Summary of Employee Benefits - January 1, 2021 through December 31, 2021 - Filice Insurance
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Summary of Employee Benefits
January 1, 2021 through December 31, 2021
How Do I Choose a Plan?
®
Meet ALEX
Find the best benefit plans for you and your family
®
with ALEX ! ALEX is an easy-to-use online tool that
will help you compare your health plan options.
ALEX will ask you a few questions about your health
care needs (your answers remain anonymous, of
course), crunch numbers, and recommend a plan.
It’s that easy!
Get the right plan with ALEX at https://www.myalex.com/clarkpest/2021
ALEX asks for your email address, but this is completely optional! If you do provide
an email address, your self-reported demographic information will be stored so you
can return without having to retype information.
How Do I Enroll in Benefits? If
you work
To access UltiPro: 30 hours or more,
1. Go to: https://e42.ultipro.com you are eligible to en-
2. For your user name enter “rol” followed by your employee roll in the company
number (7-characters total). For example if your current benefit plans.
employee ID number is 1234567 your MyRollins user name
is “rol1234567”.
3. Enter your password. If you are a first time user, your password is
your birthdate (MMDDYYYY).
4. Select Log in to access the UltiPro portal.
Where can I find more information?
For additional information about the plans offered, as well as resoures to help you
better utilize and understand your health plan, please explore your Clark benefits
website at: http://benefits. filice.com/clark Any elections that you make when you are
hired or during annual open enrollment are effective for the calendar year, unless
you experience a qualifying life event. Events include: marriage, divorce, birth, adop-
tion, guardianship, gain or loss of other group health plan coverage (includes open
enrollment for a spouse/partner) or a change in full-time or part-time employment
status.
2
What Will My Benefits Cost?
Keeping in mind the unique and diverse needs of our employees, we offer a benefits
program that allows you choice & flexibility in meeting the financial and health needs
for you and your family. We review our health plan contributions annually and strive to
offer affordable, comprehensive options to all eligible employees. The rates for each
medical plan coverage are shown below, per pay period. Dental, vision and other
plan rates are illustrated at the end of the coverage sections.
Enrollment Tier Employee Only Employee + 1 Family Employee + 2 or more
Member Family Members
Aetna HRA High $55.39 $180.60 $252.53
Aetna Sutter HRA High $37.80 $143.67 $199.76
Aetna HRA Low $33.86 $143.59 $189.00
Aetna Sutter HRA Low $17.91 $110.08 $141.14
Aetna HSA High $45.41 $179.29 $272.21
Aetna Sutter HSA High $24.77 $135.93 $210.28
Aetna HSA Low $7.09 $98.18 $156.71
Aetna Sutter HSA Low $1.05 $61.06 $103.69
Kaiser DHMO High $80.03 $212.00 $311.64
Kaiser DHMO Low $54.59 $163.24 $249.63
Kaiser HSA $33.92 $118.19 $181.79
Rates published above are for illustration only. Should the online enrollment system or insurance company reflect other
rates and contributions, the system or insurer’s rates are valid.
All information published in this guide is for illustrative purposes only and is not a binder or guarantee of coverage or
benefits. Should plan documents provided by the insurance company state something other than what is published here,
the insurance company documentation is the binding document.
3
Aetna HRA Medical Plan Options
These Aetna plan options, give you access to contracted providers at negotiated rates &
benefits, as well as non-contracted physicians at out-of-network rates & benefits. These
plans have a unique Health Reimbursement Arrangement (HRA) benefit that gives you
first-dollar coverage on your health plan. Below are some highlights of your in-network
cost-share for frequently used services. For specific information about what is covered,
including out-of-network coverage, please refer to your Summary Benefits Coverage (SBC)
and Evidence of Coverage (EOC) documents. You may search for contracted practicioners
& facilities online.
In-Network Benefits Aetna Aetna
HealthFund Open Access Man- HRA High HRA Low
aged Choice
Calendar Year Out-of-Pocket
Maximum (Individual/Family) $4,000 / $8,000 $5,000 / $10,000
Calendar Year Deductible
(Individual/Family) $3,000 / $6,000 $4,000 / $8,000
HRA- Health Reimbursement First dollar benefit on all HRA Plans: Individual ($1,000) or Family ($2,000) is paid
Arrangement by the plan and applied to deductible before member is responsible for charges.
