Local 705 Chicago, IL

Transcription

1 Local 705 Chicago, IL

2 then and now! Established 1950 as a regional trust program to benefit union members and their families One of the first labor health funds established under the Taft Hartley Act of 1947 Governed by a Board of Trustees consisting of 4 employee representatives and 4 employer representatives Initially covered over the road truck drivers in the Central region of the United States 2

3 National health plan providing quality health benefits to Teamsters and their families for over 63 years Nearly 500,000 current family members including 115,000 UPS employees trust TeamCare for their healthcare needs One of the nation's largest and most financially sound union health care plans, with 1,500 participating employers, including UPS TeamCare has paid out $26.5 billion in health care benefits to Teamsters and their families since

4 then and now! UPS has been a participating employer since ,000 current UPS Freight and UPS Package employees throughout the country are TeamCare participants Unions, Employers, and Participants rate their TeamCare benefits high 98% of all employers renew with TeamCare Since 2013, 125 new employers have negotiated to join TeamCare for their health benefits 4

5 High quality health care is TeamCare s #1 priority $95 cents of every premium dollar supports TeamCare member benefits TeamCare s buying power increased tremendously when the Master was passed TeamCare spends only 5 cents of every premium dollar on planadministration Most US health plans spend 30 cents on administration * The Reason Health Care Is So Expensive: Insurance Companies, Bloomberg Business Week, April 10,

6 National access to the highest quality health care Dental Illinois Indiana 6

7 Monthly Payroll Deduction for Insurance 7

8 means lower costs for UPS Teamsters Deductibles New Revised Deductibles Single/Family $0/$0 $0/$0 $0/$0 $0/$0 $100/$200 Original Deductibles proposed by UPS in National contract Single/Family $50/$100 $100/$200 $150/$300 $200/$400 $200/$400 NO deductible in 2015, 2016, or 2017! 8

9 high quality care and $0 or minimal co payments Medical Benefits UPS COMPANY PLAN Medical Office Visits $10 co payment $10 co payment Routine Physical $10 co payment $10 co payment Well child care $10 co payment $10 co payment Routine OB/GYN office visit $10 co payment $10 co payment Routine Mammogram/Pap 100% benefit 100% benefit Emergency Room 100% benefit for an accident or if admitted; otherwise plan pays 80%, then 100% after OOP 100% benefit with a $25 co payment 9

10 Emergency Room UPS COMPANY PLAN Emergency Room Accident 100% 100% Emergency Room Admitted 100% 100% Emergency Room Illness Urgent Care 80%, 100% after OOP 100% benefit with a $25 co payment Urgent Care Center $10 co payment $10 co payment 10

11 high quality care and $0 or minimal co payments Medical Benefits UPS COMPANY PLAN Hospital admission fee There is no Hospital Admission Fee. Inpatient Hospital Benefit 100% 100% Outpatient Surgery 100% 100% Chiropractic Benefit (year) Outpatient Diagnostic Imaging and Lab 80%, $1,000 maximum 100% benefit thru Quest Diagnostics or US Imaging; or 80% at non Quest or US Imaging providers, and 100% after out of pocket is met. $10 co pay, $40 max per visit, $1,000 maximum 100% benefit 11

