2013 New Employee Benefits Orientation Most Employees 2013 New Employee Benefits Orientation Most 2 Benefits Orientation Topics Medical dental and vision plans optional insurances and ID: 448340
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City of Seattle
2013 New Employee Benefits Orientation – Most EmployeesSlide2
2013 New Employee Benefits Orientation - Most
2
Benefits Orientation
Topics
Medical
, dental and vision plans, optional insurances, and
other
work/life benefits.
Answer your
questions
Additional resources.Slide3
Employee Responsibilities
Dependent eligibility verification31 days to enroll.Family status change.
2013 New Employee
Benefits Orientation - Most
3Slide4
2013 New Employee Benefits Orientation – Most
4
Medical Plan Options
Preventive
Plan (Aetna)
Traditional
Plan (Aetna
)
Group
Health Cooperative
Standard Plan
Group Health
Cooperative
Deductible
Plan Slide5
2013 New Employee Benefits Orientation - Most
5
Premium Payments
Premium sharing.
Pre-tax deductions.
Dental, Basic Vision plan, and Vision Buy-Up plan premiums.Slide6
2013 New Employee Benefits Orientation - Most
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2013 Monthly Medical
Premiums
Plan
EE Only
With Spouse or Partner*
Total Paid
City Preventive
$48.12
$98.50
$1,074.61
City Traditional
$0.00
$32.34
$972.32
Group Health Standard
$48.40
$99.90
$1,063.65
Group Health Deductible
$25.00
$56.92
$979.61
Children are included in all amounts
.
*Provided they are IRS tax dependents.Slide7
Aetna: Preferred Provider Organization
2013 New Employee Benefits Orientation - Most
7
Managed care organization.
In- and out-of-network
coverage.
Self-refer.
Aexcel
.Slide8
2013 New Employee Benefits Orientation - Most
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City of Seattle Preventive Plan
In-Network Provider:
Deductible.
Office
visit
co-pay.
Preventive care coverage.
Varied
co-pays
for selected
services.
Out-of-pocket maximum.Slide9
2013 New Employee Benefits Orientation - Most
9
City of Seattle Preventive Plan
Out-of-network provider:
Deductible.
Co-pays
for selected
services.
Annual out-of-pocket
maximum.
May
pay additional
amounts.Slide10
2013 New
Employee
Benefits Orientation - Most
10
City of Seattle Traditional Plan
In-network provider:
Deductible.
Annual
out-of-pocket
maximum.
Varied
co-pays
for most
services.Slide11
2013 New Employee Benefits Orientation - Most
11
City of Seattle Traditional Plan
Out-of-network provider:
Deductible.
Annual out-of-pocket
maximum.
Varied
co-pays
for most
services.Slide12
2013 New Employee Benefits Orientation - Most
12
Prescription Drug Coverage (Preventive and Traditional)
Retail
31-day supply.
Co-insurances.
Annual out-of-pocket maximum.Slide13
2013 New Employee Benefits Orientation - Most
13
Prescription
Drug
Coverage
(Preventive
and
Traditional)
Aetna
Rx
Home
Delivery (Mail Order)
Coinsurance.
Minimum co-pay.
Maximum
co-pay.Slide14
Group Health Cooperative
Integrated system.GH doctors and facilities.
Self-refer.
2013 New Employee
Benefits Orientation - Most
14Slide15
2013 New Employee Benefits Orientation - Most
15
Group Health Standard Plan
No deductible.
Office
visit
co-pay.Slide16
2013 New Employee Benefits Orientation - Most
16
Group Health Deductible Plan
Deductible.
Office
visit
co-pay.
