taxes, to help pay for qualified health care and/or dependent care expenses. Because that portion of your income is not taxed, you pay less in federal income, Social Security and Medicare taxes.

Health Care FSA You may contribute up to the 2025* limit of $3,300 to cover qualified health care expenses incurred by you, your spouse, and your children up to age 26. Some qualified expenses include:

For a complete list of eligible expenses, visit irs.gov/pub/irs-pdf/p502.pdf.

*The IRS has not released the 2026 limits yet.

Limited-Purpose Health Care FSA (for High-Deductible/HSA Plan participants only) If you enroll in the High-Deductible/HSA Plan, you may only participate in a limited-purpose health care FSA. This type of FSA allows you to pay for eligible dental, orthodontia and vision expenses while preserving your HSA funds for eligible medical expenses.

Dependent Care FSA For 2026, you may contribute a minimum of $100 or up to $7,500 (per family) to cover eligible dependent care expenses ($3,750 if you and your spouse file separate tax returns). Some eligible expenses include:

• Care of a dependent child under the age of 13 by babysitters, nursery schools, pre-school or daycare centers

• Care of a household member who is physically or mentally incapable of caring for themselves and qualifies as your federal tax dependent

For a complete list of eligible expenses, visit irs.gov/pub/irs-pdf/p503.pdf.

http://www.irs.gov/pub/irs-pdf/p502.pdf http://www.irs.gov/pub/irs-pdf/p503.pdf

Health Care Tools & Resources The City not only provides medical coverage to help you stay well, we also offer a variety of programs, tools and resources to help you make informed health care decisions.

UNITEDHEALTHCARE ADVOCATE 4 ME PROGRAM

Navigating the health care system can be a challenge—that’s where the Advocate 4 Me representatives can help you find the right solutions so that you can focus on what matters most to you. Advocate 4 Me representatives can help with:

LABCORP/QUEST

Whenever you require lab work, be sure to use a LabCorp/Quest facility, the preferred lab for the City of Burleson. You will most likely pay less when you visit a LabCorp/Quest facility than when you go outside of the network. Search from more than 1,300 laboratory providers by logging into myuhc.com.

ORTHOPEDIC PROGRAMS

If you have back, knee or hip pain and are looking for information about surgery, you can turn to the orthopedic programs for advice, guidance and support. You will get in touch with an orthopedic nurse, who can go over your treatment options, coordinate your care and follow up with you after your surgery. For more information, call (800) 379-6898.

AIRROSTI

If you suffer from chronic or persistent pain, an Airrosti provider can help you find the root cause and work with you to give you relief as quickly as possible—often within three one-hour visits. Using soft tissue treatment, Airrosti helps you avoid costly surgery and reduces the need for prescription pain medication. For more information, call (800) 404-6050 or visit airrosti.com.

COLONIAL LIFE BENEFITS

Colonial Life offers supplemental benefits such as accident, critical illness and hospital indemnity coverage. These benefits are voluntary and you pay 100% of the cost. Colonial Life pays money directly to you for approved claims.

LEGALSHIELD/ID SHIELD

LegalShield gives you and your family the power to talk to an attorney about any personal legal issue. Whether it’s big, small or somewhere in between, your LegalShield Provider Law Firm will be there to offer advice or assistance on a variety of issues.

ID Shield provides the power of identity theft protection, from monitoring to identity restoration (should a breach occur).

ONE PASS SELECT

One Pass Select® is on a mission to make fitness fun and engaging for everyone. One Pass can help you reach your fitness goals on your time, while finding new passions along the way. One Pass gives you access to thousands of gym locations, on demand fitness classes at home and nutritious meal deliveries. You and your eligible family members (18+) can enroll in One Pass Select on January 01, 2026 at OnePassSelect.com.

CITY OF BURLESON BENEFITS

http://www.myuhc.com http://www.airrosti.com http://www.OnePassSelect.com

Your 2026 Wellness Program Our Wellness Program offers the following resources to help you improve and maintain your health — plus discounts, so you don’t have to strain your wallet.