Physician Visits & Telemedicine 10% after deductible 20% after deductible
Preventive Care (per schedule) No charge, deductible waived No charge, deductible waived
Basic Diagnostics (Lab & X-ray) 10% after deductible 20% after deductible
Complex Imaging Services
10% after deductible 20% after deductible
(MRI, CT, PET)
Hospitalization 10% after deductible 20% after deductible
Outpatient Surgical 10% after deductible 20% after deductible
Emergency Room 10% after deductible 20% after deductible
Supply Limit 30-day supply 30-day supply
Rx Deductible Plan deductible applies Plan deductible applies
Preferred Generic $10 after deductible $10 after deductible
Preferred Brand $35 after deductible $35 after deductible
Non-Preferred Brand $60 after deductible $60 after deductible
Specialty Medication $40 preferred / $60 non-preferred $40 preferred / $60 non-preferred
after dedutible after deductible
4Aetna Sutter Network HRA Medical Plan Options
These Aetna plan options allow you to access Sutter contracted physicians and facilities
ONLY to receive in-network benefit coverage. Services received from providers not in the
Sutter network will be billed under the out-of-network benefit tier. These plans have a unique
Health Reimbursement Arrangement (HRA) benefit that gives you first-dollar coverage on your
health plan. Below are some highlights of your cost-share for frequently used services. For
specific information about what is covered, please refer to your Summary Benefits Coverage
(SBC) and Evidence of Coverage (EOC) documents. You may search for contracted practi-
cioners & facilities online.
In-Network Benefits Aetna Sutter Network Aetna Sutter Network
HealthFund Sutter HRA High HRA Low
Calendar Year Out-of-Pocket
Maximum (Individual/Family) $4,000 / $8,000 $5,000 / $10,000
Calendar Year Deductible
(Individual/Family) $3,000 / $6,000 $4,000 / $8,000
HRA- Health Reimbursement First dollar benefit on all HRA Plans: Individual ($1,000) or Family ($2,000) is paid
Arrangement by the plan and applied to deductible before member is responsible for charges.
Physician Visits & Telemedicine 10% after deductible 20% after deductible
Preventive Care (per schedule) No charge, deductible waived No charge, deductible waived
Basic Diagnostics (Lab & X-ray) 10% after deductible 20% after deductible
Complex Imaging Services
10% after deductible 20% after deductible
(MRI, CT, PET)
Hospitalization 10% after deductible 20% after deductible
Outpatient Surgical 10% after deductible 20% after deductible
Emergency Room 10% after deductible 20% after deductible
Supply Limit 30-day supply 30-day supply
Rx Deductible Plan deductible applies Plan deductible applies
Preferred Generic $10 after deductible $10 after deductible
Preferred Brand $35 after deductible $35 after deductible
Non-Preferred Brand $60 after deductible $60 after deductible
Specialty Medication $40 preferred / $60 non-preferred $40 preferred / $60 non-preferred
after dedutible after deductible
These plans are not available in the following branch locations: Bakersfield, Fresno, Lancaster,
Orange County, Redding, Reno, Riverside, Salinas, San Diego, Santa Clarita, Santa Maria, Ventura
& Visalia.
5Aetna HDHP/HSA Plan Options
High Deductible Health Plan (HDHP)/Health Savings Account (HSA) Compatible
Plans
These plans apply the health plan deductible to all services before the co-pays and
co-insurance apply.
In-Network Benefits Aetna HDHP Aetna HDHP
HSA High HSA Low
Calendar Year Out-of-Pocket In Network Provider In Network Provider
Maximum
Individual $3,000 $3,600
One Individual In a Family $3,000 $3,600
Family $6,000 $7,200
Calendar Year Deductible
Individual $1,500 $2,800
One Individual In a Family $2,800 $2,800
Family $3,000 $5,600
Physician Visits & Telemedicine 10% after deductible 10% after deductible
No charge, deductible waived
Preventive Care (per schedule) No charge, deductible waived
Basic Diagnostics (Lab & X-ray) 10% after deductible 10% after deductible
Complex Imaging Services
10% after deductible 10% after deductible
(MRI, CT, PET)
Hospitalization
10% after deductible 10% after deductible
Outpatient Surgical
10% after deductible 10% after deductible
Emergency Room 10% after deductible 10% after deductible
30-day supply 30-day supply
Supply Limit
Plan deductible applies Plan deductible applies
Rx Deductible
$10 after deductible $10 after deductible
Preferred Generic
$30 after deductible $30 after deductible
Preferred Brand
$50 after deductible $50 after deductible
Non-Preferred Brand
$40 preferred / $60 nonpreferred after $40 preferred / $60 non-preferred
Specialty Medication
deduct. after deduct.
