Fall 2016 2017 Benefits Agenda Process Review Medical Coverage Overview What is new for 2017 Administration 2017 Benefits Process Review Benefits Design The decision making process for determining the structure was made up of the following ID: 624254
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Slide1
BWXT 2017 BENEFITS
Fall 2016Slide2
2017 Benefits
Agenda
Process Review
Medical Coverage Overview
What is new for 2017
AdministrationSlide3
2017 Benefits – Process Review
Benefits Design
The decision making process for determining the structure was made up of the following:
Employee Survey
Regulatory Requirements
Value propositionLimit complexityCosts: Employee and EmployerSelf fundedExecutive review
Positive FeedbackLarge majority value BWXT benefitsThrift Plan is highly valuedAncillary benefits are important
Other Items
Out of Pocket Expenses in Medical
More Education in Existing BenefitsSlide4
2017 Benefits – Medical Coverage Overview
The Consumer
Choice Plan
If you enroll in the comprehensive, high deductible Consumer Choice Plan:
Employee
(payroll) contributions will be lower than the PPO PlanEligible medical and pharmacy expenses will accumulate towards the deductible and out of pocket maximumsYou will receive a company contribution to your Health Savings Account (HSA) {$500 for “single” and $1,000 for “family” deposited in January of 2017}You may contribute your own, pre-tax monies through payroll deductions to your HSAHealthcare Flexible Spending Account (FSA) can only be used to help pay for dental and vision expensesYour HSA monies are never forfeited – they are yours to spend, even if you change plans or after you retire / terminate employmentIf you have Medicare, Veterans Affairs (VA), Tri-care or other coverage that deems you ineligible for an HSA, you may still enroll in the Consumer Choice Plan but the IRS will not allow for company contributions or your own deferrals into an HSA accountSlide5
2017 Benefits – Medical Coverage Overview
The PPO
Plan
If you enroll in the comprehensive PPO Plan:
The employee (payroll) contributions are higher than the Consumer Choice Plan because the plan pays
more for up-front expenses The PPO Plan has copayments which do not exist in the Consumer Choice Plan and lower deductibles than the Consumer Choice PlanOut of pocket expenses for each visit are more predictable because of copayments Medical and Prescription drug copays apply only to the out-of-pocket maximumThe Healthcare Flexible Spending Account (FSA) can be used to get reimbursement for medical, dental and vision
out of pocket expensesThe IRS requires that if you elect the Consumer Choice Plan (HSA) while you have a remaining balance in your HRA, the HRA funds are forfeitedSlide6
2017 Benefits – What’s New?
Anthem Blue Cross Blue Shield (BCBS)
All locations’ claims for dates of service January 1, 2017 and after processed by Anthem BCBS
Locating network
providers / assisting with transition services
Answering claim and benefit questionsOrdering ID cardsEducation on plans and programsObtaining pre-certificationConfirming member eligibilityManagement of acute and chronic conditionsHealth Advocates will replace Care Coordinators (aka, Quantum)Available January 1, 2017Some items that Health Advocates will help with
…Locating network providers / assisting with transition servicesTransparency / decision supportAnswering benefit questionsResolving claims issuesAssisting with provider related issuesEducation on plans and programsAssist employees and/or their parents with MedicareNew ID cards will be issued in December of 2016Medical and Pharmacy {still administered by Express Scripts/ESI} are 2 separate cards Must be shown to providers and pharmacy starting January 1, 2017Only
completed by Anthem BCBSSlide7
2017 Benefits – What’s New?
Medical Plan Employee (Payroll) Deductions
The
medical
plan deductions will increase approximately 2% for 2017,
per monthNew rates are as follows: No Surcharge Monthly Rates *ConsumerChoice Plan
PPO PlanEE CostEE CostEmployee Only
$49.00
$
124.00
Employee + Spouse
$82.00
$
226.00
Employee + Child(ren)
$67.00
$
179.00
Family$97.00$288.00* Rates increased $50 for Tobacco Surcharge
Dental Plan Payroll DeductionsDental plan payroll deductions will be increased by 3.2% for the 2017 Plan Year
Supplemental Life Insurance2017 rates are increasing by 10%
NOTE: No Plans have a Change in Design
Personal Accident Insurance (PAI)
2017 rates are increasing .5¢ (employee only) to .9¢ (family) per $1,000 of coverageSlide8
2017 Benefits – Administration
Claims Questions and Transition Services
Transition of care
Only needed if your provider is not in the
National PPO
Bluecard NetworkA form will be posted in November on myBWXT and other intranet sites as well as being available with Human Resources. Complete and return the form to your local HR department or Corporate Benefits if your provider is not in-network and a member has on-going treatmentFor a limited time until you can find an in‑network providerVisit www.anthem.com to see if your providers are in the National PPO Bluecard NetworkNew ID cards
Anthem BCBS Medical ID cards – show your new card at the doctor’s office in 2017Express Scripts Pharmacy ID cards - show your new card at the pharmacy in 20172017 EOBs – Medical EOBs default to mail; can change to electronicMedical EOBs will be mailed to home and/or available on www.anthem.com Pharmacy EOBs are available on www.express-scripts.com Service / QuestionsAnthem BCBS – call 844 344-7419 or visit www.anthem.com Express Scripts – call 844-567-8518 or visit www.express-scripts.com
Health Advocate – call 866-695-8622 or visit
www.healthadvocate.com
2016
claims inquiries and explanation of benefits requests
after
January 1
st
Health Advocate (
866-695-8622)
Slide9
2017 Benefits – Administration
Annual Enrollment Administration
The Annual Enrollment period will be
October 17
th
through October 28th BWXT Enrollment Center, provided by bSwift, is the provider of our on-line and phone enrollment processElectronic distribution of ERISA disclosures notice (no CD in enrollment materials)Ask Emma – optional Enrollment Decision Support Tool If you do not make any changes during Annual Enrollment, your 2016 elections will rollover to 2017 except for the following, which must be selected for 2017: HealthCare Flexible Spending Account (FSA) elections {limited to $2,500}
Dependent Day Care FSA elections {limited to $5,000}Health Savings Account (HSA) If you are electing to defer your own, pre-tax monies, you must go through annual enrollmentIf you elect the Consumer Choice Plan, your HSA account is re-activated or activated (if new enrollee) as a part of the enrollment processIf you do not go through annual enrollment you must activate/re-activate your 2017 account by calling bSwift at 1-844-708-1088 any time after annual enrollmentGroup LegalSlide10
2017 Benefits – Summary
Annual Enrollment
October 17
th
through October 28
th Passive enrollment allowedStrongly encourage all employees to actively enroll to validate benefit elections and because some benefits cannot automatically “roll over”“Ask Emma” is available – not requiredBenefit summary statements will be mailed to employees’ homes in December A new medical ID card and new pharmacy ID card (2 separate cards) will be mailed to employees’ homes in December (separate mailings)Be sure your correct address is on file (through annual enrollment)Must use new cards at doctor or pharmacy beginning January 1, 2017Claims service questions in 2017Anthem BCBS for medical only
Express-Scripts for pharmacy onlyHealth Advocate also available for medical, pharmacy and much more!