OPEN ENROLLMENT GUIDE. October 18 TH - November 3 rd 2017

Transcription

1 OPEN ENROLLMENT GUIDE Octber 18 TH - Nvember 3 rd 2017

2 LIVING WELL WITH THE WAVE BENEFITS OPEN ENROLLMENT OCTOBER 18 TH N O V E M B E R 3 RD, 2017 WHAT S INSIDE Yur benefits checklist... 3 TU benefits verview...4 Cmpare & evaluate yur benefit plans Medical Dental Visin Lng Term Disability Insurance Supplemental Life Insurance Save n eligible expenses: FSA and DCA Benefits Fairs Enrllment instructins Benefits Open Enrllment is Octber 18 th Nvember 3 rd, 2017

3 YOUR BENEFITS CHECKLIST PREPARE Attend ne f the Living Well with the Wave Benefits Fairs (see page 11 fr dates and times). Visit GIBSON r t learn mre abut yur ptins. If yu have questins, call Tulane Benefits Service Center at Yu can als questins t bsc.tulanebenefits@ajg.cm Gather names, dates f birth, Scial Security Numbers fr yur dependents. DECIDE Review yur medical, dental, and/ r visin cverage. Make yur benefit electins by 11:59 P.M. FRIDAY, NOVEMBER 3 RD! Cnsider additinal life insurance and/ r lng term disability cverage. Estimate yur ut-f-pcket csts fr medical, dental, and visin care if yu want t cntribute t the Health FSA. Estimate yur ut-f-pcket csts fr daycare, elder care r bth fr eligible dependents, if yu want t cntribute t the Dependent FSA. ACT Make any desired changes t yur medical, dental, and/r visin care cverage. **Remember t include dates f birth and Scial Security Numbers** Enrll in the Health and/r Dependent Care Flexible Spending Accunt (FSA). Yu MUST re-enrll every year. If yu re enrlled in the Health FSA, be sure t estimate yur expenses carefully Use It r Lse It (see mre details n page 10). Visit fr mre infrmatin r 3

4 T YOUR BENEFITS OVERVIEW Tulane Benefits Open Enrllment is yur pprtunit y t review and make changes t yur health and welfare benefit electins fr Frm medical plans t life insurance r even flexible spending accunts, yu can select the benefits that are best fr yu and yur family. Please take the time t read thrugh this Open Enrllment Guide t make sure yu understand the full spectrum f benefits available t yu. WHAT S CHANGING: An updated health reimbursement prgram fr HRA plan participants t enhance cverage fr emplyees. Only the Health Plan rates will increase. All ther plan rates will remain the same. REMEMBER! OPEN ENROLLMENT IS YOUR CHANCE TO: Change, elect, r drp medical, dental, and/ r visin cverage. (If yu decline enrllment fr yurself, yu must prvide prf f ther cverage). Update yur medical, dental, and/ r visin cverage t add r remve a dependent. Update yur persnal and cntact infrmatin fr self and dependents (e.g. address, dates f birth, SSNs, etc.). Cntribute t a Health Care Flexible Spending Accunt (FSA) and/r Dependent Care Accunt (DCA). Nte: 2017 FSA electins d nt carry ver t 2018, s yu must re-enrll! Emplyee Wellness Clinic (Dwntwn) FREE fr all Tulane Health plan participants! Offers n cst, same-day urgent care appintments as well as scheduled health caching and wellness visits. Call (504) 988-HEAL(4325) r visit Supplemental life insurance fr yu, yur spuse, r child, after apprval frm The Standard (requires evidence f insurability). Accidental Death & Dismemberment (AD&D) insurance fr yu, yur spuse, r child. READY TO MAKE YOUR BENEFIT CHOICES? G t the Benefits Enrllment system (available via GIBSON r frm Octber 18th Nvember 3rd. Once in GIBSON, under Emplyee Self Service tab, select Benefits. 4 Benefits Open Enrllment is Octber 18 th Nvember 3 rd, 2017

5 COMPARE YOUR MEDICAL PLANS Health Reimbursement Accunt (HRA) vs. Pint f Service (POS) YOUR MEDICAL PLAN OPTIONS: Tulane ffers medical cverage frm United Health Care (UHC) and prescriptin cverage thrugh Optum. Yu may select individual r family cverage frm the fllwing types f plans ffered by UHC: Pint f Service (POS) Yu select a primary care physician (PCP) wh crdinates yur care and can prvide yu with referrals t innetwrk specialists. Hwever, yu have the flexibility t use ut-fnetwrk prviders fr services. The POS Plus plan has higher premiums and a higher ut-f-pcket maximum in exchange fr n required cmpletin f a health survey fr in-netwrk services. Have questins fr yur healt h plan? Tulane Benefits Service Center r bsc.tulanebenefits@ajg.cm Health Reimbursement Accunt (HRA) With the same flexibility f chsing a primary care physician (PCP) f yur chice, the HRA plan als features lwer premiums and higher deductibles than the POS, this plan is ffered in cnjunctin with a deductible incentive t reduce ut-f-pcket cst fr emplyees* * Emplyees must qualify fr HRA funding each year, yu must cmplete a Preventive Care Visit and Rally Health Survey. The Rally Health Survey is required nly fr new emplyees, if hired n r after September 1, Please visit fr ut-f-netwrk cvered services and csts. 5 Benefits Open Enrllment is Octber 18 th Nvember 3 rd, 2017