Out of Network Benefits See Plan Summary See Plan Summary
6Aetna Sutter Network HDHP/HSA Plan Options
High Deductible Health Plan (HDHP)/Health Savings Account (HSA) Compatible
Plans
These Aetna plan options allow you to access Sutter contracted physicians and facilities ONLY
to receive in-network benefit coverage. Services received from providers not in the Sutter net-
work will be billed under the out-of-network benefit tier. These plans apply the health plan
deductible to all services before the co-pays and co-insurance apply.
In-Network Benefits Aetna Sutter HDHP Aetna Sutter HDHP
HSA High HSA Low
Calendar Year Out-of-Pocket In Network Provider In Network Provider
Maximum
Individual $3,000 $3,600
One Individual In a Family $3,000 $3,600
Family $6,000 $7,200
Calendar Year Deductible
Individual $1,500 $2,800
One Individual In a Family $2,800 $2,800
Family $3,000 $5,600
Physician Visits & Telemedicine 10% after deductible 10% after deductible
No charge, deductible waived
Preventive Care (per schedule) No charge, deductible waived
Basic Diagnostics (Lab & X-ray) 10% after deductible 10% after deductible
Complex Imaging Services
10% after deductible 10% after deductible
(MRI, CT, PET)
Hospitalization 10% after deductible 10% after deductible
Outpatient Surgical 10% after deductible 10% after deductible
Emergency Room 10% after deductible 10% after deductible
30-day supply 30-day supply
Supply Limit
Plan deductible applies Plan deductible applies
Rx Deductible
$10 after deductible $10 after deductible
Preferred Generic
$30 after deductible $30 after deductible
Preferred Brand
$50 after deductible $50 after deductible
Non-Preferred Brand
$40 preferred / $60 nonpreferred after $40 preferred / $60 non-preferred
Specialty Medication
deduct. after deduct.
Out of Network Benefits See Plan Summary See Plan Summary
These plans are not available in the following branch locations: Bakersfield, Fresno, Lancaster,
Orange County, Redding, Reno, Riverside, Salinas, San Diego, Santa Clarita, Santa Maria, Ventura
& Visalia. 7Kaiser Medical Plan Options
The Kaiser health plan options allow you access to Kaiser facilities and physicians. Under
these plans you will be able to select a Kaiser Primary Care Physician (PCP) to manage your
health care needs & services. Kaiser has an integrated health record management system so
that all Kaiser physicians can see your health record to best deliver your care.
In-Network Benefits Kaiser Kaiser Kaiser HDHP
DHMO High DHMO Low HSA Compatible
Calendar Year Out-of-Pocket
$3,000 / $6,000 $4,000 / $8,000 $3,000 / $6,000
Maximum (Individual/Family)
Deductible- Calendar Year
(Individual/One Individual in a $1,000 / $2,000 $1,500 / $3,000 $2,000 / $2,800 / $4,000
Family / Total Family )
$30 per visit after deductible
Physician Visits / Telemedicine $30 per visit / No charge $40 per visit / No charge
/ same as office visit
Preventive Care Exam & Age
No charge No charge No charge
Appropriate screenings
Basic Diagnostics $10 per encounter, after $10 per encounter, after $10 per encounter after
Labs & X-rays deductible deductible deductible
Complex Imaging $50 per procedure, after $150 per procedure, after $50 per procedure, after
(MRI/CT/PET) deductible deductible deductible
30% after deductible up to 30% after deductible up to $250 per admission after
Hospitalization calendar year maximum calendar year maximum deductible
30% after deductible up to 30% after deductible up to $150 per procedure after
Outpatient Surgery calendar year maximum calendar year maximum deductible
30% after deductible up to 30% after deductible up to $100 per visit after
Emergency Room calendar year maximum calendar year maximum deductible
Supply Limit Up to 100-day supply Up to 30-day supply Up to 30-day supply
Rx Deductible $100 per member None Plan deductible applies
Generic Medications $10 co-pay $10 co-pay $10 after plan deductible
$30 co-pay after Rx de-
Brand Medications $30 co-pay $30 after plan deductible
ductible
Specialty Medication $30 for 30-day supply 20% up to $200 per fill $30 after plan deductible
Available but no change 2x co-pay for up to 100-
Mail Order $30 after plan deductible
to co-pay day supply
8Which Plans Are Available In My Area?
