Annual Enrollment Meetings

Transcription

1 Non-Union Annual Enrollment Meetings Hussmann Corporation

2 Non-Union Benefit Overview Effective January 1, 2014 Optional Benefits Medical/Pharmacy (PPO & CHP) Health Savings Account (HSA) Flexible Spending Account (FSA) Medical Dependent Limited Voluntary Dental Voluntary Vision Voluntary Term Life Spousal Life Insurance Child Life Insurance Long Term Disability Buy-up Company Provided Benefits Employee Assistance Program (EAP) Associate Basic Life and Accidental Death & Dismemberment (AD&D) Short Term Disability (STD) Basic Long Term Disability (LTD) Virgin Healthmiles Steps Program 1

3 Non-Union Benefit Change Highlights Effective January 1, 2014 Medical Plans UnitedHealthcare (UHC) will continue as our medical insurance carrier. You will continue to have access to both the PPO & CHP plans. Your medical premiums will remain flat under both the PPO & CHP plans. No change to the employer HSA seed amounts but you can now contribute an extra $50 for individual & $100 for family annually. Increase in PPO plan s Annual Deductible & Out-of-Pocket Maximums. No changes for CHP plan. Life Insurance Cigna will replace Prudential as our life insurance carrier which includes Basic Life, AD&D, Child Life and Spousal Life. Prescription Coverage CVS Caremark will remain our pharmacy carrier. Diabetic Kit Rule (DKR) has been added effective January 1, Preventive Drug List (PDL) will be added by February 1, Dental Delta Dental of Missouri will replace MetLife as our dental carrier. Increase to dental premiums. Vision VSP will remain our vision carrier. Slight increase to vision premiums. LTD & STD The STD benefit for employees paid weekly will increase from 40% to 70%. 2

4 Medical and Prescription Drug Benefits

5 2014 Non-Union Medical/Rx Employee Contributions Monthly Employee Contribution PPO Employee (Ee) Only $89.00 Ee and Spouse/Same-Sex Domestic Partner * $ Ee and Child(ren) $ Family $ QHDHP Employee (Ee) Only $73.00 Ee and Spouse/Same-Sex Domestic Partner * $ Ee and Child(ren) $ Family $ * Working Spouse/SSDP rule applies in Hussmann will pay the majority of coverage costs for a working spouse /SSDP who is enrolled in our medical plan, but you will pay a $1,300 annual surcharge (deducted evenly per paycheck) if your spouse/ssdp is eligible for subsidized group medical coverage through his or her employer, waives that coverage, and chooses to enroll in medical coverage through Hussmann. 4

6 Non-Union Benefits Highlights Effective January 1, 2014 UnitedHealthcare PPO In-Network Out-of-Network In-Network Out-of-Network CHP Lifetime Maximum Unlimited Unlimited Calendar Year Deductible Individual $750 $1,500 $1,500 (ER Funds $750) Family $1,500 $3,000 $3,000 (ER Funds $1,500) Coinsurance 80% 60% 80% 60% Out-of-Pocket Max Includes Deductible Includes Deductible and Prescription Drugs Individual $2,750 $5,500 $2,975 $5,950 Family $5,500 $11,000 $5,950 $11,900 Physician Office Visits Primary Care Deductible/80% Deductible/60% Deductible/80% Deductible/60% Specialist Deductible/80% Deductible/60% Deductible/80% Deductible/60% Preventive Care 100% Deductible/60% 100% Deductible/60% Hospital Services Inpatient Deductible/80% Deductible/60% Deductible/80% Deductible/60% Outpatient Deductible/80% Deductible/60% Deductible/80% Deductible/60% Emergency Room $75 Penalty of Non-Emergency Use Deductible/80% Deductible/80% Deductible/80% Deductible/80% CAT Scan, MRI, PET Scan Deductible/80% Deductible/60% Deductible/90% Deductible/70% 5

