employee benefits guide plan year beginning January 1, 2018

Transcription

1 2018 employee benefits guide plan year beginning January 1, 2018

2 The information in this Benefits Summary is presented for illustrative purposes and is based on information provided by the sources. The text contained in this Summary was taken from various summary plan descriptions and benefit summaries. While every effort has been taken to accurately report your benefits, discrepancies or errors are always possible. In case of any discrepancy between this Benefits Booklet and the actual plan documents, the actual plan documents will prevail. All information is confidential, pursuant to the Health Insurance Portability and Accountability Act of If you have any questions about this summary, contact Human Resources.

3 table of contents How To Enroll Online Qualifying Events and Midyear Changes. 6 Enrolling In State Health Calendar Of Events Benefits Overview Medical Plans Medical Bridge Plan Life Insurance Dental Plans Vision Plan Disability Income Supplemental Plans Prescription Savings Tax Savings Accounts Employee Perks Contacts and Resources

4 how to enroll online go to tcsbenefits.me click Explore Your Benefits log in to Employee Navigator first time users: click Register as a new user company identifier: tcityschools returning users: log in using your company click Reset password, if necessary 4

5 how to enroll online Thomasville City Schools handheld and hassle-free Now you can check your benefits on your smartphone or tablet using the same simple steps you use on a computer. Visit tcsbenefits.me to begin. 5

6 qualifying life events What is a qualifying life event? Open Enrollment selections are generally locked for the plan year, but certain exceptions called Qualifying Life Events (QLEs) can grant you a special enrollment period in which to make midyear changes. Examples of QLEs The following events will open a special 30-day enrollment period from the date of the event, allowing you to make coverage changes. marriage divorce childbirth / adoption R.I.P. age 26 JOB OFFER This letter constitutes an official offer of employment at ABC Company effective October 1, 2017 death of a family member loss of parental coverage spouse gains or loses coverage For more examples and details, see Employee Navigator 6

7 how to make midyear QLE changes 1. On your Employee Navigator homepage, select the second box from the left, labeled Benefits. 2. Select the type of change you want to make. You can add new coverage, edit existing elections, or drop coverage. 3. Select your reason for making the change from a list of the most common Qualifying Life Events. If you don t see your event, contact Big Oak Benefits Group (see back cover for details). 7

8 enrolling in state health myshbpga.adp.com registration code: shbp-ga Any problems, call Becky Donathan or Karen Kelso at the Central Office Or, call SHBP Support at (800)

9 refresh. review. renew. add, change, or drop benefits change who you cover add eligible dependents update beneficiaries OCT OCT JAN Open Enrollment ends Your changes take effect Begin Open Enrollment 9

10 benefits overview Thomasville City Schools cares about your well being. That s why we offer a comprehensive employee benefits program to help you stay healthy, feel secure, and maintain a good work-life balance. Medical Dental Vision Disability Life Supplemental Tax Savings Retirement Start here. This essential core benefit protects you and your family from the rising costs of healthcare. From cleanings to crowns and much more, everything you need to promote oral health. Low copays and a vast vision network make eye care easier than ever. Protect your paycheck with plans designed to keep the money coming when you re hurt or sick and can t work. Secure your family s financial future with affordable term life insurance, available on yourself and dependents. Personalize your peace of mind with plans that pay you tax-free cash to offset out-of-pocket expenses. Reduce your taxes with the Health Savings Account, Flexible Spending Account and Premium Pre-Tax Plan. Plan for the future with comprehensive retirement plans. 10

11 medical plans Gold Plan Silver Plan Bronze Plan PPO network Preventive Care To Deductible Blue Cross Blue Shield Paid 100% by insurance, in-network only Everything except Preventive and Prescriptions Deductible In-Network In-Network In-Network You $1,500 $2,000 $2,500 You + Children/ $2,250 $3,000 $3,750 Spouse You + Family $3,000 $4,000 $5,000 Coinsurance Plan pays 85% Plan pays 80% Plan pays 75% Out-of-Pocket Limit Comprised of your deductible + your coinsurance + Rx copays You $4,000 $5,000 $6,000 You + Children/ $6,000 $7,500 $9,000 Spouse You + Family $8,000 $10,000 $12,000 Base HRA Dollars These dollars used first to reduce your deductible or Rx copays You $400 $200 $100 You + Children/ $600 $300 $150 Spouse You + Family $800 $400 $200 Prescription costs also subject to minimum and maximum $ amounts Prescription Copays 15% / 25% / 25% 15% / 25% / 25% 15% / 25% / 25% Doctor Visits deductible deductible deductible Urgent Care / ER deductible deductible deductible 11

