Health & Welfare Employee Benefits 2015 Benefits Overview - - PowerPoint PPT Presentation

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Jan 15, 2023 95 likes •368 views

Health & Welfare Employee Benefits 2015 Benefits Overview AGENDA Benefits Team Benefits Overview Benefits Enrollment New Hire Benefits Action Checklist Tools and Resources Q&A 1:30pm-2:30pm Benefits New Employee

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Health & Welfare Employee Benefits

2015 Benefits Overview

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Confidential – For Discussion Purposes Only

AGENDA

 Benefits Team  Benefits Overview  Benefits Enrollment  New Hire Benefits Action Checklist  Tools and Resources  Q&A 1:30pm-2:30pm

 Benefits New Employee Orientation presentation: HealthySteps > Life Events > New Hire (Resources Box): 2015 NEO Benefits Presentation

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Confidential – For Discussion Purposes Only

BENEFITS TEAM

 Stanford Health Care (SHC) Benefits Team

− Responsible for design and delivery of SHC employee Health & Welfare, Retirement, and other Voluntary benefit plans and programs − Manage and partner with multiple vendors to ensure outstanding delivery of contracted services

 HealthySteps – benefits website: www.healthysteps4u.org

− Main hub for benefits and wellness program information, Benefitsolver Link, Plan Details, Summary Plan Descriptions and Booklets, Newsletters, Events, Holiday Schedule, Vendor Contacts , NEO Benefits PPT, etc.

 Businessolver – benefits system administrator: Benefitsolver  Benefitsolver: www.benefitsolver.com

− Benefits enrollment portal and the Service Center Team − Assist with benefits enrollment and/or changes, answer benefits questions, process Dependent Verification (Phone, Email, or Live Chat – assist in most languages)

 Other Benefits Partners and Vendors

− Extension of SHC Benefits Department who help administer benefit plans and programs − Experts in the field who will help you navigate through plan details

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Confidential – For Discussion Purposes Only

HEALTHYSTEPS: Benefits Website Home Page

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Confidential – For Discussion Purposes Only

ELIGIBILITY

 Who’s Eligible?

− Employees scheduled to work at least 40 hours per pay period (0.5 FTE)

 Eligible Dependents (Dependent Verification)

− Spouse (SP): Same- or Opposite-Sex − Eligible Domestic Partner (EDP): Same-Sex or Opposite-Sex if you or your partner is age 62+ − Eligible Children up to age 26 (age 23 for Child Life Insurance)

 No Double Coverage at SHC

− Spouse/EDP is an employee of SHC or Stanford Children’s Health network, e.g. LPCH, PCHA − Enroll as an Employee or a Dependent but not BOTH (Waive Spouse Life Insurance) − Only one parent may cover Eligible Dependent Children for Medical/Vision Plan and Child Life Insurance − Dual coverage is allowed in Dental Plan for Eligible Dependent Children

 Working Spouse Access Fee (WSAF): $25/Paycheck fee if all criteria are met

− SP/EDP is offered health coverage from his/her employer, declines coverage, and enrolls in an SHC-Medical Plan; and you earn $30.76 or more per hour − Not applicable if SP/EDP works for SHC, LPCH, or PCHA

 Cost-Sharing of Benefit Plans (24 semi-monthly Paycheck Deductions)

− SHC shares most of the health plans cost and some benefit plans are provided by SHC at no cost to you

Reference: HealthySteps > HELP > Benefits Handbook > SPD Booklets: Booklet A

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Confidential – For Discussion Purposes Only

HEALTH BENEFITS: Medical/Vision Plans

 3 Medical Plan options: SHCA, PPO with HSA, Kaiser HMO Permanente

− Vision Plan (Administered by VSP) is covered when enrolled in a medical plan − Preventive Care covered at 100% − Stanford Coordinated Care (SCC) program is available to SHCA and PPO Plan participants Reference: HealthySteps > Health & Welfare Benefits > Medical / Vision  Stanford Health Care Alliance – Administered by Blue Shield of California

− SHC’s own health care plan introduced in 2014; must use SHCA network of providers and facilities; California Bay Area coverage; 1 Medical Card − Encouraged to designate a PCP or will be assigned to ClickWell Care

 PPO with HSA – Administered by UMR | Mental Health by Optum | Prescription by Express Scripts

− High deductible health plan, flexibility of going in- and out-of-network; Health Savings Account (HSA)-qualified; 3 tiers of network (2 tiers for CRONA); 1 Medical Card/1 Prescription Card

 Kaiser Permanente HMO – Administered by Kaiser Permanente

− must use Kaiser network of providers and facilities; Northern California coverage; Copays and Coinsurance applies (different for CRONA); 1 Medical Card

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Confidential – For Discussion Purposes Only

