2018 Annual Open Enrollment Open Enrollment Period : Starts : - PowerPoint PPT Presentation

2018 Annual Open Enrollment • Open Enrollment Period : Starts : September 18, 2017 and Ends : October 23, 2017 • Effective Date of Coverage: January 1, 2018

2018 Open Enrollment Details • This will be a PASSIVE ENROLLMENT • Enrollment MUST be done ON-LINE using the ADP website • All benefits eligible employees must ENROLL ONLINE whether making changes to your current coverage or not • Benefit elections made during OPEN ENROLLMENT go into effect January 1, 2018 • After open enrollment CLOSES you will not be eligible to enroll or make changes to your coverage until the next open enrollment period……….unless you have a Qualifying Life Event (QLE )

Types of Enrollment • Initial Enrollment - Within 31 days of date of hire • Qualifying Life Event (QLE) - When life changing event occurs • Open Enrollment - Once a Year

Qualifying Life Events What Counts as a Qualifying Event? • Getting married or divorced • Having a baby or adopting a child • Death in family • Change in your spouse’s work status • Change in eligibility for Medicare/Medicaid Supporting Documentation will be required to support the Life Event! You have 31 days from the Life Event to enroll!

Initial Enrollment Waiting Period • Priests and Religious: - First day of the month following date of hire • Principals, Assistant Principals, and Teachers under contract: – First Day of the month of date of hire • Lay Employees: - First day of the month following 60 DAYS of employment

2018 Group Benefits Plan The Archdiocese will continue to offer: • 3 tier Medical Plan with Rx coverage • Dental • Vision (VSP) • Basic Life/AD&D • Short Term & Long Term Disability • Supplemental Life • 403b • Family Medical Leave Act (FMLA)

Who’s Eligible For Coverage? • Priest, Religious, Seminarian, Lay Employee - Working 30 or more hours per week • Legal Spouse • Dependent Children up to age 26 - Natural, Foster, Adoptive, Legal Guardianship, Step Children, Disabled Child (no age limit)

2018 Group Health Plan Providers Aetna Healthcare for Medical, Dental and Pharmacy coverage: • Aetna Choice POS II network • Personalized retail and mail order pharmacy • Ability to access and print Medical ID cards • Visit your Aetna navigator member website at www.aetna.com Vision Service Plan (VSP) www.vsp.com • Eye and contact lens exams every 12 months • Lens and frames at great discounts • Diabetic Eye Care Plus The Hartford for Life and Disability Insurance – www.hartfordvalueaddedservices.com • Life insurance protection for you, your spouse* and your dependent children • Income replacement for qualified periods of Short and Long-term disability • Employee Assistance Plan (EAP), travel and funeral planning/grief counseling • Family Medical Leave Act (FMLA)

2018 Aetna Medical Plan Choice POS II Network: • Standard- 80/20 -$800 deductible - Employer pays “employee only” premium -Employee pays for dependents • Priest- 90/10 - $400 deductible • Economy- 70/30 -$1,200 deductible - Employer pays “employee only” premium -Employee pays for dependents

2018 Wellness Service • Preventive Care: No Copay and Covered at 100% - Annual Routine Physical -Well Woman Exam • Covered at 100% in doctor’s office after Copay: -Well Child Care -Immunizations

2018 Wellness Services • Preventive or Diagnostic Care: - covered at 100% for first occurrence per calendar year: 1. Mammograms 2. Colonoscopy 3. Sigmoidoscopy • Laboratory Services: - Subject to deductible and coinsurance when you use out of-network facility -100% when processed by Quest Diagnostics

2018 Medical Services Copays • Ambulance Services (All Tiers): - Ground: $100 - Air: $1000 • Emergency Room Services: -Standard: $170 copay/visit -Economy: $230 copay/visit • Urgent Care Clinics

2018 Prescription Drugs You can estimate the cost of your prescription drugs by registering online at www.Aetna.com There you can order new prescriptions, sign up for automatic refills, check drug interactions and find local pharmacy. • Standard $10 / $50 / $75 - Member Copay • Economy - Member Copay $10 / $55 / $80 • Step Therapy Program - This program only applies to certain drugs

2018 Aetna Dental Plan Group Dental Plan: • Annual Deductible - $50 Individual • Family- $150 • Preventive & Diagnostic Care – 100% • Basic Care – 80% after Deductible • Major Care – 50% after Deductible • Maximum Annual Benefit - $1500 • Orthodontia Lifetime Maximum - $1500

2018 Vision Plan Vision Service Plan (VSP): • Eye Exam Copay- $20 • Glasses Copay- $20 Allowance for frames- $150 • Contact Lens Copay - $20 Allowance for contact lens- $150

2018 Basic Life and Accidental Death and Dismemberment • Basic Life and AD&D coverages are provided at no cost to all benefits eligible employees through The Hartford Life Insurance Company. - One-and-a-half times base annual salary, rounded to the next thousand* $50,000 maximum Reminder: It is always a good idea to update your Beneficiary or Beneficiaries. Forms are available on the Archdiocese website .

2018 Supplemental Life Insurance You have the option to purchase additional life insurance for you and your dependent children* • Employee : - $25,000 increments up to $100,000 - Not to exceed 5X basic annual salary - $100,000 Guaranteed Issue up through age 64* - Evidence of Insurability May Be Required • Children: - $10,000 per child for children up to age 26 - $500 for a child under 6 months Spouse Coverage was discontinued as of January 1, 2016. If you elected spouse coverage prior to 2016, the coverage was grandfathered. You will not be able to increase/decrease the coverage but can elect to drop the coverage. This service is also administered by The Hartford Life Insurance Company

2018 Disability Benefits • The Archdiocese of Galveston-Houston offers Short-Term Disability (STD) and Long Term Disability (LTD) benefits to all benefits eligible employees • The Hartford Insurance Company is our current insurance carrier and manages all STD and LTD claims • In addition to managing STD and LTD, The Hartford also manages applications and makes determinations for employees who apply for the Family Medical Leave Act (FMLA) • WHEN ANY EMPLOYEE TRANSITIONS TO LONG TERM DISABILTY, THE EMPLOYEE WILL BE EXITED FROM EMPLOYMENT AND THE ARCHDIOCESE OF GALVESTON- HOUSTON’S HEALTH AND DENTAL BENEFITS WILL END ON THE DATE LTD ELIGIBILITY BEGINS

2018 Additional Services from The Hartford • Travel Assistance Program - Provides emergency medical and personal assistance when traveling away from home • Employee Assistance Program (EAP) - Assists with health, personal or family related challenges - Three free confidential face-to-face sessions with local EAP counselor • Legal Resources - Help with will preparation and other non-work related legal issues • Everest Funeral Planning - First nationwide funeral planning and concierge service

403(b) Retirement Savings Plan • Archdiocese sponsors two 403(b) accounts to help you save for retirement: -VALIC and Fidelity Investments - Local representatives are available to assist with enrollment, investment choices, and to answer any questions you may have • 403(b) is funded by your pre-tax contributions through payroll deductions • The maximum annual deferral contributions will go up by $500:  2017 - $18,000  2018 - $18,500 • The annual catch-up provision for employees over the age of 50 for 2017 and 2018 will remain the same at $6,000

Important Contact Information Information available on www.archgh.org under Human Resources/Benefits; • Benefit provider links are also available • Aetna : www.aetna.com - Medical: 1-888-416-2277 - Dental: 1-888-416-2277 • Hartford: www.thehartford@work.com or 1-800-523-2233 • Vision Service Plan (VSP): www.vsp.com or 1-800-877-7195 • Benefits Advocacy Center: 1-855-664-8164 • Employee Assistance Program (EAP): 1-800-964-3577 • Human Resources Hotline: 713-652-8265

Helpful Hints • First Time Users MUST register in ADP. Refer to the ADP Online Enrollment for instructions • Access the ADP web portal to enroll for your benefits at: https://workforcenow.adp.com • Print copy of enrollment for your records • Good idea to complete a new Beneficiary Form. Keep a copy and send original to Human Resources • Complete the EOI if applicable • Contact the Benefits Department if you need assistance or have questions • For routine benefits questions, please contact the Benefit Advocate Center: 1-855-664-8164

Questions? Need assistance? Contact the Benefit Advocate Center at 1-855-664-8164 Or the Human Resources Hotline at 713-652-8265