The following is an electronic copy of a written document. If there is a dispute over wording, a written copy from The Bakersfield Californian should be used.


Contents

About the Bakersfield Californian Benefits program

Who is Eligible

Declining Coverage

When Coverage Begins

When Coverage Ends

Changes to your Health Plan Enrollment


Health Benefits

Medical Option- HMO

Medical Option- PPO

Dental Option 1 - Dental Net

Dental Option 2 - PPO

Vision Service Plan


Income Protection Benefits

Basic Group Term Life Insurance

Accidental Death & Dismemberment Insurance

Dependent Life Insurance

Long Term Disability Coverage

Voluntary Group Term Life Insurance

Aflac


Section 125 Plans (Medical reimbursement)


Employee Assistance Program


Retirement and Savings Benefit

401(k) Plan

Social Security

Contact Information


The information in this document is a summary of the benefits for Guild Employees of The Bakersfield Californian, Please refer to your Plan Documents for more details. If there is a conflict between the benefits described in this summary and the Plan Documents, the Plan Documents shall govern.




About the Benefits Program

Who is Eligible? (back to top)

Active Employees


Dependents

In the event of a divorce, or if your child reaches an age where they no longer qualify for benefits, you must notify the HR dept immediately. Failure to do so could result in claims being paid in error, and you could be responsible for the charges.


Declining Coverage (back to top)

You have the option to decline the Medical, Dental and Vision coverage. If you choose to decline the coverage, you will not be able to enroll in the coverage at a later time, except under the following circumstances:


When Coverage Begins (back to top)

Employees are eligible the first of the month following 60 days of employment, Employees will be notified of their eligibility after approximately 30 days of employment. Employees must enroll for insurance no later than 30 days after they are eligible. If they do not enroll at that time, they must wait until Open Enrollment to enroll.


When Coverage Ends (back to top)

If your position becomes less than a 20 hr/wk position If your employment is terminated, coverage ends the last day of the month in which you terminate.

If an employee takes a personal leave of absence or an unpaid leave and has health benefits through the company, the Company will maintain those benefits for the duration of the leave, not to exceed 12 weeks. The employee remains responsible for the normal bi-weekly contribution. After 12 weeks, they have the option of purchasing the medical, dental and vision insurance plans through the Consolidated Omnibus Budget Reconciliation Act (COBRA); this also applies to their dependents. Costs on purchasing these plans can be obtained from HR. If any employee chooses not to continue the insurance coverage during their personal leave or while on an unpaid medical leave, they will have to wait until the open enrollment period to re-enroll and then they may choose insurance coverage different from what they were enrolled in when they left.


Changes to your Health Plan Enrollment (back to top)

Each year you have the opportunity to make changes to your benefit elections during Open Enrollment. Open Enrollment is in December each year and has a January 1 effective date. Those elections are effective for the next 12 months (1/1-12/31) unless you have a qualifying event.


Qualifying Events:

Any changes to your benefits must be consistent with your qualifying event. For example, if you give birth to a child, you can add the child on to your insurance, but you would not be able to add your spouse at the same time unless another qualifying event has occurred.

You must notify Human Resources of a qualifying event within 30 days of the event. If you do not notify us within 30 days, you will have to wait until the next Open Enrollment period.

Employees can cancel coverage at any time by sending an email to Human Resources with the reason they are wishing to cancel their coverage and an effective date. Employees will not be allowed to re-enroll until Open Enrollment unless they have lost coverage elsewhere and proof can be provided.



Health Benefit Options

Medical Option 1: Health Net HMO Medical (back to top)



General Benefits


Calendar Year Deductible

Not applicable

Calendar Year Out-of-Pocket

$1500 per individual/$3000 Two-Party/$4500

maximum

Family (3 or more members)

Lifetime Maximum Benefit

Unlimited



Medical Benefits


Office Visit

$25.00 co-pay

Preventative Care Visit

$25.00 co-pay

Well Baby/Well Child Care

$25.00 co-pay

X-Ray and Lab Tests

No Charge

Chiropractic Care

Covered at 100% after $15 co-pay; Limited to 30


visits per year

Durable Medical Equipment

No Charge- Limit of $2,000/calendar year

Infertility Services

Covered at 50%

Allergy Testing

No charge- includes serum



Hospital Benefits


Hospitalization

$200/day x 4 days per admission

Emergency Room

$100 co pay

Outpatient Surgery

$200 co pay

Urgent Care Visit

$25.00 co-pay

Skilled Nursing Care

Days 1-10 covered at 100%; Days 11 -100 $25.00


each day; limited to 100 days

Maternity Care

$200/ day x 4 days per admission



Prescription Drug Coverage


Prescription Drug Co-pays

$15 - Generic (30-day supply)