HEALTH BENEFITS: Choosing a Medical Plan

COMPARI NG MEDI CAL

FEATURES

SHCA PPO w ith HSA Kaiser Perm anente HMO See any provider you’d like, I n-

r Out-of-Netw ork



Must use in-netw ork providers and facilities

 

Access to three tiers of providers and facilities



(For CRONA, 2 Tiers)

Low -Cost Prem ium s or free in som e instances ( refer to Rate Sheet)

  

Set Copays established for services

 

Health Savings Account ( HSA) - Eligible

FSA



FSA

Free Preventive Care

  

W ellness incentive funds deposited into Health I ncentive Account ( HI A)

 HSA

(Except if ineligible for HSA)



W ellness incentive funds deposited into Health Savings Account ( HSA)



Out-of-State Dependents

Urgent Care & Em ergency Services



Em ergency Services

Annual Deductible $EE / $EE+ +

( CRONA: Refer to Booklet)

Annual Out-of-Pocket Max

$400 / $1,000 $1,800 / $3,600 $1,300 / $2,600

(In-Network Amounts Only)

$2,600 / $5,200 $400 / $1,000 $1,800 / $3,600

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Confidential – For Discussion Purposes Only

HEALTH BENEFITS: Dental Plans

 2 Dental Plan Options: Delta Dental PPO, DeltaCare USA DHMO

Reference: HealthySteps > Health & Welfare Benefits > Dental

 Delta Dental PPO – Administered by Delta Dental

− Flexible, in- and out-of-network − Employee semi-monthly premiums apply on ES and EF coverage − Orthodontia covers up to age 26, EE and CH only − No Dental Card issued

 DeltaCare USA DHMO – Administered by Delta Dental

− Select a Primary Care Dentist from DeltaCare USA network, CA only − No Employee semi-monthly premiums − Covers Adult Orthodontia

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Confidential – For Discussion Purposes Only

HEALTH BENEFITS: Tax-Advantage Accounts HSA / FSA

 Health Savings Account (HSA) and Flexible Spending Accounts (FSA) –

Administered by HealthEquity

Reference: HealthySteps > Health & Welfare Benefits > HSA/FSA/HIA Resources: IRS Publication 969 – HSA / IRS Publication 502 – Medical & Dental Expenses / IRS Publication 503 – Child & Dependent Care Expenses − Tax-advantaged accounts that allow you to use pre-tax $ to pay for IRS-qualified health care and/or dependent daycare expenses − Any earned SHC contributions will count towards Annual Max Limit − Must be an active Employee at the time earned SHC funds are deposited to HSA/HIA or will be forfeited

 Health Incentive Account – Administered by HealthEquity

− Health Reimbursement Account funded by wellness incentive dollars based on eligibility and participation in the HealthySteps to Wellness program − Employer-funded, No Employee contributions − Enrolled in the SHCA or Kaiser, or in PPO Plan but not eligible for an HSA − Same rules as Health Care FSA − No Debit Card, claims reimbursement

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Confidential – For Discussion Purposes Only

HEALTH BENEFITS: Tax-Advantage Accounts

Health Savings Account (HSA)

Savings and spending account to

use now and into retirement

2015 IRS Max Limit: $ 3 ,3 5 0 / EE
r $ 6 ,6 5 0 / EE+ + ($1,000 catch-

up age 55+ )

PPO Plan participants (except if

ineligible for HSA)

Employee-owned, portable, rolls
ver from year-to-year
Update contributions any time in

Benefitsolver

Debit Card
Re-elect during Annual OE

Flexible Spending Accounts (FSA)

Health Care 2015 IRS Max Limit:

$ 2 ,5 0 0 / Dependent Care (Daycare) 2015 IRS Max Limnit: $ 5 ,0 0 0 (per household)

SHCA or Kaiser Plan participants,
r if ineligible for HSA
Use it or Lose it!
Expenses must be incurred by

12/ 31/ 2015 and submit all claims by 3/ 15/ 201

Annual elections can be changed
nly during Annual OE or QLE
Debit Card for HCFSA / No Debit

Card for DCFSA, claims reimbursement

Re-elect during Annual OE

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Confidential – For Discussion Purposes Only

HEALTH BENEFITS: Wellness, EAP, CareCounsel

 HealtySteps to Wellness Program – Administered by Stanford Wellness Team

Reference: HealthySteps > Health & Welfare Benefits > Employee Assistance Program

 Employee Assistance Program (EAP) – Administered by ValueOptions

Reference: HealthySteps > Health & Welfare Benefits > Employee Assistance Program − SHC-provided at no cost to you, effective DOH − Work-life resources such as counseling, education, referrals − 10 free sessions per issue per year

 CareCounsel – health advocacy benefit

Reference: HealthySteps > Health & Welfare Benefits > Medical > CareCounsel − SHC-provided at no cost to you, effective DOH − Help you understand your health benefits and how to use your plans, claims resolution, understanding Medicare, help understand prescription drug formularies, etc.

