Open Enrollment for 2016 Benefits. For IBEW Local 50 Members

Transcription

1 Open Enrollment for 2016 Benefits For IBEW Local 50 Members

2 General Information Open enrollment is Oct. 19 Nov. 2 Enrollment closes at 5 p.m. on Nov. 2 You must take action if you are: Adding or deleting dependents Increasing or decreasing life insurance elections Contributing to an HSA or FSA Wanting to receive your employer healthcare contribution in something other than the default Changing any plan elections Enroll online at You will create a password, then log-in using your SAP number and the password you created. If you forget your password, you can reset it yourself. Open Enrollment for 2016 Benefits 2

3 Key Points If you do nothing, your benefit coverage will remain the same (except for HSA and FSA) Mandatory enrollment for health savings accounts (HSA) and flexible spending accounts (FSA) each year Employer healthcare contribution defaults: Consumer or Enhanced HDHP HSA Base PPO or Waive - 401(k) Review your benefits confirmation statement immediately after you enroll and print the information if you re able Coverage is effective Jan. 1, 2016 Open Enrollment for 2016 Benefits 3

4 The Process You will receive 2016 benefits information via: Total Rewards enewsletter Postcard Web based training Portal articles Open Enrollment tool (personalized worksheet and enrollment guide) FirstRewards website ( OE tab includes OE tools and resources Making your 2016 elections You will receive an the week of Oct. 19 with the details needed to make your elections on You have access to enroll from work or home The Open Enrollment tool lets you review information and enroll from home or work After you enroll, print and review your confirmation statement If your elections do not appear correct on the confirmation statement, go back into the Open Enrollment tool to make any necessary changes before the enrollment deadline of Nov. 2 or contact the HR Service Center immediately at Open Enrollment for 2016 Benefits 4

5 Open Enrollment Resources Located on the Open Enrollment tab on MyFirstRewards.com Employee Benefit Meetings Schedule Open Enrollment Presentation Web-based Presentation with voiceover Medical (Anthem) Anthem Coverage Advisor- Online interactive tool to assist you in making an informed decision on which medical option is best for you Basics of Health Insurance etutorial Prescription Drug (CVS Caremark) CVS Caremark Check Drug Cost Tool Health Savings Account (BenefitWallet) How to open an HSA HSA FAQs HSA Goal Calculator HSA Resource Center Flexible Spending Accounts (WageWorks) FSA Savings Calculator Video explaining mobile app Open Enrollment for 2016 Benefits 5

6 Enrolling Dependents In the Open Enrollment tool: Be sure to use the check boxes to select which dependents you want covered on which plans If the check boxes are not marked, your dependent will not be covered You are required to call the HR Service Center if you are adding a dependent Open Enrollment for 2016 Benefits 6

7 Confirmation Statement Remember to print and review your confirmation statement from the Open Enrollment tool prior to the benefits open enrollment deadline on Nov. 2 at 5 p.m. If any changes are required, go back into the Open Enrollment tool and make those changes prior to the deadline. We encourage you not to wait until the last minute to enroll. Open Enrollment for 2016 Benefits 7

8 Eligibility Open Enrollment for 2016 Benefits 8

9 Who is Eligible Spouse Domestic Partner Call the HR Service Center for more information Your children up to age 26, including adopted children, step-children, children for which you have legal custody and foster children Your unmarried children age 26 and older who are incapable of selfsupport due to a disability Proof of disability and financial dependency is required Contact Anthem for details Open Enrollment for 2016 Benefits 9

10 Spouse/Domestic Partner Premium $200 monthly premium, if: You elect coverage for spouse/domestic partner who is eligible for subsidized medical and prescription drug coverage with their employer Spouse/domestic partner must be working at least 32 hours per week Does not apply if spouse/domestic partner is employed by FirstEnergy You will be asked to verify this information through a dependent audit Dependent audit will be conducted this fall Additional information will be sent out soon Open Enrollment for 2016 Benefits 10

11 What s New Open Enrollment for 2016 Benefits 11

12 Enhanced HDHP Family Deductible and Out-of-Pocket Maximum Enhanced HDHP has a true deductible and embedded out-of-pocket maximum If you elect a coverage level other than individual with the Enhanced HDHP, no claims for any family member will pay at 80% coinsurance until the entire family deductible of $2,600 has been met Any combination of family members can satisfy the out-of-pocket maximum but one family member would never need to satisfy more than their own individual out-of-pocket maximum amount Open Enrollment for 2016 Benefits 12

