Administration Guide Draft - Flex Penang

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Administration Guidelines for

FLEXTRONICS SYSTEM (PENANG) SDN BHD

Benefit Period

01 April to 31 March

Flextronics Personnel In Charge

Contact Person 1 Salmiza Binti Shariff


Designation Asst. Manager
DID 0105664287
Email Address SalmizaBinti.Shariff@flex.com
Correspondence Address PMT 719 Lingkaran Cassia Selatan, Taman Perindustrian Batu
Kawan, 14100 Simpang Ampat, Pulau Pinang

Contact Person 2 Seganayaki Shanmugam


Designation Director
DID 0124071204
Email Address Seganayaki.shanmugam@flex.com
Correspondence Address PMT 719 Lingkaran Cassia Selatan, Taman Perindustrian Batu
Kawan, 14100 Simpang Ampat, Pulau Pinang

Contact Person 3 Danzel Ewe


Designation Senior Commodity Manager Indirect
DID +604 506 4558
Email Address DanzelCT.Ewe@Flex.com
Correspondence Address

IHP Point of Contact

Contact Person 1 Charlene Ho


Designation Asst. Manager
DID 0123037738
Email Address Charlene.ho@ihpmy.com
Correspondence Address Unit No. A-2-1, Level 2, Tower A,
The Vertical Suites, Avenue 3,
Bangsar South, No 8, Jalan Kerinchi,
59200 Kuala Lumpur.

Contact Person 2 Ariel Leong


Designation Asst. Manager
DID 0165050228
Email Address Ariel.leong@ihpmy.com
Correspondence Address Unit No. A-2-1, Level 2, Tower A,
The Vertical Suites, Avenue 3,
Bangsar South, No 8, Jalan Kerinchi,
59200 Kuala Lumpur.

Contact Person 3 Ooi Heang


Designation Team Lead – Medical Operations
DID 0182268387
Email Address jackie.ooi@ihpmy.com
Correspondence Address Unit 9-8, Level 9, Menara Livingston,
170 Jalan Argyll,
10050 Georgetown,

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Penang.

IHP Point of Contact

IHP Point of Escalation


ESCALATION PATH

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Benefit Overview

1. Benefit Overview

Dental/Optical/ EHS
Health
Category GP SP Screening OAL
Plan 1 Employee As Charged 500 3,100 N/A
Employee As Charged 500
Plan 2 3,100
Dependant 600 N/A
Employee 500
Plan 3 As Charged 3,600
Dependant N/A
G29 and
Plan 4 Employee 500
Above
As Charged 4,600
Female - 771
Dependant N/A
Male - 580

Eligibility

Eligibility
- Employees (fixed) and Single – PLAN 1
- Employees (regular) – PLAN 2 to 4

Dependants
- Dependents (regular only)

Spouse
- A legally married spouse

Child(ren)
- Full time Student or Unemployed children up to nineteen (19) or twenty three (23) years of age.

Important Notes

1. Benefit Entitlement
Entitlement upon date of join.

2. Pro-ration
Not applicable.

3. Unutilized Balances
Unutilised balances will be forfeited at the end of the benefit year and/or at the end of
employment.

4. Overseas Claims
Expenses of treatment incurred outside Malaysia is claimable via pay and claim. Member need
to submit soft copy receipts via mobile app or web-portal. Employee to include relevant charge
slips or bank statements to support exchange rate, otherwise exchange rates shall be obtained
from Flextronics HR. Reimbursements will be credited in MYR.

5. Claim Documents
Employees to attach softcopy of their claim documents via IHP portal or mobile application when
submitting their claims.
Hardcopy/ original claim documents to be submitted to In-House clinic.
IHP dispatch to collect EVERY THURSDAY.
Payment to member by IHP only when Hardcopies are received. Hard copies can be returned to
Flex together with the invoices. Flex will keep the hard copies according to company policy.

