2013 Employee Benefits Enrollment
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Transcript of 2013 Employee Benefits Enrollment
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2013 Employee Benefits
Enrollment
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Open Enrollment
– Changes effective January 1, 2013
– It’s the time of the year to:Add or change Medical and Dental plan Add or delete dependentsEnroll in Flexible Spending Accounts for 2013
– Changes must be received by Monday, December 3rd
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Wellness Program Based on the Wellness Activities you
completed during 2012 determined whether you earned GOLD, SILVER or
BRONZE. The $$ you get in your Health Reimbursement Account is based upon your completion!
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2013 HRA Contributions
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What can I use this money for? Reimbursement for copays, prescriptions, vision,
dental expenses, etc.
How do I get this money?Complete HRA claim form, attach receipt (see
example on page 40) or EOB, and send to address on form or you use your Debit Card - more on this later!
What happens if I don’t use all the money?
The unused portion rolls to the next year.
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So what do you have to do in 2013?
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Cholesterol
Waist Circumference
Weight
Blood Pressure
Body Fat
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Mayo Clinic Health Risk Assessment
Who Knows my INFO?
The Mayo Clinic & You!
What Does my Employer Know?
Unity House will receive a group report compiled and controlled by Mayo Clinic. This aggregate report is stripped of all personally identifying information and provides general direction in designing health programs that match employee needs.
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How Do I Get to Mayo?www.relphhealth.com
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Flexible Spending Account Flexible Spending Account
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Flexible Spending Accounts• Participation in an FSA reduces the taxes you pay to
Uncle Sam
• “Use It or Lose It” – Prepare by budgeting your predictable expenses
• You Must re-enroll each year in order to participate
• Maximum Annual Election is $ 2,500 (CHANGE FOR 2013) for Health Care FSA and $ 5,000 for Dependent Care FSA
• Voluntary plans – you are not required to participate
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Health Care FSASample Eligible Expenses (see pg 38):
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Budgeting Your Expenses
Flexible Spending Account:Medical Expenses:
Medical Services $ 400Prescription Drugs $ 300Hearing Exams/Hearing Aids $
Over the Counter Items $ 100Dental Expenses:
Deductibles and Co-Insurance $
Orthodontia $
Vision Care Expenses:
Exams $
Eyeglasses/Contact Lenses/Supplies $ 500Lasek Surgery $
Total Estimated Health Care Expenses: $ $1,300
Annual Total $ 1,300 divided by 26 pays = $50 per Pay (approx. $340 savings in taxes)
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Dependent Care FSA• Pre-Tax Funding of Dependent Daycare
Expenses• Participate only if care is necessitated for
work or school-related expense• Maximum Election is $5,000• $$ must be in account prior to
reimbursement• Provider must have a Tax ID #• Can’t use Childcare Tax credit & Dependent
Care – talk to your tax advisor!
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Keep Your current Benny Card or
• You will need to sign up for a debit card if:
If you did not receive a card in 2012
If you lost your card and did not order a new one there is a $5 charge
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Debit Cards
Debit Cards can be used for FSA and HRA Expenses
“All Claims MUST be substantiated!” So says the IRS!
When a purchase is NOT automatically substantiated (ie, vision), FBS will request receipts…* Do not use your debit card at the Dentist’s office
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Please Respond!First Receipt Request
If you do NOT respond after two letters?
1.FBS will block your card 2.Your employer will garnish.
IRS Rules!
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How to Respond to a Letter Requesting Debit Substantiation?
• Debit Substantiation Procedures• 1-Return a copy of the letter along
with the requested receipts.
• 2-Receipts must meet IRS acceptable “5-Point” receipt requirements
• 3-Reply directly by fax (585-641-7500) or US Mail as indicated on the letter.
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Tired of Having Your Claims Denied?
What do we need to process a claim?Detailed Receipts!
For Over the Counter Items:1.Date of Purchase2.Store Name3.Eligible Item Purchased4.Amount Due by Employee5.Prescription if Medication
For Rx Claims:1.Employee or Dependent Name2.Fill Date3.Provider4.Amount Due by Employee5.Drug Name
Pull receipt off the bag!For Dental/Vision:1.Employee or Dependent Name2.Date of Purchase3.Provider4.Services Rendered5.Amount Due by Employee6.Amount paid by insurance
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SEBF Medical & Dental• Aetna Medical Plan – No Change!
