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Thank you for being a part of our team. Your health and wellbeing are important to us. We are proud to offer comprehensive benefits for you and your family members that demonstrate our commitment to your overall wellness and satisfaction.

Your benefits as an employee of Camunda Inc.

  • All information of 2025 benefits, costs, plan summaries, and wellness resources can be found in the Open Enrollment guide in your Sequoia People Platform.
  • A summary of how plans changed from 2024-2025 can be found here.
  • All benefit elections are made through the Sequoia Benefits Portal.
  • Payroll is administered semi-monthly on the 15th/last day of the month. Payroll elections can be done via Gusto.
  • The Total Rewards team is also here to support you and ensure you have the best experience. For further assistance, escalate your concerns to the Camunda People team via #ask-people-team and tag Wesley Hattinghfor action. 
Info
titleUpdate: July 2024

Effective July 1, 2024, Camunda has partnered with Sequoia as our new benefits broker. While all your current benefits remain the same, this change brings an enhanced service experience and improved tools for managing your benefits.

To help you understand these changes, here are two informative videos:

  1. Sequoia People Platform Introduction: [Link to video]
  2. Overview of the Sequoia Benefits Portal: [Link to video]

We encourage you to watch these videos to familiarize yourself with the new platform and your benefits.

Thank you for being a part of our team. Your health and wellbeing are important to us. We are proud to offer comprehensive benefits for you and your family members that demonstrate our commitment to your overall wellness and satisfaction.

1] 2025 Camunda Inc. Benefits

Camunda offers the following benefits:

Benefit TypeCarrierCost splitGroup Plan Number 
Medical 

Anthem BCBS

For the HDHP HSA

plan

account, there is an employer contribution from Camunda of: 

  • $1,650 for individuals | $3,600 for families, annually prorated based on hire date. 

One cost share plan, one fully paid Camunda plan

PPO250: 277727U783

HDHP 1650: 277727U779

HDHP 3600: 277727U781

DentalGuardian Cost shared00073030
Vision Guardian Cost shared00073030
Flexible Spending
Accounts 
AccountsHealth Equity 
5569006
Camunda contributes to your HSA ($1,650 Individual | $3,600 Family )5569006
Basic Life & AD&DGuardian 100% Camunda Paid00073030
Voluntary Life & AD&
D
Guardian 100% Camundi Paid00073030
401(k) - including a match with instant vesting!Guideline 

All information of 2025 benefits, costs, plan summaries, and wellness resources can be found in the Open Enrollment guide in your Sequoia People Platform. A summary of how plans changed from 2024-2025 can be found here. All benefit elections are made through the Sequoia Benefits Portal. 

Payroll is administered semi-monthly on the 15th/last day of the month. Payroll elections can be done via Gusto.

For any benefits-related questions or issues, please contact Sequoia support through the Sequoia People Platform or via email. They are your first point of contact for any queries, with a dedicated team ready to assist you. Using this support channel ensures we maintain the highest levels of privacy.

The people team is also here to support you and ensure you have the best experience. For further assistance, escalate your concerns to the Camunda People team via #ask-people-team and tag Wesley Hattingh or Emily Cady for action. 

401(k) Employee Retirement Plan

Camunda Inc employees are eligible to participate in the 401(k) retirement plan. Camunda matches 100% of employee contributions up to the first 6% of pay and offers both Traditional and Roth 401(k) plan types. This match has no vesting period, and contributions are made per pay period.

Employees become eligible to participate on their date of hire. All employees are auto-enrolled into the plan at a deferral rate of 2% of total compensation for the traditional 401(k) plan. Employees may choose to opt out of the auto-enrollment to receive a refund within 90 days.

Employees will receive an automated email with instructions for enrolling or declining.

Up to 6% match by Camunda
Child Disability InsuranceJuno100% Camundi Paid
Expand
titleEnsure Rx

What is Ensure Rx?

Ensure Rx is available through Anthem to help you find discounts on prescriptions and compare generic vs. name brand to find the lowest cost option. This perk is included as part of your Anthem Health benefits. 

