Employee Benefits Open Enrollment 2016 Alaska Agenda Employee - - PowerPoint PPT Presentation

Employee Benefits Open Enrollment 2016

Alaska

Agenda

• Employee Benefits Update
• 2016 Medical Plans
• 2016 Ancillary Benefit Plans
• Additional Benefits
• Next Steps

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Healthcare Cost Management

What is exp doing to help manage rising healthcare costs? Exp has designed a program that provides a comprehensive level of benefits that promotes wellness and offers choice to our employees Exp currently pays a large portion of health care coverage premiums for eligible employees and dependents Exp offers tools and incentives to empower members to be responsible healthcare consumers

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2016 Open Enrollment

There will be no changes in the benefit plans. Exp will continue to offer a Medical/Rx plan; administered by Premera/Blue Cross and Blue Shield for all employees located in Alaska Payroll deductions will increase slightly = 5% Exp will continue to offer Dental, Vision, Life and AD&D, Short-term and Long-term Disability; administered by Guardian.

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What Can You Do?

Become better healthcare consumers Be proactive with your health – get your annual exams and preventive screenings Go to your doctor or a convenience care clinic when ill; don’t wait Use urgent care for non-emergencies instead of the emergency room Use generic medications when possible Follow Rx dosage instructions

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2015 Benefit Overview

Carrier Coverage

Premera Medical, Prescription Drugs Guardian Dental, Vision, Life and AD&D, Short- term and Long-term Disability Trustmark Accident and Critical Illness Plans Allstate Cancer Plans myCafeteriaPlan Flexible Spending Accounts Health Advocate Assists employees and families navigate the healthcare system Guardian Employee Assistance Program

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Medical Plan Highlights

Premera will continue to be the insurance carrier for exp in Alaska Preventive is covered at 100% with no co-pays on all plans for preferred or participating providers A preferred provider is a provider that has a preferred status with Premera. Most providers in the network have a preferred designation There are a few providers that may be participating providers, meaning they accept Premera, and you will not be balanced billed for any services, however these services will be subject to a higher cost share Out of network, non-preferred providers may be subject to balance billing Balanced Billing is when the member is responsible for paying the difference between what the carrier pays based on the allowed amount and what the provider charges, since the provider is not under contract with the carrier

Premera Medical Options

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Heritage Plus Envoy PLAN

TYPE OF SERVICE YOU PAY:

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Heritage Plus Envoy PLAN

TYPE OF SERVICE YOU PAY:

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Heritage Plus Envoy PLAN

TYPE OF SERVICE YOU PAY:

Premera Benefits

Additional Benefits

• Preventive benefits are covered at 100% for preferred and

participating providers – this includes immunizations

• Spinal manipulations (chiropractic care) is covered for a $25 copay

for preferred providers and does not count towards the 6 visits

• Virtual care (Teledoc) is available for a $25 copay. This does not

count towards the 6 visits that are covered under a copay. This allows you to talk to a doctor from the convenience of your home with phone or video consultations

• Medical Travel Support is available. When you need to travel in or
• utside of Alaska for medical care, Premera Blue Cross Blue Shield
• f Alaska may reimburse you for your travel expenses.

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Premera.com

• Look up network doctors / hospitals
• Estimate costs
• Look up drug tier and search for generic alternatives or equivalents
• Track claims status
• Health improvement programs
• Health product discounts
• Review plan details

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Saving money on Prescriptions

Several pharmacies now offer special prescription programs, including $4 generic drugs and free antibiotics. Generic drugs contain the same active ingredients and are available in the same strength and dosage form as their brand- name counterparts but could cost up to 50% less. Generic Medications: You can order a 3 month supply of medicine to be shipped to you for

• nly the cost of 2.5 co-pays.

This saves you time and money for medicines you take on a routine basis. Mail Order Prescription Benefits:

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You will be assigned a Personal Health Advocate (PHA)

Health Coaching

• Obtain unbiased health

information

• Help prepare patients for

healthcare appointments

• Help members become active

participants in their healthcare Information & Service Support

• Assist with eldercare issues
• Obtain health information to help make

informed decisions

• Assist with finding qualified wellness

programs

• Help arrange transportation

Clinical Services

• Find qualified healthcare providers
• Schedule appointments
• Locate and research the newest

treatments

• Assist with complex medical condition
• Assist with understanding test results

Administrative Services

• Navigate within an insurance

company

• Assist with correcting billing

mistakes

Health Advocate

24/7 Toll-free telephone support Your privacy is protected

Dental Benefits

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Guardian is the provider for dental insurance. There are 2 plans to choose from: a low and a high PPO option. Please visit www.guardiananytime.com to look up dentists in the network.