WELLNESS DAY OFF

Full-time employees have the ability to earn up to two Wellness Days Off by participating, logging and earning points for various Wellness activities. Wellness Logs are available in digital or paper copy, and are due to HR by the last day in December each calendar year. Wellness Days earned from the prior calendar year will be awarded on the first full pay period beginning in the new calendar year and must be used by the end of the calendar year.

Wellness Activities Period

Wellness Log Due

Days Awarded

Use By

1/1/2025 – 12/31/2025 12/31/2025 1/6/2026 12/31/2026

1/1/2026 – 12/31/2026 12/31/2026 1/5/2027 12/31/2027

HEALTH PREMIUM DISCOUNT

Full-time employees enrolled in a City medical plan can opt to participate in a health premium discount of $48.96 each month, after completing the following tasks:

You and your provider must certify your completion of the above tasks on the Wellness Form and turn the form in to Human Resources. The discount will be applied on the first of the month after the form has been submitted.

EDUCATIONAL AND INFORMATIONAL

PRESENTATIONS

You are welcome to attend a Wellness Education training session or watch the recorded session. Each session will earn you points in your Wellness Log to help you get a Wellness Day off.

GOLF COURSE DISCOUNT

With this discount, you can golf and save money any day of the week (when you golf during seasonal twilight hours).

Walking the course is free; otherwise, you rent a golf cart.

Note: This discount only applies to employees; family and friends are not eligible. The discount does not apply on holidays.

ACCESS TO FITNESS EQUIPMENT

As an employee, you are eligible for a free BRiCk membership and a family-level discount of $12 per month.

Enrollment and family-level payment is set up directly with the BRiCk.

FLEXIBLE WELLNESS REIMBURSEMENT

The Flexible Wellness Reimbursement program can compensate you for up to $100 of personal wellness expenses each year. Anyone who has been a full-time employee for at least six months is eligible. You will be reimbursed through payroll for qualified expenses, such as:

Forms and qualified receipts can be turned in once a year between July 1 and December 1. Ask Human Resources if you are unsure whether an expense qualifies for reimbursement. Discounted City services and facilities are not eligible for reimbursement.

Note: Any City facility/service already provided at a discount and everyday use items (workout clothing, shoes or boots, etc.) are not eligible for reimbursement. Also excluded are vitamins, minerals, all supplements and any weight loss medical or meal replacement program.

PARTNER WELLNESS DISCOUNTS

• Camp Gladiator: New members can enroll in a four-week free trial with the online code COBFREE79. You can also get $10 off the exclusive BOLD-level membership when you provide your City work email address.

• OrangeTheory: As a City employee, you can save $10 off of select memberships (take proof of employment to OrangeTheory).

• 24 Hour Fitness: You can access your discount with the Corporate ID 113022CORP.

health

Dental Coverage

UNITEDHEALTHCARE (UHC)

Regular dental checkups can do more than keep your smile attractive—they can also tell dentists a lot about your overall health, including whether or not you may be at risk for chronic diseases. The following is a high-level overview of your dental coverage. For complete coverage details, please refer to the Summary Plan Description (SPD), found on BurlesonTX.com/employeeforms.

Plan Feature National PPO 30 UHC Network

Buy-Up Plan UHC Network

Deductible

Individual/Family $50/$150 $50/$150

Annual Benefit Maximum

Per Individual $2,000/$500 for treatment of TMJ $3,000

Covered Services

Preventive Services (exams, X-rays, cleanings) Covered at 100% Covered at 100%

Basic Services (fillings, extractions, root canals) Plan pays 80% after deductible Plan pays 80% after deductible

Major Services (crowns, bridgework, dentures*) Plan pays 50% after deductible Plan pays 50% after deductible

Orthodontia (children only up to age 19) Plan pays 50% Plan pays 50%

Orthodontia Lifetime Maximum $1,500 $2,500 *There is a six-month waiting period for partial or complete dentures.

