Your Transition from Omega (fwd)

[Noelle <noelle>]

 > Date: Thu, 20 Jun 2024 20:24:52 +0000 (GMT)
 > From: "http://www.hermaginesolutions.com/~DoNotReplySalesForceAdmin";  <http://www.hermaginesolutions.com/~donotreplysalesforceadmin>
 > To: "http://dummy.us.eu.org/noelleg"; <http://dummy.us.eu.org/noelleg>
 > 
 >  Hi Noelle,
 > 
 >  As you leave Omega, you will need to make some decisions about your 
 >  benefits, 401k, etc. The attached document(s) will provide you with the 
 >  information you need in order to make those decisions and/or answer other 
 >  questions you may have.  
 > 
 >  Sincerely,
 >  Omega Healthcare
 > 
 > Content-Type: application/pdf; name="Life Conversion Instructions.pdf"
 > Content-Transfer-Encoding: base64
 > Content-Disposition: attachment; filename="Life Conversion Instructions.pdf"
 > 
 > Life Conversion Instructions
 > 
 > Employer:
 > Please note, the employee must apply for Life Conversion within 31 days from 
 > 
 > the date of loss of coverage. You must notify
 > the employee of their Conversion rights immediately following loss of 
 > coverage. 
 > If the application is received after 31 days, Life
 > Conversion coverage may be denied. Do not wait until termination of the 
 > group 
 > life insurance coverage.
 > •
 > 
 > Complete the Employer Section below and provide to the employee as soon as 
 > you 
 > learn that an employee’s employment
 > will cease or that he, she, or a dependent will no longer be within an 
 > eligible 
 > class.
 > 
 > •
 > 
 > Sign and date the form to confirm member eligibility information.
 > 
 > •
 > 
 > Provide the completed form and this checklist to the employee immediately 
 > following loss of coverage.
 > 
 > •
 > 
 > The Lincoln National Life Insurance Company will work directly with the 
 > employee / proposed insured regarding the Life
 > Conversion application process.
 > 
 > Employer (Firm Name and Division):
 > hermagine
 > solutions inc.
 > OMH HealthEdge
 > Holdings, Inc.
 > Employer’s Address (Street, City, State, Zip):
 > 2424
 > N. Federal
 > Highway
 > Suite
 > #205, MO
 > Boca63141
 > Raton, FL 33431
 > 600
 > Emerson
 > Road
 > Ste 225;
 > St. Louis,
 > 
 > 50-291411
 > 
 > Group Life Policy Number:
 > 
 > Name of person eligible to convert:
 > 
 > Sex:
 > 
 > Date of birth:
 > 
 > h Male
 > Amount of basic and optional current Group Life Insurance:
 > Applicant Amount
 > 
 > $__________________
 > 
 > Spouse Amount
 > 
 > $__________________
 > 
 > h Female
 > 
 > Date employment or
 > eligibility ceased:
 > 
 > Date Group Life Insurance Date this person was
 > ceased:
 > first insured under the
 > Group Life Insurance
 > Policy:
 > 
 > Dependent Amount $__________________
 > Reason for termination of primary applicant’s Group Life coverage:
 > h Employment terminated or membership in an eligible class terminated
 > h Group Policy terminated or class of eligible persons terminated
 > Person no longer dependent because:
 > h Employee deceased
 > h Child attained limiting age
 > h Divorce or legal separation from insured
 > h Child no longer dependent due to marriage, etc.
 > Employer Signature:
 > 
 > Lincoln Financial Group is the marketing name for Lincoln National 
 > Corporation 
 > and its affiliates.
 > GLA12165
 > 
 > Was this person actively at work on the date of
 > separation?
 > 
 > h Yes
 > h No
 > h N/A
 > 
 > Date:
 > 
 > Page 1 of 2
 > 6/20
 > 
 > Dear employee:
 > If you are no longer eligible for coverage under the group life insurance 
 > policy, or you lost a portion of your coverage due an Age
 > Reduction Schedule, you (and/or your covered dependent(s)) may be eligible 
 > to 
 > continue coverage via conversion to an individual
 > life insurance policy.
 > If you wish to convert your coverage, please call us at 1-877-321-1015, to 
 > receive a quote. When you call, please have the
 > following information ready:
 > • The Employer section completed by your employer
 > • Social Security Number(s)
 > • Names and addresses for all parties eligible to convert
 > Please refer to your Certificate of Coverage regarding any limitations and 
 > termination provisions for this coverage. You must
 > submit all forms and payment within the grace period for Conversion 
 > indicated 
 > in your Certificate of Coverage (generally
 > 31 days).
