Our comprehensive dental and vision insurance benefits help you be well and stay well. And with our Flexible Spending Accounts and Health Savings Accounts, you can set aside pre-tax money to help pay for your medical, dental and vision care expenses.
Dental
We want to see your smile. Dental checkups, cleanings and X-rays can prevent many issues and catch others early. Early treatment is often less expensive and easier to treat. Preventive care – covered at 100% under our dental plan – can have a significant impact on your overall health and wellbeing.
Am I eligible for coverage?
Benefit-eligible team members (regular team members with standard hours in Workday of 24 hours or more) are eligible for dental benefits on the first of the month following date of hire and can make plan changes during open enrollment or with a qualifying life event.
Who can I cover?
Eligible dependents are your spouse, qualified domestic partner, children and domestic partner children, up to age 26 or if disabled.
Plan Options, Coverage and Costs
Sleep Number offers a dental plan, administered by Delta Dental of Minnesota. The plan covers preventive care at 100%.
| 2023 Bi-Weekly Payroll Deductions | |
|---|---|
| Coverage Level | Delta Dental of Minnesota |
| Team Member Only | $7.36 |
| Team Member + Spouse* | $15.15 |
| Team Member + Child(ren)* | $19.24 |
| Team Member + Family* | $34.15 |
*Imputed income applies to Medical, Dental and Vision pre-tax benefits plans should you choose to enroll your domestic partner and/or your domestic partner’s child(ren).
Having trouble deciding, or need more information?
Don’t worry, we have many resources to help!
- Dental Plan Summary
- Contact Delta Dental for more information or to find providers:
- Website: deltadentalmn.org
- Phone: 1-800-448-3815
- Summary Plan Description
- To review current elections, follow these steps
Vision
Regular eye exams can help detect serious medical problems, such as diabetes, cataracts and more. Our vision plan covers routine eye exams, as well as lenses, frames, contacts and discounts on Lasik surgery.
Am I eligible for coverage?
Benefit-eligible team members (regular team members with standard hours in Workday of 24 hours or more) are eligible for vision benefits the first of the month following date of hire and can make plan changes during open enrollment or with a qualifying life event.
Who can I cover?
Eligible dependents are your spouse, qualified domestic partner, children and domestic partner children, up to age 26 or if disabled.
Plan Options, Coverage and Costs
Sleep Number offers one vision plan administered by UnitedHealthcare. This plan covers lenses, frames, contacts, and routine eye exams as well as offers discounts on Lasik surgery. See the details here, including:
- Warby Parker benefits
- Glasses USA benefits
- QualSight Lasik benefits
- Vision plan resource guide
- Vision providers
- Summary Plan Description
| 2023 Bi-Weekly Payroll Deductions | |
|---|---|
| Coverage Level | UHC Vision Plan |
| Team Member Only | $2.75 |
| Team Member + Spouse* | $4.66 |
| Team Member + Child(ren)* | $4.74 |
| Team Member + Family* | $8.01 |
*Imputed income applies to Medical, Dental and Vision pre-tax benefits plans should you choose to enroll your domestic partner and/or your domestic partner’s child(ren).
Having trouble deciding, or need more information?
Don’t worry, we have many resources to help!
- Vision Plan Summary
- Contact UHC for more information or to find providers:
- Website: www.myuhcvision.com
- Phone: 1-800-638-3120
- UHC Vision out of network claim form
- To review current elections, follow these steps
Flexible Spending and Health Savings Accounts
These accounts are a great way to save. You can set aside pre-tax dollars through payroll deductions for reimbursement of qualified out-of-pocket expenses. Your qualified withdrawals are not taxed.
Am I eligible for coverage?
Benefit-eligible team members (regular team members with standard hours in Workday of 24 hours or more) are eligible to participate in a spending or savings account, as described below, as of first of the month following your date of hire.
What are my plan options?
Sleep Number offers four types of tax advantaged accounts, administered by ThrivePass, compared below:
Plan
Health Savings Account (HSA)
Money can be used for: Current and future qualified out-of-pocket medical, dental and vision expenses reimbursable through HSA debit card
Tax Savings:
- Pre-tax contributions
- Tax-free withdrawals
- Tax-free interest and gains
Eligible if: Enrolled in BCBS HDHP*
Year-End Balance: Rolls over at year-end, and portable if you leave Sleep Number
Make changes to deferral amounts during the year: Yes
2022 Maximum Annual Contribution (Sleep Number + Team Member):
- Team Member only coverage: $3,650
- Team Member + Dependent(s): $7,300
- If you are over age 55 another $1,000 is allowed
2022 Sleep Number Annual Contribution**
- Team Member only coverage: $500
- Team Member + Dependent(s): $1,000
Traditional Healthcare Spending Account HCFSA (full use)
Money can be used for: Current qualified out-of-pocket medical, dental and vision expenses reimbursable through FSA debit card
Tax Savings:
- Pre-tax contributions
- Tax-free withdrawals
Eligible if: Not enrolled in an HDHP plan
Year-End Balance:Any balance up to $550 will roll over to the following plan year.