13 Health Savings Account (HSA) HSA annual limit for two-person/family coverage is increasing from $6650 to $6750 Flexible Spending Accounts (FSA) Health care FSA & Limited FSA annual limit increasing from $2500 to $2550 Part time employees will be eligible for all FSA s Open Enrollment for 2016 Benefits 13

14 Life Resources Program (EAP) Effective Sept 1, 2015 This program is designed to help you navigate through life Who is eligible? You and your household members; regardless if you re enrolled in any health care plans Confidential support, information and referral service. There are tools and resources designed to help you and your family find solutions to issues that come your way Program offers assistance with issues including but not limited to: Legal Financial Marital Elder Care Child Care Stress Emotional Parenting Balancing work and family Pet care Education Moving and relocation Open Enrollment for 2016 Benefits 14

15 Life Resources Program (EAP) Resources are available 24 hours a day 7 days a week Up to 5 free professional counselor visits per issue per year Assistance is available via phone, in-person, and video (computer or mobile device) Video counseling is unlimited Contact info Phone: Website: Open Enrollment for 2016 Benefits 15

16 Health Care Benefits Open Enrollment for 2016 Benefits 16

17 Benefit Carriers Medical Anthem Blue Cross Blue Shield (Anthem) Health Savings Account (HSA) BenefitWallet Flexible Spending Account WageWorks Prescription Drug CVS Caremark Dental Delta Dental Vision VSP Open Enrollment for 2016 Benefits 17

18 2016 Medical Plan Options (all plans include Rx) In-Network Deductible (Single/Family) Type of Deductible Coinsurance (FirstEnergy / You) - After deductible Out-of-Pocket Maximums (OOP Max) (includes deductible & coinsurance) Type of OOP Max Consumer HDHP Enhanced HDHP Base PPO $2,600 / $5,200 Combined Medical/Rx deductible Embedded $1,300 / $2,600 Combined Medical/Rx deductible True $750 / $1,500 Separate Rx deductible Embedded 80% / 20% 80% / 20% 80% / 20% $5,500 / $11,000 Combined Medical/Rx OOP Max Embedded $4,500 / $9,000 Combined Medical/Rx OOP Max Embedded $3,500 / $7,000 Separate Rx OOP Max Embedded Preventative/Wellness Care 100% 100% 100% Emergency Room Visit Other 20% after deductible; $250 copay if not true emergency 20% after deductible; $250 copay if not true emergency 20% after deductible; $250 copay if not true emergency Eligible for HSA Yes Yes No 2016 Maximum HSA Contribution (Single / Family) Eligible for Health Care FSA Maximum Contribution Eligible for Limited FSA (dental/vision only) Maximum Contribution $3,350 / $6,750 $3,350 / $6,750 $0 No $0 Yes $2,550 *Bold items reflect changes for 2016 No $0 Yes $2,550 Yes $2,550 No $0 Open Enrollment for 2016 Benefits 18

19 How Family Deductible and Out-of-Pocket Max. Work Consumer HDHP has an embedded deductible and out-of-pocket maximum Family deductible and out-of-pocket maximum amounts can be satisfied by any combination of family members but one family member would never need to satisfy more than their own individual deductible or out-of-pocket maximum amount Enhanced HDHP has a true deductible and embedded out-of-pocket maximum If you elect a coverage level other than individual with the Enhanced HDHP, no claims for any family member will pay at 80% coinsurance until the entire family deductible of $2,600 has been met Any combination of family members (2 or more) can satisfy the out-of-pocket maximum but one family member would never need to satisfy more than their own individual OOP maximum amount Base PPO has an embedded deductible and out-of-pocket maximum Family deductible and out-of-pocket maximum amounts can be satisfied by any combination of family members but one family member would never need to satisfy more than their own individual deductible or out-of-pocket maximum amount Open Enrollment for 2016 Benefits 19