Vision Coverage

UNITEDHEALTHCARE (UHC)

Not only can yearly eye exams protect your eyes, they can help detect signs of serious health conditions like diabetes, brain tumors, high blood pressure and high cholesterol. The following is a high-level overview of your vision coverage. For complete coverage details, please refer to the Summary Plan Description (SPD), found on BurlesonTX.com/employeeforms.

Plan Feature Frequency In-Network Out-of-Network Eyeglasses Exam Once every 12 months $10 copay Up to $40 reimbursement

Contact Lenses Exam Once every 12 months $25 copay Up to $40 reimbursement

Astigmatism Contact Lenses Exam Once every 12 months $129 copay Up to $40 reimbursement

Lenses

Single Once every 12 months $25 copay Up to $40 reimbursement

Bifocal Once every 12 months $25 copay Up to $60 reimbursement

Trifocal Once every 12 months $25 copay Up to $80 reimbursement

Frames Once every 12 months $150 allowance Up to $45 reimbursement

Contact Lenses (in lieu of glasses)

Medically Necessary Once every 12 months Covered at 100% $210 allowance

Elective Once every 12 months $150 allowance Up to $105 reimbursement

Note: Our vision plan is provided by UHC and administered by Spectera. We encourage you to verify whether your provider accepts Spectera insurance.

FINDING IN-NETWORK PROVIDERS

You will typically pay less when you stay inside your plan’s network. To find in-network medical, dental, and vision providers in your area go to myuhc.com.

CITY OF BURLESON BENEFITS

http://www.Burlesontx.com/employeeforms http://www.myuhc.com

Life and AD&D Insurance

SYMETRA

Life insurance offers peace of mind when it comes to making sure your loved ones are financially secure for the future.

EMPLOYEE BASIC LIFE AND AD&D

Employee basic life is provided by the City at no cost to you.

Basic Benefit

Employee 2x annual base salary up to $300,000

First responder benefit: If, in the process of performing their regular occupational duties, an insured police or fire first responder sustains a covered accidental injury, they are eligible for one times the basic benefit per accident.

Note: Symetra also offers other services for emergency travel, identity theft and beneficiary assistance. For an additional fee, Symetra can assist with estate planning.

SPOUSE AND CHILD BASIC LIFE AND AD&D

Basic spouse and child coverage is provided by the City at no cost to you.

Basic Benefit

Spouse $10,000

Child $10,000

SUPPLEMENTAL LIFE AND AD&D

If you determine you need more than the basic coverage, you may purchase additional coverage for yourself and your eligible family members.

Benefit Option Guaranteed Issue*

Employee 5x annual base salary in $10,000 increments up to $500,000

5x annual base salary up to $150,000

Spouse

$5,000 increments up to $250,000, not to exceed 100% of the employee supplemental life amount

$50,000

Child $20,000 $20,000

AGE REDUCTION SCHEDULE

Your life insurance benefit will decrease starting at age 65.

Age Percentage of Benefit

65 65%

70 50%

75 35% *During this Open Enrollment period only, you can increase your coverage in up to five increments of $10,000 up to the Guaranteed Issue amounts without having to provide Evidence of Insurability (EOI, or information about your health). Coverage amounts that require EOI will not be effective unless approved by Symetra.

Short-Term Disability Coverage

SYMETRA

Active, full-time employees optionally can enroll in short-term disability (STD) coverage at affordable group rates. STD coverage offers financial support when you need to take a leave from work due to illness or injury. The following is a brief summary of our STD coverage. Note: To offer short-term disability, we must have a 25% minimum enrollment.

Employee Paid Voluntary

Monthly Premium $0.242 per $10 of weekly covered benefit

Covered Benefit 60% of weekly base earnings up to $1,500

When Benefit Begins After 14th day of illness or injury

*Employees can use sick/vacation time while also receiving short-term disability.

Long-Term Disability Coverage

SYMETRA

The City provides eligible employees long-term disability (LTD) coverage at no cost to you should you need to take a leave from work due to a serious illness or injury. The following is a brief summary of our LTD coverage.

