PHILLIPS 66 2018 ANNUAL BENEFITS...

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PHILLIPS 66 2018 ANNUAL BENEFITS ENROLLMENT hr.phillips66.com For COBRA Participants

Transcript of PHILLIPS 66 2018 ANNUAL BENEFITS...

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PHILLIPS 66 2018 ANNUAL BENEFITS ENROLLMENT

hr.phillips66.com

For COBRA Participants

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B P H I L L I P S 6 6 2 0 1 8 A N N U A L B E N E F I T S E N R O L L M E N T

At Phillips 66, the health and well-being of you and your family is

important to us, that’s why we provide access to high quality programs

and care through our benefits. When we are healthy, we are poised to deliver

exceptional results — personally and professionally.

Your continued efforts in helping us manage escalating costs through smart decisions

have resulted in minimal changes to our 2018 program cost and design. Below are a

few highlights regarding our 2018 benefit programs:

• Medical premium increases are well below medical trend.

• Dental premiums are flat to lower depending on coverage level.

Our 2018 benefits and changes are designed to create a culture of health and

responsibility. I encourage you to read this Annual Benefits Enrollment Guide so you

can be informed about your benefits, select the right coverage for you and your family

and make smart benefit decisions throughout the year.

Alex Shabet Manager, Total Rewards

2018 ANNUAL BENEFITS ENROLLMENT

October 27 – November 17, 2017

VISIT hr.phillips66.com to learn more.

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DOCTOR MATCH AND EXPERT OPINION

Grand Rounds: (844) 339-6732 grandrounds.com/phillips66

TELEMEDICINE 24/7

For Aetna: (855) 835-2362 teladoc.com/aetna

For BCBS: (888) 680-8646 MDLIVE.com/bcbstx

RESOURCES FOR LIVING

(844) 766-7351 resourcesforliving.com

MEDICAL

Aetna: (855) 267-4184 aetnanavigator.com

BlueCross BlueShield: (855) 594-4233 bcbstx.com/phillips66

Kaiser: (800) 464-4000 kaiserpermanente.org

PRESCRIPTION DRUGS

CVS Caremark: (888) 208-9634 caremark.com

DENTAL

MetLife: (855) 837-6381 metlife.com/mybenefits

VISION

VSP: (800) 877-7195 vsp.com

HEALTH SAVINGS ACCOUNT

HSA Bank: (800) 357-6246 myaccounts.hsabank.com

FLEXIBLE SPENDING ACCOUNTS AND FITNESS REIMBURSEMENT

WageWorks: (877) 924-3967 wageworks.com

SAVINGS PLAN

Vanguard: (800) 523-1188 vanguard.com

ADDITIONAL RESOURCES

Benefits Center: (800) 965-4421

Phillips 66: hr.phillips66.com

Effective Jan. 2018

Phillips 66 Benefit Provider Contact Information

From October 27 – November 17, you can enroll online or over the phone — quickly and easily.

This Annual Benefits Enrollment Guide provides an overview of your 2018 benefits. To learn more about your benefits, review the following sections:

• Annual Benefits Enrollment Requirements and Checklist (pages 2 – 3)

• 2018 Benefits program overviews (pages 4 – 8)

Once you have reviewed your benefits information, you are ready to complete your 2018 Annual Benefits Enrollment.

ONLINE AT YOUR BENEFITS RESOURCES® (YBR):

• From your computer or mobile device, go to resources.hewitt.com/phillips66 and enter your YBR user ID and password.

BY TELEPHONE:

• Call the Benefits Center at (800) 965-4421, 8:00 a.m. to 6:00 p.m. Central time, Monday through Friday.

ANNUAL BENEFITS ENROLLMENT — IT’S EASY TO ENROLL

ENROLL EARLY! You can change your enrollment elections as often as you want during the Annual Benefits Enrollment period. Enrollment ends online at midnight Central time (or at 6:00 p.m. Central time if by phone) on November 17.

Your elections in the system at that time will be your final elections for January 1, 2018.

