Employee Benefits
Embedded Files
Eligible for Benefits?
Eligible for Benefits?
All full-time employees are eligible for medical, prescription, dental, and vision benefits on the first day of the month following completion of 30 days of employment. Generally, employees complete their enrollment during new hire orientation or during the annual open enrollment. As for ancillary coverage, ProCare Rx provides employees with long-term disability and basic life insurance, and employees may elect to add short-term disability, and supplemental life insurance to their plan. The plan year for insurance is April 1 through March 31. Employee are eligible to participate in the 401(k) plan after completing one year of service.
Welcome to the Employee Benefits page.
This page provides information about employee benefits including medical, dental, vision, prescription, life insurance, disability, 401(k), and other employee benefits information.
Click on the presentation to your right to view a summary of 2025 health insurance benefit offerings. Check out the full plan details and all the benefits ProCare Rx has to offer employees on this page, by scrolling through the page. If you are ready to select your health insurance benefits, click here to log on to the Employee Navigator benefits portal.
PCRx_PPT_Benefits OE 2025_RS 3.5.25_Rv 3.6.25.pdfHow to Enroll; Step-by-Step instructions
Employee Navigator Enrollment Instructions.pptxEmployee Navigator benefits portal
Employee Navigator benefits portal
Employee Navigator is the benefits portal where you will make your benefits plan selection. For step-by-step enrollment instructions, click on "Enroll in Benefits" to your left. Please Note: All employees are required to log in an "Select" or "Waive" benefits for 2025.
To go directly to the Employee Navigator portal, click here.
Health Insurance Plan Details
Click on the benefits plan details below to view 2025 -2026 health care plan information.
Download a copy to your computer for easy reference later. You can also access plan information on the Employee Navigator benefits portal.
Ready to select your benefits? Let's get started, click here.
Healthgram
Healthgram
Healthgram is a Third Party Administration (TPA) of self-funded benefit plans. We have chosen Healthgram to administer benefit plans to fit our employees.
Check out the custom Welcome information, to the right to learn more about Healthgram including information on Healthgram Connect, Medical Network (Cigna PPO), Finding a Doctor, Earn Cash Rewards, setting up your access to Healthgram Member Portal, how to check your claim status, and much more.
Healthgram.pdfMedical Plan Information
PPO Medical Plan
PPO Medical Plan
Burgess Info Systems dba ProCare_PPO_April 2024 SBC (2).pdfFind a Doctor?
Network access is through Cigna PPO
$3,000 deductible
HDHP Medical Plan
HDHP Medical Plan
Burgess Info Systems dba ProCare_HDHP_April 2024 SBC (2).pdfFind a Doctor?
Network access is through Cigna PPO
$3,300 deductible
Teladoc (Telehealth)
Teladoc (Telehealth)
Teladoc - Healthgram.pptx24/7 on-demand Doctor visits
No appointment necessary
Cost Calculator: Determine your Medical Cost for per pay check
Employee Insurance Cost Calculator 2025 MED ONLY.xlsxCalculate your medical plan cost
Calculate your medical plan cost
Click on the cost calculator sheet to your left, download to your computer and follow the steps to determine your medical plan cost estimate.
All other benefits plan costs will automatically calculate when you select your benefit plans through the Employee Navigator benefits portal.
Prescription Plan Information
ProCare PharmacyCare
To view the Pharmacy Plan Document and Plan Description, refer to the files to the right. For drug formulary, click here.
Refer to the Pharmacy Network file to your right for a full list of retail pharmacies.