7 Non-Union Prescription Drug Plan CVS Caremark PPO QHDHP/HSA Retail (30-day supply) Generic Brand Specialty Must use CVS Caremark Specialty Pharmacy $6 copay 35% coinsurance 30% coinsurance ($50 maximum per prescription) $6 copay after deductible 35% coinsurance after deductible 30% coinsurance after deductible ($50 maximum per prescription) Mail Order (90-day supply) Generic Brand Pharmacy Annual Out-of-Pocket Maximum $15 copay 30% coinsurance (150 maximum per prescription) $1,500 Individual $3,000 Family $15 copay after deductible 30% coinsurance (150 maximum per prescription) Included in medical out-of-pocket maximum 6

8 Non-Union Prescription Drug Plan NEW ENHANCEMENTS! A Diabetic Kit Rule (DKR) is being added to our prescription drug plan on January 1, This program incentivizes members to stay in compliance with their disease state by offering no cost diabetic supplies when purchased at the same point-of-service as your insulin or oral medication is purchased or filled. A Preventive Drug List (PDL) is also being added to our prescription drug plan and will become effective by February 1, This program offers a preventive medication therapy list for select prescriptions which help to prevent chronic health conditions when taken regularly. If you take medications on the preventive medication therapy list, you will pay $0 for these medications, even if you are on the CHP and have not yet met your annual deductible. 7

9 How You Can Make the Most of Your Coverage Health Care Consumerism Make informed choices Look for ways to lower health care costs Own your health care decisions Understand your medical coverage Maintain a healthy lifestyle Use your preventive care coverage to catch health issues early 8

10 Health Savings Account (HSA)

11 Health Savings Account (HSA) Refresher An HSA is a consumer-owned, tax-advantaged savings account, created to pay health care expenses, that is always combined with a qualified high deductible health plan (our CHP plan) HSAs offered through Hussmann are administered by Wells Fargo The benefit of HSAs is in the consumer incentive (it s your money!) to better plan and use health care resources More information about HSAs can be found at 10

12 HSA Qualified Medical Expenses Medical plan deductibles and coinsurance Medical, dental, and vision care and services Use HSA dollars to pay for medical expenses for your spouse or dependents Any money you take out of your HSA for qualified medical expenses is income-tax free 11

13 2014 Non-Union HSA Employer Contribution Seed Money To give you a head start, Hussmann will contribute seed money into all current HSA participant accounts and new CHP participants that open an HSA. Hussmann will seed $750 for employees enrolled in Employee Only Coverage, and $1,500 for those enrolled in Family Coverage. Note: Hussmann will only put seed money into a Wells Fargo administered HSA. If you choose to go to a financial institution of your choice, you will not receive seed money. Remember: If you are currently enrolled in the HSA, your contribution will be reset to $0 for 2014 unless you actively re-elect an employee contribution value. HSA Contribution Limits for 2014* Individual Family Maximum Limit per IRS $3,300 $6,550 Hussmann HSA Seed Money Contribution $750 $1,500 * The annual contribution limit is a combined employee + employer contribution Notes: If you are age 55 or older, you can contribute an additional $1,

14 Dental Benefits

15 2014 Non-Union Dental Employee Contributions Coverage will be transitioning to Delta Dental of Missouri Dental Monthly Employee Contribution Employee (Ee) $10.12 Ee + Spouse/SSDP $21.25 Ee + Child(ren) $18.21 Family $

16 Non-Union Dental Benefits There are no changes to the high level benefits Deductible Individual Family In-Network $0 $0 Out-of-Network $50 $150 Maximum Annual Benefit $1,750 Per Person $1,500 Per Person Coinsurance Preventive Services Includes exams, cleanings, fluoride treatments, x-rays for diagnosis, sealants Basic Includes fillings and extractions, periodontics, repairs to crowns or dentures, endodontics, oral surgery Major Includes crowns, inlays, dentures, dental implants Orthodontia (depts. to age 19) Maximum Lifetime Benefit Plan pays 100% Plan pays 80% Plan pays 50% Plan pays 50% $1,750 Per Person Plan pays 100% of reasonable and customary (R&C) Plan pays 80% of (R&C) after deductible Plan pays 50% of R&C after deductible Plan pays 50% of R&C $1,500 Per Person 15