Forgot your password? If you can’t remember your YBR user ID or password, click “Forgot User ID or Password” at the YBR login. Or, you can call the Benefits Center and say “I don’t know” when prompted to enter your password.

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ANNUAL BENEFITS ENROLLMENT REQUIREMENTSReview this guide and follow the Enrollment Checklist to determine which benefits are best for you and your family in 2018. You must enroll online by midnight Central time or by phone before 6:00 p.m. Central time on November 17, 2017, if you wish to make coverage changes for 2018.

Your 2017 elections will carry to 2018. Read this guide and all other enrollment materials carefully to ensure you maximize the value of your benefits for 2018.

Benefit Why take action?

Medical, Dental and Vision Review to ensure you have the right coverage for you and your family.

If you don’t make changes, your 2017 elections will carry to 2018.

Resources for Living Review to ensure you have the right coverage for you and your family.

If you don’t make changes, your 2017 elections will carry to 2018.

LEARN MORE ABOUT YOUR BENEFITS

• Visit hr.phillips66.com or the Annual Benefits Enrollment web page hr.phillips66.com/Annual-Enrollment/ 2018-Annual-Enrollment.aspx.

• Contact the Benefits Center at (800) 965-4421, M-F, 8:00 a.m. to 6:00 p.m. Central time.

COVERAGE THROUGH THE EXCHANGE

In addition to the options described in this guide you may be able to purchase coverage through the health insurance exchange. The options available on the exchange will vary based on where you live. You can access resources to help identify options available to you by contacting Health Coverage Resources at healthcoverageresources.com/Phillips66/home.

Exchange enrollment: November 1 – December 15, 2017.

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YOUR ENROLLMENT CHECKLIST*Benefit Coverage My Elections

Medical

HDHP Option You only ($441.08/month) You + 1 ($961.15/month) You + 2 or more ($1,300.42/month)

Amount:

PPO Option You only ($702.42/month) You + 1 ($1,529.66/month) You + 2 or more ($2,069.81/month)

Amount:

Kaiser Permanente HMO (CA only) You only ($638.64/month) You + 1 ($1,341.16/month)You + 2 or more ($1,788.21/month)

Amount:

Dental

Dental Option (includes out-of-area) You only ($34.72/month) You + 1 ($69.43/month) You + 2 or more ($121.51/month)

Amount:

Vision

Basic Option You only ($0.82/month)You + 1 ($1.47/month)You + 2 or more ($2.24/month)

Amount:

Comprehensive Option (includes basic coverage)

You only ($10.05/month) You + 1 ($18.26/month) You + 2 or more ($27.95/month)

Amount:

Other

Resources for Living Family coverage ($1.43) Amount:

Enroll on Your Benefits Resources (YBR) or call the Benefits Center at (800) 965-4421

* This checklist is for personal use only.

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MEDICAL

YOUR 2018 ANNUAL BENEFITS ENROLLMENT CHOICESAnnual Benefits Enrollment is your opportunity to make changes to your health and welfare coverage for 2018. Please review this guide carefully to ensure you make the best enrollment decisions for you and your family.

REVIEW your medical benefits to ensure the right coverage. Your 2017 elections will carry to 2018.

Phillips 66 offers the following medical options:

• HDHP option — offers a lower contribution for coverage, with a higher annual deductible.

New for 2018:

– Telemedicine, Urgent Care and Minute Clinics will include a copay after deductible.

– For the HSA, the IRS maximum contribution limit has increased to $3,450 for individuals and $6,900 for families.

– The pharmacy copay structure has been modified to further encourage the usage of generic and preferred brand prescriptions.

• PPO option — offers a higher contribution for coverage, with a lower annual deductible.

New for 2018:

– Network copays for primary care, specialist and urgent care visits have increased.

– The pharmacy copay structure has been modified to further encourage the usage of generic and preferred brand prescriptions.