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Processing Guidelines

Outpatient GP
Benefit Types • Non Panel General Practitioner
Eligibility • Fixed-term Employee (PLAN 1)
• Regular Employee (PLAN 2 – 4)
Spouse and Children
Provider • Registered GP clinics, hospitals
Area of Cover • Malaysia Only
Scope of Cover • Consultation
• Medications and Treatments
• Diagnostic Laboratory Tests
• Diagnostic Imaging Tests (X-ray / Ultrasounds)
• Electrocardiogram (ECG)
• Preventive Vaccinations unless approved by HR
• Mandatory Child Vaccinations (child within the first 12 months
of birth):
- Hepatitis B vaccination
- Triple antigen/double antigen/oral polio
- MMR
- BCG (booster)
• Medications without consultation must be accompanied by a
prescription or Doctor’s memo

Exclusion • Items documented in Annex A


• Medical Reports
• Incidentals not related to medical treatment – E.g. taxi fare,
cost of phone calls, special meal requests, etc.

Remarks •
Compulsory Claim Documents • Scanned/ Image of receipts/ tax invoices in the name of
& Info claimant indicating receipt amount has been paid.
• Period of expense falls within current benefit year, submitted
within the benefit period
• Credit card charge slips alone are not admissible.

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Outpatient Specialist
Benefit Types • Outpatient Specialist Reimbursement
Eligibility • Fixed-term Employee (PLAN 1)
• Regular Employee (PLAN 2 – 4)
• Spouse and Children
Provider • Registered Specialists, Hospitals
Area of Cover • Malaysia Only
Scope of Cover • Consultation
• Medications and Treatments
• Diagnostic Laboratory Tests*
• Diagnostic Imaging Tests (X-ray / Ultrasounds etc)
• Electrocardiogram (ECG)
• Preventive Vaccinations if approved by the Company
• Pap Smear and Breast Examination
• Medications without consultation must be accompanied by a
prescription
• Physiotherapy (letter from specialist is a must and must
contain duration and frequency of the physio). Letter from
Panel Clinic is NOT valid)
• Pre/ post natal and maternity related claims
• Paediatrician expenses for children
• Treatment to improve psychological, mental or emotional well-
being (Acute cases only. Chronic cases are not covered).

** GP Referral Letters NOT Required for SP Claims**

Exclusion • Independent child clinic is considered not panel


specialist and not coverable
• Items documented in Annex A
• Medical Reports
• Incidentals not related to medical treatment – E.g. taxi fare,
cost of phone calls, special meal requests, etc.

Remarks •
Compulsory Claim Documents • Scanned/ Image of receipts/ tax invoices in the name of
& Info claimant indicating receipt amount has been paid.
• Period of expense falls within current benefit year, submitted
within the benefit period
• Credit card charge slips alone are not admissible.

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Dental
Benefit Types • Dental
Eligibility • Regular & Fixed Term Employee
Provider • Registered Dental Practitioners
Area of Cover • Malaysia Only
Scope of Cover • Consultation
• Medication
• Oral Examination
• Extraction (Normal / Surgical)
• Amalgam Filling
• Scaling & polishing
• X-Ray
• Root Canal
• Prophylaxis
• Alveoplasty
• Bridging
• Dental Braces
• Dental Whitening
• Dentures if dentally required
• Crowns if dentally necessary
• Dental Implants if dentally necessary
Exclusion • Dental cleaning tools/oral care products such as toothbrush,
toothpaste, mouthwash, dental floss and etc.
Remarks • Shared Limit of RM500 with Optical
Compulsory Claim Documents • Scanned/ Image of receipts/ tax invoices in the name of
& Info claimant indicating receipt amount has been paid.
• Period of expense falls within current benefit year, submitted
within the benefit period
• Credit card and charge slips alone are not admissible.

Optical
Benefit Types • Optical
Eligibility • Regular & Fixed Term Employee
Provider • Registered Optical/ Vision Care Providers
Area of Cover • Malaysia Only
Scope of Cover • Prescription Spectacles
• Prescription Contact Lenses
• Eye Check Ups/ Examinations
• Spectacle Repairs (ie. Welding etc)
• Sunglasses
• Colored contact lenses
• Over-the-counter long sighted glasses without prescription
Exclusion • Retail items such as saline liquids, eye drops etc.
Remarks • Shared Limit of RM500 with Dental
Compulsory Claim Documents • Scanned/ Image of receipts/ tax invoices in the name of
& Info claimant indicating receipt amount has been paid.
• Period of expense falls within current benefit year, submitted
within the benefit period
• Credit card and charge slips alone are not admissible.

