Transcript Wellness and U - Montana University System | CHOICES

TM
Spring Tour 2015
ANNUAL BENEFIT
ELECTION PERIOD
for the FY2016 benefit year
July 1, 2015 – June 30, 2016
Montana University System
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Agenda for Today
 Important Changes for FY2016
1.
2.
3.
4.

Medical Benefit Enhancements
Flexible Spending Account Changes
New Tax Advantaged Accounts
Wellness Incentive
Benefit Changes and your Decisions for 2016
1. Medical, dental, and vision
2. Rates and Fees
 Time Frames for Making Benefit Change Decisions
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Important Changes for 2016
MEDICAL PLAN CHANGES

Enhancements to Complementary
Health Care Services
Acupuncture,
Chiropractic and Massage Therapy
(New!) benefits have a $15 co-pay and 30 visits per
year
 Naturopathic services have a $15 co-pay, no visit
limit
 The patient is responsible for any difference
between the allowable amount for a service and the
charge
Chiropractic has both in and out of network benefit

Enhancements to Miscellaneous
Services
Dietary/Nutritional Counseling, Obesity
Management, TMJ and Infertility Treatment now have
an out-of-network coinsurance of 35%

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Important Changes for 2016 (cont.)
Selection Of Medical Plan - WE WILL
CONTINUE OFFERING THREE MEDICAL
PLAN OPTIONS IN 2016


Allegiance Managed Care
 Blue Cross and Blue Shield
Managed Care
 Pacific Source Managed Care
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Important Changes for 2016 (cont.)
Use In-Network Providers – Be sure to use
in-network providers to ensure you do not I
incur “balance billing” charges


Network participation by
providers is changing in the
health care market

Always check - DO NOT assume
participation “….but my doctor has
always been in-network!”

Check with your medical plan vendor,
MUS Benefits Office, or your campus if
you need help finding in-network
providers
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Important Changes for 2016 (cont.)
ELIGIBILITY
Dependents up to age 26 may now enroll
annually in medical, dental, and vision
benefits (Does not include spouses)


Proof of eligibility according to
criteria in the Summary Plan
Document will be required

Mid-year disenrollment may only
occur with a “qualifying event” or
during a “Special Enrollment Period”
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Important Changes for 2016 (cont.)
FLEXIBLE SPENDING ACCOUNT CHANGES

Continuing changes with the implementation of the
Affordable Care Act require changes to the MUS
Choices Medical FSA


Recall in FY2013 that FSA accounts were lowered
from a $6,000 limit to $2,500
Beginning in FY2016 there are new changes to
medical Flexible Spending Accounts (FSAs):
1.
Employees will no longer be permitted to direct their
excess employer contribution (state share) to an FSA
2.
The maximum amount an employee can deposit to an FSA
account increases to $2,550 for the FY2016 plan year
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Important Changes for 2016 (cont.)
FLEXIBLE SPENDING ACCOUNT CHANGES

With the limitations on the manner and amount
of employer funds that may be placed in a
medical FSA, MUS Choices will now offer two
account options for employees:
1.
Medical FSA option funded only with employee
contributions (up to $2,550 per year)
2.
NEW! A Tax Advantaged Account (TAA)
•
$750 employer contribution in FY2016
•
Same allowable expenditures as a medical FSA
•
No “Use-it-or-Lose-it” annual requirement!!!
•
Account balance is portable upon termination of
employment
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Important Changes for 2016 (cont.)
MEDICAL SPENDING ACCOUNTS 2016
Tax Advantaged Account (TAA) things to know....

Only employer funds can be placed in a TAA; employee
funds cannot be contributed (use the FSA instead)

If your spouse has coverage through a HSA or
has a high-deductible health plan, you may wish
to talk to a tax advisor about whether to elect the
TAA

The TAA will be funded for FY2016 and MUS will review
available funds to determine whether contributions
can be made in the future

Account balances are not use-it-or-lose-it and can continue up to 24
months following the last day of employment with MUS (for terminating or
retiring employees) and up to 24 months following the date that MUS
ceases to make employer contributions (including Wellness Incentives)
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Important Changes for 2016 (cont.)
MEDICAL SPENDING ACCOUNTS 2016
OLD Arrangement for Medical FSAs….
Employee Contribution $s
1. State Share $s – Benefit Elections $s
= Employer Contribution #1
2. Wellness Incentive - $250/$500
= Employer Contribution #2
Medical
FSA
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Important Changes for 2016 (cont.)
MEDICAL SPENDING ACCOUNTS FY2016
NEW Arrangement for Medical Spending Accounts
TAX ADVANTAGED ACCOUNT
• $750 Employer Contribution $s
• $250/$500 Wellness Incentive Funds
will be placed in TAA instead of FSA
TAA
FLEXIBLE SPENDING ACCOUNT
• Up to $2,550 of Employee
Contribution $s
Medical
FSA
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Important Changes for 2016 (cont.)
MEDICAL SPENDING ACCOUNTS 2016