EnsureRx Member Flyer.PDF

Expand
titleAnthem Travel Health Benefit

Anthem Travel Benefit

Anthem offering a travel health benefit to cover specific services such as Abortion & Gender Affirmation services. Please review the plan documents and reach out to your provider, Anthem & the Sequoia Advocate Team prior to accessing care for these services. Any service under Anthem's travel health benefit are subject to authorization and pre-approval through Anthem prior to accessing & receiving care. 

Additional details regarding this benefit will be released in March, 2025. If you need to access this type of care prior to the release of this information, then please reach out to the Sequoia Advocate team for support.

Expand
titleMedicare- Creditable Coverage 

Medicare Creditable Coverage 

Notification for Medicare eligible policyholders that our prescription drug coverage is “creditable coverage”.

What is Creditable Coverage?Creditable means that our employer medical plan coverage is expected to pay on average as much as the standard Medicare prescription drug coverage.We have confirmed that our medical plans are creditable.
Expand
title401(k) Employee Retirement Plan

401(k) Plan Available at Camunda

Camunda Inc employees are eligible to participate in the 401(k) retirement plan. Camunda matches 100% of employee contributions up to the first 6% of pay and offers both Traditional and Roth 401(k) plan types. This match has no vesting period, and contributions are made per pay period.

Employees become eligible to participate on their date of hire. All employees are auto-enrolled into the plan at a deferral rate of 2% of total compensation for the traditional 401(k) plan. Employees may choose to opt out of the auto-enrollment to receive a refund within 90 days.

Employees will receive an automated email with instructions for enrolling or declining.

Our plan

Our plan

is managed by Guideline: https://www.guideline.com

If an employee leaves Camunda and has a balance of between $50.01 and $5,000 they will be automatically rolled over to a Guideline IRA. 

Our Benefits Wrap Plan:

This ERISA-compliant document combines all our health and welfare benefits into one plan overview, ensuring you have a comprehensive understanding of your coverage

ID Cards

  • All ID cards can be located in the Sequoia People Platform or via the mobile app.
  • You can also access your digital ID health card via the Anthem member portal. 
    • Physical ID cards will be mailed if requested. This request can be placed in your Anthem member portal.
  • For those benefits that do not provide ID cards, your provider will be able to look up your coverage via your SSN
Benefit TypeProviderPhysical ID CardMobile AppOnline Account RegistrationWebsiteMedical AnthemNoYesYesDental & VisionGuardianNoYesYesFlexible Spending Account (FSA)Health EquityYesYesYeshttps://my.healthequity.com/Dependent Care Account (DCRA)Health EquityNoYesYeshttps://my.healthequity.com/Health Savings Account (HSA)Health EquityYesYesYeshttps://my.healthequity.com/

3] SaveOn Copay Assistance

What is SaveOnSP?
SaveOnSP is a company that helps plan sponsors and participants reduce the high cost of certain specialty medications. They offer services to implement a copay assistance benefit that is compliant with Affordable Care Act (ACA) requirements. The copay assistance benefit leverages manufacturer copay assistance to help plan participants overcome financial barriers and adhere to their specialty medication treatment.

How the SaveOnSP Program Works

  1. SaveOnSP classifies certain specialty medications as non-essential health benefits under ACA rules. This allows higher cost-sharing to apply without the costs counting towards the participant's deductible or out-of-pocket maximums, resulting in overall savings for the plan. 
  2. SaveOnSP partners with the plan's specialty pharmacy to administer the copay assistance benefit. Participants are directed to SaveOnSP, who helps them enroll in the manufacturer's copay assistance program to lower their out-of-pocket costs.
  3. After an employee enrolls, the standard Cigna pharmacy claim is processed, then the patient responsibility amount is billed to the manufacturer for copay assistance. 
  4. Once manufacturer funds are applied, Cigna re-adjudicates the claim to lower the employee's actual out-of-pocket cost through their out-of-pocket adjuster program.

