6-06. N267524AN - Exhibit 2.pdf

At The School District of Lee County, we understand that our employees are our most valuable asset, and we are dedicated to investing in your well-being. That is why we offer a range of benefits that can help you stay healthy, feel secure, and achieve your goals. From medical coverage to supplemental health plans and voluntary benefits, our comprehensive benefits package is designed to meet your unique needs and help you thrive both inside and outside of work.

EMPLOYEE-ELECTED

BENEFITS

• Dental Coverage

• Vision Coverage

• Flexible Spending Accounts (FSAs)

• Supplemental Medical Benefits Such as Critical Illness, Cancer, and Accident Insurance

• Supplemental Life and Accidental Death and Dismemberment (AD&D) Insurance

• Voluntary Legal Insurance

• Short-Term Disability (STD) and Long-Term Disability (LTD)

COMPANY-PROVIDED

BENEFITS

• Basic Life and Accidental Death and Dismemberment (AD&D)

Insurance

• Employee Assistance Program (EAP)

• Wellness Program (ActiveLee)

• Florida Retirement System (FRS)

• Medical Coverage

• Health Savings Account (HSA)

ELIGIBILITY

Full-time employees who are regularly scheduled to work at least 30 hours per week are eligible for all benefits, including medical and life insurance.

If you are scheduled to work 20-29 hours per week, you are only eligible for voluntary benefits. To enroll in our benefits program, you will need to meet this requirement and complete the enrollment process within the designated time frame. We will provide you with all of the information and resources you need to enroll in our benefits, including details about coverage options available and the enrollment process.

BE WELL. SAVE WELL. LIVE WELL.

2025 - 2026

THE SCHOOL DISTRICT

OF LEE COUNTY

BENEFITS AT-A-GLANCE

MEDICAL BENEFITS AND PRESCRIPTION DRUG

Medical and prescription benefits are an essential part of your overall health and wellness. With our comprehensive medical plan, you will have access to a network of doctors and specialists to help you manage your health. You will also have coverage for prescription drugs, including both generic and brand name medications.

BENEFIT AETNA: 9520 AETNA: 7419 AETNA: HDHP

IN-NETWORK OUT-OF-NETWORK IN-NETWORK OUT-OF-NETWORK IN-NETWORK OUT-OF-NETWORK

Annual/Calendar Year Deductible (Individual/Family)

$900/$2,700 N/A $1,750/$5,250 $5,000/$15,000 $3,300/$6,600 $7,500/$15,000

Out-of-Pocket Maximum (Individual/Family)

$4,750/$9,500 N/A $6,250/$12,500 $12,500/$25,000 $6,250/$12,500 $12,500/$25,000

Lifetime Maximum Unlimited N/A Unlimited Unlimited Physician Services

Doctor’s Office Visit $30 Copay Not Covered $50 Copay 40% Coinsurance 20% Coinsurance 40% Coinsurance Specialist Office Visit $50 Copay Not Covered 20% Coinsurance 40% Coinsurance 20% Coinsurance 40% Coinsurance Preventive Care No Charge Not Covered No Charge 40% Coinsurance No Charge 40% Coinsurance

Lab

20% Coinsurance for Independent Lab ($0 for Quest and/or

LabCorp)

Not Covered 20% Coinsurance;

$0 for Quest and/or LabCorp

40% Coinsurance Plan Year Deductible

Applies

20% Coinsurance Plan Year Deductible

Applies

40% Coinsurance Plan Year Deductible

Applies

X-Ray Services $50 Copay for X-Ray at Free Standing Facility

Not Covered 20% Coinsurance for X-Ray Plan Year Deductible Applies

40% Coinsurance Plan Year Deductible

Applies

20% Coinsurance Plan Year Deductible

Applies

40% Coinsurance Plan Year Deductible

Applies Urgent Care $50 Copay Not Covered 20% Coinsurance 40% Coinsurance 20% Coinsurance 40% Coinsurance Hospital Services

Inpatient 20% Coinsurance After $150 Copay/

Stay Not Covered 20% Coinsurance 40% Coinsurance 20% Coinsurance 40% Coinsurance

Outpatient 20% Coinsurance Not Covered 20% Coinsurance 40% Coinsurance 20% Coinsurance 40% Coinsurance

Emergency Care $500 Copay Not Covered 20% Coinsurance 20% Coinsurance Plan Year Deductible Applies

Pregnancy & Maternity Care (Prenatal)

Office Visits: No Charge; Childbirth/

Delivery Professional:

20% Coinsurance, Childbirth/delivery

Facility: 20% Coinsurance after

$150

Not Covered

Office Visits: No Charge; Childbirth/

Delivery Professional/ Facility Services: 20%

Coinsurance Plan Year Deductible

Applies

40% Coinsurance

Office Visits: No Charge; Childbirth/

Delivery Professional/ Facility Services: 20%

Coinsurance Plan Year Deductible

Applies

40% Coinsurance Plan Year Deductible

Applies

PRESCRIPTION DRUGS

Retail (30-Day Supply)

