open enrollment for 2016 fall 2015. agenda medical (maize, blue, hra’s, hsa’s) flex (fsa, dcsa)...
TRANSCRIPT
Open Enrollment for 2016
Fall 2015
Agenda
• Medical (Maize, Blue, HRA’s, HSA’s)• Flex (FSA, DCSA)• Dental• Vision• Life, AD&D, Long Term Disability• Teladoc• benefitsCONNECT• Website
Plans Available
• Maize – Traditional PPO plan design
• Blue– High Deductible Health Plan (HDHP) with
Health Savings Account (HSA)
Plan Design Features--Maize
Plan Highlights In-network Out-of-network
Deductible $500 (s) or $1,000 (f) $1,000 (s) or $2,000 (f)
OP Maximum $2,000 (s) or $4,000 (f) $4,000 (s) or $8,000 (f)
OP Maximum for Rx $500 (s) or $2,000 (f) Combine with in-network
Preventive Care $0 Deductible, then 40%
Office Visit(s) $35 Deductible, then 40%
Convenience Care $10 (3 free w/ Virtuwell) Deductible, then 40%
Emergency Care $75 Deductible, then 40%
Plan Design Features--Blue
Plan Highlights In-network Out-of-network
Deductible $1,300 (s) or $2,600 (f) $2,000 (s) or $4,000 (f)
OP Maximum $2,250 (s) or $3,500 (f) $4,000 (s) or $8,000 (f)
Preventive Care $0 25% after deductible
Office Visit(s) Deductible, then 20% Deductible, then 25%
Convenience Care Deductible, then 20% Deductible, then 25%
Emergency Care Deductible, then 20% Deductible, then 25%
Prescription Costs-Blue Plan
• You pay the actual cost of the medicine until deductible is reached.
• Once deductible is reached, then pay 20% of cost until out of pocket maximum (OOPM) is reached.
• Once OOPM reached, prescription covered 100%
• Same formulary
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Prescription Costs-Blue Plan
Alcohol Dependency Anticoagulant Antiplatelet
Antipsychotic & Depression Asthma & COPD Breast Cancer
Cholesterol Weight Loss Diabetes
Hypertension Prenatal Vitamins Smoking cessation
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• Empower HSA RxPlus Plan- discount prices for certain preventative prescriptions.
• List of discounted medicines on HR website
Cost of Plans2016 Medical Rates for Employees
Health Insurance Monthly Premium
Bi-Weekly Premium
HSA (provided per paycheck)
Maize Employee $91.00 $42.00 Employee +1 $189.50 $87.46 Family $288.00 $132.92 Blue Employee $98.00 $45.23 $1,000.00Employee +1 $202.00 $93.23 $2,000.00Family $291.00 $134.31 $2,000.00
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HRA balances
• HRAs (Health Reimbursement accounts) were associated with Options Blue Plan 2005-2014
• There was no funding to HRAs in 2015, and the plan will close December 31, 2015
• The IRS does not allow for HRA funds to be converted to HSA funds
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How HSA plans work
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You are also able to add additional dollars to your HSA account
$1,000 deposited into your HSA-
($83.33/month)
You spend $400 on medical expenses during the year
$600 is left at the end of the year
Next year $1,000 is added to your HSA
account for a total of $1,600
HSA Dollar Limits
Total Amounts Allowed for HSA Plans in 2016:
Single only plan: $3350
EE+1 & Family plan: $6750
College contributions must be counted toward this maximum
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HSA’s and Federal Guidelines
• If you or a spouse currently have Medicare Part A• If you have children on your plan that you can no
longer claim as dependents• If you have a domestic partner on the plan• No cross over option for HSA payment• Funds are only available if in the account• Age 55 Catch Up for HSAs ($1,000 in 2016)
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Flexible Spending Account (FSA) Info• Dependent Care Account
– You must elect your annual amount; funds are available as they are contributed through payroll
• Flexible Spending Account– Not available for Blue plan participants– You must elect your annual amount; funds are
available to you January 1• There will be no Limited Scope FSA in 2016
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Dental
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Value ComprehensiveDiagnostic & Preventive Services 100% 100%Basic Services 80% 80%Endodontics 80% 80%Periodontics 80% 80%Oral Surgery 80% 80%Major Restorative - 50%Prosthetic Repairs and Adjustments - 80%Prosthetics - 50%Orthodontics - 50% up to $1,500Deductible $50/$100 $50/$100Calendar Year Plan Maximum/person $750 $1,500
Dental PremiumsDental Insurance Monthly Premium Bi-Weekly PremiumValueEmployee $33.40 $15.42Employee + Spouse $67.05 $30.95Employee + Child(ren) $63.10 $29.12Family $108.45 $50.05Comprehensive PremierEmployee $42.40 $19.57Employee + Spouse $85.20 $39.32Employee + Child(ren) $80.10 $36.97Family $137.65 $63.53
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Vision
• VSP• No changes
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Total Annual Premium
Monthly Premium
Bi-Weekly Premium
Employee $95.88 $7.99 $3.69Employee + Spouse $153.36 $12.78 $5.90Employee + Child(ren) $156.60 $13.05 $6.02Family $252.36 $21.03 $9.71
Telemedicine
• Teladoc plan will end 12/31/15• VirtuWell is offered by HealthPartners and
provides diagnosis and prescriptions remotely• Cost based on plan• Other telemedicine services also covered
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Other Benefits
• No changes to Life Insurance or Long Term Disability
• Accidental Death and Dismemberment (AD&D) now includes a COBRA benefit at no additional cost
• To enroll or make changes you will need to submit evidence of insurability form to HR
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Employee Assistance Program- EAP
• HealthPartners EAP– Up to six face to face visits available for counseling
needs– Smoother transitions from EAP to continuing
counseling under HealthPartners
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Open Enrollment 2016
• Open Enrollment will be Wednesday, October 28 through Tuesday, November 24.
• If you do not want to make changes and are not participating in an FSA, DCA, or HSA you do not need to log on.
• FSA, DCA, and HSA elections must be made each year.
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2016 Open Enrollment Website
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Supplemental Retirement
TIAA-CREF elections are not made in benefitsCONNECT system. Forms available on HR website.
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2016 Limits403(b) deferrals $18,000Catch-up contribution (50+) $6,000Additional deferral possibility $3,000
Thank you!
Questions?
Contact:Lillian x7142, [email protected] x5989, [email protected] x4068, [email protected]
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