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HDHP Option PPO Option

Network Non-network Network Non-network

Annual deductible You only: $1,400You + 1 or more: $2,800

(Includes prescription drug costs)

You only: $600You + 1 or more: $1,200

You only: $1,200You + 1 or more: $2,400

(Excludes medical copays and prescription drug costs)

Annual out-of-pocket maximum

Individual: $4,500*Family: $9,000

Individual: $13,500*Family: $27,000

Individual: $4,500*Family: $9,000

Individual: $13,500*Family: $27,000

(Includes deductible and prescription drug costs) (Includes deductible, medical copays and prescription drug costs)

* Once the individual out-of-pocket maximum has been met, covered services for that individual will be paid at 100%.

Preventive medical care (deductible waived)

Covered at 100% $1,500 covered at 100%; 50% thereafter

Covered at 100% $1,000 covered at 100%; 50% thereafter

Doctor visits You pay 20%, after deductible

You pay 50%, after deductible

Primary care: $30 copay

Specialist: $60 copay

You pay 50%, after deductible

Telemedicine & Minute Clinic

$10 copay, after deductible $15 copay

Urgent Care $50 copay, after deductible

50% after deductible $60 copay 50% after deductible

Most other services You pay 20%, after deductible

You pay 50%, after deductible

You pay 20%, after deductible

You pay 50%, after deductible

Centers of Excellence

You pay 10% for certain procedures, after deductible

NA You pay 10% for certain procedures, after deductible

NA

Preventive prescription drugs

Covered at 100% for generic preventive drugs and insulin; no deductible

Covered at 80% for branded preventive drugs; no deductible

No special provision for preventive prescription drugs

Other network prescription drugs

You pay 100% of the discounted cost until you reach your annual deductible

Thereafter:• Retail (after deductible):

– Generic: $10 copay – Preferred brand: You pay 20% ($150 max.) – Non-preferred brand: You pay 35%

• Mail (after deductible): – Generic: $25 copay – Preferred brand: You pay 20% ($300 max.) – Non-preferred brand: You pay 35%

Retail: • Generic: $10 copay • Preferred brand: You pay 40% ($150 max.) • Non-preferred brand: You pay 55% ($300 max.)

Mail: • Generic: $25 copay • Preferred brand: You pay 40% ($300 max.) • Non-preferred brand: You pay 55% ($600 max.)

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GRAND ROUNDS — CONNECT WITH WORLD-CLASS PHYSICIANS

Doctor Match and Expert Opinion: Whether you or a covered dependent need help finding a top-tier doctor, an expert second opinion or are hospitalized and want to consult with a specialist, Grand Rounds can connect you to world-class physicians who can help.

New for 2018: Find the best physician in your area with the Doctor Match tool available online or through the mobile app. This service will put you in touch with a top-tier network physician nearest to your location. Whether you are looking for a primary care physician or a specialist, you and your family will have direct access to the highest quality providers in your area.

To learn more about what Grand Rounds has to offer, or to activate your Grand Rounds account, go to grandrounds.com/phillips66 or call (844) 339-6732.

PRESCRIPTION DRUG BENEFITS KAISER PERMANENTE HMOKaiser provides medical and prescription drug coverage from doctors and facilities participating in the Kaiser network.

If you live within a Kaiser service area in California, you can choose to enroll in Kaiser. For coverage details, contact Kaiser.

Kaiser

Website kaiserpermanente.org

Phone number (800) 464-4000

REVIEW your medical selection as the prescription drug benefit is based on your medical option.

The Phillips 66 HDHP and PPO options include prescription drug benefits administered by CVS Caremark. The option you select will impact your prescription drug benefits. Keep in mind that you are generally required to get your maintenance medications through mail order. However, you can get a 90-day supply at a CVS Pharmacy through the Maintenance Choice program instead of going through mail order.

New for 2018:

A new program will be available for the daily management of diabetes. The CVS Caremark Diabetes Care Team program is available at no cost to eligible participants and includes a new Livongo connected glucometer to simplify tracking of your glucose levels. The program also provides a supply of test strips and lancets delivered to your door as well as access to specially trained nurses. Contact CVS Caremark to learn more about Livongo.

