Employee Benefits Guide

Transcription

1 Employee Benefits Guide 2019 Non-Union Bi-Weekly

2 If you or your dependents have Medicare or will become eligible for Medicare in the next 12 months, a federal law gives you more choices about your prescription drug coverage. Refer to your legal notices packet for more details.

3 About Your Benefits Palfinger North America offers a comprehensive program of employee benefits. These benefits are designed to promote physical, emotional and financial wellbeing for you and your family. Table of Contents About Your Benefits 1 How to Enroll 2 Medical Coverage 3 Health Savings Account 4 Dental Coverage 5 Vision Coverage 6 Flexible Spending Accounts 7 Employee Assistance Program 7 Disability Coverage 8 Life and AD&D Insurance 8 Costs 9 Contact Information 11 Eligibility You are eligible for benefits if you: are a full-time employee working 30 or more hours per week have satisfied the waiting period Your eligible dependents may also enroll: Spouse Dependent child(ren) to age 26 Benefits Medical Dental Vision Group Term Life / AD&D Voluntary Life / AD&D Short Term Disability Long Term Disability Health Savings Account (HSA) Flexible Spending Account (FSA) Employee Assistance Program (EAP) Making Changes to Your Benefits During Open Enrollment you may add, change or delete any of your benefit plan elections. Outside of Open Enrollment you may only make changes to your benefit elections if you experience a qualifying event: Marriage Divorce Legal separation Birth / Adoption Change in child s dependent status Death of a spouse Change in employment status Changes in spouse s employment status Commence or terminate adoption proceedings Reminder: if you have a new child, you must enroll them in benefits within 30 days. 1

4 How to Enroll Enrollment Dates November 26 to December 7, 2018 All employees will use the Benefits Select online enrollment website to enroll. To prepare for enrollment, please have the following information available for you and any eligible dependents: Address Birthdate Social Security Number (REQUIRED for you and any enrolling dependents) 1. Log into Benefits Select website: 2. Enter your Username and Password/Pin Username: first four letters of your last name and the last four digits of your social security number Password/PIN: first initial of your first name, first initial of your last name, last four digits of your social security number Example: Jason Smith SSN: Username: smit6789 Password/PIN: js6789 For login assistance or if you do not have internet to enroll, call the Benefits Call Center at Monday Friday 7am-4pm CST IMPORTANT NOTE: WE ARE REQUIRING ACTIVE ENROLLMENT DUE TO THE NUMBER OF BENEFIT CHANGES and ADDITIONAL SERVICES. YOU MUST LOG IN OR CALL THE TOLL-FREE NUMBER TO ENROLL. 2

5 Medical Coverage Wellmark Blue Cross Blue Shield Palfinger is adding an additional plan option for employees and their dependents: the same three plans as offered previously plus an additional low cost option. All four plans offer the same network physicians and hospitals. Current Plans $2,700 Base Plan $2,700 Buy-Up Plan $1,350 Premier Plan $2,500 PPO Plan Prior Plan Names New Plan Silver Plan Gold Plan Silver Plus Plan Annual Deductible* (Individual/Family) $2,700 / $5,400 $2,700 / $5,400 $1,350 / $2,700 $2,500 / $5,000 Embedded Embedded Aggregate Embedded Member Coinsurance Annual Out-ofpocket Maximum (Individual/Family) Primary Care Physician (PCP)* 20% 20% 20% 30% $5,000 / $10,000 $4,500 / $8,000 $2,000 / $4,000 $4,500 / $9,000 Ded & Coins Ded & Coins Ded & Coins $35 copay Specialist Ded & Coins Ded & Coins Ded & Coins $50 copay Mental Health / Substance Abuse Ded & Coins Ded & Coins Ded & Coins $35 copay (office) Ded & Coins (facility) Telehealth Ded & Coins Ded & Coins Ded & Coins $20 copay Urgent Care Ded & Coins Ded & Coins Ded & Coins $35 copay Emergency Room Ded & Coins Ded & Coins Ded & Coins $35 copay (practitioner) Ded & Coins (facility) Preventive Care No charge Prescription Drugs Generic Ded & Coins Ded & Coins Ded & Coins $10 copay Preferred Brand Ded & Coins Ded & Coins Ded & Coins $25 copay NonPreferred Brand Ded & Coins Ded & Coins Ded & Coins $50 copay Specialty Ded & Coins Ded & Coins Ded & Coins $80 copay Only in-network benefits are illustrated and include the most common type of procedures. Refer to the comprehensive benefit summary for more detailed information including out-of-network coverage. Please note that out-of-network charges could be subject to provider balance billing. In the event an inconsistency occurs, the policy governs. Aggregate means that all members enrolled as employee/spouse, employee/child(ren) or family must combine to meet the family deductible before any benefits are payable for any member. Embedded means that no one member will be responsible for more than the single deductible before benefits are payable. Primary Care Physician (PCP) - General and Family Practice, Internal Medicine, OB/GYN, Pediatricians, Nurse Practitioners, and PAs 3

