2020-2021 Employee Benefit Presentation 1
WHO, WHAT , WHY ? Who: Introduction ? What are we reviewing today: Open Enrollment Benefit Options ? Why am I on this call: This presentation is to provide an explanation and understanding of the benefits available to you and the Open Enrollment process. 2
Monday, April 27 th through Friday, May 15th Hickman Mills School District is partnering with BeneBloc to assist with the review and enrollment of your benefits. All benefit eligible employees will sign up for a designated time for your individual benefit review. Click here to schedule your appointment https://BeneBlocEnrollment.as.me/hickmanmills. Go to your benefit portal, https://www.benebloc.com/portals/hickman/ to review all benefits offered and to schedule your individual benefit appointment. Prior to your scheduled meeting be sure to review your benefit guide and all the options available to you. 3
Open Enrollment Announcement Flyer 4
Medical Cigna remains your medical provider Four plans are available for you choose from $4000 SureFit HDHP 1. $2800 SureFit HDHP 2. $450 annual district HSA contribution $2800 OAP (Open Access Plan) HDHP 3. $450 annual district HSA contribution $1500 SureFIt 4. Go to www.mycigna.com to look up participating providers MONTHLY MEDICAL PLAN1 PLAN 2 PLAN 3 PLAN 4 PLAN RATES $1500 SUREFIT $4000 SUREFIT $2800 SUREFIT $2800 OAP HDHP HDHP HDHP Plan Employee $0.00 $51.27 $120.18 $126.47 Employee + Spouse $461.62 $781.37 $902.66 $943.93 Employee + Children $320.90 $628.12 $737.63 $790.32 5 Family $1152.32 $1537.96 $1714.33 $1766.77
Medical Plan Changes An INCREASE in the District Premium Contribution for the 2020-2021 Plan year. For 2020-2021 Plan year the contribution has increased to $854.28 per employee per month. Other Plan Changes: $4000 Surefit HDHP – No plan changes 1. $2800 Surefit HDHP ($450 HSA contribution) - HDHP-Increased deductible/out of pocket max from 2. $2700 to $2800 and out of pocket maximums were raised to $5600 from $5400. **Changes per IRS Regulations for 2020 $2800 OAP (Open Access Plan) HDHP ($450 HSA contribution) – HDHP-Increased deductible/out of 3. pocket max from $2700 to $2800 and out of pocket maximums were raised to $5600 from $5400 ** Changes per IRS regulations for 2020 $1500 Surefit Network – There is now a deductible for this plan. No Primary Care Physician copays for any 4. dependents covered under your plan under the age of 19. Emergency room copay increased to $350 copay per 6 visit.
SureFit vs OAP Network 7
Finding a Provider 8
9
10
11
Dental Two plans offered to you through Cigna PPO Base Plan PPO Buy Up Plan Go to www.deltadentalmo.com to find a participating dentist No changes to rates or plan benefits Employer Employee Rate Per Base Plan Full Premium Contribution Month Employee Only $25.20 $0 $25.20 Employee + Spouse $60.83 $35.63 $25.20 Employee + Children $60.36 $35.16 $25.20 Family $121.82 $96.92 $25.20 Employer Employee Rate Per Buy Up Plan Full Premium Contribution Month Employee Only $35.10 $9.90 $25.20 Employee + Spouse $79.59 $54.39 $25.20 Employee + Children $78.99 $53.79 $25.20 Family $159.40 $134.20 $25.20 12
Vision VSP is your vision provider. You may locate an in-network provider at www.VSP .com. No changes to rates. Enhancements to plan designs VSP Vision Benefit Summary Plan Feature Base Plan Premium Plan Exam Copay $10 $10 Materials Copay $25 $25 Frequency: Exam 1 every 12 months 1 every 12 months Lenses 1 every 12 months 1 every 12 months Frames 1 every 24 month 1 every 12 months VSP Diabetic Eyecare Plus Program $20 copay per visit $20 copay per visit $150 allowance/$170 allowance for featured frame $200 allowance/$220 allowance for featured frame brands, brands, 20% savings over allowance; $80 20% savings over allowance; $110 Walmart/Costco frame Frames Walmart/Costco frame allowance allowance Single Vision, Lined Bifocal, and lined trifocal – Single Vision, Lined Bifocal, and lined trifocal – included in Lenses included in prescription Glasses prescription Glasses Lens Enhancements $0 $0 Standard Progressive Lenses $95-$105 $30 Premium Progressive Lenses $150-$175 $30 Custom Progressive Lenses Contact Lenses $150 allowance $200 allowance (in lieu of glasses) Services related to diabetic eye disease, glaucoma Services related to diabetic eye disease, glaucoma and age- and age-related macular degeneration and Retinal Diabetic Eye Care related macular degeneration and Retinal screening; $20 copay 13 screening; $20 copay Dependent Ages Covered to age 26
