Continuation of benefit coverage after your last day of employment with Red Robin:
If you had benefit coverage as of your termination date and want to voluntarily elect to continue participation
in RRGB’s medical, dental, vision, and healthcare flexible spending account plans, you must elect this coverage
under COBRA. Each of your dependents can elect COBRA separately.
Within two weeks of termination, Planned Benefit Systems (PBS) will mail to your address on file information on
your rights to continue these programs for up to 18 months. You pay the full cost for elected COBRA coverage.
You will have a maximum of 60 days from receipt to elect coverage with PBS, and your coverage will be effective
on the first day of the month following your termination date. PBS will collect your enrollments, forward your
eligibility to each elected benefit vendor, receive and maintain your COBRA billing, and administer your COBRA
rights as provided by law. Contact Planned Benefit Systems at 800-800-0133, via email at cobra@cci-pbs.com, or
online at www.cci-pbs.com with any questions.
The 2010 COBRA Monthly Premiums are:
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Hourly Team Members:
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Medical High Plan – per month
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Medical Low Plan – per month
|
|
1 individual
|
$271.50
|
$226.26
|
|
2 individuals
|
$570.40
|
$475.34
|
|
3 or more individuals
|
$840.56
|
$700.46
|
|
Salary Team Members:
|
Medical High Plan – per month
|
Medical Low Plan – per month
|
|
1 individual
|
$267.47
|
$222.91
|
|
2 individuals
|
$564.65
|
$470.55
|
|
3 or more individuals
|
$833.25
|
$694.38
|
|
Hourly and Salary Team Members:
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Dental – per month
|
Vision – per month
|
|
1 individual
|
$24.65
|
$5.32
|
|
2 individuals
|
$52.04
|
$8.96
|
|
3 or more individuals
|
$76.81
|
$15.74
|
Medical
Coverage for you and your covered dependents ends on the last day of the month of termination. Continued RRGB
coverage is available for a limited time through COBRA by paying the full cost of coverage. Contact Aetna for
medical claims inquiry and questions at www.aetna.com or 800-543-4522, and Mail Order Rx at 800-227-5720.
Dental
Coverage for you and your covered dependents ends on the last day of the month of termination. Continued RRGB
coverage is available for a limited time through COBRA by paying the full cost of coverage. Contact Delta Dental
of Colorado for claims inquiry and questions at www.deltadentalco.com or 800-610-0201.
Vision Buy-up
Coverage for you and your covered dependents ends on the last day of the month of termination. Continued RRGB
coverage is available for a limited time through COBRA by paying the full cost of coverage. Contact Vision Service
Plan (VSP) for claims inquiry and questions at www.vsp.com or 800-877-7195.
RRGB Medical Coverage – Certificate of Creditable Coverage
Your new insurance carrier may want to know the length of time you and your dependents were covered under the
RRGB plan. Expect to receive your Certificate of Creditable Coverage from Aetna at your last known address within
30 days of termination. If you continue RRGB coverage through COBRA, the Certificate will be mailed to you within
30 days after your COBRA end date. You may contact Aetna at www.aetna.com or 800-543-4522.
Flexible Spending Accounts
Payroll contributions to your elected Health Care and Dependent Care accounts end with your last paycheck. You
may file Healthcare and Dependent Care claims incurred through your last day worked. The filing deadline for reimbursement
of these claims is March 31, 2010. Contact PayFlex at www.mypayflex.com or 800-284-4885. You may continue to contribute
to your Healthcare Account, which also extends your incurred claim filing period, by electing COBRA coverage on
an after-tax basis.
Life and Accidental Death & Dismemberment Insurance
All Team Member Basic coverage (provided free of charge) ends on the date of termination. You may convert your
coverage to a private policy within 31 days of termination by contacting RRGB at HRBenefits@redrobin.com or 303-846-5445.
Supplemental coverage purchased for you and your dependents also ends on the last day worked. There is both a
conversion and a portability option available (portability is not available to retirees or those leaving due to
a disability). Contact RRGB within 31 days of termination at HRBenefits@redrobin.com or 303-846-5445 for the applicable
paperwork.
401(k) Savings Plan
You may keep your account with RRGB at The Hartford as long as your vested account balance exceeds $1,000. The
Hartford will contact you by mail if your account is valued less than $1,000. At that time, you will be required
to take a distribution of funds from the Plan. There are a variety of options available for these funds and The
Hartford will assist you with these choices. Contact The Hartford at 800-881-8520 or online at www.thehartford.com/retirementplans/access.
Short/Long Term Disability Plan (Salaried and Corporate Home Office Hourly TMs)
Coverage ends on your date of termination. There is no continuation of coverage after termination.
Employee Stock Purchase Plan
If you are currently enrolled in an offering period on your termination date, you will be automatically withdrawn
from the Plan and all payroll deductions taken since the beginning of the offering period will be refunded to
you.
Any ESPP shares purchased prior to your termination date are yours to keep and the trading of those shares is
at your discretion.
Equity Awards or Stock Options
Stock Options: The vesting of your stock options ends on your termination date. If you have any vested options
as of your termination date, you have the opportunity to exercise them. However, the length of time you have to
exercise the vested options is limited. Depending on 1) the equity plan your stock options are granted from and
2) the type of termination (voluntary vs. involuntary), you have a 0-day or 90-day grace period measured from
your termination date to exercise any vested options as of your termination date. Please review the termination
provisions in your stock option agreements.
If you have the opportunity to exercise any vested options, you can do so online through your E*Trade account.
Restricted Stock Units/Awards: Any unvested RSU/RSA’s are forfeited upon termination. Any RSU/RSA’s that vested
prior to your termination date are yours to keep and the trading of those shares is at your discretion.
E*Trade
Your E*Trade account will remain available to you after your termination. However, if the combined balance of
linked E*Trade securities accounts is less than $2,000, E*Trade will begin to assess a quarterly service fee,
currently at $40/quarter, to maintain the brokerage account. This fee can be waived should certain qualified transactions
take place during the applicable quarter. There is a list of the qualified transactions on the E*Trade website
at www.etrade.com/fees. Scroll down to the Account Activity Fees section. If you do not plan to use your E*Trade
account after termination, you can call customer service to cancel the account.
E*Trade Contact Info: 1-800-838-0908 M-F 8am – 9pm EST www.etrade.com
Deferred Compensation Plan
If you had participated in the company’s Deferred Compensation Plan, the distribution of your account balance
will be paid the later of: (i) the last pay day in February of the following year or (ii) six months from your
termination date. The account balance will be subject to gains/losses until the payout date. You will have access
to your account at www.mullintbg.com. Customer service can be contacted at 1-800-824-0040 M-F 6am – 6pm PST.
Team Member Assistance Program (also known as EAP)
Coverage for you and your household members is available up to 30 days after the date of termination. Contact
CIGNA Behavioral Health at www.cignabehavioral.com or 888-371-1125.
Company Discounts
RRGB provides its Team Members with a variety of discounts. These discounts end on your termination date.