Your Benefits

Eligibility:

Full-time bankers working 30 or more hours per week following completion of the probationary period.

Banker Contributions Per Pay (2025):

• Banker Only: $45.00

• Banker + Spouse: $255.98

• Banker + Child: $183.74

• Banker + Children: $229.76

• Banker + Family: $304.03

Coverage Documents:

• Your 2025 Medical Grid

• Your 2025 Summary of Benefit Coverage

• Care Cost Estimator

Benefit Forms:

• 2025 Spousal Certification Form

• 2025 Medical Opt-Out Form

Eligibility:

Full-time bankers working more than 30 hours per week following the probationary period.

Part-time bankers working more than 25 hours per week following the probationary period.

Banker Contributions Per Pay:

Low Option:
Banker Only $11.22
Banker + Spouse $29.64
Banker + Child $29.64
Banker + Children $29.64
Banker + Family $29.64

High Option:
Banker Only $16.64
Banker + Spouse $43.97
Banker + Child $43.97
Banker + Children $43.97
Banker + Family $43.97

Coverage Documents:

• Low Dental Plan Benefit Summary

• High Dental Plan Benefit Summary

Eligibility:

Full-time bankers working 30 or more hours per week following the probationary period.

Part-time bankers working 25 or more hours per week following the probationary period.

Low Option:
Banker Only $4.21
Banker + Spouse $7.58
Banker + Child $7.58
Banker + Children $10.95
Banker + Family $10.95

High Option:
Banker Only $5.13
Banker + Spouse $9.42
Banker + Child $9.42
Banker + Children $13.62
Banker + Family $13.62

Coverage Documents:

• NVA Vision Benefit Summary

Eligibility:

Full-time bankers working 30 or more hours per week following completion of the probationary period.

Your Group Life Insurance Benefits:

Class I (BOLI Bankers): $50,000
Banker Paid

Class II (All Other Full-Time Bankers): 2x Annual Salary
Banker Paid

• Overall AD&D Maximum: $450,00

• Convertible: Yes

• Guarantee Issue: $450,000

• Accelerated Death Benefit: Yes

• Benefits reduced by:

  • 35% at age 65;

  • by an additional 23% at age 70;

  • by an additional 15% at age 75

  • Waiver of Premium for Life Insurance when disabled

Coverage Documents:

• Certificate of Insurance - Class 1

• Certificate of Insurance - Class 2

• Certificate of Insurance - Class 3

• Fidelity Bank Paid Life/AD&D Summary Plan Description

Benefit Forms:

• Conversion/Portability Flyer

Eligibility:

Full-time and part-time bankers regularly working a minimum of 25 hours per week following completion of the probationary period.

Coverage Documents:

• Certificate of Insurance - Class 1

• Certificate of Insurance - Class 2

• Certificate of Insurance - Class 3

• Evidence of Insurability (EOI) Form

Eligibility:

Full-time bankers working 30 or more hours per week following completion of the probationary period.

Coverage Documents:

• Certificate of Insurance - Class 1

• Certificate of Insurance - Class 2

• Certificate of Insurance - Class 3

• How to Submit a Disability Claim

Eligibility:

Full-time bankers working 30 or more hours per week following completion of the probationary period.

Coverage Documents:

• Certificate of Insurance - Class 1

• Certificate of Insurance - Class 2

• Certificate of Insurance - Class 3

• How to Submit a Disability Claim

Eligibility:

Full-time bankers working 30 or more hours per week following completion of the probationary period.

EAP Benefits at a Glace