6 Health Savings Account (HSA) HSA Advantages Tax savings on qualifying health expenses Carryover of unused account balance to future years Contribution changes may be made at any time Contributions are allowed after you have medical expenses (your must make the contribution on or before April 15th of the following year) Eligibility High Deductible Health Plan (HDHP) that meets Federal guidelines for deductibles and out-of-pocket limits No other health coverage (including spouse Medical Flexible Spending Account (FSA) and Medicare) You may not be a dependent on another tax return Contributions (Including Employer Contributions) Up to $3,500 per individual and $7,000 per family in 2019 An additional $1,000 if you are age 55 or older Palfinger is contributing HealthCare Cash to employee HSAs again this year. HealthCare Cash distributed in 12 equal payments Premier Plan Up to: $500 single $750 employee & spouse $750 employee & child(ren) $1,000 family Buy-Up Plan Up to: $1,000 single $1,500 employee & spouse $1,500 employee & child(ren) $2,000 family What Are the Tax Implications of an HSA? Contributions to your HSA reduce your taxable income, and qualified medical expenses are never taxed. All money set aside in an HSA grows tax-deferred until age 65, when funds can be withdrawn for any non-medical purpose at ordinary tax rates, or tax-free when used for medical expenses. You may contribute additional funds to your HSA ($1,000 per tax year) if you will be 55 years or older by December 31. Learn more at 4

7 Dental Coverage Delta Dental Iowa Palfinger is changing dental providers from Ameritas to Delta Dental Iowa, offering even more network providers to choose from. We are also making some enhancements to the dental plan design. Preventive and Diagnostic services will no longer count towards your annual maximum. This means you can get your regular 6-month checkup and cleaning and still have $1,500 annual maximum for other dental services if you need them. We are changing to a passive network plan, which means you will have the same benefit level for both in and out of network providers. It is still recommended that you select an in-network provider as out-of-network providers may balance bill you for any amount not covered by the plan. Delta offers ttwo tiers of providers: PPO, Premier. 1. PPO dentists offer the highest discounts 2. Premier providers are still in-network, however, their discounts are not as good as with a PPO dentist. PPO and Premier providers will not balance bill the member. 3. NonParticipating dentists are out-of-network, offer no discounts and may balance bill for any amount not covered by the plan. PPO / Premier / NonParticipating Annual Deductible (Individual/Family) Annual Maximum (Per Person) $25 / $75 $1,500 Member Coinsurance Preventive and Diagnostic Services Routine and Restorative Services Endodontic / Periodontic Services Major Services Orthodontia Orthodontia Lifetime Maximum (Per person; Adult and dependent children) 0%; deductible does not apply Does not apply towards annual maximum 20% after deductible 20% after deductible 50% after deductible 50%; deductible does not apply $1,500 Finding a Provider Visit and select Find a Provider then Delta Dental Network Dentist. Select your plan (Delta Dental PPO Plus Premier) Search by Current Location (if no, enter zip code). Click Find Dentist 5

8 Vision Coverage Ameritas Vision is an important part of health and proactive vision health can help detect diseases. Vision Plan In Network Out of Network Eye Exam (Once every 12 months) $15 copay $15 allowance Lenses (Once every 12 months) Single Vision Bifocal Trifocal Frames (Once every 12 months) Contact Lenses (Once every 12 months) (instead of lenses and frames) Covered after $15 copay Up to $120 allowance Up to $120 allowance Fitting allowance: member cost up to $60 Up to $55 $95 allowance Up to $45 allowance Up to $105 Fitting allowance: not covered Laser Surgery Average 15% discount Not covered Finding In-network Eye Doctors You can find an in-network eye doctor in the VSP network by visiting or calling

9 Flexible Spending Account (FSA) & Employee Assistance Program (EAP) Gallagher Admin The Palfinger flexible benefit plan saves you money by allowing you to pay certain expenses with pre-tax dollars. Medical Spending Account You may set aside up to $2,650 on a pre-tax basis to pay qualifying health care expenses. Examples include your deductibles, copays, coinsurance and other out-of-pocket costs. Dependent Care Spending Account You may set aside up to $5,000 on a pre-tax basis to pay qualifying dependent care expenses. This includes care of your dependents under the age of 13 while you and your spouse are working and/or attending school full-time. Important! If you enroll in a QHDHP, HSA-eligible medical plan through Palfinger, you are not eligible to enroll in a medical spending account through Palfinger. You may still enroll in a dependent care account. Important Note Both the health care and dependent care FSAs have a use-it-or-lose-it rule. You will lose any unused funds at the end of the year. Best Care EAP Your NEW Employee Assistance Program (EAP) is provided at no cost to you and your family. Employee Assistance Program The EAP is available to all employees and their immediate dependents. This is a 24/7 service available to answer questions and offer assistance with a number of issues that can impact your life: stress, grief counseling, legal and financial issues are just a few of the areas where the EAP can offer support. Website: Phone: Member Login Information: Member ID: bcpale Password: PAL 7

