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2015Benefits Options
kpmg.com
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
The KPMG
Benefits Program
Medical Care
Medical Plans
DISABILITY PLANS
LIFE INSURANCE PROGRAMS
Vision Care
Dental Care
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1113
1415
1516
ShortTerm Disability
17
LongTerm Disability
17
Life Insurance
18
18
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19
19
LifeWorks
21
Flexibility
21
GlobalFit
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22
22
Backup Care
23
KPMG Foundation
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2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
Contents
Children include:
biological children
When you first become eligible, and each year thereafter, you will have the
opportunity to enroll in KPMGs benefits plans. In addition, some benefits, such as
personal days, short-term disability coverage, basic life insurance, and business-travel
accident insurance, are provided automatically on your date of hire (your first day of
active employment).
adopted children from the time you become financially responsible for the child
(this includes children born from a surrogate mother)
stepchildren
any other child you support who lives with you in a parent-child relationship for
whom you are responsible under permanent courtorder
disabled children over age 26 who depend chiefly on you for support and maintenance
You may select benefits coverage as follows:
For you only
For you and your spouse
For you and your children
You also may elect coverage for eligible dependents, including your:
For your family (you, your spouse, and one or more children)
You may choose different coverage levels for different benefits. For example, if your
spouse has medical benefits through his or her employer (but doesnt receive dental
coverage), youmay elect medical coverage for just you and your children and choose
dental benefits for your entire family.
Children and stepchildren until the end of the calendar year in which he or she turns
26 years of age
To ensure that dependents enrolled in our health plans are eligible for coverage,
youwill be asked to provide supporting documentation to confirm the eligibility of
your dependents that are enrolled in your health plan.
*T
hroughout this document, and for the purpose of enrolling in benefits offered by the firm, the term domestic partner refers to
an individual who lives with an employee and is registered as a domestic partner with any state, county, or city that authorizes
such registration. Anywhere the term spouse is used, it is understood to include both opposite and same gender domestic
partners. In general, those benefits made available by KPMG to spouses also will be offered to domestic partners. Misuse
of domestic partner benefits and/or the falsification of information for the purpose of obtaining such benefits are grounds for
disciplinary action, up to and including termination of employment.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
medicalplans, you can earn up to an extra $200 for yourself or up to $400 for your
family, to cover out-of-pocket medical costs. If you're enrolled in Choice POS II, your
earned incentive credits will be applied to your deductible or coinsurance. If you're
enrolled in Aetna HealthFund, your earned incentives will be added to your HealthFund.
Health Screenings with Quest Diagnostics: Your benefit plan includes coverage for
biometric screenings available through Quest Diagnostics. The testing will screen for
the following health and wellness indicators:
Blood Pressure (High, Low and/or Normal)
Cholesterol/Lipids (HDL and LDL)
Body Mass Index (BMI)
Blood Glucose/Blood Sugar
Medical Care
KPMG benefit-eligible employees have a number of medical plans from which to
choose: Aetna HealthFund, Choice POSII, MED 2500, MED 5000, or one or more
health maintenance organizations (HMOs). Regardless of which plan you choose,
youreceive comprehensive coverage for a variety of medical services.
Please note that your eligibility for any particular plan is determined by where you live.
When you first enroll, and during each subsequent benefits enrollment period, your
benefits enrollment form will list the plans available to you.
Earn Incentives to Reduce Your Medical Out-of-PocketCosts
If you enroll in the Choice POS II or Aetna HealthFund plan you are eligible to earn
incentives to reduce your healthcare out-of-pocket costs.
The medical plan you are enrolled in will determine how your incentive money
will beapplied. If you are enrolled in the Aetna Healthfund or Aetna Choice POS II
Triglycerides
Medical Plans
Aetna HealthFund
Aetna HealthFund is a consumer-directed health plan that allows you to select how
your healthcare dollars are spent. Theprogram has several components:
A $500 individual and $1,000 family HealthFund, provided by KPMG. Your first
medical expenses, other than for prescription drugs, are paid out of your HealthFund.
If you or your familys medical expenses exceed the HealthFund, subsequent
expenses are applied to your remaining deductible ($900 individual or $1,800 family).
Once your deductible is satisfied, the plan will reimburse your covered expenses
at 80 percent if network providers areused or 60 percent if non-network providers
are used.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
Choosing Health
Insurance
In-Network Benefits: If you use a network provider, your benefits will be covered at
the in-network level of 80 percent once you have used all of your HealthFund dollars
and satisfied your deductible. HealthFund dollars are applied to the deductible. The
in-network deductible is $1,400 if you are included in Individual coverage and $2,800
if you are enrolled for Individual & Spouse, Individual & Child(ren), or Family coverage.
The HealthFund, your deductible, and your coinsurance all apply to your out-of-pocket
maximum. The HealthFund plan does not require election of a primary care physician
or referrals for specialty care.
Out-of-Network Benefits: If you use a provider that does not participate in the
network, your expenses will still be applied to your HealthFund dollars. Once you
have used all of your HealthFund dollars, benefits will be paid at 60 percent of the
usual and prevailing charge after you satisfy your deductible. The out-of-network
deductible is $1,400 if you are enrolled for Individual coverage and $2,800 if you
areenrolled for Individual & Spouse, Individual & Child(ren), or Family coverage.
