ANNUAL BENEFIT ENROLLMENT INSTRUCTIONS THROUGH LAWSON EMPLOYEE SELF-SERVICE BENEFITS DEPARTMENT Fall 2016
Table of Contents Introduction... 3 Accessing Open Enrollment In Lawson... 4 Reviewing and/or adding a Dependent... 6 Uploading Dependent Eligibility Documents... 9 Tobacco Surcharge... 11 Health Plan... 12 Working Spousal Surcharge... 14 Dental Plan... 15 Vision Plan... 17 Health Savings Account (HSA)... 19 Health Care and/or Child/Elder Care Flexible Spending Account... 20 Supplemental Life Insurance and AD&D Elections... 22 Supplemental Life and AD&D - Spousal Life Insurance... 23 Supplemental Life and AD&D - Dependent Life Insurance... 24 Coordination of Benefits (COB)... 25 Review Your Election and Save Your Enrollment... 26 Confirmation Statement... 27 Life Insurance Beneficiaries... 28 2
Introduction Welcome to a new era in Annual Benefits Enrollment on Lawson Employee Self-Service. During Open Enrollment, it is required that all employees who are eligible for benefits enroll online to elect their 2017 benefits. If you do not enroll during Open Enrollment October 7-28, 2016, you will not be eligible for medical, dental, vision and/or FSA plans until Open Enrollment 2018, unless you have a qualifying event. We offer benefits including Medical, Dental, Vision Plans, Health Care and Child/Elder Care Flexible Spending Account (FSA) and Supplemental Life insurance options (employee, spouse and dependent coverage). Please follow these easy steps to complete your 2017 Benefit Enrollment. One note, with each plan, should you choose not to participate, you will need to select Waive Plan. At the end of the enrollment process, you will have a chance to review all of your selections, click Save Your Enrollment and print a copy of your election. A copy of your Confirmation Statement will be automatically sent to your LVHN email address! If you have enrolled dependents in your medical and/or dental insurance, you will be asked to complete the required Coordination of Benefits (COB) information during the online enrollment in Lawson. You will have until October 28, 2016 to enroll for your 2017 benefits. Once you have saved your selections, you can only make changes if you enter them into the system and save your changes by the end of the day on October 28th. The following pages include step by step instructions. If you have any questions, please contact the Benefits Team at 484-884-3199. 3
Accessing Open Enrollment In Lawson Click on Open Enrollment on the Employee Self-Service Dashboard Or Select Employee Self-Service from the drop down menu, then select Benefits, Open Enrollment 4
To start Open Enrollment, review the verbiage on the Welcome screen and click Continue. 5
Reviewing and/or adding a Dependent Click on Add/Change Dependent to make changes to this information or add a new dependent. If your dependent s name is already listed here, there is no need to add their name again. This will open a detail window for you to review and/or change the dependent s information. Click Edit to review and/or update the information. Please review all your dependents listed to make sure their correct information (i.e., SSN, DOB, relationship, etc.) is reflected. Click Save to update your dependent s record. 6
To add a new dependent: You must complete each asterisked section and the Social Security Number for this new dependent. Click on the Save Button once you have updated information which will give you a blank New Dependent Form to add another Dependent. 7
If you need to change/update your dependents address: If your dependent does not live at your home address (i.e. school, with another parent), you must update their address to ensure proper claim processing. First, answer the question above Does this dependent reside with you? YES/NO. If NO, complete their address, including zip code. Click Save to update. 8
Uploading Dependent Eligibility Documents Dependent Eligibility documentation is required to enroll dependents onto insurance with LVHN (ex., State issued Marriage License, State issued Birth Certificate, etc.). If you have a file or picture of your document, you may upload it here. Acceptable file types are doc,docx,txt,jpg,pdf,csv,tif,png. Maximum acceptable file size is 2048 KB. To upload your document(s), click on the Upload Documents button. Click on the Browse button to select the file you wish to upload. Please give each document file a Title. Click on the Save Button once you have uploaded your documents. If are you finished adding dependents/modifying dependent or uploading documents and wish to proceed with Open Enrollment, click Continue. Next, you will see the list of benefits available for you to enroll for 2017. 9
This screen shows the various benefits you will be electing during the Open Enrollment process. Click on Continue to begin. Should you choose to enroll at a later time, click on Exit. A screen shot of your current benefit elections will appear. Check off each additional benefit you would like to review/change or check the Select All box if you want to enroll or all plans and click Continue. 10