20 Ex: How the family deductible and out-of-pocket maximum works There are 3 family members enrolled in the medical plans. Only Dad incurs expenses during the year. Under the Consumer HDHP: Under the Enhanced HDHP: Under the Base PPO: Deductible: $2,600/$5,200 (Embedded) $1,300/$2,600 (True) $750/$1,500 (Embedded) Out of Pocket Maximum: $5,500/$11,000 (Embedded) $4,500/$9,000 (Embedded) $3,500/$7,000 (Embedded) In January, Dad gets a Rx - total discounted cost is $500. In March, Dad gets a preventive physical exam. Dad pays $500 because the Rx Dad pays $500 because the Rx deductible is combined with the medical deductible is combined with the deductible - which he has not satisfied medical deductible - which he has not yet. satisfied yet. The plan pays 100% because this is a covered preventive exam no deductible applies. The plan pays 100% because this is a covered preventive exam no deductible applies. The Rx plan is separate from the medical plan. So Dad pays the $100 retail Rx deductible and $120 - which is 30% of the remaining $400. The plan pays 100% because this is a covered preventive exam no deductible applies. In May, Dad breaks his leg. Expenses are $1,000. Dad pays $1,000 because the $2,600 embedded deductible has not yet been satisfied. Dad pays $1,000 because the $2,600 true deductible has not yet been satisfied. Dad pays $750 of the $1,000 - which satisfies just his medical deductible for the year. He then pays $50 as the 20% coinsurance he's responsible for. In November, Dad gets pneumonia then an infection. Expenses are $10,000. Dad pays $1,100 - which satisfies only his combined medical/rx embedded deductible. So the plan will now pay 80% for additional claims for Dad for the remainder of the year. The other family members (Mom & Child) will need to satisfy the other half of the deductible before the plan will pay coinsurance for them. Dad pays $1,100 - which satisfies his and his entire family combined medical/rx true deductible. So the plan will now pay 80% for additional claims for the entire family for the remainder of the year. Dad pays his 20% coinsurance of the $10,000 - which is $2,000. Open Enrollment for 2016 Benefits 20

21 Find In-Network Physicians and Medical Facilities Online: 1. Visit 2. Look under Useful Tools 3. Click Find a Doctor 4. Select your state 5. Choose plan name National PPO (BlueCard PPO) By Phone: 1. Call Anthem at If you re not a current Anthem member, say I don t know when asked for your member ID. You will be transferred to a customer service representative. Anthem s mobile app: Go to the app store on your smartphone or mobile device. Search for Anthem Blue Cross and Blue Shield. Select the app. Start the free download. To use the mobile application, you must be registered on our secure member site and have a username and password. If you are an Anthem Blue Cross and Blue Shield member but have not registered for access to the secure member website, go to anthem.com from your computer and click Register Now. Open Enrollment for 2016 Benefits 21

22 Anthem Tools and Resources register online and click on the Resources tab for educational videos and much more! Anthem smartphone app Find a doctor, urgent care center, hospital or ER Access your Anthem ID card Estimate Your Cost tool available View your claims information LiveHealth Online Conveniently available 24/7 from a mobile device or computer with webcam If you are required to provide medical documentation for time off work, LiveHealth Online physicians are not permitted to complete FirstEnergy paperwork Cost & Quality Helps you find higher quality, lower cost imaging services such as CT scans and MRIs Estimate Your Cost tool Compare costs for many medical procedures among different facilities Open Enrollment for 2016 Benefits 22

23 Health Care Purchasing Preferences Plan Buying Preference Consumer HDHP No premium out of your paycheck Highest deductible Can use HSA to pay out-of-pocket expenses or save those HSA dollars for retirement Opportunity to save the most if few health care services are rendered because there is no premium Risk Tolerant Enhanced HDHP Middle of the road premium out of your paycheck Middle of the road deductible Can use HSA to pay out-of-pocket expenses or save those HSA dollars for retirement Moderate Base PPO Highest premium out of your paycheck Lowest deductible Helps balance premiums and the amount you pay out of pocket when you access care Conservative Open Enrollment for 2016 Benefits 23

24 Individual with No Claims (Preventive Claims only) Consumer HDHP Enhanced HDHP Base PPO Annual Premium $0 $317 $954 FirstEnergy HSA Contribution -$500 -$500 $0 Employee Medical Spend $0 $0 $0 Employee Annual Spend -$500 -$183 $954 This example shows: -EE who elects single coverage -EE utilizes preventive services which are paid at 100%. No other claims incurred. Open Enrollment for 2016 Benefits 24

25 Individual with Low Claims Consumer HDHP Enhanced HDHP Base PPO Annual Premium $0 $317 $954 FirstEnergy HSA Contribution -$500 -$500 $0 Employee Medical Spend $1,000 $1,000 $800 Employee Annual Spend $500 $817 $1,754 This example shows: -EE who elects single coverage -Total medical & Rx claims of $1000 for the year Open Enrollment for 2016 Benefits 25

