What s Changing for 2017

Transcription

1 What s Changing for 2017 Non-Medicare-Eligible Retirees in the DuPont U.S. Benefit Plans Annual Enrollment is your once-a-year opportunity to elect your DuPont health and insurance coverage for next year. Mark your calendar and plan to take action between November 2 November 15, 2016 on DuPont Connection at com/dupont until 11:59 p.m., Central Time (CT), or by calling until 6:00 p.m., Eastern Time (ET). Annual Enrollment for your 2017 DuPont benefits is approaching. The good news is that there are very few changes taking effect next year with our benefits for retirees (and their covered dependents) under age 65. This overview highlights these changes to help you prepare for what s ahead. For detailed 2017 benefits information, including personalized pricing, review the enclosed 2017 DuPont Annual Enrollment Guide. During Annual Enrollment (November 2 15, 2016), you can also visit DuPont Connection, your one-stop benefits resource at resources.hewitt.com/dupont, or call Note: This information does not apply to non-medicare-eligible retirees in Puerto Rico. WHAT S INSIDE How Your DuPont Coverage Works If You Cover Dependents...2 What s Changing: A Snapshot...3 Additional Important Information...4 Working Together to Manage Your Out-of-Pocket Costs...8 H

2 How Your DuPont Coverage Works If You Cover Dependents How your retiree coverage works if you cover dependents is not changing, but here s a quick overview so you know what to do during Annual Enrollment. If your covered spouse is Medicare-eligible and you are not (or vice-versa), you will have different retiree health care benefits available to you, and two different ways that you will need to enroll for 2017 coverage. The same applies to other covered dependents. Non-Medicare-Eligible Retirees and Dependents Only Medicare-Eligible Retirees and Dependents Only Coverage Options Receive non-medicare-eligible coverage options under the DuPont retiree medical and dental plans. Receive notification of premium changes directly from your individual Medicare plan carriers. (Note: Do not make plan changes through your carrier.) Enrollment Process Enroll through DuPont Connection during DuPont s Annual Enrollment (November 2 15, 2016): Make plan changes through Towers Watson s OneExchange during the Medicare Open Enrollment period (October 15 December 7, 2016): Be Aware If you or your covered spouse/dependent is Medicare-eligible, your medical and dental coverage is administered through Towers Watson s OneExchange. You will receive information from Towers Watson s OneExchange in October including details about how to enroll. If you or your spouse/dependent is eligible for a Health Reimbursement Arrangement (HRA), you must utilize Towers Watson s OneExchange services to purchase a Medicare Supplement plan and receive the HRA amount provided by DuPont. If you, the retiree, are Medicare-eligible, your dependents pre-medicare medical and dental group coverage is also contingent on your enrollment through Towers Watson s OneExchange. Retirees who do not enroll and remain enrolled in a plan with Towers Watson s OneExchange will be considered as having declined DuPont coverage for self, spouse, and dependents. Declination of coverage is permanent and irrevocable. Becoming Medicare-Eligible Soon? You and your dependents will automatically receive information directly from Towers Watson s OneExchange and DuPont Connection 90 days prior to becoming Medicare-eligible. This way you can easily make the transition to Medicare-eligible coverage. Be aware that in order to avoid a gap in coverage, you will need to enroll with Towers Watson s OneExchange before you become Medicare-eligible. For retirees and dependents becoming Medicare-eligible due to your 65th birthday in January or February 2017, as well as retirees or spouses who qualify for Medicare due to a disability, you will get a packet with materials in October from Towers Watson s OneExchange to help you enroll in Medicare-eligible retiree coverage directly. Take action as soon as you receive the materials. If you, the retiree, are becoming Medicare-eligible, your dependents pre-medicare medical and dental group coverage is also contingent on your enrollment through Towers Watson s OneExchange. Retirees who do not enroll will be considered as having declined DuPont coverage for self, spouse, and dependents. Declination of coverage is permanent and irrevocable. H

