Live Well 365 Lets celebrate Wellness Month

Transcription

1 Live Well 365 Lets celebrate Wellness Month Renewing your Insurance June 2017

2 Introduction to Flexible Benefit Plan Medical Cover Domiciliary/Out Patient Expenses Dental and Vision Hospitalisation expenses (min 24 hrs) Maternity Related Hospitalisation Expenses Personal Accident Cover Temporary Disablement due to accident Permanent Disablement due to accident Life/Term Cover Provides coverage in the event of death due to accidental or natural causes Spouse Coverage Critical Illness - Provides lump sum payout at the time of diagnosis towards the treatment of any of the listed critical illnesses Reimbursable Benefits Fitness Benefit Tuition Assistance Child Care You are eligible to use your unused flex points to top up the above benefits in case you wish to do so

3 How it works? + Core Benefits (for all employees) Flex Points INR 15,000 Particulars Sum Insured Group Medical Cover Employee Only INR 500,000 Group Personal Accident Cover Group Term Life Cover Offer greater choice - Made to measure Customise their benefits package Expanded list of options / benefits which are more relevant to an individual Employee Only - 2 X Annual Salary Employee Only - 2 X Annual Salary Insurance Benefits Optional Benefits Medical - 9 Options ranging from Employee Only cover to Employee plus extended family options Personal Accident - 3 options to enhance the sum insured. Option to enroll his/her spouse Term Life - 3 options to enhance the sum insured limit Option to enroll spouse. Critical Illness rider up to INR 1,000,000 Reimbursable Benefits Fitness Benefits Tuition Assistance Childcare

4 Flex Benefit Plan Optional Benefits Group Medical Plan Group Personal Accident Options Dependents Covered Hospitalization Cover Core Benefit EE only 500,000 7,500 Domiciliary Cover Option 2 EE + 2P 500,000 15,000 Default Cover EE + SP + 2C 700,000 15,000 Option 4 EE + SP + 2C + 2P 700,000 15,000 Option 5 Option 6 EE + SP + 2C + 2PL EE + SP + 2C + 2PL 700,000 15,000 1,000,000 15,000 Option 7 EE + SP + 2C + 2P 1,000,000 15,000 Option 8 Option 9 EE + SP + 2C + 1P + 1PL EE + SP + 2C + 1P + 1PL 700,000 15,000 1,000,000 15,000 Options Coverage For Coverage Amount Core/Default Employee Only 2 X Annual Salary Benefit Option 1 Employee Only Additional: 1 X Annual Salary Option 2 Employee Only Additional: 2 X Annual Salary Option 3 Employee Only Additional: 3 X Annual Salary Option 4 Spouse Group Term Life Options Coverage For Coverage Amount Core/Default Benefit Up to INR 5,000,000 (In multiples of INR 500,000) Employee Only 2 X Annual Salary Option 1 Employee Only Additional: 1 X Annual Salary Option 2 Employee Only Additional: 2 X Annual Salary Option 3 Employee Only Additional: 3 X Annual Salary Option 4 Spouse Up to INR 10,000,000 (In multiples of INR 500,000) Critical Illness Employee Only INR 500,000 / INR 1,000,000 In case you fail to enroll, your last year selection will continue. For new joinees, default cover will apply.

5 Flex Benefit Plan Flex Points Each flex plan option has a price tag - cost you need to pay for the chosen option. Management contributes a fixed number of points to each employees flex account at the start of the benefit year. i.e., 15,000 Point conversion: 1 Flex point = Re. 1 You can buy the insurance cover of your choice from the list of options by allocating these points. You should allocate only unused Flex points towards other reimbursement benefits after selecting appropriate insurance cover for you & your family. If the benefit choices cost more than allocated points, additional amount would be deducted from the employee salary. Flex points 15,000 Salary Deductions = Flex Options

6 Flex Benefit Plan Tax Impact Your Contribution: Any Over Purchase (more than flex points allocated) will be deducted from your post-tax salary and they are subject to tax exemption as per Income Tax rules: Medical: Self, Spouse, Children & Parents under section 80D Life: Section 80C Critical Illness: Section 80C Details of all your contributions will be sent to Payroll / Finance Form 16 will be updated accordingly to reflect the above-mentioned tax deduction. Left over points: If you do not spend your full Flex points on your benefit choices, the balance of your Flex points will be paid to you as taxable salary.