6 COMPARE YOUR MEDICAL PLANS 2018 HEALTH PLANS (HRA and POS) RATES All medical plans include cverage fr prescriptin drugs thrugh OptumRx, a pharmacy benefit manager; this cverage is nt available separate f enrllment in a medical plan. Tulane will cntinue its prgressive practice f using salary tiers t make premiums mre affrdable fr thse wh earn less. Level f Cverage Mnthly Emplyee Cntributins Medical Rates HRA Plan POS Plan Emplyee Only Less than $35,000 $51.37 $ $35,000 t $64,999 $82.50 $ $65,000 t $94,999 $ $ $95,000 & abve $ $ Emplyee + Spuse Less than $35,000 $ $ $35,000 t $64,999 $ $ $65,000 t $94,999 $ $ $95,000 & abve $ $ Emplyee + Child (ren) Less than $35,000 $ $ $35,000 t $64,999 $ $ $65,000 t $94,999 $ $ $95,000 & abve $ $ Emplyee + Family Less than $35,000 $ $ $35,000 t $64,999 $ $ $65,000 t $94,999 $ $ $95,000 & abve $ $1, Benefits Open Enrllment is Octber 18 th Nvember 3 rd, 2017

7 MEDICAL BENEFITS AND COVERED SERVICES: DEDUCTIBLES: Lw Plan High Plan Per enrllee per calendar year: $50 $50 Per family per calendar year: $150 $150 MAXIMUM AMOUNTS: Per enrllee per calendar year: $1,000 $1,500 Lifetime fr rthdntic services per enrllee under age 19: VISION CARE SERVICES Nt cvered $1,500 IN-NETWORK MEMBER COST OUT-OF-NETWORK REIMBURSEMENT TO MEMBER Exam with Dilatin as necessary $0 Cpay Up t $40 Retinal Imaging Up t $39 N/A Eye Exam Frames FREQUENCY: Standard Plastic Lenses r Cntact Lenses HRA Plan Emplyee Pays (In-Netwrk) Dental Visin Once every 12 mnths Once every 24 mnths Once every 12 mnths POS Plan Emplyee Pays (In-Netwrk) Annual Deductible Single: $1500 Family $3000 Single: $500 Family: $1000 HRA Funding: Once yu pay Single: $1000 Family: $2000 N/A The HRA will pay this prtin* Single: $500 Family: $1000 Net Deductible Single: $1000 Family: $2000 Single: $500 Family: $1000 Out f Pcket Max. (including cpays, deductibles, and cinsurance) Retail Prescriptin Drugs Mail Order Prescriptin Drugs Single: $4000 Family: $8000 Single: $2500 Family: $5000 Prescriptin Drug Deductible: $100** Tier 1- $10 cpay, Tier 2- $35 cpay, Tier 3- $60 cpay Deductible is per persn, three per family must satisfy. Prescriptin Drug Deductible: $100** Tier 1- $30 cpay, Tier 2- $105 cpay, Tier 3- $180 cpay Deductible is per persn, three per family must satisfy. * Subject t the cmpletin f a Preventive Care Visit and Rally Health Survey. The Rally Health Survey is required nly fr new emplyees, if hired n r after September 1, Please visit fr ut-f-netwrk cvered services and csts. ** There is nly ne $100 deductible fr the prescriptin drugs plan. COMPARE YOUR MEDICAL PLANS G L O S S A R Y Here s a quick refresher n cmmnly used medical/ dental terms: A PREMIUM is the amunt yu pay fr insurance, using pre-tax r pst-tax dllars via paycheck deductins. (Nte: Tulane pays a prtin f the medical premium.) A COPAYMENT (COPAY) is a fixed amunt yu pay fr a healthcare service r prescriptin drugs. A DEDUCTIBLE is the amunt yu we befre yur insurance begins cvering certain services such as hspitalizatin r utpatient surgery. COINSURANCE is the amunt yu pay, as a percentage f the cst f yur allwed services, after yu reach the deductible until yu reach the plan s ut-f-pcket maximum. ALLOWABLE CHARGE is the dllar amunt typically cnsidered payment-in-full by an insurance cmpany and an assciated netwrk f healthcare prviders. An OUT-OF-POCKET MAXIMUM is the mst yu pay per Plan Year fr healthcare expenses, including prescriptin drugs. Once this limit is met the plan pays 100% fr the remainder f the Plan Year. 7 Benefits Open Enrllment is Octber 18 th Nvember 3 rd, 2017

