Harbor & Pine Co.
2027 Employee Benefits Guide
Plan year: January 1, 2027 through December 31, 2027
Your 2027 benefits
Open enrollment runs November 3 through November 14. What you pick stays in place for all of 2027 unless you have a qualifying life event, so give this guide fifteen minutes before you choose.
Two things are new this year: the Pine HDHP now comes with a bigger company contribution to your HSA, and we added a limited-purpose FSA so HDHP enrollees can still set aside pre-tax money for dental and vision. Everything else, including our dental and vision plans, carries forward with small rate changes.
— People Operations, Harbor & Pine Co.
Who's eligible
- Who's eligible
- All regular employees scheduled for 30 or more hours per week.
- When coverage begins
- First of the month following your date of hire.
- Eligible dependents
- Your legal spouse and your children up to age 26 (regardless of student or marital status). Children of any age who are incapable of self-support due to disability may also be covered.
- When coverage ends
- Coverage ends on the last day of the month in which employment ends or you no longer meet eligibility requirements.
How to enroll
Enrollment window: November 3, 2026 through November 14, 2026
Log in with your work email, review your current elections, and confirm or change each one. The whole thing takes about ten minutes. Enrollment closes at 11:59 pm Pacific on the last day.
Enroll at: https://enroll.harborpine.example
If you do nothing
Your current medical, dental, and vision elections continue at the 2027 rates. FSA elections do NOT carry over; you must re-enroll to participate in any FSA next year.
Life changes mid-year
You have 30 days from a qualifying life event to report it and change your elections. Changes must be consistent with the event. Events involving Medicaid or CHIP eligibility carry a 60-day window under federal law.
- Marriage, divorce, or legal separation
- Birth, adoption, or placement for adoption
- A dependent losing eligibility (for example, a child turning 26)
- A change in your spouse's employment or benefits coverage
- Loss of other health coverage
Outside open enrollment, you can only change your elections after a qualifying life event: marriage or divorce, birth or adoption of a child, a dependent losing eligibility (for example, turning 26), a change in your spouse's employment or coverage, or loss of other coverage. Report the event to HR within the window above; changes must be consistent with the event.
Medical plans
| Harbor PPO 1000PPO | Pine HDHP 2000HDHP | Anchor EPO 500EPO | |
|---|---|---|---|
| Carrier | Cascade Health | Cascade Health | Soundline Health |
| Network | Cascade Open Choice | Cascade Open Choice | Soundline Select (no out-of-network benefit) |
| In-network | |||
| Deductible (individual) | $1,000 | $2,000 | $500 |
| Deductible (family) | $2,000 | $4,000 | $1,000 |
| Out-of-pocket max (individual) | $4,500 | $4,000 | $3,500 |
| Out-of-pocket max (family) | $9,000 | $8,000 | $7,000 |
| Your coinsurance (after deductible) | 20% | 10% | 10% |
| Preventive care | Covered 100% | Covered 100% | Covered 100% |
| Primary care visit | $25 copay | 10% after deductible | $20 copay |
| Specialist visit | $50 copay | 10% after deductible | $40 copay |
| Urgent care | $50 copay | 10% after deductible | $40 copay |
| Emergency room | $300 copay + 20% | 10% after deductible | $250 copay |
| Telehealth | $0 | $49 until deductible, then $0 | $0 |
| Prescription drugs | |||
| Tier 1 (generic) | $10 | $10 after ded. | $7 |
| Tier 2 (preferred brand) | $35 | $35 after ded. | $30 |
| Tier 3 (non-preferred brand) | $60 | $60 after ded. | $55 |
| Tier 4 | 25% to $150 | 20% after ded. | 25% to $125 |
| Specialty | 25% to $250 | 20% to $200 after ded. | 25% to $250 |
| Mail order (90-day) | 2× retail copay (90-day) | 2× retail copay (90-day) | 2× retail copay (90-day) |
Pine HDHP 2000: Non-embedded family deductible. The full family deductible must be met before the plan starts paying, even if only one family member has claims.
Out-of-network coverage
| Harbor PPO 1000 | Pine HDHP 2000 | |
|---|---|---|
| Deductible (individual) | $2,000 | $4,000 |
| Deductible (family) | $4,000 | $8,000 |
| Out-of-pocket max (individual) | $9,000 | $8,000 |
| Out-of-pocket max (family) | $18,000 | $16,000 |
| Your coinsurance (after deductible) | 40% | 40% |
Out-of-network care generally costs more and may be balance-billed. Emergency care is covered at the in-network level under federal law.
