Benefits Open Enrollment Guide

Transcription

1 Benefits Open Enrollment Guide Make Choices by December 5, 2016 Effective Date - January 1, 2017 Open Enrollment is the time to review all benefit plans. You may change or cancel plans, add or delete dependents and change beneficiaries. Current plans will renew in 2017 if no action is taken during this open enrollment period. Exception: Flexible spending and health saving account elections must be renewed annually.

2 It is time for benefits open enrollment. We ask that you review your benefit elections and consider any changes you may want to make for Consider changes in your life this past year and how they may affect the choices you make about your benefits. As you know, health care costs have continued to rise. We have seen large increases in the amount we spend on hospital claims and prescription drugs and it is expected that the company s portion of the costs will increase by nearly $7 Million from 2016 to However, we are committed to providing the best plans at a reasonable cost to our employees. We have great partners and providers who know benefits inside and out. The health of you and your family is important to us. We have worked to maintain increases in employee premiums at levels below the national average and have done so since In 2017, you may reduce your annual health premiums by $300 AND take steps toward improving your health. More information is available in this packet. Login to the Zone to make your enrollment elections today. For futher assistance, please contact HR Shared Services at (713) , option 2 or via at HRServices@daikincomfort.com We realize these are important decisions so please take advantage of the information available as you consider your open enrollment decisions. Sincerely, Kristi Pittman Director, Benefits & Human Resources Shared Services 2

3 Have Questions? Contact our new HR Call Center today One stop for: General Payroll Questions Insurance / 401(k) Leave of Absence Requests Navigating the Zone* Paid Time-Off and many other HR-related questions Many Ways to Connect: Call: Direct (713) or extension HRServices@DaikinComfort.com Through the Zone: HR Request Form Zone link under Personal tab Coming Soon: Phone App for the DTTP 3

4 Getting Started with Open Enrollment Review Medical & Rx Choices Your Medical & Rx Benefits Your medical benefits will continue to be provided through Cigna Healthcare and prescription coverage will continue through Catamaran under the new name, OptumRx. The premiums below reflect a 7% increase. If you choose NOT to participate in the Wellness Challenge, the premiums will increase by an additional $25/month. Plan Cost per Month* PPO - Buy Up Plan PPO - Core Plan High Deductible Health Plan (HDHP) Employee Only $99.00 Employee Only $39.00 Employee Only $0 Employee + Children $ Employee + Children $ Employee + Children $0 Employee + Spouse and / or Family $ Employee + Spouse and / or Family *The monthly cost will be deducted evely, based upon your appropriate pay period. Your Medical Benefits at a Glance PPO Buy Up Plan Covers: 80% In-Network / 50% Out-of- Network Deductible: Individual $600/$1500 Family $1800/$4500 Out-of-Pocket Maximum: Individual $2500 / $5000 Family $5000 / $10,000 Co-pay: $30 Primary Care $50 Specialist** PPO Core Plan $ Covers: 70% In-Network / 50% Out-of- Network Deductible: Individual $1200 / $2500 Family $3600 / $7500 Out-of-Pocket Maximum: Individual $5000 / $10,000 Family $10,000 / $20,000 Co-pay: $40 Primary Care, $60 Specialist** Employee + Spouse and / or Family $0 High Deductible Health Plan (HDHP) 70% / 30% Co-Insurance* Deductible (includes Rx): Individual $3,000/$6,000 Family $9,000/$18,000 Out-of-Pocket Maximum: Individual $6,000/$13,200 Family $13,200/$26,400 Co-Insurance: 70% / 30%* In-Network Wellness: 100% (not subject to deductible) Emergency Room Co-pay: $100 Emergency Room Co-pay: $150 ER Co-Insurance: 70% / 30%* Mental health is covered as any other condition Rx Deductible: $100 Individual / $200 Family Mental health including Rx is not covered Rx Deductible: $100 Individual / $200 Family Mental Health Co-Insurance: 70% / 30%* Rx Deductible: See Above Check out MyCigna.Com Have you checked out mycigna.com? Mycigna.com is a helpful tool to use for your insurance needs. At mycigna.com you can: Check on claims Print ID Cards Shop for lower cost options on prodedures Find in-network doctors in your area. Important Information about CatamaranRx Catamaran is now officially OptumRx. New Cigna ID cards will be mailed to your home address with the updated Rx information. The plan and group numbers will not change. For more information, call OptumRx at Rx Co-pay Retail: Gen $10, Brand $30, Non-Pref $50 Rx Mail Order: Gen $20, Brand $60, Non-Pref $100 Rx Co-pay Retail: Gen $20, Brand $40, Non-Pref $60 Rx Mail Order: Gen $40, Brand $80, Non-Pref $120 Rx Co-Insurance: In-Network 70% / 30%* Non-Network - No Coverage 70% / 30%* * High Deductible Health Plan Co-Insurance Plan pays 70% after deductible has been met for the year. The patient is responsible for the remaining 30% up to the out-of-pocket maximum, ** By using a Cigna Care Network (CCN) Specialist, you will pay the Primary copay. Look for providers with the CCN designation by their name when searching the online directory, Both plans have unlimited lifetime maximums, allow for diabetic supplies through Diabetic Sense only and allow for specialty prescriptions to be filled by Optum s Specialty Pharmacy, Briova. For more information or to enroll in Diabetic Sense, call Optum at The chart above is a summary of the major differences between the three plans only. Please refer to the summary plan descriptions for a complete list of covered expenses and plan specifications. For a complete list of covered providers in your area, please go to or call Cigna at