Generic $5 Copay Not Covered $15 Copay 40% Coinsurance after Plan Year Deductible 20% Copay 40% Coinsurance

Preferred Brand $30 Copay Not Covered $45 Copay 40% Coinsurance after Plan Year Deductible 20% Copay 40% Coinsurance

Non-preferred Brand $50 Copay Not Covered $65 Copay 40% Coinsurance after Plan Year Deductible 20% Copay 40% Coinsurance

Specialty (Prudent Rx) 30% Not Covered 30% 30% 20% after Plan Year Deductible

40% after Plan Year Deductible

90-Day Supply

Generic $10 Copay Not Covered $30 Copay 40% Coinsurance after Plan Year Deductible 20% Copay 40% Coinsurance

Preferred Brand $60 Copay Not Covered $90 Copay 40% Coinsurance after Plan Year Deductible 20% Copay 40% Coinsurance

Non-preferred Brand $100 Copay Not Covered $130 Copay 40% Coinsurance after Plan Year Deductible 20% Copay 40% Coinsurance

Specialty (Prudent Rx) N/A N/A N/A N/A N/A N/A

PER PAY DEDUCTIONS

Employee Only $13.00 $0.00 $0.00 Employee + Spouse $291.90 $259.40 $215.70 Employee + Child(ren) $41.85 $23.90 $20.60 Family $489.70 $448.50 $385.45

NOTE: The information above is a summary of coverage.

*Coinsurance applies after Plan Year Deductible (PYD) is met.

TELEMEDICINE

Telemedicine and virtual care are a convenient way to access medical care from the comfort of your own home. With our telemedicine benefit, you will have access to virtual consultations with health care providers for a range of non-emergency medical issues (i.e. cold/flu). This can save you time and money, and help you get the care you need when you need it.

HEALTH SAVINGS ACCOUNT (HSA)

To enroll in our HSA, you must be enrolled in our High Deductible Health Plan (HDHP). Our HSA is a tax-advantaged savings account that can help you save money on your eligible medical expenses. This account allows you to set aside pre-tax dollars to pay for eligible medical expenses, including deductibles, copays, and coinsurance. You can contribute to your HSA on a pre-tax basis through payroll deductions, and any unused funds will roll over from year to year.

VOLUNTARY BENEFITS

DENTAL

Our dental benefits provide comprehensive coverage for preventive, basic, and major dental services.

BENEFIT DPPO: HIGH 2000 DPPO: MEDIUM 1500 DPPO: LOW 1000

IN-NETWORK OUT-OF-NETWORK

Annual/Calendar Year Maximum $2,000 $1,500 $1,000 $250 Annual/Calendar Year Deductible (Individual/Family)

$25/$75 $50/$150 $100/$300 $250/$750

Preventive Services 100% 100% 100% 50% Basic Services 80% 80% 80% 30% Major Services 50% 50% 50% Not Covered Orthodontia Lifetime Maximum $2,000 (adult/children) $1,500 (children only) N/A

PER PAY DEDUCTIONS

Employee Only $21.05 $15.90 $12.25 Employee + Spouse $42.90 $32.60 $24.95 Employee + Child(ren) $43.00 $32.75 $25.15 Family $68.05 $52.05 $40.00

NOTE: The information above is a summary of coverage.

VISION

Our vision benefits provide comprehensive coverage for routine eye exams, eyeglasses, and contact lenses.

BENEFIT AVESIS VISION: IN-NETWORK AVESIS VISION: OUT-OF-NETWORK

Exam Covered in Full Up to $35 Lenses

Single Covered in Full Up to $25 Bifocal Covered in Full Up to $40 Trifocal Covered in Full Up to $50

Frames $55 Wholesale Allowance ($100-$150 Retail Value) &

Up to 20% Discount Above Frame Allowance Up to $45

Contact Lenses Instead of Glasses Conventional/Disposable $200 Allowance Up to $175 Medically Necessary Covered in Full Up to $250

PER PAY DEDUCTIONS

Employee Only $4.15 Employee + Spouse $8.80 Employee + Child(ren) $8.95 Family $15.00

NOTE: The information above is a summary of coverage.

ADDITIONAL BENEFITS

School District of Lee County offers a range of additional benefits designed to help you protect your health, your income, and your financial security.

BENEFIT KEY FEATURES WHO CONTRIBUTES?

Flexible Spending Accounts

(FSA)

• Health Care FSA: You may use pre-tax dollars to pay for eligible health care expenses such as copays, deductibles, orthodontia, over-the-counter medications, etc.

• Dependent Care FSA: You may use pre-tax dollars to pay for eligible care for your dependents under the age of 13, including day care, nursery school, elder care expenses, etc.