TheHealthFund, your deductible, and your coinsurance all apply to your out-ofpocketmaximum.
For details on Aetna HealthFund, see the charts on page11.
In-Network Benefits: When you elect the Choice POS II plan, you may select a
doctor from the Choice POS II network to provide your care. If you use a network
provider, you are eligible for in-network coverage, including:
100 percent coverage after you pay a $20 co-pay on most primary care doctors
office visits, including internists, family practitioners, pediatricians, and OB/GYNs
100 percent coverage after you pay a $35 co-pay for specialists office visits
100 percent coverage for well-child exams, regular physical exams, and routine OB/
GYN exams subject to certain frequency limitations*
85 percent coverage, after the deductible for hospitalization, including physician
charges and surgery
There is a $600 deductible if you are enrolled for Individualcoverage, and
$1,200 if you are enrolled forIndividualandSpouse, Individual and Child(ren) or
Familycoverage for in-network services other than those that require a co-payment.
There are no claim forms. Your network provider will submit your claims for you.
Out-of-Network Benefits: With the Choice POS II plan, youre still covered if you
wish to obtain care from a non-network provider. In this case, your care is subject
to a deductible of $750 if you are enrolled for Individual coverage and $1,500 if you
are enrolled for Individual and Spouse, Individual and Child(ren), or Family coverage.
Thecoinsurance percentage is 65 percent of the usual and prevailing charge.
However, there is no well-care coverage except for routine mammography.
Important Considerations
Emergency Care: If you or your dependent has a medical emergencysuch as
an apparent heart attack, stroke, convulsions, unconsciousness, severe bleeding,
or serious burnsyou should immediately proceed to the nearest hospital
emergencyroom.
Its important to know that a medical emergency is defined as a sudden and
unexpected change in your physical or mental condition, which, if left untreated,
could result in the loss of life, limb, or bodily function. If your visit to the
emergency room does not meet this definition, no benefits will be paid.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
Preventive Care: The plan covers preventive care in network, such as routine
physicals and vaccinations, as recommended by the U.S. Preventive Services Task
Force (USPSTF) website at http://www.ahrq.gov/clinic/uspstfix.htm. Themost current
recommendations for vaccines can be found at the Centers for Disease Control
andPreventions website at www.cdc.gov/vaccines). Mammograms will also be
covered outof-network.
If youre admitted to the hospital from the emergency room, the $100 co-pay will be
waived. You should call the number on your medical ID card within two business days
to certify your admission.
Hospitalization Precertification: If you are being admitted to a hospital for
nonemergency reasons, you must have your admission pre-certified by calling the
number on your medical ID card. Failure to call will lead to a $400 reduction of your
otherwise payable benefits.
For details on Choice POS II, see the charts on page 12. For additional information,
visit Benefits Connection.
*As indicated on the U.S. Preventive Services Task Force website at http://www.ahrq gov/clinic/uspstfix.htm, and
www.cdc.gov/vaccines
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
If youre sent home after your visit, you will need to pay a separate $100 emergency
room co-pay in addition to your deductible and coinsurance. Also, if you received
treatment from an out-of-network hospital emergency room, any follow-up care
rendered at that hospital will be paid at the out-of-network benefit level.
The plan also has a $5,000 individual and $10,000 family plan-year out-of-pocket
limit for in-network providers, including the deductible. In other words, once youve
paid $5,000 toward eligible charges ($10,000 for family coverage), the plan will pay
100 percent of eligible expenses for the remainder of the year. The out-of-pocket
limit for out of-network providers is $8,000 for individual coverage and $16,000 for
familycoverage.
Preventive exams are covered annually, subject to frequency limitations (as
determined by Aetna).
Most doctors and hospitals will bill the plan directly. However, some doctors may
require you to pay all or a portion of your bill and then file a claim for reimbursement.
If you enroll in MED 5000, you may be eligible to establish a Health Savings Account
(HSA). For details on HSAs, see page7.
If you are enrolled in an Aetna medical plan, you have access to Teladoc, which
is an affordable alternative to ER and urgent care that can help resolve common
medical issues through the convenience of phone or online video consultations.
Teladoc is available 24/7, 365 days per year. To access a Teladoc provider,
call1-855-TEL-ADOC (1-855-835-2362) or visit www.teladoc.com/aetna.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
MED 5000
With MED 5000, most care provided by an in-network provider for illness or injury
is covered at 100 percent after you satisfy the plan-year deductible: $5,000 for an
individual, and $10,000 if two or more family members are covered under the plan
for in-network providers and $6,000 for individual or $12,000 if two or more family
members are covered under the plan for out-of-network providers. The in-network
and out-of-network deductible will cross-apply. If you use a non-network provider,
thecoinsurance percent is 80 percent, after you satisfy the plan-year deductible.
HSAs are portable and can be taken with you if you leave KPMG. There is no use it or
lose it provision.
The mandatory mail order and mandatory generic programs apply to these plans also.
