Welcome to Anderson Development Company Open Enrollment 2017!

Transcription

1 Plan Year April 1, 2017 to March 31, 2018 Welcome to Anderson Development Company Open Enrollment 2017! During this time, you have the opportunity to make changes to your insurance and Benefit Elections for the upcoming plan year. INSIDE: Important informa on about your comprehensive benefit op ons! Please remember, you cannot make changes to these elec ons during the year unless you experience a qualified family status change, which must be reported to Human Resources within 30 days of the event.

2 Welcome to the 2017 Open Enrollment! IMPORTANT OPEN ENROLLMENT INFORMATION This is your opportunity to make changes to your benefit coverage for the 2017 plan year. Your benefits begin if you are a full me employee the first of the month following date of hire. If you are op ng out of medical coverage, you must provide proof of other coverage and sign the Enrollment and Account Elec on Form. You should review your benefits during this annual enrollment to make sure you have the coverage that is right for you and your dependents. Forms to be completed Anderson Development Company 2017 Elec on Form. Blue Cross enrollment form if elec ng coverage for the first me or making dependent changes. Delta Dental enrollment form if elec ng coverage for the first me or making dependent changes. VSP Vision enrollment form if elec ng coverage. Flexible Spending Accounts Kapnick Insurance will con nue to administer our Flexible Spending Accounts. Anderson Development will be contribu ng $125 to the Flex Spending Account for employees who elect single medical coverage or elect to opt out of the medical coverage and $250 for employees who elect medical coverage for themselves and dependents. The Benny Card, a flex spending debit card, will be included again this year. Please do not destroy your current Benny Card. Eligibility Spouse coverage is available. Dependents or adult children are eligible to con nue on the medical, dental and vision un l the end of the year in which they turn age 26. Changes in Family Status It is your responsibility to no fy us of a change in family status (as outlined in the a ached Legisla ve Update) as soon as the change occurs or within 30 days of the event. This includes Medicare changes with respect to yourself or your dependents. Inside this issue: Summaries of your 2017 benefits. Important Annual No ces. Please review all of this informa on in detail. REMINDER! All completed forms are due back to Tricia in Human Resources by Thursday, March 2nd. Page 2

3 2017 Medical & Rx Coverage Option BLUE CROSS BLUE SHIELD SIMPLY BLUE PPO PLAN Anderson Development is con nuing to offer medical and prescrip on drug coverage through Blue Cross Blue Shield of Michigan. The coverage will remain the same for the 2017 plan year. The following chart gives a brief overview of the medical and prescrip on drug program available to you. Please review the full summary of benefits included in this enrollment guide for more details. Benefits In Network Out of Network Preven ve & Wellness Care Covered 100% Not Covered Well Baby & Child Care Covered 100% Not Covered Deduc ble $500 Individual $1,000 Family $1,000 Individual $2,000 Family Coinsurance 80%/20% 60%/40% Coinsurance Maximum $1,500 Individual $3,000 Family $3,000 Individual $6,000 Family Annual Out of Pocket Maximum (Including Deduc ble, Coinsurance & Fixed Copays) $6,350 Individual $12,700 Family $12,700 Individual $25,400 Family Physician Visit Copay $20 Plan Pays 60% a er Deduc ble Emergency Room Copay $150 $150 Prescrip on Drugs at Retail Prescrip on Drugs at Mail Order (90 day supply) $7 Generic/$35 Preferred Brand/$70 Non Preferred Brand Rx Copay $14 Generic/$70 Preferred Brand/$140 Non Preferred Brand Rx Copay Page 3