26 Family with High Claims Consumer HDHP Enhanced HDHP Base PPO Annual Premium $0 $2,225 $4,136 FirstEnergy HSA Contribution -$1,000 -$1,000 $0 Employee Medical Spend $8,160 $6,080 $5,200 Employee Annual Spend $7,160 $7,305 $9,336 This example shows: -EE elected family coverage -$20,000 in total medical & Rx claims Open Enrollment for 2016 Benefits 26

27 Family with Catastrophic Claims Consumer HDHP Enhanced HDHP Base PPO Annual Premium $0 $2,225 $4,136 FirstEnergy HSA Contribution -$1,000 -$1,000 $0 Employee Medical Spend $11,000 $9,000 $7,000 Employee Annual Spend $10,000 $10,225 $11,136 This example shows: -EE elected family coverage -Catastrophic claim of $500,000 in total medical & Rx Open Enrollment for 2016 Benefits 27

28 What is a HDHP? High-deductible health plan (HDHP) health care plan that provides medical and prescription drug coverage in one combined plan Offers a small or zero premium Has a high deductible which qualifies for offering a health savings account (HSA) Two HDHPs are available in 2016 Consumer HDHP Enhanced HDHP Open Enrollment for 2016 Benefits 28

29 What is an HSA? Health savings account (HSA) allows you to set aside pre-tax dollars to pay for your out-of-pocket health care expenses Interest-bearing health savings account like a 401(k) for health care-related expenses HSAs are portable Individual account in your name you can take it when you retire or leave the company No use it or lose it rule HSA can be used: For qualified expenses including medical, prescription drug, dental and vision For you, your spouse or any dependent claimed on your tax return Now or later (great vehicle for retiree health care) For more information on HSAs, visit IRS Publication 502 and 969 Open Enrollment for 2016 Benefits 29

30 HSA Eligibility Requirements Must elect FirstEnergy s Consumer HDHP or Enhanced HDHP You cannot: Have other medical coverage, such as Medicare TRICARE Health Care FSA A spouse s health plan (unless the coverage is a HDHP) Be claimed as a dependent on someone else s tax return Have received veterans benefits within the last 3 months Have a balance in your Health Care FSA on Dec. 15, 2015 If you still have money in your 2015 Health Care FSA on Dec. 15, 2015, you are not permitted to make contributions into your HSA until Apr. 1, 2016 You are permitted to elect a Limited FSA for dental & vision expenses Open Enrollment for 2016 Benefits 30

31 Use an HSA for Retiree Health Care BenefitWallet - Anthem s HSA custodian has tools available to help you plan for retiree healthcare by offering a goal calculator. This can help you determine what your estimated contributions should be each year to help you plan for health care in retirement According to a recent Fidelity study, the average couple should expect to spend more than $220,000 in health care expenses over the course of retirement. BenefitWallet Phone: Website: Mobile App: BenefitWallet HSA FAQs: HSA Goal Calculator: HSA Resource Center: Open Enrollment for 2016 Benefits 31

32 Establishing an HSA Elect a HDHP medical plan and an HSA during open enrollment Open an HSA with BenefitWallet Anthem s HSA custodian Activate your HSA by completing the questions at this link This step can be done now This is the recommended approach much quicker If you already have an HSA with BenefitWallet, you do not need to open another HSA; your existing HSA will continue for you Information will be mailed to you from BenefitWallet after you enroll in an Anthem HDHP medical plan for the first time Open Enrollment for 2016 Benefits 32

33 HSA Employee Contributions Employee HSA contributions (on a per pay basis) Pre-tax contributions through payroll deduction Post-tax contributions directly into the HSA bank account Receive the tax benefit when you file your taxes May take up to 2 business days for check deposits May take 7-10 business days to set up the 1 st online deposit Can change contribution amount at any time If you are 55 or older (or turning 55 in 2016) you re able to contribute an additional $1,000 into your HSA Your annual HSA contribution amount is not all available on Jan. 1 like an FSA 2016 Annual contribution maximums: Individual coverage $3,350 Two person / Family $6,750 *these amounts includes EE and ER contributions Open Enrollment for 2016 Benefits 33

34 FirstEnergy Healthcare Contribution HSA, 401(k), or Taxable Cash Payment To help you save now for future retiree healthcare expenses, FirstEnergy will provide you with a one-time healthcare contribution Who is eligible? Active employees Part-time and Full-time employees Employees that are eligible for benefits on Jan 1, 2016 Open Enrollment for 2016 Benefits 34

