2019 Presented by CBIZ
Mission Statement The CSA benefits programs has been in existence for over 60 years. During that time, Our continued commitment has always been to provide essential products and services that provide our members with “ unsurpassed service, choice, at a value” . All service partners and products have been carefully vetted to insure industry standards and benchmarks are being met, but more importantly make sure we meet our members benefit needs. Sincerely, Scott Blassingame CSA, CFO
CSA Bene nefits Progr gram am Guide de • Benistar Retiree Medical – slide 4 • Express Scripts Rx Plan – slide 5 • Self-Funded Dental Plan Options – slides 6-9 • Unum Life / Supplemental Life- slides 10-11 • Unum Disability – slide 12 • Superior Vision Plan – slides 22-23 • Convenient Care Plus Telemedicine – slide 13-14 • UNUM Accident, Critical Illness, Hospital Indemnity, STD- slides 15-20 • 401(k), 457, 401(a), and 529 Savings Plans - slides 25-30 • Pension Plans- slides 29-32
Benistar R r Retiree M Medical Pl Plan • Retiree Medical Plan through CSA is meant to supplement Medicare Part A and B • Plan pays the entire Part A Medicare Deductible for Hospitalization, and Skilled Nursing Facility Care, and covers Hospice Care cost-share before Medicare pays. • When your Medicare Part A hospital benefits are exhausted, the plan also stands in the place of Medicare and will pay whatever amount Medicare would have paid for up to an additional 365 days. • Plan also pays for Part B Medical Inpatient and Outpatient Services that Medicare Part B does not cover. • Supplement F • Rates: $248 Per Month
Benistar R r Rx Pl Plan (Medicare P Part D) • Express Scripts Rx (PDP) • Copay-based benefit for Medicare Part D participants set to pay out at different stages: • Initial Coverage Stage: Copay-based charges (for retail and home delivery) until your total yearly drug cost reaches: $3,750. • Coverage Gap Stage: After $3,750 yearly drug cost, you will continue to pay the same cost share (copays) until you reach $5,000. • Catastrophic Coverage Stage: After OOP Drug cost reaches $5,000 you will pay the greater of 5% coinsurance or $3.35 copay for generic drugs, or $8.35 copay for all covered drugs • Rates: $168 Per Month
Self-Funde Self ded Dental Plan Option 1 1 1 st Year on the plan 2 nd Year and Beyond Benefit Network In Network: CIGNA PPO SA Plus In Network: CIGNA PPO SA Plus Out-of-Network: Paid at the 50 th Out-of-Network: Paid at the 50 th Percentile Usual and Customary Percentile Usual and Customary Deductible $50 Lifetime Deductible $50 Lifetime Deductible Annual Benefit Maximum – For $1,500 Calendar Year Maximum $1,500 Calendar Year Maximum Types 1, 2, and 3 combined Lifetime Orthodontia Maximum $1,000 Lifetime Maximum $1,000 Lifetime Maximum Type 1 – Preventative 100% after Deductible 100% after Deductible Type 2 – Basic Restorative 80% after Deductible 80% after Deductible Type 3 – Major Restorative 50% after Deductible 50% after Deductible Type 4 – Orthodontics 10% after Deductible 50% after Deductible
Self Self-Funded Den ental l Ra Rates es – Plan Opt ption 1 n 1 2019 Employee Only $33.78 Employee Spouse $76.35 Employee Child(ren) $78.71 Family $128.99
Self-Funde Self ded Dental Plan Option 2 2 1 st Year on the plan 2 nd Year and Beyond Benefit Network In Network: CIGNA PPO SA Plus In Network: CIGNA PPO SA Plus Out-of-Network: Paid at the 50 th Out-of-Network: Paid at the 50 th Percentile Usual and Customary Percentile Usual and Customary Deductible $50 Annual Deductible $50 Annual Deductible Annual Benefit Maximum – For $750 Calendar Year Maximum $750 Calendar Year Maximum Types 1, 2, and 3 combined Lifetime Orthodontia Maximum Not Available Not Available Type 1 – Preventative 100% after Deductible 100% after Deductible Type 2 – Basic Restorative 80% after Deductible 80% after Deductible Type 3 – Major Restorative 50% after Deductible 50% after Deductible Type 4 – Orthodontics Not Available Not Available
Self Self-Funded Den ental l Ra Rates es – Plan Opt ption 2 n 2 2019 Employee Only $23.36 Employee Spouse $52.79 Employee Child(ren) $54.43 Family $89.19
UNU UNUM Life • Each utility is able to choose employer paid, employee paid, or a combination of both • Employer paid options of $10,000 or $50,000 • Existing Optional Life plans are grandfathered • New Optional Life includes a guarantee issue of $200,000 for employees and $25,000 for spouse • Rates are age-banded • Conversion and Portability Included