4 2017 Dental & Vision Coverage Option Dental DELTA DENTAL PPO PLAN Anderson Development is con nuing to offer dental coverage through Delta Dental of Michigan with only a slight change to the monthly premium. The following chart gives a brief overview of the dental plan. Please review the full summary of benefits included in this enrollment guide for more details. Benefits PPO Den st Premier Den st Non Par cipa ng Den st Deduc ble $50 Individual/$150 Family $50 Individual/$150 Family $50 Individual/$150 Family Annual Maximum (per person per calendar year) $2,000 $2,000 $2,000 Preven ve Services Covered 100% Covered 100% Covered 100% Basic Services Covered 100% Covered 80% a er Deduc ble Covered 80% a er Deduc ble Major Services Covered 60% a er Deduc ble Covered 50% a er Deduc ble Covered 50% a er Deduc ble Orthodon cs Covered 50% Covered 50% Covered 50% Orthodon cs Age Limit Up to Age 19 Up to Age 19 Up to Age 19 Orthodon cs Life me Maximum (per person) $1,000 $1,000 $1,000 VSP VISION PLAN NEW! Anderson Development is pleased to now offer vision coverage through VSP. The following chart gives a brief overview of the vision plan. Please review the full summary of benefits included in this enrollment guide for more details. VSP Provider Out of Network Provider Eye Exam (every 12 months) $10 copay Up to $45 Prescrip on Glasses $25 copay N/A Frames (every 12 months) $130 allowance for a wide selec on of frames $150 allowance for featured frame brands 20% savings on the amount over your allowance $70 Costco frame allowance Lenses (every 12 months) Single vision Lined bifocal Lined trifocal lenses Polycarbonate lenses for dependent children Lens Enhancements (every 12 months) Standard progressive lenses Premium progressive lenses Custom progressive lenses Average savings of 20 25% on other lens enhancements Included in prescrip on glasses copay Included in prescrip on glasses copay $55 $95 $105 $150 $175 Up to $70 Up to $30 Up to $50 Up to $65 Up to $50 Contact Lenses (every 12 months) $130 allowance; contact lens fi ng & evalua on Copay does not apply Up to $105 Page 4

5 Flexible Spending Account Flexible Spending Accounts FLEXIBLE SPENDING ACCOUNT (FSA) You have the opportunity to pay out of pocket health and dependent care expenses with pre tax dollars through the FSA. You must enroll/re enroll for 2017 elec ons. Please note the following important things to remember: You have a grace period un l June 14, 2017 to incur eligible expenses. You will then have un l August 13, 2017 to file claims for reimbursement. Any unused balance remaining in your FSA at the end of your grace period is forfeited. Health Care expenses: You may contribute up to $2,600 per year toward qualified health expenses. Dependent Care Reimbursement Account expenses are limited to $5,000 per year. A Note about Health Savings Accounts (HSA) and Flexible Spending Accounts You or your eligible spouse may not make contribu ons to both HSA and FSA accounts. You should contact your tax counsel to determine eligibility to make contribu ons. MYBENNY FSA DEBIT CARD For your convenience, you can view your FSA account balance as well as monitor debit card ac vity from the MyBenny card site. You can access MyBenny card any me 24 hours a day, 7 days a week once you have ac vated your account. It s as easy as: 1. Go to 2. Click on Client Center located on the Kapnick home page and then click on MyBenny Card. 3. Here, you can login to your account, ac vate your card and/or download a PDF of the Benny Prepaid Visa Card Brochure, Eligible/ineligible expenses and a FSA Frequently Asked Ques ons sheet. Current FSA par cipants who con nue using the plan will not receive a new debit card. If addi onal cards are needed there is a $10 charge. New cards will only be issued if current card is expiring. KAPNICK FSA 1MOBILE Want to check your healthcare account balances and submit receipts anywhere, any me? There s an app for that! Kapnick FSA 1mobile enables you to easily and securely access your healthcare spending accounts. You can view account balances and detail, submit healthcare account claims, and capture and upload pictures of your receipts any me, anywhere on any iphone, Android or tablet device. You can also sign up to receive account alerts via text message. Page 5

6 Who Dental to Contact Who Should I Call? Most of the day to day administra on of your employee benefits coverage can be accomplished directly with the insurance providers either through their websites or customer service telephone numbers. In the event you run into problems that cannot be resolved directly from the insurance companies, the Account Service Team at Kapnick Insurance Group is always available to assist you. ANDERSON DEVELOPMENT HUMAN RESOURCES Tricia Harju Director of Human Resources (517) tricia.harju@anddev.com ANDERSON DEVELOPMENT HUMAN RESOURCES Elliot Bailey Human Resources Generalist (517) elliot.bailey@anddev.com MEDICAL & PRESCRIPTION Blue Cross Blue Shield of Michigan (800) DENTAL VISION KAPNICK INSURANCE GROUP Delta Dental (800) VSP (800) Amy K. Wilson Client Advocate: (888) , x 1077 or (517) amy.wilson2@kapnick.com Kapnick Flex Department (800) Fax: (517) flex@kapnick.com Page 6

7 Flexible Spending Notes Account Notes Page 7

8 The informa on in this Enrollment Guide is presented for illustra ve purposes and the text contained in this Guide was taken from various summary plan descrip ons and benefit informa on. While every effort was taken to accurately report your benefits, discrepancies, or errors are always possible. In case of discrepancy between the Guide and the actual plan documents the actual plan documents will prevail. All informa on is confiden al, pursuant to the Health Insurance Portability and Accountability Act of If you have any ques ons about your Guide, contact Human Resources. 333 Industrial Drive Adrian, MI / FAX: