2008 Annual Enrollment Training Presentation April 2008.
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Transcript of 2008 Annual Enrollment Training Presentation April 2008.
2008 Annual EnrollmentTraining Presentation
April 2008
2
Agenda
Overview of 2008-2009 benefits– What’s new and/or changing July 1
What you need to do– Enrollment dates and My Benefits Access
Benefits enrollment Questions?
2008-2009 Benefits
4
Overview of 2008-2009 Health Benefits
Medical Dental Vision Flexible Spending
Accounts Basic Life Insurance Optional Life Insurance Basic Accidental Death and
Dismemberment Optional Accidental Death
and Dismemberment
Short-term Disability (if offered by your sector)
Long-term Disability Employee Assistance
Program Voluntary Insurance
(through the Northrop Grumman Federal Credit Union)
5
What’s Changing July 1
Medical– New carrier for Premium and Preferred PPOs
Flexible Spending Accounts reduced annual limit of $2,500 for highly compensated employees
Cost increases for Premium PPO and Cigna EPP
6
Anthem Blue Cross
Provider network is the same as the Blue Cross Blue Shield network
New medical ID cards issued before July 1, 2008
Access to Anthem’s care management program, 360 Degree Health
7
Flexible Spending Accounts
If you earn $100,000 or more in 2008, your annual contribution limit to the Dependent Care FSA will be reduced to $2,500
8
Employee costs
Changes to how employee contributions are calculated
Significant cost increases for Premium PPO and Cigna EPP options
9
Lumenos HRA Plan
Traditional Health
Coverage
Health Reimbursement
Account
The Lumenos Program
• Benefit plan year allocation from Northrop Grumman
• Plan pays 100% when funds are available
• Use it on HRA Extras
• Additional protection covers the services allowed by Northrop Grumman
• You pay coinsurance for covered services
• 100% coverage after coinsurancemaximum is met
Bridge• Employee’s responsibility if
expenses exceed the benefit plan year HRA allocation
• Paid only as expenses are incurred
• Can be reduced or eliminated by HRA rollover
Pre
ven
tive
Car
e 1
00%
Co
vera
gePreventive
Care• 100% coverage
for nationally recommended services
• No deductions from the HRA
Traditional Health
Coverage
Health Reimbursement
Account
The Lumenos Program
• Benefit plan year allocation from Northrop Grumman
• Plan pays 100% when funds are available
• Use it on HRA Extras
• Additional protection covers the services allowed by Northrop Grumman
• You pay coinsurance for covered services
• 100% coverage after coinsurancemaximum is met
BridgeBridge• Employee’s responsibility if
expenses exceed the benefit plan year HRA allocation
• Paid only as expenses are incurred
• Can be reduced or eliminated by HRA rollover
Pre
ven
tive
Car
e 1
00%
Co
vera
gePreventive
Care• 100% coverage
for nationally recommended services
• No deductions from the HRA
(in-network)
10
EmployeeEmployee +
SpouseEmployee + Child(ren)
Family
$1,000 $1,500 $1,500 $2,000
$800 $1,200 $1,200 $1,600
90% covered for in-network providers 60% of R&C for out-of-network providers
$4,200 $6,300 $6,300 $8,400
Traditional Health Coverage
Coinsurance Maximum
Health ReimbursementAccount (HRA)
Bridge
Mental Health/Substance Abuse and prescription drug benefits are covered under the plan.