5 Getting Started with Open Enrollment Review Medical & Rx Choices (HDHP/HSA) Base High Deductible Health Plan (HDHP) The Base HDHP option offers a base level of medical coverage for members who want protection from catastrophic medical events without paying a monthly premium. The plan also provides access to routine wellness care, not subject to the deductible and covered at 100% when using network providers. This plan is attractive to participants who only require minimal medical care through the year but want to have a level of just in case protection, without the monthly premiums. While there are no monthly premiums, you will pay full price for office visits, prescriptions, medical service, etc., and you will then submit the claim to Cigna so it can be applied to the deductible. Once the deductible has been met, the plan will process eligible charges at 70% up to the appropriate out of pocket maximum. The covered expenses are the same today as on the Buy Up Medical plan and you can use the tools available through Cigna and Optum to shop around for the lowest cost options. Health Savings Account (HSA) Being covered by a high-deductible health plan also gives you access to the Health Savings Account (HSA) option now available. Here is a quick summary of the HSA: You must be enrolled in the BASE HDHP to contribute to the HSA plan. The annual contribution for single coverage is $3,400.00; family coverage is $6, Individuals over age 55 can contribute an additional $1,000 per year. There is no time limit on reimbursements as long as the claims occur after the HSA effective date. You can change payroll deductions on the HSA at any time and a family status change is NOT required to do so. Contributions grow tax-free and can be withdrawn tax free if used for qualified medical expenses (as defined by the IRS). Withdrawals for non-qualified expenses are subject to a 20% excise tax. Something To Consider We understand that a health plan with no monthly premium can be attractive, especially if you re on a tight budget. HOWEVER, the BASE HDHP and HSA option is not designed for everyone. You should carefully consider the impact to your healthcare budget in the event you have an unexpected medical emergency. To put it in perspective, a single trip to the Emergency Room can start at $3,000. The HSA account is completely portable and the balance rolls over annually without a deadline to use it. Not Insured? Consider enrolling in the High Deductible Health Plan (HDHP) to avoid paying the healthcare tax. The HDHP qualifies as minimum essential coverage under the Affordable Care Act and has no monthly premium. Still Have Questions? If you re unsure if this plan is right for you, we encourage you to discuss it further with the Corporate Benefits Dept. before making a change. Throughout 2017, there will be opportunities for you to attend meetings or watch webinars and ask questions about the plans before the next enrollment period in