Aetna coverage is available to all Clark Pest Control employees.
For more information about available providers and services visit:
https://www.aetna.com/individuals-families.html
For a coverage map of the Aetna Sutter health facilities, please review the map
online at: http://benefits.filice.com/clark
or search for providers at: https://www.aetna.com/microsites/sutterhealth.html
Aetna Sutter plans are not available to employees in the following branches:
•Orange County •Salinas •Fresno
•Redding •San Diego •Santa Clarita
•Reno •Santa Maria •Bakersfield
•Riverside •Ventura •Lancaster
•Visalia
Kaiser coverage is not available to employees in the following branches:
•Chico •Santa Maria
•Redding •Visalia
•Reno
For more information about available providers and services visit:
https://thrive.kaiserpermanente.org/
9Health Savings Accounts (HSA) A health savings account is a personal, tax-favored bank account designed to be used with a High Deductible Health Plan (HDHP) to help you save for expenses that you and your family members may incur on your health plan. You are responsible for establishing your own quali- fied account with a financial institution that offers Health Savings Account options. Once your account is established, you may elect to deposit funds to the account on a pre-federal-tax basis through payroll deductions. Money you set aside in the account can be used to pay for qualified health care expenses. These plans and accounts are regulated by the IRS. Deductible limits, contribution limits, and eligible items and services that are considered “qualified” expenses are determined by the IRS. Important Rules: • You may only fund the account if you are enrolled on a compatible HDHP. • If you are no longer enrolled on a compatible HDHP, you may still use the funds in the account to pay for qualified expenses. • Any funds in your account are yours to keep, regardless of your employment status with the company or your enrollment in the HDHP. • Funds can only be used to pay for qualified expenses. Any amount not used for eligible expenses may be subject to taxes and penalties of up to 20% • You may use funds to pay for expenses for yourself or any IRS tax dependents, regardless of what health plan they are enrolled in. The H.S.A maximum contributions for 2021 are: $3,600 for an individual $7,200 for two or more persons “Catch-up” contributions up to $1,000 are also available for employees over age 55. Eligible Expenses (Partial List) • Insurance co-pays & deductibles • Prescription medication • Acupuncture & Chiropractic • Hearing aids • Dental (Non-cosmetic) New for 2021 • Orthodontia • Over the counter drugs and • Laser eye surgery medications (asprin, pain medication, • Contact lenses & supplies allergy medication, etc.) without a • Vision exams/Glasses (prescription) doctor’s prescription. • Some mental health services • Menstrual care products 10
Flexible Spending Account (FSA)
An FSA allows you to set aside pre-tax dollars from each paycheck to help pay for qualified
health care, dependent care and parking & transit expenses.
FSA Medical
Contribute up to $2,750 that you can use for eligible health care expenses
for you and your IRS dependents (see partial list under HSA section or refer to
IRS Publication 502: https://www.irs.gov/forms-pubs/about-publication-502
Your entire contribution is available at the beginning of the plan year.
All enrollees will receive a debit card. Additional debit cards for dependents can be ordered
at your cost.
Choose your plan election carefully; any unused money will be forfeited at the end of the
plan year’s grace period.
You can incur expenses for the current plan year until March 15th!
You must submit claims by March 30th to use remaining funds from the prior plan year.
FSA Limited Medical
If you have the HDHP with the Health Savings Account, you may not enroll in the full
Medical FSA. However, you may elect to enroll in the Limited Use FSA.
The Limited Use FSA only allows you to be reimbursed for dental and vision expenses
incurred by you and your eligible family members. Medical expenses are not eligible.
For details, please refer to the IRS website or contact your administrator.