Make changes to deferral amounts during the year: No (unless you have a qualified family status change)
2022 Team Member Maximum Pre-Tax Annual Contribution: $2,850
2022 Sleep Number Annual Contribution** N/A
Limited Purpose Healthcare Spending Account HCFSA (limited use)
Money can be used for: Current qualified out-of-pocket dental and vision expenses (must meet HDHP deductible before using for qualified medical expenses)
Tax Savings:
- Pre-tax contributions
- Tax-free withdrawals
Eligible if: Enrolled in BCBS HDHP*
Year-End Balance:Any balance up to $550 will roll over to the following plan year.
Make changes to deferral amounts during the year: No (unless you have a qualified family status change)
2022 Team Member Maximum Pre-Tax Annual Contribution: $2,850
2022 Sleep Number Annual Contribution** N/A
Dependent Care Flexible Spending Account DCFSA
Money can be used for: Current qualified out-of-pocket childcare or elder care expenses reimbursable through this form
Tax Savings:
- Pre-tax contributions
- Tax-free withdrawals
Eligible if: N/A
Year-End Balance: IRS “use it or lose it” rule applies***
Make changes to deferral amounts during the year: No (unless you have a qualified family status change)
2022 Team Member Maximum Pre-Tax Annual Contribution: $2,500 if single, or $5,000 if married filing jointly
2022 Sleep Number Annual Contribution** N/A
| Health Savings Account (HSA) | Traditional Healthcare Flexible Spending Account HCFSA (full use) | Limited Purpose Healthcare Flexible Spending Account HCFSA (limited use) | Dependent Care Flexible Spending Account DCFSA | |
|---|---|---|---|---|
| Money can be used for | Current and future qualified out-of-pocket medical, dental and vision expenses reimbursable through HSA debit card | Current qualified out-of-pocket medical, dental and vision expenses reimbursable through FSA debit card | Current qualified out-of-pocket dental and vision expenses (must meet HDHP deductible before using for qualified medical expenses) | Current qualified out-of-pocket childcare or elder care expenses |
| Tax savings |
|
|
|
|
| Eligible if | Enrolled in BCBS HDHP* | Enrolled in Surest or BCBS PPO Plans | Enrolled in BCBS HDHP* | N/A |
| Year-end balance | Rolls over at year-end, and portable if you leave Sleep Number | Any balance up to $610 will roll over to the following plan year. | Any balance up to $610 will roll over to the following plan year. | IRS “use it or lose it” rule applies*** |
| Make changes to deferral amounts during the year | Yes | No (unless you have a qualified family status change) | No (unless you have a qualified family status change) | No (unless you have a qualified family status change) |
| 2023 maximum annual contribution (Sleep Number + Team Member) |
|
$3,050 | $3,050 | $2,500 if single or $5,000 if married filing jointly |
| 2023 Sleep Number annual contribution** |
|
N/A | N/A | N/A |
*Eligibility: All team members enrolled in the High Deductible Health Plan (HDHP) who are not enrolled in any other type of disqualifying health coverage which is not high-deductible (including a spouse’s traditional flexible spending account), are not enrolled in any form of Medicare (Part A, B, or D) and are not claimed as a dependent on someone else’s taxes are eligible to contribute to an HSA account and receive the Sleep Number contribution. If you have other coverage, contact HR as we may need to cancel your HSA account.
**The contribution will be given each pay period and deposited in your HSA account throughout the year. You must enroll in the HDHP plan and HSA plan in Workday to receive this contribution.
***The claim filing deadline for FSA accounts is March 31 of the next plan year.
Having trouble deciding or need more information?
Don’t worry, we have many resources to help!
- Contact ThrivePass:
- Website: app.thrivepass.com
- Email: tpa@thrivepass.com
- Phone: 866-855-2844
- FSA Summary Plan Descriptions:
Learn more about COBRA and Family Change of Status events (Qualifying events) and Legal Notices.