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April 23 – May 19 Benefits Effective July 1, 2018 April 23 – May 19 Benefits Effective July 1, 2018

April 23 – May 19 Benefits Effective July 1, 2018 - PowerPoint Presentation

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April 23 – May 19 Benefits Effective July 1, 2018 - PPT Presentation

TODAYS TOPICS Open Enrollment McGohan Brabender Who we are and how can we help you Core Benefits MedicalRx Benefits Dental Benefits Vision Benefits Life amp Disability Benefits What do you need to do ID: 934974

benefits 000 deductible hsa 000 benefits hsa deductible care plan pay employee tax 100 medical expenses hdhp amp year

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Slide1

April 23 – May 19Benefits Effective July 1, 2018

Slide2

TODAY’S TOPICS

Open Enrollment

McGohan Brabender:

Who we are and how can we help you?Core Benefits

Medical/Rx Benefits Dental Benefits

Vision Benefits

Life & Disability Benefits

What do you need to do?

Questions

Slide3

SUPPORT SERVICES

McGohan Brabender Customer Care Team

Should you have questions on claims, coverage, billing, etc. MB can help. MB’s Customer Care Team can call the carrier on your behalf and resolve the issue:

1.937.260.4300 or 1.877.635.5372

e-mail us at: CustomerService@mcgohanbrabender.com

Hours of Operation:

M – F 8:00 a.m. – 5:00 p.m. EST

HR

Should you encounter issues that you are unable to resolve, please call:

Elizabeth Foos

HR Department: 740.368.3327

Email

:

ekfoos@owu.edu

Slide4

Medical Overview:

Staying with Anthem

Effective

July

1, 2018. Employees will have

TWO plan

choices:

PPO 1000 & HDHP 3000

The

plans offer:

Comprehensive Medical Coverage

Preventive Care Services are covered 100% (in-network)

Prescription Drug Plan

Discounted Rates with

Providers

Features of the HDHP:

Lower premiums for the higher deductible

Tax savings

OWU contribution to the HSA

Slide5

IN-NETWORK BENEFITS

PPO 1000

HSA 3000

Deductible

$1,000 / $2,000

$3,000 / $6,000

Deductible Plan Year or Calendar Year

Calendar Year

Calendar Year

(any previous PPO deductible accumulated will be counted towards HDHP deductible)

Embedded or Aggregate?

Embedded

Embedded

Coinsurance

10%

20%

Out-of-Pocket Maximum

(Includes Deductible)

$3,500 / $7,000

$6,000 / $12,000

Office Visit Co-pay

$30 Co-PayDeductible then co-insuranceSpecialist$60 Co-PayDeductible then co-insuranceUrgent Care Co-pay$75 Co-PayDeductible then co-insuranceEmergency Room$250 Co-PayDeductible then co-insuranceWellness/Preventive CareCovered at 100%Covered at 100%Prescription Drug – Retail Copay $10 / $35 / $70 / 25% Deductible then co-insurancePrescription Drug - Mail Order Copay$10 / $65 / $120 / 25%Deductible then co-insurance

Slide6

THE HSA WORKS WITH THE HDHP

HDHP = The MEDICAL PlanThe HDHP provides

coverage

after the annual deductible is met and

preventive care services

are covered at 100%.

HSA = The BANK Account

Funds in

the HSA

can

be used to pay

for eligible medical, dental and vision related expenses.

Helps Pay Your deductible

Tax-Deductible Deposits

Tax-Deferred

Growth

Tax-Free

Withdrawals

For Medical Care

HealthSavings Account(HSA)

Slide7

HSA ADVANTAGES

You own the account

You decide to pay for current or save for future expenses

You decide how much is deposited

An HSA builds over time (not use it or lose it)

Opportunity to invest

Retirement

Savings

Contributions are Pre-tax (through Section 125 plan). Federal, State, FICA and local tax savings.

Any contributions made after tax would be an above the line deduction.

HSA funds accumulate tax-free

A beneficiary would be designated on the account in the event the account holder passes away

.

Qualified expenses paid with PRE-TAX dollars!

Slide8

FLEXIBILITY

Ability to change your contribution throughout the year

With HR approval you can start, stop, increase and/or decrease your contributions through payroll deduction throughout the year.

You never lose access to the funds in your HSA even if you:

Don’t use it by the end of the year –

the money rolls over and you maintain the opportunity to contribute up to the yearly maximum.

Terminate or transfer employment –

you own the account, all funds stay with you.

Terminate enrollment in a HDHP –

at this point you can no longer make contributions but can still use the funds for qualified expenses.