FSA Dependent Care
Annual election of up to $5,000.
Once your payroll deduction for dependent care has been taken, you may file your claim
and request automatic reimbursement.
Full annual election cannot be paid out before it has been payroll deducted.
Parking & Transit Benefits
Our commuter benefit program gives working people and their families a way to lower the
cost of getting to work. The P&T accounts enable you to pay for your work-related parking
and/or transit costs with pre-tax dollars. Eligible expenses are parking and mass transit costs
associated with your travel to and from work.
Parking Spending Account: $270
Transit & Van Pooling Spending Account: $270
11Dental Insurance
Dental coverage is insured by Guardian. A dental PPO provides the flexibility of choosing
any provider of your choice, however, you will receive a greater benefit by utilizing a PPO
network provider.
Dental Benefits Guardian Dental Guardian Dental Guardian Dental
High Mid Low
Calendar Year Deductible $50 per covered person up to 3 people
Maximum Calendar Year
$2,000 $1,500 $1,000
Benefit Per Covered Person
In Network / Out of Network
Preventive Services:
X-rays, Cleanings, 100% 100% 100% 100% 100% 100%
Oral Examination
Basic Services:
Fillings, Root Canals, 90% 80% 90% 80% 90% 80%
Periodontics
12-month waiting period for all new enrollees for Major/Ortho
Major Services:
Crowns, Bridges Dentures
60% 50% 60% 50% 60% 50%
Child Orthodontia 50% up to $2,000 50% up to $1,500 50% up to $1,000
Late entrants are any person who enrolls on the plan without a qualifying event (does not include new hires). The following waiting
periods apply: 6-months for basic, 12-months for major, 24-months for orthodontia.
The rates for each dental plan coverage are shown below, per pay period.
Enrollment Tier Employee Only Employee + 1 Family Employee + 2 or more
Member Family Members
Guardian Dental High $26.00 $53.00 $82.00
Guardian Dental Mid $21.50 $44.00 $68.50
Guardian Dental Low $18.00 $36.50 $54.50
12Vision Insurance
Clark is pleased to offer two vision plan options. Vision Service Plan (VSP) gives you access
to providers in their Choice network and Superior Vision, gives you excellent access to con-
tracted, retail based providers. Both plans can be elected in a plan year so you can maximize
your vision coverage.
Vision Benefits VSP PPO Vision Plan Superior Vision Plan
Benefits shown with contracted providers
Exam (Once per year / Every 12
$10 Co-pay $10 Co-pay
months)
Lenses (Once per year / Every 12
months)
Covered in Full Covered in Full
Single Vision, Lined Bi-Focal, Lined
Tri-Focal
Contact Lenses (in-lieu of frames &
Up to $120 allowance Up to $120 allowance
lenses)
Materials Co-Pay $25 Co-pay $25 Co-pay
Frame Allowance (Once per year/
$120 allowance / $65 Costco $125 allowance
Every 12 months)
15-20% by service. Additional $20
Discounts allowance for specific 20% of retail, by service type
brand frames.
Please note: Superior Vision benefits do not reset on the calendar year. Benefits eligibility is based on the last date you received a service.
The rates for each vision plan coverage are shown below, per pay period.
Enrollment Tier Employee Only Employee + 1 Family Employee + 2 or
Member more Family Mem-
bers
VSP $5.63 $8.74 $13.87
Superior $4.19 $6.50 $10.32
13Life Insurance and AD&D
Basic Life and AD&D Maximum coverage $250,000
Clark provides a life and accidental death Benefits will be paid to the employee
& dismemberment benefit for all eligible
employees of $20,000. Supervisors are en- Child:
rolled for $50,000 and Managers are enrolled Guarantee issue amount $10,000 (new
for $100,000. Please designate a beneficiary in hires only)
UltiPro. Maximum coverage $10,000
Benefits will be paid to the employee
Voluntary Term Life and AD&D Child life cost is the same regardless of
Employee: how many children you insure
Up to 5 times salary in increments of Premium is $0.167 per $1,000 per
$10,000 month or $1.67 for $10,000
Guarantee issue amount $200,000 (new The maximum death benefit for a child
hires only) between the ages of live birth and 6
Maximum coverage $500,000 months is $1,000.
