SEMI U.S. Employment Benefits


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2014 SEMI U.S. Employee Benefits Summary

(BENEFITS ARE EFFECTIVE UPON DATE OF HIRE UNLESS OTHERWISE NOTED)

The information in this summary describes highlights of the SEMI US benefit plans. Registration for most of the employee benefits is completed on the web with our payroll administrator, ADP. New employees are sent instructions on how to log into the site.

Complete details of the benefits are found on the ADP web site in the official plan documents section. If there appears to be a conflict between this summary and the plan documents, the plan document will govern. SEMI reserves the right to change or discontinue these plans and, or increase employee contributions at anytime. These benefits apply to full time employees only; that is, those who work 30 hours per week or more. This summary does not create a contract of employment between SEMI and any employee.

THREE KAISER MEDICAL INSURANCE PLANS:

Kaiser HMO, Kaiser HSA High Deductible- HMO, and Kaiser Traditional PPO

1) The following is a brief summary of benefits for your Kaiser HMO Plan. (Also, see the Power Point on the Kaiser plans.)

Carrier

Kaiser Permanente - 2014

Plan

HMO Plan
$20 copay | No charge hosp.  RX $10/$25 | $50 ER

 

IN NETWORK ONLY

Calendar Year Deductible

 

Individual

None

Family

Out of Pocket Maximum

 

Individual

$1,500

Family

$3,000

Office Visits

 

PCP & Specialist per visit copay

$25

Preventive Care

No charge

Preventive Care Annual Max

N/A

Maternity & Well Child Care

$5

Physical/Occupational/Speech Therapies

$15

Maximum # of Visits/Year

30 visits

Chiropractic Care

$15

Maximum # of Visits/Year

30 visits

Prescriptions

30-Day Supply

Generic

$15

Formulary Brand

$30

Non-Formulary Brand

Not covered

Mail Order

2x Rx copay
per 100-day supply

Laboratory

No charge

Inpatient Hospitalization

$250

Outpatient Surgery

$20/procedure

Emergency Room

$50

Copay Waived if Admitted

No

Mental Health

 

Inpatient

 

Severe

No charge

Non-Severe

Outpatient

 

Severe

$20 per individual visit
$10 per group visit

Non-severe

Maximum # of Visits/Year

None

Dependent Child Coverage

Under Age 26

Lifetime Maximum

Unlimited

 

 


2)
This is a brief summary of benefits for your Kaiser HSA Deductible-HMO Plan.

Carrier

Kaiser Permanente  - 2014

Plan

HSA Deductible-HMO Plan
$2,500 Deductible
No charge after deductible

 

IN NETWORK ONLY

Calendar Year Deductible

 

Individual

$2,500*

Family

$5,000*

Out of Pocket Maximum

 

Individual

$2,500

Family

$5,000

Office Visits

 

PCP & Specialist per visit copay

No charge after ded.

Preventive Care

No charge, ded. waived

Preventive Care Annual Max

N/A

Well Child Care

No charge after ded.

Physical, Occupational & Speech Therapies

No charge after ded.

Maximum # of Visits/Year

N/A

Chiropractic Care

Not covered

Maximum # of Visits/Year

N/A

Prescriptions

100-Day Supply

Generic

No charge after ded.

Formulary Brand

No charge after ded.

Non-Formulary Brand

Not covered

Mail Order

No charge after ded.

Laboratory

No charge after ded.

Inpatient Hospitalization

No charge after ded.

Outpatient Surgery

No charge after ded.

Emergency Room

No charge after ded.

Copay Waived if Admitted

N/A

Mental Health

 

Inpatient

 

Severe

No charge after ded.

Non-Severe

Outpatient

 

Severe

No charge after ded.

Non-severe

Maximum # of Visits/Year

None

Dependent Child Coverage

Under Age 26

Lifetime Maximum

Unlimited

*SEMI employees receive $1,500 (single)/$3000 (family) in their HSA accounts at the beginning of the Plan Year (from SEMI), leaving $1550 (single)/$3150 (family) that the employee—under 55 years of age--may contribute to the account. (if you are over 54, you may contribute an additional $1000.)  HSA contributions are deductible from Federal taxes, but not from California taxes. There are no Kaiser HMO charges to the employee or family members after the deductible has been met.

Note: The SEMI HSA contribution amount is prorated during the year for new employees or new enrollees to the Kaiser HSA Deductible-HMO Plan due to family status changes. 