OWU’s HSA Contributions

$1,500 / Single $3,000 / Family

Contribution Limit: $3,450 / Single, $6,850 / Family (these contribution limits include OWU’S HSA contribution)

Slide9

HOW CAN I USE MY HSA FUNDS?

Childbirth Classes

COBRA Premiums

Co-Insurance Amounts

(after deductible is met)

Contact Lenses/Solutions

Deductible Expenses

Dental Treatment

Eye Exams/Eyeglasses

Health Insurance Premiums

(Retiree or while drawing unemployment)

Hospital and ER Services

Laboratory Fees

Medicare Premiums

Long Term Care Premiums

Orthodontia

Over the Counter Medication when a script is obtain from a physician

Insulin

Physical Therapy

Radial Keratotomy/Lasik Surgery

Smoking Treatment Program Speech Training Vaccines Weight Loss Programs(prescribed for illness)Funds withdrawn for qualified expenses are tax free when used to pay for eligible health care expenses. Some example are:

Slide10

RECORD KEEPING

Who is responsible for keeping track of what the HSA funds are used for?

YOU ARE.

You should keep a listing of ALL of the withdrawals that occur from the HSA and the qualified medical expenses they correspond to in case needed to:

Provide proof to the IRS that distributions from HSA were for qualified medical expenses

Provide proof that the deductible was met under the HDHP

NOTE: Not all medical expenses paid out of the HSA have to be charged against the deductible. (i.e. dental care, vision care) in order to be considered “qualified,”; however

,

all non-qualified withdrawals are subject to income taxes and a 20% IRS penalty.

You will be required to file a Form 8889 with your annual tax return. Your bank will report contributions and distributions to both you and the IRS.

Slide11

FSA Overview

HRPro

Flex Spending $2,650 & Dependent Care $5,000

$500 Carryover if enrolling in the 2018-2019 plan

Benny Card: You will keep the same card, HR Pro will reload July 1

st

KEEP ALL RECEIPTS for your records and in case of IRS inquiry

Check your current balance at

http://hrpro.biz/

,

https://hrpro.navigatorsuite.com/login.aspx

Slide12

GoodRX

GoodRx is a discount Rx Site

Here's

how you can use it to save:

Use

GoodRx's drug price search to compare prices (just like you do for travel or electronics on other sites) for your prescription at pharmacies near you.

They

don't sell the medications,

They

tell you where you can get the best deal on them.

GoodRx

will show you prices, coupons, discounts and savings tips for your prescription at pharmacies near you

.

Slide13

PREVENTIVE CARE

Your

preventive care

is

covered.

immunizations

well-woman check

well-child check

mammogram

blood pressure tests

cholesterol tests and more

No symptoms, illness, or history prompting the screening

In accordance with age and gender guidelines

Preventive

Care

Symptoms

require further

diagnosis

Previous abnormal test results prompt earlier or more frequent

screenings

Previous abnormal test results prompt rescreening.

Diagnostic

Slide14

Decision Support Tool Demo and Monthly/Annual Rates

Monthly Rates effective July 1, 2018

 

 

Tier

1000

PPO

3000 HDHP

 

 

 

Under $35,999

 

 

Employee

$56.60

$28.30

Employee/Spouse

$227.04

$113.52

Employee/Child(ren)

$204.09$102.05Family$356.94$178.47 $36 - $59,999  Employee$91.08$45.54Employee/Spouse$297.08$148.54Employee/Child(ren)$267.66$133.83Family$457.14$228.57 $60 - $89,999  Employee$123.41$61.70Employee/Spouse$367.11$183.56Employee/Child(ren)$331.23$165.62Family$556.27$278.14 $90,000+  Employee$156.81$78.40Employee/Spouse$437.15$218.58Employee/Child(ren)$395.88$197.94Family$655.40$327.70

Slide15

WHICH PLAN IS RIGHT FOR YOU?

Decision Support Tool

Please come and meet with us afterwards!

Reminder:

OWU contributes a total of $1,500 / $3,000 into your HSA throughout the year. You can always change your plan next year.