8 EVALUATE YOUR OTHER BENEFITS DENTAL: Delta Dental, Tulane s dental insurance prvider, ffers in-net wrk and ut-f-net wrk cverage fr bth the High and Lw Plan ptin. Fr mre infrmatin n plan cverage please visit Dental Rates Lw Plan High Plan Emplyee Only $16.85 $22.44 Emplyee + Spuse $34.82 $46.39 Emplyee + Children $37.23 $49.61 Emplyee + Family $61.17 $81.51 VISION: Tulane ffers a cmprehensive visin care plan frm EyeMed Visin. It cvers visin exams, eyewear, and cntact lenses as well as discunts n services like laser surgery. Fr mre infrmatin n plan cverage please visit Visin Rates Emplyee Only $6.03 Emplyee + Spuse $11.46 Emplyee + Children $12.06 Emplyee + Family $17.73 SUPPLEMENTAL LIFE INSURANCE: Supplemental Life Insurance cverage is available at 1 t 5 times yur annual salary (up t a maximum f $1 millin). If yu apply r increase yur cverage yu will need t cmplete a Evidence f Insurability Frm. Final apprval cmes frm The Standard Insurance Cmpany. 8 Benefits Open Enrllment is Octber 18 th Nvember 3 rd, 2017

9 EVALUATE YOUR LIFE INSURANCE & LONGTERM DISABILITY BENEFITS 9 Tulane University ffers yu a cmprehensive life insurance prgram, including bth emplyer paid plans and vluntary emplyee paid plans frm which yu can chse. LIFE INSURANCE: Life insurance and Accidental Death and Dismemberment (AD&D) insurance help prvide financial prtectin in the event f injury r death f yu r a spuse r dependent. LONGTERM DISABILITY: Faculty & Staff - The Standard* LTD, thrugh The Standard Insurance Cmpany, is designed t cntinue a prtin f yur earnings during extended perids (ut f wrk fr ninety days r mre) f disability as a result f an illness r an ff-the jb injury. Yur LTD Cst is based n yur mnthly incme. *LTD participatin is mandatry fr all benefits eligible emplyees. TUMG (ONLY) - The Hartfrd LTD, thrugh The Hartfrd Insurance Cmpany, is designed t cntinue a prtin f yur earnings during extended perids (ut f wrk fr ninety days r mre) f disability as a result f an illness r an ff-the jb injury. Yur benefit will be based n 60 percent f yur pre-disability earnings, which excludes ver-time and any ther special payments. The maximum mnthly benefit is $15,000. Additinal details can be fund at Benefits Open Enrllment is Octber 18 th Nvember 3 rd, 2017 Basic Emplyee Life Insurance 1.5X Annual Salary up t $50,000 Tulane University Basic Spuse Life Insurance $2,000 Tulane University Basic Child Life Insurance $2,000 Tulane University Supplemental Emplyee Life Insurance Supplemental Spuse Life Insurance Yur chice f 0.5X, 1X, 1.5X, 2X, 3X, 4X and 5X Annual Salary up t $1,000,000 Multiples f $10,000 frm $10,000 up t $150,000 Supplemental Child Life Insurance $10,000 r $20,000 Yu Emplyee Vluntary AD&D Insurance Dependent Vluntary AD&D Insurance (Dependents receive a percentage f yur AD&D benefit) Multiples f $10,000 frm $10,000 up t $500,000 Spuse Only: 60% Child Only: 20% Family Cverage: Spuse 50%, Child 15% Tulane Death Benefit One Mnth's Grss Salary Tulane Business Travel Accident Insurance TUMG Members Supplemental Emplyee Life Insurance TUMG Supplemental Spuse Life Ins. 5X Annual Salary up t $500,000 TUMG Members TUMG enrll in increments f $50,000 t a max f $2,000,000 Multiples f $50,000 frm $50,000 t $1,000,000 Yu Yu Yu Tulane TUMG Member TUMG Member TUMG Supplemental Child Life $10,000 TUMG Member Ins. Medical Histry Statement (ALL EMPLOYEES): Unless yu are within yur first 30 days f emplyment r newly eligible r have a Qualifiying Life Event, yu must cmplete a medical histry statement t be cnsidered fr new r increased cverage. If yu are nt apprved fr the cverage yur benefits will default t yur prir apprved enrllment status r prir guaranteed issues amunt, accrding t the certificate f cverage. Medical Histry Statements are nt needed fr increases t AD&D. Yu