Mail Order – Prescriptions by Mail

$30 - Brand Name Formulary (30-day supply)

$50—Brand Name Non Formulary (30-day supply)

2x co pay for 90-day supply






Medical Option 2: Health Net Prudent Buyer (PPO) Medical

(back to top)

General Benefits

In Network

Out of Network

Calendar Year Deductible

$250- 3 per family

$500- 3 per family

Calendar Year Out-of-Pocket

$2,000 per member

$6,000 per member

maximum



Coinsurance

90%

70%

Lifetime Benefit maximum

$5 million combined

$5 million combined




Medical Benefits



Office Visit

$10.00 co-pay

30%

Preventative Care visit (Adult 17 & Older)

10%

Not Covered

Well Baby/Well Child Care

$10 co-pay

Not Covered

Includes immunizations



X-Ray and Lab Tests

10%

30%

Chiropractic Care

$10

30% - limit $25/visit

(combined max. 12 visits)



Durable Medical Equipment

10%

30%

(combined limit $2,000)



Infertility Services

10%

30%

(separate $500 deductible)



Allergy Testing

$10 co-pay

30%

Allergy Serum

10%

30%




Hospital Benefits



Hospitalization

10%

$500 + 30%

Emergency Room

$100 + 10%

$100 + 30%

Outpatient Surgery

10%

$500 + 30%

Urgent Care Visit

$10 co-pay

30%

Skilled Nursing Care

10%

$500 + 30%

Maternity Care

10%

$500 + 30%




Prescription Drug Coverage



Prescription Drug Co-pays

$15- Generic (30-day supply)



$30 - Brand Name Formulary (30-day supply)



$50—Brand Name Non Formulary (30-day supply)


Mail Order- Prescriptions by mail

2x co pay for 90-day supply




Dental Option 1: Blue Cross Dental Net (DMO) (back to top)

Dental Net is a dental HMO option, With Dental Net there are no deductibles and no co-payments for most diagnostic or preventative care services, which keeps your out-of-pocket expenses to a minimum. When you enroll in Dental Net, you will be asked to select a participating dental office and primary dentist or each member of your family.


Plan features


Annual Maximum

None

Calendar Year Deductible

None



Diagnostic


Oral Exam & Diagnosis

No charge

Office Visit

No charge

Full Mouth & Bite wing X-rays

No charge

Specialist Consultation

No charge



Preventive Services


Teeth Cleaning

No charge – 2 per year

Topical Fluoride

No charge

Space Maintainers

$25



Peridontics


Subgingival cutterage- root planing- per quadrant

$15

Gingivectomy- per quadrant

$75 co-pay



Endodontics


Pulp capping

No charge

Pulpotomy

$5 excl. restoration

Root canal therapy


Anterior & Bicuspid (excluding final restoration)

$75 – 125

Molar (excluding final restoration)

$180



Prosthetics


Complete Upper and Lower- per denture

$150

Partial Upper & Lower- per denture

$175 – 200



Oral Surgery


Simple Extraction

No charge

Surgical Extraction

$25

Impactions:


Soft Tissue

$30

Partial Bony

$75

Full Bony

$85



Orthodontia


Lifetime Maximum

None

24 months corrective treatment

$1,450

Pre- Orthodonitc visits and treatment plan

$300

Orthodontic retention

$275

Restorative


Amalgram restoration-Primary & Permanent teeth

No charge

Crowns & Pontics

$100




Dental Option 2: Blue Cross PPO Swing Plan (back to top)

This dental option provides you with the flexibility of being able to "swing" between a HMO dental plan and a PPO dental plan all year long, You may choose between Dental Net, a dental HMO plan, or PPO dental, When you chose the PPO dental option, you also get the option of going out-of-network to any non-participating licensed dentist. However, the services you receive may not be covered at the participating provider benefit level. The dental plan you select applies to all family members. Your choice of dental plans at any given time determines benefits and plan limitations, You can enroll in the dental plan that fits your current needs and you may switch plans as often as every month.


Plan features

Pre-Paid Dental

Prudent Buyer


General Benefits


In-Network

Out-of-Network

Annual Maximum

None

None

$2,000

Calendar Year Deductible




Per Individual

None

$25*


Per Family

N/A

$75*






Diagnostic




Oral Exam & Diagnosis

No charge

100%

100%

Office Visit

No charge

100%

100%

Full Mouth & Bite wing X-rays

No charge

100%

100%

Specialist Consultation

No charge

100%

100%





Preventive Services




Teeth Cleaning

No charge

100%

100%

Topical Fluoride

No charge

100%

100%

Space Maintainers

$35-40

100%

100%





Peridontics




Subgingival cutterage- root




planing- per quadrant

$15

80%

80%

Gingivectomy- per quadrant

$75 co-pay

80%

80%





Endodontics




Pulp capping

No charge

80%

80%

Pulpotomy

$5

80%

80%





Root canal therapy




Anterior & Bicuspid (excl. final restoration)