Tobacco Surcharge Please answer the question regarding Tobacco usage within the past 3 months and click Continue. 11
Health Plan You will need to select one of the options on the page. If you are staying with your current LVHN Health Plan and not changing the dependents covered, select Keep the same coverage and continue If you are staying with your current LVHN Health Plan, but changing dependents covered, select Change Coverage Level and continue If you are waiving medical coverage or changing to another LVHN Health Plan, click Add or Change Plan and continue If you select Add or Change Plan (Elect, Waive) you will be able to move from one plan to the other or waive coverage. LVHN PPO plan = lower deductibles/higher premiums LVHN HSA plan = higher deductibles/lower premiums LVHN Health Plan Waive = Do not want this coverage. If you change your coverage to LVHN HSA plan, you will be asked to elect any additional contribution you would like to make to your Health Savings Account (HSA). This will occur later in this online Open Enrollment process (refer to your Open Enrollment packet for more information on the HSA plan and contribution limits for 2017). 12
Example of Change Coverage Level screen shown below, make your selection and click continue: Select the dependents you are enrolling in your health insurance effective 1/1/2017 by checking the box next to each name and clicking Continue. 13
Working Spousal Surcharge Please answer the question regarding your Spouse s eligibility for coverage with their employer. If your spouse works at LVHN or HNL, you should answer No to this question. 14
Dental Plan Each of the following plans follows the same basic steps to enroll or waive. Please select carefully and if you are not ready to enroll, you can wait until you have made all of the decisions and can complete enrollment in a single session. If you are staying with your current dental plan and dependents covered, select Keep the same coverage and continue If you are staying with your current dental plan but changing dependents covered, select Change Coverage Level and continue If you are waiving dental coverage or switching dental plans, click Add or Change Plan and continue To select, or switch to, a Basic or Comprehensive Dental Plan select Add or Change Plan (Elect, Waive) and Continue. The next screen will provide plan options available. Waive = Do not want this coverage. 15
Example of Change Coverage Level screens shown below. Select the dependents you are enrolling in your dental insurance effective 1/1/2017 by checking the box next to each name and clicking Continue. When finished making appropriate coverage and dependent selection, click on Continue to move to the Vision Plan. 16
Vision Plan If you are staying with your current vision plan and dependents covered, select Keep the same coverage and continue If you are staying with your current vision plan but changing dependents covered, select Change Coverage Level and continue If you are waiving vision coverage or switching vision plans, click Add or Change Plan and continue To select, or switch to, a Basic or Buy-Up Vision Plan select Add or Change Plan (Elect, Waive) and Continue. The next screen will provide plan options available. Waive = Do not want this coverage. 17
Example of Change Coverage Level screens shown below. Select the dependents you are enrolling in your vision insurance effective 1/1/2017 by checking the box next to each name and clicking Continue. 18
Health Savings Account (HSA) If you elected the LVHN HSA plan as your medical coverage for 2017, you now must decide if you will contribute additional money into your Health Savings Account (HSA). LVHN will contribute $650 for Employee Only coverage and $1300 for Employee +Spouse, Employee + Child(ren), or Employee + Family coverage. You may contribution additional money from your paycheck as well. Please refer to the 2017 LVHN Health Plan (Choice Plus) Brochure for more information. Health Savings Account = Enroll and select contribution level HSA Emp Waive / Employer Only = No additional contributions from employee, only LVHN portion 19
Health Care and/or Child/Elder Care Flexible Spending Account It is your decision to enroll in the child/elder care and health care flexible spending accounts. If you choose to enroll, enter the amounts you would like to have deducted for each plan. *YOU MAY NOT ENROLL IN A HEALTH CARE FSA IF YOU ELECT THE CHOICE PLUS HSA PLAN FOR 2017. Select Health Care FSA Account to select an amount for 2017. See screen below. You can enter an amount per pay period or per year. 20
Follow the same steps for the Child/Elder Care Flexible Spending Account. Select Child/Elder Care FSA Account to select an amount for 2017. See screen below. You can enter an amount per pay period or per year. 21