WELLNESS INCENTIVE
 Active employees who completed a
WellCheck (biometric screening,
HRA, and blood draw) during 2014
and achieved the Trailblazer level will
receive a $250 Wellness Incentive
contribution to their TAA
 Adult dependents completing a Wellcheck will
receive an additional $250 in the TAA
 Maximum of $500 per individual household
enrolled in the MUS Plan
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Important Changes for 2015 (cont.)
MEDICAL SPENDING ACCOUNTS 2016

$500 Annual FSA Roll-Over
If you have funds remaining in your
FSA account as of June 30, 2015, the
rollover provision allows you to:

1.
Carry up to $500 forward into the following plan year
(for use beginning July 1) in your FSA. These funds
will be placed in the FSA in October 2015 after FY2015
reconciliation is completed.
2.
You may expend these funds on qualifying medical
expenses incurred during the following plan year
from your FSA
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Important Changes for 2016 (cont.)
LIFE INSURANCE ELECTIONS


Evidence of Insurability Now Required When:
1.
An Active employee wishes to add Optional Supplemental Life
Insurance in an amount above $300,000 or increase existing coverage
more than one increment of $25,000 annually.
2.
Adding Optional Supplemental Dependent Life
for a spouse if not enrolled during the new hire election.
Optional Supplemental Life and
Optional AD&D Coverage premiums
are paid on an after-tax basis.
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Important Changes for 2016 (cont.)
VISION HARDWARE BENEFIT
Optional Vision Benefit now covers ONLY
hardware (frames, lenses, and contacts)


Eye Exam is provided as part of the
medical plan

No need to use a network for
Purchasing hardware – simply select
A place to purchase and then submit
Claims to Blue Cross and Blue Shield
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Benefit Changes and
Your Decisions for FY2016
RATES AND FEES
 ACTIVE EMPLOYEES
•
•
3.0% Aggregate Increase
Premiums changes after the employer contribution are applied range from a
decrease of $4 to an increase of $57 per month depending on which medical
plan you select and whether you cover dependents
 NON-MEDICARE RETIREES
•
•
7.6% Aggregate Increase
Premiums increases are between $46 and $102 per month depending on
which medical plan you select and whether you cover dependents
 MEDICARE RETIREES
•
•
7.4% Aggregate Increase
Premiums changes range from a $19 per month increase to a $69 per month
increase depending on which medical plan you select and whether you cover
dependents.
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Benefit Changes and
Your Decisions for FY2016
RATES AND FEES (cont.)
 Medicare Advantage Plan (MUS MAP)
• Rate remains at $196 beginning July 1, 2015
Changes to certain benefits – contact New West for more information
 Dental
• Active and Retiree rates remain the same as 2015
• Benefits are unchanged
 Vision Plan
•
•
•
Vision Hardware Plan has the same rates as 2015
Remember – the Medical Benefits now cover vision exams!
Optional Vision Hardware Plan covers frames, lenses, and contacts
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Health Plans and Networks
To receive your best benefits,
STAY IN-NETWORK
with your health plan
Allegiance 1-877-778-8600, www.abpmtpa.com/mus
Blue Cross and Blue Shield 1-800-820-1674, www.bcbsmt.com
PacificSource 1-877-590-1596, www.PacificSource.com/MUS
MUS MAP 1-888-873-8049, www.newwesthealth.com
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Retiree Updates
 Please review your medical plan choices carefully
1. Review Managed Care Plan choices carefully
2. If you are a Medicare eligible retiree, consider whether the MUS
Medicare Advantage Plan (MUS MAP) offered through New West
Health Services may be an option for you
 Look for the retiree information and updates that will be
mailed to your home and/or attend a campus presentation
 Contact your Campus benefit staff or the MUS Employee
Benefits Office if you have questions – we are happy to help!
 All forms for any changes must be received by the date
specified by your campus and submitted to the appropriate
address noted on your enrollment form
 If NO CHANGES are desired, you don’t need to do anything!
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Changes to CHOICES
 Please watch for campus mailings/information regarding
key dates benefit changes must be submitted by.

 Reminder - Closed enrollment for spouses in FY2016
(qualifying event required to add spouses – children to age 26 may be added)
 If you do not submit any changes, then you will be reenrolled in the prior year benefit elections (except for Flex or TAA)
 FLEX PLAN ENROLLMENT and TAA ELECTION
1. You must re-enroll in Flex each year and specify the dollars you
wish to go into your account
2. Remember that Flex is USE IT OR LOSE IT! – Rollover provision
permits up to $500 to carry forward to the following year
3. WellCheck Incentive of up to $500 per household is available
with the funds deposited to a TAA
4. TAA must be elected by employee annually
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QUESTIONS?
Thank you for your time!
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