Benefits – Spectrum Enterprises, Inc.

Your Medical Benefits

Carrier Information

Aetna
Carrier Login: https://www.aetna.com/about-us/login.html
Provider Network Web Address: https://www.aetna.com/dsepublic/#/contentPage?page=providerSearchLanding&site_id=dse
Find a Medication Web Address: https://www.aetna.com/individuals-families/find-a-medication.html (Select “Advanced Control Plan – Aetna”)
Member Service Number: 1-888-802-3862

Aetna Option 1

Aetna Option 2

Aetna Option 3

Aetna Option 4

Medical Flyers

Eligibility

All employees who work at least twenty (20) hours per week are eligible for coverage the first of the month following thirty (30) days of employment.

Medical Bi-Weekly Contribution Schedule

	Option 1
	AFA CPOSII 3500 HSA 80/50 E CY V24
Employee	$91.69
Employee + Spouse	$583.50
Employee + Child	$494.06
Employee + Family	$985.91

	Option 2
	AFA CPOSII 5500 HSA 80/50 E CY V24
Employee	$35.30
Employee + Spouse	$461.56
Employee + Child(ren)	$384.04
Employee + Family	$810.34

	Option 3
	AFA CPOSII 6000 HSA 70/50 E CY V24
Employee	$28.23
Employee + Spouse	$446.27
Employee + Child(ren)	$370.25
Employee + Family	$788.31

	Option 4
	AFA CPOSII 8150 100-50 IntRX CY V24
Employee	$0
Employee + Spouse	$385.22
Employee + Child(ren)	$315.18
Employee + Family	$700.43

Get Help!

Val Smith
207-805-0038
vsmith@spectrumlihtc.com

75 John Roberts Road Suite 2C
South Portland ME 04106

Your Health Reimbursement Arrangement Benefits

HRS Plan Structure with HSA

Carrier Information

Consumer Health Solutions
Website: https://www.consumerhealthportal.com/Login
877-230-8650 Ext. 101

Plan Information: Consumer Health Solutions HRA

Eligibility

All employees who work at least twenty (20) hours per week are eligible for coverage the first of the month following thirty (30) days of employment.

HRS Plan Structure with HSA

	Employee Responsible Portion First	HRA Reimburses Second Allowed Employee Contribution
Employee	$1,650	$5,150
Employee + Child(ren)	$3,300	$10,300
Employee + Spouse	$3,300	$10,300
Employee + Family	$3,300	$10,300

HRS Plan Structure Non-HSA

	Employee Responsible Portion First	HRA Reimburses Second Allowed Employee Contribution
Employee	$1,650	$5,150
Employee + Child(ren)	$1,650 per member up to $3,300	$5,150 per member up to $10,300
Employee + Spouse	$1,650 per member up to $3,300	$5,150 per member up to $10,300
Employee + Family	$1,650 per member up to $3,300	$5,150 per member up to $10,300

Get Help!

Val Smith
207-805-0038
vsmith@spectrumlihtc.com

75 John Roberts Road Suite 2C
South Portland ME 04106

Your Health Savings Account Benefits

Carrier Information

Consumer Health Solutions
Website: https://www.consumerhealthportal.com/Login
877-230-8650 Ext. 101

Plan Information: Consumer Health Solutions HSA

My HSA Planner

HSA Eligibility List

HSA Learning Center

Benefit Forms & Flyers

Eligibility

All employees who work at least twenty (20) hours per week are eligible for coverage the first of the month following thirty (30) days of employment.

You must be enrolled in one of the following Aetna medical plans to contribute to an HSA:

Option 1: AFA CPOSII 3500 HSA 80/50 E CY V24
Option 2: AFA CPOSII 5500 HSA 80/50 E CY V24
Option 3: AFA CPOSII 6000 HSA 70/50 E CY V24

You may not contribute to an HSA if enrolled in

Option 4: AFA CPOSII 8150 100/50 IntRX CY V24.

Contributions

	2025 IRS Annual Limit	Spectrum Annual Contribution	Allowed Employee Contribution

Employee	$4,300	$0	$4,300
Employee +Child(ren)	$8,550	$0	$8,550
Employee + Spouse	$8,550	$0	$8,550
Employee + Family	$8,550	$0	$8,550

*If you are over 55, you can contribute an additional $1,000 as a “catch-up” contribution

Get Help!

Val Smith
207-805-0038
vsmith@spectrumlihtc.com

75 John Roberts Road Suite 2C
South Portland ME 04106

Your Flexible Spending Account Benefits

Carrier Information

Consumer Health Solutions
Website: https://www.consumerhealthportal.com/Login
877-230-8650 Ext. 101

Plan Information: Consumer Health Solutions FSA

FSA Eligibility List

FSA Learning Center

Eligibility

All employees who work at least twenty (20) hours per week are eligible for coverage the first of the month following thirty (30) days of employment.

If you are contributing to a Health Savings Account (HSA) and would like to also elect the Health Care Flexible Spending Account (FSA), you must elect “Limited Purpose FSA.”

Please note: The FSA will not be offered for plan years effective 01/01/26

Contributions

For the 2025 tax year, employees can contribute up to $3,300 to a health FSA.

For the 2025 tax year, employees can contribute up to $5,000 to a Dependent Care FSA if married (or $2,500 if married and filing separately).

Get Help!

Val Smith
207-805-0038
vsmith@spectrumlihtc.com

75 John Roberts Road Suite 2C
South Portland ME 04106

Your Dental Benefits

Carrier Information

Northeast Delta Dental
Carrier Website: https://www.nedelta.com/patients/ (Click “Log In”)
Directory: https://dentistsearch.nedelta.com/ (Delta Dental PPO & Delta Dental Premier Networks)
800-832-5700