CONSIDER: Your prescription drug needs for 2018.

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DENTALThe dental options provide coverage for regular checkups, as well as basic, restorative, and major services and orthodontia.

New for 2018:

• Enhanced to provide three preventive exams in a calendar year.

• Composite fillings are now covered (up to plan limits) for all teeth.

Dental Option Out-of-area* Dental OptionNetwork Non-network

Annual deductible $50 individual and $100 family

$150 individual and $300 family

$50 individual and $100 family

Annual maximum $2,000 per person $2,000 per person

Preventive Covered at 100% Covered at 80% Covered at 100% up to plan limits

Basic services You pay 20% after deductible

You pay 50% after deductible

You pay 20% after deductible up to plan limits

Major services You pay 50% after deductible

You pay 50% after deductible

You pay 50% after deductible up to plan limits

Orthodontia You pay 50%

$2,000 lifetime per person

You pay 50%

$2,000 lifetime per person

* Available to those without access to at least 2 dentists within 10 miles of their home ZIP code.

To find a network dental provider, visit metlife.com/mybenefits. Enter “Phillips 66 Company” in the box for company, and fill in your ZIP code.

REVIEW your dental enrollment. Your 2017 elections will carry to 2018.

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VISIONPhillips 66 has two vision options administered by VSP. The following chart shows benefits when you receive services from VSP network providers.

Basic Option Comprehensive Option

Exam Covered at 100% Covered under Basic Option

Frames Discounts available $200 annual allowance*

Contact lenses Not covered $180 annual allowance*

Contact lens fitting Discounts available Covered at 100%

Lenses — Single vision, bifocal, trifocal, lenticular, polycarbonate (under age 19)**

Discounts available Covered at 100% one-time annually

Lens options — Progressive, anti-reflective

Discounts available Member pays VSP Preferred Pricing

* The annual allowance is for either frames or contact lenses in the calendar year, but not both.

** Polycarbonate lenses are covered at 100% for participants under the age of 19. For participants over the age of 19 they are covered at a discounted rate. 

REVIEW your vision enrollment to ensure the right coverage. Your 2017 elections will carry to 2018.

To learn more or to find a network vision provider, visit vsp.com. Enter your ZIP code to find a doctor.

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Enroll online before midnight, Central time (or by phone before

6:00 p.m., Central time) on November 17, 2017.

Make sure you understand all your options before enrolling in your 2018 benefits.

RESOURCESThis Annual Benefits Enrollment Guide highlights what you need to know to enroll in your 2018 benefits. If you want more information on a specific plan — eligibility, coverage details, how it works — you have several resources:

• Annual Benefits Enrollment website: hr.phillips66.com/Annual-Enrollment/2018-Annual-Enrollment.aspx.

• Summary Plan Descriptions (SPDs) at hr.phillips66.com.

• Coverage through the Exchange at healthcoverageresources.com/Phillips66/home.

• Benefits Center at (800) 965-4421, Monday – Friday, 8:00 a.m. – 6:00 p.m., Central time.

• Health care reform requires Phillips 66 to provide you with a Summary of Benefits and Coverage (SBC), available at hr.phillips66.com/Annual-Enrollment/2018-Annual-Enrollment.aspx. The SBC is a standardized document that highlights key provisions, limitations and exceptions.

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This communication may contain information regarding certain Phillips 66 compensation and benefits. The summary

plan descriptions for the various benefit plans and other relevant terms and conditions provide more detailed

information. Receipt of this communication does not guarantee eligibility for benefits or any other form of

compensation. Phillips 66 reserves the right to correct any errors. If the information provided by this communication

conflicts with the plan documents, the plan documents will prevail. Phillips 66 also reserves the right to amend, change

or terminate its plans, any underlying contract or any other policy or program, at any time without notice, at its sole

discretion. This information applies only to Non-Represented employees, as well as Represented Employees where

provided for under the terms of an applicable collective bargaining agreement.