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5

TELADOC

Teladoc is a virtual physician consultation which can be initiated 24/7 and provides access to quality medical care

telephonically or online. This program is confidential, available to

anyone enrolled in the UMR medical plan

, and can be

used to diagnose, recommend treatment, and prescribe medication for non-emergency issues including but not limited to:

sore throat, allergies, poison ivy, pink eye, urinary tract infections, respiratory infections and sinus infections. The plan is

HSA compliant and the services are eligible for FSA and HSA reimbursement.

To use the program:

• Visit the Teladoc site:

www.Teladoc.com,

to set up your account and complete your Medical History Disclosure (MHD).

• When you need a doctor, request a consultation either via the website or via telephone at 1-800-835-2362.

• A physician will call you back typically within 30 minutes but all return calls are guaranteed within three hours or the

consultation is free.

• Cost of the visit is

$20.00

copay for Classic and

$45.00

fee for HDHP, payable by credit, debit or automatic checking

account draft at time of service. Prescriptions are picked up at your designated pharmacy using your UMR medical

CVS pharmacy card.

FLEXIBLE SPENDING ACCOUNTS (FSA)

MEDICAL Reimbursement Plan:

You may contribute up to $2,500 per plan year for out of pocket qualified medical/dental/

vision/pharmacy expenses for yourself, your spouse or eligible dependents. Some over the counter (OTC) products may be

reimbursed with a prescription only.

LIMITED PURPOSE Reimbursement Plan:

If you contribute or plan to contribute to an HSA you can open a Limited FSA,

which will only allow reimbursement for dental and vision expenses.

DEPENDENT CARE Reimbursement Plan:

You may deposit up to $5,000 per Plan Year ($2,500 if married, filing separately)

to pay for qualified dependent daycare expenses. The expenses are for the care of a child under the age of 13 years, or a

dependent who is not capable of self care. You are reimbursed only up to the amount you have contributed at any given time.

If you have a balance at the end of the Plan Year it cannot be returned to you. IRS Rule: “USE IT or LOSE IT”. NOTE: You may

not use money in the FSA account for reimbursement of your domestic partner’s expenses.

You can view your account by accessing the My Plans by CBIZ portal at

myplans.cbiz.com

. My Plans allows you to view

paid and pending claims as well as your account balance. Claim forms can be created and printed for reimbursement (with

applicable receipts) and direct deposit can be established.

CBIZ Mobile App

The

My Plans by CBIZ

mobile app (download though your App Store or Google Play) provides you with seamless account

access since it is an extension of the

My Plans by CBIZ

portal – and doesn’t require you to setup any additional credentials

and there is no fee for the app. By using your smartphone you can assess your FSA account balances, and upload claims and

receipts using your phone camera.

* You may also obtain a claim form on the CPI intranet and fax, email or mail to CBIZ Flex.