Field Team Member Benefits Summary
Benefit Qualification
You must:
1. be on active assignment through Lakeshore at the time of election OR
2. a current “on roster” member of our Lakeshore Full-Time Team
AND
1. have completed 90 calendar days of employment, where you have worked an average of 30
hours or more per week during the 90 day period
Benefits will become effective the 1st of the month following qualification. After initial qualification, you
must maintain an average of 30 hours per week over the previous 90 calendar days and be on an
active assignment.
Health Insurance
Medical Insurance: Anthem BlueCross/BlueShield
Lakeshore Team Members have a choice of 3 Major Medical plans.
Plan Type
Anthem BCBS
PPO BC11
Anthem BCBS
PPO BC20
Anthem BCBS
PPO BC27
Deductible
Coinsurance
$1,500 Indv/
$4,500 Family
80%
$3,000 Indv/
$9,000 Family
80%
$5,000 Indv/
$15,000 Family
80%
Out of Pocket
$2,000 Single/
$4,000 Family
$2,000 Single/
$4,000 Family
$4,000 Single/
$8,000 Family
Total Out of Pocket
Deductible
Excludes Deductible Excludes Deductible
& Copays
& Copays
Excludes Deductible
& Copays
$25 Primary/
$50 Specialist
60% after
deductible
100% no deductible
$200 Copay
$15; $40; $60; 30%
$50 Copay
$30 Primary/
$60 Specialist
60% after
deductible
100% no deductible
$200 Copay
$15; $40; $60; 30%
$60 Copay
Office Visit
Out of Network
Lab & X-Ray
Emergency Room
Prescriptions
Urgent Care
$30 Primary/
$60 Specialist
60% after
deductible
100% no deductible
$200 Copay
$15; $40; $60; 30%
$60 Copay
STATEMENT OF PRIVACY
This document contains sensitive and proprietary information concerning the strategic nature of Lakeshore Consortium Inc.
business and is not intended for public use.
Employee Portion Cost
Employee Only
Employee + Spouse
Employee + Child
Employee + Family
Monthly Rates
$199.05
$577.91
$468.29
$837.05
Monthly Rates
$126.16
$424.15
$342.49
$620.40
Monthly Rates
$71.11
$296.43
$237.99
$ 440.43
Dental Insurance: Anthem BlueCross/BlueShield
Anthem BCBS Complete Dental PPO
$50 Single/$150 Family
Deductible
100% Network/80% Non-Network
Diagnostic & Preventative
80% Network/80% Non-Network
Basic Restorative
Orthodontic Coverage/Lifetime
50% Child/$1,000
Max
Employee
Employee + Spouse
Employee + Child
Family
Monthly Rates
$13.49
$35.78
$44.45
$65.92
Vision: VSP
Copay
Glasses
Lenses or Contacts
Frames
Employee
Employee + Spouse
Employee + Child
Family
VSP Vision
$10 Basic Exam/ $25 Materials
$25 Copay
$130 Allowance/every plan year
$130 Allowance/every other plan year
Monthly Rates
$12.04
$19.26
$19.66
$31.70
**All contributions for healthcare insurance will be deducted on a prorated basis from your weekly
paycheck.
STATEMENT OF PRIVACY
This document contains sensitive and proprietary information concerning the strategic nature of Lakeshore Consortium Inc.
business and is not intended for public use.
Supplemental Team Benefits
If you are a qualified Team Member, whether or not you elect healthcare insurance or 401(k)
participation, you may elect to receive Lakeshore’s Supplemental Benefits.
Option 1: Decline Supplemental Benefits

You elect not to participate in Supplemental Benefits if you decide you don’t want them.
Option 2: Receive Supplemental Benefits
 Short-term Disability
 Long-term Disability
 Life Insurance
 Five (5) days PTO (paid time off)
 Seven (7) Paid Holidays
 Health and Wellness Program Stipend
Benefits Subsidy
If you choose to elect Lakeshore’s Supplemental Benefits, a post-tax subsidy will be deducted from your
paycheck on a weekly basis.

2013 Supplemental Benefits Subsidy: 2.5% of your gross hourly wages
IMPORTANT: No benefits subsidy will be deducted from your paycheck until the benefits take effect.
Short Term & Long Term Disability
Electing Team Members will be covered for Short-Term and Long-Term Disabilities.
STD



Waiting period for benefits to begin – 0 days for accident and 7 days for sickness
Benefits payable – 60% of weekly income up to a maximum benefit of $1,500 per week
How long are benefits payable – 13 weeks
LTD




Waiting period for benefits to begin – 90 days (13 weeks)
Benefit payable – 60% of monthly income
Maximum monthly benefit - $10,000 per month ($16,667 of monthly income)
How long are benefits payable – to your normal social security retirement age
Life Insurance


Team Members electing Supplemental Benefits will have $50,000 of life insurance coverage.
Additionally, you will have access to purchase additional coverage through the plan.
STATEMENT OF PRIVACY
This document contains sensitive and proprietary information concerning the strategic nature of Lakeshore Consortium Inc.
business and is not intended for public use.
Paid Time Off
Accrual of PTO
 Paid time off of 5 days per year will begin accruing upon qualification and election of Lakeshore
Supplemental Benefits.
 In the first year of employment, PTO days will be prorated based on the date you became eligible
to receive benefits.
 Each day of PTO will be considered to be 7.5 hours.
 PTO is accrued at a rate of .72 hours per weekly pay period.
**All PTO must be used in the year earned
Paid Holidays
The Holiday’s observed by Lakeshore are:
 New Year’s Day
 Memorial Day
 Independence Day
 Labor Day
 Thanksgiving Day
 The Day after Thanksgiving
 Christmas Day
Health & Wellness Program
Lakeshore’s Health & Wellness Program offers:
 Health, Wellness & Community Events
 Health & Wellness Stipend of $150 per year
o Examples of qualified expenditures are:
 Gym memberships
 Fitness classes
 A personal trainer
 Services of a nutritionist
 Entrance fees for charity races/walks
401(k)-Great West Financial Services
Qualified Team Members can participate in Lakeshore’s Safe Harbor 401(k) plan through Great West
Financial.



Eligibility: 1st day of the quarter following 6 months of employment and 1000 hours of service
Company Match: 1-3% Company Matches 100%
4-5% Company Matches 50%
Matching Vesting Schedule: 100%
STATEMENT OF PRIVACY
This document contains sensitive and proprietary information concerning the strategic nature of Lakeshore Consortium Inc.
business and is not intended for public use.