Benefits Enrollment Checklist

Use this checklist to remind you of important benefit elections to submit WITHIN 31 DAYS OF HIRE OR STATUS CHANGE.

□ Review the Employee BenefitsGuide.To access the guide go towww.emoryhealthcare.org, click“For Employees” at bottom of pageand click “New Employees.”To access the guide via the EmoryHealthcare Intranet, click on“Employee Resources,” then “YourBenefits” orourehc.org/departments/human-resources/benefits/index.html.

□ Review the Aetna HSA Plan Quick G uideInterested in the Health Savings Plan Medical Plan? Check out the HSA Plan Quick Guide athttp://www.emoryhealthcare.org/employee/benefits-guides.html.

□ Reminder – Complete the Benefits CertificationComplete the online tobacco usage certification for you and your spouse when you enroll in the medicalplan. You may be required to complete a spouse tobacco certification during annual enrollment.

□ Reminder – Provide your Beneficiary InformationComplete your beneficiary information for your Emory Healthcare-provided Life Insurance. Yourbeneficiary information also can be updated at any time in the Benefits Summary section of e-Vantage.

□ Review the Discover Your Retirement Options Guide for the 403b Retirement Savings PlanYou can enroll in, change your deferral/investment allocations or make any other changes at any time.Review your guide at http://www.emoryhealthcare.org/employee/benefits-guides.html or on the intranet,ourehc.org; click Employee Resources, Benefits, then Retirement Plan.

□ Verify your Benefits ElectionsYou have thirty-one days from your date of hire or status change to verify and modify your enrollment selections in the Benefit Enrollment section of e-Vantage.

New Hire or Status Change Benefits Enrollment Checklist 12/2018

ONLINE BENEFITS ENROLLMENT INSTRUCTIONS Use these instructions to help guide you through your 2019 online benefits enrollment process through e-Vantage. You can enroll for benefits online any time, any day and from any location during the enrollment period!

Note: As you go through the online enrollment on e-Vantage, click Edit to make changes and Continue to advance to the next screen. After you enroll in each of the plans, the system will display the Enrollment Summary screen to confirm your benefit selections and the biweekly premium.

LOG IN TO E-VANTAGE (IF YOU DO NOT KNOW YOUR LOG IN INFORMATION, CONTACT YOUR ACCESS COORDINATOR) From home:

- Go to emoryhealthcare.org/i-am/index.html and click the Go to e-Vantage link on the e-Vantage tile. - Log on using your network ID and password. Note: You must be enrolled in Duo Security Two-Factor

Authentication: ourehc.org/departments/is/Security/duo/

From work: - Go to the intranet, ourehc.org, and click on the e-Vantage quick link in the upper right corner.

ACCESS THE BENEFITS ENROLLMENT TOOL - Once logged in, select Self Service from the top dropdown menu.

- Select the Benefits tile. - Click Benefits Enrollment. - Click Select. The next screen displays the Benefits Certification question to be completed. - Click Submit, then your next page is the Benefits Enrollment page.

MEDICAL, DENTAL AND VISION PLANS - Click on the Edit button next to each plan name.

- Choose your coverage options. - Click on the Add/Review Dependent and enter the required information. - Continue to the Benefits Enrollment page and select the “Enroll” box next to their names at the

bottom of the page to enroll your dependents for the plan coverages you would like for them to receive (medical, dental and/or vision).

LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT (AD & D) - For employee: Select your options, the amount and your beneficiaries. Use the instructions in the

previous step to update your beneficiary information. - For spouse and child: Choose your options, the amount and the dependent(s) to be covered. You

are automatically the beneficiary.

DISABILITY AND LEGAL PLANS – Choose your option only. Click Continue to advance. HEALTH CARE & DEPENDENT CARE FSA AND HEALTH SAVINGS ACCOUNT PLAN - REMEMBER: You must re-enroll in the health care or dependent care FSA each year.

- Choose your coverage options and the amount. Click Continue to advance.

FINISHING UP! - When you’re done with your elections, click Continue at the bottom of the Enrollment Summary page.

- Read the Authorization section, then click Submit to complete your 2019 elections. - Click on the link View/Print Elections to print a confirmation page of your elections for your records. - To view your elections after you have submitted them, log on to e-Vantage and select Self Service,

then the Benefits tile and then Benefits Summary. Please allow 24 -48 hours after enrollment for them to be displayed. You may modify your elections up to 31 days from your first day of employment.

- LOG OUT! Make sure you log out of e-Vantage, and, if at a shared computer, make sure to log out of the VDT to protect your personal information!