UNU UNUM Supplem emen ental Life • Existing Optional Life plans are grandfathered • New Optional Life includes a guarantee issue of $200,000 for employees, $25,000 for spouse, and $10,000 for the child(ren) • Max of 5x Salary • Can purchase up to the GI amount every year after electing at minimum of 10k in benefit • Rates are age-banded • Conversion and Portability Included
UNUM Long T Term rm Disability • Each utility is able to choose employer paid, employee paid, or a combination of both • Elimination Period of 90 days • Pre-existing Exclusion: 3 / 12 • Benefit Option: • All Employees : 66.667% up to $5,000 • All Employees : 66.6667% up to $7,500 • Return to Work Benefits, Child Care Expense Benefit, and Survivor Benefit Included • Rates (as of September 1 st , 2018): • $.590 Per $100: $5,000 Benefit • $.614 Per $100: $7,500 Benefit
Con onven enien ent C Care e Plus & Gener eric Rx Progr ogram • Acute Care Telemedicine Program • Virtual and Telephonic Visits to a licensed physician at NO COST • Speak to a doctor 24/7 and pick up a prescription at a pharmacy within minutes • Care offered for minor illnesses and injuries, skin conditions, upper respiratory infections, allergies, bronchitis, strep throat, pink eye, bronchitis, minor sprains • Generic Rx Program: Coverage for generic prescriptions (specific CCP formulary that is covered at 100%). • Premium: $11 Per Family Per Month
UNU UNUM Acciden ent • Voluntary Benefit that pays lump sum amounts to insured for specific services following an accidental injury, whether minor or catastrophic • Base Plan is Guarantee Issue, so no health questions are required • $50 per insured Wellness Credit • Benefit for Ambulatory Services, Chiropractic Care, ER Treatment, Hospital and ICU admission and confinement, Coma, Burns, Fractures, Dislocation, etc. • Accidental Death and Dismemberment Benefit included
UNUM Accid ident Ra Rates es
UNU UNUM Critical Illnes ess • Voluntary Benefit that pays lump sum amounts for services following the diagnosis of a critical illness • Includes Cancer Benefit • $50 per insured Wellness Credit • Employee Coverage Election $5,000 - $50,000 ($1,000 increments) • Spouse Coverage Election $5,000 - $30,000 ($1,000 increments) • Child Coverage Election: Up to 50% of Employee Coverage amount • Pre-existing Exclusion: 12 / 12
UNU UNUM Critical Illnes ess Rates
UNU UNUM Ho Hospital I Indem emnity • Voluntary Benefit that pays lump sum amounts for services due to hospitalization. They are paid directly to the employee based on the amount of coverage listed on the schedule, regardless of actually cost of treatment. • Hospital Admission Benefit: $1,500 per insured per calendar year • Ambulance(Accident Only): $100 Ground / $500 Air per calendar year • Daily Hospital Confinement: $200 per day max 60 days per calendar year • Pre-existing Period: 12 / 12
UNU UNUM Ho Hospital I Indem emnity Rates
UNUM Short rt T Term Disability • Voluntary Individual Short Term Disability coverage • Benefit: 60% up to $5,000 Maximum; Minimum Benefit: $400 • Elimination Period 14 / 14 or 7 /7 (Accident/Sickness) • Employee Only Coverage • Benefit Duration: 3 Months • Guaranteed Issue
Superior Vision P Plan n • New Vision Care Services offered with coverage for: • Eye Exams – $10 copay • Materials and Lenses – $25 copay • Progressive Lenses – Covered at trifocal level • Frames – Up to $175 value available every year • Contact Lenses – Up to $175 • Rates guaranteed for 4 years • Network to include: Wal-Mart, Lenscrafters, Target Optical, Sears Optical, and many more retail locations, along with one of the Nation’s largest private practice networks
Su Superio ior Vi Visio sion Ra Rates es Coverage Tier Rates Employee Only $8.58 Employee Spouse $17.14 Employee Child(ren) $18.72 Family $29.16
Inter eres ested ed? • For more information on these products, or to setup a meeting, please contact: Cole Harris D: 865.251.5149 | M: 865.603.8776 charris@cbiz.com
Employer-Sponsored Plans Offered In Association With CSA 401(k), 457, 401(a) & 529 Savings Plans
Ser Services D s Desig esigned t to o Hel elp Mee eet You our Employees ees R Retirem emen ent Go Goals • Group Employee Sessions • Individual Employee Meetings • Investment Education (asset allocation, diversification, etc.) • Retirement Education and Income Planning • Assistance With Enrollments, Distributions, and Day-to-Day Service • Liaison to Third-Party Administrator for Applicable Plans • Financial wellness programs and online retirement planning tools
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