Healthcare Provider Update: Healthcare Provider for Sears Holdings Sears Holdings typically provides healthcare benefits to its employees through various insurance plans, often with national insurers such as Aetna, UnitedHealthcare, or Anthem Blue Cross Blue Shield being among the health carriers they have partnered with. The specific providers can vary by location and employee selection during open enrollment periods. Potential Healthcare Cost Increases in 2026 As we progress into 2026, the healthcare landscape is expected to face significant challenges, particularly for employees of Sears Holdings. Forecasts indicate steep premium hikes, with some states imposing increases of over 60%, largely influenced by rising medical costs and the potential expiration of enhanced ACA premium subsidies. The Kaiser Family Foundation highlights that without congressional intervention, millions of marketplace enrollees could see their out-of-pocket costs surge by more than 75%. This convergence of factors threatens to impose a substantial financial burden on both individuals and employers, necessitating proactive strategies to mitigate rising expenses. Click here to learn more
What Is It?
As an employee of Sears Holdings, Your homeowners insurance policy is most likely written on a standard form identical to homeowners policies purchased by millions of others. Even if it's not identical, your policy is probably very similar to a standard form of homeowners policy, because insurance companies do not usually create policy forms. Instead, they adopt policy forms created by national organizations or legislative committees. In some cases, insurance companies are required by law to use a standard form for their policies. Most of your homeowners policy consists of preprinted pages that are not tailored to your situation. The information specific to your situation is shown on your policy's Declarations Page. Sears Holdings employees should use this resource as a learning tool, but always read your policy carefully to familiarize yourself with the details of your coverage.
Overview
There are six different types of policy forms for homeowners insurance. The forms offer identical liability coverage but differ with respect to property coverage (basic named perils, broad named perils, or open perils) and dwelling type (house, apartment, condominium, or cooperative). It's easy to determine which policy form you purchased, because each type is identified by a number:
- HO-1 Basic named perils
- HO-2 Broad named perils
- HO-3 Open perils
- HO-4 Apartments
- HO-6 Condominiums or cooperatives
- HO-8 Older homes
Tip: We recommend that our Sears Holdings employees check their policy. The HO designation should appear on every page of the policy, usually near the bottom right corner.
Although it's not apparent from the above list, HO-1, HO-2, HO-3, and HO-8 all apply to houses, not apartment, condo, or co-op units. HO-4 and HO-6--which do apply to apartment, condo, and co-op units--are based on broad named perils coverage (see Table of Information). Tenants, as well as condo and co-op owners, need different forms because they do not own their residences and therefore cannot purchase dwelling coverage.
Caution: Sears Holdings employees should note that, a s you will see, open perils coverage is the most extensive type of coverage you can purchase for your house. It is available through Form HO-3, but there's a catch. As written, Form HO-3 offers open perils coverage only for your dwelling and related structures. Personal property is covered for broad named perils (a more restrictive type of coverage) under HO-3, unless you add a Special Personal Property Coverage endorsement to cover your personal property on an open perils basis.
Basic Named Perils Coverage
This coverage is also commonly referred to as 'basic coverage.' The 11 conditions, actions, and events that are included in basic coverage are considered to be 'perils' because they cause financial loss. We'd like our clients from Sears Holdings to note that the 11 perils are:
- Fire or lightning
- Windstorm or hail
- Explosion
- Riot or civil disturbance
- Aircraft
- Vehicles (as long as they're operated by nonresidents)
- Smoke (not including smoke from fireplaces)
- Vandalism or malicious mischief
- Theft
- Broken glass (up to a $100 limit)
- Volcanic eruption
None of the six policy forms offers less than basic coverage. That's because broad named perils coverage and open perils coverage provide protection for the 11 basic named perils and more. Your policy is most likely not written to provide basic coverage. Basic coverage is provided by Form HO-1, which is rarely used, and Form HO-8, which applies only to special situations.
Tip: Both basic named perils coverage and broad named perils coverage are called 'named' coverages because perils are specifically listed in the policy. Open perils coverage is considered 'open,' in part, because specific perils are not listed in the policy.