12 medical plans BCBS HMO UHC HMO UHC HDHP* PPO network BCBS UHC UHC Preventive Care Paid 100% by insurance, in-network only Deductible In-Network In-Network In-Network You $1,300 $1,300 $3,500 You + Dependent $1,950 $1,950 $7,000 You + Family $2,600 $2,600 $7,000 Coinsurance Plan pays 80% Plan pays 80% Plan pays 70% Out-of-Pocket Limit Comprised of your deductible + your coinsurance + Rx copays You $4,000 $4,000 $6,450 You + Dependent $6,500 $6,500 $12,900 You + Family $9,000 $9,000 $12,900 HMO is the only option with Doctor copays. *HDHP allows HSA. Prescription Copays $20/$50/$90 $20/$50/$90 deductible Doctor Copays PCP $35 Spec $45 PCP $35 Spec $45 deductible Urgent Care / ER $35 / $150 $35 / $150 deductible *Special note about HDHP - this is a tax favored plan which allows you to open a Health Savings account and pay all your medical bills with tax-free dollars. It s a good deal for some people. Scott Sterling if you d like to discuss this plan. 12

13 medical plans 2018 State Health Benefit Plan Monthly Premiums You You + Children You + Spouse You + Family BCBS Gold $ $ $ $ BCBS Silver $ $ $ $ BCBS Bronze $72.45 $ $ $ BCBS HMO $ $ $ $ UHC HMO $ $ $ $ UHC HDHP* $58.03 $ $ $ Savings Strategies for the SHBP plans Prescriptions - your copays count toward your out-of-pocket. Be your own consumer advocate. See the money saving options on page 23: you may get a $20 generic or $50 brand name drug for $4, or even free. Consider the Bronze Plan - if you re pretty healthy you could pocket the savings. Consider pairing this with the Colonial Medical Bridge plan. Consider the Colonial Medical Bridge Plan - you could use some of your savings toward the Medical Bridge plan, which can help pay deductibles and/or coinsurance. Utilize the FSA - Flexible Spending Account - to pay medical expenses, or for dependent care. Every $100 you pre-tax saves you $21 to $34. 13

14 medical bridge plan SUPPLEMENT THE CORE This plan supplements your medical coverage by paying you cash to help meet your deductible and other out-of-pocket expenses. These benefits are for Option 2 of the Colonial Medical Bridge $1,500 $500 or $1,000 guaranteed issue hospitalization benefit outpatient surgery benefit no pre-existing exclusions For a lower premium consider Option 1. For richer benefits, consider Option 3. PLAN RATES For most people Option 2 is just $19 per month. Rates for the Colonial Medical Bridge plan vary by age and option selected. For full details, please see Employee Navigator. 14

15 term life insurance build on a solid foundation Thomasville City Schools provides you with $50,000 basic life insurance, as well as additional voluntary life insurance options to help secure your family s future. Personalized individual policies and financial planning are also available. individual policies did you know? Your own situation may benefit from Financial Planning. For a conversation, contact Austin England (see back cover). voluntary life basic life feature basic life voluntary life employee benefit dependent coverage guaranteed issue employee cost $50,000 +$50,000 more if accidental death see voluntary life $50,000 for employee paid for 100% by Thomasville City Schools $10,000 - $150,000 up to $75,000 spouse $5,000 /$10,000 children at new hire enrollment $100,000 employee $20,000 spouse (ages 15-64) Rates vary by age, see Employee Navigator 15

16 permanent life NEW for 2018! supplement the core benefit Thomasville City Schools offers permanent life insurance, allowing you to lock in your rate for life. life insurance guaranteed to age 80 or beyond long term care built-in guaranteed issue during this open enrollment only employee benefit Guaranteed issue up to $150,000. spouse coverage Guaranteed issue up to $15,000. child coverage Contact us for details, if desired. lifetime coverage long term care Policy lasts your entire life. The rate is guaranteed to age 80 at a minimum, or longer depending upon interest rates. The death benefit may be used while living to pay expenses for long term care. 4% of death benefit per month for up to 25 months, then if still required, a second 25 months. rates Rates vary by age, see Employee Navigator for details. Contact For details or assistance call Dean Donathan

