2018 Open Enrollment November 1 – 15, 2017
Agenda • Introduction To 2018 Open Enrollment • What’s New For 2018 • 2018 Benefits • 2018 Open Enrollment Process • Appendix 2 KLEINFELDER CONFIDENTIAL
What You Need To Do Decide which choices are right for you and your family • Review 2018 rates and consumer tools Make changes to future enrollment elections • FSA participant MUST elect new FSA contribution every year • Log on to www.KLFBenefitsZone.com to enroll • Confirm your beneficiary information • Deadline for elections is Wednesday, November 15, 2017 at 11:59 p.m. CT 3 KLEINFELDER CONFIDENTIAL
What is Changing for 2018? Health Savings Account – IRS increased individual and family maximum contributions • Individual: $3,450 (up from $3,400) • Family: $6,900 (up from $6,750) Health Care and Limited Purpose Flexible Spending Accounts • Maximum contribution increased to $2,650 (up from $2,600) Pre-tax commuter (transportation/parking) maximum contributions • Transportation: $260 (up from $255) • Parking: $260 (up from $255) • Changes in your commuter deduction can be made at any time during the year by the 8 th of the month Medical Plan Design (Deductibles and Out-of-Pocket Maximums) Medical Premiums Dental Premiums Basic Life/AD&D, Voluntary Life, Short-Term and Long-Term Disability Carrier 4 KLEINFELDER CONFIDENTIAL
Medical Overview – HDHP PPO High 2017 2018 Medical Aetna HDHP PPO Aetna HDHP PPO High High Preventive 100% 100% Office Visit 10% after deductible 10% after deductible $1,500 Individual $2,000 Individual Deductible $3,000 Family $4,000 Family 10% In-Network 10% In-Network Coinsurance 30% Out-of-Network 30% Out-of-Network $3,000 Individual $4,000 Individual Out-of-Pocket Maximum $6,000 Family $8,000 Family After deductible** After deductible** Generic: $15 Generic: $15 Prescription Drugs* Brand: $60 Brand: $60 Non Preferred Brand: $90 Non Preferred Brand: $90 * If the member requests brand when generic is available, the member will pay the copay plus the difference between the generic and brand price, not to exceed the retail cost of the drug. ** For the HDHP, some preventive drugs are not subject to the deductible; they are only subject to the copay. 5 KLEINFELDER CONFIDENTIAL
Medical Overview – HDHP PPO Mid 2017 2018 Medical Aetna HDHP PPO Aetna HDHP PPO Mid Mid Preventive 100% 100% Office Visit 20% after deductible 20% after deductible $2,000 Individual $2,500 Individual Deductible $4,000 Family $5,000 Family 20% In-Network 20% In-Network Coinsurance 40% Out-of-Network 40% Out-of-Network $4,000 Individual $5,000 Individual Out-of-Pocket Maximum $8,000 Family $10,000 Family After deductible** After deductible** Generic: $15 Generic: $15 Prescription Drugs* Brand: $60 Brand: $60 Non Preferred Brand: $90 Non Preferred Brand: $90 * If the member requests brand when generic is available, the member will pay the copay plus the difference between the generic and brand price, not to exceed the retail cost of the drug. ** For the HDHP, some preventive drugs are not subject to the deductible; they are only subject to the copay. 6 KLEINFELDER CONFIDENTIAL
Medical Overview – HDHP PPO Low 2017 2018 Medical Aetna HDHP PPO Aetna HDHP PPO Low Low Preventive 100% 100% Office Visit 20% after deductible 20% after deductible $2,600 Individual $3,000 Individual Deductible $5,200 Family $6,000 Family 20% In-Network 20% In-Network Coinsurance 40% Out-of-Network 40% Out-of-Network $5,000 Individual $6,000 Individual Out-of-Pocket Maximum $10,000 Family $12,000 Family After deductible** After deductible** Generic: $15 Generic: $15 Prescription Drugs* Brand: $60 Brand: $60 Non Preferred Brand: $90 Non Preferred Brand: $90 * If the member requests brand when generic is available, the member will pay the copay plus the difference between the generic and brand price, not to exceed the retail cost of the drug. ** For the HDHP, some preventive drugs are not subject to the deductible; they are only subject to the copay. 7 KLEINFELDER CONFIDENTIAL
Definition of Terms: Aggregate v. Embedded Aggregate Embedded When enrolled in a Family When enrolled in a Family (Employee+1) medical plan, a (Employee+1) medical plan, a single family member can meet single family member does not the family deductible or multiple need to meet the family family members can pool deductible. Benefits will start expenses to meet the family after meeting the single deductible. Once the family deductible for that family deductible is met, insurance will member – but not for other kick in for all family members. family members. If more than one family member has expenses, they are pooled and, once the family deductible is met, insurance will kick in for all family members. 8 KLEINFELDER CONFIDENTIAL