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Confidential – For Discussion Purposes Only

LIFE & DISABILITY BENEFITS: Life, AD&D, and BTA Insurance

 Life Benefits – Administered by Liberty Mutual Insurance

Reference: HealthySteps > Health & Welfare Benefits > Life & Disability − Survivor Protection Benefits that protect you or your dependents in the event of a death or an accident: Life Insurance, AD&D, and Business Travel Accident (BTA) − Some elections require completing a Statement of Health (SOH/EOI); however, during a New Hire Event, completing SOH/EOI is not required when electing Guaranteed Issue (GI) amounts

 Basic Life Insurance: $50,000 or 1x Annual Salary (whichever is lower), SHC-paid, auto-enrolled  BTA: 5x Annual Salary up to $500,000 Max, SHC-paid, auto-enrolled  Supplemental Life Insurance (Voluntary Life in Benefitsolver)

− Electing 1x-3x Annual Salary (GI: 3x), SOH/EOI not required − Electing 4x-6x Annual Salary, SOH/EOI required

 Spouse Life Insurance: GI amount $50,000 coverage, SOH/EOI not required  Child Life Insurance: $10,000 per child up to Age 23, SOH/EOI not required  AD&D: 1x-10x Annual Salary, EE or Family coverage, SOH/EOI not reuqired

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Confidential – For Discussion Purposes Only

LIFE & DISABILITY BENEFITS: STD / LTD

 Disability Benefits

Reference: HealthySteps > Health & Welfare Benefits > Life & Disability − income protection benefits in the event of an illness or injury that prevents you from performing your regular or customary work

 California State Disability Insurance (SDI) – Administered by CA EDD: www.edd.ca.gov

− pays 55% of salary for max 52 weeks up to $1104/week (2015)

 Supplemental STD – Administered by Matrix

− Up to 60% of salary (less SDI payment); first 6 months of LOA

 Basic LTD – Administered by Liberty Mutual Insurance

− SHC-provided at no cost to you, auto-enrolled − 50% of salary up to a max of $8,000; 6+ months LOA pending on LMI approval

 Supplemental LTD – Administered by Liberty Mutual Insurance

− Up to 66 2/3% of salary; SOH/EOI not required during New Hire Event

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Confidential – For Discussion Purposes Only

LIFE AND DISABILITY BENEFITS: SOH/EOI

 Statement of Health (SOH) / Evidence of Insurability (EOI)

− 60 days from election date to complete SOH/EOI on pending supplemental Life elections − Elections will remain in pending status until LMI approves SOH/EOI − Active coverage will be within the Guaranteed Issue amount range until approval − Complete SOH/EOI online at the Benefitsolver website: www.benefitsolver.com by clicking on the LMI Logo: Home Page, during election, or at the end after confirmation − Questions on completing SOH: 888.287.8494 x16552 / Tech Support: 800.431.2958

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RETIREMENT SAVINGS PLAN (RSP): 403(b)

Eligible now

Voluntary Contributions

Voluntary Matched Contributions 1%-4% of Elig Comp 5% SHC Contribution

After 1 Year

2015 Financial Future Retirement Savings Plan

(Transamerica Retirement Solutions)

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RETIREMENT SAVINGS PLAN (RSP): 403(b) Voluntary Contributions

° Employee contributions ° Eligible to participate right away ° Loan provisions available ° Hardship Withdrawals allowed

(IRS early cash-out penalty applies) ° 2015 Max Contribution Limit = $ 1 8 ,0 0 0 (under Age 50) | Additional $6,000 Catch-Up Contribution (Age 50+ ) = $24,000

Voluntary Matched Contributions

° Effective after 1 Year of Service (for Regular, Benefit-Eligible EEs) ° SHC Contribution = 5% ° SHC Match = 1% -4% * * based on Employee Voluntary Contributions

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Confidential – For Discussion Purposes Only

RETIREMENT & TDA PLANS: 403(b)

Resource: HealthySteps > Retirement Plans & Benefits > Retirement Savings Plans > shclpch.trs.retire.com Link

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Confidential – For Discussion Purposes Only

VOLUNTARY & OTHER BENEFITS

 Voluntary Benefits – Administered by Mercer Voluntary Benefits

Reference: HealthySteps > Additional Benefits & Special Programs > Voluntary Benefits (www.shclpchvoluntarybenefits.com) − Legal Insurance, Auto Insurance, Homeowners/Renters Insurance, Pet Insurance, Online Discount Marketplace, Purchasing Program − Enrollment must be done through Mercer online or by phone, not in Benefitsolver  Legal Plan – enroll as a New Hire within 31 days of DOH; or next opportunity is Annual OE Reference: HealthySteps > Additional Benefits & Special Programs > Legal Services

