Open Enrollment 2016 October 31 – November 11, 2016 Plan year 2017 Human Resources USG Plan Comparison Guide
Open Enrollment 2016 Oldies but goodies OE Basic Overview • • Disability plans – Medical Plans • Life Insurance – Changes – Vision – Premiums – Dental – Big picture – Lifestyle benefits – Spending/Savings Accounts – Important news & reminders • Medicare FAQ – Coming new later in 2017 – Comparison Guide Important info about 2018 • – ESL, DSL, Resources – New Plans • Q&A • – Aflac More In Depth Medical Plan • – Voya Comparison – LegalEase (for those who want to stay)
Open Enrollment 2016 • Via the ADP (my benefits) portal • Monday, 10/31, - Friday, 11/11 • 2016 elections will rollover to 2017 – Includes current tobacco user status – Does NOT include Flexible Spending elections (medical spending, dependent care, limited purpose accounts must be re-elected). More details later…. – Hyatt legal going away 12/31/16. New USG plan.
Open Enrollment 2016 • Making the most of your Benefits Comparison Guide for 2017 • Keep this guide handy for all of 2017 – Page 4: Choosing your plan; changes during the year – Pages 5-7: Well-being resources
Medical Plan Changes Pricing model changes complete – Now defined contribution • Premiums are value based (as determined by ACA guidelines and marketplace pricing) • KSU contributions to each plan becoming more uniform – KSU contribution for BCBS plans equal across tiers – Employees should continue to be more consumer minded and educated on how their medical plan works and what their personal service needs are
Medical Plan Changes Consumer Choice HSA Deductible: amount employee pays before plan pays 80% (excludes preventive care which is covered 100%) Out-of-pocket max: amount employee pays before plan pays 100% of all covered services In-network Out-of-network Deductible Out-of-pocket max Deductible 2016 2017 2016 2017 2016 2017 Emp only $1,500 $2,000 $3,500 $3,500 $3,000 $4,000 Emp + $3,000 $4,000 $6,850 $7,000 $6,000 $8,000 All CC HSA participants will get new ID cards
Medical Plan Changes Blue Choice HMO Copay: amount employee pays each time the visit that type of provider Copay increases Service 2016 2017 Specialist/Urgent Care $50 $60 Emergency Room $250 $300 All members will receive new cards
Premium Changes (page 8) Employee Employee + Employee + Family (rounded to Only Child Spouse nearest dollar) Monthly rates You KSU You KSU You KSU You KSU Consumer Choice $74 $413 $139 $729 $163 $850 $225 $1,174 HSA Comprehensive $177 $413 $333 $729 $389 $850 $537 $1,174 Care Plan Blue Choice HMO $195 $413 $366 $729 $427 $850 $589 $1,174 Kaiser HMO $152 $333 $286 $588 $334 $685 $461 $946 Tobacco surcharge: $75 per month, per covered adult (18+) who is a tobacco user Smoking cessation aids and resources provided (page 6) Surcharge cannot be removed retroactively Current status will rollover to 2017 unless you make an enrollment change then you will be asked to recertify
Premium Changes - Comparisons (Increase 2017 Employee + Employee + rounded to Plan KSU nearest Employee Only Child Spouse Family Cost Pays dollar) Increase Monthly You KSU Plan You KSU Plan You KSU Plan You KSU Plan % increase CC HSA $0 $13 $13 $7 $8 $15 $10 $8 $18 $14 $12 $26 2% 84% Comp Care $4 $22 $26 $23 $24 $47 $27 $28 $55 $36 $40 $76 5% 69% BC HMO 4% 67% $7 $17 $24 $29 $15 $44 $34 $17 $51 $46 $24 $70 Kaiser $3 $7 $10 $19 $0 $19 $22 $0 $22 $30 $0 $30 2% 67% HMO Of note: Increases continue to be significantly higher for the overall cost of the Comprehensive Care and BC HMO plans, which are already the two most costly plans in terms of the dollars that go to the insurance carrier directly
Premium Costs – Big picture (rounded Employee Only Employee + Child Employee + Spouse Family to nearest Annual Cost Annual Cost Annual Cost Annual Cost dollar) Premiums Deduct. Premiums Deduct. Premiums Deduct. Premiums Deduct. CC HSA $888 $2,000 $1,674 $4,000 $1,953 $4,000 $2,696 $4,000 Comp Care $2,214 $500 $3,997 $500 $4,664 $500 $6,440 $500 Plan per person per person per person BC HMO $2,340 Copays $4,387 Copays $5,118 Copays $7,068 Copays Kaiser $1,827 Copays $3,432 Copays $4,004 Copays $5,529 Copays HMO Assumes only seeing in-network provider for that plan Premium dollars are paid to the insurance • • Comp Care family deductible capped at $1,500 carrier no matter what • combined Deductibles and copays are paid to the • HSA seed can reduce premium cost by $375 (ee) or doctor/facility for services rendered • $750 (ee+) annually if employee contributes
