2014 Annual Open Enrollment presentation for the employees of September 1, 2014.

2014 Annual Open Enrollment

presentation for the employees of

September 1, 2014


First, a brief discussion of

The Affordable Care Act (ACA)

(aka “Obamacare”)


New Terminology:

• Exchanges (Marketplaces)• Premium Subsidies (tax credits)• Cost-sharing Reductions


Employer Plan

Marketplace Plan

Subsidy (PMG) No Subsidy!


So, what are the changes for 2014/15?

• Benefit Changes• Cost Changes


All of the players are familiar:

• Medical – Blue Cross/Blue Shield• Dental – Delta Dental of NC• FSA – UHC Benefit Services (Dependent Care Reimbursement only)• HSA accounts – Benefit Wallet• Basic Life – USAble Life• Voluntary Life, STD and LTD – Principal


Current Group Medical Plan

Dual Option:

HSA-Qualified Plan 1-2-3 Plan


Initial Renewal Request 1-2-3 Copay Plan

Semi-Monthly Employee Contributions

Current Renewal Annual Copay Plan Copay Plan Difference

Employee only $ 65.24 $138.54 $1,759.20

Employee/Spouse $254.10 $393.93 $3,355.92

Employee/Children $210.48 $334.75 $2,982.48

Employee/Family $410.14 $605.09 $4,678.80


Initial Renewal Request HSA-Qualified Plan


Current Renewal Annual HSA Plan HSA Plan Difference

Employee only $ 36.96 $ 98.84 $1,485.12

Employee/Spouse $191.33 $307.83 $2,795.88

Employee/Children $106.58 $193.11 $2,076.72

Employee/Family $337.69 $506.70 $4,056.36


2014/15 Group Medical Plan

Single Option:

HSA-Qualified Plan


HSA-Qualified Plan• $3,000 Plan Year Deductible (9/1 – 8/31) for “employee only”

• $6,000 Aggregate Plan Year Deductible for “employee plus dependents”• Plan pays at 60% after the Deductible is met

• Plan pays at 100% after the $6,350 “employee only” or $12,700 “employee plus dependents” Out-of-pocket Limit is met

• No Copays for physician’s office visits or prescription drugs – all covered charges (except Preventive Care) help to meet the Plan Year Deductible and

Out-of-pocket Limit• Preventive Care is covered at 100% – does not count towards

Deductible/Coinsurance

Health Savings Account• Set aside money on a tax-free basis for “Qualified Medical Expenses”

• Benefit Wallet HSA is integrated with BCBS claims• $3,300 Individual/$6,550 Family Maximum Contribution for 2014• Additional $1,000 “Catch-up” Contribution for employees age 55+

• Flexible contribution options• Easy access to funds: Debit Card, Paper Check, or electronic payment of claims • 24/7 access to the entire HSA account balance (No Overdraft Protection!)

• Account balance earns interest and offers investment options starting at $1,000 • Account goes with you upon termination of employment

• No “double-dipping” allowed – spouse cannot participate in FSA



Health Savings Account

PMG Research, Inc. will contribute

$50 per month

($600 annually)

to employee’s HSA account for 2014/15!


HSA-Qualified Plan


Current Current Core HSA Plan Buy-Up Copay Plan 2014/15 HSA Plan

Employee only $ 36.96 $ 65.24 $ 44.35

Employee/Spouse $191.33 $254.10 $229.60

Employee/Children $106.58 $210.48 $127.89

Employee/Family $337.69 $410.14 $405.22


• $50 Plan Year Deductible per individual ($150 per family)

• $1,500 Annual Maximum Benefit per individual

• Plan pays at 100% (no Deductible) for Preventive Services

• Plan pays at 80% after the Deductible for Basic Services

• Plan pays at 50% after the Deductible for Major Services

• Plan pays at 50% for Orthodontia, to $1,500 Lifetime Maximum Benefit

• www.deltadentalnc.org

http://www.deltadentalnc.org/


Semi-monthly Employee Contributions

Employee Only $0.00

Employee and Spouse $16.97

Employee and Child(ren) $33.92

Employee and Family $58.21


Be sure to review your current elections for:

• Principal Voluntary STD

• Principal Voluntary Life


Q & A

presented by

Lou Pierce, [email protected]

Cindy Connor, Director of Employee [email protected]

6518 Airport Center Drive, Suite 101Greensboro, NC 27409

P 336.292.9050 P 877.282.1099F 336.292.4618www.plybon.com


mailto:[email protected]

mailto:[email protected]

http://www.plybon.com/

2014 Annual Open Enrollment presentation for the employees of September 1, 2014.

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Transcript of 2014 Annual Open Enrollment presentation for the employees of September 1, 2014.