6 Next Step Review Dental Choices Your Dental Benefits MetLife will be replacing Cigna as the new carrier for dental coverage in There will be no changes to the coverage details; however, we strongly encourage you to check with your dentist to confirm that they accept MetLife Dental. If your dentist is not a MetLife provider, you can still see them for treatment, but you should consider using a MetLife dentist for additional savings and to make your dental benefits stretch further. Plan Selected Monthly Cost* Core Plan Employee Only $7.00 Buy Up Plan Employee Only $19.00 Core Plan Employee + 1 $16.00 Buy Up Plan Employee + 1 $59.00 Core Plan Employee + 2 or more $27.00 Buy Up Plan Employee + 2 or more $71.00 Important Information about your Dental Coverage New cards will NOT be mailed out by MetLife. To obtain your new ID card and view a complete list of providers, please visit their website at or call *The monthly cost will be deducted evely, based upon your appropriate pay period. Your Dental Benefits at a Glance Buy Up Plan Core Plan Annual Deductible Ind $25 / Fam $75 Ind $50 / Fam $150 Annual Max/Person $2000 $1000 Preventive Care 20% No Deductible 20% No Deductible Basic Treatment 80% / 20% 80% / 20% Major Treatment 50% / 50% 50% / 50% Orthodontia 50% / 50% with $50 Deductible & $1000 Lifetime Maximum Not Covered Please refer to the Summary Plan Description for a detailed explanation of covered/non-covered benefits, plan requirements and applicable co-pays. 6

7 Learn More about Your MetLife Benefits MetLife benefits information right from your desktop The MyBenefits web site is a quick and easy way for you to get the information you need about your MetLife benefits all in one place. Log in at to see how we ve taken personalization and integration to a new level. Personalized homepage to all your MetLife benefits Get more information on your MetLife benefits, where you can link to detailed coverage information and can perform tasks, such as: Dental Plans Easily find a participating dentist or view your benefits, copay or coinsurance amount, and claims* online. Plus, you will have access to our extensive Oral Health Library to research important dental topics. Dental ID cards are available online for you to download and print at your convenience. Cards contain your name, employer s name and group number. Also included are MetLife s claims submission address,* website address, customer service telephone number and a service number for International Dental Travel Assistance*. Additional MyBenefits features include: Planning tools that you can use to help you make informed decisions regarding your retirement, benefits coverage as well as other useful information for a variety of everyday topics. Forms and documents that you may need are located in the Tools & Resources area at the bottom of the MyBenefits home page for you to download. In the News & Updates section you ll find information from MetLife and your employer such as enrollment dates and new product offerings. Online claims tracking and notifications called ealerts, which will provide information regarding status changes to your claims for certain benefits.* The MetLife Mobile App is now available on the itunes App Store and Google Play. Download the app, and use it to find a participating dentist, view your claims* and to see your ID card. 1 *This feature is not available for members with a MetLife Dental HMO/Managed care plan. Like most group benefit programs, benefit programs offered by MetLife contain certain exclusions, exceptions, waiting periods, reductions, limitations and terms for keeping them in force. Ask your MetLife group representative for complete details. 1 Before using the MetLife Dental Mobile App, you must register at from a computer. Registration cannot be done from your mobile device. Certain features of the MetLife Mobile App are not available for all MetLife Dental Plans METLIFE, INC. L [exp0916][All States] PEANUTS 2015 Peanuts Worldwide Metropolitan Life Insurance Company 200 Park Avenue New York, NY

8 Next Step Decide on Vision Care Vision Care Employees who enroll in the Davis Vision benefit are eligible for a free pair of safety lenses annually AND upon request at the initial visit. (Brazers may also be eligible for tinted glasses. Please contact Corporate Benefits for additional information.) Vision benefits are administered by Davis Vision. There is no ID card. Simply tell the provider that you are covered by Davis Vision when you make the appointment. You may visit any doctor, but if you use an in-network doctor you pay a co-pay for most services. If you visit a doctor outside of the network, you pay the full amount at the time of the visit and submit a claim form for reimbursement. Plan Selected Monthly Premium* Employee Only $0.00 Employee + 1 $5.00 Employee + 2 or More $8.97 In-Network Co-pay for Exams (Every 12 Months) $10 Co-pay for Frames (Every 24 Months) $5 Co-pay for Lenses (Single/Bifocal/Trifocal) $5 Co-pay for Contacts (Every 12 Months) $24 / $45 Out-of-Network Exams & Materials Reimbursement of $50 Important Note The benefit plans you select during open enrollment will become effective on January 1, 2017 and will remain in effect for the entire calendar year unless you experience a qualified family status change (and make that change within 31 days of the event.) Next Step Consider Flexible Spending Flexible Spending Account You may allocate pre-tax dollars to be set aside Plan Contribution Limits: from each paycheck for medical out-of-pocket $2,600 - Unreimbursed Medical Expenses expenses. This can include office visit co-pays, $5,000 - Day Care deductibles, vision exams, dental work and prescriptions. For a list of covered & non-covered expenses, please go to Publication 502. You do not have to be enrolled in the health plan to participate. The elected amount will be available immediately and a debit card will be provided. Substantiation for amounts other than co-pays will be required so you ll need to save receipts and insurance statements. You may also allocate pre-tax dollars for daycare expenses. Daycare expenses are reimbursed up to the amount that you contribute each pay period. All charges must be incurred during the Plan Year. Reimbursement will not be allowed for expenses incurred from prior years or for ineligible dependents. Plan wisely unused balances will not be refunded. Important Note If you would like to participate in flexible spending, you must enroll in the plan(s) each year during open enrollment. 8