Flexible Spending Accounts & Health Savings Accounts (page 33) • What exactly does “pre-tax” mean? – Deducted from check before federal, state, FICA taxes* – Reduces income subject to taxes – May also reduce tax withholding due on remaining income – Reimbursements for eligible expenses are not taxable • Money taken from paycheck is sent to Optum • Many ways to access money when services are rendered – Debit card, electronic transfer to provider, electronic *Dependent care transfer to yourself FSA subject to FICA taxes
Flexible Spending Accounts & Health Savings Accounts (page 33) When $ Use it in 2017 or Claims Account Coverage Purpose Applicable Employee KSU available lose it?; mid-year requirements Medical Annual match type level (examples) ? changes? ? Plans Limits Dependent Single Summer camps All $2,500 N/A When Yes , w/ grace period Yes , and/or day care taken through 03/15/ 2018; Care FSA must submit Family $5,000 N/A for under age 13 from pay contrib. changes documentation (level based on or elderly parent check w/in 30 days of FSC tax filing) Medical copays/ HMOs, Health Care All $2,600 N/A Full Yes , w/ grace period Yes , Comp Care deductibles, most balance Flexible ($50 more through 03/15/ 2018; must submit No Med plan, all out-of-pocket, available contrib. changes w/in Spending than 2016) documentation Cons Choice (for Rx, vision & dental Jan 1 30 days of FSC Account 65+) Health Single Medical Consumer $3,025 $375 When No , contributions No , you are deductibles/ taken Choice plan ($50 more than Savings rollover each year responsible for coinsurance, Rx, 2016) from pay only (must and can ultimately maintaining tax Account vision & dental check serve as retirement not be Family records to $6,000 $750 (level based on ($ not used for income; can change validate claim enrolled in (2 or more) covered expenses med plan contribution anytime eligibility Medicare A) = retirement $) enroll. & age) w/ proper notice Age 55+ $1,000 N/A Full Limited All Vision and dental Consumer $2,600 N/A Yes , w/grace period Yes , balance expenses ONLY Purpose FSA Choice to 3/15/ 2018; ($50 more must submit available changes w/in 30 (add’l to HSA) than 2016) documentation Jan 1 days of FSC
Flexible Spending Accounts • Auto-substantiation on some claims – Rx copays – Primary Care visits • Others require you to submit receipts – Dental procedures – Vision care • Use it or lose it BUT grace period through 3/15 allows you to spend unused funds – Will likely need to contact Optum to specify that you want to use previous year’s funds
Medicare FAQ I am/my spouse is now age 65 and eligible for Medicare. What do I do? – As long as covered under the active employee plan, USG plans will remain primary over any Medicare coverage. – Medicare Part A is automatic, “free”, and will have little impact on USG coverage (except for HSA contributions). – No need to enroll for Medicare Part B (which costs $121.80 a month) until applying for retirement – Need to coordinate with the benefits office 3 months prior to desired retirement date
Additional notes about medical plans • Remember to take advantage of 100% coverage for wellness visits; get more back from those premium dollars – Standard vaccinations – Flu shots – Annual physicals – Age appropriate screenings • Calls from personal health nurses • Additional focus on the savings for using generic and mail order medications
Comparison Guide Medical plan comparison (pages 10-17) • Get quick and convenient care from BCBS (page 18) • – CVS Minute Clinics - $15 copay for BCHMO & Comp Care; reduced fee for CCHSA (applied to deductible/coins) – LiveHealth Online: Visit with a doctor online, anytime. • 24 hours a day, 7 days a week, 365 days a year • Anywhere you have a computer or mobile device with Internet access • Provides access to in-network, board-certified doctors • Allows doctors to ePrescribe utilizing local pharmacies (where applicable) • Takes member payments via credit card • Is secure, convenient and easy-to-use • $15 Copay for BCHMO & Comp Care plan; $49 flat fee for CCHSA (applied to deductible or coinsurance as appropriate)
Comparison Guide • Info on ID cards & discounts (page 19) • Coverage while traveling (page 20) • Where to go for coverage (page 21) • Important Numbers (page 38 – 39) • Planning for retirement (page 36 – 37) • USG Perks at Work (page 35)
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