Non-Bargaining Employees August 7, 2019
Topics for Today ■ Open Enrollment ■ HealthyLiving Process and Resources ■ Other Benefits ■ What’s New – Life Insurance – Disability ■ Health Care Benefits – Life Resources EAP – Medical Options – Purchased Paid Time Off (PTO) – Prescription Coverage – Voluntary Benefits – Health Savings Account (HSA) – Flexible Spending Accounts ■ Questions? (FSA) – Health Care Contribution – Vision Plans – Dental Plans Open Enrollment for 2020 Benefits – Non-Bargaining Employees 2 2020
Open Enrollment Process and Resources Open Enrollment for 2020 Benefits – Non-Bargaining Employees 3 2020
General Information ■ Open enrollment is October 14 – October 28, closing at 5 p.m. ■ You MUST TAKE ACTION if you are: – Adding or deleting dependents ( must contact HR Service Center to add) – Changing any plan elections – Contributing to an HSA or FSA – Wanting to receive your employer healthcare contribution differently than the default – Purchasing additional time off in 2020 through the PTO Purchase Program Open Enrollment for 2020 Benefits – Non-Bargaining Employees 4 2020
The Process Go to MyFirstRewards.com then log onto the Open Date Enrollment tool: Review your current 2019 benefits selections Learn more about your 2020 benefit plan options Oct 7-28 ■ Review your personalized enrollment worksheet for 2020 ■ Review benefit plan rates Make your elections for 2020 benefits Oct 14-28 Review and save your confirmation statement Jan 1 Coverage is effective Open Enrollment for 2020 Benefits – Non-Bargaining Employees 5 2020
Resources www.MyFirstRewards.com ■ Open Enrollment Presentation – Attend an Employee Meeting – View a Presentation Online – Watch an On-Demand Presentation ■ Compare your Medical Plan Options ■ Compare Drug Coverage and Cost ■ Learn more about the HSA ■ Consider Enrollment in a FSA Open Enrollment for 2020 Benefits – Non-Bargaining Employees 6 2020
What’s New? Open Enrollment for 2020 Benefits – Non-Bargaining Employees 7 2020
What’s New for 2020? Medical Deductible ■ Consumer and Enhanced HDHP deductibles will increase in order to meet IRS requirements Health Savings Account (HSA) and Flexible Spending Account (FSA) ■ Annual maximum contribution limits for HSA and FSA plans will increase Basic Vision ■ Employees will be provided Basic Vision plan coverage, unless Supplemental Vision is elected. The Basic Vision plan has no premium Open Enrollment for 2020 Benefits – Non-Bargaining Employees 8 2020
Health Care Benefits Open Enrollment for 2020 Benefits – Non-Bargaining Employees 9 2020
2020 Medical Plan Options (all plans include Rx) Consumer HDHP Enhanced HDHP Base PPO In-Network* $2,800 / $5,600 $1,400 / $2,800 $750 / $1,500 Deductible (Single / Family) Combined Medical/Rx deductible Combined Medical/Rx deductible Separate Medical/Rx deductible Type of Deductible Embedded True Embedded Coinsurance (FirstEnergy / You) 80% / 20% 80% / 20% 80% / 20% - After deductible Out-of-Pocket Maximums $5,500 / $11,000 $4,500 / $9,000 $3,500 / $7,000 (OOP Max) Combined Medical/Rx OOP Max Combined Medical/Rx OOP Max Separate Rx OOP Max (includes deductible & coinsurance) Embedded Embedded Embedded Type of OOP Max Preventive/Wellness Care 100% 100% 100% 20% after deductible; 20% after deductible; 20% after deductible; Emergency Room Visit $250 copay if not true $250 copay if not true $250 copay if not true emergency emergency emergency Employee: $0 Employee: $398 Employee: $1,198 Employee + Child(ren): $0 Employee + Child(ren): $1,236 Employee + Child(ren): $2,596 Annual Premium Employee + Spouse/DP: $0 Employee + Spouse/DP: $1,835 Employee + Spouse/DP: $3,595 Family: $0 Family: $2,793 Family: $5,193 Other Eligible for HSA Yes Yes No Eligible for Health Care FSA No No Yes Eligible for Limited FSA Yes Yes No (dental/vision only) *Out-of-network plan design can be located at www.MyFirstRewards.com Open Enrollment for 2020 Benefits – Non-Bargaining Employees 10 2020
How the Family Medical Deductibles Vary ■ Embedded Deductible – Family deductible amounts can be satisfied by any combination of family members but one family member would never need to satisfy more than the single deductible amount. ■ True Deductible – You and your family members need to collectively satisfy the entire $2,800 family deductible then FirstEnergy will pay the 80% coinsurance. In-Network Consumer HDHP Enhanced HDHP Base PPO Deductible $2,800 / $5,600 $1,400 / $2,800 $750 / $1,500 Type of Deductible Embedded True Embedded Open Enrollment for 2020 Benefits – Non-Bargaining Employees 11 2020