In addition, preventive drugs (according to Aetna) are covered at 100 percent, not
subject to the deductible. Eligible non-preventive drugs are covered at 75 percent under
MED 2500 and 100 percent under MED5000 after satisfaction of the deductible.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
Consider coverage versus cost. Look at cost in terms of both the amount you contribute to your plan and
your out-of-pocket expenses when you need care. Can money youre spending on medical coverage be
put to better use on other benefits, such as dental care, life insurance, or saving for retirement?
Use the Aetna Plan Selection & Cost Estimator tool to compare costs and level of coverage of the
Aetna plans with one non-Aetna plan, such as an HMO.
By carefully considering your benefits choices, youre more likely to end up with benefits that work
best for youboth when youre sick and when youre healthy.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
Review the medical plan charts on pages 11 to 15. These charts provide a comparison of our plans.
HMO Options
Depending on where you live, KPMG makes a number of health maintenance
organizations (HMOs) available. While each HMO is slightly different, most operate
similarly in that:
Your HMO provides all your care; in most cases, your care is covered 100percent
after a small co-payment. Most also offer prescription drug coverage.
You select a doctor to serve as your primary care physician (PCP).
To be covered, nonemergency care must be obtained or authorized through
yourPCP. Failure to do so will result in care that is not covered.
Most HMOs cover care outside your area on an emergency basis only. This is
an important consideration if you travel frequently or have a covered dependent
wholives elsewhere or who is away at school.
When you first enroll, and during each subsequent benefits enrollment period, your
personalized enrollment form will list the HMOs that are available to you.
For HMO information, please call your local HMO.
Vision Care
KPMG offers two choices for its vision care benefits: EyeMed and Vision
ServicesPlan (VSP)
With two choices available, employees can select from a wide array of vision care
providers. Check out the list of vision care providers for both plans, and consider
which plan includes providers who are most convenient, and/or with whom you are
comfortable. Be sure to understand the benefits each programoffers.
For more information on EyeMed, including a list of providers, go to www.
eyemedvisioncare.com. For more information on VSP and a list of its providers, go to
www.vsp.com.
Also, see the summary charts on page 15.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
Dental Care
All three options provide a broad range of coverage, from routine checkups to
orthodontia.
Delta Dental
DeltaCare USA, a dental DMO plan from Delta Dental offers quality dental benefits that
include no restrictions on pre-existing conditions (except for work in progress), no claim
forms to complete, and no deductibles or annual or lifetime dollar maximums. It also
offers a benefit that most dental insurance doesn't cover: Teethwhitening is covered
under the program.
If you choose the DeltaCare USA Plan option, you will automatically be assigned to
aPrimary Care Dentist (PCD). If you would like to use a different PCD, please contact
Delta Dental at 1-800-422-4234 (1-800-932-3067 if you live in Minnesota) or
visit Delta Dental's website, www.deltadentalins.com.
All three options provide a broad range of coverage, from routine checkups to
orthodontia.
Good dental care is an important part of your total healthcare. Thats why KPMG offers
three options for dental care.
A $50 deductible per person ($100 maximum for two or more covered family
members)
Coinsurance (plan pays 50 to 100 percent of the cost of most services)
An annual benefit maximum of $2,000 per person
Orthodontia is covered at 40 percent, up to a $1,500 lifetimelimit
Under the PPO, you do not have to elect a primary dentist nor do you have to use only
dentists who are in the network. If you receive treatment from a dentist in Aetnas PPO
network, you will receive discounted rates.
For a list of DMO and PPO dentists near you, visit Aetnas Web site at www.aetna.com.
For more details about your dental coverage options, see the charts on pages 14-15.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
Plan Eligibility
You must live in an area where the Choice POS II network is available. Members who reside outside the United States are not eligible for this plan.
Plan Eligibility
You must live in an area where the Choice POS II network is available. Members who reside outside the United States are not eligible for this plan.
Choice of Provider
To be eligible for in-network benefits, you must select and obtain care from a provider that
participates in the Choice POS II network.
Choice of Provider
Benefits for services received from an out-of-network provider are payable as described on this
page.
$500 Individual
$1,000 Individual and Spouse
Incentive***
+$200 Individual
+$400 Individual and Spouse
Medical Deductible
(includes HealthFund)
$1,400 Individual
$2,800 Individual and Spouse
Out-of-Pocket Maximum
(includes deductible)
$6,000 Individual
$12,000 Individual and Spouse
Lifetime Maximum
Unlimited
All services received from out-of-network providers are subject to usual and prevailing fees.
Teladoc Provider
Urgent Care
Teladoc Provider
Surgery
80% after $100 co-pay and plan deductible (co-pay waived if admitted).
80% after $100 co-pay and plan deductible (co-pay waived if admitted).
100%, no deductible
100%, no deductible
100%, no deductible
100%, no deductible
100%, no deductible
100%, no deductible
Not covered
Routine mammography
100%, no deductible
Not covered
Not covered
Not covered
Pre-certification Required
60% after deductible, up to 70 eight-hour shifts per plan year (Private-duty nursing in a hospital/
facility is not covered.)
