GUIDE FOR U.S. PART-TIME ASSOCIATES BENEFITS ANNUAL ENROLLMENT

Transcription

1 GUIDE FOR U.S. PART-TIME ASSOCIATES 2016 BENEFITS ANNUAL ENROLLMENT

2 WHAT S INSIDE Click below to find more about each topic... IT S TIME TO ENROLL: Page 3 CRITICAL ILLNESS PROTECTION: Page 7 DENTAL: Page 4 MORE VALUABLE BENEFITS: Page 8 VISION: Page 5 PAYROLL DEDUCTIONS: Page 9 MEDICAL PAYMENT PLAN: Page 6 2

3 IT S TIME TO ENROLL DON T MISS YOUR CHANCE TO ENROLL OR MAKE CHANGES TO YOUR 2016 BENEFITS. ENROLLMENT PERIODS BY WORK STATE DO I NEED TO TAKE ACTION FOR 2016 BENEFITS? Your benefit elections from 2015 will carry over to 2016 if you do not take action. ENROLL ONLINE Fast, convenient, easy and mobile-device friendly! Enroll by logging on at livetheorangelife.com before the end of your enrollment period. November 10 November 20 November 3 November 13 83% October 27 November 6 OF ASSOCIATES SAVED TIME LAST YEAR BY ENROLLING ONLINE You also can enroll by calling the Benefits Choice Center at , between 9 a.m. and 7 p.m. Eastern Time, Monday through Friday. Call volume will be heavy. READY TO ENROLL? Throughout this guide spouse also refers to same-sex domestic partner. 3

4 DENTAL FREE DENTAL CHECK-UPS AND DISCOUNTED CARE FROM AN IN-NETWORK DENTIST. Dental Options 1 MetLife $500 Max 2 MetLife $1,000 Max 3 MetLife $2,000 Max In-network Dental Features FREE DENTAL CHECK-UPS. Two cleanings and checkups each calendar year are free (subject to your option s maximum annual benefit). 15% TO 45% DISCOUNT ON SERVICES. DISCOUNTS ON COSMETIC DENTISTRY. A Quick Look at Dental assumes in-network METLIFE $500 MAX METLIFE $1,000 MAX METLIFE $2,000 MAX Preventive Care 100% 100% 100% Restorative Care (fillings, oral surgery, root canals, periodontics) You pay 30% You pay 25% You pay 20% Major Care (crowns, bridges) Not covered You pay 60% You pay 50% Orthodontia (braces) Not covered You pay 50%, up to $750 lifetime maximum per covered dependent child You pay 50%, up to $1,500 lifetime maximum per covered dependent child LEARN MORE ABOUT DENTAL AND FIND IN-NETWORK PROVIDERS 4

5 VISION FREE VISION EXAMS FROM IN-NETWORK PROVIDERS. Vision Options 1 EyeMed Select $120 2 EyeMed Select $150 In-network Vision Features FREE VISION EXAMS. The plan covers one free eye exam every 12 months. DISCOUNTS ON LASER VISION CORRECTION. PAY LESS FOR GLASSES AND CONTACTS AT EYEMED SELECT PROVIDERS. In-network Providers A Quick Look at Vision EYEMED SELECT $120 (IN-NETWORK) EYEMED SELECT $150 (IN-NETWORK) Disposable Contact Lenses Plan pays first $120, then you pay balance over $120 Plan pays first $150, then you pay balance over $150 Frames Plan pays first $120, then you pay 80% of balance over $120 frame benefit available once every 24 months Plan pays first $150, then you pay 80% of balance over $150 frame benefit available once every 12 months Lenses $15 copay $0 copay Lens Options Coverage Some covered, others available at a discount Covered in full LEARN MORE ABOUT VISION AND FIND IN-NETWORK PROVIDERS 5