How to Enroll in SaveOnSP
Camunda employees can contact SaveOnSP directly at 1-800-683-1074 to enroll in the program and apply for copay assistance. Cigna strongly recommends having each Camundi contact the SaveOnSP team directly to enroll and get their individual questions answered about the program.

SaveOnSP Contact Information

For plan participant assistance, contact SaveOnSP at:
Phone: 1-800-683-1074
Hours: Monday — Thursday 8:00AM — 11:00 PM EST, Friday 8:00 AM — 9:00 PM EST

For pharmacy assistance, contact SaveOnSP at:  
Phone: 1-833-955-3404

4] Virtual Care Services- MD Live

Revolutionizing Your Healthcare Experience

In today's fast-paced world, your time and health are precious. Virtual care is transforming how you access healthcare, offering a seamless blend of technology and medical expertise. This innovative approach allows you to connect with healthcare providers via video or phone, bringing quality care directly to you, wherever you are.

5] Cigna Travel Health Benefit

Cigna's travel health benefit offerings can be found in the table below. Additional details regarding cost, travel radius, covered travel expenses, providers, and claim reimbursement can be found here.

Travel Coverage Offerings

State-limited access to covered services, including but not limited to:

  • Abortion
  • Gender Affirmation services

Mental Health and Substance Use Disorder (MHSUD) services where providers are not available within a certain mile radius.

  • Inpatient services
  • Outpatient services

Short list of covered services where providers are not available within a certain mile radius:

  • Bariatric surgery
  • Congenital heart disease treatment
  • Gender affirmation surgery and related services
  • Fertility (IUI and in-vitro)

6] Qualifying Life Events 

Qualifying Life Events need to be submitted into


Expand
titleWellbeing Resources through the Sequoia Tech Program

Wellbeing Resources through the Sequoia Tech Program 

OneMedical 

Having a place to turn for your physical and mental health whenever you need it can be reassuring. That’s where your One Medical benefit comes in. They're a primary care practice that makes it faster, easier, and more enjoyable to get care, anytime — in their offices and 24/7 from your phone.

  • Offered services include, 
    Image Added
  • FAQs can be found here
  • To register:
    • Navigate to this site and use the following code - SEQXOMN
    • If you have difficulties please contact the advcate team or the dedicated OneMedical line for Sequoia at sequoia@onemedical.com

Carrot Core 

Carrot, a pioneering fertility platform, is recognized and highly regarded for its compassionate, all-inclusive approach to fertility and family forming support. With Carrot, everyone, regardless of age, race, income, sex, sexual orientation, gender, marital status, or geography, can access personalized care and resources on their fertility journey. Carrot's dedicated team is always ready to navigate, answer questions, and aid with bookings, complemented by unlimited virtual consultations with a range of specialists.

With Carrot's expert-authored library of resources accessible 24/7 and its affiliation with partner clinics, you benefit from lower rates and expedited bookings. Carrot also features comprehensive pregnancy support, including unlimited access to prenatal classes and nutritional guidance.

Carrot champions each unique fertility journey, understanding the challenges faced along the way. This empathetic approach is backed by a meticulous focus on clinical practices.

  • Offered services include, 
    • Personalized Support: Expert guidance for fertility health, parenthood, pregnancy, menopause, and low testosterone.

    • Comprehensive Care: Unlimited telehealth visits with specialists, educational resources, and hassle-free appointment scheduling.

    • Convenient Access: Discounts from partner clinics, Carrot Pharmacy delivery, and the innovative Carrot Card for easy payments.

Create your account today to start exploring available resources


Expand
titleQualifying Life Events 

Qualifying Life Events

These need to be submitted into the Sequoia Benefits Portal within 30 days of the event.

The list of Qualifying Life Events can be found below.

  • Loss of other Coverage
  • Turning 26 and losing coverage through a parent’s plan
  • Marriage
  • Divorce
  • Birth or Adoption of a Child
  • Death in the Family

Additional information on Qualifying Life Events can be found here, and an

information

informational video, here.