3) This is a brief summary of benefits for your Kaiser Traditional PPO Plan which uses the US-wide Private Health Care System (PHCS) for doctors, hospitals and pharmacies instead of the Kaiser Network for the ‘In Network Plan”:

Carrier

KAISER - 2014

 

Plan

Traditional PPO Plan
 
In & Out: $500/$1,500
In OOP: $1,500/$4,500

 

 

IN NETWORK

OUT OF NETWORK

 

Calendar Year Deductible

 

 

 

Individual

$500

 

Family

$1,500

 

Out of Pocket Maximum

 

 

 

Individual

$1,500 1

$4,500

 

Family

$4,500 1

$13,500

 

Office Visits

 

 

 

General physician & Specialist

$20 2

50%

 

Preventive Care

No charge

50% 2

 

Preventive Care Annual Max

None

N/A

 

Well Child Care

No charge

50% 2

 

Physical, Occupational, Respiratory & Speech Therapies

30%

50%

 

Maximum # of Visits/Year

60 visits 4

 

Chiropractic Care

Not covered

Not covered

 

Maximum # of Visits/Year

N/A

 

Prescriptions

30-day supply
from MedImpact Pharmacies

N/A

 

Generic

$15 2

Not covered

 

Formulary Brand

$40 2

 

Non-Formulary Brand

Not covered

 

Mail Order

2x Copay for 100-day supply

 

Laboratory

30%

50%

 

Inpatient Hospitalization

$250 ded,
then 30%

$500 ded,
then 50%

 

Outpatient Surgery

$100 ded, then 30%

$150 ded, then 50% 3

 

Emergency Room

Emergency: $100 ded, then 10%
Non-emergency: 30%

 

Copay Waived if Admitted

Yes

 

Mental Health

 

 

 

Inpatient

 

 

 

Severe

$250 ded,
then 30%

$500 ded,
then 50%

 

Non-Severe

 

Outpatient

 

 

 

Severe

$20 2

50%

 

Non-severe

 

Maximum # of Visits/Year

None

 

Dependent Child Coverage

Under Age 26/FTS under age 26

 

Lifetime Maximum

No Limit in Plan Only

$5 Million Out of Plan

 

1 - Only coinsurance paid for Covered Services contribute towards the Out of Pocket Maximum.

 

 

 

2 - Exempt from Calendar Year Deductible.

 

3 - Benefit limited to $600 per procedure.

 

4 - All outpatient therapies are limited to 60 visits per Calendar year combined for both PHCS Providers and Non-Participating Providers.

 

IMPORTANT NOTE: Pre-existing conditions

 

Regarding pre-existing conditions for all medical insurance listed above: If you had a break in medical coverage from your last employer before employment at SEMI, you may be subject to ‘pre-existing conditions’. Please check the definition of a pre-existing condition in your medical insurance enrollment booklet. If you are unsure after reading the definition, please contact SEMI Human Resources.


Employee Medical Insurance Contribution Table--
Each 2–Week Pay Period

2014 Employee Contribution Table per Pay Period for the HMO and the HSA Deductible-HMO Plans

HSA Plan Coverage

Employee Only

Employee & Spouse

Employee & Children

Employee & Family

 

 

 

 

 

Average after tax pay effect

$67.85

$149.08

$135.69

$203.54

HMO Plan CoverageEmployee OnlyEmployee & SpouseEmployee & ChildrenEmployee & Family
Average after tax pay effect$64.62$142.62$129.69$194.31

2014 Employee Contribution Table per Pay Period for the Traditional PPO Plan

PPO Coverage

Employee Only

Employee & Spouse

Employee & Children

Employee & Family

 

 

 

 

 

Average after tax pay effect

$239.54

$527.08

$479.08

$719.08

Dental – Administered by Benxcel

Employee & Dependents

Cost: $0.0

 

$25 Deductible Individual 

$50 Deductible Family

$2500 Maximum calendar year100%Preventive/80% Basic/75% percent Major/ up to 50 percent Orthodontia for employee/dependents Orthodontia Lifetime benefit $2,500

LIFE INSURANCE: The Prudential Insurance Co of America

Employee only

Cost: $0.0

Basic Term Life: 2 ½ times annual salary to a maximum of $500,000

AD&D—2 ½ times annual salary to a maximum of $500,000

Optional Term Life Insurance - Prudential Insurance Company of America

Cost: Per rate sheet on Benxcel Web site

Basic Term Life for employee and dependents, paid for by the employee through payroll deductions.

LONG TERM DISABILITY - Prudential Insurance Company of America

Employee only

Cost: $0.0

Provides up to 66 2/3 percent of earnings until Age 65. $10,000 monthly maximum benefit. Coverage: Employee only 90-day elimination period

LONG TERM CARE - Prudential Insurance Company of America

Employee only

Cost: $0.0

Core Plan for Employees :

Nursing Home Care, Assisted Living, Residential Care Daily Maximum Benefit $100 per day;

Home or Community Based Care DMB %60 per day

Optional Long Term Care Insurance - Prudential Insurance Company of America

Cost: See rates from Prudential on Benxcel Web site

Upgrade Long Term Care policy for employee and/or add spouse or parents.  The employee pays through payroll deductions for this supplemental coverage.