Similar coverage
as Standard
Plan
.Slide17
2013 New Employee Benefits Orientation - Most
17
Group Health Standard Plan Prescription Drug Coverage
Retail
Copays
GH Mail Order Program
CopaysSlide18
2013 New Employee Benefits Orientation - Most
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Group Health Deductible Plan Prescription Drug Coverage
Retail
Copays
GH
Mail Order
Program
CopaysSlide19
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Where to Find More Information
All Medical Plans
seattle.gov/personnel/benefits/health/medical.asp
Preventive
& Traditional Plans
AetnaNavigator.com
Group Health Plans
GHC.org
Slide20
2013 New Employee Benefits Orientation - Most
20
Accept or Decline CoverageSlide21
Employee Wellness Programs
Employee Assistance Program. Quit Tobacco Program.Weight Watchers savings.Health seminars and screenings:
personnelweb/benefits/home.aspx
.
2013 New Employee
Benefits Orientation - Most
21Slide22
2013 New Employee Benefits Orientation - Most
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Dental
Plans
Washington Dental
Service
Dental Health Services
Slide23
2013 New Employee Benefits Orientation - Most
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Washington Dental Service
Dental network.
Annual Deductible.
Annual Maximum.
Incentive payment plan.
Orthodontia.
TMJ not covered.Slide24
2013 New Employee Benefits Orientation - Most
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Dental Health
Services
Limited network.
No annual
deductible/annual
maximum
.
Copays and fees.
Orthodontia.
TMJ.Slide25
2013 New Employee Benefits Orientation - Most
25
Vision Services Plan
VSP Provider (in network):
Basic Plan (No Cost)
:
Eye exam.
Lenses and frames.
Special lenses.
Contact lens.Slide26
26
Vision Services Plan
Non VSP provider (out of network):
Basic Plan (No Cost)
:
Eye exam.
Lenses and frames.
Lined/unlined lenses.
Contact lenses.
2013 New Employee
Benefits Orientation - MostSlide27
Vision Services Plan
If you use a VSP Provider:
Buy-Up Plan (Employee Paid Plan)
:
Eye exam.
Lenses and frames.
Lined/unlined lenses.
Contact lens.
2013 New Employee
Benefits Orientation - Most
27Slide28
Vision Services Plan
If you do NOT use a VSP provider:Buy-Up Plan (Employee Paid Plan):
Eye exam.
Lenses and frames.
Lined/unlined lenses.
Contact lens.
2013 New Employee
Benefits Orientation - Most
28Slide29
2013 New Employee Benefits Orientation - Most
29
Flexible Spending Account Programs
Health
Care Flexible Spending
Account Program.
Dependent Care (day care) Assistance
Program.Slide30
2013 New Employee Benefits Orientation - Most
30
Basic and Supplemental
Long Term Disability (LTD)
Salary replacement.
Basic Long-Term Disability.
Supplemental
Long-Term
Disability.
If
you
don’t
elect
when hired
.
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2013 New Employee Benefits Orientation - Most
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Basic Group Term Life Insurance
Basic GTL plan provisions.
Premiums.
Guaranteed acceptance if enrolled when hired.Slide32
2013 New Employee Benefits Orientation - Most
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Supplemental Group Term
Life Insurance
Supplemental GTL provisions.
Spouse/Domestic Partner
coverage.
Dependent children coverage.
If you don’t elect when hired.Slide33
Long-Term Care Insurance
Enroll within 31 days of hire.Personal care for an extended period as result of injury or illness.Premiums direct billed.Eligible family members.
Portability.
2013 New Employee Benefits Orientation
33Slide34
2013 New Employee Benefits Orientation - Most
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Accidental Death and Dismemberment (AD&D)
Death benefit due to accident.
Loss of limb or paralysis.
Coverage
amounts.
Dependent coverage.
Premiums
payments.Slide35
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When Can I Change My Benefits?
Open Enrollment.
Dropping optional insurances.
Change in family status.Slide36
2013 New Employee Benefits Orientation - Most
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City Retirement System
Automatic enrollment.
Your retirement contributions.
Retirement Office.
cityofseattle.net/retirement/default.htm
Slide37
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Deferred Compensation
457
Deferred Compensation
Plan.
Pre-tax
payroll
deductions.
Contribution minimum and maximums.
www.Prudential.com
Slide38
Remember…
31 days to enroll from hire date.Benefit related mailings.31 days for changes in family status.
Employee Benefits Guide.
2013 New Employee
Benefits Orientation - Most
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