Benefits

Medical Benefits

Eligibility Section 125

As a regular, full-time employee of a participating MAG school, you are eligible to take part in the benefit programs offered in this guide. You may also elect coverage for your dependents including:

Your legal spouse

 Your children who are:
  • Less than age 26 and are not eligible for coverage through their own employer 
  • 26 years or older who are incapable of self-sustaining employment by reason of mental or physical handicap and is supported primarily by you. Proof of their condition must be submitted. 

Each year during open enrollment you have the opportunity to enroll in or make changes to your benefit elections. If you do not submit an en- rollment or change form indicating your changes, your current benefit elections will remain in effect from year to year unless you experience a qualifying event. Please see Section 125 & Benefit Election Changes for more details.

Section 125    

Under Section 125 of the Internal Revenue Service (IRS) code, you are allowed to pay for certain groupinsurance premiums with tax-free dollars. This means your premium deductions are taken before federal income and Social Security taxes are calculated, saving you up to 23% or more, depending on your tax bracket.

You must make your benefit elections carefully including the choice to waive coverage. Your pretax elections will remain in effect until the next annual open enrollment period unless you experience an IRS approved qualifying change in status.

Qualifying change in status events include, but are not limited to:

  • Marriage, divorce or legal separation
  • Death of spouse or other dependent
  • Birth or adoption of a child
  • A spouse’s coverage begins or ends

You have 31 days from the date of the qualifying event to add, change or remove a dependent from your plan. 

Medical Benefits at a Glance

MAG offers you the choice of four POS plans through Aetna.  As a plan member you have access to many consumer education tools and value-added programs designed to help manage the medical care for you and your covered dependents 24 hours a day, 7 days a week. You can log on to the Aetna website at www.aetna.com and take a virtual tour of the site or set up your profile so you may view and manage your medical claims.

Each plan provides in and out-of-network benefits. In-network care pays a higher percentage of charges. Out-of-network providers and facilities may bill you for amounts exceeding the plan’s payment schedule for which you will have to pay. You may also need to file claims for reimbursement for out-of- network services. Please visit www.aetna.com to locate the most up-to-date provider directory.

Group Paid Basic Life     
 

Individuals who participate in MAG group medical insurance are eligible for basic life insurance through Sun Life of Canada. This is offered at no cost to the participant and is paid for by the employer. Please see your Benefits Administrator for more details. 

Dental Benefits

MAG offers a dental plan through Aetna.  Participants have a choice between the Basic Plan and the Enhanced Plan and may use the provider of their choice.   If If treatment is received from a dental network provider, they cannot balance bill any charge above usual, reasonable and customary allowance.  

Employees must enroll for dental coverage when they are first eligible to avoid being considered a late entrant. There is a reduction in benefits paid the first 24 months of palicy for late entrants.

Vision Benefits

MAG provides a vision plan through Eye Med Vision Care. Benefits are available both for in-network and non-network providers.

Please refer to your benefit summary for a comprehensive listing of in and out of network benefits.

Forms and Downloads

SBC

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