Annual Benefits Enrollment for 2018 November 1-15, 2017
This presentation is intended to provide you with a general overview of the benefit plan options available through your employer. The presentation will address the advantages and disadvantages of available plan options, but will not provide details regarding coverage for specific medications or treatments. For detailed coverage information, refer to the relevant plan document or policy. Questions regarding your eligibility to enroll in a benefit plan should be addressed with the Benefits Office. 2
Changes for 2018 Several changes are being made to the $2600/$5200 Deductible Plan HDHP option The deductible and in-network out-of-pocket limits have increased to $2,700 for an individual and $5,400 for a family in response to a change in IRS regulations. Consequently, this option s name will be called High Deductible Health Plan (HDHP). It will include a step therapy program for pharmacy drugs to be consistent with the other two medical options. Learn to Live, an online mental health resource currently available to our students, will be available to employees and their dependents. The FSA grace period will be eliminated beginning with 2018 FSA contributions. This means that 2018 FSA contributions must be spent or incurred by December 31, 2018. 2017 FSA contributions can continue to be spent or incurred by March 15, 2018. The Health Savings Account (HSA) maximum annual contribution amount will increase to $3,450 for Employee Only coverage and $6,900 for Employee+Spouse, Employee+Child(ren) and Family coverage. 3
Employee Premiums Are Not Changing Over the past 10 years, St. Thomas medical plan costs have gone up at an average of 4.8 percent per year. This past year, our total medical costs have gone up 3.6 percent. Great news for 2018 President Sullivan has decided to absorb this year s cost increase, keeping the employee premiums flat. This is her way of saying Thank You for your extra efforts on implementing the St. Thomas 2020 Strategic Plan, exploring new academic programs and enhancing our students experience. 4
Eligibility If your family members are currently covered under any of our benefit plans, you should confirm their continued eligibility as you review your benefit elections. It is your responsibility to remove or dis-enroll ineligible family members from coverage. Failure to do so could result in adverse consequences to you up to but not limited to termination of employment. If you are enrolling a spouse/dependent for coverage in any of the plans for the first time, you will need to provide proof of relationship to the Benefits Office within 30 days. Refer to the Family Member Eligibility Matrix for a list of acceptable documents. Otherwise, the affected individual s coverage may be terminated. 5
BCBS Medical Plan Comparison In-Network $500/$1,000 Deductible + Copay $1,250/$2,500 Deductible High Deductible Health Plan (HDHP) Deductible - Calendar Year $500 Individual $1,000 Family $1,250 Individual $2,500 Family $2,700 Individual $5,400 Family Medical Out of Pocket - Calendar Year $2,000 Individual $4,000 Family $2,500 Individual $5,000 Family $2,700 Individual $5,400 Family Rx Out of Pocket - Calendar Year $2,000 Individual $4000 Family $2,500 Individual $5,000 Family Included in medical amount above Preventive Care 100% 100% 100% Office Visit or Urgent Care $35 Copay 80% after Deductible 100% after Deductible Retail Clinic (Target, MinuteClinic, etc.) In-Patient, Out-Patient, Emergency Room $15 Copay 80% after Deductible 100% after Deductible 80% after Deductible 80% after Deductible 100% after Deductible Prescription Drugs $15/$35/$85 $15/$35/$85 100% after Deductible 6
Medical Plan Decision-Making Tool You will again have access to a decision making tool that can help you decide which medical plan option is right for you http://www.stthomas.edu/media/humanresources/benefits/plana dvisortool.pdf The tool will ask you questions about your health usage as well as that of your family. It will then provide you cost information which incorporates your premiums as well as your out-of-pocket expenses for the expected health care expenses. 7