Health Savings Account (HSA)
An HSA is a bank account you own. Money goes in before taxes, grows tax-free, and comes out tax-free for eligible medical, dental, and vision expenses. The balance rolls over every year and goes with you if you leave. You can only contribute while enrolled in a qualified high-deductible health plan.
Employer contribution
| Individual coverage | $600 |
|---|---|
| Family coverage | $1,200 |
2027 IRS contribution limits
| Self-only coverage | $4,500 |
|---|---|
| Family coverage | $9,000 |
| Additional if 55 or older | $1,000 |
Limits include employer contributions. Verify current figures with your plan administrator. (2026-07-29)
To contribute, you must be enrolled in the HDHP, not covered by any other non-HDHP plan (including a spouse's general-purpose FSA), not enrolled in Medicare, and not claimed as a dependent on someone else's tax return.
The company contribution is deposited in two halves: January and July. You keep it even if you leave.
Flexible Spending Accounts (FSA)
Health Care FSA
Set aside pre-tax money for eligible medical, dental, and vision expenses. You elect an annual amount at enrollment and it's deducted evenly from your paychecks. The full election is available on day one of the plan year.
2026 IRS election limit: $3,400. The IRS had not yet announced the 2027 limit when this guide was prepared; the figure shown is the 2026 limit. Confirm with your plan administrator.
This plan lets you carry over up to $680 of unspent money into the next plan year; anything above that is forfeited.
Limited-Purpose FSA
For HDHP enrollees who contribute to an HSA: this FSA covers dental and vision expenses only, so it doesn't affect your HSA eligibility.
Dependent Care FSA
Set aside pre-tax money for eligible dependent care (day care, preschool, before/after-school care, elder day care) so you and your spouse can work. Federal limit: $7,500 per household per year.
On most plans, FSA elections do not continue into the new year on their own. Re-enroll each year to participate, unless your employer tells you otherwise.
Dental
| Dental Base | Dental Plus | |
|---|---|---|
| Carrier | Timberline Dental | Timberline Dental |
| Preventive care (cleanings, exams, x-rays) | 100% | 100% |
| Basic services (fillings, extractions) | 80% | 90% |
| Major services (crowns, bridges, dentures) | 50% | 60% |
| Deductible | $50 per person | $50 per person |
| Annual maximum | $1,500 | $2,000 |
| Orthodontia | 50% (children to age 19) | 50% (adults and children) |
| Orthodontia lifetime maximum | $1,500 | $2,000 |
| Waiting periods | None | None |
Vision
| Carrier | ClearView Vision |
|---|---|
| Eye exam | $10 copay |
| Lenses | $25 copay |
| Frames allowance | $150 allowance, then 20% off the balance |
| Contact lens allowance | $150 allowance (instead of frames) |
| How often | Exam every 12 months, lenses every 12 months, frames every 24 months. |
Life and AD&D insurance
Basic Life and AD&D (employer-paid)
$50,000 flat benefit
Your employer provides this coverage at no cost to you. AD&D (accidental death and dismemberment) pays an additional benefit for covered accidents. Name a beneficiary during enrollment and keep it current.
Voluntary Life (employee-paid)
You can buy additional life insurance for yourself, your spouse, and your children at group rates, paid through payroll.
| Employee guaranteed issue | $150,000 |
|---|---|
| Spouse guaranteed issue | $30,000 |
| Child coverage | $10,000 flat |
Amounts above the guaranteed-issue level require evidence of insurability: a health questionnaire the carrier reviews. Coverage above that level takes effect only after the carrier approves it.
Disability insurance
Disability insurance replaces part of your income if illness or injury keeps you from working. The elimination period is the wait between when you become disabled and when payments begin.
Short-Term Disability (STD)
| Benefits begin after | 7 days |
|---|---|
| Replaces | 60% of pay |
| Up to (weekly) | $1,500 |
| Benefit duration | Up to 12 weeks |
Long-Term Disability (LTD)
| Benefits begin after | 90 days |
|---|---|
| Replaces | 60% of pay |
| Up to (monthly) | $10,000 |
| Own-occupation period | 24 months |
Voluntary benefits
These optional plans are offered at group rates, and you choose whether to enroll in each one. They add to your core coverage rather than replacing it.