Benefits will be paid to the designated
Annual Enrollment- SPRING of 2021
beneficiary
Employees & dependents currently
Spouse:
enrolled may increase their benefit up
Up to 100% of the life amount elected by
to the Guarantee Issue Limit without
the employee in increments of $5,000 up
health questions
to maximum coverage amount below
Any new election will require health
Guarantee issue amount $25,000 (new
questions to be completed
hires only)
Age at Plan Employee Rate per Spouse Life per AD&D Benefits EE
Anniversary $1,000 p/mo $1,000 p/mo or Spouse p/$1,000401(k) Plan Highlights
You can save for retirement by enrolling in the 401(k) Retirement Plan administered by
Prudential. This document summarizes the Plan’s provisions based on information provided
by Prudential and is not the Plan’s Summary Plan Description (SPD). To obtain the SPD,
contact Prudential directly at 1-877-778-2100.
Eligibility You are eligible to join the Plan once you have met the following
requirements:
• Auto-enrollment at 3%
• Full-time: 1st of the quarter following 3-months of employment
• Part-time: 1st of the quarter following one year of employment
and 1,000 hours of service
Entry Dates January 1, April 1, July 1, October 1
Your You can make “before tax” 401(k) contributions between 1%
and 75% of your compensation, subject to the annual maximum
Contributions
amount allowed by law ($19,500). If you are 50 years of age or
older, you can make an additional catch-up contribution (up to
$6,500). Changes to your contribution amount can be made any-
time. You can also make “after tax” Roth 401(k) contributions. The
combined total of your “before tax” and “after tax” contributions
cannot exceed the maximum above.
Rollovers from other eligible plans are allowed at any time.
Your Employer’s Your employer will match 100% of the first 3% and 50% of the next
Contributions 3% of your contribution.
Note: This matching contribution is discretionary and could change
at any time.
For more information about your employer’s contributions, plan details and
other plan regulations, refer to the governing SPD.
Loans You can borrow up to 50% of your vested account balance to a maxi-
mum of $50,000, subject to limits imposed by law. The minimum loan
amount is $1,000. Only 1 loan can be outstanding at any time. Loans
will be repaid by post-tax payroll deductions.
15Vesting Your contributions are 100% vested immediately.
Your employer’s contributions are vested as follows on a five year schedule:
• Less than 1 year: 0% vested
• 1 but less than 2 years: 20% vested
• 2 but less than 3 years: 40% vested
• 3 but less than 4 years: 60% vested
• 4 but less than 5 years: 80% vested
• 5 or more years: 100% vested
Withdrawals Money can be withdrawn from your account in the event of retire-
ment, termination of employment, death, disability or financial
hardship. The plan may also allow for pre-retirement and/or early
retirement withdrawals; refer to the SPD for specific details on the
option(s) permitted by your plan including any age and/or service
requirements.
Withdrawals can be taken as follows: a lump-sum or installment pay-
ments.
Note: Any taxable withdrawal you receive that is not rolled over to
another qualified plan or IRA will be included as part of your taxable
income and be subject to federal income tax withholding. If the with-
drawal is made before age 59½, it may be subject to an additional
10% penalty. State and local taxes may also apply.
Investment All money in your account can be directed to any of the investment
options available under the Plan.
Options
Reporting and You will receive quarterly retirement account statements that sum-
marize your account balance, investment option performance and
Changes
personal rates of return. You can review your account at any time by
visiting Prudential online at http://prudential.com/online/retirement
16Pet Insurance
Got pets?
Take care of your furry family members with
our pet insurance program through Nationwide.
Vet visit expenses add up and pet insurance is an
affordable way to help manage costs for your animals when they need care.
Sign up for the Pet Wellness Plan Plus everyday care, the Major Medical Plan
comprehensive coverage, or both plans for the total package.
You can get your rate quote and enroll online
at: http://petinsurance.com/clarkpest
Employee Assistance Program
Clark cares about its employees and we understand that life’s pressures and challenges oc-
casionally require special attention. We are committed to providing you with tools and re-
sources that can help you in your time of need. You and your family members have access to
a free employee assistance program (EAP). The EAP gives you & your family members 24-7
access to confidential, telephonic counseling, in addition to other resources such as refer-
ral services, online resources spanning an array of topics such as budgeting, nutrition and
more. You may also access up to three face to face visits with a counselor at no-charge. The
program provides confidential support with issues such as:
Parenting and child care Legal consultations
Financial problems Elder care services
Marital and family problems Emotional distress
Alcohol and drug abuse Loss and death
Utilize the EAP by calling 800.854.1446
for unlimited phone-based counseling or
by logging on to:
www.unum.com/lifebalance.