Pre-certification Required
Outpatient
$5,000 Individual
$10,000 Individual and Spouse
Lifetime Maximum
Unlimited
Not applicable
Urgent Care
P L A N
P A Y S
Incentive***
Prescription Drugs
Prescription drug expenses, including copay, are not applied to
the Fund or the medical out-of-pocket maximum.
Subject to mandatory generics and mandatory mail order
Generic contraceptives
Member pays:
Hospital Precertification**
Penalty for failure to precertify
$1,500 Individual
$3,000 Individual and Children
$3,000 Individual and Spouse
$3,000 Individual and Family
Per calendar year for prescriptions purchased through network retail pharmacy and
mail-order programs combined.
Provider initiates
None if provider responsibility
Claim Submission
Provider initiates
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated
with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 312960
P L A N
Medical Deductible
(includes HealthFund)
P A Y S
$500 Individual
$1,000 Individual and Spouse
+$200 Individual
+$400 Individual and Spouse
$1,400 Individual
$2,800 Individual and Spouse
Prescription Deductible
$50 Individual
$100 Individual and Spouse
Generic contraceptives
Hospital Precertification**
Penalty for failure to precertify
You initiate
$400 per occurrence, which does not apply to deductible or out-of-pocket maximum
Claim Submission
You initiate
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated
with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 312960
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
Medical
Medical
You must live in an area where the Choice POS II network is available. Members who reside
outside the United States are not eligible for this plan.
To be eligible for in-network benefits, you must select and obtain care from a provider that
participates in the Choice POS II network. If a network provider refers you to a nonnetwork
provider for care, benefits will be covered at the out-of-network level.
Medical
Out-of-Pocket Maximum
(includes medical deductible and medical copays)
P L A N
P A Y S
Lifetime Maximum
Usual and Prevailing Fees
Physician Services (office visit)
Primary care physicians
Specialist
Urgent Care
Teladoc Provider
Hospital Services (physician services and inpatient
and outpatient hospital charges)
Surgery
Emergency Room Services (Nonemergency use
of the emergency room is not covered.)
Diagnostic X-ray and Lab
In physicians office
Outside physicians office
Preventive Care (subject to frequency limitations)
Well-child visits, adult care, routine OB/GYN exams
Routine mammography
Routine eye exam
Routine hearing exam
Womens preventive services
Skilled Nursing Facility (requires precertification)*
Home Healthcare (requires precertification)*
Private-Duty Nursing (requires precertification)*
Hospice Care (requires precertification)
Speech, Physical, and Occupational Therapy
Early Intensive Intervention (Including Applied Behavioral
Analysis (ABA) Therapy)
Durable Medical Equipment
Mental/Nervous and Alcohol/Drug Treatments
Inpatient mental/nervous care (requires precertification)
Inpatient alcohol/drug treatment (requires precertification)
Outpatient
Prescription Drugs
Prescription drug expenses, including copay, are not applied
to the Fund or the medical out-of-pocket maximum.
Subject to mandatory generics and mandatory mail order
Prescription Deductible
Generic contraceptives
Retail prescriptions up to a 30-day supply at network
pharmacies (subject to the prescription deductible)
Mail order prescriptions up to a 90-day supply (subject to
the prescription deductible)
Prescription Drug Out-of-Pocket Maximum
(The out-of-pocket maximum is not applied to your
medical plan out-of-pocket maximum.)
Claim Submission
Benefits for services received from an out-of-network provider are payable as described on
this page.
Medical
$600 Individual
$1,200 Individual and Spouse
+$200 Individual
+$400 Individual and Spouse
$2,500 Individual
$5,000 Individual and Spouse
Unlimited
Not applicable
Medical Deductible
$750 Individual
$1,500 Individual and Spouse
Incentive***
+$200 Individual
+$400 Family
Out-of-Pocket Maximum
(includes medical deductible and medical copays)
$3,500 Individual
$7,000 Individual and Spouse
Lifetime Maximum
Unlimited
100% after $20 co-pay (includes internists, family practitioners, pediatricians, and OB/GYNs)
100% after $35 co-pay
$30 copay
$40 cost, subject to plan design
85% after deductible
All services received from out-of-network providers are subject to usual and prevailing fees.
Urgent Care
$30 copay
Teladoc Provider
Surgery
85% after $100 emergency room co-pay and plan deductible (co-pay waived if admitted).
100%
85% after deductible
100%, no deductible
100%, no deductible
100%, no deductible
100%, no deductible
100%, no deductible
85% after deductible, up to 120 days per plan year
85% after deductible, up to 120 days per plan year
85% after deductible, up to 70 eight-hour shifts per plan year (Private-duty nursing in a hospital/facility is not covered.)
85% after deductible
85% after deductible
Pre-certification Required
Not covered
Routine mammography
100%
Not covered
Not covered
P A Y S
Incentive***
You must live in an area where the Choice POS II network is available. Members who reside
outside the United States are not eligible for this plan.
Choice of Provider
Not covered
65% after deductible, up to 70 eight-hour shifts per plan year (Private-duty nursing in a hospital/
facility
is not covered.)