6 MEDICAL PAYMENT PLAN PAYS FIXED BENEFITS FOR COVERED MEDICAL SERVICES. Your Medical Payment Plan Options Hospital Only Hospital Plus I 1 Hospital Plus II 1 Medical Payment Plan Features FIXED BENEFITS FOR COVERED MEDICAL SERVICES. Your benefit could be paid directly to you or to your health care provider, depending on the plan you select and your provider. NETWORK DISCOUNTS FOR HOSPITAL PLUS I AND II. Hospital Plus I and II participants will pay less for care from participating providers in the Aetna Open Choice PPO network. A Quick Look at the Medical Payment Plan How the Plan Pays Benefits The plan pays fixed benefits for covered medical services. This example shows how the Hospital Plus II option pays benefits for a sports injury a torn ACL which required a visit to the emergency room, a one-day inpatient hospital stay, surgery and follow-up care. Emergency room visit $275 Initial day of inpatient hospital stay (lump-sum benefit) $700 One-day inpatient hospital stay (daily benefit) $500 Surgery $450 Doctors visits (6 visits at $70 for each visit) $420 Prescription drugs (3 prescriptions at $45 per prescription) $135 TOTAL HOSPITAL PLUS II BENEFIT $2,080 IF YOU RECEIVE THIS SERVICE HOSPITAL ONLY HOSPITAL PLUS I HOSPITAL PLUS II Hospital Admission $1,000 (1 per year) $1,000 (1 per year) $700 (2 per year) Daily Hospital Benefit: Non-Intensive Care Unit $100 (100 day limit) $100 (2 stays per year) $500 (2 stays per year) Daily Hospital Benefit: Intensive Care Unit $100 (100 day limit) $200 (2 stays per year) $1,000 (2 stays per year) Emergency Room Visit $200 (2 per year) $275 (2 per year) Inpatient Surgery $450 (2 per year) Outpatient Surgery $450 (2 per year) Outpatient Lab and X-ray $90 (3 per year) Services Resulting from an Accident $200 (2 per year) $300 (2 per year) Doctor Office Visits $50 per visit (5 visits per year) $70 per visit (7 visits per year) Prescription Drugs $35 per prescription (12 prescriptions per year) Note: Only one payment per day per service. $45 per prescription (12 prescriptions per year) 1 Not available to associates who live in WA, MN and ND. Also not available to associates who live and work in NH. NOTE: This plan does not count as Minimum Essential Coverage (MEC) under the Affordable Care Act (ACA) and does not satisfy the Individual Mandate under the ACA. Failure to have MEC and to satisfy the Individual Mandate may result in a tax penalty for you. The Medical Payment Plan is a supplement to health insurance and is not a substitute for major medical coverage. LEARN MORE ABOUT THE MEDICAL PAYMENT PLAN 6

7 CRITICAL ILLNESS PROTECTION THE CRITICAL ILLNESS PLAN PAYS A LUMP-SUM BENEFIT FOR CERTAIN MEDICAL CONDITIONS. Your Critical Illness Benefit Amount Options $5,000 $10,000 $20,000 $30,000 LEARN MORE ABOUT CRITICAL ILLNESS PROTECTION Critical Illness Features THE CRITICAL ILLNESS PLAN PAYS A LUMP-SUM BENEFIT FOR SPECIFIC CONDITIONS, such as heart attack, stroke, cancer, transplant, Alzheimer s disease and paralysis and benefits for eligible travel and lodging expenses. See the chart below for a complete list of covered conditions. The plan is administered by Allstate Benefits. THE PLAN ALSO PAYS AN ANNUAL BENEFIT OF $75 FOR WELLNESS SERVICES. In some cases, that $75 could cover the cost of your Critical Illness Protection Plan coverage. CRITICAL ILLNESS PROTECTION PLAN BENEFITS ARE PAYABLE ONLY FOR CONDITIONS DIAGNOSED AFTER YOUR COVERAGE UNDER THE PLAN BEGINS. A Quick Look at Critical Illness Protection PLAN PAYS 100% OF BENEFIT AMOUNT FOR: PLAN PAYS 25% OF BENEFIT AMOUNT FOR: PLAN PAYS UP TO $75 PER CALENDAR YEAR FOR EACH COVERED PERSON FOR ONE OF THE FOLLOWING ELIGIBLE WELLNESS SERVICES: Heart attack Stroke Invasive cancer Heart transplant Lung transplant Liver transplant Pancreas transplant Kidney transplant Bone marrow transplant End stage renal failure Paralysis Complete blindness Complete loss of hearing Coma Benign brain tumor Alzheimer s Disease A covered person can receive benefits for each of the above critical illnesses if the dates of diagnosis for each critical illness are separated by at least 90 days. Coronary artery bypass surgery Carcinoma in situ Amyotrophic lateral sclerosis (Lou Gherig s disease) Adrenal hypofunction (Addison s disease) Bone marrow donor Cerebral palsy Cystic fibrosis Hemophilia Huntington s chorea Meningitis Multiple sclerosis Muscular dystrophy Myasthenia gravis Necrotizing fasciitis Osteomyelitis Scleroderma Sickle cell anemia Systemic lupus Tuberculosis Pre Biopsy test for skin cancer Biopsy for skin cancer Oral cancer screening Blood test for triglycerides Bone marrow testing Colonoscopy Echocardiogram Eletrocardiogram (EKG, including stress EKG) Flexible sigmoidoscopy Hemocult stool analysis Lipid panel (total cholesterol count) Mammography, including breast ultrasound Pap Smear, including Thin- Prep Pap Test PSA (prostate specific antigen blood test for prostate cancer) Serum Protein Electrophoresis (test for myeloma) Stress test on bike or treadmill Annual physical examination (only for covered persons over 18 years of age) Immunizations Transportation Benefit Lodging Benefit Reoccurrence Benefit Actual cost, up to $1,500, for round trip coach fare on a common carrier; or $.50 per mile for personal vehicle travel, up to $1,500, to a facility if more than 100 miles from place of residence. $60 per day up to 60 days if facility is more than 100 miles from residence. Only applies to lodging occurring within 24 hours of, and including days of treatment. A benefit of 100% of the previously paid amount will be paid if a covered person is diagnosed for a second time with a heart attack, stroke, coronary artery bypass surgery, transplant, invasive cancer or carcinoma in situ. The second date of diagnosis must be more than 12 months after the first date of diagnosis for the critical illness, and for the cancer critical illness benefits, the covered person must have had no symptoms nor received any treatment during the 12 months after the prior occurrence. 7