10 CHOOSE FLEXIBLE SPENDING OPTIONS AND SAVE ON ELIGIBLE EXPENSES Hw FSA Accunts Wrk? 2018 FSA LIMITS: Health FSA participants can use a debit card thrughut the year fr eligible expenses OR Bth Health FSA and DCA participants can submit a paper claim fr reimbursement frm yur accunt. Yu are reimbursed with the mney yu set aside in yur accunt. WageWrks will cntinue t administer the Flexible Spending Accunts (FSA). FSAs are designed t give yu a tax-free way t pay fr eligible health care and day care expenses that yu wuld nrmally pay fr n an after-tax basis. Health $2,600 FSA Debit Card Grace Perid after year end is March 15, 2018 Dependent Care $5,000 DCA Tuitin fr nursery and daycare is cvered; nce yur child is in kindergarten, nly befre and aftercare schl expenses are eligible, summer and hliday camps are eligible until the child is age 13 (nt vernight camps). Health FSA-Only expenses nt cvered by insurance are eligible. Under the IRS use it r lse it rule, Health FSA funds nt spent after the end f grace perid are frfeited. Yu can read mre abut the Health Care FSA Plan n the HR website: Healthcare FSA reimburses yu fr eligible, ut-f-pcket medical, dental and visin expenses fr yu and yur qualified dependents up t the amunt f yur annual cntributin. Dependent Care FSA reimburses yu fr qualified child and elder day care r custdial elder care expenses incurred s that yu (and if married, yur spuse) can wrk. Yu must re-enrll in Flexible Spending Accunt prgrams each year that yu chse t participate. Remember, unused r unclaimed funds left in yur FSA at the end f the Plan Year (March 31, 2019) are frfeited s be sure t carefully estimate the amunt yu d like t put aside. N grace perid Expenses incurred by December 31 st Expenses must be incurred the same year Day Care expenses Elder Day Care r Custdial Elder Care expenses 10 Benefits Open Enrllment is Octber 18 th Nvember 3 rd, 2017

11 ATTEND A LIVING WELL FAIR Learn mre abut all yur benefits and get the details directly frm the vendrs - when yu attend ne f ur Benefits Fairs at a lcatin near yu: Hw T Enrll? Benefits Open Enrllment is available nline via TUESDAY, OCTOBER 24, :00 a.m. 3: 00 p.m. Primate Research Center Auditrium THURSDAY, OCTOBER 26, :00 a.m. 3:00 p.m. Dwntwn Campus Tidewater Bldg. Dibll Auditrium TUESDAY, OCTOBER 31, :00 a.m. 3:00 p.m. Uptwn Campus Lavin-Bernick Center Qatar Ballrm GIBSON frm 12:0 0 a.m. CST n Wednesday, Octber 18 th thrugh Friday, Nvember 3rd, until 11:59 p.m. CST. (Due t nightly data prcessing, yu may find it easier t make yur electins between 6:00 a.m. and 9:00 p.m. CST) Yu can meet with representatives frm The Living Well Clinic, United Health Care, Delta Dental, EyeMed Visin, The Standard, The Hartfrd, WageWrks, and ther prviders as well as Tulane Benefits. Representatives frm many ther benefits prviders, including Tulane s retirement investment cmpanies, Tulane-Lyla Emplyee Credit Unin, and ther services will als be n hand t answer yur questins. Fr the full list, please visit COVERING YOUR DEPENDENTS T cmply with federal regulatins, Tulane will cntinue t cllect Scial Security numbers f dependents wh are cvered by Tulane-prvided medical plans. HAVEN T SIGNED UP FOR YOUR 2-FACTOR AUTHENICATION YET? Cntact ur Tulane Supprt Center - Mnday thrugh Friday 7AM - 7PM at (ext ) r visit the website at READY TO MAKE YOUR BENEFIT CHOICES? G t the Benefits Enrllm ent system (available via GIBSON r Once in GIBSON > chse Emplyee Self Service > select Benefits > Begin Enrllment! 11 Benefits Open Enrllment is Octber 18 th Nvember 3 rd, 2017

12 HAVE QUESTIONS? WE CAN HELP. Call Tulane Benefits Service Center at between 8:00 a.m. and 7:00 p.m. CST, Mnday thrugh Friday, r bsc.tulanebenefits@ajg.cm Remember: Yu must make yur benefit electins by 11:59 P.M. Friday, NOVEMBER 3 rd! This enrllment guide has been designed t acquaint yu with the features f the 2018 benefit plans and every attempt has been made t summarize these prgrams accurately. The actual prvisins f each plan will gvern if there is any incnsistency between this guide and Tulane s frmal summary plan descriptins and cntracts.