Aetna HDHP PPO High Deductible Out-of-Pocket Maximum Tier of Coverage (Aggregate) (Embedded) Individual $2,000 $4,000 Employee +1 (Family) $4,000 $8,000 The deductible must be met prior to benefits being payable. Once the family deductible is met, Deductible all family members will be considered as having met their deductible for the remainder of the (Aggregate) calendar year. Out-of-Pocket Maximum The out-of-pocket maximum is cumulative for all family members. The family out-of-pocket (Family Payment Limit) maximum can be met by a combination of family members; however, no individual within the (Embedded) family will be subject to more than the individual out-of-pocket maximum. Aetna receives a claim for $12,000 for one member of the family. $4,000 is applied to the family deductible and the remaining $8,000 is paid at 100% because the individual out-of- pocket maximum of $4,000 has been met. Subsequent claims for the member are paid at Example 100%. Family members are subject to the remaining $4,000 family out-of-pocket maximum, which may be satisfied by multiple family members. 9 KLEINFELDER CONFIDENTIAL
Aetna HDHP PPO Mid Deductible Out-of-Pocket Maximum Tier of Coverage (Aggregate) (Embedded) Individual $2,500 $5,000 Employee +1 (Family) $5,000 $10,000 The deductible must be met prior to benefits being payable. Once the family deductible is met, Deductible all family members will be considered as having met their deductible for the remainder of the (Aggregate) calendar year. Out-of-Pocket Maximum The out-of-pocket maximum is cumulative for all family members. The family out-of-pocket (Family Payment Limit) maximum can be met by a combination of family members; however, no individual within the (Embedded) family will be subject to more than the individual out-of-pocket maximum. Aetna receives a claim for $12,000 for one member of the family. $5,000 is applied to the family deductible and the remaining $7,000 is paid at 100% because the individual out-of- Example pocket maximum of $5,000 has been met. Subsequent claims for the member are paid at 100%. Family members are subject to the remaining $5,000 family out-of-pocket maximum, which may be satisfied by multiple family members. 10 KLEINFELDER CONFIDENTIAL
Aetna HDHP PPO Low Deductible Out-of-Pocket Maximum Tier of Coverage (Embedded) (Embedded) Individual $3,000 $6,000 Employee +1 (Family) $6,000 $12,000 The deductible must be met prior to benefits being payable. The family deductible is Deductible cumulative for all family members and can be met by a combination of family members; (Embedded) however, no single individual within the family will be subject to more than the individual deductible. Out-of-Pocket Maximum The out-of-pocket maximum is cumulative for all family members and can be met by a (Family Payment Limit) combination of family members; however, no individual within the family will be subject to more (Embedded) than the individual out-of-pocket maximum. Aetna receives a claim for $12,000 for one member of the family. $3,000 is applied to the individual deductible, and the member pays the 20% coinsurance (for an in-network provider) Example on the remaining $9,000 (20% of $9,000 = $1,800). $4,800 is applied to this member’s out-of- pocket maximum. The member has $1,200 of out-of-pocket expenses to meet before reaching the individual out-of-pocket maximum. 11 KLEINFELDER CONFIDENTIAL
Medical, Dental, And Vision Contributions 2017 Bi-Weekly Employee Contributions Aetna Aetna Aetna Aetna Coverage HDHP PPO HDHP PPO HDHP PPO VSP Vision Dental High Mid Low Employee Only $16.15 $14.77 $12.92 $13.15 $2.34 Employee + Spouse/DP $90.46 $81.23 $72.00 $29.44 $4.68 Employee + Child(ren) $70.15 $62.77 $55.85 $32.58 $5.14 Employee + Family $136.15 $122.31 $108.46 $45.73 $7.95 2018 Bi-Weekly Employee Contributions Aetna Aetna Aetna Aetna Coverage HDHP PPO HDHP PPO HDHP PPO VSP Vision Dental High Mid Low Employee Only $36.00 $18.46 $13.38 $16.18 $2.34 Employee + Spouse/DP $118.15 $82.62 $74.31 $32.46 $4.68 Employee + Child(ren) $98.31 $65.54 $57.69 $35.62 $5.14 Employee + Family $181.85 $126.00 $111.69 $48.74 $7.95 12 KLEINFELDER CONFIDENTIAL
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