2018 Medical Monthly Plan s $500/$1000 Deductible + Copay Plan Total Monthly UST Monthly Your Monthly Your Bi-Weekly Employee Only $ 722.21 $586.71 $185.50 $92.75 Employee +Spouse $1,389.91 $930.19 $459.72 $229.86 Employee + Child(ren) $1,274.11 $852.71 $421.40 $210.70 Family $2,007.65 $1,343.65 $664.00 $332.00 $1250/$2500 Deductible Plan Total Monthly UST Monthly Your Monthly Your Bi-Weekly Employee Only $ 701.95 $ 584.21 $ 117.74 $58.87 Employee +Spouse $1,263.41 $925.69 $337.72 $168.86 Employee + Child(ren) $1,158.14 $848.58 $309.56 $154.78 Family $1,824.97 $1,337.15 $487.82 $243.91 High Deductible Health Plan (HDHP) Total Monthly UST Monthly Your Monthly Your Bi-Weekly Employee Only $ 684.20 $ 583.58 $100.62 $50.31 Employee +Spouse $1,231.45 $924.55 $306.90 $153.45 Employee + Child(ren) $1,128.84 $847.54 $281.30 $140.65 Family $1,778.76 $1,335.50 $443.26 $221.63 8
2017 and 2018 Medical Bi-weekly Contribution Comparison $500/$1000 Deductible + Copay Plan 2018 Employee Biweekly 2017 Employee Biweekly 2018 Employee Difference 2018 UST Biweekly 2017 UST Biweekly UST Difference Employee Only $ 92.75 $ 92.75 $ 0 $293.36 $279.62 $13.74 Employee +Spouse $229.86 $229.86 $ 0 $465.10 $440.37 $24.73 Employee + Child(ren) $210.70 $210.70 $ 0 $426.36 $403.69 $22.67 Family $332.00 $332.00 $ 0 $671.83 $636.11 $35.72 $1250/$2500 Deductible Plan 2018 Employee Biweekly 2017 Employee Biweekly 2018 Employee Difference 2018 UST Biweekly 2017 UST Biweekly UST Difference Employee Only $ 58.87 $ 58.87 $ 0 $292.11 $279.62 $12.49 Employee +Spouse $168.86 $168.86 $ 0 $462.85 $440.37 $22.48 Employee + Child(ren) $154.78 $154.78 $ 0 $424.29 $403.69 $20.61 Family $243.91 $243.91 $ 0 $668.58 $636.11 $32.47 High Deductible Health Plan (HDHP) 2018 Employee Biweekly 2017 Employee Biweekly 2018 Employee Difference 2018 UST Biweekly 2017 UST Biweekly UST Difference Employee Only $ 50.31 $ 50.31 $0 $291.79 $279.62 $12.18 Employee +Spouse $153.45 $153.45 $0 $462.28 $440.37 $21.91 Employee + Child(ren) $140.65 $140.65 $0 $423.77 $403.69 $20.09 Family $221.63 $221.63 $0 $667.75 $636.11 $31.65 9
YOUR MEDICAL ID CARD You will receive a new member ID card only if you are a new enrollee, changed medical plan options or added dependents. For those receiving a new ID card: Expect to receive the ID cards by mail before January 1, 2018. Begin using the new ID card on or after January 1, 2018. Remember to alert your providers including your pharmacy that you have a new ID card to ensure the correct card is used when filing your claim. If you are enrolled in the fitness center discount program, make sure you provide your fitness center with your new ID card. Go to the website on the back of your card and either login or create your member account. 10 Confidential and proprietary.
FIND A DOCTOR SAVE MONEY BY USING DOCTORS IN YOUR NETWORK Pay the lowest cost for care by using doctors, clinics, hospitals and pharmacies in Blue Cross Aware network. The Find a Doctor web tool can help you find them. You ll see a list of providers in your network, including details like a map and whether they re accepting new patients. You can compare hospitals and search for high quality Blue Distinction Centers. We feature a large network of health care providers. Each provider is an independent contractor and not our agent. Designation as Blue Distinction Centers means these facilities' overall experience and aggregate data met objective criteria established in collaboration with expert clinicians' and leading professional organizations' recommendations. Individual outcomes may vary. To find out which services are covered under your plan at any facilities, please call Blue Cross and Blue Shield of Minnesota. 11 Confidential and proprietary.
E-VISIT/DOCTOR ON DEMAND Doctor On Demand allows you to see a board-certified physician from your smartphone, tablet, or computer, 24/7, 365 days a year. A video visit with a doctor is a quick, easy, no hassle way to get answers to your medical questions, diagnose a minor condition you are suffering from, and get a prescription if needed. Mental health visits are available by nextday appointment. Visits will be held between 7 a.m. and 10 p.m. local time. Typical average wait time to see an urgent care physician is < 3 minutes. 87% Recommended to Family and Friends MORE 5-STAR REVIEWS THAN ALL OTHER TELEMEDICINE SERVICES COMBINED As of February 16, 2016. American Well, MDLIVE and Teladoc. Doctor on Demand quantitative research (N=2400) 12 Confidential and proprietary. Doctor On Demand is an independent company providing telehealth services and is not available in every state. Check DoctorOnDemand.com/BlueCross MN to ensure you are located in a state that is eligible to participate.