Vision Rates Base Plan Buy-Up Plan Employee $5.72 $12.14 Employee + Spouse $11.44 $24.28 Employee + Children $12.24 $25.99 Family $19.58 $41.52 14
Section 125 Plan Two types of plans available Health Care Flexible Spending Account for health care expenses. Maximum per year $2,750. Dependent Care Flexible Spending Account for Day Care expenses. Maximum per year $5,000. Purpose is to pay for out of pocket expenses with pre-tax dollars through flexible spending accounts. 15
Life and AD&D New provider, Reliance Standard for the 2020 plan year. Hickman Mills School District provides you with $25,000 of term life insurance and AD&D at NO cost to you. Voluntary Life Insurance allows you to purchase an additional amount of coverage as well as get life insurance for your dependents. Current employees electing coverage or an increase in coverage for themselves, spouse and/or child(ren) may enroll under the Guaranteed Issue Enrollment (no health questions) for this OE only. Monthly Premium $100,000 of Coverage Employee Only Employee GI: Up to $130,000 24 $3.70 29 $4.40 Spouse GI: Up to $25,000 34 $5.90 39 $9.00 Child GI: $10,000 44 $13.10 49 $20.90 54 $32.70 59 $54.94 64 $73.90 69 $125.00 70+ $222.20 16 Child per $1,000 $0.43
Accident Insurance New Accident plan carrier which provides better benefits as a lower premium. Pays a benefit to you directly if you are injured and need treatment whether at home or work. RSLI Base Coverage A decrease in rates from the current accident plan. Initial Hospital Confinement $1,000 Daily Hospital Confinement $200 ICU Admission $1,500 Monthly Premium Current Rates NEW Rates Intensive Care $400 $16.29 $15.56 Employee Coverage Dislocation/Fracture Rider $26.34 $22.72 Employee + Spouse Dislocation/Fracture Rider Up to $6,000/Up to $7,500 $30.42 $28.62 Employee + Child Accident Treatment & Urgent Care $40.47 $36.59 Family Rider Accidents Physicians Treatment $75 Accident Follow-Up Treatment $75 Emergency Room Treatment $150 Urgent Care $75 AD&D & Functional Loss Rider Accidental Death $50,000 Paralysis Up to $15,000 $7500 for one/$15,000 for Dismemberment two 17 Additional Features Portability Yes
Critical Illness Insurance Pays you a benefit if you are diagnosed with a covered condition such as a heart attack, stroke or cancer. RSLI Initial Critical Illness Benfeits $50 wellness benefit for completing a health screening. Heart Attack 100% Stroke 100% Coronary Artery Disease/Bypass Surgery 25% Coverage is portable. Major Organ Failure/Organ Transplant 100% End Stage Renal Failure 100% Ability to elect an employee only option (w/o children). Cancer Critical Illness Benefits (Optional) Invasive Cancer 100% Carcinoma in Situ 25% A decrease in rates from the current CI plan. Supplemental Critical Illness Benefits Benign Brain Tumor 100% Coma 100% Monthly Premium Current Rates NEW Rates Loss of Sight 100% $15,000 Benefit - Issue Loss of Hearing 100% Age/Non-Tobacco Employee+Children Employee+Children ALS 100% 24 $9.65 $7.58 Paralysis 100% 29 Additional Benefits $10.55 $7.58 Reoccurence of Benefit 100% 34 $13.55 $12.15 Waiting period for Reoccurance 6 months 39 $18.20 $12.15 Waiting period between Claims for differing 44 $25.55 $23.25 illness 90 days 49 $34.70 $23.25 Wellness Benefit (per year) $50 54 Maximum Benefit? 1000% $45.50 $42.00 Additional Features 59 $59.75 $42.00 Pre-Existing Condition Limitation Applies None 64 $76.25 $78.45 Age reduction Feature 50% at 70 69 $85.55 $78.45 18 Portability Yes 70+ $152.75 $158.10 GI max amount $30,000 Dependent child coverage 25%
Educator Disability Insurance Educator disability insurance pays you a percentage of your salary if you are unable to work for an extended period of time due to a covered injury or illness. Benefit amounts in increments of $100, from a minimum of $200 up to a max or $7,500 per month. Not to exceed 60% of your covered earnings. 2 elimination period options: 14 days injury/14 days sickness 1. 30 days injury/30 days sickness 2. A 10% decrease in premium from current plan. 19
Recommend
More recommend