 > Note:
 > For New York or West Virginia residents, you may have the option to request 
 > a 
 > one-year term policy. If you are interested in a
 > quote for the one-year term policy please call us at 1-877-321-1015.
 > For Minnesota residents, you may be able to keep your group life insurance 
 > through continuation. If you live in Minnesota and
 > would like additional information, please call us at 1-877-321-1015.
 > 
 > GLA12165
 > 
 > Page 2 of 2
 > 6/20
 > 
 > Content-Type: application/pdf; name="Life Portability Instructions.pdf"
 > Content-Transfer-Encoding: base64
 > Content-Disposition: attachment; filename="Life Portability Instructions.pdf"
 > 
 > Life Portability Instructions
 > 
 > Employer:
 > Please note, the employee must apply and pay for Life Portability within 31 
 > days from the date of loss of coverage. You must
 > notify the employee of their Portability rights immediately following loss 
 > of 
 > coverage. If the application is received after 31 days,
 > Life Portability coverage may be denied. Do not wait until termination of 
 > the 
 > group life insurance coverage.
 > • Complete Employer section below. Sign and date the form to confirm 
 > member 
 > eligibility information.
 > • Provide the completed form and this checklist to the employee 
 > immediately 
 > following loss of coverage.
 > • The Lincoln National Life Insurance Company will work directly with the 
 > employee / proposed insured regarding the Life
 > Portability application process.
 > Employer (Firm Name and Division):
 > hermagine
 > solutions inc.
 > OMH HealthEdge
 > Holdings, Inc.
 > Employer’s Address (Street, City, State, Zip):
 > 2424
 > N. Federal
 > #205,MO
 > Boca
 > Raton, FL 33431
 > 600
 > Emerson
 > RoadHighway
 > Ste 225;Suite
 > St. Louis,
 > 63141
 > Name of person eligible for portable Group Term Life
 > Insurance:
 > 
 > Group Life Policy Number:
 > 50-291411
 > 
 > Class (if applicable): Sex:
 > h Male
 > h Female
 > 
 > Amount of current Group Life Insurance:
 > Applicant Amount
 > 
 > $___________________
 > 
 > Spouse Amount $___________________
 > 
 > Dependent Amount $___________________
 > 
 > Date eligibility for Group
 > Life Insurance ceased:
 > Date this person was first
 > insured under the Group
 > Life Insurance Policy:
 > 
 > h Class of eligible persons terminated
 > 
 > Was this person actively at work on the date
 > of separation?
 > h Yes
 > h No
 > h N/A
 > 
 > Employer Signature:
 > 
 > Date:
 > 
 > Reason for termination of primary applicant’s Group Life coverage:
 > h Employment terminated or membership in an eligible class terminated
 > 
 > Lincoln Financial Group is the marketing name for Lincoln National 
 > Corporation 
 > and its affiliates.
 > GLA12167
 > 
 > Page 1 of 2
 > 6/20
 > 
 > Dear employee:
 > If you are no longer eligible for coverage under the group life insurance 
 > policy, or you lost a portion of your coverage due an Age
 > Reduction Schedule, you (and/or your covered dependent(s)) may be eligible 
 > to 
 > continue coverage via portability.
 > If you wish to port your coverage, please call us at 1-877-321-1015, to 
 > receive 
 > a quote. When you call, please have the following
 > information ready:
 > • The Employer section completed by your employer
 > • Social Security Number(s)
 > • Names and addresses for all parties eligible to convert
 > Please refer to your Certificate of Coverage regarding any limitations and 
 > termination provisions for this coverage. You must
 > submit all forms and payment within the grace period for Portability 
 > indicated 
 > in your Certificate of Coverage (generally
 > 31 days).
 > Note:
 > For Minnesota residents, you may be able to keep your Group Life Insurance 
 > through continuation. If you live in Minnesota and
 > would like additional information, please call us at 1-877-321-1015.