17 Delta Dental Provider Finder Go to Click on Subscriber Select Find a Participating Dentist For the product selection, click Delta Dental Premier box Contact customer service If you are new to Delta Dental and wish to speak with a customer service representative, press 5 New ID Cards will be mailed to home prior to January 1,

18 VISION

19 Vision Service Plan (VSP) The same Vision benefits will continue to be offered through VSP Benefit Description In-Network Out-of-Network Reimbursement WellVision Exam Every calendar year Frame Every other calendar year Focuses on your eyes and overall wellness $150 allowance for a wide selection of frames + 20% off the amount over your balance $10 copay Up to $45 $25 copay Up to $70 Lenses Every calendar year Single vision, lined bifocal, and lined trifocal lenses $25 copay Single: Up to $30 Lined Bifocal: Up to $50 Lined Trifocal: Up to $65 Lens Options Every calendar year Standard progressive lenses Premium progressive lenses Custom progressive lenses Average of 20-25% off other lenses options Standard Progressive: $55 Premium Progressive: $95 $105 Custom Progressive: $150 $175 Up to $50 Contacts Instead of glasses Every calendar year $150 allowance for contacts, copay does not apply; Contacts lens exam (fitting and evaluation) Contacts Fitting and Evaluation is covered up to $60 Up to $105 Discounts Available (In-Network Only): 20% off additional glasses and sunglasses, including lens options, from any VSP doctor within 12 months of your last WellVision Exam. Average of 15% off the regular price or 5% off the promotional price for laser vision correction at contracted facilities. 18

20 2014 Non-Union Vision Employee Contributions Vision Monthly Employee Contribution Employee (Ee) $4.89 Ee + Spouse/SSDP $9.77 Ee + Child(ren) $10.46 Family $

21 FLEXIBLE SPENDING ACCOUNT (FSA)

22 Non-Union FSA ADP will replace WageWorks as the Flexible Spending Account (FSA) vendor as of January 1, Employees have until March 15, 2014, to incur eligible expenses for the 2013 plan year and must file for manual reimbursement from the WageWorks Health Care FSA no later than April, 15, While employees will have until April 15, 2014, to submit for reimbursement of dependent care claims, all expenses must be incurred by December 31, 2013 (this is unlike the Health FSA grace period requirements). 21

23 Important Enrollment Notes Even if you are already enrolled in an FSA for 2013, you will need to re-enroll in the FSA for 2014 if you d like to continue coverage. Once enrolled, you will automatically receive a welcome package in the mail from ADP with your Spending Account Card (debit card). Remember, cards are not available for Dependent Care FSAs. You are allowed to set aside a maximum of $2,500 for the Medical FSA & up to $5,000 for the Dependent Care FSA. Remember: If you are enrolled in the CHP plan with an HSA account, you are only eligible to participate in the Limited FSA (LFSA) and/or Dependent Care FSA. 22

24 Important Enrollment Notes Why Choose an FSA? The FSA is an employee benefit that saves you money on eligible healthcare and daycare expenses for you and your family. It s an account where you contribute money from your paycheck BEFORE taxes, incur eligible expenses and get reimbursed. A great way to LOWER YOUR TAXES and SAVE MONEY! For Additional Information: ecenter/ myspendingaccount.adp.com 23

25 Next Steps

26 Elections Are Binding For The Plan Year Unless There Is A Life Status Change Marriage Birth/adoption Divorce Death Change in employment status Change in dependent status Benefits department must be notified within 31 days of life change 25

27 Final Words Enrollment season is November 18 through November 29 th at midnight. You will use Workday Self Service to enroll in all your benefits MyWorkday.com/Hussmann OneSource Virtual can assist you with enrolling and help to answer your benefit related questions. Reach them: By Phone: By For additional OE documentation, please visit the Healthcare Benefits webpage on the Hussmann Intranet or the web links via Workday Open Enrollment Review and update beneficiary information if necessary 26

28 Questions? 27

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