2015 Employee Benefit Meeting This PowerPoint presentation is for - - PowerPoint PPT Presentation
2015 Employee Benefit Meeting This PowerPoint presentation is for illustrative purposes only. In the event there appears to be a contradiction between the benefits described and those provided by respected carriers Summary Plan Descriptions,
This PowerPoint presentation is for illustrative purposes only. In the event there appears to be a contradiction between the benefits described and those provided by respected carriers Summary Plan Descriptions, the Summary Plan Description shall prevail.
Medical Plan Options HSA- Health Savings Account Payroll Deductions Dental What You Need To Do - Online Open Enrollment
All Plans will continue to utilize the Blue Cross network through Independence Administrators
No Changes to Current plans Changes to Medical Plan Contributions – you choose how
you want to fund your medical plan option
Aflac offerings continue to be available for January 1, 2015
In-Network
There are out of network benefits, coinsurance applies after deductible The deductible for out of network benefits is $300 for an individual and $600 for
to pay on out of network claims
Member Needs Medical Services Non-Participating Providers Participating Providers
Out-of-Network
deductible
Member Needs Medical Services Non-Participating Providers Participating Providers
admitted)
after deductible
after deductible
deductible
There are out of network benefits, coinsurance applies after deductible Calendar Year Deductible — A Covered Person must satisfy the individual deductible amount only once during a calendar year. However, after the Covered Persons in a family unit have satisfied the family deductible amount during a calendar year, benefits will be payable for covered medical charges incurred for all Covered Persons in a Family Unit for the remainder of that calendar year.
Member Needs Medical Services Non-Participating Providers Participating Providers
$1,500 Ind/ $3,000 Family Deductible Office visits,$15 copay after deductible Emergency Room, $75 copay after deductible Inpatient Hospital Services, 100% after
deductible
Outpatient Hospital Services, 100% after
deductible
RX copays, $10/$25/$40, after deductible Unlimited Lifetime Maximum $3,000 Ind/ $6,000 Family Deductible Office visits, 70%, after deductible Emergency Room, $75 copay after
deductible
Inpatient hospital Services, 70% after
deductible
Outpatient Surgery, 70% after
deductible
Unlimited Lifetime Maximum
All services except Preventive services are subject to the Calendar Year Deductible: Individual : If you are enrolled in an individual Health Savings Account, you must meet the individual Calendar Year Deductible before any benefits are payable. Family Aggregate: If you are enrolled in a Family Health Savings Account, you and/or any members of your family must meet the Family Calendar Year deductible before any benefits are payable.
Member Needs Medical Services Non-Participating Providers Participating Providers
$3,000 Ind/ $6,000 Family Deductible Office visits,$15 copay after deductible Emergency Room, $75 copay after deductible Inpatient Hospital Services, 100% after
deductible
Outpatient Hospital Services, 100% after
deductible
RX copays, $10/$25/$40, after deductible Unlimited Lifetime Maximum $6,000 Ind/ $12,000 Family Deductible Office visits, 70%, after deductible Emergency Room, $75 copay after
deductible
Inpatient hospital Services, 70% after
deductible
Outpatient Surgery, 70% after deductible Unlimited Lifetime Maximum
All services except Preventive services are subject to the Calendar Year Deductible: Individual : If you are enrolled in an individual Health Savings Account, you must meet the individual Calendar Year Deductible before any benefits are payable. Family Aggregate: If you are enrolled in a Family Health Savings Account, you and/or any members of your family must meet the Family Calendar Year deductible before any benefits are payable.
Stay healthy with 100% in-network
preventive care coverage
You have the option to make
contributions to your account.
You can use your account dollars to pay
for medical care and prescription drugs
Medical and RX apply to deductible - you
can use dollars available in your HSA.
Entire family deductible must be met
before any benefits begin.
100% coverage then kicks in after you
have satisfied your deductible. You will
HSA Funded by employee Preventive Care 100% In-Network Deductible
Funds deposited into an HSA are tax-
advantaged and owned by the account holder.
Funds may be rolled over year to year;
no “use-it or lose-it” rule.
Accounts can accumulate significant
assets that can be used for healthcare tax-free.
Funds are portable and available
through job changes.
Funds in the HSA can be invested.
HSA Funded by employee Preventive Care 100% In-Network Deductible
The IRS and the U.S. Department of the Treasury have specific
rules on who can open an HSA.
You can open an HSA if you:
Are enrolled in an HSA-qualified High Deductible Health Plan (HDHP) Cannot be covered by any other insurance that reimburses for health expenses Are not enrolled in Medicare or Medicaid Are not claimed as a dependent on another individual’s tax return and must be over 18 years of age
There are several ways you can contribute to your account:
Anyone may contribute to your HSA, provided the total contributions to your HSA do not exceed your maximum allowable annual limit You can make catch-up contributions if you are 55 years
Each plan year, you may contribute money to your HSA up to a
maximum amount set by the U.S. Treasury and the IRS
All combined contributions to your account cannot exceed the annual
contribution maximum
For 2015, the annual contribution maximum set by the U.S. Treasury and
the IRS is $3,350 for individual coverage and $6,650 for family coverage
The contribution maximums set by the U.S. Treasury and the IRS may be
increased for inflation annually
Payroll Deductions Weekly Weekly Weekly Weekly Employee $ 75.00 $ 41.00 $21.00 $9.00 Employee + 1 $ 133.00 $ 72.00 $ 39.00 $15.00 Family $ 169.00 $ 103.00 $ 49.00 $19.00 Monthly Monthly Monthly Monthly Employee $325.00 $177.67 $91.00 $39.00 Employee + 1 $576.33 $312.00 $169.00 $65.00 Family $732.33 $446.33 $212.33 $82.33
*Employees who participated in the wellness initiative (completed a health screening and
year beginning January 1, 2015
No changes to the current dental plan utilizing the United Concordia network of participating dentists
*Deductible applies to: Basic services only
Payroll Deduction Weekly Employee Only $5.00 Employee + 1 $11.00 Family $21.00
Beginning January 1, 2015, you can access online information by visiting: www.Lincoln4Benefits.com and click on the Employee Connect link User Name: LFGsupport Password: LFGsupport1 Toll-free number: 1-888-628-4824
resources for you or an immediate household family member.
Marital/Family Counseling, Depression, Addiction, Stress/Anger, Life Transitions
Telephonic access, referrals and consultation by ComPsych staff Attorney
Telephonic access to a ComPsych staff Financial Expert
Unlimited telephonic access to work-life services
Broad range of information on the web
Included online and through ComPysch legal staff.
Determine how you utilize healthcare expenses
Compare annual payroll deductions to plan deductible and out of pocket expenses
Review your Penn Tank Lines Benefit Brochure Visit www.enroll.crawfordadvisors.com to review or change
benefit elections or
Complete an enrollment form and fax or email to Crawford
Advisors at (410)229-8356 or PennTankLines@crawfordadvisors.com
Open Enrollment Website open November 11th – November
25th.
If you have additional questions, please contact Crawford
Advisors at 888-771-0505