3 What s Changing: A Snapshot Benefits Change Expanded medical plan coverage What This Means for You Enhanced access to infertility benefits Applied Behavioral Analysis (ABA) coverage when medically necessary Health Savings Account (HSA) 2017 contribution limits increase You may contribute more to your HSA in 2017 if you have Retiree only coverage How discounts are applied to specialty prescription drugs Accredo, DuPont s specialty prescription drug pharmacy, will help you find eligible discounts for high-cost specialty medicines; when discounts apply for these medications, what you pay after the discount will be applied to your deductible and out-of-pocket maximum Premium changes You will pay more in monthly premiums for medical and prescription drug coverage Some premium rates are also increasing for Retiree Life Insurance, depending on your age Working spouse coverage requirements You ll need to indicate working spouse coverage status during Annual Enrollment Medical and prescription drug carriers will be implementing additional processes to confirm other coverage status of covered dependents Your Benefit Options and Most Rates Are Not Changing for 2017 The retiree medical and dental options remain unchanged for Your retiree medical plan Core and Premium Saver options still offer you the opportunity to save money for your future health care costs through a Health Savings Account (HSA). Participation in the HSA is subject to eligibility rules established by the Internal Revenue Service (IRS). H

4 Additional Important Information Expanded DuPont Medical Plan Coverage Under both the Core and Premium Saver medical plan options for 2017, you will have the following expanded coverage. Infertility Treatment for Males and Females DuPont is expanding infertility benefits to include treatment for male and female infertility factors. There is a lifetime benefit maximum of up to $15,000 (plus $10,000 in pharmaceuticals) for medically necessary infertility treatment. You can get more information about this benefit by calling your health plan carrier. Generally, here s how the expanded coverage works: Benefits only apply to plan participants. This means that, for example, if a DuPont retiree has a spouse who is not enrolled in coverage, the benefit will only cover expenses related to the retiree s treatment; and The couple must supply the plan with proof of infertility. Services require pre-certification from the medical carrier. Exclusions apply. Contact your medical plan carrier for details prior to starting infertility treatment. Applied Behavioral Analysis (ABA) Therapy Benefits for Autism When used in the treatment of autism, ABA focuses on improving a patient s communication, social skills, and quality of life. This treatment may be beneficial for some patients, especially young children. To obtain this treatment, you will need to contact ComPsych, DuPont s behavioral health administrator, at ComPsych, available 24 hours a day/7 days a week, will help you review the benefits available to you and initiate the certification process. H

5 Health Savings Account (HSA) Contributions The annual maximum HSA contribution limit set by the Internal Revenue Service (IRS) for individuals with Retiree only medical plan coverage is increasing by $50/year. This means you can contribute up to $3,400 in HSA limits are not changing for other coverage levels. In 2017, your HSA funds can include: For Retiree only coverage Your contribution: You can contribute $3,400 + $1,000 extra if age + Any other HSA savings that you 55 or older accumulated from previous years For all other coverage levels (these amounts are unchanged from 2016) Your contribution: You can contribute $6,750 + $1,000 extra if age + Any other HSA savings that you 55 or older accumulated from previous years What You Will Pay Medical and Prescription Plan For 2017, medical and prescription drug coverage premiums for coverage for non-medicare-eligible retirees are increasing. Here s what you will pay each month: 1 Coverage Level Retiree Core Option Retiree Premium Saver Option Retiree Only $205 $170 Retiree + Spouse $415 $340 Retiree + Child(ren) $300 $245 Retiree + Family $515 $420 Spouse Only $205 $170 Child(ren) Only $100 $80 Spouse + Child(ren) $305 $ These amounts differ for individuals who retired early (prior to receiving the full Company subsidy). H

6 An Important Reminder: You Might Be Able to Get Help Paying for Your Medicine You or your dependents can use manufacturer coupons, discount cards, and copay assistance to help with your out-ofpocket expenses for specialty medicine. If financial support is available, you can usually find the information you need to apply for it by searching the Internet for the name of your medicine or its manufacturer and the words assistance program, manufacturer assistance program, or pharmaceutical assistance program. Accredo, the specialty medicine pharmacy that s part of your Express Scripts prescription plan, can also help you find sources of financial assistance. These kinds of financial assistance programs can help you stay on track with your medicine. That s good for you and your long-term health. It s important to remember that if you use one of these programs, the amount of assistance won t count as an out-of-pocket expense. In other words, you can t apply financial assistance toward meeting your deductible or maximum out-of-pocket expenses. Additionally, some manufacturer coupons last only for a limited time. Avoid switching to a higher priced medication just because a coupon or financial assistance is available. For example Jane s doctor prescribed Nucala, a specialty medicine, to treat her severe asthma. Her doctor advises her that even with insurance, the medicine will be expensive. She suggests Jane visit the Nucala website to see if the manufacturer offers any financial assistance. At the medicine s website, Jane finds a menu item called Savings & Support. On that page, Jane learns she can apply for a $0 copay program. After she applies by filling out a one-page form, Nucala s manufacturer approves Jane. She then talks with her Accredo benefit specialist about this manufacturer assistance program and provides the bin number and routing number from the program approval so Accredo can apply the assistance program to Jane s account. Because of the financial support provided by Nucala s manufacturer, Jane pays nothing for her medicine. That s good for Jane s budget, but it also means that because she has no out-of-pocket expenses for this asthma therapy it will take longer for Jane to reach her deductible or out-of-pocket maximum. H