35 FirstEnergy Healthcare Contribution Where will your contribution be deposited? If you elect the Consumer HDHP or Enhanced HDHP, you will receive $500 (individual election) or $1,000 (two-person / family election) in your HSA on Sat, Jan. 30. If you are not eligible for an HSA, you can receive your contribution in your 401(k) or as a taxable cash payment on Fri, Feb. 12. Contact the HR Service Center prior to Nov 3 at or HRService@firstenergycorp.com to learn how. Please note: If you have a balance in your 2015 health care FSA on Dec 15, your contribution cannot be deposited until Sat, Apr 9 due to IRS regulations. Open Enrollment for 2016 Benefits 35

36 FirstEnergy Healthcare Contribution Where will your contribution be deposited? If you elect the Base PPO, you will receive $500 (individual election) or $1,000 (two-person / family election) in your 401(k) on Fri, Feb. 12. If you waive healthcare, you will receive $500 in your 401(k) on Fri, Feb. 12. If you prefer to receive your contribution in the form of a taxable cash payment on Fri, Feb. 12, you MUST make this election in the benefits open enrollment tool prior to the enrollment deadline of Nov 2, at 5p.m. Open Enrollment for 2016 Benefits 36

37 Flexible Spending Accounts Health Care Flexible Spending Account Limited Flexible Spending Account Dependent Care Flexible Spending Account Open Enrollment for 2016 Benefits 37

38 Flexible Spending Account (FSA) WageWorks contact info Phone: (877) WAGEWORKS or (877) Website: Mobile app: EZ Receipts Types of FSA HealthCare FSA Limited HealthCare FSA Dependent Care FSA Can receive reimbursement by: Using mobile app (use camera to take picture of documentation & submit) Using FSA card Visiting vendor website Submitting paper claim form to WageWorks Open Enrollment for 2016 Benefits 38

39 Flexible Spending Account (FSA) What s the benefit of enrolling in a FSA? Convenient, tax effective way to pay for qualified health care and dependent day-care expenses - can save 25-40% depending on your tax bracket To participate, you must make an election each year 2015 contributions do NOT automatically continue into 2016 Can submit expenses for anyone you claim on your taxes See IRS publication 969 for more information Save your receipts documentation may be required If you don t use the money by the deadline, you will lose it Can submit eligible expenses incurred from Jan. 1, 2016 through Mar. 15, 2017 Must submit expenses for the above timeframe by Jun. 30, 2017 Open Enrollment for 2016 Benefits 39

40 Health Care FSA Who is eligible to elect a Health Care FSA? Employees that enroll in Base PPO or those that waive FE medical Not eligible if you enroll in the Consumer HDHP or Enhanced HDHP Pre-tax deductions through FE payroll Annual limits: $26 minimum and $2,550 maximum Eligible expenses include: Your out-of-pocket expenses for medical, Rx, dental and vision expenses When is your annual election amount available? Entire annual amount is available on Jan. 1 st How can I submit claims? FSA card, mobile app, website or paper claim form IMPORTANT NOTE : If you have a 2015 Health Care FSA and elect a HSA in 2016, the balance in this FSA must be $0 by Dec. 15 or contributions cannot be made to the HSA until Apr. 1, 2016 Open Enrollment for 2016 Benefits 40

41 Limited FSA Who is eligible to elect a Limited FSA? If you enroll in the Consumer HDHP or Enhanced HDHP Pre-tax deductions through payroll Annual limits: $26 minimum and $2,550 maximum Eligible expenses include: Dental and Vision When is your annual election amount available? Entire annual amount is available on Jan. 1 How can I get reimbursed? FSA card, mobile app, website or paper claim form Open Enrollment for 2016 Benefits 41

42 Dependent Care FSA Who is eligible to elect a Dependent Care FSA? All employees who have eligible dependents Pre-tax deductions through FE payroll Annual limits: $26 minimum and $5,000 maximum Eligible expenses include: Daycare, before and after-school care for children under age 13 and adult/elder care When is your annual election amount available? Account is like a checking account can only be reimbursed the amount that has been contributed year-to-date (deposits made on a per pay basis) How can I get reimbursed? Mobile app, website or paper claim form How much can I save per year? Up to $2,000 per year in tax savings depending on tax bracket Open Enrollment for 2016 Benefits 42

