Phillips ANNUAL BENEFITS ENROLLMENT FOR PRE-65 RETIREES. The First Step in Your Wellness Journey

Transcription

1 Phillips ANNUAL BENEFITS ENROLLMENT FOR PRE-65 RETIREES The First Step in Your Wellness Journey

2 2014 ANNUAL BENEFITS ENROLLMENT FOR PRE-65 RETIREES Nov. 1 Nov. 22, 2013 your HEALTH.

3 Your wellness journey has many important steps along the way, and Annual Benefits Enrollment is one of them. What does wellness have to do with enrolling for benefits coverage? As it turns out, a lot! Wellness is about the daily decisions you make some small, some not so small that can have a big impact on your quality of life. The Annual Benefits Enrollment period is one of those not-sosmall decisions, since you re making your health care elections for the coming year. Your Phillips 66 retiree benefits coverage helps you pay for quality care to get and stay healthy, so taking the opportunity to review your options and your coverage needs for 2014 is time well spent. your BENEFITS. your LIFE. PHILLIPS ANNUAL BENEFITS ENROLLMENT 1

4 ANNUAL BENEFITS ENROLLMENT: THE BASICS Annual Benefits Enrollment is your opportunity to elect/change your retiree medical coverage for Even if you re happy with your current coverage, it s important for you to realize that 2014 plan changes could affect you in terms of premiums and coverage. Be sure to read all the enrollment information carefully. If you don t enroll by midnight Central time on November 22, 2013, your current Retiree Medical Plan elections will carry over into As a reminder, the Retiree Dental Plan and Retiree Life Insurance Plan will not be offered for If you re enrolled in either of these plans, your coverage will continue through December 31, If you have Retiree Life Insurance, you ll receive an informational packet by mail explaining your portability and conversion options. Important: Cancellation of medical coverage is irrevocable for a surviving spouse or surviving dependents. You cannot cancel coverage and re-enroll at a later date. Some things to consider as you prepare for Annual Benefits Enrollment Read this Guide and all other enrollment materials carefully. Check out the Annual Benefits Enrollment web page at hr.phillips66.com. Think about your unique situation. Has anything changed since last year s enrollment? Will you or a covered dependent be eligible for Medicare in 2014? Medicare eligibility affects your choices. Compare medical plans to determine which offers the best value for you in Ask yourself: How much do you normally spend on health care? Would you rather pay less in premiums, or have a lower deductible and copays? Are you a California resident? You may be able to enroll in a Kaiser Permanente HMO. Do you know which carrier Aetna or BlueCross BlueShield (BCBS) serves your area? Have you checked to see if your current doctors are in the Aetna or BCBS network? 2 PHILLIPS ANNUAL BENEFITS ENROLLMENT

5 IT S EASY TO ENROLL Once you ve done your homework, you re ready to go. From November 1 22, you can enroll online or over the phone and it s easy either way. ONLINE AT YOUR BENEFITS RESOURCES (YBR): From the internet, go to com/phillips66 and enter your YBR user ID and password. BY TELEPHONE: Call the Benefits Center at (800) , 8:00 a.m. to 6:00 p.m. Central time, Monday through Friday. Forgot your password? If you can t remember your YBR user ID or password, click Forgot User ID or Password at the YBR login. Or, you can call the Benefits Center and say I don t know when prompted to enter your password Annual Benefits Enrollment: November 1 November 22 NEED ADDITIONAL DETAILS? Health care reform requires Phillips 66 to provide you with a Summary of Benefits and Coverage (SBC), available at Benefits/Benefits-For-Tomorrow/ Retiree-Medical-And-Dental.aspx. It s a standardized document that highlights key provisions, limitations and exceptions. Note: If this is the first time you ve logged into YBR since May 30, 2013, you ll be required to complete a few security steps to further protect your personal information. Create a user ID (required only if you haven t previously set one up). Choose and answer a series of security questions (these will replace any security questions set up in the past). Register the computer or device that is being used to access the site. Provide contact information. PHILLIPS ANNUAL BENEFITS ENROLLMENT 3