$80-100

80%

80%

Molar (excluding final restoration)

$200

80%

80%





Prosthetics




Dentures




Complete Upper and Lower-per denture

$200

50%

50%

Partial Upper & Lower- per denture

$225

50%

50%





Oral Surgery




Simple Extraction

No charge

80%

80%

Surgical Extraction

$25

80%

80%

Impactions:




Soft Tissue

$30

80%

80%

Partial Bony

$65

80%

80%

Full Bony

$75

80%

80%





Orthodontic




Lifetime Maximum

None

$1,500

$1,500

24 months corr. treatment-Child to age 17

$1,450

50%

50%

25 months corr. treatment-Adult 18 & over

$1,850

50%

50%





Restorative




Amalgram restoration-Primary teeth

No charge

80%

80%

Amalgram restoration-Perm teeth

No charge

80%

80%

Crowns & Pontics

$150-200+

50%

50%


* = Waived for diagnostic and preventative services.


Vision Service Plan (back to top)

The Bakersfield Californian provides vision coverage through Vision Service Plan (VSP). This plan allows you to receive vision care services from any vision provider that you wish. When you access vision care from VSP providers, most eligible are covered at a higher level of benefit. If you access service from an Out-of-Network provider, the patient can be reimbursed up to the maximums listed below. Please note, you will not receive an ID card from VSP. The provider, using your Social Security number and your date of birth, can verify your coverage directly with VSP.

Plan features


Network Provider


Deductibles


For Examinations

$10

For Materials

$25

Frequency


Examinations

Every 12 months

Frames

Every 24 months


* Frame of your choice up to $120


* Plus 20% off out-of-pocket costs

Lenses

Every 12 months


* Single vision, lined bifocal and lined trifocal lenses


* Polycarbonate lenses for dependent children

Contact Lenses

Every 12 months


* When you choose contacts instead of glasses, your $120 allowance applies to the cost of your contacts and the contact lens exam (fitting and evaluation). This exam is in addition to your vision exam to ensure proper fit of contacts. If you choose contact lenses, you will be eligible for a frame 12 months from the date the contact lenses were obtained.


Out of Network Reimbursement amounts

Exam

$45

Lenses


Single Vision

$45

Lined Bifocal

$65

Lined Trifocal

$85

Frame

$47

Contacts

$105



Income Protection

Basic Group Term Life (back to top)

The Bakersfield Californian provides Basic Group Term Life Insurance through Principal Financial for all Regular, full-time employees. This benefits is paid entirely by The Bakersfield Californian; there is no cost to employees. If your death occurs while you are covered under this plan, your beneficiary will receive one times your base annual salary up to a maximum of $520,000.00.

Please note that the value of Basic Group Term Life Insurance amounts over

$50,000.00 is considered imputed income and reported to the federal government

as taxable income by The Bakersfield Californian.


Accidental Death and Dismemberment (AD&D) Insurance

The Bakersfield Californian provides Accidental Death and Dismemberment through Principal Financial, This benefits is paid entirely by The Bakersfield Californian; there is no cost to employees, This benefit is payable to your beneficiary in the event of your accidental death.


Dependent Life Insurance (back to top)

The Bakersfield Californian provides life insurance coverage through Principal Financial for your eligible dependents for all Regular, full-time employees. This benefits is paid entirely by The Bakersfield Californian; there is no cost to employees.


Long Term Disability (back to top)

Long Term Disability (LTD) insurance is carried for all full-time and part-time employees and is a benefit paid for by the Company. This benefit is payable to you in the event that you are unable to work due to a medical condition for 90 days or more. The benefit payable is up to 50% of your basic monthly earnings to a maximum of $2000.00 per month. Employees have the option to purchase additional coverage at their own cost, which will increase the coverage to 60% and increase the monthly maximum to $5000.00. The buy-up LTD coverage will be issued without any health underwriting if you enroll within 30 days of becoming eligible, If you decline coverage and elect at a later time to enroll, you must submit evidence of insurability and can be turned down for coverage on the basis of your health.



Income Protection Benefits

Voluntary Life Insurance (back to top)

Regular, full-time employees can purchase additional life insurance coverage at their own cost. Employees can choose 1, 2, 3, 4 or 5 times their annual salary. Coverage cannot exceed $520,000 and any amounts over $140,000 will require a health statement to be completed. Additional coverage can also be purchase for a spouse or child. Employees can purchase up to half of what the employee elects for themselves, up to a maximum of $100,000, Spouse coverage over $30,000 will require a health statement to be completed. If you decline coverage and elect at a later time to enroll, you must submit evidence of insurability and can be turned down for coverage on the basis of your health.


