1. We Are All In The Benefits Ballgame Together!! 2015 Benefit Open Enrollment Presentation.
We Are All In The Benefits Ballgame Together!!
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Transcript of We Are All In The Benefits Ballgame Together!!
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We Are All In The Benefits
Ballgame Together!!
2015 Benefit Open Enrollment Presentation
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Items we are reviewing today…
• Immanuel Benefits
• Preventive Care
• Urgent Care VS Emergency Room visits
• Health Savings Accounts—new limits & vender change in March 2015
• Wellness reward
• What’s new for Immanuel?
• How to enroll for benefits?
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1st Inning Your Health Plan has 2 Parts:
Your
Coventry tax-free
$$
Part 1: Health Insurance Plan Part 2: HSA Bank Account
New Vendor
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Medical Plan
• No plan design change
• $1500 Single deductible/$3000 Family deductible
AND this is also your Out-of-Pocket maximum!
• Once the deductible is met the plan pays
100% for the rest of the plan year
• Coventry recently merged with Aetna-we now have an expanded network of Aetna providers
• New premium rates
• Adding same-sex spouse
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Same-Sex Spouses
• Same-sex spouses are now eligible to be added to our current medical plan.
• If a same-sex couple was married in a any state that allows for same-sex marriages such as Iowa, dependent spouses are eligible to be on our plan regardless of where the couple resides.
• Just like other life events, documentation is required---proof of marriage (marriage certificate).
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What applies to your deductible??
Deductible
RX’s
In Patient Hospital
Outpatient Surgery
Physical Therapy
Chiropractor
Doctor visit
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Preventive Health CarePaid for by our Immanuel Health Plan @
100%So….what does this
include????
• Annual Physicals
• Mammograms
• Well-woman care (pap smear)
• Diabetes screening
• Certain Osteoporosis screenings
• Well baby & child care
• Prostate cancer screening
• Colon cancer screening
• Adult & childhood immunizations
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Emergency Room or Urgent Care
What should I do???There has been an up swing of emergency room visits mainly evenings and weekends. Just a reminder that some Urgent Care locations are open extended hours in the evenings and open at least part of the weekend hours.
• Average cost of an Emergency Room Visit is $1,350.
• Average cost of an Urgent Care Visit is $120.
• Average cost of a call to Nurse Advisor Line Free.
We all need to be good health care consumers and keep the costs down for ourselves and our health plan!
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Immanuel VS CompetitorDeductible: $1,500 individual
$3,000 family
Out-of-Pocket Maximum:
$0 individual
$0 family
*Once deductible is met plan pays 100%. Out-of-pocket has been met too. This is key!!
HSA Employer Contribution:
$350 individual max per yr.
$1077 family max per yr.
Wellness Reward:
$377 per eligible employee
Deductible: $2,000 individual
$4,000 family
Out-of-Pocket Maximum:
$5,000 individual
$10,000 family
In addition to deductible before plan pays 100%.
HSA Employer Contribution:
$0 individual
$0 family
Wellness Reward:
Non-specified incentive
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2015 Medical Premiums (FTE.8 or 32 hrs per week)
–EE Only $52.75 biweekly• $47.48 subsidized rate**
–EE + Spouse $178 biweekly• $160.20 subsidized rate**
–EE + Child(ren)$165 biweekly• $148.50 subsidized rate**
–EE + Family $202 biweekly• $181.80 subsidized rate**
**Employees with a wage of $14 per hr or less
receive a 10% discount on medical premiums.
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2015 Medical Premiums (FTE.7 or 28 hrs per week)
–EE Only $69.25 biweekly• $62.33 subsidized rate**
–EE + Spouse $232 biweekly• $208.80 subsidized rate**
–EE + Child(ren)$215 biweekly• $193.50 subsidized rate**
–EE + Family $263 biweekly• $236.70 subsidized rate**
**Employees with a wage of $14 per hr or less receive a 10% discount on medical premiums.
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Immanuel’s Premium History
2009 2010 2011 2012 2013 2014 2015
EE Only $48.00 $38.00 $38.00 $41.75 $45.75 $49.75 $52.75
<21%>Savings
0%Neutral
10%Increase
10%Increase
9%Increase
6%Increase
Table shows Employee Only per pay period premiums for the last 7 years as seen in the previous slide with the graph. The percentage of increase over the 7 years has averaged 3.65% compared to the market averages ranging between 25% and 35%.
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Immanuel Total Medical Plan Cost Annually
Immanuel Costs H.S.A Match Wellness Reward
Employee Premium
H.S.A EE Contribution
Immanuel Pays 80.2%
Employee Pays 19.8%
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EXAMPLE EMPLOYEE SCENARIO Employee earns: $12.00 an hour and is a 1.0 FTE (fulltime)
= $24,960 Annually
$24,960 X 2.5% merit increase is a $624 increase = $25,584
Employee Only health insurance premium was $44.78*/pay period
= $1,164.28 for the year. *Note: EE receiving 10% premium subsidy.
2015 Premium increases to $47.48** ppp = $1,234.48
or $70 for the year *Note: Premium increase is just over 6% for 2015 employee only
Net = $554
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2nd InningHSA Account
Your Health Savings Account is pre-tax dollars you set aside to help you pay for your out-of-pocket medical expenses such as your deductible, RX, other OOP qualifying expenses.
What are the advantages?• Tax Savings—using pre-tax $$$
• Flexible—--it is your account
• Rolls over from yr. to yr.