17 dental plans HIGH PLAN PPO NETWORK HIGH PLAN ANY DENTIST LOW PLAN ANY DENTIST PROVIDER You must use a network dentist You may choose any dentist You may choose any dentist DEDUCTIBLE PREVENTIVE CARE $50 annually, waived for Preventive The plan pays 100% of the cost of cleaning twice per year, plus periodic x-rays. Deductible waived. BASIC SERVICES Plan pays 80% for most services, including fillings, extractions, oral surgery and root canals. Plan pays 80% for most services, including fillings, extractions, oral surgery and root canals. Plan pays 60% for most services, including fillings, extractions, oral surgery and root canals. MAJOR SERVICES The plan pays 50% for crowns, bridges, implants, and dentures. The plan pays 50% for crowns, bridges, implants, and dentures. The plan pays 40% for crowns, bridges, and dentures. ANNUAL MAXIMUM $1,000 per person, per calendar year $1,000 per person, per calendar year $750 per person, per calendar year ORTHODONTIA Pays 50% up to $1,000. Any age. Pays 50% up to $1,000. Any age. Pays 40% up to $750. Any age. MAX ROLLOVER If you have at least one procedure, such as a cleaning, but under $500 of claims, Guardian will add $250 to your Maximum for the next year. If you have at least one procedure, such as a cleaning, but under $500 of claims, Guardian will add $250 to your Maximum for the next year. If you have at least one procedure, such as a cleaning, but under $375 of claims, Guardian will add $200 to your Maximum for the next year. Monthly Premiums *pre-tax will save you 21-34% Employee $35.12 $42.59 $34.19 Family $91.07 $ $

18 vision plan Your yearly eye exam is 100% covered in the VSP network, for just a $10 copay. The plan reimburses $39 out of network. eye exams Lenses are 100% covered in the VSP network after a $25 copay, once per year. Out of network, the plan reimburses between $23 and $64, depending on lens type. lenses If you use the VSP network, the plan pays you up to $130 for frames every two years. Out of network the plan pays $46. frames The plan pays you $130 per contacts (instead of glasses) every year if you use the VSP network. Out of network, $100. contacts employee $8.42 employee + spouse $14.15 employee + children $ employee + family $22.85

19 vision plan The Thomasville City Schools vision plan offers you the flexibility of using VSP, a trusted vision network with providers nationwide. national network The Thomasville City Schools vision plan takes the guesswork out of eye care by offering low, consistent copays on common services and materials when you use the VSP network. low copays In addition to great coverage on eye care services, the Thomasville City Schools vision plan offers you 15-30% discounts on upgrades and sunglasses when you use the VSP network. extra discounts 19

20 disability income don t get detoured by disability Thomasville City Schools provides disability income plans to keep you on the road to retirement by ensuring that you and your family can count on an income if you get hurt or sick and are unable to work. Retirement 67 waiting period If you get sick or hurt and can t work, where will the money come from? Your waiting period is the time you ll be without income until disability benefits begin. short term disability After a waiting period of 14 days, Voluntary Short Term Disability begins paying you 60% of your income. These payments will last up to 150 days. long term disability On the 151st day, Long Term Disability begins paying you 60% of your income, and lasts until retirement (age 65 or 67) if necessary. *This benefit is paid for 100% by Thomasville City Schools. 20

21 disability income Your Long Term Disability policy is paid for entirely by Thomasville City Schools. Supplement this core benefit with Voluntary Short Term Disability insurance. DI key features Maternity is covered by the Short Term Disability policy. Most people will receive 4 to 6 weeks of payments. maternity If your doctor says you are only able to work part time, you will be eligible for partial benefits. See online for details. partial disability You pay for Short Term Disability so your benefits will be received tax-free. Because Thomasville City Schools pays for 100% of your Long Term Disability, that benefit is taxable. tax savings 21

22 supplemental plans Aflac supplemental plans pay you tax-free cash to help cover out-of-pocket expenses when you re sick or hurt. Available plans include Accident Advantage, Cancer Care, and Critical Care. For more details, contact Zach Parker (see Contacts on page 27). Thomasville City Schools offers the Colonial Medical Bridge plan to help cover your deductible and other out-of-pocket medical expenses. For more details on this plan, see page 14. Thomasville City Schools offers the Unum Long Term Care plan to pay you a monthly benefit during times when you are unable to perform activities of daily living and require assistance. For details, contact Tommy Groover at [phone number] Thomasville City Schools offers TransAmerica s TransElite Universal Life plans, with guaranteed issue of up to $150,000 for employees. This product is permanent life insurance with long term care included. For more information, contact Dean Donathan at