9 Next Step Review Additional Information on Voluntary Benefits in The Zone Company Provided Benefits Basic Life Insurance Hourly employees are eligible for one times annual salary, up to $50,000. Salaried employees are eligible for one times annual salary, up to $500,000. This benefit is available to all eligible employees, at no cost. Accidental Death & Dismemberment Insurance In the event of accidental death, your beneficiary will receive two times your annual salary, up to the same maximums as the basic life insurance. Long-Term Disability (LTD) The Company provides long-term benefits at no cost. Hourly employees are automatically enrolled after 12 months of employment and salaried employees after three months of employment. If needed, LTD benefits begin after 26 weeks of disability and cover 60% of your salary up to $12,000 per month. In most cases, you may receive benefits until you recover or age 65, whichever comes first. LTD also coordinates with Social Security Disability. Other Benefits Voluntary Life and Accidental Death & Dismemberment (AD&D) Insurance For additional financial protection for you and your family, you may purchase voluntary term life insurance. You may choose up to $200,000 of employee life insurance (in increments of $10,000) or family term life insurance to cover a spouse or children. Insurance is subject to a health assessment. AD&D Coverage is also available on this plan for an additional premium. Short-term Disability (STD) The waiting period is the same as the LTD plan but it is 100% employee-paid. The disability benefit begins after 7 days of disability and can continue for up to 26 weeks. The weekly income benefit is non-taxable and is equal to 60% of your salary up to $1,500 per week. Coverage requested during Open Enrollment will be subject to proof of good health. If you are currently enrolled, coverage will continue unchanged. (Continued on next page). 9

10 Next Step Review Additional Information on Voluntary Benefits in The Zone Identity Theft Insurance Identity Theft Shield protects you before, during and after identity theft occurs (including theft of your social security number, driver s license, credit cards, banking, etc.) By purchasing Identity Theft Shield, you will receive an up-to-date credit report, continuous credit monitoring, identity restoration in the event your identity is stolen, and updates/alerts. Employees can sign up for Identity Theft Insurance at any time. MetLife Voluntary Benefit Options For more information about each plan and the rates, go to the Benefits Enrollment Docs tab in The Zone. Accident Insurance This policy helps to cover you and your family for out-of-pocket expenses associated with an accidental injury, not covered by medical insurance, and helps to protect your savings should an accidental injury occur. Critical Illness Insurance This plan protects you and your family from the financial impact of cancer, a heart attack, stroke, or kidney failure. You can purchase coverage in increments of $10,000 or $20,000. MetLaw - Discounted Legal Services This plan provides access to legal services and over 12,000 attorneys for Estate Planning. Family Law, Real Estate and many other types of legal needs. Coverage is available for you and your family. 401(k) Retirement Plan Wells Fargo After 90 days of service, full-time employees may contribute up to 50% of their salaries on a pre-tax basis up to the annual maximum of $18,000. If you are age 50 or older, you may contribute additional catch-up contributions. Goodman matches annual contributions up to 6% or a maximum of $3,000. In order to receive a matching contribution you must be employed on December 31. After three years of service, you are 100% vested in the company-matching contribution. At you may enroll, find information about the investment funds, request a loan or hardship withdrawal, change your deferral amount, and designate a beneficiary. Contact Wells Fargo at for more information. Employee Assistance Program Sometimes balancing work and family activities can create stress that is hard to handle on your own. To help you through these times, you can receive confidential counseling and referrals through the EAP at no cost to you. You and your eligible dependents can use the program. No enrollment is necessary and all employees are eligible. 401K Annual Limits Regular contributions are $18,000. Catchup contributions for age 50 and older are $6,000. Important Note 401(k) catch up contributions are allowed for those age 50 or older in 2017, and must be elected annually by submitting a Benefit Change request, using Reason Code Update 401k Catchup in The Zone under the Benefits tab Counseling is available through the EAP for personal issues such as: Family or marital problems Parenting concerns Emotional difficulties like depression, anxiety, guilt or grief Drug and alcohol dependency Stress and burnout Eating disorders like anorexia or bulimia Conflicts at work Crisis situations Questions about legal or financial concerns Questions on child or elder care Counselors are available 24 hours a day and Goodman will pay for up to three onsite counseling sessions per person per year with an EAP counselor. For more information, call Lifeworks at and use the Company Code GOODMAN GLOBAL or visit the website at user name: goodman / password: eap. 10