• Portable---it goes with you
• Makes you a better health care consumer
because you are conscious of YOUR money
that you are spending for health care costs
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H.S.A. IRS Maximum Contribution Limits
2014Employee Only $3,300
Employee Plus/Family $6,550
Catch-up (age 55+) $1,000
**IRS added $50 to singles and $100 to families.
2015Employee Only $3,350
Employee Plus/Family $6,650
Catch-up (age 55+) $1,000
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New HSA vendor on the horizon
In the 1st quarter of 2015 we will be moving to a new HSA vendor for a number of reasons including:
• easier enrollment process
• investment opportunities(mutual funds/stock)
• lower fees associated with account
• larger network of banking locations
We will conduct educational meetings after
the first of year to explain in detail
what will be happening and how it
affects you.
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3rd Inning Wellness Reward 2016
Need to earn 150 points during 2014-2015
as well as complete the:
Biometrics Screening Health Risk Assessment Tobacco Affidavit
**Employees who start after July 1st and special groups are grandfathered
for the wellness points.
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Wellness Reward
• There is some added flexibility in earning wellness points by doing a charity/community sponsored run/walk/cycle event of your choice. Receive 30 points by completing an Access Wellness form and providing the event number or letter of participation.
• Or you may receive 20 points by doing some community sponsored volunteer work and completing the Access Wellness Volunteer Verification form signed by a Community agency staff member.
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4th InningChange to Dental Plan
• Annual maximum ($1,200) is ALL for dental expenses.
• Same Plan Design & Same Carrier---Ameritas
• There is incentive coinsurance which increases from
80% (1st year), 90% (2nd year) & 100% (3rd year).
• Adult and Child Ortho 50% up to $3,000
lifetime maximum ($1,500).
• There is a dental reward carryover from year to year with dental rewards up to $250.
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Dental Rewards
• You earn dental rewards by submitting at least one claim for dental expenses incurred during the benefit plan year, while staying under total claims $500 in the same year. The one claim could be your preventive check-up.
• The annual carryover amount of $250 is added to the following year’s maximum of $1200 the first year.
• Additional bonus of $100 is earned if you see a PPO provider.
• The accumulated maximum carryover amount is $1000.
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5th InningNEW Vision Plan
• Separate plan and premium - no longer part of dental• Now eligible to receive a vision exam every 12 months• Up to $180 on frames or contacts (most lens options
are covered in full in network)• Claims processed by the dental provider to Ameritas.
No reimbursement form to complete.• $10 exam deductible and $10 Eye glass deductible
applied to lenses or frames• Wide network - uses the VSP network of providers• Ameritasgroup.com
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2015 New Vision Plan Premiums (FTE.7 or 28 hrs per week)
–EE Only $2.32 biweekly
–EE + Spouse $7.19 biweekly
–EE + Child(ren)$6.38 biweekly
–EE + Family $11.26 biweekly
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6th InningNew Vendor for Life & Disability Insurance
• Moving the Life Insurance and Long-Term Disability Insurance from Mutual of Omaha to Hartford Insurance effective January 1, 2015.
• Same plan design
• No major changes for employees
• Note: If you didn’t enroll when initially benefit eligible, you will need to complete a health statement (EOI form) to obtain or change coverage.
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7th Inning401k Plan & Match
• Safe Harbor Match - 3% of annual salary each year without EE contributions.
• Immanuel match of 50 cents on the $ for the first 6% of EE contributions.
• Once in the plan—Always in the plan. So if an EE leaves and is rehired—always eligible now.
• Can change contributions at any time or discontinue if needed.
If you are able, be sure to take advantage of those match $$ and your future retirement!!
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8th InningHow to enroll for Benefits
• We are introducing a new online enrollment process this year. All benefit eligible employees will need to confirm their benefits if they want to make changes or have their current benefit coverages continue effective 1/1/2015.
• If you are uncomfortable using the computer or have questions,
we still have the option of the Call Center.
Benefit Call Center @ 877-282-0808
Monday – Friday 7:00 am – 4:00 pm CST
Deadline for Benefit Enrollment is November 21st
No Action = No Insurance
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Immanuel Benefits WebsiteTo enroll you will log into www.immanuelbenefits.com and click on enroll now button
Employee Number: use your employee ID# (same as Relias number)
PIN: first initial of first and last name & last 4 digits of SSN Example—js1234
After reviewing the benefit screens, there will be a summary page with all your benefits listed. Scroll down to the bottom and electronically sign with your “PIN” number.
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9th InningReminders
• Wellness Reward Points for 2014-2015 Wellness Cycle are now 150 points.
• If you do the Flexible Spending accounts for Dependent Day Care or Health or Limited, you must reapply for calendar year 2015.
• All employees have a $1,000 Identity Fraud Expense Reimbursement policy with a $0 deductible paid by Immanuel.
• Employee Assistance Program – Up to 5 visits per person/per issue. Plus Financial/Legal Referral
• Wellness Reimbursement on the cancer policy--$50 on the Low policy and $100 on the High policy. Outpatient physician reimbursement on Accident policy--$25 on the Low policy and $50 on the High policy.
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Reminders cont.
• Immanuel provides tuition reimbursement for FT employees up to a maximum of $3,000 per fiscal yr. and regular PT employees up to a maximum of $1,500 per fiscal yr.
• Immanuel provides a Helping Hands Assistance Fund for those employees in financial need.
• EVERY Benefit Eligible person must enroll or they will not have insurance on 1/1/2015! Also, remember to enter your pin at the bottom of the enrollment screen to confirm your enrollment.
• Questions – Contact your HR Manager or
You can reach us at [email protected]
• Some informational handouts are on the table.
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Don’t forget to take a few minutes to fill out the
Benefit Survey.
We appreciate your feedback.
Thank you.
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You’re on Immanuel’s winning team.
Thank you for coming to the Benefits Ballgame!!