LTD Coverage Options Income Replacement 60% of base annual earnings

Monthly Benefit Maximum $10,000

When Benefit Begins After 90 days

Maximum Benefit Duration Up to Social Security normal retirement age or no longer disabled

Pet Insurance Sign up for peace of mind with Spot pet insurance. Your pet and your wallet will be protected when accidents, injuries or illness occur. Members get unlimited access to virtual pet care through the 24/7 Pet Telehealth Line. Choose from flexible plan options to fit your budget at spotpet.link/burleson.

financial http://spotpet.link/burleson

Employee Assistance Program (EAP)

ALLIANCE WORK PARTNERS

Life is full of challenges, and balancing them all can be difficult. We are proud to provide a confidential EAP at no cost to you and your immediate family members.

EAP professionals are available 24/7 and can help with the following issues:

available)

• Will, trust and living will preparation

First Responder Assistance Program This is a City provided benefit for Police, Fire, Public Safety Communications and Animal Services: designed by First Responders, for First Responders. They deliver specialized services for both first responders and their families through a network of providers that have first-hand occupational experience to meet their needs.

Longevity Pay If you are a non-public safety employee and reach five years of service with the City, you are eligible for $4 per month for each year of service (based on your first month of employment). Sworn public safety employees receive longevity pay after one year of service as required by state law.

Tuition Reimbursement You may be eligible for tuition reimbursement each semester—provided you meet the criteria—up to a maximum that is approved each budget year. For more information, visit BurlesonTX.com/employeeforms.

Burleson Animal Services You can choose to make a bi-weekly payroll deduction to support Burleson Animal Services. Your generous contributions go directly to helping the animals in the shelter and providing essential resources they need. Every dollar counts!

Thank you for considering this meaningful way to make a difference.

United Way We support United Way of Johnson County, which gives to charities in our local communities. Sign up for payroll deduction to contribute and help our neighbors in Johnson County.

BenefitHub The BenefitHub discount marketplace helps you enjoy big savings, every day.

Employees can access discounts, rewards and perks on items ranging from tickets, electronics, travel, sports, local deals and more. Go to burlesontx.

benefithub.com to sign up for your new discount marketplace and start saving!

work-life Texas Municipal Retirement System

(TMRS)

If you work 1,000 hours or more per year, you are required to participate in TMRS. The following is a brief summary of TMRS:

• You contribute 7% to your TMRS city retirement account.

• The City matches your contributions two to one: For every $1 you contribute, the City contributes $2.

• After five years of service, you are 100% vested in your account.

• If you have completed five years of service and are at least 60 years old, or if you have completed 20 years of service at any age, you may retire.

• TMRS provides a death benefit of one times your annual salary for active employees and $7,500 for retirees, as well as an occupational disability provision.

• The City’s plan provides an annual Cost of Living Adjustment (COLA) for each retiree’s monthly benefit using 70% of the Consumer Price Index (CPI).

Register your account at mytmrs.com and watch your retirement grow!

457(b) Plan & Roth

VOYA

You may also contribute to a 457(b) deferred-compensation plan and/or Roth. There is no waiting period. The following is a brief summary of each plan:

• 457(b) Plan: You contribute pre-tax funds via convenient payroll deductions, thus reducing your taxable income. You may also invest your funds to help them grow. Funds are taxed once you withdraw them.

• Roth: You contribute after-tax funds and funds then grow tax free. You may also withdraw funds tax free. You can sign up at myretirementbenefit.voya.com/voq.

CITY OF BURLESON BENEFITS

http://www.Burlesontx.com/employeeforms https://burlesontx.benefithub.com https://burlesontx.benefithub.com http://www.mytmrs.com https://myretirementbenefit.voya.com/voq work-life TicketsatWork TicketsatWork offers exclusive discounts, special offers and access to preferred seating and tickets to top attractions, theme parks, shows, sporting events, movie tickets, hotels and much more. TicketsatWork is a unique benefit offered exclusively to City of Burleson employees. Access your discounts at TicketsAtWork.com/tickets and use the company code BURLESONFUN to begin saving!

Cemetery Plot Benefit You can purchase cemetery plots for yourself and/or eligible family members at the Burleson Memorial Cemetery. You can pay for your plots through payroll deductions. For more information, visit BurlesonTX.com/employeeforms.