Employee

Disability Insurance

• Short-Term Disability: After you are out of work for your plan's elimination period (14-days or 60-days), and declared disabled, you will receive 60% of your base earnings for up to a maximum of $1,750/week.

• Long-Term Disability: The benefit is equal to 60% of your base monthly earnings to a maximum of $10,000 per month. Benefits begin after 90 or 180 days, depending on which option you choose.

Employee

Life and Accidental Death & Dismemberment Insurance

(AD&D)

• Basic Term Life: The benefit is $20,000.

• AD&D: If you are seriously injured or lose your life in an accident, you and/or your beneficiary(ies) will be eligible for $20,000.

• Supplemental Life and AD&D: You may also choose to purchase additional coverage for your spouse and/or your dependents in addition to the company-paid benefit.

Employee

Critical Illness Insurance Pays a full lump sum benefit directly to you if you are diagnosed with a covered illness that meets the plan criteria. The benefit is paid in addition to any other insurance coverage you may have.

Employee

Accident Insurance Pays direct benefits for a range of injuries and accident-related expenses such as fractures, concussions, and hospital admissions.

Employee

Cancer & Specified Diseases Pays flat dollar amount for certain services/treatment for cancer and/or specified diseases. Employee

The School District of Lee County understands that each employee has unique needs and priorities, which is why we offer additional voluntary benefits designed to help protect your financial and personal well-being. These benefits are available to you and your eligible dependents and can be customized to meet your specific needs and goals.

BENEFIT KEY FEATURES WHO CONTRIBUTES?

Legal Plan

Legal insurance offers you and your eligible dependents access to a network of experienced attorneys who can help you navigate a variety of legal issues at a fraction of the cost. This can provide you with the support and guidance you need to handle complex legal situations, protect your rights, and achieve the best possible outcome for you and your family. Employees may not use this for any matter pertaining to their employment.

Employee

Employee Assistance Program (EAP)

Our EAP provides confidential counseling and support services to help you and your family members deal with a range of personal and work-related issues. From stress and anxiety to financial problems and relationship issues, our EAP can connect you with licensed professionals who can provide guidance, resources, and support when you need it most. Best of all, our EAP is available to you at no cost, so you can take advantage of these valuable services whenever you need them.

Employer

Wellness Program (ActiveLee)

Our wellness program (ActiveLee) is designed to help you achieve your health and wellness goals, with a range of resources and tools to support your physical, mental, and emotional well-being. Whether you are looking to improve your fitness, manage stress, or make healthier lifestyle choices, our program can provide the guidance and support you need to succeed. With access to fitness center reimbursements, the Walkingspree app, nutrition classes, mental health resources, and more, our wellness program can help you live your best life.

Employer

GET MORE INFORMATION

BENEFIT WHO TO CALL WEBSITE PHONE NUMBER

Medical & Prescription Drug Aetna MyAetnaWebsite.com 1-800-872-7576

Dental Humana www.MyHumana.com 1-800-233-4013

Vision Avesis www.Avesis.com 1-888-759-9740

Basic Life & Accidental Death & Dismemberment Claims

Securian www.Securian.com 1-866-293-6047

Supplemental Life Claims Securian www.Securian.com 1-866-293-6047

Legal MetLife https://members.legalplans.com 1-800-821-6400

Short- & Long-Term Disability Claims MetLife https://mybenefits.metlife.com 1-800-300-4296

Voluntary Accident, Critical Illness, and Cancer & Specified Diseases

Allstate mybenefits.allstate.com 1-800-521-3535

Flexible Spending Accounts VOYA http://myhealthaccountsolutions.voya.com/ 1-833-232-4673

Health Savings Account VOYA http://myhealthaccountsolutions.voya.com/ 1-833-232-4673

Employee Assistance Program ESI www.EducatorsEAP.com 1-800-252-4555

ActiveLee ActiveLee Employee Wellness School Board of Lee County www.wellness.leeschools.net 1-239-337-8318

Florida Retirement System (FRS) - Pension Plan Members

FRS www.myfrs.com 1-844-377-1888

Florida Retirement System (FRS) - Investment Plan Members

FRS www.myfrs.com 1-866-446-9377

Insurance & Benefits School Board of Lee County www.leeschools.net 1-239-337-8321

Updated: December 2024 http://MyAetnaWebsite.com http://www.MyHumana.com http://www.Avesis.com http://www.Securian.com http://www.Securian.com https://members.legalplans.com https://mybenefits.metlife.com http://mybenefits.allstate.com http://myhealthaccountsolutions.voya.com/ http://myhealthaccountsolutions.voya.com/ http://www.EducatorsEAP.com http://www.wellness.leeschools.net http://www.myfrs.com http://www.myfrs.com http://www.leeschools.net