Employee Benefit Presentation 1 WHO, WHAT , WHY ? Who: - - PowerPoint PPT Presentation
2020-2021 Employee Benefit Presentation 1 WHO, WHAT , WHY ? Who: Introduction ? What are we reviewing today: Open Enrollment Benefit Options ? Why am I on this call: This presentation is to provide an explanation and understanding of
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? Who: Introduction ? What are we reviewing today: Open Enrollment Benefit Options ? Why am I on this call: This presentation is to provide an explanation and understanding of the benefits available to you and the Open Enrollment process.
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Hickman Mills School District is partnering with BeneBloc to assist with the
review and enrollment of your benefits.
All benefit eligible employees will sign up for a designated time for your
individual benefit review. Click here to schedule your appointment https://BeneBlocEnrollment.as.me/hickmanmills.
Go to your benefit portal, https://www.benebloc.com/portals/hickman/ to
review all benefits offered and to schedule your individual benefit appointment.
Prior to your scheduled meeting be sure to review your benefit guide and all
the options available to you.
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Cigna remains your medical provider
Four plans are available for you choose from
1.
$4000 SureFit HDHP
2.
$2800 SureFit HDHP
$450 annual district HSA contribution
3.
$2800 OAP (Open Access Plan) HDHP
$450 annual district HSA contribution
4.
$1500 SureFIt
Go to www.mycigna.com to look up participating providers
MONTHLY MEDICAL PLAN RATES PLAN1 $4000 SUREFIT HDHP PLAN 2 $2800 SUREFIT HDHP PLAN 3 $2800 OAP HDHP Plan PLAN 4 $1500 SUREFIT Employee
$0.00 $51.27 $120.18 $126.47
Employee + Spouse
$461.62 $781.37 $902.66 $943.93
Employee + Children
$320.90 $628.12 $737.63 $790.32
Family
$1152.32 $1537.96 $1714.33 $1766.77
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For 2020-2021 Plan year the contribution has increased to $854.28 per employee per month.
Other Plan Changes:
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$4000 Surefit HDHP – No plan changes
2.
$2800 Surefit HDHP ($450 HSA contribution) - HDHP-Increased deductible/out of pocket max from
$2700 to $2800 and out of pocket maximums were raised to $5600 from $5400. **Changes per IRS Regulations for 2020
3.
$2800 OAP (Open Access Plan) HDHP ($450 HSA contribution) – HDHP-Increased deductible/out of
pocket max from $2700 to $2800 and out of pocket maximums were raised to $5600 from $5400 ** Changes per IRS regulations for 2020
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$1500 Surefit Network – There is now a deductible for this plan. No Primary Care Physician copays for any
dependents covered under your plan under the age of 19. Emergency room copay increased to $350 copay per visit.
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Two plans offered to you through Cigna
PPO Base Plan PPO Buy Up Plan
Go to www.deltadentalmo.com to find a participating dentist No changes to rates or plan benefits
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Base Plan Full Premium Employer Contribution Employee Rate Per Month
Employee Only $25.20 $25.20 $0 Employee + Spouse $60.83 $25.20 $35.63 Employee + Children $60.36 $25.20 $35.16 Family $121.82 $25.20 $96.92
Buy Up Plan Full Premium Employer Contribution Employee Rate Per Month
Employee Only $35.10 $25.20 $9.90 Employee + Spouse $79.59 $25.20 $54.39 Employee + Children $78.99 $25.20 $53.79 Family $159.40 $25.20 $134.20
VSP is your vision provider. You may locate an in-network provider at www.VSP .com.
No changes to rates.
Enhancements to plan designs
13 VSP Vision Benefit Summary Plan Feature Base Plan Premium Plan Exam Copay $10 $10 Materials Copay $25 $25 Frequency: Exam Lenses Frames 1 every 12 months 1 every 12 months 1 every 24 month 1 every 12 months 1 every 12 months 1 every 12 months VSP Diabetic Eyecare Plus Program $20 copay per visit $20 copay per visit Frames $150 allowance/$170 allowance for featured frame brands, 20% savings over allowance; $80 Walmart/Costco frame allowance $200 allowance/$220 allowance for featured frame brands, 20% savings over allowance; $110 Walmart/Costco frame allowance Lenses Single Vision, Lined Bifocal, and lined trifocal – included in prescription Glasses Single Vision, Lined Bifocal, and lined trifocal – included in prescription Glasses Lens Enhancements Standard Progressive Lenses Premium Progressive Lenses Custom Progressive Lenses $0 $95-$105 $150-$175 $0 $30 $30 Contact Lenses (in lieu of glasses) $150 allowance $200 allowance Diabetic Eye Care Services related to diabetic eye disease, glaucoma and age-related macular degeneration and Retinal screening; $20 copay Services related to diabetic eye disease, glaucoma and age- related macular degeneration and Retinal screening; $20 copay Dependent Ages Covered to age 26
Base Plan Buy-Up Plan
Employee $5.72 $12.14 Employee + Spouse $11.44 $24.28 Employee + Children $12.24 $25.99 Family $19.58 $41.52
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Two types of plans available
Health Care Flexible Spending Account for health care expenses. Maximum per year
$2,750.
Dependent Care Flexible Spending Account for Day Care expenses. Maximum per
year $5,000.
Purpose is to pay for out of pocket expenses with pre-tax dollars through flexible
spending accounts.
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New provider, Reliance Standard for the 2020 plan year. Hickman Mills School District provides you with $25,000 of term life insurance
and AD&D at NO cost to you.
Voluntary Life Insurance allows you to purchase an additional amount of
coverage as well as get life insurance for your dependents.