AFLAC (back to top)

The Company offers a personal accident indemnity plan through AFLAC. This is completely paid for by the employee through payroll deductions. Benefits are payable for a covered person's death, dismemberment, or injury caused by a covered accident that occurs on or off of the job.




Section 125 Plans

Flex 125 (back to top)

This tax saving benefit is available for employees who qualify for Company sponsored health care insurance, Also known as a "Section 125 Plan," the Flexible Spending Account is actually three separate accounts:

1. The Premium Conversion Plan allows eligible employees of the Company to pay their share of the premium, through payroll deductions, for healthcare coverage on a pre-tax basis.

2. The Health Care Reimbursement Account offers a way for employees to be reimbursed for eligible health care expenses, which are not covered by insurance, on a pre-tax basis.

3. The Dependent Care Reimbursement Account provides a way to be reimbursed on a pre-tax basis, for childcare expenses incurred while you are working.

4. All designated amounts are deducted on a bi-weekly basis from an employee's paycheck,

5. Designated amounts for both the healthcare and dependent care reimbursement amounts must be requested by an employee in writing on the appropriate forms, Elections for payroll deductions are made annually during open enrollment.

The pre-tax feature of these accounts provides tax savings to you. More information about this unique benefit may be obtained from Human Resources.


Employee Assistance Program (back to top)

The Company recognizes that everyone may occasionally benefit from professional assistance with personal problems. Accordingly, the Company provides an Employee Assistance Program (EAP). The EAR provides confidential and professional counseling and when appropriate, referral to other services to deal with personal problems, such as chemical dependency, marital or family conflict, and emotional problems. The EAP is offered to enhance personal well-being as a means of improving individual attendance, performance, and productivity. All counseling through this program is on a voluntary basis,

If you suspect you may have an alcohol, drug, emotional, marital, family, or other personal problems, even in the early stages, you should contact the EAP, seek a diagnosis, and follow through with the program as prescribed by qualified professionals. Although you are encouraged to use the EAP, participation in the program does not relieve you of your obligation to perform your work in a satisfactory manner and to comply with other Company rules and guidelines.

EAP services are available to all employees and their immediate family members. Contact with the EAP is voluntary, although a supervisor may refer an employee who is not performing up to standard. Whether you are referred to the EAP by a supervisor, a co-worker, the family, or choose to go on your own, the concerns you discuss with the EAP consultant are strictly confidential.



Retirement and Savings Benefit

401(k) Plan (back to top)

All regular full-time employees and part-time employees are eligible for enrollment in the Company's Rep 401(k) plan. Employees are eligible the first of the month following 90 days of employment. Under the plan, you may contribute up to 92% of your total eligible pay from each paycheck on a pre-tax basis, If you are full-time employee, The Bakersfield Californian will match 100% of your contributions up to 4.6% of your base wages. Employees are permitted to borrow against their 401 (k) plan under certain conditions, Loan rules and procedures are available in Human Resources, You will be vested according to the following schedule:


Company Service

Vested Percentage

0 - 1 year

0

1 - 2 years

0

3 or more years

100


Participation in the 401(k) plan allows convenient savings method using pre-tax dollars and deferring federal taxes on investment income. A detailed description and plan documents are available in Human Resources. The Company reserves the right to modify or cancel this plan at its discretion.


Social Security (back to top)

The Bakersfield Californian matches your Social Security contributions. Your payments and those made by the Company contribute to the benefit amount you will receive from Social Security when you retire.



Contact Information (back to top)

Benefit Plan


Phone


Website/E-mail


Plan Number


Medical Plan

Health Net


1-800-522-0088


www.healthnet.com


HMO-68221A PRO- N4044A










Dental Plan

Blue Cross (both plans)


1 -800-624-0004


www.bluecrossca.com


HMO- 1238LX PPO-1179XS or 1179XT










Vision Plan

Vision Service Plan (VSP)


1-800-877-7195


www.vsp.com


1 2230550










Flex Plan administrator

Igoe & Company


1-800-633-8818


www.aoiaoe.com


Not Applicable










Employee Assistance Program


1-800-356-7089


www.MagellanHealth.com


Not Applicable










Aflac

To file a claim


1-800-462-3522


www.aflac.com


Not Applicable










40 l(k) Plans

Citistreet Represented

401(k) Plan


ING Non- Rep 401 (k) Plan


1-888-822-6067 1-800-584-6001


www.benefitaccess.com


60682K 776170





www.ingretirementplans.com












Shanan Mallard

The Bakersfield Californian HR Advisor Benefits
& 401(k)


661-395-7298


smallard@bakersfield.com


Not Applicable











(back to top)