 > 
 > GLA12167		
 > 
 > Page 2 of 2
 > 6/20
 > 
 > Content-Type: application/vnd.openxmlformats-officedocument.wordprocessingml.document;    name="Noelle - NOTICE TO EMPLOYEE AS TO CHANGE IN RELATIONSHIP.docx"
 > Content-Transfer-Encoding: base64
 > Content-Disposition: attachment; filename="Noelle - NOTICE TO  EMPLOYEE AS TO CHANGE IN RELATIONSHIP.docx"
 > 
 > Content-Type: application/pdf; name="Your Transition from Omega.pdf"
 > Content-Transfer-Encoding: base64
 > Content-Disposition: attachment; filename="Your Transition from Omega.pdf"
 > 
 > Your Transition from Omega
 > As you leave Omega you will need to make some decisions about your benefits. 
 > 
 > This document provides
 > information on the Omega Health & Welfare plans, the Omega Retirement plans, 
 > 
 > and other benefits offered
 > under the Omega Benefits Program. Many of your questions will be answered in 
 > 
 > this document; however,
 > we have also provided contact information should you wish to speak with an 
 > Omega representative or need
 > to contact the providers directly.
 > Medical, Dental and Vision
 > If you were already enrolled in Omega medical, dental and vision coverage at 
 > 
 > the time of separation, the
 > coverage will continue through the last day of the month in which your 
 > employment terminates. Under most
 > circumstances, you will be eligible to continue these benefits through COBRA 
 > (
 > Consolidated Omnibus
 > Budget Reconciliation Act).
 > Life Insurance Conversion / Portability:
 > Basic and Supplemental Life Insurance will terminate on your last day of 
 > employment with Omega. To
 > convert or port your life insurance you will need to contact Lincoln 
 > Financial 
 > within 30 days from your
 > termination date at 1-800-423-2765, Option #1, to receive a quote. Rates are 
 > 
 > determined by Lincoln
 > Financial.
 > If you wish to convert coverage, please also send an email to
 > http://www.omicronhms.com/~USBenefitsSupport to have the Employer section completed on the 
 > 
 > Life Conversion
 > Form.
 > Aetna Supplemental Conversion/Portability:
 > Critical Illness, Accident Insurance and Hospital Indemnity will terminate 
 > on 
 > your last day of employment
 > with Omega. To convert or port your Aetna Supplemental coverage you will 
 > need 
 > to contact Aetna
 > within 30 days from your termination date at 1-800-607-3366, to obtain the 
 > monthly premium amount
 > and request a portability form. Rates are determined by Aetna.
 > COBRA
 > Q1.
 > 
 > What is COBRA?
 > 
 > A.
 > 
 > COBRA provides you with an opportunity to continue medical, dental, vision 
 > insurance and/or
 > health care spending accounts for up to 18 months, if you had any one of 
 > these 
 > coverages while
 > actively employed.
 > 
 > Q2.
 > 
 > What do I have to do to get the COBRA benefits?
 > 
 > A.
 > 
 > Upon termination, our COBRA Administrator, WEX, will send you information on 
 > 
 > how to enroll, the
 > cost of enrollment and instructions. Typically, you should receive this 
 > information approximately 15
 > days after your termination.
 > 
 > Q3.
 > 
 > How long do I have to enroll in COBRA?
 > A. You have 60 days after your termination date, or from the date of the 
 > notification whichever is later.
 > 
 > Q4.
 > 
 > May I choose to continue one part of my coverage, for example, dental 
 > coverage 
 > only?
 > 
 > A.
 > 
 > Yes. You may continue any or all the coverages for which you are eligible.
 > 
 > Q5.
 > 
 > Can I also continue coverage on my dependents?
 > 
 > A.
 > 
 > Yes, if the dependent is currently enrolled on your benefits.
 > 
 > Q6.
 > 
 > Can I add dependents?
 > 
 > A.
 > 
 > If you have eligible dependents not currently enrolled, they may not be 
 > enrolled at this time.
 > However, you may add dependents or change coverage elections during our 
 > annual 
 > enrollment
 > period.
 > 
 > Q7.
 > 
 > What is the cost of COBRA?
 > 
 > A.
 > 
 > The cost is the full premium rate plus an additional 2% administrative fee (
 > 102% of the total
 > premium). Please refer to the COBRA packet you receive from WEX for current 
 > pricing information.
 > 
 > Q8.
 > 
 > Is payment due at the same time as my enrollment?
 > 
 > A.
 > 
 > No. You have 45 days after notifying WEX of your intent to enroll in COBRA 
 > before any payment
 > is due. When you make your payment, it must date back to when your coverage 
 > terminated
 > because your coverage must be continuous.
 > 
 > Q9.
 > 
 > Where do I send the monthly payment?
 > 
 > A.