Current employees electing coverage or an increase in coverage for
themselves, spouse and/or child(ren) may enroll under the Guaranteed Issue Enrollment (no health questions) for this OE only.
Employee GI: Up to $130,000 Spouse GI: Up to $25,000 Child GI: $10,000
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Monthly Premium $100,000 of Coverage Employee Only 24 $3.70 29 $4.40 34 $5.90 39 $9.00 44 $13.10 49 $20.90 54 $32.70 59 $54.94 64 $73.90 69 $125.00 70+ $222.20 Child per $1,000 $0.43
New Accident plan carrier which provides better benefits as a lower premium. Pays a benefit to you directly if you are injured and need treatment whether
at home or work.
A decrease in rates from the current accident plan.
Monthly Premium Current Rates NEW Rates
Employee Coverage
$16.29 $15.56
Employee + Spouse
$26.34 $22.72
Employee + Child
$30.42 $28.62
Family
$40.47 $36.59
RSLI Base Coverage Initial Hospital Confinement $1,000 Daily Hospital Confinement $200 ICU Admission $1,500 Intensive Care $400 Dislocation/Fracture Rider Dislocation/Fracture Rider Up to $6,000/Up to $7,500 Accident Treatment & Urgent Care Rider Accidents Physicians Treatment $75 Accident Follow-Up Treatment $75 Emergency Room Treatment $150 Urgent Care $75 AD&D & Functional Loss Rider Accidental Death $50,000 Paralysis Up to $15,000 Dismemberment $7500 for one/$15,000 for two Additional Features Portability Yes
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Pays you a benefit if you are diagnosed with a covered condition such as a
heart attack, stroke or cancer.
$50 wellness benefit for completing a health screening. Coverage is portable. Ability to elect an employee only option (w/o children). A decrease in rates from the current CI plan.
RSLI Initial Critical Illness Benfeits Heart Attack 100% Stroke 100% Coronary Artery Disease/Bypass Surgery 25% Major Organ Failure/Organ Transplant 100% End Stage Renal Failure 100% Cancer Critical Illness Benefits (Optional) Invasive Cancer 100% Carcinoma in Situ 25% Supplemental Critical Illness Benefits Benign Brain Tumor 100% Coma 100% Loss of Sight 100% Loss of Hearing 100% ALS 100% Paralysis 100% Additional Benefits Reoccurence of Benefit 100% Waiting period for Reoccurance 6 months Waiting period between Claims for differing illness 90 days Wellness Benefit (per year) $50 Maximum Benefit? 1000% Additional Features Pre-Existing Condition Limitation Applies None Age reduction Feature 50% at 70 Portability Yes GI max amount $30,000 Dependent child coverage 25%
Monthly Premium Current Rates NEW Rates $15,000 Benefit - Issue Age/Non-Tobacco Employee+Children Employee+Children 24
$9.65 $7.58
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$10.55 $7.58
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$13.55 $12.15
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$18.20 $12.15
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$25.55 $23.25
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$34.70 $23.25
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$45.50 $42.00
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$59.75 $42.00
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$76.25 $78.45
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$85.55 $78.45
70+
$152.75 $158.10
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Educator disability insurance pays you a percentage of your salary if you are
unable to work for an extended period of time due to a covered injury or illness.
Benefit amounts in increments of $100, from a minimum of $200 up to a max
2 elimination period options:
1.
14 days injury/14 days sickness
2.
30 days injury/30 days sickness
A 10% decrease in premium from current plan.
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New insurance provider with a savings in benefits and
A decrease in rates from current NO Pre-Existing Condition Limitations/NO Health
$100 per day benefit for each day you or your family
member is hospitalized.
$200 per day benefit for each day you or your family
$1,500 hospital admission benefit. Coverage is portable.
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Current Rates New Rates Monthly Premium Employee Only Coverage Less than 50 years old $24.52 $23.29 50-59 $33.73 $23.29 60-64 $47.91 $23.29 65+ $68.51 $23.29 Employee + Spouse Coverage Less than 50 years old $43.90 $42.80 50-59 $67.32 $42.80 60-64 $100.03 $42.80 65+ $142.30 $42.80 Employee + Child(ren) Coverage Less than 50 years old $34.95 $33.20 50-59 $44.16 $33.20 60-64 $58.34 $33.20 65+ $78.94 $33.20 Family Coverage Less than 50 years old $54.33 $52.97 50-59 $77.75 $52.97 60-64 $110.46 $52.97 65+ $152.73 $52.97
This is intended for Illustration purposes only. All claims will be paid per the contract
Pays a benefit directly to you for the following:
$1000/day ICU Benefit $2500 First Occurrence Lump Sum Cancer Benefit $200 Basic Annual Cancer Screening Benefit Up to $1000 for monthly cancer treatment
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Monthly Rates Employee $20.30 Employee + Spouse $32.48 Employee + Children $22.31 Family $34.49
Benefit available to employees at no charge. Cost covered by the district. Various Services Available
Counseling Services Consultations on Financial, legal needs, etc.
Crisis Support Coaching Adult and Child Care Resources Personal and Professional Training Digital Behavioral Health Tools
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Open Enrollment is from April 27th through May 15th. Schedule your one-on-one benefit enrollment meeting TODAY
All enrollments will be conducted via a telephone call with a benefit counselor. All elections made during the open enrollment period go into effect on July 1, 2020
Don’t forget to update your beneficiaries during your meeting with a benefit
counselor.
Contacts: BeneBloc, 866-692-2228 for help with claims or questions about your benefits
throughout the plan year.
Cheryl Bennett, your Benefit Specialist, at 816-316-8216 or by email at
cherylb@hickmanmills.org
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