Supplemental Life Insurance and AD&D Elections You will need to select one of the options on the page. If you are electing Supplemental Life insurance for yourself, select Supp Life and AD&D Plan and continue o REMINDER you must elect insurance for yourself if you wish to elect either spousal and/or child life insurance If you are waiving Supplemental Life Insurance, select Supp Life and AD&D - Waive and continue Select the amount of life insurance your would like for yourself (shown in increments of $25,000 and the appropriate bi-weekly payroll deduction). Reminder During open enrollment, you can increase your existing supplemental life coverage by $25,000 or newly enroll for $25,000 without Evidence of Insurability (EOI). If you elect coverage beyond an increment of $25,000, you will have to provide EOI. Make you selection and click Continue. 22
Supplemental Life and AD&D - Spousal Life Insurance If are electing life insurance for your spouse, please make your election below. You will need to select one of the options on the page. If you are electing coverage for your spouse, select Supp Life Spousal and continue If you are waiving coverage for your spouse, select Supp Life Spousal - Waive and continue You may elect spouse life insurance coverage of either $25,000 or $50,000, provided you elect employee supplemental life coverage. You can increase spouse coverage by a $25,000 increment without EOI. Next, select either $25,000 or $50,000 of coverage and click Continue Then, click the name of your spouse and click Continue 23
Supplemental Life and AD&D - Dependent Life Insurance If are electing life insurance for your child(ren), please make your election below. You will need to select one of the options on the page. If you are electing coverage for your child(ren), select Supp Life Child and continue If you are waiving coverage for your child(ren), select Supp Life Child - Waive and continue Next, you will see the $15,000 of life insurance you are electing for child coverage (if applicable). Click Continue. Then, you must select the child(ren) you are including in this coverage, and then click Continue 24
Coordination of Benefits (COB) Answer the question - Are you, your spouse, or any of your dependents enrolled in any other medical or dental and/or Medicare? YES/NO If NO, scroll down to the bottom of the page and select Continue If YES, fill in the information required for each of your dependents and click Continue. 25
Review Your Election and Save Your Enrollment Review the information on the Benefit Elections As Of 1/1/2017 screen. If you are comfortable with your elections for 2017, scroll down to the bottom of that screen and click Save Your Enrollment. If you would like to make changes, click Make Changes and go back and address the benefit you wish to alter. If you do not click Save Your Enrollment, your enrollment for 2017 will not be saved. You have until October 28 th to make your 2017 elections and save them. After October 28 th ; changes to your 2017 benefit plan cannot be made unless there is a life event that qualifies for changing benefits or the next annual enrollment. 26
Confirmation Statement After you Save Your Enrollment, you will be asked if you would like to print a confirmation statement. Please print for your records. If you elected, or increased, Supplemental Life or Spousal life insurance by an amount greater than $25,000, you must complete the Evidence of Insurability (EOI) form (shown above). Please be advised, if you have added dependents that require dependent documentation verification, you will see a pending plan and/or requires verification on your confirmation statement. Your benefit will not activate until the documentation (outlined in the Guidelines for Dependent Eligibility on the HR intranet under Benefits, Eligibility) is received and approved. **A copy of your Confirmation Statement showing your 2017 elections will be automatically sent to your LVHN email address** 27
Life Insurance Beneficiaries You have the ability to update your life insurance beneficiaries during Open Enrollment. To review and/or change your current beneficiaries, please click Go to My Beneficiaries. Make changes to your beneficiaries and click Save Beneficiaries. If no changes are needed, click Continue. If you need assistance, please contact the Benefits Team at 484-884-3199 or attend a help session. 28
You may make designations for each of the following policies: Basic AD/D Plan = basic AD/D insurance provided by LVHN Basic Life Plan = basic life insurance provided by LVHN Supp Life and AD/D Plan = (if elected) supplemental life insurance you elected to be paid for through paycheck deduction. If you are designating more than one beneficiary for each of the policies, you must make each election separately. For an example, please see the next page. If you are changing beneficiaries, you must delete the current beneficiary and then proceed with your new elections. 29
For example, if you wish to have 2 beneficiaries at 50% each for all of your life/ad&d/supp Life policies, you must enter that designation separately under each policy. Start by adding the first person to each policy at 50%. Then click Save Beneficiaries. Then select the other beneficiary for the remaining 50% of each policy. Click Save Beneficiaries again. 30