43 WageWorks Tools & Resources WageWorks Contact Information Phone: (877) WAGEWORKS or (877) Website: WageWorks - Tools & Resources v v v v Mobile App (EZ Receipts) Check your balances Take photos of receipts FSA Saving Calculator Submit Claims Sign up for alerts via or text Enter estimated annual expenses by category and see what your potential tax saving could be - Average savings is 30%! HealthCare Card Use the card to pay for copays, prescriptions and FSA eligible products at FSA store Website Provides videos on how the plans work, FAQ s, eligible expenses list and much more! Open Enrollment for 2016 Benefits 43

44 Prescription Drug Options Consumer HDHP Enhanced HDHP Rx Base Generic Drug Rule Yes* Yes* Yes* Retail (up to 30-day supply with one refill) Annual deductible (Individual / Family) $2,600 / $5,200 Combined Medical/Rx deductible $1,300 / $2,600 Combined Medical/Rx deductible $100 / $200 Separate Rx deductible Coinsurance (FirstEnergy/Your) 80%/20% 80%/20% 70%/30% Generic Coinsurance 20% 20% 30% ($5 min) Primary Coinsurance (if no Generic is available) 20% 20% 30% ($15 min) Brand Coinsurance** 20% 20% 30% ($30 min) Maximum coinsurance per Rx No maximum No maximum $100 per Rx Mail Order (up to 90-day supply with three refills) Annual deductible (Individual / Family) $2,600 / $5,200 Combined Medical/Rx deductible $1,300 / $2,600 Combined Medical/Rx deductible Coinsurance (FirstEnergy/Your) 80%/20% 80%/20% 80-75%/20-25% Generic Coinsurance 20% 20% 20% ($12.50 min) Primary Coinsurance (if no Generic is available) 20% 20% 25% ($37.50 min) Brand Coinsurance** 20% 20% 25% ($75 min) Maximum coinsurance per Rx No maximum No maximum $200 per prescription Annual Out-of-Pocket Maximums (OOP Max) None In-Network (Individual / Family) $5,500 / $11,000 Combined Medical/Rx OOP Max $4,500 / $9,000 Combined Medical/Rx OOP Max $3,000 / $6,000 Separate Rx OOP Max Out-of-Network $10,000 / $20,000 Combined Medical/Rx OOP Max $8,500 / $17,000 Combined Medical/Rx OOP Max * In addition to coinsurance, participant will also be responsible for difference in cost between generic & brand drug if the participant does not choose to fill script with available generic. The brand penalty does not count towards the deductible and out-of-pocket maximum. ** If you choose a brand that has a formulary equivalent (Primary Drug List), you will pay the brand coinsurance. 44 No Limit Open Enrollment for 2016 Benefits

45 Generic Drug Mail-Order Example Tom elected the Consumer HDHP plan. He is prescribed a 90-day supply of Singulair (brand drug); however, Montelukast (generic drug) is available. Scenario #1: Tom chooses to purchase the generic (Montelukast) Scenario #2: Tom chooses to purchase the brand (Singulair) Tom pays the full cost of the generic which will go toward his deductible $ The total cost for the brand Singulair: $ The total cost for the generic $51.15 Tom pays the difference (Brand Penalty): $ Plus his deductible: $51.15 Tom s total out of pocket cost: $ Tom has not yet satisfied the $2,600 deductible in the Consumer HDHP. The brand penalty does not count toward his $2,600 deductible. Tom will save $ by purchasing the generic. Note: Singular is a non-preferred brand drug and prior authorization would be required Open Enrollment for 2016 Benefits 45

46 Caremark Tools & Resources Web-based tool to determine prescription costs Compare prescription costs in a high deductible plan vs. Rx Base plan Available on Open Enrollment tab on Select Check Drug Cost for appropriate option Open Enrollment for 2016 Benefits 46

47 Vision Options There are no plan design changes for 2016 Basic Vision If you enroll in a FirstEnergy medical plan in 2016, you will be automatically enrolled in the Basic Vision plan at no cost no enrollment required The family members you enroll in your FE medical plan election will also be enrolled in the Basic Vision plan unless you elect the Supplemental Vision Supplemental Vision Employee will continue to pay the full premium cost $25 copay for progressive $25 copay for anti-reflective lenses $25 copay for all other covered lenses Frame allowance $160 Contact lens allowance $160 NOTE: Your VSP identification number is the last 4 digits of your SAP number with leading zeros to make a nine-digit number. Example: Open Enrollment for 2016 Benefits 47