GET THE MOST OUT OF YOUR PLAN Use the tools available to you at bluecrossmnonline.com. Example: Prescription Services tool From this site you can: Search for pharmacies in your network Search for drugs on your formulary Look up the cost of drugs and compare the cost at different pharmacies in your network Set up home delivery of the drugs you take on a regular basis Get information on specialty drugs and how to get started if you need a specialty drug 13 Confidential and proprietary.
KNOW YOUR OPTIONS FOR CARE $ CONVENIENCE CLINIC Open extended hours (nights/weekends) Minor health issue No appointment needed for treatment of minor health issues Short wait times $ $ $ $ URGENT CARE CLINIC Open extended hours (nights/weekends) E-Visit/ DOCTOR ON DEMAND Medical visits [24/7]; mental health visits available by next-day appointment Minor health issue Get face-to-face, online care from a board-certified doctor at DoctorOnDemand.com/ Bluecrossmn Minimal or no wait time $ $ $ $ $ OFFICE VISIT Open during regular clinic hours Preventive/routine care or health concern Make an appointment for preventive care, routine care and health issues Wait times vary EMERGENCY ROOM (ER) Open 24/7 Urgent not life threatening Drop in for medical care that is urgent but not life-threatening Life threatening Call 911 or go to nearest ER if the situation seems life-threatening Varies, typically longer than an office visit Longer if you go with a minor condition 14 Confidential and proprietary. Doctor on Demand is an independent company providing telehealth service and is not available in every state. Check DoctorOnDemand.com/bluecrossmn to ensure you are located in a state that is eligible to participate. Make sure your doctor and clinic/hospital is in your network before receiving care. This will make sure you receive the highest level of benefits. Each health care provider in an independent contraction and not our agent.
NEW FOR 2018 ONLINE BEHAVIORAL HEALTH PROGRAMS Learn to Live provides online mental health programs and clinical assessments for Blue Cross members (age 13 or older) living with stress, depression or social anxiety. Programs based on principles of Cognitive Behavioral Therapy Mental health facts Over 114 million Americans who have addressable mental health conditions will never seek face-toface therapy due to social stigma, accessibility and cost. 1 Anxiety problems affect 30 % of people, but often go undiagnosed and untreated. 2 80 percent of employees feel stress on the job. 3 1 Kessler & Wang, 2008. 2 Kessler et al., 2005. 3 AMIS, 2016. Learn to Live, Inc. is an independent company offering online cognitive behavioral therapy programs and services. 15 Confidential and proprietary. 15 15
What is a Health Savings Account (HSA) A Health Savings Account or HSA, is an individually-owned account used to save and pay for qualified health care expenses. Unlike a Flexible Spending Account (FSA), you own this account. The balance is yours even if you leave St. Thomas for any reason. Unlike an FSA, there is no use or lose provision you can keep the balance in your account until retirement age. 16