10 Life, AD&D and Disability Insurance Mutual of Omaha Palfinger provides all employees a basic life insurance amount of $50,000. In addition, employees are able to purchase additional life insurance on themselves, their spouses and dependents. The premium for this additional insurance is paid by the employee through after-tax payroll deductions. Basic Life and AD&D For You $50,000 Voluntary Life and AD&D Available via payroll deduction $10,000 to $500,000 in multiples of $10,000 up to 700% of annual earnings For You Amounts over $200,000 or 7 times earnings require medical questions and coverage may be denied The benefit reduces 50% when employee reaches age 75 $5,000 to $250,000 in multiples of $5,000 up to 100% of employee amount For Your Spouse Amounts over $35,000 or the employee amount require medical questions and coverage may be denied The benefit reduces 50% when employee reaches age 75 For Your Eligible Children 6 months to age 26 $6,000 to $10,000 in multiples of $2,000 up to 100% of employee amount Mutual of Omaha Short term and long term disability are income protection plans. Should you be unable to work for some period of time, these benefits will replace a portion of your income. Short Term Disability* Long Term Disability Waiting Period 7 days 90 days Benefit 60% of earnings up to $1,000 per week 60% of earnings up to $7,500 per month Maximum Period 12 weeks Up to Social Security Normal Retirement Age *Employees in NJ, NY and CA will be covered under their state disability plan 8

11 Voluntary Benefits Allstate Voluntary benefits can help cover the costs for injuries, illnesses and hospital stays. Accident Covers out-of-pocket expenses associated with accidental injury. Hospital Pays benefits for hospital confinements. Critical Illness Benefits are paid for specific diagnoses: Heart attack, stroke, major organ transplant, certain cancers, end state renal failure, coronary artery bypass surgery. See for additional information and pricing. 9

12 Coverage Costs Medical $2,700 Base Plan Bi-Weekly 26 Pay Periods Employer Monthly Cost Employee Only $16.26 $ Employee + Spouse $ $ Employee + Child(ren) $ $ Employee + Family $ $1, $2,700 Buy-Up Plan Employee Only $43.18 $ Employee + Spouse $ $ Employee + Child(ren) $ $ Employee + Family $ $1, $1,350 Premier Plan Employee Only $79.69 $ Employee + Spouse $ $ Employee + Child(ren) $ $ Employee + Family $ $1, $2,500 PPO Plan Employee Only $52.15 $ Employee + Spouse $ $ Employee + Child(ren) $ $ Employee + Family $ $1,

13 Coverage Costs Dental Bi-Weekly 26 Pay Periods Employer Monthly Cost Employee Only $5.70 $18.51 Employee + Spouse $10.48 $34.08 Employee + Child(ren) $14.26 $46.41 Employee + Family $19.05 $61.93 Vision Bi-Weekly 26 Pay Periods Employer Monthly Cost Employee Only $1.60 $5.21 Employee + Spouse $3.28 $10.67 Employee + Child(ren) $2.72 $8.82 Employee + Family $4.40 $14.28 Voluntary Life Rates* - Monthly Age Bands Per $1,000 of Coverage Employee Cost Per $10,000 of Coverage Spouse Cost Per $5,000 of Coverage < 25 $0.074 $0.74 $ $0.089 $0.89 $ $0.093 $0.93 $ $0.116 $1.16 $ $0.153 $1.53 $ $0.226 $2.26 $ $0.369 $3.69 $ $0.634 $6.34 $ $1.009 $10.09 $ $1.682 $16.82 $ $2.906 $29.06 $ $4.783 $47.83 $ $8.119 $81.19 $40.60 Dep Child(ren) AD&D *Spouse life rate based on Employee s attained age $0.082 per $1,000 of coverage $0.04 per $1,000 of coverage for Employee, Spouse and Child(ren) 11

14 Contact Information Benefit Vendor Phone Website or Medical Wellmark BCBS Iowa Health Savings Account HSA Bank Dental Delta Dental Iowa Vision Ameritas Flexible Spending Account Employee Assistance Program Life and AD&D & Disability Gallagher Admin Best Care EAP Mutual of Omaha Enrollment Information Benefits Select Additional information on the benefits listed here can be found at 12

15 The Fine Print The information contained in this summary should in no way be construed as a promise or guarantee of employment. The company reserves the right to modify, amend, suspend, or terminate any plan at any time for any reason. If there is a conflict between the information in this brochure and the actual plan documents or policies, the documents or policies will always govern. Complete details about the benefits can be obtained by reviewing current plan descriptions, contracts, certificates, policies and plan documents available from your Human Resources Office. This benefits enrollment guide highlights recent plan design changes and is intended to fully comply with the requirements under the Employee Retirement Income Security Act ( ERISA ) as a Summary of Material Modifications and should be kept with your most recent summary plan description.