48 Vision Options Exam Basic Vision Supplemental Vision In-Network $50 copay $10 copay Out-of-Network Not covered Reimbursed up to $45 Frames In-Network 25% discount $160 retail frame allowance (all manufacturers) Out-of-Network Not covered Reimburse up to $70 Lens & Lens Options (minimum prescription of.5 diopter for lens coverage medically necessary) In-Network Out-of-Network Contacts In-Network Out-of-Network Single: $40 copay Bifocal: $60 copay Trifocal/Lenticular: $75 copay Not covered 15% discount on exam only (no discount on materials) Not covered $25 copay for progressive lenses $25 copay for anti-reflective lenses $25 for all other lens options Single vision - reimburse up to $30 Bifocal lenses - reimburse up to $50 Trifocal lenses - reimburse up to $65 Lenticular Lenses - reimburse up to $100 Elective - $160 allowance Med necessary - covered in full (must be pre-approved) Elective - reimburse up to $105 Med necessary - reimburse up to $210 Open Enrollment for 2016 Benefits 48

49 Dental Options Basic Plan Plus Plan In Network Out of Network In Network Out of Network Deductible $100 / $300 $200 / $600 $50 / $150 $100 / $300 Annual x-ray, 2 cleanings/exams (coinsurance only not subject to deductible) 100% / 0% FirstEnergy % / your % 80% / 20% FirstEnergy % / your % 100% / 0% FirstEnergy % / your % 80% / 20% FirstEnergy % / your % Basic Restorative 50% 70% 20% 40% Major Restorative 75% Not Covered 50% 70% Orthodontia Benefit % Benefit $ Eligibility Calendar Year Maximum Benefit Plan Pays (excludes ortho) Not Covered No 2016 dental plan design changes Not Covered 50% $1,500 lifetime max Only children up to age 19 50% $1,500 lifetime max Only children up to age 19 $1,000 per person $1,000 per person $2,000 per person $2,000 per person Open Enrollment for 2016 Benefits 49

50 Delta Dental Tools & Resources The Basic Plan and the Plus Plan are administered by Delta Dental Both the PPO and Premier networks are included. Need help finding providers? Call Delta Dental at Delta Dental Mobile app Learn about oral health There is information for every stage of life on Delta s website Check out the Risk Assessment tool Check claims status Review your benefit plan Open Enrollment for 2016 Benefits 50

51 Wellness Program Open Enrollment for 2016 Benefits 51

52 Healthy Living Wellness Program The purpose of the Healthy Living program is to develop a culture where employees are encouraged and rewarded for improving or maintaining positive health and well being. ALL employees are eligible to participate Even those that do not elect benefits through FirstEnergy Participation is voluntary Provant Health Solutions administers the program Program is confidential FirstEnergy does not receive any personal information or individual results FirstEnergy will only know if an employee qualifies for the Healthy Living credit Open Enrollment for 2016 Benefits 52

53 Healthy Living Credit Criteria Required Activities Must complete both activities to earn either part of the credit Participation Activities Must complete 3 of 9 activities this is in addition to the Required activities to earn $25 per month Results-Based Criteria Must complete 3 of 7 activities this is in addition to the required activities to earn $25 per month Visit our Healthy Living website for a list of the criteria and activities at: Up to $600 annual credit available - paid in 2016; deadline for criteria completion is Nov. 13 If you feel that it is unreasonably difficult to meet the program criteria to earn the Healthy Living Credit due to a medical condition or you would like to appeal your results due to a specific issue that prevents you from being able to meet the criteria as outlined, call Provant Health at to initiate an appeal. Alternative standards and waiver opportunities may apply for all similarly situated employees. Provant Health will work with you and your physician to certify the issue and, if applicable, develop another way for you to qualify for the credit. Open Enrollment for 2016 Benefits 53

54 Healthy Living Credit The Healthy Living Credit form and tobacco affidavit are available at Complete all criteria by the Nov. 13 deadline The incentive will be divided per pay and will show as a separate line item on 2016 pay statements Online health risk assessment and biometric screening are both required this year to receive either portion of the credit health risk assessment can be completed on the Provant website Visit the above website to confirm what you need to do to satisfy the criteria Open Enrollment for 2016 Benefits 54

55 Healthy Living Onsite Health Fairs Health fairs available to: 1. Help you earn your Healthy Living incentive 2. Provide flu vaccines 3. Encourage healthy lifestyles 4. Help you know your numbers (glucose, cholesterol, blood pressure, etc.) More than 130 Health Fairs offered Sept. through Oct. Sign up online to attend a Health Fair Go to Flu Care Cards (flu vaccine) and lab vouchers available by request for those unable to attend Healthy Living Fair call Provant at (877) for more information Open Enrollment for 2016 Benefits 55