Pre
ven
tive
Car
e 10
0%
Plan Year Amounts
Lumenos HRA Plan
11
Comparing the Medical Plan Options
PPO EPOLumenos HRA Plan HMO
I want to choose a PCP to coordinate all my care and specialist referrals (in most
cases)
I want to visit any provider I choose, without referrals
I want to be able to go out of network, even if it’s at a higher cost (but still covered)
I want Northrop Grumman to help me pay for some of my expenses through a company-funded HRA
12
Comparing the Medical Plan Options
PPO EPOLumenos HRA Plan HMO
I want 100% coverage for preventive care (after a small
copay)(after a small
copay)(after a small
copay)
I want the lowest paycheck contributions
I am worried about health care costs rising, and want a plan that helps me manage that better
13
Example: Sharon
Average user of health care benefits Family coverage Potential health care services/needs (with assumed
actual cost of service):– Three routine preventive care visits ($125 each)– Two specialist visits ($175 each)– 20 physical therapy visits for treating sports-related
injury ($100 per visit)– Two generic maintenance prescriptions filled
monthly ($20 each per month)– One preferred brand prescription ($60)
14
Lumenos HRA Plan
Preferred PPO Premium PPO
Preventive care $0
+
3 visits @ $20 copay = $60
+
3 visits @ $15 copay = $45
+Specialist visit 2 visits @ $175 per
visit = $350 +
2 visits @ $40 copay = $80
+
2 visits @ $30 copay = $60
+
Physical therapy 20 visits @ $100 per visit = $2,000
5 visits @ $100 per visit up to individual annual deductible
= $500+
Remaining 15 visits @ 10% coinsurance per visit = $150
3 visits @ $100 per visit up to
individual annual deductible = $300
+Remaining 17 visits @ 10% coinsurance
per visit = $170
* This example assumes in-network services only.
Example: Sharon’s Costs
15
Lumenos HRA Plan
Preferred PPO Premium PPO
Prescription drugs 2 generic Rx each month for 12 months @ $20 retail cost =
$480+
1 preferred brand Rx at $60 retail cost =
$60
2 generic Rx each month for 12 months @ $5 copay = $120
+1 preferred brand Rx at $20 copay = $20
2 generic Rx each month for 12
months @ $5 copay = $120
+1 preferred brand Rx at $20 copay =
$20
Total $2,890 $930 $715
Example: Sharon’s Costs (cont.)
16
Lumenos HRA Plan
Preferred PPO
Premium PPO
Amount covered by Health Reimbursement Account (HRA) funded by Northrop Grumman to help pay for cost of coverage
$2,000(Sharon’s total
HRA at the beginning of the plan year
is $2,000)
$0 $0
Total out-of-pocket for Sharon after using HRA
$890 $930 $715
Annual paycheck cost $ $$ $$$
Example: Sharon’s Costs (cont.)
What You Need To Do
18
What You Need To Do
Review – Current benefits coverage and 2008-2009
options with eligible family members– How you use your benefits, and what your
needs will be in the coming benefit plan year
– Whether you could save money by choosing a different (but still appropriate) option
19
What You Need To Do (cont.)
Enroll – Use the tools and resources at My Benefits Access to
evaluate your options– Make changes to current health benefits coverage
during your enrollment period– If You Don’t Enroll
• Continue current coverage for medical, dental, vision, life, disability, and AD&D (as applicable) at new plan year costs
• Current coverage in following plans will continue unless you make a change:
– Health Care and/or Dependent Care FSAs (unless you are impacted by the reduced Dependent Care FSA limit)
Benefits Enrollment
21
Two Enrollment Periods
April 28 May 9Corporate / Newport News / Integrated Systems / Information Technology /Space Technology
May 12 May 23Mission Systems / Electronic Systems / Ship Systems / Technical Services
22
How to Enroll > Online
Go to Benefits OnLine at http://benefits.northropgrumman.com and click on the “Enroll With Your Sector” button– Select your sector to review general benefits and
enrollment information– Log into My Benefits Access
• First-time visitors will need to set up a user ID and password
– Make your elections and print a confirmation statement
23
How to Enroll > By Phone
No Web Access? – Call the Northrop Grumman Benefits Center
(NGBC) at 1-800-894-4194 to enroll• If hearing impaired, will need to use a relay
service through TTY/TDD provider
– Available Monday through Friday, 9:00 a.m. to 6:00 p.m. Eastern time
Questions?