/
City of Seattle City of Seattle

City of Seattle - PowerPoint Presentation

mitsue-stanley
mitsue-stanley . @mitsue-stanley
Follow
450 views
Uploaded On 2016-08-15

City of Seattle - PPT Presentation

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

benefits employee orientation 2013 employee benefits 2013 orientation plan health coverage deductible group services provider lenses network dental annual maximum preventive basic

Share:

Link:

Embed:

Download Presentation from below link

Download Presentation The PPT/PDF document "City of Seattle" is the property of its rightful owner. Permission is granted to download and print the materials on this web site for personal, non-commercial use only, and to display it on your personal computer provided you do not modify the materials and that you retain all copyright notices contained in the materials. By downloading content from our website, you accept the terms of this agreement.


Presentation Transcript

Slide1

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

6

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

8

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

18

Group Health Deductible Plan Prescription Drug Coverage

Retail

Copays

GH

Mail Order

Program

CopaysSlide19

2013 New Employee Benefits Orientation - Most

19

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

22

Dental

Plans

Washington Dental

Service

Dental Health Services

Slide23

2013 New Employee Benefits Orientation - Most

23

Washington Dental Service

Dental network.

Annual Deductible.

Annual Maximum.

Incentive payment plan.

Orthodontia.

TMJ not covered.Slide24

2013 New Employee Benefits Orientation - Most

24

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

.

Slide31

2013 New Employee Benefits Orientation - Most

31

Basic Group Term Life Insurance

Basic GTL plan provisions.

Premiums.

Guaranteed acceptance if enrolled when hired.Slide32

2013 New Employee Benefits Orientation - Most

32

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

34

Accidental Death and Dismemberment (AD&D)

Death benefit due to accident.

Loss of limb or paralysis.

Coverage

amounts.

Dependent coverage.

Premiums

payments.Slide35

2013 New Employee Benefits Orientation - Most

35

When Can I Change My Benefits?

Open Enrollment.

Dropping optional insurances.

Change in family status.Slide36

2013 New Employee Benefits Orientation - Most

36

City Retirement System

Automatic enrollment.

Your retirement contributions.

Retirement Office.

cityofseattle.net/retirement/default.htm

Slide37

2013 New Employee Benefits Orientation - Most

37

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

38