Benefits Amy Maros Senior Human Resources Specialist May 3, 2016 - - PowerPoint PPT Presentation

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Benefits Amy Maros Senior Human Resources Specialist May 3, 2016 - - PowerPoint PPT Presentation

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Benefits Amy Maros Senior Human Resources Specialist May 3, 2016 Objectives Provide contact information where employees can get more information Provide overview on the benefits available to State of Florida employees Explain the

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Benefits

Amy Maros Senior Human Resources Specialist May 3, 2016

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Objectives

  • Provide contact information where

employees can get more information

  • Provide overview on the benefits available

to State of Florida employees

  • Explain the conditions and limitations of

OPS employment benefit eligibility

  • Give useful tips for enrolling in benefits

May 3, 2016 2

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Stay Informed‐People First

My Benefits Website

  • Benefits Guide
  • Learn about changes
  • Read about plans
  • Use Cost Estimators
  • Insurance Company Contact Info
  • http://mybenefits.myflorida.com/

How employees will receive information

Employees MUST verify mailing and home address in People First

  • Benefits Summary will be mailed and available online
  • Confirmations will be mailed and available online
  • New hire letter

3 May 3, 2016

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Stay Informed‐JAC Website

May 3, 2016 4

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Eligible Variable Hour (OPS) Employees

  • Any state employee working an average of 30 hours or

more per week will be eligible for:

– Health Insurance: same premiums as Career Service; eligible for spouse program and HSA contribution – Basic life: employee must enroll and pay $3.58 monthly premium – Spouse life and child life (as long as they are enrolled in the basic life plan) – Dental, vision and other supplemental plans – Dependent Care FSA

  • Not eligible for optional life, Health Care FSA (formerly

known as MRA) or Limited Purpose FSA

5 May 3, 2016

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Eligible Variable Hour (OPS) Employees

  • Qualifying Events

– Eligible employees are subject to the rules of the program – Eligible employees who waived coverage but experience an appropriate QSC event may enroll and have coverage for the balance of their 12 month stability period – OPS eligible moving to FTE is no longer a QSC event

6 May 3, 2016

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Waiving Coverage

  • Waiving Coverage

– Employees are not required to enroll in coverage

  • If they have no other coverage, they may be subject

to the individual tax penalty

– Use a waiver form

7 May 3, 2016

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Measurement Periods

  • New Hire Measurement Period

– The period of 12 consecutive months starting the first day of the month following the initial hire date and ending the last day of the twelfth month for non‐eligible OPS employees

  • Open Enrollment Measurement Period

– The period of 12 consecutive months from October 3 through the following October 2 of each year

  • Stability Period

– The period of 12 consecutive months starting from the first day of enrollment (or possible enrollment if coverage is waived) in health insurance

8 May 3, 2016

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High Deductible Health Plan

  • Difference compared to HMO and PPO

– Must meet higher deductible – Premium Cost Less – More out of pocket expenses

  • Has an HSA Advantage Account

– Chard Snyder will complete the enrollment after employee agrees to the terms and conditions

9 May 3, 2016

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Dependent Eligibility Certification

These steps must be completed before benefits changes will be processed

  • Verify Dependent Information

– Dependent Name – Social Security Number – Date of Birth

  • Removing Dependent Outside Open Enrollment

– Must have a Qualifying Status Event change – Must provide documentation to People First

10 May 3, 2016

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Pharmacy Benefits Manager

  • CVS/Caremark

– Health Insurance Plans – https://www.caremark.com/wps/portal – http://info.caremark.com/sofrxplan – 888‐766‐5490 24/7

  • Exception: Retirees with Medicare

Advantage Plan

  • Capital Health Plan (CHP)
  • Florida Health Care Plan (FHCP)
  • CVS, Winn‐Dixie, Wal‐Mart, Publix

(check with your local pharmacy)

  • Walgreens – still Non‐Provider

11 May 3, 2016

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CVS/Caremark – Prescription Drug Plan

  • Retail – short‐term medications
  • Mail order or 90 day Retail – maintenance medications
  • 90‐Day Maintenance at Retail Pharmacies‐ check if your pharmacy

will participate

State Employees’ Prescription Drug Plan Retail (up to 30 day supply) Mail Order (up to 90 day supply)

Generic Drugs $7.00 $14.00 Preferred Brand Drugs $30.00 $60.00 Non‐Preferred Brand Drugs $50.00 $100.00