17 How does a HSA work?
Who Is Eligible for a Health Savings Account? Participants enrolled in the qualified high deductible health plan (HDHP) Must not be enrolled in any type of Medicare coverage Must not be covered by other medical insurance that is not an HDHP Must not have received VA medical benefits at any time in the past three months Cannot be claimed as a dependent on someone else s tax return You and your spouse cannot be contributing to/participating in a general-purpose health care flexible spending account If you are currently participating in a health care FSA for 2017, you need to have a $0 balance in that account on 12/31/17 or you will not be eligible to contribute to an HSA account until 4/1/18 (IRS rule). 18
HSA Contributions Level of Medical Coverage Maximum 2018 Annual Contribution Allowed from all sources Employee Only $3,450 Any other coverage tier $6,900 Catch-up contributions available for individuals 55 or older in 2018: $1,000 Contribution maximums are subject to the number of months that you are eligible to make HSA contributions. If you lose HSA eligibility, certain tax ramifications may apply to the amount you have over-contributed. Consult your personal tax adviser for more information. 19
How are contributions made to an HSA? Employees can make pre-tax contributions through regular payroll deductions. You may stop or change your pre-tax contribution amount during the year. Employees can make direct contributions on an after-tax basis throughout the year and until April 15 th of the following year. Employees can make a one-time transfer to their HSA from an IRA Consult your personal tax or finance adviser for more information. It is your responsibility to monitor that you do not contribute more than the amounts allowed by the IRS and to report any excess contributions to Alerus, our HSA administrator. 20
Eligible Expenses Examples of eligible out-of-pocket health care expenses: Deductibles Eyeglasses and contacts Dental expenses Prescription costs The incurred date of the expense must be after the Health Savings Account has been established and funded. If you use your HSA for ineligible expenses (non-qualified withdrawals), there will be tax consequences. Consult your personal tax adviser. Under 65 Ordinary income tax plus a 20% penalty Over age 65 Subject to income tax, but likely at a lower rate 20% penalty does NOT apply 21
HSA Advantage: Ownership You control how you spend the money in your HSA: Use it for eligible expenses today Save it for the future, even in retirement. You can change your medical plan option in the future and still keep the money in your HSA. If you enroll in a different plan option at St. Thomas during a future annual enrollment period, or leave St. Thomas, you can continue to spend down the amount that is in your HSA on any qualified expense. As a consumer, you become actively involved in the entire health care process. 22
How are contributions accounted for at tax time? If contributions are made through payroll deductions, contributions are made on a pre-tax basis and therefore excluded from your gross income. If you make direct contributions to your account on an after-tax basis, you will be able to deduct this from your taxes even if you do not itemize. Employees will receive Forms 5498 and 1099 from Alerus showing your contributions and withdrawals to aid in tax preparation. Form 8889 is required to be filed. It is important to keep copies of all receipts for distributions you take from your HSA. You are responsible for proving to the IRS that you used your HSA funds for eligible expenses, if you are later audited. 23
Delta Dental Plan No changes Delta Dental PPO (In-Network) Delta Premier (In-Network) Diagnostic & Preventive 100% 100% Deductible Calendar Year None $25 Individual; $75 Family Basic Services 100% 90% after Deductible Periodontics & Endodontics 80% 80% after Deductible Oral Surgery 80% 80% after Deductible Major Services 50% 50% after Deductible Orthodontics (children ages 8-18) 50% to a Lifetime Maximum of $1,500 50% to a Lifetime Maximum of $1,500 24
2018 Dental Plan s No Changes Total Monthly UST Monthly Your Monthly Your Bi-Weekly Employee Only $35.96 $10.66 $25.30 $12.65 Employee +Spouse $89.96 $26.68 $63.28 $31.64 Employee + Child(ren) $82.44 $24.44 $58.00 $29.00 Family $129.92 $38.52 $91.40 $45.70 25
EyeMed Vision Plan No Changes In-Network Member Out of Network Reimbursement Exam with dilation as necessary $10 Copay Up to $30 Contact lens fitting and follow up Standard contact Premium contact Up to $55 10% off Retail N/A N/A Frames Standard Plastic Lenses No copay; $130 allowance; 20% discount on charges over $130 Generally $25; see Annual Enrollment website for more information Up to $65 Varies from $25-$60 depending on type of lens; see benefit guide for details Lens Options Contact Lenses Generally $0; see Annual Enrollment website for more information Generally $150 allowance; see Annual Enrollment website for more information Generally up to $5 Up to $120 Frequency Examination Frame Lenses or Contact Lenses Once every 12 months Once every 24 months Once every 12 months 26
27 2018 Vision Plan s No Changes