P L A N
Medical Deductible
Plan Eligibility
Pre-certification Required
Outpatient
$50 Individual
$100 Individual and Spouse
Generic contraceptives
Hospital Precertification**
Penalty for failure to precertify
You initiate
$400 per occurrence, which does not apply to deductible or out-of-pocket maximum
Claim Submission
You initiate
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated
with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 312960
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated
with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 312960
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
Plan Eligibility
Choice of Provider
You may use the provider of your choice each time you need care.
Deductible
$2,500 Individual
$5,000 Family
Out-of-Pocket Maximum
(includes deductible)
In-network
Out-of-network
$6,000 Individual
$7,000 Individual
$12,000 Family
$14,000 Family
Deductible
In-network
Out-of-network
$5,000 Individual
$6,000 Individual
$10,000 Family
In-network
$12,000 Family
Out-of-network
$5,000 Individual
$8,000 Individual
Lifetime Maximum
Unlimited
Applicable to all surgical expensesyou are responsible for any charges above those considered usual and prevailing.
Lifetime Maximum
Usual and Prevailing Fees
Urgent Care
Teladoc Provider
Surgery
75% after $100 emergency room co-pay and plan deductible (co-pay waived if admitted).
Urgent Care
Teladoc Provider
Hospital Services (physician services and inpatient
and outpatient hospital charges)
Surgery
Emergency Room Services
(Nonemergency use of the emergency room
is not covered.)
Diagnostic X-ray and Lab
$10,000 Family
$16,000 Family
Unlimited
Applicable to all surgical expensesyou are responsible for any charges above those considered usual and prevailing.
In-network: 100% after deductible
Out-of-network: 80% after deductible
100% after deductible
$40 cost, subject to plan design
In-network: 100% after deductible
Out-of-network: 80% after deductible
In-network: 100% after deductible
Out-of-network: 80% after deductible
100% after $100 emergency room co-pay and plan deductible (co-pay waived if admitted).
100%, no deductible
100%, no deductible
Routine mammography
100%, no deductible
Routine mammography
100%, no deductible
100%, no deductible
100%, no deductible
100%, no deductible
100%, no deductible
100%, no deductible
100%, no deductible
In-network: 100% after deductible, up to 120 days per plan year
Out-of-network: 80% after deductible
In-network: 100% after deductible, up to 120 days per plan year
Out-of-network: 80% after deductible
In-network: 100% after deductible, up to 70 eight-hour shifts per plan year
Out-of-network: 80% after deductible
(Private-duty nursing in a hospital/facility is not covered.)
In-network: 100% after deductible
Out-of-network: 80% after deductible
In-network: 100% after deductible
Out-of-network: 80% after deductible
Pre-certification Required
Pre-certification Required
P A Y S
P L A N
P A Y S
P L A N
Plan Eligibility
Choice of Provider
Outpatient
Prescription Drugs
Outpatient
Generic contraceptives
Preventive
Nonpreventive
Generic contraceptives
Preventive
Nonpreventive
Hospital Precertification*
Penalty for failure to precertify
You initiate
$400 per occurrence, which does not apply to deductible or out-of-pocket maximum
Claim Submission
You initiate
Hospital Precertification*
Penalty for failure to precertify
Claim Submission
* Includes inpatient hospital confinement, skilled nursing facility, home healthcare, hospice care, and private-duty nursing.
* Includes inpatient hospital confinement, skilled nursing facility, home healthcare, hospice care, and private-duty nursing.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated
with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 312960
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated
with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 312960
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
MED 5000
MED 2500
Plan Eligibility
Dental Plan
Annual Deductible
PPO
None
Coverage
DMO
Annual Deductible
N/A
$50 Individual
$100 Individual and Spouse
$100 Individual and Child(ren)
$100 Family
N/A
Orthodontic Deductible
N/A
N/A
Preventive Services
Copayment Amounts
None
Preventive Services
The limitations indicated below apply whether services are for routine or emergency care.
Oral Exams
No Cost
Oral exams
No Cost - $45
Fluoride
No Cost
Fluoride
No Cost
100%
Not covered
$10
Bitewing X-rays
No Cost
No Cost
Bitewing X-rays
Periapical X-rays
No Cost
Periapical X-rays
100%
100%
No Cost
Copayment Amount
No Cost
100%
Composite fillings
$5- $50
$65
Pulp capping
No Cost
Pulpotomy
$35
$295 - $415
Denture repairs
$25 -$180
Inlays
$170- $350
Space maintainers
Root canal therapy (molar tooth)
Full and partial dentures and denture repair
(five-year frequency maximum)
General anesthesia
*must be Medically necessary
60%
Onlays
$185 - $380
Crowns
$160 - $380
Pontics
$220 -$380
Implants
Not Covered
$110 -$200
60%
$350
$45- $55
$75 - $225
100%
Simple extractions
$5 - $8
No Cost
Space maintainers
$60- $70
$50
$60
$80
$110 -$130
Apicoectomy
$90 -$140
$210
Osseous surgery
$275 - $345
P A Y S
P L A N
Choice of Provider: You (and each covered family member) must be enrolled, through DeltaCare USA, with a DMO dentist.