Call the Employee Resource Center at 404.686.6044 for assistance. Note: Benefits Enrollment will be temporarily unavailable during payroll and/or benefit processing.

Revised 1/2019 EHC Benefits: 6-6044

Online Enrollment Instructions

403(b) – Retirement Savings/Matching Plan

Employees must complete two steps in order to enroll into the 403(b) Retirement Savings/Matching Plan.

Step 1: Enroll and Select your fund allocations online

Website Contact # Access Code

www.vanguard.com/enroll 800-523-1188 094040

www.tiaa-cref.org/emoryhealthcare 800-842-2888 EHC050

Vendor

Vanguard:

TIAA:

Fidelity: www.fidelity.com/atwork 800-343-0860 Plan # 73136

(If needed)

Step 2: To select your contribution amounts log onto e-Vantage.

Note: Through e-Vantage employee’s can select contributions, making changes, stop contributions and change

vendor elections. You can update your 403(b) selections at any time through e-Vantage.

Follow these steps:

a. From Work: Go onto Emory Healthcare intranet home page (www.ourehc.org) and select e-

Vantage from the menu on the right.

b. From Home: Go onto Emory Healthcare website (www.emoryhealthcare.org) and click

“For Employees” at bottom of page. From the menu on the left select Virtual Desktop, install the

software & log in.

2. Log in using your Emory Healthcare network ID and password.

3. Click Self-Service on the left.

4. On the Self-Service page click Benefits; then click “403(b) Savings Plan Election.”

5. To make elections and vendor selections “Click here to enroll, change or stop 403(b) elections" and/or

To calculate your maximum contribution allowed "Click here to model 403(b) maximum contributions"

6. After making your elections, click the “Submit Elections” button. Click “Benefits Summary” to review

your elections. You may print a copy of this page for your records.

Note: Until you contact the vendors to select your funds investment, any contributions made to the plan

will be invested in Emory Healthcare's default fund – A Lifecycle investment.

Step by Step Instructions to Enroll in 403(b)

Go to e-Vantage Click on the following

o Self-Service o Benefits Tile o 403(b) Savings Plan Election

Once there, click on the button “Click here to enroll, change, or stop 403(b) elections.” Then click on the button that says “Begin Enrollment.” View the print screen below for the next set of instructions. Once you have done everything below,

scroll to the bottom of your screen and click on “Submit Elections.”

Enter your contribution percentage, then click on “APPLY.”

This explains that your contribution will be split between BASIC and SUPPLEMENTAL. This will allow our system to give you the correct MATCH percentage (if eligible).

This section is for your BASIC contribution. Check the box for “Pretax” or “Roth.” Then select your vendor. If eligible for the 2% CONTRIBUTION and/or MATCH, you will make elections choices in this section as well.

This section is for your SUPPLEMENTAL contribution. Whatever your supplemental percentage noted above should be entered down here. You can have it all with one vendor, or split your supplemental across more than one vendor. (ie: 1% Fidelity+ 1% TIAA-CREF+ 1% Vanguard = 3%)

HSA PLAN* POS PLAN*FULL TIME PART TIME FULL TIME PART TIME

Employee Only $16.50 $25.00 $49.00 $73.50

Employee Plus Child(ren) $79.50 $119.50 $166.50 $250.00

Employee Plus Spouse $125.00 $187.50 $240.00 $360.00

Family $171.00 $256.50 $336.00 $504.00

Annual HSA Employer Contribution Single / Family

$300 / $600 n/a

Annual Incentives Employee Only / Employee Plus Spouse

$775 / $950 $775 / $950

TIER 1 TIER 2 TIER 1 TIER 2

PCP1 Visit 15% after deductible 25% after deductible $25.00 $35.00

Pediatrician or Mental Health Physician Visit 15% after deductible 25% after deductible $25.00 $25.00

Specialist Visit 15% after deductible 25% after deductible $35.00 $50.00

Diagnostic Labs & X-ray 15% after deductible 25% after deductible 15% after deductible 25% after deductible

Emergency Room 15% after deductible 25% after deductible $250 co-pay $250 co-pay

Deductible $1,350 / $2,7003 $1,500 / $3,0003 $850 / $2,550 $1,000 / $3,000

Co-insurance 15% 25% 15% 25%

Maximum Out-of-Pocket $3,500$7,000

$4,750$9,500

$3,000$6,000

$4,500$9,000

Behavioral Health - Inpatient 15% after deductible 25% after deductible 15% after deductible 25% after deductible