7 Enrolment Points to Remember Enrolment Period Open Close Plan Effective Date June 19 July 7 July 1 Do I need to Enrol? You must actively Enrol to avail the advantage of Flexible Benefits program. In case you do not enrol, your last selection will continue for another year. Important points to remember before you begin Check the accuracy of your personal information in BenefitsAsia Report any inaccuracies to your HR and Marsh hb.admin@marsh.com Make sure dependents are selected under each plan as required Review your enrolment statement to make sure benefit choices are as per your needs Selection can be made multiple times during open window. Selection effective on last day of enrolment will be considered Write to hb.admin@marsh.com, if you need any support

8 How to enroll Login Details: Existing employees can use their current username & password. New Employees will receive their access details (Username & Password) via from BenefitsAsia at the start of the enrollment period. Steps to Enroll Online 1. To enroll via the BenefitsAsia Web site, simply click on BenefitsAsia 2. Enter your Employee ID and Password (the first screen on the BenefitsAsia Web site will prompt you to do this) 3. Click Login to go to the Microsoft Flexible Benefits home page 4. First time users - Read and Agree to Terms of Service 5. Verify your Personal and Dependents information. Add dependents if required through My Profile -> Dependent Profile Menu option 6. Have better understanding of the benefits by going through Product guides / other Reference materials 7. Click on Start Enrollment to complete your enrollment. Write to hb.admin@marsh.com, if you need any support

9 Group Medical Cover Policy Parameter Insurer TPA Policy Start Date Policy End Date Coverage Type Dependent Coverage Sum Insured New India Assurance Company Limited (NIA) United Health Care (UHC) 1 st July, th June,2018 Family Floater As Opted As Opted Flex Rules Option 3 is a Default Benefit for new employees There is a co-share (in Premium) if parents or in-laws are added as dependents Switching between Parents & Parents-in-law is not allowed for a block of 3 years Based on the vacant slot, additional children (third child onwards) can be covered under the appropriate plan Mid-year benefit re-selection is allowed only in case of qualified Life event change Maximum age for dependent Parents coverage is 90 years and for dependent children is 25 years

10 Group Medical Cover Policy Parameter Pre-existing Diseases Covered from Day 1 Pre and Post Hospitalization 30 and 60 Days claims covered Maternity Limit Up to INR 100,000 Pre and Post natal Expenses Infertility Treatment Up to INR 5,000 each, within Maternity Limit Up to INR 125,000 with 20% co-pay for both males and females Dental and Vision Covered up to INR 10,000 Preventive Vaccination Health Check-Up Up to INR 5,000 (The limit is within the total domiciliary limit and is not applicable for neonatal vaccination) Up to INR 10,000 and Up to INR 15,000 for female employee = or above 40 years Ambulance Transportation Up to INR 15,000 Day care procedures Covered For more details on policy coverage, please visit policy link on HR web. Medical Insurance Coverage

11 Group Personal Accident Policy Parameter Insurer Policy Start Date Policy End Date Coverage Type Policy Parameter Accidental Death Permanent Total Disability Permanent Partial Disability Temporary Total Disability Geographical Limits New India Assurance Company Limited (NIA) 1 st July, th June,2018 As Opted Yes (100% of Opted Sum Insured) Yes (100% of Opted Sum Insured) Yes as per the insurer chart Weekly Benefit- 1% of sum insured or INR 5000, whichever is less for 104 weeks World wide This insurance provides compensation/payment up to a financial limit as assigned by the company, to the insured person or his legal personal representative, if the insured person suffers death or disablement due to an accident. The cover is worldwide but payment of claim can only be made in India and in Indian Rupees. Benefits enhanced Medical expensed reimbursement Covered for expenses up to 40% of admissible claimed amount or 10% of SI or actual whichever is lesser. Plaster expense Covered up to INR 5000 Burns Covered up to INR 50,000 Snake & dog bite Covered