60%
Not covered
Not covered
Orthodontia Services
(no age restriction)
40% of usual and prevailing expenses after deductible. $1,500 lifetime limit per individual. Expenses are
spread over the entire course of treatment, for both
new work and work in progress, and are reimbursed on
a quarterly basis.
Certain expenses related to the mouth that are medical in nature may be covered under your medical plan. These include fractures to the jaw, jaw surgery, and conditions such as tumors or cysts.
Expenses that are dental in nature such as for teeth, gums, or impacted wisdom teeth would be covered under the dental plan. There is no cross application of expenses between the medical and
dental plan. Expenses should be submitted to your medical plan for a predetermination of benefits. If you receive medical coverage through an HMO, check with your HMO for information about
how these procedures would be covered.
** Implants are not covered under the dental benefits, however, if you receive an implant to replace a tooth that was extracted while covered under the plan (eligible for replacement), an alternate
benefit of a 3 unit bridge may be applied to this implant.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated
with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 312960
Anesthesia
General Anesthesia/IV Sedation
$80 - $165
Orthodontics
Copayment
$1150 - $2100
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated
with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 312960
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
Choice of Provider
DMO
Annual Deductible
N/A
N/A
Orthodontic Deductible
N/A
N/A
Preventive Services
Copayment Amounts
Oral Exams
No Cost -$30**
Prophylaxis (Cleaning)
No Cost
Fluoride
No Cost
No Cost
$12
Bitewing X-rays
No Cost - $30**
No Cost
Periapical X-rays
No Cost
No Cost
Copayment Amount
Frame*
No cost to you
$35
Up to $55
Not covered
90% of retail
Not covered
Frames
Any available frame at provider location
$65
Single Vision
No cost to you
$25
Bifocal
No cost to you
$40
$24- $31
Trifocal
No cost to you
$60
$25- $36
Lens Options
$66
UV Coating
$15 Co-pay
Not covered
Pulp capping
No Cost
$15 Co-pay
Not covered
$15 Co-pay
Not covered
Pulpotomy
$19
Standard Polycarbonate
No Cost to You
$28
$300 -$384
$45 Co-pay
Not covered
Denture repairs
$12 -$185
No cost to you
Not covered
Inlays
$190- $210
80% of retail
Not covered
Onlays
$208 - $226
$104
Crowns
$140 - $270
Pontics
$270
Disposable
Not Covered
$104
Implants
Root canal therapy Anterior and Bicuspid
$72- $144
Medically Necessary
No cost to you
$200
$216
$54
$175 - $280
Simple extractions
$22
$25
Space maintainers
$66
Frame*
Lenses*
No cost to you
$35
$36
Frames
Any available frame at provider location
$50
$60
$90
Single Vision
No cost to you
$25
$120
Bifocal
No cost to you
$40
Apicoectomy
$60 -$120
Trifocal
No cost to you
$60
$210
Osseous surgery
$360
UV Coating
$15 Co-pay
Not covered
$15 Co-pay
Not covered
$15 Co-pay
Not covered
Standard Polycarbonate
$40 Co-pay
$28
$45
Not covered
No cost to you
Not covered
80% of retail
Not covered
Anesthesia
General Anesthesia/IV Sedation
Orthodontics
Copayment
Not Covered
$1950 - $2350
*For state regulation purposes, Delta Dental must administer a separate plan for Minnesota residents. The Summary Chart below is specific for Minnesota residents and is meant to provide an overview
of benefits only. For specific information please call Delta Dental at 1-800-932-3067.
Lens Options
Please note that benefits under the DMO must be provided by a network dentist.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated
with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 312960
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated
with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 312960
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
Coverage
$10 Co-pay
Up to $50
Frames*
Any available frame at provider location
Up to $70
Up to $25
Bifocal
Up to $65
Lined Trifocal
Up to $85
Up to $75 for progressive lenses
Lens Options
Anti-reflective coating
$0
$50
$80-$90
$120-$160
$60 Co-pay
Materials
Conventional or Disposable
Up to $150
Medically Necessary
$10 Co-pay
Up to $210
Not covered
Not covered
* Featured frames will receive an additional $20 benefit from VSP. Visit vsp.com to find a doctor who carries these frames.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member firms affiliated
with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 312960
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
Disability Plans
In addition to providing personal days for when a minor illness prevents you from
working, KPMG protects your pay if you need to be away from work for a lengthy
illness or injury.
The short-term disability program provides benefits for up to 25weeks after five
consecutive days of illness or injury. The five-day waiting period is included as part of
the 26-week maximum benefit period.
In most cases, your pay is continued at up to 100 percent of your base pay for the
2
first 12 weeks of disability and 66 3 percent for the balance of the 25-week period.
2
Employees with fewer than three months of service will receive 66 3 percent of base
pay for the 25-week period. Benefits are offset by workers compensation, statutory
disability benefits, etc. There is no cost to you for this coverage.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
Short-Term Disability
If you elect or increase life insurance coverage (greater than a multiple of one) after
you are initially eligible, you must submit evidence of your good health for review and
determination by the carrier.