Burgess Information dba ProCare Rx_FINAL_Amend 5_April 2024_renewal.pdfPharmacy Plan Document
Burgess Information dba ProCare Rx_DRAFT_April 2022 PD_clean.pdfPharmacy Plan Description
Copy of RBHP_CHAINS_CONTRACTED_03062025_Pharmacy Network.xlsxChain Pharmacy Network
Prior Authorization Form.pdfRx Prior Authorization
Rx Transfer to PPC Form.pdfRx Transfer to PPC
Use this form to transfer your
prescription to ProCare PharmacyCare
Using Mail Order from ProCare Pharmacy Care 10.10.24.pdfMail Order
Use this form to setup your
prescription mail order with PPC
FSA (Flexible Spending Account) & HSA (Health Savings Account)
Full-time employees may elect an annual contribution to flexible spending accounts (FSA) OR limited flexible spending accounts (LFSA) along with a health savings accounts (HSA). These accounts are on a pre-tax basis (i.e., the contributions are deducted from gross income before tax, thereby reducing the employee's taxable income and tax burden). Health Savings Accounts are available only to employees who select the High-Deductible Health Plan. Elections must be made during new hire orientation or open enrollment; FSA and LFSA elections cannot be changed during the plan year, per IRS regulations. These accounts are established separately for medical, dental, or vision expenses not covered by insurance (e.g. deductibles, co-pays, over-the-counter medicine purchases, orthodontia, upgraded vision care) and dependent care (e.g. day care expenses from a qualified provider for children under age 12). You pay for eligible expenses by using a debit card that will be issued to you. If you make an eligible purchase and pay out of pocket, please log on to EBMS.com and go to the FSA page for instructions on reimbursement.
To check your balance, submit a claim, or view other information relating to your FSA, log on to https://mibenefits.ebms.com/auth/login and go to the Flexible Spending Account section.
FSA_TRP_HRA_HSA Enrollment Next Steps.pdfNext Steps
Next Steps
If you enrolled in the FSA, Limited FSA, or the HSA, click on the "Enrollment Next Steps" to your left for instructions on accessing your account with Admin America (plan administrator). You will also notice helpful information to guide you along.
2025 HSA Employee Fact Sheet.pdfHealth Savings Plan (HSA)
What is a Flexible Spending Account (IRS Maximum - $500.00 Rollover - 90 Day Filing).pdfHealthcare FSA
FSA Eligible Ineligible Health Expense List - Updated 2024 (2).pdfHealthcare FSA
Eligibility & Ineligible Expenses
1_Fact Sheet_DCFSA_None.pdfDependent Care FSA
HSA Transfer Request
HSA Transfer Request
Need to transfer your HSA funds from EBMS/Avidia Bank to Admin America?
Contact Avidia Bank directly, follow this link to start the transfer process https://avidiahealth.com/contact
If you have any questions or need assistance, please reach out to HR@procarerx.com
Burgess Information Systems PCPHSASummaryPlanDescription Doc.pdfPremium Conversion & HSA Contribution Plan Summary Plan Description
Burgess Information Systems FSA SummaryPlanDescription SPD Doc.pdfHealthcare FSA Summary Plan Description
Dental, Vision, and Disability Plans
Burgess Information Systems, Inc._Dental_BenefitSummary.pdfDental Plan
How to get a Dental ID flyer UCD.pdfGetting your Dental Card
Burgess Information Systems, Inc._Vision_BenefitSummary.pdfVision Plan
Member Vision ID Card Flyer (26).pdfPrint your Vision Card
Burgess Information Systems, Inc._Long-Term Disability_BenefitSummary.pdfLong-Term Disability (LTD)
Company PAID
Burgess Information Systems, Inc._Short-Term Disability_BenefitSummary.pdfShort-Term Disability (STD)
STD Telephonic Intake.pdfHow to file an STD Claim
Life Insurance & Accident Coverage
Burgess Information Systems, Inc._Basic Life_BenefitSummary.pdfBasic Life Coverage
Company PAID
Burgess Information Systems, Inc._Voluntary Life_BenefitSummary.pdfVoluntary Life Coverage
Burgess Information Systems, Inc._Accident_BenefitSummary.pdfAccident Coverage
401(k) Retirement Plan
401(k) Retirement Plan
Employees who wishes to obtain investment guidance for their 401(k) may contact the following individual at Graystone Consulting:
Neal Stamper, CFP, C(k)P, QPFC
404-266-6839
Employees may also take out a loan from their 401(k) balance and repay the loan through payroll deduction.
Who's eligible?
Full-time employees may participate in the company 401(k) plan at the beginning of the calendar quarter following one year of service. If you have completed 1-year of service with ProCare Rx, you are eligible to participate in the 401(k) plan.
Participants may contribute up to 25% of their gross income on a pre-tax basis up to a limit set annually by the IRS. The company match of the employee's contribution to the plan is currently 100% of the first 3% of the employee's contribution, and 50% of the next 2% of the employee's contribution. This match is fully vested with no waiting period after eligibility. No vesting schedule.