12 May 3, 2016

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Life Insurance

  • Minnesota Life
  • Employer paid premium $3.58/ $25,000 basic life insurance:
  • $25,000 Basic Life for Full‐Time Employees at no cost to employee
  • $25,000 Basic Life for Part‐Time Employee at a pro‐rated premium
  • OPS employees are eligible; must pay entire premium
  • Over $500,000 requires medical underwriting
  • Maximum Coverage $1,000,000
  • Spouse and Dependant children are eligible for life insurance

coverage

  • Spouse‐ $4.50‐$15,000 or $6.00‐$20,000
  • Dependent $.85‐$10,000 in coverage
  • Employee is the beneficiary on all spouse and dependent policies

13 May 3, 2016

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Dental Plans

  • Dental Tier Option Choices
  • Prepaid
  • DPPO – Preferred Provider
  • Indemnity – Reimbursement

14 May 3, 2016

  • http://mybenefits.myflorida.com/health/for

ms_and_resources/forms_and_publications /supplemental_insurance_publications

  • Vision Plan Exam and Materials only
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Supplemental Plans

  • Supplemental Plans

– Will require a company form as well as online enrollment

15 May 3, 2016

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Tax Favored Accounts

  • Health Care FSA (formerly known as MRA)

– Standard HMO and PPO Members – Maximum Annual Contribution

  • $2,500 per year or $208.33 per month
  • Health Savings Account (HSA)

– Health Investor HMO and PPO – Maximum Annual Contribution (includes State Contribution)

  • Individual = $3,350
  • Family = $6,550
  • Limited Purpose FSA (formerly known as LPMRS)

– Only for Employees Enrolled in the Health Investor HMO and PPO – Maximum Annual Contribution

  • $2,500 per year or $208.33 per month

– Can only be used for preventative care expenses not covered by health plan, dental, and vision

  • Dependent Care FSA (formerly known as DCRA)

– Maximum Annual Contribution

  • $5,000 per year or $416.00 per month

– Dependent Care Only

16 May 3, 2016

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Tips

  • Encourage employees to visit the

myBenefits website when they have questions about their benefits

  • Remind employees to review their current

Benefits Statement

  • Contact JAC if the employee has any

problems with their enrollment

May 3, 2016 17

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When to Send Payment to People First

  • Initial enrollment after payroll cutoff

– Health insurance only

  • While employee is on Leave Without Pay (LWOP)

– FMLA – Personal – Suspension – Military

  • When there is an increase in premiums

– Optional Life – Going from individual to higher coverage level

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Where to Send Payment

People First Service Center P.O. Box 863477 Orlando, FL 32886‐3477

  • Make payment out to DSGI
  • Make payment for the exact amount owed
  • Include the employee’s People First ID#
  • Make a copy of the payment

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Emergency Reinstatements

  • Only health insurance
  • Must be a true emergency
  • Employee, or their dependent, needs immediate/

urgent medical treatment or required medicines

  • Must follow emergency reinstatement

rules

– Employee provides payment for underpayment – A copy of the payment is sent to JAC via email – You place payment in the mail for employee

May 3, 2016 20

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Danger Zones

  • Please remember People First and JAC can not accept paper

enrollment forms.

  • Employees must complete their own enrollments online;

however, you can assist them or they can contact the People First Service Center if needed.

  • If the employee is having trouble enrolling online, they should

call the People First Service Center for assistance.

  • Please do not use employee’s People First number to enroll as

the employee.

  • Remind employees to print confirmation(s) for their records.
  • Dependent Social Security numbers and information must be

accurate; IRS penalty can result.

21 May 3, 2016

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Contact Information

  • JAC Contacts

– State Attorney Offices

  • Call Monica Thomas at 850‐488‐2415 or email at

benefits@justiceadmin.org – Public Defender Offices, Guardian Ad Litem Offices, Capital Collateral Regional Offices and Criminal Conflict and Civil Regional Offices

  • Call Amy Maros at 850‐488‐2415 or email at

benefits@justiceadmin.org

  • People First

– Call at 866‐663‐4735 – Fax at 800‐422‐3128 – https://peoplefirst.myflorida.com/peoplefirst(bD1lbiZjPTIzMA==)/logon.htm

22 May 3, 2016

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Questions

May 3, 2016 23

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Flexible Spending Accounts

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Flexible Spending Accounts Information

Get in touch with Chard Snyder By phone: 855‐824‐9284 By email: floridaaskpenny@chard‐snyder.com People First Service Center 1‐866‐663‐4735 https://PeopleFirst.MyFlorida.com

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State of Florida Flexible Spending Accounts (FSA)

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PLAN BENEFIT YEAR January 1, 2016 through December 31, 2016

  • f/k/a Medical Reimbursement Account (MRA)
  • f/k/a Dependent Reimbursement Account (DCRA)
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What is a Flexible Spending Account?