Vacation If you are a full-time employee, you are eligible for vacation time. Vacation benefits may be used following six months of service. You accrue vacation time from your start date according to the following schedule:

All Employees (Except Fire on 2912 annual schedule)

City Years of Service

Vacation Hours Accrued Vacation Accrual Cap (2x) & Max Hours Payout Upon Exit

(after year 1)

Per Period Per Year

0->1 4.62 120 120

1-9 4.62 120 240

10-19 6.15 160 320

20+ 7.69 200 400

Fire Department Employees (on a 2912 annual schedule)

City Years of Service

Vacation Hours Accrued Vacation Accrual Cap (2x) & Max Hours Payout Upon Exit

(after year 1)

Per Period Per Year

0->1 6.92 180 180

1-9 6.92 180 360

10-19 9.23 240 480

20+ 11.54 300 600

Personal Leave Day Full-time employees will receive one (1) paid Personal Day off each October 1st and must be used on or before September 30th the following year. Please see the handbook for more details to schedule and enjoy your personal day off.

Holidays You are eligible for 10 paid holidays per year, as noted below.

There is no waiting period. The City Manager’s office sets the specific dates to honor these holidays:

from Personal Leave Day)

Sick Leave If you are a full-time employee, you are eligible for sick leave.

You earn sick leave beginning on your start date and it may be used once you have completed two months of service.

Employees are eligible to be paid out their earned, unused sick leave upon exit after five years of service up to the cap.

• All employees (except Fire on a 2912 annual schedule):

Four hours per pay period; a per year equivalent of 104 hours with an unlimited accrual cap

• Fire employees (on a 2912 annual schedule): Six hours per pay period; a per year equivalent of 156 hours with an unlimited accrual cap

Paid Parental Leave (PPL) Full-time employees with less than one year of continuous service are eligible for 40 hours of PPL for non-fire shift and 56 hours for fire shift. Employees with one year or more of continuous service are eligible for 80 hours of PPL for non-fire shift and 106 hours for fire shift.

Catastrophic Leave Donation Full-time employees are eligible to donate 8–40 hours of vacation or sick leave during Open Enrollment. Employees must re-enroll annually to remain a member of the pool for the calendar year. See Employee Handbook for additional details.

Other Paid Time Off For eligible employees, we offer paid bereavement, jury duty and military leave for qualifying events. There is no waiting period. For more information, visit BurlesonTX.com/employeeforms.

http://www.ticketsatwork.com/tickets/ rates Medical (Per Pay Period)

High-Deductible/HSA Plan

With Health Premium Discount Without Health Premium Discount

Employee Only $0.00 $24.48

Employee + Spouse $61.05 $85.53

Employee + Child(ren) $22.24 $46.72

Employee + Family $106.80 $131.28

Copay Plan

With Health Premium Discount Without Health Premium Discount

Employee Only $24.02 $48.50

Employee + Spouse $227.74 $252.22

Employee + Child(ren) $142.86 $167.34

Employee + Family $380.52 $405.00

NOTE: Insurance benefits are effective through the end of the month in which you separate employment. You are required to pay premiums for that month of coverage.

Medicare Eligible In the year you turn 65 and want to elect Medicare benefits, you can opt out of the City of Burleson’s insurance benefits and are eligible for the Opt Out benefit.

Dental (Per Pay Period)

Coverage Tier Base Plan Buy-Up Plan

Employee Only $0.00 $1.59

All Other Tiers $31.30 $35.70

Vision (Per Pay Period)

Coverage Tier

Employee Only $3.78

All Other Tiers $8.12

CITY OF BURLESON BENEFITS

rates Supplemental Life and AD&D*

Employee (Rate Per $1,000) Spouse (Rate Per $1,000)