To view the Summary Plan Description, click the dropdown button above in the 401(k) Retirement Plan header.
Eligible employees will received a notification and instructional information from Benefits For You (by TruStage) via regular US mail when their eligibility date draws near, and will also receive an email reminder from Human Resources. Once received, follow the instructions for a simple online enrollment and set up your retirement investments.
Enrollment, contribution percentages, and investment account elections are managed by the employee via Benefits For You at www.benefitsforyou.com thereafter.
Health & Wellness Program
Healthy By Choice (HBC) is a wellness program developed for YOU!
Healthy By Choice (HBC) is a wellness program developed for YOU!
Employees are encouraged to be their healthiest selves.
Company-Paid events, challenges, 5K runs/nature walks, etc.
Rewards for healthy activities and behaviors.
FREE Health Coaching for all employees
Contact your Wellness Coordinator at wellness@procarerx.com
Click here to move to the Healthy By Choice website
Download GoPivot App
Download GoPivot App
GoPivot Flyer_ProCare_Launch_compressed (1).pdfWin GoPivot Points!
Win GoPivot Points!
Procare Program Guide - Year 2 (1).pdf
Healthy Activities
Healthy Activities
Healthy Habits
Healthy Habits
Track your progress
Track your progress
GoPivot!
GoPivot!
GoPivot Webinar - EnglishGoPivot Webinar
GoPivot Webinar
App Navigation
Benefits & Features
Program changes for 2025
New point earning opportunities
Additional bonuses and MORE!
More Employee Benefits...
Employee Assistance Program
Confidential Emotional Support
EAP Choice 3 Sessions.pdfTravel Assistance Program
Support when traveling
2024 Travel Assistance Brochure.pdf5/3 Bank Membership Advantage Healthy Financial Habits
Fifth Third Bank-Membership Advantage (2) (3).pdfTickets at Work
Fun & Rewarding Benefits
Tickets at Work Information (2).pdfMedicare & Medicaid Information
Medicare & Medicaid Information
Medicare information.pdfMedicare
eligibility & enrollment info.
Medicaid notices.pdfMedicaid
Children's Health Insurance Program
Contact Phone Numbers
Health Insurance Questions?
Health Insurance Questions?
If you have general questions about the benefits plans, please contact Human Resources. If you have questions about the health insurance plans, flexible spending account (FSA or LFSA), or health spending account (HSA), please contact one of the following individuals at our Benefits Advisors at TWS: Tiffany and Megan can assist with claim issues, doctor & hospital network access, insurance plan info., ID card replacement, etc.
Insurance Carriers & Other Contacts
Insurance Carriers & Other Contacts
866-904-9081 Medical - Healthgram
800-835-2362 Teladoc
FSA/HSA - Admin America
800-622-0586 Prescription Rx - ProCare PharmacyCare
866-274-9887 Dental - Equitable
866-274-9887 Vision - Equitable
866-274-9887 Disability - Equitable
866-274-9887 Life Insurance - Equitable
833-256-5115 EAP (Employee Assistance Program) - Equitable
855-327-1476 Emergency Travel Assistance - Equitable
888-949-1001 Wellness Platform - GoPivot Support
404-704-7787 Online Financial Education - 5/3 Bank Membership Advantage
800-999-8786 401(k) - TruStage [Benefits for You]
800-331-6483 Tickets At Work
Human Resource
Human Resource
Kathy Garcia - Senior HR Generalist
P: (678) 248-4755
Trina Whitlow - Senior HR Generalist
P: (248) 204-6380
Renae Skrine - VP Human Resources
P: (678) 248-3134
TWS - Benefit Advisors
TWS - Benefit Advisors
Tiffany Sims
P: (678) 928-6712
E: tiffany.sims@twsinsurance.com
Megan Hulsey
P: (678) 928-6725
E: megan.hulsey@twsinsurance.com
Company Paid Holidays
Company Paid Holidays
Full-time U.S. mainland employees receive 6 paid holidays per year:
*New Year's Day *Memorial Day *Independence Day
*Labor Day *Thanksgiving Day *Christmas Day
Full-time employees in Puerto Rico are entitled to additional statutory holidays. Check with PR Human Resources for more details:
If a holiday falls on a Saturday, the holiday will be observed on Friday. If a holiday falls on Sunday, the holiday will be observed on Monday.
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