Where to Get Care Doctor’s Retail LiveHealth Emergency Room Emergency Room Urgent Care Office Clinic Online $1,636 $1,404 $147 $82 $105 $59 • This information is from the Be A Better Health Care Consumer series which contains helpful tips, tools and resources for health care consumer decisions. • Details can be found at www.MyFirstRewards.com/BetterConsumer Open Enrollment for 2020 Benefits – Non-Bargaining Employees 12 2020
Prescription Drug Options Consumer HDHP Enhanced HDHP Base PPO Generic Drug Rule Yes* Yes* Yes* Retail (up to 30-day supply with one refill) $2,800 / $5,600 $1,400 / $2,800 $100 / $200 Annual deductible (Individual / Family) Combined Medical/Rx deductible Combined Medical/Rx deductible Separate Rx deductible Coinsurance (FirstEnergy / You) 80% / 20% 80% / 20% 70% / 30% Generic Coinsurance 20% 20% 30% ($5 min) Primary Coinsurance (if no Generic is available) 20% 20% 30% ($15 min) Brand Coinsurance** 20% 20% 30% ($30 min) Maximum coinsurance per Rx No maximum No maximum $100 per Rx Mail Order (up to 90-day supply with three refills) $2,800 / $5,600 $1,400 / $2,800 Annual deductible (Individual / Family) None Combined Medical/Rx deductible Combined Medical/Rx deductible Coinsurance (FirstEnergy / You) 80% / 20% 80% / 20% 80-75% / 20-25% Generic Coinsurance 20% 20% 20% ($12.50 min) Primary Coinsurance (if no Generic is available) 20% 20% 25% ($37.50 min) 20% 20% 25% ($75 min) Brand Coinsurance** No maximum No maximum $200 per prescription Maximum coinsurance per Rx Specialty ( up to 30-day supply – must use Caremark Specialty Pharmacy) $2,800 / $5,600 $1,400 / $2,800 $100 / $200 Annual deductible (Individual / Family) Combined Medical/Rx deductible Combined Medical/Rx deductible Separate Rx deductible Generic Coinsurance 20% 20% 20% ($4.16 min) Preferred Coinsurance 20% 20% 20% ($12.50 min) Non-Preferred Coinsurance 20% 20% 20% ($25.00 min) No maximum No maximum $66.66 per Rx Maximum coinsurance per Rx Annual Out-of-Pocket Maximum (OOP Max) $5,500 / $11,00 $4,500 / $9,000 $3,000 / $6,000 In-Network (Individual/Family) Combined Medical/Rx OOP Max Combined Medical/Rx OOP Max Separate Rx OOP Max *In addition to coinsurance, participant will also be responsible for difference in cost between generic & brand drug if the participant does not choose to fill script with available generic. The brand penalty does not count towards the deductible and out-of-pocket maximum. **If you choose a brand that has a formulary equivalent (Primary Drug List), you will pay the brand coinsurance. Out-of-network plan design can be located at www.MyFirstRewards.com Open Enrollment for 2020 Benefits – Non-Bargaining Employees 13 2020
Medical/Prescription Drug Rates Pre-tax contributions Bi-weekly – Full Time Consumer HDHP Enhanced HDHP Base PPO Employee $0 $15.33 $46.10 Employee + Child(ren) $0 $47.57 $99.88 Employee + Spouse/ $0 $70.60 $138.30 Domestic Partner Family $0 $107.46 $199.77 Weekly – Full Time Consumer HDHP Enhanced HDHP Base PPO Employee $0 $7.52 $22.61 Employee + Child(ren) $0 $23.34 $48.99 Employee + Spouse/ $0 $34.63 $67.84 Domestic Partner Family $0 $52.71 $98.00 Rates do not include the $200 monthly spouse premium, if applicable Rates increased 5.4% from 2019 Open Enrollment for 2020 Benefits – Non-Bargaining Employees 14 2020
www.comparemyhsa.com/firstenergy2020 Interactive website to help you select a medical plan Open Enrollment for 2020 Benefits – Non-Bargaining Employees 15 2020
What is an HSA? ■ Health savings account (HSA) – allows you to set aside pre-tax dollars to pay for out-of-pocket health care expenses – Interest-bearing health savings account like a 401(k) for health care-related expenses ■ HSAs are portable – Individual account in your name – take it with you when you leave or retire ■ No “use it or lose it” rule ■ HSA can be used: – For qualified expenses including medical, prescription drug, dental and vision – For you, your spouse or generally any dependent claimed on your tax return – Now or later (great vehicle for future health care) ■ For more information on HSAs, visit: – IRS Publication 502 and 969 – www.healthequity.com/firstenergy Open Enrollment for 2020 Benefits – Non-Bargaining Employees 16 2020
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