6 YOUR 2014 ANNUAL BENEFITS ENROLLMENT CHOICES YOUR PRE-65 RETIREE MEDICAL PLANS When it comes to comprehensive care and services, the Phillips 66 medical plans have got you covered! The Consumer and PPO Plans help pay for in- and out-of-network services, including preventive care, regular checkups and office visits, hospital stays, prescription drugs (retail and mail-order), mental health and substance abuse, and more. And they both offer extensive provider networks either Aetna or BCBS, depending on where you live. The main differences between the plans have to do with when and how you pay for your health care. With the Consumer Plan, your monthly premiums are lower, you have a higher annual deductible, and if you enroll in the Consumer Plan, you can also contribute to a Health Savings Account (HSA). With the PPO Plan, your monthly premiums are higher, but the annual deductible is lower and you have copays for some services. Note that if you are under age 65 and are eligible for Medicare, you can select the Medicareeligible PPO Plan or, if you live in California, the Kaiser Permanente HMO. Medicare will always be considered primary (meaning it pays first) and the plan you elect will coordinate with Medicare. Family members who are not eligible for Medicare may be covered by the Consumer Plan, PPO Plan or Kaiser Permanente HMO. Refer to the Retiree Health SPD on hr.phillips66.com for a list of plan provisions. Consumer Plan Pre-65 Non-Medicare Only PPO Plan Pre-65 Non-Medicare and Medicare-eligible Network Non-network Network Non-network Annual deductible You only: $1,400 You + 1 or more: $2,800 (Includes prescription drug costs) You only: $600 You + 1 or more: $1,200 You only: $1,000 You + 1 or more: $2,000 (Excludes medical copays and prescription drug costs) Annual out-of-pocket maximum You only: $4,000 You + 1 or more: $8,000 You only: $5,000 You + 1 or more: $10,000 You only: $4,000 You + 1 or more: $8,000 You only: $6,000 You + 1 or more: $12,000 Health Savings Account (HSA) (Includes prescription drug costs) Yes You can contribute up to: $3,300 (you only) $6,550 (you + 1 or more) (Age 55 or over, you can make an additional contribution of $1,000) (Excludes prescription drug costs) No (continued) 4 PHILLIPS ANNUAL BENEFITS ENROLLMENT

7 Consumer Plan Pre-65 Non-Medicare Only PPO Plan Pre-65 Non-Medicare and Medicare-eligible Network Non-network Network Non-network Preventive medical care (deductible waived) Covered at 100% $1,500 covered at 100%; 50% thereafter Covered at 100% $1,000 covered at 100%; 50% thereafter Doctor visits You pay 20%, You pay 50%, $25 copay (primary care) You pay 50%, $50 copay (specialist) Most other services You pay 20%, You pay 50%, You pay 20%, You pay 50%, Preventive prescription drugs Other network prescription drugs Deductible waived $1,500 covered at 100% You pay 20% thereafter You pay 100% of the negotiated discounted cost until you reach your annual deductible You pay 20% thereafter No special provisions for preventive prescription drugs Retail: Generics: $10 copay Preferred brand: You pay 40% ($30 min./$125 max.) Non-preferred brand: You pay 50% ($60 min./$250 max.) Mail (Express Scripts): Generic: $20 copay Preferred brand: You pay 40% ($60 min./$250 max.) Non-preferred brand: You pay 50% ($120 min./$500 max.) PHILLIPS ANNUAL BENEFITS ENROLLMENT 5

8 If You Live in California You may be able to enroll in retiree medical coverage through a Kaiser Permanente Health Maintenance Organization (HMO) if you live within the service area. For coverage details, contact Kaiser Permanente HMO. Website: Phone: (800) Pre-65 Retiree Medical Premiums Consumer Plan (Non-Medicare only) Non-Medicare PPO Medicare-eligible PPO You or spouse only $ 709 $ 1,222 $ 978 You + spouse $ 1,418 $ 2,444 $ 1,956 You + spouse + children $ 1,633 $ 2,810 $ 2,322 You or spouse + children $ 924 $ 1,588 $ 1,344 Children only $ 215 $ 366 $ 978 Kaiser Permanente HMO Monthly Premiums Pre-65 Medicare-eligible Individual $ $ Individual + 1 $ 1, $ Individual + 2 or more $ 2, $ PHILLIPS ANNUAL BENEFITS ENROLLMENT