17Employee Stock Purchase Plan (ESPP)
Rollins and Clark Pest Control are pleased to present the Employee Stock
Purchase Plan (ESPP), a benefit designed to help you realize your long-
term financial goals. It is an easy, convenient way for you to supplement
your current investment plan with a systematic investment plan. Simply
decide how much money you want to set aside each pay period
(minimum of $5), and you will begin to accumulate partial and whole
shares of Company stock. You are eligible to have payroll deductions
taken to purchase stock immediately upon hire.
Taking advantage of the ESPP
Through the ESPP, you can purchase Rollins stock through payroll deductions. The Company pays
the purchase brokerage fees. If you sell the stock, you pay reduced brokerage fees. The ESPP offers
an affordable way to invest. You don’t have to commit to buy a specific number of shares of stock each
month. Nor do you have to buy whole shares. Just select the dollar amount you are most comfortable
with.
Dividends
Your account will be credited with any cash dividends paid on your Company stock held in your account.
These dividends will be automatically reinvested in additional shares of Company stock on the dividend
payment date.
How to Enroll
To enroll, complete the ESPP Participation Form and return to the Clark Pest Control Human Resources
Department, Attn. Rachel Murray. All changes will be effective with the next available payroll.
Making changes
You can change the amount of your payroll deduction by indicating the change on the Participation Form
and returning it to the Clark Pest Control Human Resources Department, Attn. Rachel Murray.
All changes will be effective with the next available payroll.
Quarterly statements
Each quarter (March, June, September and December), you will receive a summary statement of your
account. It will include total shares held in the plan for your account. In addition, it will detail all activity in
your account year to date, listing the total number of shares you’ve accumulated as well as the number
of shares and the price of each purchase, sale or dividend reinvestment.
Withdrawals
You may withdraw all or part of your account at any time. To request a withdrawal, complete the
transaction request form attached to the bottom of your statement and return to American Stock Transfer
and Trust Company, P.O. Box 922, Wall Street Station, New York, NY 10269-0560.
For account inquiries, you can contact American Stock Transfer at 1-866-708-5581.
Any questions on how to enroll, contact Rachel Murray at rmurray@clarkpest.com or (209) 371-0654.
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19Where Can I Get More Information?
Login to your employee portal to access more information or visit your Filice Insurance Bene-
fits Website for links to provider directories, access to detailed plan documents and important
benefits related notices. http://benefits.filice.com/clark
Carrier/Vendor Group Number Customer Service Online/Email
Aetna 231802 877.204.9186 www.aetna.com
www.aetna.com/microsites/sutter-
health.html
Kaiser Permanente 35289 N-CA 800.464.4000 www.kp.org
233969 S-CA
Guardian Dental 400533 800.541.7846 www.guardiananytime.com
Superior Vision 33160 800.507.3800 www.superiorvision.com
Vision Service Plan (VSP) 30063132 800.877.7195 www.vsp.com
Unum Life/AD&D 211651 800.421.0344 www.unum.com
Unum Voluntary Life/AD&D 211652
Unum LifeBalance EAP 800.854.1446 www.unum.com/lifebalance
Login & Password: lifebalance
Flexible Spending 800.574.5448 www.basicpacific.com
Administrator: Basic Pacific Claims Fax: Customerservice@basicpacific.com
800.594.4591
Nationwide Pet Insurance 877.738.7874 www.petinsurance.com/clarkpest
Prudential 401(k) Retirement Plan 877.778.2100 www.prudential.com/online/retirement
Clark Pest Control Benefits Administrator 209.371.0654 rmurray@clarkpest.com
Rachel Murray
Need help? Let us assist you!
Contact your Filice Insurance Account Manager at
any time throughout the year with questions or con-
cerns regarding your benefits plan.
Tiffany Cappadona Kelly, Account Executive
Direct: 916-235-4112
tiffany@filice.com
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