Submitting a Qualifying Life Event in Sequoia

Expand
titleSubmitting a Qualifying Life Event in Sequoia
  1. Log into Sequoia Benefits Portal 
  2. Navigate to the left hand side bar and expand the "Life Events" section in orange
  3. Select the Appropriate life event
  4. If applicable select the blue plus icon to add a dependent, providing the relevant details before selecting continue
  5. Once submitted, the People Ops team will be notified, and your benefits will be approved and updated in Gusto based on the effective date of your
change by Emily Cady
  1. event. 
    1. If the effective date is backdated, you will see additional deductions taken from your next pay cycle based on the contribution changes in your event.

For a video tutorial of the above process, have a look here- Submitting a qualifying life event via the Sequoia Benefits Portal [Link to video]

Expand
title
Child
 Child Dependents Aging Out of Healthcare Coverage

Key Points:

  • Coverage ends: Last day of the month your child turns 26
  • Action required: File a Qualifying Life Event (QLE) in Sequoia Benefits Portal
    • This can only be done on the day they are no longer eligible
  • Deadline: Within 30 days of child's 26th birthday
  • Consequence: Missing the deadline may forfeit COBRA eligibility

Action Steps:

  1. File QLE
  2. COBRA Process
    • Camunda approves QLE and initiates COBRA
    • Child receives COBRA packet – review immediately as there are limitations for when COBRA remains active
    • For your Dependents, COBRA continuation coverage is available for up to 36 months from the date of the QLE

Need Additional Help?

  • Contact: Sequoia advocate team via the Sequoia People Platform or camunda@help.sequoia.com, or ask in #ask-people-team in slack. 
Expand
titleAdding Beneficiaries

Adding Beneficiaries to your Risk Plans

7] Adding Beneficiaries

Your Life/AD&D plans require you to add a beneficiary in the event of your disability or death. Adding a beneficiary ensures your family/estate are well protected in the event of any incident.

  1. Once signed into the Sequoia Benefits Portal. navigate to My Profile > Beneficiaries (screenshot)

    1. Or navigate to your Life/AD&D benefit and select "Manage Beneficiaries"

    2. You will then be presented with a window in which you can select from your current dependents or upload a new beneficiary

  2. Make your selection and click "Add Selected"

  • Note: Camundi who were employed at the time of our transition from Lumity to Sequoia (1 July 2024) are required to re-add their beneficiaries, as this data cannot be reliably transferred over from our prior benefits administration platform (flock)
    Expand
    titleUpdating Health Account Contributions

    Updating your Health Account Contributions

    Expand
    titleFSA
    Flexible Savings Account (FSA)
    • FSA contributions can only be updated during Open Enrollment or if you experience a Qualifying Life Event.
    Dependent Care FSA
    • Dependent Care FSA contributions can only be updated during Open Enrollment or if you experience a Qualifying Life Event.
    Expand
    titleHSA

    Health Savings Account )HSA)

    8] Updating Health Account Contributions

    HSA

    • HSA contributions can be updated at any point throughout the year. To update your contributions, please follow the steps below
    .
  • Log into the Sequoia People Platform via Okta.
    • Navigate to the Sequoia Benefits Portal
    • Select "Update Benefits" → "Health Accounts" → enter your updated contribution.
  • Any HSA contribution changes will be effective in the following pay cycle.
    • .
    • Navigate to the Sequoia Benefits Portal via Okta. 
    • Select "Change HSA Amount" → "Health Accounts" → enter your updated contribution.
    • Any HSA contribution changes will be effective in the following pay cycle.