12 List as of 11/14/2014 Medical Imaging Center, LTD Hoffman Estates, IL MRI of Arlington Heights Rolling Meadows, IL Bright Light Radiology Elk Grove Village, IL Midwest Advanced Radiology Des Plaines, IL Stand Up MRI of Deerfield Deerfield, IL Premier Open MRI of McHenry Algonquin, IL Libertyville Imaging Associates Libertyville, IL Bloomingdale Open MRI LLC Bloomingdale, IL Midwest Open MRI Elmhurst Elmhurst, IL Midwest Imaging Melrose Park, IL Advanced Medical Imaging Chicago, IL MRI River North Chicago, IL Streeterville Open MRI LLC Chicago, IL Advantage MRI Logan Square Chicago, IL Advantage MRI Mayfair Chicago, IL Hawthorne Works Imaging Cicero, IL Advantage MRI Oak Park Oak Park, IL Skan Nat Radiology Services Bedford Park, IL Midwest Open MRI Riverside Riverside, IL Quest Chicago, IL Quest Crystal Lake PSC Quest Schaumburg PSC Quest Oak Park PSC Quest Buffalo Grove PSC Quest Gurnee PSC Quest Hoffman Estates PSC Quest McHenry PSC Quest Lake Zurich PSC Quest Hinsdale PSC Quest Park Ridge PSC Quest Western Ave PSC Quest The Glen PSC Quest Lindenhurst PSC Quest Vernon Hills East PSC Quest St. Charles Main St PSC Quest Barrington Pepper PSC Quest Halsted PSC Quest Glendale Hts PSC Quest Evanston St. Francis PSC Quest Bloomingdale PSC Quest Crystal Lake PSC Quest Lombard North PSC Quest Oak Park PSC Quest Skokie PSC Quest Gurnee PSC Quest Lake Bluff PSC Quest McHenry PSC Quest Wheaton PSC Quest Hinsdale PSC Quest Peterson PSC Quest Western Ave PSC Quest Parkway Plaza PSC Quest Lindenhurst PSC Quest Elgin/Fletcher PSC Quest St. Charles PSC Quest Lombard PSC Quest Halsted PSC Quest Evanston St. Francis PSC 12

13 access to premier national pharmacy network Walmart is excluded from the network. Caremark s network is nearly identical to UPS Company plan s Medco network Caremark provides national network of over 64,000 pharmacies as well as mail order for 90 day supplies of maintenance drugs 13

14 lower costs for UPS Teamsters Prescription Benefits Rx Network Retail Mail Order Mandatory Generic Mandatory Mail Order (Maintenance Prescriptions Only) Caremark $5 co payment $0 co payment. NO cost to the member. If a generic equivalent is available, you must take generic equivalent or be responsible for the cost difference. Choice of using either a local CVS Pharmacy or Caremark Mail Order. (If filled retail through a non CVS pharmacy coverage reduced to 50% of drug cost on the 3rd fill). 14

15 lower costs for UPS Teamsters Annual Out Of Pocket Caps Current Individual Family $1,000 $2,000 capped $1,000 $1,000 per person no cap 15

16 Ancillary Benefits All with TeamCare Dental Vision Short term Disability Basic Life Insurance Retiree Coverage 16

17 continued access to same high quality, low to no cost dental and vision Dental Preventive & Basic Services Co payment $0 100% Covered Exam Vision Co payment $10 Major Services 20% 80% Covered Standard Lenses $0 100% Covered Child Orthodontia 50% No lifetime maximum Frames $0 100% Covered to allowance Annual Dental Maximum None You can see ANY dentist. Do not need to use Aetna or Humana. Contact Lenses Maximum Benefits $0 100% Covered to allowance Every 12 months 17

18 access to premier national Vision network EyeMed provides national network of over 65,000 vision providers. 18

19 NO change in disability and life insurance coverage Short term Disability 60% of average weekly pay up to $500 per week for 26 weeks Ancillary Benefits offered by UPS such as Long-Term Disability, Supplemental Life Insurance, AD&D, will continued to be offered by UPS. Life Insurance Basic Life Insurance FT: 2080 x hourly rate, to a maximum of $100,000 PT: 1040 x hourly rate, to a maximum of $100,000 (Accidental Death is double the Life Insurance amount) Spouse Life Insurance $5,000 Child Life Insurance $2,500 There is a minimum of $40,000 Life Insurance benefit for both FT and PT UPS members. 19