 > 
 > Premiums are made payable to WEX.
 > 
 > Health Savings Account (HSA)
 > Q1.
 > 
 > When will my last HSA contribution be taken?
 > 
 > A.
 > 
 > Contributions will end with your last regular paycheck. Any severance 
 > payments 
 > received will not
 > contain any benefit deductions.
 > 
 > Q2.
 > 
 > May I submit claims for services beyond my termination date?
 > 
 > A.
 > 
 > Yes, this is your personal account that you own and can continue to submit 
 > eligible claims for
 > reimbursement.
 > 
 > Flexible Spending Accounts
 > Q1.
 > 
 > When will my last FSA contribution be taken?
 > 
 > A.
 > 
 > Contributions will end with your last regular paycheck. Any severance 
 > payments 
 > received will not
 > contain any benefit deductions.
 > 
 > Q2.
 > 
 > May I submit claims for services beyond my termination date?
 > 
 > A.
 > 
 > You will be entitled to reimbursement only for expenses incurred prior to 
 > the 
 > date your
 > participation is terminated, but only if you apply for reimbursement on or 
 > before the 30th day
 > following the date on which your participation is terminated.
 > 
 > Q3.
 > 
 > Am I able to continue my FSA elections through COBRA?
 > 
 > A.
 > 
 > Under COBRA, you may be eligible to continue coverage for your Health Care 
 > Spending Account
 > on an after-tax basis. For reimbursement account balances you may contact 
 > WEX
 > directly, at 1-866-451-3399.
 > 
 > 401(k) Plan
 > Q1.
 > 
 > I am no longer employed by Omega, how do I request a distribution from the 
 > 401(
 > k) Plan?
 > 
 > A.
 > 
 > Call an American Funds Representative at 1-800-204-3731 and request a 
 > distribution or go online
 > to www.myretirement.americanfunds.com to request the distribution.
 > Please note: If you elect a direct rollover, you should coordinate with the 
 > IRA 
 > or your new qualified
 > plan administrator to find out what documentation they require for accepting 
 > 
 > rollovers.
 > Make sure to have the money re-invested within 60 days or it will be treated 
 > as 
 > a distribution and
 > you will be taxed on that amount.
 > 
 > Q2.
 > 
 > What happens to my loan?
 > 
 > A.
 > 
 > If you have an outstanding loan balance upon your separation from service, 
 > you 
 > must pay the loan
 > balance back in full. Call American Funds for the amount outstanding and 
 > acceptable methods of
 > payment. The loan will become due and payable in full immediately upon the 
 > participant’s
 > termination of employment. The participant may repay the entire outstanding 
 > balance of the loan
 > (including any accrued interest) within 60 days following termination of 
 > employment. If the loan
 > is not repaid within this timeframe, the loan will be automatically offset 
 > on 
 > the last business day
 > of the month following the 60-day grace period. When a loan is offset, the 
 > outstanding loan
 > balance is removed from the participant’s account and reported to the IRS 
 > as 
 > a taxable
 > distribution. The loan will offset sooner, if the participant requests a 
 > distribution/rollover from
 > their account. You may also be subject to a 10% penalty tax.
 > 
 > Q3.
 > 
 > If I leave Omega for any reason, can I leave my money in the 401(k) Plan?
 > 
 > A.
 > 
 > If your account balance is greater than or equal to $1,000
 > Yes, but you must begin taking distributions once you reach age 70 1/2. 
 > Former 
 > participants are
 > no longer able to contribute to their account, but the moneys will continue 
 > to 
 > share in gains or losses
 > based on fund performance, and participants could still continue to make 
 > investment fund changes.
 > Former participants will also continue to receive quarterly statements and 
 > may 
 > be charged an
 > administrative fee to continue their account with the administrator.
 > If your account balance is less than $1,000
 > No, you are required to take a distribution. Former participants can choose 
 > to 
 > receive the moneys
 > in a cash lump-sum amount (and be subject to taxes and penalties), or to 
 > rollover the moneys into
 > an IRA or another qualified retirement plan that accepts rollover 
 > contributions,
 >  thereby maintaining
 > the tax-free status of these moneys.
 > 
 > Q4.
 > 
 > American Funds still shows me as an active employee, what should I do?
 > 
 > A.
 > 
 > You may receive a distribution of your vested account balances as soon as 
 > the 
 > administrative
 > systems at Omega have recorded your separation from service and have passed 
 > that information
 > to American Funds. If you have called American Funds and their records still 
 > 
 > show you as an active
 > employee, please contact your local HR office to confirm your termination. 
