Transcript Slide 1

Welcome
Busco, Inc – Arrow Stage Lines
Annual Enrollment
January 1, 2014
Agenda - What we will cover
 Review your Medical Plan Options for
2014 – UHC is updating their Certificate of
Coverage.
 2014 Updated Contribution limits for
Health Savings Account (HSA)
 Quick summary of other benefits
 Timeline for enrollment changes
Medical Plans – Two options
Traditional Plan – Co-pay plan
Qualified High Deductible Health
Plan (QHDHP) with a Health
Savings Account (HSA) – HSA
Plan
Both are PPO plans – You save
when you see a participating
provider.
Co-pay Plan Design
Co-Pay Plan - PPO Plan Design (UHC Flexpoint Plan)
Plan Details
In-Network
Out-of-Network
Employee Only
$2,500
$5,000
Employee + Dependent(s)
$5,000
$10,000
Annual Deductible
Annual Out-of-pocket Maximum (including deductible and Medical Copays)
Employee Only
Employee + Dependent(s)
Coinsurance
$5,000
$10,000
$10,000
Plan pays 80%, Member pays 20%
$20,000
Plan pays 50%, Member pays 50%
100% after $30 copayment per visit
*First 4 visits – subject to copay, addl visits subject
to deductible and coinsurance
100% after $60 copayment per visit
*$30 copayment if Premium Designated Specialist
*First 4 visits – subject to copay, addl visits subject
to deductible and coinsurance
100%, deductible and copay waived
50% after Deductible is met
Services
Office Visits - Primary Care
Office Visits – Specialist Care
*4 visits – PCP and Specialist combined
Preventive Care
Inpatient Hospital Services
50% after Deductible is met
50% after Deductible is met
80% after Deductible is met
50% after Deductible is met
Outpatient Hospital Services
80% after Deductible is met
50% after Deductible is met
OP Surgery – 50% deductible is met
Urgent Care
100% after $100 copayment per visit
50% after Deductible is met
Emergency Care
80% after $250 copayment per visit
80% after $250 copayment per visit
80% after Deductible is met
50% after Deductible is met
Independent Lab, Radiology Services
Note: Prior authorization required for certain services.
No Lab card Under the UHC plans.
QHDHP HSA Plan Design
Qualified High Deductible Health Plan with HSA - PPO Plan Design
Plan Details
In-Network
Out-of-Network
Employee Only
$2,500
$5,000
Employee + Dependent(s)
$5,000
$10,000
Employee Only
$5,000
$10,000
Employee + Dependent(s)
$10,000
$20,000
Plan pays 80%, Member pays 20%
Plan pays 50%, Member pays 50%
Office Visits - Primary Care
80% after Deductible is met
50% after Deductible is met
Office Visits – Specialist Care
80% after Deductible is met
50% after Deductible is met
100%,not subject to deductible
50% after Deductible is met
Inpatient Hospital Services
80% after Deductible is met
50% after Deductible is met
Outpatient Hospital Services
80% after Deductible is met
50% after Deductible is met
Urgent Care
80% after Deductible is met
50% after Deductible is met
Emergency Care
80% after Deductible is met
80% after Deductible is met
Independent Lab, Radiology Services
80% after Deductible is met
50% after Deductible is met
Annual Deductible
Annual Out-of-pocket Maximum (including deductible)
Coinsurance
Services
Preventive Care
Note: Prior authorization required for certain services.
No Lab card Under the UHC plans
Remember – No Copays
Prescription Drug Coverage
Prescription Drug Coverage
Cost
Co-Pay Plan
H.S.A. Plan
Tier 1
$15
80% after Deductible is met
Tier 2
$35
80% after Deductible is met
Tier 3
$70
80% after Deductible is met
If you enroll in the HSA plan, you may want to shop around for the best
value. Not all pharmacies have the same price!
Per Pay Period Premium Costs
Per Pay Period Premium
HSA Plan
Employee Only
$49.56
Employee & Spouse
$148.98
Employee & Child(ren)
$118.75
Employee & Family
$193.68
Copay Plan
Employee Only
$95.32
Employee & Spouse
$233.70
Employee & Child(ren)
$186.67
Employee & Family
$303.05
* 24 Pay periods
HSA CONTRIBUTIONS
HSA Contribution Limits
 Each year, the IRS sets contribution limits
 These limits are for the total funds contributed,
including company contributions, your
contributions and any other contributions
 For 2014, total limits are:
$3,300 for individual coverage
$6,550 for family coverage (all other coverage
levels)
Note: IF you enroll in the QHDHP - Arrow will contribute $125 into your HSA
accounts in January 2014. If you are age 65 or over and not eligible for the
HSA account, Arrow will contribute $125 to an FSA account on your behalf
HSA Contributions
HSA Contribution amounts are
flexible. Amounts can be changed
monthly basis--you are not locked
in for the year.
 2014 Minimum Per Pay Period
Contribution is $10.00
HSA Plan premium is less
 The savings in your premium deductions
should be contributed to your HSA accounts.