    Image Added

    Expand
    titleID Cards

    Accessing your ID cards

    • All ID cards can be located in the Sequoia People Platform or via the mobile app.
    • You can also access your digital ID health card via the Anthem member portal. 
      • Physical ID cards will be mailed if requested. This request can be placed in your Anthem member portal.
    • For those benefits that do not provide ID cards, your provider will be able to look up your coverage via your SSN
    Benefit TypeProviderPhysical ID CardMobile AppOnline Account RegistrationWebsite
    Medical AnthemNoYesYeshttps://www.anthem.com/ca
    Dental & VisionGuardianNoYesYeshttps://www.guardiananytime.com/
    Flexible Spending Account (FSA)Health EquityYesYesYeshttps://my.healthequity.com/
    Dependent Care Account (DCRA)Health EquityNoYesYeshttps://my.healthequity.com/
    Health Savings Account (HSA)Health EquityYesYesYeshttps://my.healthequity.com/
    Expand
    titleChild Disability Insurance (Juno)


    Sequoia & Your Available Digital Platforms

    Note
    For any benefits-related questions or issues, please contact Sequoia support through the Sequoia People Platform or via email. They are your first point of contact for any queries, with a dedicated team ready to assist you. Using this support channel ensures we maintain the highest levels of privacy.

    The people team is also here to support you and ensure you have the best experience. For further assistance, escalate your concerns to the Camunda People team via #ask-people-team and tag Wesley Hattingh for action. 

    Image Added

    Expand
    titleClick here to expand for contact details in text

    Sequoia Advocate Support

    How to Contact Support

    Preferred Method:

    1. Access Sequoia People Platform via Okta or Mobile App
    2. Click profile picture (top right)
    3. Navigate to "My Advocate"
    4. Open a support case

    Alternative Contact Methods:

    • Email: [[camunda@help.sequoia.com]]
    • Phone: (844)-891-3044
    • Hours: Monday to Friday, 8:30 AM - 5:00 PM PST


    Expand
    titleVideo Resources
    1. Differentiating the platforms- 🎥Watch this short zoom clip for details! - here 
    2. Sequoia People Platform Introduction: [Link to video]
    3. Overview of the Sequoia Benefits Portal: [Link to video]
    Expand
    titleSequoia Mobile App 

    Access your medical, dental & vision ID cards and high-level plan details - anywhere, anytime. A health insurance advocate is only one-click away (for benefit questions and claims assistance).

    Sequoia digital ID cards become available on your plan effective date or shortly after the insurance carriers process your benefit elections (for New Hires / Qualifying Life Events).

    Expand
    titleGetting Started with the Sequoia mobile App:
    1. You can get the latest version from the Apple App Store or Google Play.

    2. Registration: If you haven’t signed up, use your work email, and create a password with at least 8 characters. Passwords must contain a lowercase letter, uppercase letter, a number, and no parts of your email
    3. Access Benefit Resources: Explore the app to view detailed benefit information, access your ID cards, and discover additional resources.
    4. Add Dependents:
      1. Invite dependents to join the mobile app.
      2. If any dependents aren't listed, add them manually by selecting your profile icon > invite dependents.

    Additional information on Sequoia's mobile app can be found here. 



    Additional Resources 

    Expand
    titleSummary Annual Report (SAR) Distribution

    The Summary Annual Report (SAR) for our employee benefit plans is distributed annually to all plan participants. You can find the most recent SAR for the 2023 plan year, here. Please review it for important information about our benefit plans.

    Expand
    titleHIPAA Compliance at Camunda

    Camunda is committed to protecting the privacy and security of protected health information (PHI) in accordance with HIPAA regulations. As a business associate, we have implemented comprehensive safeguards and procedures, including:

    • Strict access controls and security measures for PHI
    • Regular employee training on HIPAA compliance
    • Incident response and breach notification processes
    • Ongoing risk assessments and security audits

    Employees handling PHI receive additional specialized annual training. For records of this please contact Wesley Hattingh 

    For more information on Camund's HIPAA compliance efforts, please refer to our full HIPAA Compliance Overview.

    FSA

    • FSA contributions can only be updated during Open Enrollment or if you experience a Qualifying Life Event.

    Dependent Care FSA

    • Dependent Care FSA contributions can only be updated during Open Enrollment or if you experience a Qualifying Life Event.