11 Quit For Life Quit for Life is a smoking cessation program available through the American Cancer Society. As the nation s leading tobacco cessation program, they have helped more than One Million members quit to date. The Quit for Life program is completely voluntary for you and your spouse if covered on any of the Goodman Medical Plans. Enrollment and results will be completely confidential. The Plan covers ONE treatment and coaching program for you or your spouse at no charge. Additional programs, if needed, are available at a rate of $ per person. After enrolling, you are matched with a quit coach who helps you develop a personalized quit plan, provides guidance in choosing medicines, and gives ongoing follow-up support. If interested, contact Quit for Life at 866-QUIT-4-Life or or go online to We encourage you to take this first step to better health and end your smoking habit in Try Out Our New Benefits Purchasing Power Offers payroll deduction program to purchase brand name computers, electronics, appliances, etc. Payments are made over 12 months Prices include product, warranties, taxes, delivery with no down pmt Employees are eligible after one year of full-time employment Account limits are based on annual income in lieu of a credit check code: GGL2316 Abenity Discount Program Provides a collection of local and national discounts from thousands of companies as well as printable and mobile coupons Company-specific discounts like our Employee Purchase Program or the Whirlpool VIPLink program can be found on the site goodmanmfg.abenity.com, code: GOODMAN VISA Paycards PayChekPLUS Elite Provides employees with a direct deposit without a bank account Access to the full balance at no cost from banks that accept VISA Free ATM at AllPoint ATM locations Online account access and bill pay Reduce worry over lost/stolen checks Immediate access to your paycheck while away on payday Home & Auto Quotes from up to four insurance companies with just one phone call Special discounts and flexible payment options Discounts available for having a good driving record and safe car Tenure discount based on years of service 11

12 Next Step Enroll How to Enroll STEP 1 - After reviewing this brochure, begin open enrollment by logging in to THE ZONE ( STEP 2 - Review your dependents and beneficiaries and make appropriate changes under MY DEPENDENTS and MY BENEFICIARIES under the benefits menu. STEP 3 - Select OPEN ENROLLMENT under the benefits menu. Your 2016 benefit elections will be displayed, along with the 2016 and 2017 premiums. If you make changes, the premiums will change accordingly. PRE-TAX BENEFITS MEDICAL & DENTAL - Select the Buy Up, Core, or Base HDHP plan and the level of coverage VISION - Select the level of coverage only FLEX SPENDING AND HEALTH SAVINGS - Select Health and/or Dependent Care, or HSA Single or Family You will designate the annual amount later (see Step 6). VOLUNTARY BENEFITS Walk through each of the voluntary benefits. Specific details on each are included in the step-by-step instructions available under Benefit Enrollment Docs in the Zone. STEP 4 - Select only those dependents to be covered on each plan. When you are done, press RECALCULATE and, if satisfied, CONTINUE. STEP 5 - Designate beneficiaries for each life insurance plan selected. STEP 6 - If you elected to participate in the flex spending or the health spending accounts, you will add the amounts on the savings plan worksheet. STEP 7 - Confirm your benefit changes. If you need to make changes use the back button on the screen (not on your browser). You will be able to scan and upload any forms needed at this step. When you are finished with your selections, hit the SUBMIT icon (looks like the SAVE button). Important Notes For detailed step-by-step instructions, see the open enrollment instructions posted in the Zone under Benefit Enrollment Docs. If you do not complete the open enrollment process, your current benefits will continue unchanged in