Behavioral Health - Outpatient 15% after deductible 25% after deductible $25 co-pay $25 co-pay

Pharmacy Co-insurance 2 HSA Plan Maximum Retail

POS Plan Minimum Retail

POS Plan Maximum Retail

Tier Zero -0- -0- -0- -0-

Tier 1 10% $25.00 $10.00 $25.00

Tier 2 20% $75.00 $30.00 $75.00

Tier 3 30% $120.00 $60.00 $120.00

Tier 4 40% $150.00 $90.00 $150.00

2019 Medical Plans

* Full-time rates apply for employees scheduled to work 31 or more hours per week. Part-time rates apply for employees scheduled to work 20-30 hours per week.

1 PCP includes the services of an internist, general physician, family practitioner, dermatologist and/or allergist.2 For the HSA Plan only, the deductible must first be met before the pharmacy co-insurance applies.3 Family deductible applies in the HSA Plan when Employee + Spouse, Employee + Children or Family level coverage is elected.

Covered preventive services for adults Screenings for:

• Alcohol misuse• Blood pressure• Cholesterol (for adults of certain ages or

at higher risk)• Colorectal cancer• Depression• Type 2 diabetes (for adults with high blood

pressure)• HIV (for all adults at higher risk)• Obesity• Tobacco use• Syphilis (for all adults at higher risk)

Immunizations:

Doses, recommended ages, andrecommended populations vary

• Diphtheria, pertussis, tetanus (DPT)• Hepatitis A• Hepatitis B• Herpes zoster (shingles)• Human papillomavirus (HPV)• Influenza (Flu)• Measles, mumps, rubella (MMR)• Meningococcal (meningitis)• Pneumococcal (pneumonia)• Varicella (chicken pox)

Additional covered preventive services for women

Screenings for:

• Breast cancer (mammography)• Cervical cancer • Osteoporosis

Covered preventive servicesfor children

• Well-child visits

Immunizations:

From birth to age 18 — doses, recommended ages, and recommended populations vary

• Diphtheria, pertussis, tetanus (DPT)• Haemophilus influenzae type b• Hepatitis A• Hepatitis B• Human papillomavirus (HPV)• Inactivated poliovirus• Influenza (Flu)• Measles, mumps, rubella (MMR)• Meningococcal (meningitis)• Pneumococcal (pneumonia)• Rotavirus

Printed Sept. 2018

Preventive CareYou take your car to the shop for routine maintenance, so why wouldn’t you do the same for yourself? Staying healthy is easy if you take advantage of FREE preventive care!

That’s right — most preventive care services are free to you under your medical plan when you use a Tier 1 or Tier 2 health care provider and the main purpose of your visit is to get preventive care.

Below is a list of preventive care services covered at 100% when you use Tier 1 or Tier 2 providers. Make sure your doctor’s visit is coded correctly, as preventive care only, so it’s free or low-cost for you.

10/18 2019 Benefits Enrollment Guide 41

Important Numbers and WebsitesEmory Healthcare Employee Resource Center

404-686-6044

www.ourehc.org

Email: ehc.hr/benefits@emoryhealthcare.org

Aetna

Locate a Provider:

www.aetna.com/docfind/custom/emory

Medical:

1-800-847-9026

www.aetnanavigator.com

Behavioral Health Plan Comparison Tool:

https://www.aetna.com/planselection/mbrDis.jsp?id=339

Aetna/PayFlex (Health Savings Account and Flexible Spending Accounts)

1-888-678-8242

www.aetnanavigator.com

Aetna Dental

1-877-238-6200

www.aetna.com/docfind/custom/emory

Aflac

1-877-384-3344

www.aflac.com/emory

Bright Horizons

1-877-242-2737

http://www.careadvantage.com/emoryhealthcare

CVS/Caremark

Pharmacy Manager - HSA and POS plans:

1-800-601-6935

www.caremark.com

EyeMed Vision Care

1-855-270-2343

www.eyemedvisioncare.com

Fidelity

1-800-343-0860

www.fidelity.com/atwork

Hyatt Group Legal (MetLife)

1-800-821-6400

www.legalplans.com

InfoArmor Identity Theft Protection

1-800-789-2720

www.infoarmor.com/emory

MetLife Auto and Home

1-800-GET-MET8

mybenefits.metlife.com

Nationwide Pet Insurance

1-800-540-2016

petinsurance.com/emoryhealthcare

SmartPath Financial Wellness

1-888-686-5808

smartpathfinancial.com/getting-started/emory-healthcare/

The Standard (Life Insurance)

1-866-756-8118

www.standard.com

TIAA

1-800-842-2252

www.tiaa.org/enroll

Unum (Long-Term Care)

1-800-227-4165

unuminfo.com/emoryhealthcare/enrollment.aspx

Unum

Short-Term Disability, Long-Term Disability and Supplemental LTD:

1-800-858-6843 (Customer Service)

1-866-765-8490 (Claims)

www.unum.com

Vanguard

1-800-523-1188

www.vanguard.com

ggYour

Work. Life. Well-being.4 Life doesn't stop when you come to work.