20 means high quality, low cost Retiree Health Care Health Plan for UPS Early Retirees Earliest agetogetretireehealthplanisage 52 Retireecoverageisprovidedtoage65or Medicare (whichever occurs first) for both the memberand spouse Coverage is provided for qualified retirees dependent children to age 19, or to age 25 if a qualifiedstudent Retiree coverage includes Medical, Rx, Dental, and Vision for full timeups 20

21 high quality, low cost Retiree Health Care Early Retiree Health Benefits Premium Share Qualified early full time UPS Retirees who retire after effective date, contribute a small share toward their TeamCare Retiree coverage Retiree TeamCare Single / Family $100 / $200 $150 / $300 $200 / $400 $200 / $400 Current UPS Retiree Single / Family $100 / $200 $150 / $300 $150 / $300 $150 / $300 UPS Retiree Health Plan available at 21

22 Retiree Medical Benefits Retiree Medical Benefits UPS COMPANY PLAN $200,000 per person $500,000 per person Annual vs Lifetime Maximum ANNUALLY LIFETIME Deductible $100 / $200 $200 / $400 Annual Out of Pocket $1000 / $2000 $1000 / $2000 Medical Office Visits $20 co payment $10 co payment Coinsurance 80%, until OOP is met 80% until OOP is met Prescriptions 75% Retail. 80% Mail Order 80% Retail 80% Mail Order Dental and Vision (FT) Yes Yes 22

23 exceptional 5 year Family Protection Benefit By using in network providers, in event of a member s death, his/her family is eligible for 5 years of continued TeamCare coverage at no cost Major improvement from the current UPS benefit plan of 6 months of paid family coverage followed by 30 months of COBRA payments With family coverage for comparable benefits costing between $20,000 to $25,000 a year in the open market, the estimated value to families over 5 years is more than $100,000 in savings 23

24 Don Mitchell and the 5 Year Family Protection Plan UPS employee and Kansas City Teamster with health benefits through TeamCare. Started out part time and became full time in early Married with two young children. September 2012: Don diagnosed with Leukemia Medical bills totaled more than $2 million dollars, including charges for a Stem Cell Transplant Don passed away in January 2013 With the TeamCare Family Protection, Don s wife and children have 5 years of free coverage at the same level of benefits they had while he was working. 24

25 lower costs for UPS Teamsters Cost of health care premiums for Don Mitchell s family following his death Current Plan Year 1 $0 Year 2 $0 6 months at $0. Then COBRA at $1,674/month* COBRA at $1,758/month** Year 3 Years 4 5 $0 $0 COBRA at $1,846/month** COBRA eligibility expires. Must purchase on open market. Market price currently about $2,000/mo) Five Year Total $0 *Current UPS Plan COBRA rate for family Core + Non Core benefits Five Year Total >$100,000 **Factors in a 5% annual increase 25

26 Weekly Eligibility vs Monthly Eligibility one punch 26

27 Weekly Eligibility vs Monthly Eligibility one punch UPS MAKES A WEEKLY CONTRIBUTION FOR: Any compensation in week Vacation or paid time off Sick leave (STD and LTD) Workers Comp (1 year) Paid Holiday Personal Days FMLA UPS DOES NOT MAKE A WEEKLY CONTRIBUTION FOR: Lay off for entire week Workers Comp over 52 weeks Termination A COBRA Notice to continue coverage will be sent to you whenever you have no coverage for a week. 27

28 future mailings from TeamCare IF ratified Enrollment Mailing: You will not need to re enroll. You ll receive a summary of the enrollment information we received from UPS will just need to correct as needed. All family members currently covered remain covered under TeamCare. PPO ID Card Mailing: ID cards for medical benefits will be sent directly from your PPO provider TeamCare ID Card Mailing will send a separate ID card for your ancillary benefits such as prescription, dental, vision, lab and imaging. Affordable Care Act and Summary Plan Description Mailing: Includes the Summary of Benefits and Coverage as required under the Affordable Care Act and TeamCare s Summary Plan Description and other required legal notices. 28

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30 (click on the UPS link) Member line to a benefit specialist 30