2018 Flexible Spending Accounts (FSA) Annual amount must be elected through the Online Annual Enrollment System (Murphy Online) Separate annual limits apply to each account Health Care FSA limit: $2,600 Dependent Care FSA limit: $5,000 (or $2,500 if married filing separate tax returns) CHANGE: No grace period beginning with 2018 FSA contributions. All 2018 contributions must be spent by December 31, 2018 and requested for reimbursement by March 31, 2019 to avoid forfeiture. Check your 2017 FSA balance. Be sure to spend the entire balance by March 15 th and request reimbursement by May 15, 2018. 28
Optional Life Insurance & AD&D Employee: up to 5x your annual salary in increments of $10,000, not to exceed $500,000.* Evidence of Insurability (EOI) required for life insurance amounts over $200,000 or if you are enrolling for the first time regardless of amount. Spouse: up to 5x your annual salary in increments of $10,000, not to exceed $500,000;* Evidence of Insurability (EOI) required for life insurance amounts over $50,000 or if your spouse is enrolling for the first time regardless of amount. Child(ren): Elect $5,000 or $10,000. Under either option, benefit amount for child age 6 or under is $1,000. Employee married to another St. Thomas employee: You cannot elect spousal coverage for each other. Only one of you can elect coverage for your children. Benefit reductions apply beginning age 70. See the Certificate of Insurance for more information. 29
Long Term Disability St. Thomas provides you with long term disability (LTD) coverage, which provides a benefit equal to 60% of your base salary up to $15,000 a month, should you become disabled under the St. Thomas LTD plan. St. Thomas pays the full cost of this coverage. During annual enrollment, you can elect to pay taxes on the premium that St. Thomas pays, making the income benefit you may receive non-taxable. If you want to change the taxability of your LTD benefit, update this information in Murphy online. 30
MetLaw Legal Legal services benefit administered by Hyatt Legal Plans/MetLaw Provides telephone, in-office consultations and representation with a network of attorneys for a variety of needs such as estate planning, wills preparation, real estate matters, etc. No action needed if you want to carry over your 2018 election. Make changes in Murphy Online if you wish to enroll or cancel : $18.90/month or $9.45/biweekly pay period Elected for the whole year 31
HEPLT Only For Regular Hourly Employees HEPLT = Hourly Employee Paid Leave Time Can purchase up to 5 days or 40 hours (prorated by FTE) for a prorated reduction in salary using your base rate as of 1/1/2018 Requires manager approval To enroll, complete HEPLT Program and Salary Reduction Form. After obtaining manager approval, submit to Benefits Office by 4:30 p.m., November 15, 2017. Unused purchased hours will be refunded at the end of 2018. 32
Annual Enrollment Wednesday, November 1 st through Wednesday, November 15 th Passive enrollment this year Your current Medical, Dental, Vision, Life /AD&D Insurance elections remain the same unless you submit new elections Enroll/Re-enroll if you want to contribute to a Health Care and/or Dependent Care Flexible Spending Account(s), or Health Savings Account (HSA) 2017 elections will not carry over. After Annual Enrollment, changes for most benefit plans are generally not allowed during the year unless you experience a qualifying status event. The effective date for changes is generally January 1, 2018. Life coverage changes that require evidence of insurability will be effective on the date approved by Sun Life. 33
Annual Enrollment You will need to enroll online via Murphy Online by midnight, November 15, 2017 to: Newly elect, change, or drop medical, dental, vision, and/or MetLaw coverage Add or drop family members from your coverage Re-enroll or add a Health Care and/or Dependent Care Flexible Spending Account election, Re-enroll in Health Savings Account, or Change the taxable status of your long term disability benefit You do not need to complete the annual online enrollment process if: You do not wish to participate in the FSA or HSA You do not wish to make changes to your other 2017 elections 34
Annual Enrollment You will need to complete and submit forms to the Benefits Office by 4:30 p.m., November 15, 2017 : Elect a Health Savings Account (HSA) if enrolling in the HDHP medical option. Add or change optional life and AD&D insurance amount for you, your spouse or children Add or change your life and AD&D beneficiaries Buy HEPLT hours for regular hourly employees. This requires manager approval. Review your personal information and make the necessary corrections or provide missing information for you and/or your covered dependents to the Benefits Office SSNs, dates of birth, mailing address 35
Annual Enrollment All online submissions must be completed by 11:59 p.m., November 15, 2017. All forms must be submitted to the Benefits Office by 4:30 p.m. November 15, 2017. Benefits staff will be available: Email: benefits@stthomas.edu Phone: 651-962-6520 Drop-in: 8:00 a.m. to 4:30 p.m. M-F, Aquinas Hall, Room 201 Computer Lab sessions available (walk-ins): Tuesday, November 7 th in St Paul (JRC 227) 7 a.m.-8 a.m., 12 p.m.-1p.m., and 4 p.m.-5 p.m. Wednesday, November 8 th in MPLS (THM 442) 7 a.m.-8 a.m. and 12 p.m.-1 p.m. 36
Questions? Thank you for attending the 2018 Annual Benefits Enrollment meeting! 37