For more information call the Human Resources Service Center at 1888ONEHRSC.
You may purchase term life insurance for your spouse in increments of $50,000. The
maximum amount of spousal coverage you may elect for your spouse is the lesser of
three times your annual base pay or $500,000.
You may also elect to purchase life insurance for your eligible dependent children in
the amount of $10,000 or $20,000.
Life Insurance
KPMGs benefits program also makes life insurance benefits availablefor both you
and your spouse. KPMG automatically provides, at no cost to you, term life insurance
equal to your annual base pay, up to a maximum of $50,000. When calculating your
life insurance benefits, your annual base pay represents your regular base pay not
including variable pay (such as bonuses or incentive plan payments) or premium pay
(such as overtime).
You may elect to purchase additional term life insurance for yourself at favorable
group rates in amounts from one to six times your annual base pay. The amount you
pay for coverage is based on your age and whether you are a smoker or nonsmoker.
The combined maximum for your firmprovided and your elective life insurance
coverage is $1,050,000.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
Life Insurance
PROGRAMS
With KPMGs flexible spending accounts, you can reduce your taxable income
and save money by paying for certain eligible healthcare and dependent day care
expenses on a pretax basis.
Maximum
Healthcare FSA
$120
$2,550
N/A
$5,000*
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
Flexible Spending
Accounts
The amount you contribute is deducted from your pay in equal installments on a
pretax basis and deposited in your FSA(s). Pretax means before federal and Social
Security taxes, as well as most state and local taxes, are withheld from your salary.
Note: If you incurred expenses during a calendar year, and you do not use up all of
the funds in your account through March 15 of the next year, the IRS requires that
you forfeit any excess balance in your account. Plan carefully when you enroll in a
flexible spending account.
If you enroll in the Healthcare Flexible Spending Account (FSA) you will receive an
FSA Card. Similar to a bank debit card, the FSA Card allows you to pay for eligible
Healthcare FSA expenses with a swipe of the card. Because of the special tax
status of the FSA contributions, you may be required to submit the receipt for
your purchase as proof that the expense was eligible.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
The money in these accounts is then used to reimburse you when you incur eligible
expenses. Claims for eligible FSA expenses can be submitted to ADP Benefits
Services for reimbursement.
Lifeworks
Whether online or by phone, LifeWorks can provide information and resources
on a wide range of topics, including day-to-day concerns like moving, parenting,
and budgeting issues, as well as major life events such as divorce, adoption,
aging parents, or the death of a loved one. Amongthe resources offered through
LifeWorksis the Employee Assistance Program (EAP). The EAP is available to
employees and family members who have a problem and want or need professional
support. The EAP offers free, confidential counseling from a networkof carefullyscreened professionals.
LifeWorks services are available to you and your family 24hours a day, 365 days
ayear.
Flexibility
KPMG understands that factors such as our global economy, dual career couples,
and non-traditional families mean work and life no longer fit into neat, distinct
boxes. To successfully juggle all of your responsibilities requires flexibility from your
perspective as well as the firms. Thats why were committed to offering our people
access to a range of flexible schedules and arrangements. Whether the goal is a
formal alternative work arrangement or an informal adjustment in work schedule or
location, our people collaborate with their teams and People Management Leaders
(PMLs) to design and implement an appropriate flexible arrangement that works
for them while also meeting the needs of the firm. There are as many variations to
flexibility as there are individuals at the firm, but what they all have in common is the
need to establish clear expectations and communication between the employee
and his or her PML. This enables employees to maintain accountability for their
professional responsibilities while at the same time meeting their personal needs.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
GlobalFit
These pages highlight just a few of the features available to you on MyLife,
spanningthe following categories:
HEALTHY LIVING
FINANCIAL MATTERS
FAMILY RESOURCES
SPECIAL OFFERS/DISCOUNTS
TIME OFF
CORPORATE CITIZENSHIP
FLEXIBILITY
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
GlobalFit can help you locate fitness centers near your home or office and offers
discounts to many clubs around the country. The program also offers discounts on
exercise equipment and diet programs.
Backup Care
KPMG continues to offer help to employees who need emergency child care or
adult/elder care. Bright Horizons provides center-based and in-home care for all of
our offices. Center-based care is available for children at Bright Horizons dedicated
backup centers and through its extensive network of child care centers. In-home
options for child, adult, and elder care are also available. Every employee has 15
days of care per child/elder available each year. A co-pay is required for each visit.
in all U.S. offices. The largest self-select, online care database of child, elder, and
pet caregivers; household service providers; homework tutors; and senior care,
planning, and referral services, CareDirect enables you to find caregivers and
service providers in your area that meet the specific needs of your family.