Health Screening
Benefit Types • Health Screening
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Eligibility • Regular & Fixed Term Employee
Provider • Registered GP clinics, hospitals
Area of Cover • Malaysia Only
Scope of Cover • Health screening
Exclusion • N/A
Remarks • Shared Limit of RM500 with Dental & Optical
Compulsory Claim Documents • Scanned/ Image of receipts/ tax invoices in the name of
& Info claimant indicating receipt amount has been paid.
• Period of expense falls within current benefit year, submitted
within the benefit period
• Credit card and charge slips alone are not admissible.

Processing Timeline

Mode of Payment/ Reimbursement GIRO

Task Deadline
Employee Submits Claim and attach softcopy of relevant
Before the 1st and 15th of each month *
claim documents via IHP System
Softcopy submission followed by original claim
documents to be submitted to In-House clinic.
Claim document submission Claims will be collated and sent to Flex HR for
approval before collection by IHP for
processing.
Direct Giro Reimbursement
IHP to arrange for reimbursements to employee bank 15th and following 1st of the month *
accounts

Claims incurred in each calendar year must be


Grace Period for year-end submission
submitted by 30th April of the next benefit year

* Working day before if the specified day falls on weekend or public holiday

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ANNEX-A – Exclusions

The Contracting Company will not cover the expenses of the followings for members
1. Any expenses arising out of self-inflicted injury or illness caused by misconduct, unjustifiable
hazards, or provoked assault received by participating in riots or unlawful acts whilst sane or
insane.

2. AIDS (Acquired Immune Deficiency Syndrome) or ARC (AIDS Related Complex) and HIV related
diseases

3. Any expenses incurred for treatment of psychotic, mental or nervous disorders.

I. Treatment of sleep disorder and psychiatric conditions other than minor stress, anxiety, and
depression.
II. Coverage extended to referral to the psychiatrists upon a doctor recommendation for
consultation and treatment for non-psychotic or an acute case. Treatments for chronic mental
health disorder or psychosis will be considered as exclusion.

4. Any expenses incurred in respect to any illness or disablement arising from attempted suicide, the
performance of unlawful act or the misuse of drugs and alcohol abuse.

5. Plastic or cosmetic surgery.

6. Treatment for acne, sleep, and snoring disorders.

7. Any expenses for vitamins/ diet supplements except where there is evidence of deficiency and
medically necessary.

8. Any expenses on vaccinations/immunizations:

I. Any expenses on routine examination/ health check-ups including routine pap smear, self-
request treatment, treatment not medically necessary.
II. Any medication, immunization for travel purposes unless approved by the company.

9. Mandatory Child vaccinations as per below are coverable (for children within the first 12 months of
birth) by a primary care qualified Physician subject to the maximum limit per dose specified in the
schedule of benefits as follows:

I. Hepatitis B vaccination
II. Triple antigen/double antigen/oral polio
III. MMR
IV. BCG (booster)

10. Congenital anomalies and birth defects.

11. Alopecia (Hair loss), routine eye or ear examination, LASIK eye surgery.

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12. Birth control, infertility, pregnancy related, sexual dysfunction, sex transformation surgery.

13. Alternative therapies not including physiotherapy (letter from specialist is a must and must contain
duration and frequency of the physio). Letter from Panel Clinic is NOT valid); lifestyle medication;
Viagra, slimming pills etc.

14. Treatment for obesity, weight reduction or weight improvement.

15. Private nursing, rest cures or sanitaria care.

16. Circumcision.

17. Any expenses for the use or acquisition of prosthetic appliances such as artificial limbs, hearing
aids and others.

18. Medicine prescribed by non-panel doctors or for personal overseas trip.

19. Medicine for treatment of cancer and chronic renal failure. Expenses incurred for organ donation.

20. Non-medical related items (Consumer products; medicated soap or shampoo, skin lotion or
moisturizer, other derma products)

21. Hospitalization primarily for investigatory purposes, routine medical or physical examination.

** This list is not exhaustive and serves only as a guideline.

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