Accident insurance
Granite Benefits
Pays fixed cash amounts for covered injuries: for example, $150 for an urgent care visit after an accident, more for fractures or hospital stays.
Critical illness insurance
Granite Benefits
A lump-sum payment ($10,000 or $20,000 election) on first diagnosis of a covered condition such as heart attack, stroke, or invasive cancer.
Legal plan
CounselDirect
Unlimited attorney consultations and full representation for common matters: wills, home purchases, traffic issues, family law.
Pet insurance
Companion Pet
Accident and illness coverage for dogs and cats at a group discount; enroll any time, billed to you directly.
More benefits
Employee Assistance Program (EAP)
1-888-555-0164
Six free counseling sessions per issue per year for you and everyone in your household, plus financial and legal consultations. Confidential; the company never sees who used it.
Telehealth
24/7 video visits with board-certified doctors through your medical plan. $0 on the PPO and EPO; $49 on the HDHP until you meet the deductible.
401(k) retirement plan
401(k) with a 100% company match on the first 4% you contribute. Immediate vesting. Enroll or change your rate any time at retire.harborpine.example.
Paid time off
18 days of PTO (accrued per pay period), 10 company holidays, and 2 floating holidays.
Wellness
$300 a year toward anything that keeps you moving: gym, ski pass, running shoes, climbing membership. Submit receipts in the HR portal.
What you pay each paycheck
Your share of the premium, deducted from each paycheck (26 paychecks per year).
| Harbor PPO 1000 | Pine HDHP 2000 | Anchor EPO 500 | Dental Base | Dental Plus | Vision | |
|---|---|---|---|---|---|---|
| Employee only | $70.15 | $45.23 | $55.85 | $5.08 | $7.38 | $1.48 |
| Employee + spouse | $160.62 | $111.69 | $133.38 | $10.15 | $15.23 | $2.82 |
| Employee + child(ren) | $144.00 | $100.62 | $120.92 | $11.54 | $17.08 | $3.00 |
| Family | $248.31 | $172.62 | $206.77 | $18.00 | $26.77 | $4.80 |
Amounts were converted from monthly premiums to your pay schedule (26 paychecks per year) and rounded to the cent.
Glossary
- Deductible
- What you pay for covered care each year before the plan starts paying its share. Premiums and copays don't count toward it.
- Copay
- A fixed dollar amount you pay for a covered service, like $25 for an office visit.
- Coinsurance
- Your percentage share of the cost of covered care after you've met the deductible. If coinsurance is 20%, the plan pays 80%.
- Out-of-pocket maximum
- The most you'll pay for covered in-network care in a plan year. After you reach it, the plan pays 100% of covered services.
- In-network
- Doctors and facilities that contract with your plan at negotiated rates. Staying in network almost always costs less.
- Embedded deductible
- On a family plan, each person only has to meet the individual deductible before the plan pays for their care. On a non-embedded plan, the whole family deductible must be met first.
- Formulary
- Your plan's list of covered prescription drugs, organized into cost tiers.
- EOB (Explanation of Benefits)
- The statement your plan sends after a claim showing what was billed, what the plan paid, and what you may owe. It is not a bill.
- HDHP
- High-deductible health plan. Lower premiums, higher deductible, and the only plan type that lets you contribute to an HSA.
Required annual notices
Employers are required to distribute certain annual notices, such as Medicare Part D creditable coverage, CHIPRA, the Women's Health and Cancer Rights Act, and HIPAA privacy notices. Obtain current versions from your broker or legal counsel and distribute them alongside this guide. This guide does not include or replace those notices.
Who to call
| Benefit | Carrier | Group # | Phone | Website |
|---|---|---|---|---|
| Medical (PPO & HDHP) | Cascade Health | 48211 | 1-800-555-0148 | cascadehealth.example |
| Medical (EPO) | Soundline Health | SL-2207 | 1-800-555-0112 | soundline.example |
| Dental | Timberline Dental | 77341 | 1-800-555-0177 | timberline.example |
| Vision | ClearView Vision | CV-9902 | 1-800-555-0129 | clearview.example |
| Life, AD&D & Disability | Granite Benefits | GB-5518 | 1-800-555-0195 | granitebenefits.example |
| HSA & FSA administration | Evergreen Spending Accounts | — | 1-866-555-0140 | evergreenaccounts.example |
Questions? Start with HR
People Operations · benefits@harborpine.example · (503) 555-0117