    9] Medicare- Creditable Coverage 

    Notification for Medicare eligible policyholders that our prescription drug coverage is “creditable coverage”.

    What is Creditable Coverage?

    Creditable means that our employer medical plan coverage is expected to pay on average as much as the standard Medicare prescription drug coverage.

    We have confirmed that our medical plans are creditable.

    10] Sequoia & Your Digital Platforms

    Benefits Management is maintained via Sequoia with the goal of enabling the best possible experience in benefits selection and support. 

    Benefits Administration Platform

    All US Camundi can Log into the two core Sequoia platforms: 

    How do I log in? 

    Accessing the Sequoia People & Benefits Platforms

    🎥Watch this short zoom clip for details! - here (This clip is accessible to all active Camundi with a Camunda email address)

    Please allow for two days after your start date for your information to fully sync with the Sequoia portals. Your information is loaded in the Sequoia Benefits Portal on day 1, and then syncs to Okta on day 2. 

    What is each platform for? 

    1. Sequoia Benefits Portal

      1. Access via Okta tile 

      2. Use for: Enrolments and Qualifying Life Events (QLEs)

      3. Registration: The temporary password to register for the benefits portal is the last 4 digits of your SSN. 
    2. Sequoia People Platform

      1. Access via Okta tile

      2. Use for: Day-to-day benefits info, ID cards, support, and more

    Sequoia Mobile App 

    Access your medical, dental & vision ID cards and high-level plan details - anywhere, anytime. A health insurance advocate is only one-click away (for benefit questions and claims assistance).

    Sequoia digital ID cards become available on your plan effective date or shortly after the insurance carriers process your benefit elections (for New Hires / Qualifying Life Events).

    Getting Started with the Sequoia mobile App:

  • You can get the latest version from the Apple App Store or Google Play.

  • Registration: If you haven’t signed up, use your work email, and create a password with at least 8 characters. Passwords must contain a lowercase letter, uppercase letter, a number, and no parts of your email
  • Access Benefit Resources: Explore the app to view detailed benefit information, access your ID cards, and discover additional resources.Add Dependents:
    1. Invite dependents to join the mobile app.
    2. If any dependents aren't listed, add them manually by selecting your profile icon > invite dependents.

    Additional information on Sequoias' mobile app can be found here. 

    Sequoia Support

    Note

    For any benefits-related questions or issues, please contact Sequoia support through the Sequoia People Platform or via email. They are your first point of contact for any queries, with a dedicated team ready to assist you. Using this support channel ensures we maintain the highest levels of privacy.

    The people team is also here to support you and ensure you have the best experience. For further assistance, escalate your concerns to the Camunda People team via #ask-people-team and tag Wesley Hattingh or Emily Cady for action. 

    Your benefits advocate is available to support with:

    • ID cards
    • Selecting a health plan that best meets your needs
    • Requesting “Continuity of Care” (when switching medical carriers, certain situations qualify for a transitional period where the new health plan would treat medical bills as if you received in-network care)
    • Navigating “Prior Authorizations” (medical & prescriptions)
    • Understanding spending accounts such as HSA and FSAs
    • Finding in-network doctors/providers
    • Getting answers to pharmacy coverage questions
    • Expediting carrier enrollment for urgent situations
    • Navigating insurance claims issues/denials
    • Addressing domestic partner benefit questions
    • Submitting a qualifying life event (new baby, marriage, divorce, etc.)
    • Resetting passwords (for systems we have access to)
    • Learning how to enroll in COBRA
    • And more...