 Back-Up Care Advantage Program – Administered by Bright Horizons

Reference: HealthySteps > Additional Benefits & Special Programs > Back-Up Care − 80 hours of back-up child or adult/elder care when you need it (does not replace normal daycare arrangements); Copay − Register online; no election in Benefitsolver

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Confidential – For Discussion Purposes Only

OTHER BENEFITS

 Educational Assistance (HealthySteps > Additional Benefits & Special Programs

> Educational Assistance)  Tuition Reimbursement / Transfer of Funds  Transformational Scholarship Resource: HR Operations Team at 650.723.4748 or send an email to HR4U@stanfordhealthcare.org

 On-Campus Benefits (HealthySteps > Additional Benefits & Special Programs >

On-Campus Benefits)  WorkLife Office – services and resources that assist with comfortable integration in your work,

personal, and family life

 Health Improvement Program (HIP) Classes – promote wellness and healthy living  Stanford Recreation Facility Access – purchase Daily, 6-Month, or Annual Guest Passes

 Stanford Federal Credit Union (HealthySteps > Additional Benefits & Special

Programs > Stanford Federal Credit Union) - banking benefits

 Caltrain Go Pass / VTA Clipper (http://transportation.stanford.edu/)

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Confidential – For Discussion Purposes Only

BENEFITS ENROLLMENT

 Enrollment Period: within 31 DAYS starting on your Date of Hire (DOH) or Relief-to-Regular Event to enroll/waive coverage, add dependents/beneficiaries  Effective Date: 1st day of the month after DOH  Annual Open Enrollment: October-November  Special Enrollment Period: Qualifying Life Event (QLE): within 31 DAYS from QLE Date and required to submit Life Event supporting document  Auto-Enroll: system auto-enrolls EE in the Medical and Dental PPO Plans but will be updated after Medical and Dental elections are made in Benefitsolver  Default Coverage: Employee-Only coverage in both Medical PPO Plan / Delta Dental PPO Plan (when no action is taken)  Dependent Verification: submit required documents within 60 DAYS starting

n DOH – Dependents will not have coverage until DV docs processed by

Benefitsolver

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Confidential – For Discussion Purposes Only

BENEFITSOLVER

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Confidential – For Discussion Purposes Only

BENEFITS ENROLLMENT

 Benefitsolver – Phone, Email, or Live Chat

− Enroll online or by phone: www.benefitsolver.com | 855.327.5025 (Mon-Fri, 5am-

5pm Pacific) − All first time users have to Register and create a User Name and Password

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Confidential – For Discussion Purposes Only

BENEFITS ACTION CHECKLIST

 Learn and Review information in HealthySteps website – if still unsure

f what health plans to enroll in, contact CareCounsel for guidance

 Enroll in Benefitsolver by the deadline: Elect/Waive benefits options, Add Dependents, Add Beneficiaries  Review your enrollment Confirmation Statement online for accuracy and print a copy for your records  Submit Dependent Verification documents to Benefitsolver (if applicable)  Complete SOH/EOI with Liberty Mutual within 60 days of enrollment (if applicable)  Enroll in the Legal Plan with Mercer Voluntary Benefits within 31 days  Don’t forget to enroll in the Retirement Savings Plan with Transamerica

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Confidential – For Discussion Purposes Only

TOOLS & RESOURCES FOR NEW HIRES

 HealthySteps: www.healthysteps4u.org – benefits plan and program details

 Benefits PPT: HealthySteps > Life Events > New Hire

 CareCounsel: 888.227.3334 / staff@carecounsel.com - help decide what plan is best for you

and your family

 Benefitsolver: 855.327.5025 / shclpch@businessolver.com – benefits enrollment by

phone; answer general health and welfare benefits questions

 Mercer Voluntary Benefits: 800.689.9314 – Legal Plan enrollment  Transamerica: 800.755.5801 (Mon-Fri, 8am-9pm Eastern) – enroll in Voluntary RSP, rollovers  Vendor Contacts: HealthySteps > HELP & CONTACTS > Vendor Contacts / Service Centers  HR Operations Team: 650.723.4748 / HR4U@stanfordhealthcare.org – other HR inquiries  HR Benefits: HRBenefits@stanfordhealthcare.org – escalations, comments, feedback  HR Department Website: SHC CONNECT > DEPARTMENTS > Human Resources

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Confidential – For Discussion Purposes Only

HR ONSITE HOURS

Human Resources is now available for regularly scheduled drop-in office hours at both the Hospital Café breezeway and the Redwood City Café (Pavilion C). HR will have a Benefits and/or Operations Representative available for you to speak with regarding any of your HR-related questions. Drop-in office hours will be held regularly on the 3rd Wednesday of every month from 12:00-1:00pm. We look forward to meeting with you in person!