Dental Insurance - Guardian Life Insurance Company

Benefit Details Low Plan You Pay: High Plan You Pay: Preventive & Diagnostic Services Deductible waived for preventative Deductible waived for preventative In-Network Covered in Full, no deductible Covered in Full, no deductible Out-of-Network Covered in Full @ R&C*; no deductible Covered in Full @ R&C*; no deductible Basic Services In-Network 20% after deductible 20% after deductible Out-of-Network 20% after deductible** 20% after deductible** Major Services In-Network 50% after deductible 50% after deductible Out-of-Network 50% after deductible** 50% after deductible** Orthodontic Services In-Network & Out-of-Network 50% to $1,500 lifetime max, No Deductible Dependent Child Only up to age 19 50% to $1,500 lifetime max, No Deductible Dependent Child Only up to age 19 Calendar Year Deductible Individual / Family Individual / Family In-Network $50/$150 $50/$150 Out-of-Network $50/$150 $50/$150 Annual Maximum Benefit In-Network & Out-of-Network $1,000 Combined $2,000 Combined

** Important: When using an out-of-network provider, you may be balanced billed for amounts over the reasonable and customary charges *R&C = Reasonable and Customary: the amount that your health plan determines is the normal range of payment for a specific service within a given geographic area

Vision Benefits

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Guardian is the provider for vision insurance, using the Davis Vision network. Please visit www.davisvision.com to look up a provider in the network.

Vision Insurance - Guardian Life Insurance Company

Benefit Details Choice Plan You Pay: Benefit Frequency Exams Once every 12 months Lenses Once every 12 months Frames Once every 24 months Exam Co-pays In-Network $10 Co-pay Out-of-Network Up to $50 Allowance Lenses Co-pay Single Vision: In-Network $25 Co-pay Out-of-Network Up to $48 Allowance Bifocal: In-Network $25 Co-pay Out-of-Network Up to $67 Allowance Trifocal: In-Network $25 Co-pay Out-of-Network Up to $86 Allowance Lenticular: In-Network $25 Co-pay Out-of-Network Up to $86 Allowance Frames In-Network $130 Allowance Out-of-Network Up to $48 Allowance Contact Lenses Conventional: In-Network Up to $130 Allowance Out-of-Network Up to $105 Allowance Medically Necessary: In-Network $25 Co-pay Out-of-Network Up to $210 Allowance

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Exp provides all full-time employees with Basic Term Life Insurance with Accidental Death & Dismemberment (AD&D.) The benefit amount is two times your annual earnings to a maximum

• f $200,000.

Employee Life and AD&D Insurance

Supplemental Employee Coverage

AD&D Coverage included at no additional cost. Elect coverage in units of $10,000. Maximum is the lesser of $500,000 or 5 times basic annual earnings.

If you are already enrolled in EE Supplemental Life, the amount of your life insurance will automatically increase 5% each year, up to 5 years, with premium remaining at the lower elected amount. You do not need to do anything in order for the automatic increase to take effect. If you would like increase the amount of Spouse coverage you currently have OR enroll for the first time, you will need to fill out an Evidence Of Insurability form (available during the enrollment process).

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Dependent Life Insurance

Supplemental Spouse Coverage

If you elect Employee Supplemental Life and AD&D Insurance for yourself, you may choose to purchase Spouse Supplemental Life and AD&D Insurance in increments of $5,000, $5,000 minimum to a maximum of $100,000. You may only elect up to 50% of the employee’s election for spouse life

• insurance. For example, if you elect 100k on yourself, you can only elect up

to 50k on your spouses. Spouses’ rate are based on Employee's age bracket. If you would like increase the amount of Spouse coverage you currently have OR enroll for the first time, you will need to fill out an Evidence Of Insurability form (available during the enrollment process).

Children Coverage

If you elect Supplemental Life and AD&D Insurance for yourself, you may choose to purchase Child(ren) Supplemental Life and AD&D Insurance in increments of $2,000, $2,000 minimum to a maximum of $10,000 for each child. Eligible Child(ren) are from age 15 days to 26 years.