12 Group Term Life Policy Parameter Insurer Policy Start Date Policy End Date Coverage Type PNB MetLife Life Insurance Company 1 st July, th June,2018 As Opted This insurance provides compensation/payment up to a financial limit as assigned by the company, to the legal personal representative/nominee in the event of death of a member from any cause (natural/accidental), provided that this shall occur while the assurance in respect of such member shall be in force. Free Cover Limit You will be insured up to free cover limit till insurance company reviews your underwriting documents and approves additional coverage. Critical Illness Cover Critical Illness cover is available to employees only. This benefit is payable when an employee becomes critically ill. Underwriting Condition Requirement Coverage till Approval / Rejection Core Benefit > FCL New Sum Insured is > 2 x Last approved Sum Insured New Sum Insured due to Salary increase during the year is > 25% of Approved Sum Insured Additional Coverage > INR 1,000,001 Form / Medical Test FCL Heart Attack Stroke Cancer CABS (Bypass Surgery) Kidney / Renal Failure Major Organ Transplant Aorta Surgery Blindness Heart Valve Replacement / Surgery Paralysis / paraplegia Coma

13 Contact Details 1) For any tool related issues at the time of enrollment or questions on your enrollment plan/status on the BenefitsAsia site Please write to and loop in your local UHC representative as mentioned in the table under Medical Insurance Coverage. For any escalations related to tool issues on the BenefitsAsia site, please write to 2) For queries on underwriting documents related to Personal Accident and Life/Term cover Please write to and keep in the loop 3) For Claims Related Queries and Escalations, the Go To People would be from UHC (in that order): Local UHC SPOC (as mentioned under Medical Insurance Coverage) 4) For overall escalation related to Queries, claims and enrollment please write to 1 st Point: - Supreet.kaur@marsh. com 2 nd Point: - rishi.dua@marsh.com

14 UHC New Enhanced Portal

15 ABOUT United Healthcare United Healthcare Parekh TPA Ltd. is a UnitedHealth Group company. We have put better healthcare for employees at the focus of our approach and endeavor to helping people live healthier lives! United Healthcare provides the following services to Microsoft employees - Cashless Hospitalization in the network hospital Claims reimbursement for Network as well as non-network hospital Manage your Domiciliary claims Help with understanding your policy benefits and coverage through imbeds in Microsoft offices United Healthcare has also negotiated OPD discounts with various hospitals like Max, Fortis, Sakra, Global Hospitals and many more. Avail these offers by just showing your United Healthcare ID card.

16 Enhanced Web Portal Home Page Home Page All options at a click

17 Enhanced Web Portal Your Personalized Page Menu Simple, Intuitive and Functional, Mobile / OTP based login, Based on self-help philosophy, Responsive web design

18 Enhanced Web Portal Make a claim Online Claim Submission Its easy! Just a few clicks

19 Enhanced Web Portal Raise a cashless request Online Cashless Submission Simple and Quick

20 Enhanced Web Portal Track your claim Claim Real Time / SMS & updates

21 Enhanced Web Portal Hospital Search Hospital Search Interactive GPS maps Ability to & SMS hospital details

22 OPD Discounts Microsoft employees get special OPD discount across 234 providers PAN India Vasan Eye Care Fortis (Pan India) Dr. Batra's Health Care SRL Diagnostics 15% on eye investigations 20% on Ophthalmological consultation 10% on OPD treatments 10% discount on OPD consultations 10% discount on investigations 10% on health checkup 20% off on annual homeopathy treatment Upto 15% off on aesthetic service 10% off on Skin, Hair and personnel care product 20% discount on rack rate for Pathology & imaging tests Apollo White Dental CloudNine Max Hospitals Apollo Clinic 50% on X-rays 10% on Dental treatment, cleaning 10% on surgical treatment 5% on cosmetic treatment 10% Discount on OPD consultation 5% Diagnostic laboratory investigations 5% Discount on pharmacy 15%discount Well women check-up 15 % discount on consultation & investigations 15% Discount on Health checkup 10% Discount on eye and dental 10% discounts on inhouse diagnostics, radiology and noninvasive cardiology 15% discount on Apollo Standard Health check up package * DPCO refers to Drug Pricing Control Order. Discounts applicable only on non-hospital pharmacy

23 For Women Employees

24 Pharmacy Discounts 5% discount on FMCG EY members get pharmacy discounts across 1490 outlets PAN India Across 161 cities in India 10% discount on medicines (Other than DPCO medicines) Apollo Pharmacy 5% discount on FMCG 15% discount on Apollo Pvt labeled product

25 Questions? Thank You!