 > After this is completed,
 > you may call American Funds again to start the process.
 > 
 > PTO
 > Q1.
 > 
 > I still have a PTO balance, will I be paid out my remaining balance on my 
 > final 
 > check?
 > 
 > A.
 > 
 > No, Omega only pays out remaining PTO if required by State law.
 > 
 > Paychecks and Other:
 > Q1.
 > 
 > How do I receive my final pay?
 > 
 > A.
 > 
 > Your final pay will be direct deposited into your account and your pay 
 > voucher 
 > will be available to
 > view via ADP Employee Self Service. If you do not have direct deposit you 
 > will 
 > receive a live check.
 > Please note if you are paid semi-monthly, you are paid to date, meaning that 
 > 
 > when you receive
 > a paycheck, it is for the days worked up until that specific date. For 
 > example, 
 > pay date January
 > 15th is for pay period January 1st thru January 15th.
 > 
 > Q2.
 > 
 > How do I receive my final outstanding expenses?
 > 
 > A.
 > 
 > You need to submit an expense report via Oracle for approval and attach any 
 > applicable receipts.
 > 
 > Q3.
 > 
 > What do I do with my equipment?
 > 
 > A
 > 
 > All laptops, parking passes, security passes, and any other Omega equipment 
 > is owned by Omega
 > and must be returned to the firm on your last day of employment. You signed 
 > an acknowledgement
 > as part of your employment indicating you understand you must return any 
 > company owned equipment.
 > 
 > Q4.
 > 
 > How will I receive my Form W-2?
 > 
 > A
 > 
 > All W-2 forms will be mailed and made available via ADP Workforce Now – 
 > Myself – Pay – Pay
 > Statements and Tax Statements by the end of January. For example, if you 
 > worked 
 > 01/15/2023 –
 > 06/30/2023, the W-2 form for 2023 will be distributed by the end of January 
 > 2024.
 > 
 > Q5.
 > 
 > What if I need to update my mailing address after my employment with Omega 
 > ends?
 > 
 > A
 > 
 > Please send an email to http://www.omicronhms.com/~payrollsupport with your updated 
 > mailing 
 > address
 > prior to December 31st to ensure the mailing address is reflected accurately 
 > on 
 > the W-2. The
 > W-2 will also be available via ADP Workforce Now.
 > 
 > Important Benefit Contact Numbers: See next page.
 > 
 > Important Numbers to Know
 > Medical
 > 
 > UMR HSA
 > UMR POS
 > Plan # 76-415128
 > 
 > www.umr.com
 > 1-800-826-9781
 > 
 > Prescription
 > 
 > CVS/RxBenefits
 > Plan# 76-415128
 > 
 > www.caremark.com
 > 1-855-649-3641
 > 
 > Dental
 > 
 > Cigna DPPO
 > Cigna DMO
 > Plan # 3345916
 > 
 > www.mycigna.com
 > 1-800-244-6224
 > 
 > Vision
 > 
 > Vision Service Plan
 > Plan # 30050171
 > 
 > www.vsp.com
 > 1-800-877-7195
 > 
 > Accident/Critical
 > Illness/Hospital
 > Indemnity
 > 
 > Aetna Supplemental
 > Plan# 802421
 > 
 > www.myaetnasupplemental.com
 > 1-888-772-9682
 > 
 > Supplemental Life/
 > Disability
 > 
 > Lincoln Financial
 > Plan #50-291411
 > 
 > www.MyLincolnPortal.com
 > Claimant ID: OMEGA
 > Life: 1-888-787-2129
 > Disability: 1-800-713-7384
 > 
 > Optum HSA
 > 
 > Optum
 > Plan # 76415128
 > 
 > www.optumbank.com
 > 1-866-234-8913
 > 
 > Flex Spending
 > 
 > WEX
 > Plan # 38479
 > 
 > www.discoverybenefits.com
 > 1-866-451-3399
 > 
 > COBRA
 > Administrator
 > 
 > WEX
 > Plan # 38479
 > 
 > 1-866-451-3399
 > 
 > 401(k)
 > 
 > American Funds
 > Plan #344827-01
 > 
 > www.myretirement.americanfunds.com
 > 1-800-204-3731
 > 
 > Omega Benefits
 > 
 > Omega
 > 
 > Email: http://www.omicronhms.com/~USBenefitsSupport