• SEBF Dental & Vision Plans – No
Change!
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MetLife Dental Plan
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MetLife Dental PlanPlan Features• Deductible $50 (3 per family) for Basic & Major
Services only• $1,000 annual maximum• Dependent/Student - 19/25
• REMEMBER, while you can enroll for 1/1/2013, you would have waiting periods if not newly eligible :• 6 months on Basic Restorative (Fillings)• 12 months on all other Basic Services• 24 months on Major Services
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Single Family
$2.88 $22.90
Per 26 Pay Costs
MetLife Dental Plan
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Dependents to 20/26 – different than dental
In-Network
Exam – once per 12 months
$10 co-pay
Lenses – once per 12 months
$25 co-paySingleBifocalTrifocal
Lenticular
Frames – once per 24 months
$25 co-pay ($130 allowance)
Contacts – once per 12 months
$130 allowance
NEW for
2013! MetLife Vision Plan
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MetLife Vision Plan
Vision Plan Employee Costs Per Pay (26) Single: $3.84 Family: $9.20
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Life and Disability PlansCore - Company Paid Benefits
• Group Term Life & AD&D Insurance
– 1 times your annual salary to maximum of $150,000
• Statutory NYS Short Term Disability
– 50% of you weekly salary to a maximum of $170 per week
• Long Term Disability
– 60% of your monthly salary after 180 days of disability
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• 14 day elimination period
• 40% of weekly salary up to $1,000 per week
• Does not integrate with NYS Disability
• 3/6 Pre-existing condition
• All employees will be Guarantee Issue – no medical questions
NEW Lincoln Short Term Disability
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Voluntary Short Term Disability Example
• Sam Jones, $1500 monthly salary or $346 weekly salary
• Monthly benefit $600• This is in ADDITION to NYS
Disability• Per 26 Pay Deduction $6.20
(same rate $.97 per $10 regardless of age )
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Sam’s Disability Payment
$1200
$1000
$800
$600
$400
$200
$0
After-TaxPaycheck$1,085
After-TaxPaycheck$1,085
VoluntaryShort-TermDisability$600
VoluntaryShort-TermDisability$600
NYSDisability$533
NYSDisability$533
Total Disability Payment $1,133
Total Disability Payment $1,133
Monthly Salary $1,500
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ING Whole Life Insurance
• Qualified Issue Coverage for all eligible employees.–Qualified Issue Coverage Levels:–Employees – 3x salary to $100,000 max–Spouses – Death benefit amount what $5/wk will
purchase Children – Individual Polices for $10,000 or Term Riders for
$10,000• Affordable Level Premium(30 yr. old/$25,000/$4.65 wk)
• Loan Provision Cash Value Accumulation($9,025)
• Flexible Convenient Payroll Deduction• Portable
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Cancer InsuranceIf you or a family member were diagnosed with
cancer, your medical insurance would cover your hospital and medical expenses, but not your "Indirect Costs".
Indirect costs can include:• Medical Related Expenses
– Co-payments• Non-medical Expenses
– Travel Expenses − Meals– Lodging − Care giver loss of income
• Out-of-Pocket Expenses– Car Payments − Mortgage or Rent
Payments– Utility Bills − Health Insurance
Premiums
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VIEWMYBENEFITS.comAll your benefit information in one location! Forms, provider directories & questions
answered!
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If you agree with Employee Information Statement and are
making these elections….1. Address Check2. Am I enrolled correctly? Sign Form3. Please list dependents with SSN4. Do I want FSA? Write in annual election5. Do I need Benny Card? Check box6. Do I want to enroll in MetLife Vision? Check box7. I understand pre-tax rules, Debit card rules and give my employer permission to deduct… Sign Form
Return to HR by
December 3, 2012
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If you wish to sign up for Lincoln Short Term Disability or MetLife
Vision1. Do I want the Lincoln STD coverage? Fill in your address and information2. Sign Form
Also Return to HR by
December 3, 2012
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