Slide16

Anthem Tools: Live Health

Slide17

Slide18

Healthcare BlueBook

Video:

http://

www.screencast.com/t/LEVczsPj5

Slide19

The Program

Sign up today by visiting

www.retiremediq.com/mb

Questions? Call

RetireMED®iQ

at

1-866-600-4266

Slide20

DENTAL

Preferred Plan Network Benefits

LOW PLAN

HIGH PLAN

Deductible

$50 / $150

$50 / $150

Annual Maximum

$1,000

$1,500

Preventive Services

(Deductible Waived)

Covered at 100%

Covered at 100%

Basic Services (ded. applies)

80%

90%

Major Services (ded. applies)

50%

60%

Child Orthodontia

N/A50%Ortho. Lifetime MaxN/A$1,000Dental PremiumsPer MonthEmployee ContributionLOW PLANHIGH PLANEmployee Only$26.27$36.71Employee + 1$51.51$72.73

Family

$84.14

$118.26

We are

staying with Anthem Dental

for

benefits

!

Slide21

VISION

Benefits

LOW PLAN

HIGH PLAN

Exam

$20 Co-Pay

$10 Co-Pay

Frames

$130 allowance

$150 allowance featured brands

20% savings on the amount over your allowance

$140 allowance

$160 allowance featured brands

20% savings on the amount over your allowance

Lenses

:

Single

Bifocal

Trifocal

Covered in full after $20 Co-Pay

Covered in full after $20 Co-Pay

Contact LensesUp to $130 in allowance; Co-pay up to $60Up to $140 allowance for contacts; Co-Pay up to $60Lasik15% Discount (varies by location)15% Discount (varies by location)Frequency:ExamLenses Contact Lenses (in lieu of glasses)Frames 12 Months24 Months24 Months24 Months12 Months12 Months12 Months24 MonthsWe are staying with VSP for vision benefits! Vision PremiumsPer MonthEmployee Contribution

LOW PLAN

HIGH PLAN

Employee Only

$8.09

$9.49

Employee + Dependents

$22.87

$26.82

Slide22

LIFE & DISABILITY BENEFITS: ONE AMERICA

Short Term Disability: 100% Employer Paid

Weekly benefit of

70% income

up to

$1,000 for FT Hourly Staff, and $1,250 for FT Administrative Staff

Elimination

period: 7

th

day for illness & accident

Benefit Duration:

25 weeks

LTD: 100%

Employer

Paid

Monthly benefit of

60% income up

to

$6,000

Benefits begin on the

181st day. Maximum Duration: Up to Social Security Normal Retirement AgePre-existing Condition: 3 months / 12 monthsBasic Life and AD&D: 100% Employer PaidALL Full-time employees, two times salary up to a maximum of $150,000AD&D is 3 times salary, up to a maximum of $400,000Voluntary Life: 100% Employee PaidEmployee can elect a minimum of $10,000 up to $500,000 (not to exceed five times annual base salary) in increments of $1,000 with a Guarantee Issue of $150,000. Spouse is eligible for coverage if employee elects voluntary life. Spouse can elect a minimum of $10,000 up to $2500,000 and cannot exceed 100% of employee election. Guarantee Issue of $20,000. Employee can elect child life coverage up to a $10,000 benefit. Child Life up to age 19, or 25 if a full time student.

Slide23

WHAT YOU NEED TO DO:

Complete Enrollment

on ADP at

https://workforcenow.adp.com

by May 18

th

.

Attend HDHP/HSA sessions

at

Beeghly

Library, Bayley Room on

April 30

th

(12-1:30pm), May 3

rd

(4-5pm, 5-6pm) if you would like more information

If electing voluntary life for the first time or making any changes in coverage (adding dependents, etc.), you will have to fill out an Evidence of Insurability Form (EOI)

Slide24

WHAT YOU NEED TO DO:

Need Assistance? Carrier Websites and Customer Service Number

If you need personal assistance with benefits, contact:

Scott Simon / Elizabeth Foos

HR Department: 740-368-3394 / 740-368-3327

Email:

slsimon@owu.edu

/

ekfoos@owu.edu

Medical Benefits & Dental – Anthem Blue Cross & Blue

Shield

Manage your medical and dental benefits at

www.anthem.com

Customer Service: 800-552-9159

Coverage while traveling: 800-810-2583 (800-810-BLUE)

Anthem will issue personalized ID cards when you enroll for coverage.

You can request replacement cards or print a temporary ID at

www.anthem.com

.Vision Benefits – VSPManage your vision benefits at www.vsp.com Customer Service: 1-800-877-7195Life & STD/ LTD Benefits – Anthem LifeManage your ancillary benefits at https://www.oneamerica.com/ Customer Service: 1-800-249-6269Broker for all lines of coverage – McGohan BrabenderIf you need additional claims assistance, you can contact the Customer Care Team at: Phone: 937.260.4300 or 877.635.5372Fax: 937.499.1160, Email: customerservice@mcgohanbrabender.com

Slide25

Questions?