Broad Named Perils Coverage
Another type of coverage we'd like to introduce to our Sears Holdings clients is known as 'Broad Named Perils Coverage' and is also commonly referred to as 'named perils coverage.' It is similar to basic coverage in that certain perils are specifically named or listed in the policy, but it is more expansive. Named perils coverage includes the 11 perils covered by basic coverage and adds 6 more perils:
- Falling objects
- Weight of ice, snow, or sleet
- Accidental discharge or overflow of water
- Sudden and accidental tearing apart
- Freezing
- Artificially generated electrical damage
Named perils coverage also expands coverage for:
- Smoke (to include smoke from fireplaces)
- Vehicles (to include damage caused by resident-operated vehicles)
- Broken glass (to remove the $100 limit on coverage)
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Named perils coverage is the coverage type most frequently featured in the six policy forms. Because the named perils are described in detail, this type of coverage features just a few, straightforward exclusions. If your policy features named perils coverage, you are not covered by property insurance for damage or destruction caused by:
- Enforcement of building codes and similar laws
- Earthquakes
- Flooding
- Power failures
- Neglect (meaning your failure to take reasonable steps to protect your property)
- War
- Nuclear hazard
- Intentional acts
Open Perils Coverage
The next type of coverage we'll be going over with Sears Holdings employees is one also known as 'all-risk' coverage. That's because Form HO-3 broadly states that it covers you 'against [all] risk of direct loss to property described in Coverages A [dwelling] and B [other structures].' Instead of naming the perils covered by the policy, the question of what perils are covered is left unanswered or 'open.' But don't let the label fool you. Form HO-3 (the only form to feature open perils coverage) comes complete with a lengthy list of exclusions from coverage to ensure that your insurance company is not liable for every peril under the sun. The starting point for the exclusions from open perils coverage is the eight exclusions most frequently associated with named perils coverage (meaning losses arising from building code enforcement, earthquakes, flooding, etc.). Then there are additional exclusions:
- Freezing pipes and systems in vacant dwellings
- Damage to foundations or pavements from ice and water weight
- Theft from a dwelling under construction
- Vandalism to vacant dwellings
- Latent defects, corrosion, industrial smoke, pollution
- Settling, wear, and tear
- Pets, other animals, and pests
- Weather conditions that aggravate other excluded causes of loss
- Government and association actions
- Defective construction, design, and maintenance
Tip: HO-3 does not cover you for the preceding exclusions, but does cover you for ensuing losses that result from excluded events (as long as the ensuing loss is not itself excluded from coverage). This means, for example, that if your fireplace is defectively designed so that flames are blown out into your living room, you're not covered for the fireplace, but you are covered for the fire that destroys your house the first time you use the fireplace.
Choosing Between Coverage Types
As noted, it is unlikely that you will have the option to choose basic coverage. Form HO-1 is not available in most states (which is unfortunate as far as your wallet is concerned, because it's the least expensive policy form), and HO-8 applies only in special situations. Renters, as well as condo and co-op owners, must use Forms HO-4 and HO-6 in all cases.
As an employee of Sears Holdings and homeowner, your real choice is between named perils coverage (HO-2) and open perils coverage (HO-3). Choosing named perils coverage has an advantage, because your premium will be generally 5 percent less than that for open perils coverage. The disadvantage of named perils coverage is that it's less comprehensive than open perils coverage, so there are situations when HO-3 covers you but HO-2 does not. Sears Holdings employees should keep in mind, however, that HO-2 does cover you for many of the most common perils that are out there. It's a tough choice. For Sears Holdings employees looking to save money while obtaining solid coverage, consider purchasing a named perils policy. However, if you're looking for the most protective policy money can buy, consider an open perils policy. Raise the question with your insurance agent when you are shopping around for homeowners insurance, and listen carefully to the answer.
Loss Settlement
Your policy contains a paragraph describing the amount you can expect to receive from your insurance company if a covered loss occurs. There are three options for calculating payment:
- Actual cash value, meaning the amount necessary to replace or rebuild the property less depreciation
- Replacement cost, meaning the amount necessary to replace or rebuild the property using similar materials
- Market value, meaning the value of the property in the real estate market at the time of loss
Payments for Coverages A and B (Dwelling and Other Structures) are typically calculated using a different method than payment for Coverage C (Personal Property). The calculation method also differs depending on the policy form.
Loss Settlement Calculation Methods |
||
Form |
Dwelling and Other Structures |
Personal Property |
HO-2 |
Replacement cost if coverage amount is at least 80% of replacement cost; otherwise a lesser amount |
Personal Property |
HO-3 |
Replacement cost if coverage amount is at least 80% of replacement cost; otherwise a lesser amount |
Actual cash value |
HO-4 |
Not applicable |
Actual cash value |
HO-6 |
Replacement or repair cost if damage replaced or repaired within a reasonable time; otherwise actual cash value (dwelling only) |
Actual cash value |
HO-8 |
Replacement or repair cost if damage replaced or repaired within 180 days; otherwise lesser of actual market value or actual cash value |
Actual cash value |
Loss Settlement Calculation Methods |
How does the Sears Holdings Pension Plan differentiate between normal retirement, early retirement, and late retirement options for Kmart participants? In what ways do these options influence the retirement planning process for employees of Sears Holdings, and what specific considerations should Kmart employees be aware of when choosing one of these retirement paths, particularly in relation to their vested status?
Differentiation of Retirement Options: The Sears Holdings Pension Plan offers distinct options for normal, early, and late retirement. Normal retirement is available at age 65 or after five years of plan participation, whichever is later. Early retirement can be taken from age 55 but before 65, provided the employee is vested, with benefits subject to actuarial reduction unless certain conditions are met (like having at least 90 points, which is a sum of age and years of credited service). Late retirement pertains to any retirement after the normal retirement age, with pensions recalculated to reflect the delay in benefit commencement.