7 Working Spouse Requirements The medical plan s Working Spouse eligibility provision requires working spouses to purchase primary coverage through their own employer if (1) it is available, and (2) the premium cost for the lowest premium cost option (for individual coverage) is less than $100 per month. If the prior two conditions are met, you may still cover your working spouse under the DuPont medical plan; however, your spouse s DuPont coverage will be secondary to his or her employer s coverage. If your spouse s employer (1) does not provide medical coverage, or (2) if the monthly premium for the lowest cost option available is $100 or more, DuPont does not require your spouse to purchase primary coverage from his or her employer. The Working Spouse rule itself isn t a change for However, if you re electing coverage for your spouse during this year s Annual Enrollment, you will be asked to confirm your spouse meets the medical plan s eligibility requirements (as described above). Additionally, starting January 1, 2017, the DuPont medical carriers will implement additional processes to confirm if covered dependents (spouse and children) are covered by other insurance. Failure of your working spouse to obtain primary coverage (if less than $100 per month) or your failure to respond to a medical carrier s request for other coverage information could result in claims processing delays, benefit reductions, and, in some cases, claims denials. Please refer to the enclosed 2017 DuPont Annual Enrollment Guide for more details. Retiree Life Insurance Retiree Life Insurance monthly premium rates are increasing for Confirm your eligibility for retiree life insurance coverage and your costs on the enclosed personalized enrollment worksheet. Age at 12/31/17 Retiree Life Insurance Monthly Premiums per $1,000 of Coverage Premium $ $0.228 Eligible for CGLI? If you re eligible for Contributory Group Life Insurance (CGLI or Option Z), check your personalized enrollment worksheet for what you will pay for 2017 coverage $ $ $ $ $ $ $ and older $ H

8 Working Together to Manage Your Out-of-Pocket Costs During the Year, Shop Wisely When you need care, DuPont encourages you to be a smart shopper. Here are some of the ways you can boost your health care purchasing power: Research cost and quality before receiving care. Take advantage of DuPont s preventive care benefits. Both the Retiree Core and Retiree Premium Saver medical options cover in-network preventive services at 100% with no deductible. Save money on prescription drugs by purchasing generics and preferred (also known as formulary) brand-name medications. Search for preventive care medications, generics, and preferred brandname drugs on the Express Scripts website at utilizing the Price a Medication feature. What s Next 2017 Annual Enrollment is November 2 November 15, Take action! Your 2017 coverage takes effect on January 1, Enclosed is your 2017 DuPont Annual Enrollment Guide and personalized enrollment worksheet outlining your coverage options and personalized pricing. Ensure your coverage and what you pay will meet your needs for next year, and take action to enroll through DuPont Connection. You can reach DuPont Connection online at or call During Annual Enrollment, representatives are available by phone from 8:00 a.m. to 6:00 p.m., Eastern Time (ET), or enroll online through 11:59 p.m., Central Time (CT) on November 15, Remember, if you cover a Medicare-eligible dependent, you will also receive separate information directly from Towers Watson s OneExchange so that you can elect coverage for that dependent during the Medicare Open Enrollment period starting October 15, Remember DuPont Connection is your one-stop benefits resource at com/dupont BeneFlex Annual Enrollment is November 2 November 15, 2016 Take action and enroll! This summary provides a quick, easy-to-understand outline of your Plan options. DuPont has made every effort to ensure that this accurately reflects the plan documents and contracts. However, if there is any conflict or inconsistency between this guide and those documents or contracts, the documents or contracts will govern. DuPont reserves the right to change, modify, or discontinue at its discretion any of the plans, programs, or services described in this guide. Copyright 2016 DuPont. The DuPont Oval Logo is a trademark of E.I. du Pont de Nemours and Company. All rights reserved. H