Life Rate: Up to 24 $0.100 $0.100

25-29 $0.100 $0.100

30-34 $0.110 $0.110

35-39 $0.130 $0.130

40-44 $0.170 $0.170

45-49 $0.250 $0.250

50-54 $0.360 $0.360

55-59 $0.570 $0.570

60-64 $0.750 $0.750

65-69 $1.250 $1.250

70-74 $2.190 $2.190

75 and over $8.210 $8.210

Child Life Rate for $20,000

$1.40 per pay period

*The Bentek online enrollment system will provide the rate calculation based on your election and age.

directory Coverage Type Provider Group Number Phone Website & Email

General Benefits and/or Enrollment City of Burleson N/A (817) 426-9642 BurlesonTX.com/employeeforms

Advocate 4 Me UnitedHealthcare (UHC) 906435 (866) 844-4864 myuhc.com

Medical Coverage and Telemedicine UnitedHealthcare (UHC) 906435 (866) 844-4864 myuhc.com

Dental Coverage UnitedHealthcare (UHC) 1019974 (866) 844-4864 myuhc.com

Vision Coverage UnitedHealthcare (UHC) 1-1GKH-14580 (866) 844-4864 myuhcvision.com

Health Savings Account (HSA) HSA Bank N/A (800) 357-6246 myaccounts.hsabank.com

Health Care and Dependent Care Flexible Spending Accounts (FSAs), Limited Purpose Flexible Spending Accounts (LPFSA) & Health Reimbursement Accounts (HRAs)

Flores N/A (800) 532-3327 floresHR.com

Lab Work Quest LabCorp

N/A N/A

(866) 697-8378 Burleson Office: (817) 447-0367 questdiagnostics.com LabCorp.com

Employee Assistance Program (EAP) Alliance Work Partners Registration Code:

AWP-COB-1178

(800) 343-3822 Teen Line: (800) 334-8336 awpnow.com

First Responder Health (Police / Fire / Public Safety Communications / Animal Services)

First Responder Health Burleson, Texas (206) 459-3020 firstresponderhealth.org hello@firstresponderhealth.ca

Life and Disability Insurance Symetra 01-017859-00

Claims: (877) 377-6773 Life: (888) 999-4767 Billing: (800) 426-7784 Underwriting: (800) 426-7784

LADCLA@symetra.com conversions@hrmp.com grpadm@symetra.com benmuw@symetra.com

Retirement Plan Texas Municipal Retirement System (TMRS)

00202 (800) 924-8677 mytmrs.com

Deferred Compensation: 457(b) Plan and Roth Voya

Plan Number:

664FN2

Verification Number:

664FN299

(800) 584-6001 myretirementbenefit.voya.com/ voq

Orthopedic Programs UnitedHealthcare (UHC) N/A (800) 379-6898 myuhc.com

Chronic Pain Management Airrosti N/A (800) 404-6050 airrosti.com

Supplemental Health/Accident Insurance Kendrick Brooks E5698931 (903) 902-1902 kendrick.brooks@ coloniallifesales.com

Legal and Identity Theft Plans LegalShield N/A (817) 301-9563 lgartin@mac.com

Pet Insurance Spot EB-BURLESON (800) 905-1595 spotpet.link/burleson

CITY OF BURLESON BENEFITS

http://www.Burlesontx.com/employeeforms http://www.myuhc.com http://www.myuhc.com http://www.myuhc.com http://www.myuhcvision.com http://myaccounts.hsabank.com http://floresHR.com http://www.questdiagnostics.com http://www.LabCorp.com http://www.awpnow.com https://www.firstresponderhealth.org/ mailto:hello%40firstresponderhealth.ca?subject= mailto:LADCLA%40symetra.com?subject= mailto:conversions%40hrmp.com?subject= mailto:grpadm%40symetra.com?subject= mailto:benmuw%40symetra.com?subject= http://www.mytmrs.com https://myretirementbenefit.voya.com/voq https://myretirementbenefit.voya.com/voq http://www.myuhc.com http://www.airrosti.com mailto:lgartin%40mac.com%20?subject= http://spotpet.link/burleson

CITY OF BURLESON, TEXAS

2026 Benefits Guide

Human Resources: (817) 426-9642 Advocate 4 Me: (866) 844-4864 or myuhc.com http://www.myuhc.com