23 prescription savings shop smarter, not harder. Your medical plan will help reduce the costs of prescription medications. But by using the following resources, many people have saved much more. at the store Use as directed: Find antibiotics and other commonly prescribed drugs from $0 to $4 by shopping at Publix, Harvey s, and Walmart. on the web Use as directed: Compare prices and find valuable coupons on these sites: blinkhealth.com goodrx.com find all the details online 24/7 in 23

24 tax savings strategies Your Flexible Spending Account is currently managed by WageWorks. You can access your accounts online 24/7 at Subject to change. HOW IT WORKS The Healthcare Reimbursement Flexible Spending Account allows employees to pay for certain IRS-approved medical care expenses not covered by their insurance plan with pre-tax dollars. Some examples include: Deductibles, coinsurance, prescription copays, and hearing services, including hearing aids and batteries Vision services, including contact lenses, contact lens solution, eye examinations and eyeglasses Dental services including Orthodontia Maximum $2,500 per year may be pre-taxed. Those dollars avoid Federal and State income taxes. Healthcare Reimbursement FSA 21% There is a $5 per month cost for this plan. At the end of the year you may roll over your unused balance, up to $500, for another 12 months. Otherwise this is use it or lose. 24 Minimum tax savings based on 15% federal and 6% Georgia taxes

25 tax savings strategies KEEP MORE OF YOUR MONEY Thomasville City Schools offers several ways for you to save on medical expenses by reducing your taxes and increasing your take-home pay. HOW IT WORKS Dependent Care FSA The Dependent Care Flexible Spending Account allows employees to use pre-tax dollars for qualified dependent care such as caring for children under age 13, or for elders. The annual maximum amount you may contribute is $5,000 (or $2,500 if married and filing separately). Those dollars avoid Federal and State income taxes. The cost of child or adult dependent care The cost for an individual to provide care either in or out of your house Nursery schools and preschools (excluding kindergarten) ADDITIONAL TAX SAVINGS PREMIUM PRE-TAX PLAN Money you spend on benefits (except for Life and Disability) is sheltered from Federal and State taxes, for a tax savings of 21-34% There is no charge for this plan. HEALTH SAVINGS ACCOUNT Reduce your taxable income while saving on out-of-pocket medical expenses. (Requires the UHC HDHP plan, see page 12 for details). 25

26 employee perks Thomasville City Schools offers employees the option of payroll deduction as a convenient way to pay for your YMCA membership and receive a 15% discount from the regular dues. Thomasville City Schools offers employees the option of payroll deduction as a convenient way to pay for your Factor X Fitness membership, with joiner fees and annual fees waived. Thomasville City Schools offers a $15 discount per service at Metta Day Spa if you sign up for their convenient payroll deduction program. Thomasville City Schools offers employees the opportunity to join Rose City Federal Credit Union to obtain great rates on savings accounts and loans and to enjoy the convenience of payroll deductions. Thomasville City Schools enables you to join PAGE and pay your dues through monthly payroll deduction. Thomasville City Schools enables you to join the Georgia Association of Educators and pay your dues through monthly payroll deduction. Thomasville City Schools offer you the opportunity to contribute to the United Way through payroll deduction. 26

27 contacts and resources check the status of your claim online Blue Cross Blue Shield United Healthcare Guardian Login in top right corner Click Online Tools and Resources then Your Member Website Register on the right side Medical by phone on the web bcbsga.com/shbp Medical Dental, Vision, Life & Disability Income Accident, Cancer Care, Critical Care Medical Bridge Long Term Care Flexible Spending by phone by phone by phone by phone by phone on the web welcometouhc.com/ shbp on the web guardiananytime.com on the web aflac.com on the web coloniallife.com on the web unum.com on the web wageworks.com 27

28 bigoakbenefits.com see below MEET YOUR DEDICATED BIG OAK BENEFITS TEAM Account Executive Angela Parrott Additional Client Services Jamie Parramore Benefits Advisor Philip Ambrose Financial Planning Austin England Managing Partner Scott Sterling Main Office Line: Physical / Overnight: 116 E. Monroe St, Thomasville GA Mailing: P.O. Box 1953, Thomasville, GA 31799