8 MORE VALUABLE BENEFITS DURING YOUR ENROLLMENT SESSION, TAKE A LOOK AT THESE BENEFITS. Term Life Insurance Associate coverage Dependent coverage Disability Short-term Disability MetLaw Legal Services Covered services such as wills and traffic issues are FREE when you use a network attorney If you enroll, your spouse/domestic partner and children can also use the plan FutureBuilder 401(k) Savings Plan Lower your tax bill today while saving for tomorrow with before-tax contributions Once you re eligible, you ll begin receiving matching contributions on the first 5% of pay you save through FutureBuilder Employee Stock Purchase Plan The Home Depot stock will be purchased for you at a 15% discount 8

9 3 MEDICAL PAYMENT PLAN 2016 BIWEEKLY PAYROLL DEDUCTIONS Payroll deductions for all other benefits will be available during your enrollment session. Hospital Only $6.90 $13.80 $11.28 $20.04 Hospital Plus I $20.00 $44.72 $39.78 $64.50 Hospital Plus II $35.60 $78.96 $70.28 $ DENTAL MetLife $500 Max $6.19 $12.38 $12.54 $18.80 MetLife $1,000 Max $12.91 $25.81 $26.13 $39.20 MetLife $2,000 Max $16.00 $32.01 $32.40 $48.60 VISION ASSOCIATE ONLY ASSOCIATE+SPOUSE ASSOCIATE + CHILD(REN) ASSOCIATE + FAMILY EyeMed Select $120 $2.12 $3.72 $3.85 $6.44 EyeMed Select $150 $7.74 $13.84 $14.50 $22.76 For weekly payroll deductions, take the biweekly payroll deductions and divide by 2. In some instances your paycheck may not be enough to cover the entire amount of your benefits premiums. In those cases, the amount of the premium above your paycheck is still owed and will be collected from your future paychecks. 9

10 NO HABLA O LEE INGLÉS? Por favor llame al Benefits Choice Center (Centro de Opción de Beneficios) al y diga Estados Unidos para hablar con un representante en español. This guide is for part-time associates living in the U.S. except for Hawaii, Guam, Puerto Rico and U.S. Virgin Islands. Guides for these areas are available at livetheorangelife.com. The Summary of Benefits and Coverage (SBCs), which lets you easily compare the different medical options, is posted online at livetheorangelife.com. A paper copy is available through the Benefits Choice Center at The benefits information in this Annual Enrollment Guide is provided as a service to associates. In the event of a conflict between the information provided in the Annual Enrollment Guide, Benefits Summary and other plan documents or policies, the plan documents or policies will govern. Although The Home Depot established its benefit plans with the intention that they may be maintained indefinitely, the plans may be amended, terminated or discontinued at any time. The Benefits Summary is available at livetheorangelife.com. The FutureBuilder Summary Annual Reports have been posted to livetheorangelife.com under Learn & Enroll. The Health and Welfare Plans Summary Annual Reports will be posted to livetheorangelife.com under Learn & Enroll in early The annual Medicare Part D notice has also been posted to livetheorangelife.com under Learn & Enroll and a paper copy can be requested by calling the Benefits Choice Center at