9 Aetna or BlueCross BlueShield (BCBS) Phillips 66 has added BCBS as our health plan carrier in certain locations. If you re not sure whether your carrier is Aetna or BCBS, contact the Benefits Center at (800) or find a complete listing on hr.phillips66.com. Are Your Current Providers in the Network? If BlueCross BlueShield (BCBS) is the health plan carrier for your area, check to see if your current doctors are in the BCBS network. Go to select the state you live in, type in your provider s name and location (the BCBS network for Phillips 66 participants will automatically be selected for you), then click on Search. If you have any additional questions about locating a provider in your area, call BCBS at (855) If Aetna is the health plan carrier for your area, check to see if your current doctors are in the Aetna network. Go to sign in and click on Find a Doctor, Pharmacy or Facility. For a list of providers in the Kaiser Permanente HMO network, go to click on Locate our services, then click on Find doctors and locations. About the Health Savings Account (HSA) You must be enrolled in the Consumer Plan to open or contribute to an HSA. Your HSA is owned by you and the funds carry over from year to year. You will contribute to your HSA account directly with your HSA administrator. PHILLIPS ANNUAL BENEFITS ENROLLMENT 7

10 TURNING AGE 65 IN 2014? Medicare coverage for eligible participants begins on the first day of the month of their 65th birthday (or the first day of the prior month if their birthday is on the first day of the month). Pre-65 retiree medical coverage for an enrolled participant will end on the last day of the month before turning 65. (For example, if your birthday is October 15, you will have pre-65 coverage through September 30 and Medicare coverage will begin October 1.) If you or your eligible dependent elects Medicare supplemental coverage through UnitedHealthcare or, if you live in California, Kaiser Permanente HMO, any remaining credits in your Retiree Medical Account (RMA) may be used to reimburse the monthly premiums you paid for you or your eligible dependents. Enrollment information from UnitedHealthcare and Kaiser Permanente HMO is generally mailed approximately 60 days before a 65th birthday. For more information on post-65 retiree medical coverage, please refer to hr.phillips66.com. RESOURCES FOR YOUR WELLNESS JOURNEY This Annual Benefits Enrollment Guide covers highlights of what you need to know to enroll in your 2014 benefits. If you want more information on a specific plan eligibility, coverage details, how it works you have several resources: Annual Benefits Enrollment website: hr.phillips66.com/annual-enrollment/2014- Annual-Enrollment.aspx. View the Summary Plan Descriptions (SPDs) at hr.phillips66.com. Benefits Center at (800) Remember, if you don t enroll during Annual Benefits Enrollment, your 2013 medical plan elections will carry over into Enroll by the deadline to ensure that you and your family have the coverage you want for Enroll before midnight, Central time on November 22, PHILLIPS ANNUAL BENEFITS ENROLLMENT

11 YOUR ENROLLMENT CHECKLIST* Benefit Medical Consumer Plan PPO Plan Non-Medicare PPO Plan Medicare-eligible Kaiser Permanente HMO No coverage * This is for personal use only. Coverage You or spouse only You + spouse You + spouse + children You or spouse + children Children only You or spouse only You + spouse You + spouse + children You or spouse + children Children only You or spouse only You + spouse You + spouse + children You or spouse + children Children only You or spouse only You + 1 You + 2 or more Coverage waived My Elections (mark your choices) PHILLIPS ANNUAL BENEFITS ENROLLMENT 9

12 This guide contains information you need to enroll in your 2014 benefits, which become effective Jan. 1, Visit Your Benefits Resources (YBR) for tools, details and your monthly premiums. This communication is an overview of certain terms and conditions of the health and welfare benefits and is for information purposes only. Receipt of the information provided in this communication does not guarantee eligibility for any associated plan. Eligibility for benefits is governed by the specific terms and conditions of the official plan documents and any underlying insurance contracts. This communication is intended for eligible U.S. retirees younger than age 65. It is not intended for employees or retirees covered by a collective bargaining agreement, unless the terms of the collective bargaining agreement specifically provide for participation. If there is any discrepancy or conflict between this overview and the terms of the official plan documents and any underlying insurance contracts, if applicable, the official plan documents and insurance contracts, as applicable, will control. Phillips 66 reserves the right to amend, change or terminate the plans, any underlying contract or any other program, at any time without notice, at its sole discretion, according to the terms of the plan. Your Benefits Resources is a trademark of Hewitt Associates LLC. HR-USB-PreGuide-HB