  • Flexible Spending Accounts are an excellent way to

increase your spendable income and reduce your federal and FICA taxes.

  • Under Section 125 of the IRS Code, you, as an

employee, can pay for qualified expenses using money from your paycheck that is deducted pre‐ tax.

  • By using pre‐tax dollars, you reduce the amount

you pay in taxes!

  • Flexible Spending accounts are “use it or lose it”.

May 3, 2016 27

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What can an FSA do for you?

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  • By eliminating Federal and FICA tax
  • n qualifying expenses, the plan

saves the average participant approximately 20% in taxes on those expenses.

  • Savings could be more depending on

your income tax rate.

  • It can increase the amount of your

paycheck that you get to keep.

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Health Flexible Spending Account

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Where can I find eligible expenses?

May 3, 2016 30

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Dependent Flexible Spending Account

You may set aside up to $5,000 per plan year into this account

  • $2,500 for married Plan members who file separate tax returns
  • $5,000 for single or married filing jointly

Eligible Dependent Care Expenses

  • Daycare expenses for IRS dependent children
  • Daycare expenses for IRS dependent adults
  • Preschool (not including Kindergarten tuition)
  • Summer Day Camp ‐ up to age 13

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Benny Card

The easiest way to access the funds in your FSA accounts is to use your Benny MasterCard debit card. When you pay with the card, your purchase amount is deducted from the appropriate balance in your Flexible Spending Account. Certain payments will require further verification, so please hold on to your itemized bills and receipts. Custom Design Benefits will request documentation only when it is needed.

May 3, 2016 32

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How Do I Get My Money If I Didn’t Use My Benny Card?

Complete a CLAIM FORM only if your debit card was not used

  • Medical

 Complete required information on claim form and attach an EXPLANATION OF BENEFITS (EOB) or STATEMENT/RECEIPT detailing expenses not covered by carrier  May need to submit form for dental and vision services

  • Dependent Care

 Complete required information on claim form and attach RECEIPT for expenses from Dependent Care provider

  • All reimbursements are issued by direct deposit or mailed to the employee at their

home address if banking information is not on file

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Mail completed form and receipts to: Chard Snyder 3510 Irwin Simpson Rd Mason, OH 45040 Fax Toll-Free to: 1-888-245-8452

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FSA/HSA Claim Forms

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Claim forms can be downloaded from the Chard Snyder website.

http://www.chard‐snyder.com/

  • Enter website
  • Go to forms at the top of the page
  • Select the appropriate claim form
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How to Manage my Flexible Spending Account Balances throughout the Year . . .

  • Log on to People First. Click FSA Information under the “My Quick

Links” section on the left to see:  Your account balance  FSA & HSA Information  Claims history  How to upload scanned claim forms and documentation

May 3, 2016 35

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CHARDSNYDER HOME PAGE

May 3, 2016 36

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What does “pre‐tax” mean?

  • You earn what is called “gross pay”. This refers to

the amount your employer must pay you before any deductions are taken.

  • However, this is not what most people get to

spend from their paycheck. Why?

  • Because the government takes a percentage of

your “gross pay” first (in the form of taxes).

May 3, 2016 37

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What does “pre‐tax” mean? (cont’d)

  • With an FSA, the government allows you to set

aside a portion of your “gross pay” to cover certain expenses before a percentage of it is deducted in taxes.

  • The remainder of your paycheck is the amount

that the government declares subject to taxes.

  • By deducting pre‐tax monies, you pay less in taxes!

May 3, 2016 38

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Paycheck Comparison

(for illustrative purposes only)

May 3, 2016 39

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Expenses must be incurred in the Plan Year

  • The Plan Year is the time frame your employer’s plan

is administered.

  • It is important that any expenses you submit for

reimbursement are incurred within the Plan Year.

  • This means the dates of service (when the service

was rendered) must fall within the Plan Year.

May 3, 2016 40

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Questions?

May 3, 2016 41