EAP - ComPsych/Guidance Resources

Employee & Dependents

Cost: $0.0

Confidential counseling service for Marital/Relationship Issues • Work Issues • Dependent Care *Referrals •Parenting Issues • Domestic Violence • Substance Abuse • Anxiety/Depression • Health Questions • Legal Issues • Financial Matters •Most other Personal Concerns. Three free visits per incident per individual every year.  Pre-authorization required.  1.800.311.4327 U.S begin_of_the_skype_highlighting            1.800.311.4327 U.S      end_of_the_skype_highlighting./toll free 1.800.441.5555 begin_of_the_skype_highlighting            1.800.441.5555      end_of_the_skype_highlighting. Travel assistance services include Medical and Personal, and are available to employees engaged in temporary travel, including their accompanying spouse and children.

EDUCATIONAL ASSISTANCE

Employee only

Cost: $0.0

 

Financial assistance for undergraduate degree is available to a coverage maximum of: Employee $5,250 per calendar year, providing your course of study is business related and you are a full-time employee. Administered by the HR Department.

SICK LEAVE

On the first day of each year, full-time (40 hours per week) employees will be issued 80 hours (10 days) of sick leave. Newly hired, full time employees will be issued a prorated number of hours in accordance with the number of months remaining in the year. Sick leave unused at year-end will be carried over for future serious illness. Employees will not be paid for any unused sick days at termination.

SHORT TERM DISABILITY

SEMI will pay the difference between state or federal disability income and the employee's current salary for a period not to exceed 90 days or until Long Term Disability payments begin, whichever comes first, providing the employee has been with SEMI five years and is an active, full time employee. This benefit applies to personal illness after seven continuous days of sick leave. The employee’s accrued vacation and sick leave are the only pay categories available to pay for the first week of absence. STD ceases when Long Term Disability begins. Employees, with less than five years of service, will accrue any unused, annual days of sick leave.

 VACATION PAY

Regular full-time employee, who regularly works 30 or more hours a week, accumulate credit toward an annual vacation pay at an accrual rate of 4.616 hours per two-week, pay period (three weeks per year). Once an employee reaches 240 accrued vacation hours, the vacation hours stop accruing, until previously accrued vacation is taken. SEMI will not retroactively grant the employee the amount he/she would have earned during the time the vacation was at the cap.

Each year, employees may elect to receive one week's pay in lieu of taking the vacation if they have accrued at least two weeks of vacation at the time they make the request.

Years of Service and Vacation Hours per Pay Period, Accumulated per Year

1-9

4.616 120 hours (3 weeks per year)

10-14

6.154 160 hours (4 weeks per year)

15 +

7.693 200 hours (5 weeks per year)

   

SEMI U.S. Holiday Schedule 2014 (There are 12 paid holidays)

January 1 
New Year's Holiday
May 24
Memorial Day
July 4 Independence Day
September 1Labor Day
November 27Thanksgiving Day
November 28
Company Holiday
December 24Company Holiday
December 25Company Holiday
December 26Company Holiday
December 29Company Holiday
December 30
Company Holiday
December 31Company Holiday
(January 1, 2015            New Year’s Holiday for 2015)
  OTHER BENEFITS:

WORKERS COMPENSATION: If you’re injured or become ill as a result of your job, SEMI Workers Comp insurance pays for medical care, necessary rehabilitation services, income in case you’re disabled and can’t work, or death benefits to your dependents.

PUBLIC TRANSPORTATION TAX CREDIT: SEMI will allow employees who use mass transportation (light rail, buses, etc.) or who share rides in eligible vanpools the opportunity to: Submit receipts for up to one hundred dollars ($100) per month for transit expenses. In addition, submit receipts for up to one hundred seventy-five dollars ($175) per month for commuter parking expenses. SEMI provides free parking to employees at the SEMI work sites, however, this provision may be applied if an employee has parking expenses commuting to work, for example parking expenses for a parking lot at a commuter train station.

EMPLOYEE REFERRAL PROGRAM: Current employees who know someone who may be a good addition to SEMI and who meet the qualifications for an existing open requisition may be awarded $1000 for referring them for employment. (Read Personnel Policy P-215 for future details.)

TECHNOLOGY CREDIT UNION: As a SEMI employee, you are eligible to join Technology Federal Credit Union. The credit union can provide a wide range of savings and checking benefits, and low-interest loans.

FREE BEVERAGES (COFFEE, TEA, and CHOCOLATE) are located in company break rooms.

PHYSICAL FITNESS GYM plus Shower Rooms in the Ladies and Men’s restrooms.

PROVIDER WEB SITES:

KAISER: www.kaiserpermanente.org

The Prudential Insurance Company of America: www.prudential.com

ComPsych’s Guidance Resources Online: www.guidanceresourcesonline.com

Vision Service Plan: www.vsp.com

Putnam & Global https://www.putnam.com/

ADP: http: //www.adp.com

Technology Credit Union: http://www.techcu.com/

If you have any questions, please contact:

Maureen McDonough

Senior Director, Global Human Resources

SEMI Human Resources Department

3081 Zanker Road

San Jose, CA 95134

velizondo@semi.org

Tel. 1.408.940.7030    

Fax 1.408.943.7914