    How to Contact your Sequoia support advocate:

    There are 3 main ways to reach Sequoia Support, in order of data security and speed of response:

  • Via the Sequoia Mobile App or the Sequoia People Platform (access via Okta)
    1. click on your profile picture in the top right
    2. navigate to "My Advocate" 
    3. Open a case to receive support
  • Email camunda@help.sequoia.com
  • Telephone:
    1. Available Monday to Friday, 8:30-5:00PST
    2. (844)-891-3044
    Upcoming
    Expand
    title
    Sessions and Recordings
    TopicFormatAudienceDate & TimeSession LengthRecordingSlack Message
    Sequoia Lunch and Learn to get up to speed on how to navigate all the features offered by our new broker, get the most out of your benefits, and get support when you need it. WebinarAll US-based CamundiJuly 17, 2024 at 12pm EST60 minutesCamunda and Sequoia Introduction Lunch and Learn RecordingImportant Update: Welcoming Sequoia as Our New Benefits Partner!
    Open Enrollment Informational SessionWebinarAll US-based CamundiNovember 12, 2024 at 12pm EST60 minutesCamunda 2025 Open Enrollment Education SessionCamunda 2025 Open
    Enrollment Education SessionCamunda 2025 Open Enrollment Deck
    Expand
    titleOur Benefits Wrap Plan:
    This ERISA-compliant document combines all our health and welfare benefits into one plan overview, ensuring you have a comprehensive understanding of your coverage

    Exit Process

    Expand
    titleMedical/Dental/Vision

    If you are enrolled in medical, dental, and/or vision coverage, your coverage will expire on the last day of your month of separation. For example, if your last day of employment is January 1st, your benefits would be active through January 31st.

    You will be eligible to continue your current coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA) for up to 18 months as outlined below.

    COBRA Coverage - What You Need to Know

    IMPORTANT: You must actively enroll in COBRA - it is not automatic!

    What Will Happen

    Your Deadlines

    • You have 60 days to enroll from your last day or when you get the notice (whichever is later)
    • Once you enroll and pay, coverage restarts from your last day - no gaps
    • You can continue your current health, dental and vision plans

    Monthly COBRA Costs

    The below costs do not include any administrative fees for managing the plans. In general, Health Equity charges a 2% fee in addition to the rates listed below. 

    Benefit Type

    Employee

    Employee + Spouse

    Employee + Child(ren)

    Employee + Family

    Medical - Anthem PPO 250

    $832.42

    $1,831.45

    $1,498.47

    $2,580.79

    Medical - Anthem HDHP 1650

    $678.45

    $1,492.60

    $1,221.21

    $2,103.30

    Dental- Guardian

    $47.76

    $95.16

    $113.12

    $160.56

    Vision- Guardian

    $10.01

    $17.17

    $17.54

    $28.27

    Expand
    titleVoluntary & Basic Life Continuation

    To continue your life insurance coverage through Guardian, please complete this document and send it to nationalconversions@glic.com for processing. 

    Additional information on rates, enrollment tiers, and eligibility can be found here

    Expand
    title

    11] Additional Resources 

    Summary Annual Report (SAR) Distribution

    The Summary Annual Report (SAR) for our employee benefit plans is distributed annually to all plan participants. You can find the most recent SAR for the 2023 plan year, here. Please review it for important information about our benefit plans.

    HIPAA Compliance at Camunda

    Camunda is committed to protecting the privacy and security of protected health information (PHI) in accordance with HIPAA regulations. As a business associate, we have implemented comprehensive safeguards and procedures, including:

    • Strict access controls and security measures for PHI
    • Regular employee training on HIPAA compliance
    • Incident response and breach notification processes
    • Ongoing risk assessments and security audits

    Employees handling PHI receive additional specialized annual training.

    For more information on Camund's HIPAA compliance efforts, please refer to our full HIPAA Compliance Overview.

    12] Exit Process

    Medical/Dental/Vision

    If you are enrolled in medical, dental, and/or vision coverage, your coverage will expire on the last day of your month of separation. For example, if your last day of employment is January 1st, your benefits would be active through January 31st.

    You will be eligible to continue your current coverage under the Consolidated Omnibus Budget Reconciliation Act (COBRA) for up to 18 months as outlined below.

    COBRA

    Approximately ten days after your separation date you will receive a COBRA notification and election form from WageWorks, our COBRA administrator. If you do not receive information, please contact Emily Cady (Emily.Cady@camunda.com). 