4 YO U R FU N !

4 YO U R FAM ILY 4 YO U R FINAN C ESSMARTPATH FINANCIAL WELLNESSFor $25/month(payroll-deducted and minimumcommitmentof 6 months),accessa personalfinance coach to help you meet your financial goals. Plus, download the SmartPathbudgeting appand attend FREE personalfinance education workshops.Call:1-888-686-5808Visit:ourehc.org/financial-wellness

RETIREMENT PLANNINGMeet with TIAA, Vanguard or Fidelity representatives for freeto plan for your retirement. For in depth planning, attend oneof our half-day retirement workshops.Fidelity: 1-800-642-7131 or www. Fidelity.com/reserveTIAA: 1-800-732-8353 or www.tiaa.org/schedulenowVanguard: 1-800-662-0106, ext. 14500 orwww.meetvanguard.com

INFOARMOR – IDENTITY THEFT PROTECTIONAnnual credit reports from all three credit reporting agencies, monthly credit scores and continuous credit monitoring included as part of the benefit.Call: 1-800-789-2720Visit: www.infoarmor.com/emory

EMPLOYEE EDUCATION PLAN80% for full-time eligible employees & 40% for part-time eligibleemployees toward tuition reimbursement for up to 18 credithoursper calendaryear or total dollaramount.Visit:ourehc.org/worklife

EMPLOYEE HARDSHIP PROGRAMEmployees may be eligible to receive small donations of money or leave hours during times of crisis.Visit: ourehc.org/hardship

ADDITIONAL SERVICES:- 529 Savings Plan: https://www.path2college529.com/- Emory Alliance Credit Union: https://www.emoryacu.com/- Hyatt Legal Services: 1-800-821-6400- MetLife Auto & Home: 1-800-438-6388- Aflac: 1-877-384-3344

BRIGHT HORIZONS BACK-UP CHILD/ADULT CAREBright Horizons enables employees 10 uses per year for eitherin-home or center-based care for children or adults atreduced rates and preferred enrollment. Call 1-877-242-2737or visit: http://www.careadvantage.com/emoryhealthcare

EMORY CHILDCARE NETWORKThe Emory Child Care Network has approximately 175 child care centers in its network providing parents discounts and priority admissions at licensed centers throughout metro Atlanta. Visit:www.worklife.emory.edu/quicklinks/childcarenetwork.html

ADOPTION REIMBURSEMENT PLANEligible employees may receive up to $5,000 per finalized adoption for qualifying adoption expenses. Limit $10,000 over two adoptions throughout employment. Visit:ourehc.org/worklife

INFERTILITY BENEFITSReceive infertility benefits to help offset costs of treatments and prescriptions, up to a combined lifetime maximum of $25,000. Visit: ourehc.org/worklife

BUNDLES OF JOY BABY SHOWERSWhether you’re adopting or delivering, our systemwide baby shower is ready to help you navigate the logistics of bringing home a new baby. Visit: ourehc.org/babyshower

FACULTY STAFF ASSISTANCE PROGRAM (FSAP)Offering programs and services designed to promote physical, emotional, social and occupational health. Visit:fsap.emory.edu

NATIONWIDE PET INSURANCEComprehensive pet insurance plans that can be used foraccidents, illness and preventive care with any veterinarian. Call: 1-800-540-2016 Visit: petinsurance.com/emoryhealthcare

Our Sparkfly employee discount

programoffers savings on travel,restaurants,electronics, movie/event tickets & more! Visit:emory.sparkfly.com/

is our employee wellness

program& featuresonlinewellness app andfunactivities throughout the year!

Visit:healthy.emory.edu

is our online employee recognition program.Save your points to cash in for cool gifts!Visit:ourehc.org/recognition

ehc.hr/benefits@emoryhealthcare.org

Ca l l : 404-686-6044

EMPLOYEE RESOURCE CENTERehc.hr/benefits@emoryhealthcare.org

Ca l l : 404-686-6044REVISED NOVEMBER 2018