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Disability Insurance

In the event you are out of work due to a short term medical condition, exp provides all eligible employees a Short-Term Disability program through Guardian. This benefit will pay up to 60% of your weekly earnings to up to a maximum amount for up to 13 weeks. The company also provides Long-Term Disability at no cost to the employees. This benefit covers up to 60% of your basic monthly earnings up to a maximum should you be unable to work due to non- work related illness or injury.

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Voluntary Benefits

Voluntary benefits provide you with supplemental coverages that strengthen your overall benefits package. The Trustmark Critical Illness Insurance is a benefit that will pay you a lump sum of money if you are diagnosed with a critical illness, heart attack or stroke. The Trustmark Accident insurance is a plan that helps pay for the unexpected expenses that result from an accident. The Allstate Cancer Insurance offers a first occurrence benefits that pay cash to you based upon the severity of the cancer diagnosis See the state specific brochure from Allstate and Trustmark for additional details and rates

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Flexible Spending Account

The FSA allows you to put money aside through payroll deductions before taxes are withheld to pay the cost of health care expenses not covered by your medical plan and for the cost

• f qualified dependent care.

By doing so, you reduce your taxable income, which increases your take-home pay.

Healthcare FSA – allows you pay for certain IRS-approved medical care expenses not covered under your insurance plan with pre-tax dollars. Please note that the IRS limit is $2,550 annually. Dependent Care FSA – allows you use pre-tax dollars towards qualified dependent care expenses. Adoption Assistance FSA – provides tax break for adoption expenses. Qualified Transportation Plan – allows you to set aside pre-tax funds to be used for transportation and commuter parking expenses for travel to and from work.

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Important Information for Flexible Spending Accounts

• You must make an election to enroll in the 2016 FSA programs, as this benefit will not roll
• ver into the new plan year.
• If you have any HealthCare FSA funds from 2015 left over, you may roll up to $500 into the

new plan year. This will automatically occur for you, no action is needed on your end.

• For 2015 Healthcare FSA participants: You will have until March 31, 2016 to submit for

reimbursement for FSA Health expenses incurred during the plan year from January 1, 2015 to December 31, 2015. There is no longer a grace period for incurring claims in 2016, because the plan will allow up to $500 of unused funds to roll over into the 2016 plan year.

• Please remember that these accounts have a “use it or lose it” rule, so make sure you use

the money in your account by the deadlines.

2016 Maximum Contributions

Medical FSA $2,550 annually Dependent Care FSA $5,000 if you are married and filing a joint tax return, or $2,500 if you are married and file separate returns Adoption Assistance FSA $13,460 annually Transit Account $130 monthly Parking Account $255 monthly

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MyCafeteriaPlan.com

My Cafeteria Plan manages the FSA accounts You will receive a “Benny Card” in the mail soon after January 1st. If you are already enrolled, you will keep the same debit card that you have and money will be added to this card for the new plan year. You may go online to check your balances and account activity at http://myaccount.mycafeteriaplan.com If you have questions or need assistance, please see Human Resource Manager, Mary Beth Pfaller, at +1.312.616.7445 or by email at marybeth.pfaller@exp.

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Enrollment Process

• You will be enrolling via a self-service online enrollment system, EMB
• Enroll. The online system can be accessed from any computer with

internet access.

• If you are making changes to your current benefits, you will need to

log onto the EMB Enroll site and complete the process. If you do not enroll, your current benefits will roll over into the same plan you are already enrolled in (except FSA).

• Any amounts up to $500 in your 2015 Healthcare FSA will roll over

into 2016. If you want to enroll into the FSA, you will need to make an election. Your 2015 Election amounts will not rollover. If you don't make an election you will have a zero election amount.

• Please see your enrollment guide for the instructions on how to log in

and use the online enrollment system to complete your enrollment.

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Next Steps

Please review your benefit guide and carrier summaries. Please make sure to have the necessary dependent information (birth date, social security numbers) if you are enrolling dependents to any of the plans for the first time. Select your benefits carefully. The only changes that can be made mid-year are for life events such as marriage, divorce, birth or adoption, death, or a reduction in hours from full-time to part-time. Notify Human Resources within 30 days of having a life event in

• rder to make any changes.

Should you have any questions, do not hesitate to contact exp’s Human Resource Manager, Mary Beth Pfaller, at +1.312.616.7445

• r by email at marybeth.pfaller@exp.com.