13 Final Step Save $300/year in 2017 by Completing the Following Wellness Challenge Important Information Please Read Thoroughly The Wellness Challenge is for Employees Only. Spouses are encouraged to complete an online risk assessment but it s not required to avoid the premium increase. Part ONE The Wellness Screening Wellness Screenings are the first step in helping you understand your health risks and improving your overall health and productivity. Wellness screenings have already been provided at all major locations for You also have the option of seeing your own doctor or visiting a Network Lab at no charge*. TESTS PERFORMED: Total Cholesterol + HDL (good cholesterol) & Coronary Risk Ratio Glucose & Blood Pressure Measurement Height & Weight Measurement Waist Circumference & Body Mass Index The deadline for completing the screening AND the online risk assessment is November 30, The information obtained during the screening and the assessment is maintained by Cigna and COMPLETELY CONFIDENTIAL. Goodman will not receive any screening results. Part TWO The Health Risk Assessment After you receive your numbers from the screening, you will need to complete a confidential, online health assessment. Register at (using the U number on your medical ID card) The website may be accessed from any laptop, tablet, phone or through The Zone You must complete the entire online health assessment and enter your numbers where required to get credit for the Wellness Challenge *For a no-charge visit, it must be specific to the Wellness exam and not combined with any other treatment. 13

14 More Details Dependent Children Age 19 thru 25 Once a covered dependent child reaches the age of 19, he/she can remain on the healthcare plan as long as no other coverage options are available until he/she reaches age 26. You will be asked to complete an affidavit that certifies the child has no other coverage options each year. Healthcare Reform The medical plan continues to be grandfathered as defined by the healthcare reform law. Your 2016 W-2 will include the annual portion paid by the Company for your health insurance coverage. This is in compliance with the healthcare reform law. The amount will be listed in Box 12, Code DD. You will also receive a Form 1095C that confirms the period of healthcare coverage in This information will be needed when you file your 2016 taxes Women s Health and Cancer Rights Act Our plans comply with this act by providing coverage for mastectomies and for reconstructive surgery and prostheses following mastectomies. This coverage will be provided in consultation with the patient and the patient s attending physician and will be subject to the same annual deductible, co-insurance and/or co-payment provisions otherwise applicable under the Plan. Making Changes If you have a family status change this year, you will be able to make changes to your elections. Family status changes include, but are not limited to, new marriage, divorce, legal separation, annulment, birth, adoption or placement for an adoption of an eligible child, death of your spouse or covered child, change in your spouse s work status that affects his or her benefits eligibility, or change in your work status that affects your benefits eligibility. If you have a family status change, you must submit a benefit change request through The Zone within 31 days of the event and provide proof of the change (marriage license, birth certificate, etc). Otherwise, you will have to wait until the next annual enrollment period to make benefit changes. About this Guide & Benefits Eligibility Information This guide describes the benefit plans/policies available to Goodman employees. The details of these plans and policies are contained in the official plan and policy documents, including some insurance contracts. This guide is meant only to cover the major points of each plan or policy. It does not contain all of the details that are included in your Summary Plan Description (as described by ERISA)* If there are any questions, or if there is a conflict between the information in this guide and the formal language of the plan or policy documents, the formal wording in the plan or policy documents will govern. Please note that the benefits described in this guide may be changed at any time and do not represent a contractual obligation on the part of Goodman. Regular, full-time employees working 30 or more hours each week are eligible for the following benefits upon date of hire: medical, dental, vision, basic life, voluntary term life, flexible spending, critical illness, identity theft protection, and employee discounts. After 90 days of employment, full-time employees become eligible for the 401(k) retirement plan. After one year, they become eligible for Purchasing Power. Salaried employees are eligible for short and long term disability on the first of the month following 90 days of employment. Hourly employees are eligible on the first of the month following one year of service. Need More Information? Start by going to the Zone ( where there are links to our benefit providers. Cigna (Medical) or Optum Rx or MetLife Dental or Davis Vision Customer Service or Amegy Bank Connect Your Care Flex Spending or Wells Fargo Retirement Plan or Purchasing Power code: GGL2316 Abenity Discount Program code: GOODMAN While you are in the Zone, it is a great time to update your address before W-2s are sent out, make sure your emergency contacts are still correct, and update your address for Company communication. *SPD s can be found in the Zone under the Benefit Enrollments tab. 14