Corporate Citizenship
KPMG Disaster Relief Fund
Nobody is immune to lifes unpredictabilityand when tragedy occurs, support from
others is crucial. Thats why we maintain the KPMG Disaster Relief Fund. This initiative
provides a vehicle for employees of KPMG to assist colleagues who have an immediate
financial need and/or permanent financial loss resulting from a natural disaster.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
Retirement and
Savings Plans
The KPMG Pension Plan is a defined benefit cash balance plan, funded entirely by the
firm. Participation in the plan is automatic after one year of service, provided you work
1,000 hours during the year and are at least age 21. For each year you are employed
at KPMG and work at least 1,000 hours during the plan year (May 1April 30), service
credits and interest credits are added to your account at the end of the plan year.
When you retire, your benefit is based on the account balance you have earned.
At that time, you can choose to take your vested benefit as a lump sum or an
annuity. If you choose an annuity, your account balance is converted to a monthly
payment.
Facts about the Pension Plan
Your Pay: The plan defines annual pay as your base salary on a plan-year basis,
up to the IRS maximum.
Vesting: If you complete three years of service with KPMG,you are vested in your
benefit under the PensionPlan. Youearn a year of vesting service in any plan year
you complete at least 1,000 hours of service. If you leave the firm before you are
vested, you will not receive any benefits fromthe plan.
Death Benefits: If you die after you are vested, but before you retire or leave
the firm, your account balance is payable to your beneficiary. If you are married,
your spouse will automatically be your beneficiary unless he or she consented to
another beneficiary. Your spouse can choose to receive your account balance in a
lump sum or as an annuity.
Under 25
2534
3544
4554
5564
6574
7584
85 and higher
2.25
2.50
3.25
4.25
5.50
7.00
9.25
11.50
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
contribution amount does not exceed 50 percent of your pay, or the maximum
dollar limit, whichever is less.*
Sixty days after you start employment with KPMG, you are eligible to contribute
a portion of your pay to the KPMG 401(k) Plan. You will receive an email message
from Merrill Lynch at that time regarding enrollment.
Each pay period, your contributions are deposited into an account in your name.
You always are 100 percent vested in your own contributions.
With a traditional 401(k) contribution, you do not pay federal and, in most cases,
stateand local taxes on your contributions. As a result, you reduce your current
taxable income when you participate in the plan. Taxes are payable when you
accessthe money in your account.
With a Roth contribution, your contributions are made using after-tax
compensationafter you have paid federal taxes (and any applicable state or
local taxes) on your income. Upon distribution of your account, if you meet Rothqualified distribution requirements, your after-tax contributions and any investment
earnings thereon are tax free. Even if you do not meet these conditions, your Roth
contributions will not be taxed again.
In general, you may receive payment of your vested 401(k) account balance when
you leave the firm, retire, or become disabled (see the 401(k) Employer-Matching
Vesting Schedule, at right). You should consult your tax adviser before receiving
payment, as certain tax consequences may apply. Upon your death, payment is
made to your designated beneficiary.
Note: While the KPMG 401(k) Plan is intended primarily asa retirement savings
plan, you may request a loan or withdrawal from your account under certain
circumstances.
Employee Contributions to Your 401(k) Account
You may elect to contribute between 1 and 50 percent of your pay each pay
period, subject to IRS maximums. You may elect traditional 401(k) (pretax) or Roth
401(k) (after-tax) contributions or a combination of the two, as long as the total
Note: Contributions made to a prior employers 401(k) plan count toward the
annual statutory contribution limits.
Employer Matching Contributions
KPMG matches 50 percent of each eligible dollar you contribute to the plan, based
on your contributions of up to 5percent of your base pay (subject to statutory
limits). Thisgives you a matching contribution of 2.50 percent of your total base
pay, subject to limits, for the calendar year, assuming you contribute at least 5
percent and are employed on December 31.
401(k) EMPLOYER-MATCHING VESTING SCHEDULE
Years of Service
Percent Vested
20%
40%
60%
5 or more
100%
*O
ther after-tax contributions are available under a Thrift feature. Any earnings on Thrift contributions are taxable
upon distribution. Thrift contributions are included in the 50 percent of pay contribution limit.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. NDPPS 322823
When you enroll, you can save money for retirement orother important financial
goals on a pretax basis with a traditional 401(k) contribution, or on an after-tax basis
with aRoth 401(k) contribution.
kpmg.com
Weve designed this publication to provide general information about KPMGs benefit programs, practices, and policies. It is not
intended to constitute a complete guide. It is important to remember that individual situations do and will vary, and there are no
guarantees of any particular benefit or program eligibility. Further, the programs, policies, and practices described herein do change
from time to time, and KPMG reserves the right to make such changes or discontinue any programs, policies, or practices at any
time and for any reason, subject to applicable federal, state, and local laws.
This publication and the information, programs, policies, and practices mentioned within and associated with it do not create an
employment contract. KPMG does not create any express or implied contractual rights by issuing this publication or by offering the
programs and benefits noted within. Employment at KPMG remains at will, which means that either you or the firm has the right
to terminate your employment at any time for any or no reason with or without notice.
2014 KPMG LLP, a Delaware limited liability partnership and the U.S. member firm of the KPMG network of independent member
firms affiliated with KPMG International Cooperative (KPMG International), a Swiss entity. All rights reserved. The KPMG name,
logo and cutting through complexity are registered trademarks or trademarks of KPMG International. NDPPS 322823