Considering the frozen status of the Sears Holdings Pension Plan, how does this impact the benefits eligibility for Kmart employees, and what implications does it have for their retirement savings strategies? In what ways should current employees factor in this frozen status when evaluating their overall retirement readiness and potential alternatives outside of the company plan?
Impact of Frozen Status: The freezing of the Sears Holdings Pension Plan on January 31, 1996, means that there have been no new accruals of benefits or participants since that date. For Kmart employees, this impacts their benefits eligibility by capping the pension benefits at levels earned up to the freeze date. Employees need to consider this stagnation in benefits when planning for retirement, potentially seeking additional retirement savings avenues to bridge any shortfall.
What are the essential calculations involved in determining the retirement benefits under the Sears Holdings Pension Plan for Kmart employees? Specifically, how do the Career Average Pay and Final Average Pay formulas come into play, and what factors should employees consider when estimating their future retirement payouts?
Essential Calculations for Retirement Benefits: Pension benefits for Kmart employees under the Sears Holdings Pension Plan are calculated using either the Career Average Pay or the Final Average Pay formulas. These calculations take into account an employee's years of credited service and compensation up to the freeze date. Factors like estimated Social Security benefits and specific formulas (such as a deduction based on Social Security benefits under the Final Average Pay formula) play crucial roles in determining the final pension payout.
How can Sears Holdings employees best navigate the process of applying for benefits under the Pension Plan? What specific steps should participants take to ensure their applications are processed correctly, and what important deadlines should they be aware of to avoid any negative consequences on their retirement benefits?
Navigating the Benefits Application Process: To apply for pension benefits, employees must submit a formal application, ideally 30 to 90 days before the intended commencement date. It is crucial to ensure all personal information, including marital status and spouse details, is up-to-date to avoid delays or inaccuracies in benefit processing. Missing application deadlines can lead to postponed benefit payments or unwanted default options.
In what situations can Kmart employees expect to receive a Deferred Vested Pension, and how is the calculation for this pension affected by their previous employment and vesting service? Employees should be aware of the important factors influencing their eligibility and the steps necessary to maintain their retirement benefits after leaving the company.
Eligibility and Calculation for Deferred Vested Pension: A Deferred Vested Pension is available to employees who leave the company after becoming vested but prior to qualifying for retirement. The calculation mirrors that of a normal retirement pension, with possible early commencement reductions. Understanding the timing of benefit commencement and the potential reductions for early start is vital for planning.
How does the Sears Holdings Pension Plan address tax considerations for employees receiving both monthly payments and lump sum payments upon retirement? What tax implications should Kmart participants be aware of, particularly in relation to IRS rules for distributions and potential penalties for early withdrawal?
Tax Implications of Pension Receipt: Pension payments, whether monthly or lump sum, are subject to federal taxes. Monthly benefits are taxed as ordinary income, while lump sums might be eligible for special tax treatments or rollover options to defer taxes. It’s important for Kmart employees to consider these implications and possibly consult with a tax advisor to optimize tax liability.
What are the rights and protections afforded to Kmart participants under the Employee Retirement Income Security Act (ERISA) as they navigate their retirement benefits with the Sears Holdings Pension Plan? How can employees leverage these rights to ensure they are receiving all the benefits to which they are entitled?
ERISA Rights and Protections: Under ERISA, Kmart employees are entitled to certain rights including the ability to appeal denied benefits, access to plan information, and assurances of fair and equitable treatment of their benefits. Leveraging these protections ensures that employees receive all due benefits.
What steps should Kmart employees take to update their personal information to ensure they continue receiving their benefits without interruption, especially in the context of missing participants or uncashed checks? What resources and contacts at Sears Holdings are available to assist with these updates?
Updating Personal Information: Maintaining accurate personal information with the pension plan is crucial for uninterrupted benefit payments. Employees should promptly update changes such as address, marital status, or beneficiaries to prevent issues with benefit distributions or lost checks.
How does the process of transferring between affiliated employers impact pension benefits for Kmart employees under the Sears Holdings Pension Plan? What considerations should be taken into account concerning Credited Service and Vesting Service during such transfers, and how can employees ensure they do not lose any entitled benefits?
Impact of Transfers Between Affiliated Employers: Transferring between Sears Holdings’ affiliated employers can affect pension benefits differently depending on whether the employer participates in the pension plan. It's essential to understand how such transfers impact credited and vesting service accruals.
For Kmart employees seeking more information about their benefits under the Sears Holdings Pension Plan, what is the best way to contact company representatives? How can they effectively communicate their questions or concerns to ensure they receive accurate and timely information regarding their retirement benefits?
Contacting Plan Representatives: Kmart employees seeking clarity on their pension benefits should contact the Sears Holdings Pension Service Center. Effective communication, including prepared questions and necessary documentation, will aid in obtaining accurate and comprehensive information.