HSA Contributions
You are allowed to contribute the entire year’s
limit whenever you first become eligible for the
HSA (even if that is in December)
 However, you must remain eligible for at least 12 months after that
date, or you will be subject to taxes and penalties on the amount you
contributed.
When contributing lump sums outside of
payroll deductions, you must claim on your tax
return to take advantage of the tax savings.
 Section provided on tax return – after tax contributions to HSA
Catch-Up Contributions
For individuals ages 55+, the IRS
allows additional “catch-up
contributions”
Eligible individuals may contribute an
extra $1,000 for the year 2014
This is to help save additional money
for retirement
Other Important Information
 Arrow will continue to offer the Flexible Spending
Accounts
 Health Care Spending Accounts (Full and Limited)
 Dependent Care Spending Account
 You will receive an ID Card – Includes Medical and
RX information. Be sure to share a copy with your
pharmacy and physician the first time you see them
in 2014.
Basic Life and AD&D - LFG
Employee – Paid by Employer
Current Life Benefit:
$15,000
Current AD&D* Benefit:
*Accidental Death and Dismemberment
$15,000
Voluntary Term Life/AD&D- LFG
(Employee Paid)
 Employee Coverage
Increments:
$10,000
Maximum:
Lesser of 4X annual earnings or $500,000
Guarantee Issue:
$100,000
Dependent Coverage
Spouse (Employee participation required)
Increments:
$5,000
Maximum:
50% of employee amount up to $250,000
Guarantee Issue: Less than 60 - $30,000: Over 60 – No GI
Child(ren) (Employee participation required)
Increments:
$2,000
Maximum:
$10,000 (19 years (23 if FT Student))
Guarantee Issue:
$10,000
Voluntary Life Benefit
• This is your Annual Enrollment opportunity to
make changes to your coverage amount, or
request to enroll for coverage under the plan.
• This is NOT an open enrollment. If you did not
enroll when you were initially eligible, you may
request enrollment now, but your request will be
subject to Evidence of Insurability.
Dental – UCCI (Slight increase in rates - Benefits stay the same)
Covered Services:
Preventive Services (Deductible Waived)
Includes oral exams, cleaning,
fluoride treatments, bitewing xrays, sealants and space
maintainers
100%
Exams – 1 per 6 Months
Cleanings – 1 per 6 Months
Basic Services
Includes procedures such as fillings,
extractions, oral surgery, general anesthesia,
palliative treatment
80% after deductible
Major Services – 6 month waiting period for new hires
Includes crowns, bridges and dentures
50% after deductible
Orthodontia (Deductible Waived)
Children only up to age 19
Deductible (Applied to Basic & Major Services)
Maximum Benefit per Calendar Year
50%
$1,000 Lifetime Max (per insured)
$50 ($150 family)
$1,000 per insured for Preventive, Basic
& Major Services combined
Per Pay Period Premium Costs
Per Pay Period Premium
Voluntary Dental Plan
Employee Only
$14.34
Employee & Spouse
$28.27
Employee & Child(ren)
$26.69
Employee & Family
$44.21
* 24 Pay periods
Voluntary Vision Plan - EyeMed
• Slight Rate increase and Benefits Stay the same
• $10 copay for Exam with Dilation (Every 12 months)
• Contacts - $115 Allowance Conventional and
Disposable
• Frames - $100 Allowance (Every 24 Months)
• Lens Allowances (Once every 12 Months):
• $25 copay for Single Vision
• $25 copay for Bifocal
• $25 Copay for Trifocal
• $25 Copay plus 20% off retail less $55 allowance for
Standard Progressive
Refer to more detailed Plan Summary “Online”
Per Pay Period Premium Costs
Per Pay Period Premium
Voluntary Vision Plan
Employee Only
$2.58
Employee & Spouse
$4.88
Employee & Child(ren)
$5.13
Employee & Family
$7.54
* 24 Pay periods
Other Benefits
 myuhc.com – Your resource and access to
relevant and helpful tools
 Treatment Cost Estimator
 Provider Search
 Quicken Health Expense Tracker
 Cost & Quality Ratings
 Enhanced Personal Health Record
 Make sure you visit Health Care Lane!
Other Benefits
 Care24 – EAP
 24/7 access to nurses or master’s level
counselors
 Health Education
 Medical Triage – 24/7
 UHC’s Wellness Program – Simply Engaged (Watch
for additional information)
 Health Assessment (20 minute questionnaire)
 Online Coaching
 Healthy Mind, Health Body Newsletter
 Incentives from $75 to $350 for participating.
Other Benefits
Voluntary Products
Cancer
Hospital Supplement
Accident
Short Term Disability
Contact 1-877-282-0808 for product
details and instructions how to enroll
 All Employees should review and verify his or her
name, address and dependent information by
December 22, 2013.
 Any changes in your benefit elections also need to be
confirmed by December 22, 2013
 REMEMBER – If you are currently enrolled in a
medical option, you will default to your existing
election if no benefit election is completed online.
 If you are not enrolling, you must Waive coverage
via the online enrollment system.
www.buscobenefits.com
Thank you for your
attention!
Questions?
Thank you!