56 Other Benefits Basic Life Insurance Supplemental Life Insurance Dependent Life Insurance Accidental Death & Dismemberment Long-Term Disability Open Enrollment for 2016 Benefits 56

57 Group Life Insurance Plan Basic Life 1x annual base pay Company paid Supplemental Life May elect 1x to 10x annual base pay Can increase 1x each open enrollment Maximum coverage amount of $5 million Please note: The premium for supplemental life insurance will change the pay period when you reach your birthday for the next premium level or if your salary changes not the 1st of the following month or year. Open Enrollment for 2016 Benefits 57

58 Group Life Insurance Plan Dependent Life Three levels of coverage: Standard $10,000 spouse and $5,000/child High - $20,000 spouse and $10,000/child Premier $40,000 spouse and $20,000/child Can increase one level each year during open enrollment Eligible dependents include children up to age 19 or 25 if a full-time student Open Enrollment for 2016 Benefits 58

59 Evidence of Insurability (EOI) Proof that you are eligible before the coverage goes into effect Requires completion of online Statement of Health form Details will be provided after Open Enrollment to those who need to complete it Required for: Employees making a first time election for Supplemental life Spouses making an election for each level of Dependent life Those whose Supplemental life election is greater than $1M Open Enrollment for 2016 Benefits 59

60 Group Life Insurance Plan Accidental Death & Dismemberment Provides coverage if you should die, lose a limb, or sight as a result of an accident May elect 1x to 10x Annual Base Pay Employee only coverage Family coverage Maximum coverage amount of $3M Open Enrollment for 2016 Benefits 60

61 Beneficiary Designations Person(s) you name to receive the death benefits of a life insurance policy Keep your designations current Consider adding a contingent beneficiary Designations can be viewed and updated online anytime at Open Enrollment for 2016 Benefits 61

62 Long-Term Disability (LTD) The LTD plan protects you and your family if you become disabled by a work-related or non-work related illness or injury by continuing a portion of your income until you no longer meet the eligibility requirements Basic LTD 50% of annual base pay Company provided benefit Supplemental LTD Buy up is 16 2/3 % Total benefit of 66 2/3% annual base pay Open Enrollment for 2016 Benefits 62

63 Long-Term Disability Plan Details If electing for the first time, benefits will be limited by any preexisting medical conditions Payments are offset by primary Social Security and any other government or Company disability or pension benefit Payable after 6-month waiting period May participate in the Company s sick pay program during this time $100 minimum monthly benefit or 10% of gross monthly LTD benefit If you are receiving benefits at the time of your death, your survivors will receive a lump sum benefit equal to three months of your gross benefit Open Enrollment for 2016 Benefits 63

64 Voluntary Benefits Auto/Home Insurance Long-Term Care Insurance Identity Theft Insurance Pet Insurance Employee Discount Program Open Enrollment for 2016 Benefits 64

65 Voluntary Benefits Contact Mercer to enroll or Programs include: Auto and home insurance Critical Care Insurance Long-term care Accident Insurance Identity Theft Protection Pet Insurance Employee discounts Why participate in the program? Group discounts Special offers for FirstEnergy employees Convenience of payroll deduction Open Enrollment for 2016 Benefits 65

66 Where to go for questions Open Enrollment for 2016 Benefits 66

67 Do You Have a Benefits Question? If so, you can: Visit the FirstRewards website at Call the benefit carrier Visit the benefit carrier website Contact the HR Service Center HRService@firstenergycorp.com Open Enrollment for 2016 Benefits 67

68 Benefit Carrier Phone Website Provant (Healthy Living Wellness) (877) Anthem (Medical) National PPO BlueCard network Anthem 24/7 NurseLine (800) LiveHealth Online (Virtual Doctor Visit) CVS Caremark (Rx) CareChoice network (866) (888) BenefitWallet (HSA) (866) Delta Dental (Dental) Delta Dental PPO & Premier network VSP (Vision) Signature Choice network (800) (800) Life Resources (888) MetLife (Life & Long Term Disability) (866) WageWorks (FSA) (877) WAGEWORKS Mercer (Voluntary Benefits) Auto/Home, Long Term Care, Identity Theft Ins, Pet Ins FirstEnergy HR Service Center (800) (internal) (866) Open Enrollment for 2016 Benefits 68