    IF YOU WANT TO CONTINUE YOUR CURRENT COVERAGE, YOU MUST ACTIVELY ELECT COBRA. ENROLLMENT IS NOT AN AUTOMATED PROCESS! 

    You must complete and submit the enrollment documents within 60 days of your separation date or the date of the COBRA notice, whichever is later to continue group health, dental and/or vision coverage pursuant to COBRA. 

    Once you have enrolled and paid the first month’s premiums, your coverage will be reinstated retroactively to the day following your separation date or the date of loss of coverage so there's no gap in coverage.

    Once your coverage is reinstated, claims incurred after your separation date should be submitted to your carrier for processing.

    Voluntary Life Continuation

    If you are enrolled in voluntary life coverage, you will receive an email from Guardian to your personal account containing a Portability Coverage form, Conversion form, and resource material outlining eligibility and FAQ's.
    Spending Accounts
    Health Savings Account (HSA)
    1. If you are enrolled in a Health Savings Account (HSA) your account will remain active beyond your separation date.

    2. Employer and employee contributions will end effective your last paycheck, but you will continue to be able to utilize your funds for eligible expenses. Funds in the account never expire.

    3. Health Equity will reach out to inform you of their monthly fees for administering the account after your separation date.

    4. You may choose to rollover your HSA funds into a new employer account. Health Equity can assist with that directly. 

    Flexible Spending Account (FSA)

    1. If you are enrolled in a Flexible Spending Account (FSA), you have ninety (90) days from your date of separation in which to file a claim. All claims submitted must be for services and expenses incurred on or before your separation date.

    2. Unused Funds:

      1. Any funds remaining in your account for which no eligible claims have been submitted within ninety (90) days of your separation will be forfeited. 

      2. For any unused funds, you have the option to extend your FSA beyond your date of separation through COBRA.

    3. You may file a claim with Health Equity through your online account (www.myhealthequity.com) or through their mobile app. 

    Dependent Care Savings Account (DCFSA)

    1. If you are enrolled in a Dependent Care Savings Account you have ninety (90) days from your date of separation in which to file a claim. All claims submitted must be for services and expenses incurred on or before your separation date.

    2. Any funds remaining in your account for which no eligible claims have been submitted within ninety (90) days of your separation will be forfeited. 

    3. You may file a claim with Health Equity through your online account (www.myhealthequity.com) or through their mobile app. 

    Expand
    titleCarrier Contact Information

    Benefit Type

    Provider

    Group ID

    Phone Number

    Website

    Medical

    Anthem

    PPO250: 277727U783

    HDHP 1650: 277727U779

    HDHP 3600: 277727U781

    Dental

    Guardian

    00073030

    Vision

    Guardian

    00073030

    Spending Accounts (HSA/FSA/DCFSA)

    Health Equity

    5569006

    866-346-5800

    www.myhealthequity.com

    401k

    Guideline

    N/A

    888-344-5188

    www.guideline.com

    Monthly COBRA Costs

    The below costs do not include any administrative fees for managing the plans. In general, Health Equity charges a 2% fee in addition to the rates listed below. 

    Benefit Type

    Employee

    Employee + Spouse

    Employee + Child(ren)

    Employee + Family

    Medical - Anthem PPO 250

    $832.42

    $1,831.45

    $1,498.47

    $2,580.79

    Medical - Anthem HDHP 1650

    $678.45

    $1,492.60

    $1,221.21

    $2,103.30

    Dental- Guardian

    $47.76

    $95.16

    $113.12

    $160.56

    844-898-5148

    https://www.anthem.com/ca

    Dental

    Guardian

    00073030

    800-525-4542

    https://www.guardiananytime.com/

    Vision

    Guardian

    00073030

    877-814-8970

    https://www.guardiananytime.com/

    Spending Accounts (HSA/FSA/DCFSA)

    Health Equity

    5569006

    866-346-5800

    www.myhealthequity.com

    401k

    Guideline

    N/A

    888-344-5188

    Vision- Guardian

    $10.01

    $17.17

    $17.54

    $28.27


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