2016 Annual Enrollment Guide

Transcription

1 2016 Annual Enrollment Guide FOR U.S. EMPLOYEES Choose benefits to power your best life. Annual Enrollment is October 26 to November 13, 2015 Changes effective January 1, 2016 JUMP TO COMPARISON CHARTS

2 2016 Annual Enrollment It s time for you and your family to review your healthcare plan choices and make your Annual Enrollment decisions for 2016 to help power your best life at home and at work. Thanks to your feedback, we brought back mailing this guide to your home and abbreviated it significantly so you can easily get the information you need. We share what s changing, what decisions you need to Your choices take effect January 1, 2016 MAKE YOUR ELECTIONS OCT. 26 NOV. 13, 2015 make, and provide plan features and cost comparison charts to help you make informed choices. If you want more, we outline the best venues for detailed information and how you can get your questions answered. Decision-support tools within My Health Benefits and other resources will be available to you and your eligible dependents starting on October 19, Take advantage of all the available resources to help you prepare.

3 What s changing? We are pleased to share that all plans continue to be available with no significant changes and only the 2% increase we promised last year. This is identical to our 2015 increase and compares favorably to U.S. market increases of 4 6.5% estimated for Additional changes that may apply to you, depending on your plan or family needs, are listed here for your quick reference. Cigna and Anthem All High Deductible Health Plans (HDHPs) paycheck deductions remain at zero; annual deductibles and out-of-pocket maximums increase 2%. Cigna Primary Care Plus paycheck deductions increase 2%. Certain compound medications are no longer covered. HMO Paycheck deductions increase 2% is the final year Fallon Community and Group Health Cooperative HMOs will be offered due to low enrollment; coverage continues through December 31, You may change plans during this annual enrollment or during 2017 Annual Enrollment. Health Savings Accounts (HSAs)* Cigna HDHP current HSA accounts with JPMorgan Chase Bank will be moved to HealthEquity through a transition process communicated via to those impacted HSA maximum contribution for family coverage increases from $6,650 to $6,750. *HSA is not an Intel-sponsored benefit and is not an ERISA welfare benefit plan. Additional Benefits Anyone who enrolls in the VSP Vision Plus Plan receives the added benefit of laser vision correction (Lasik) coverage. The benefit is a $2,000 allowance per lifetime per covered member. Intel s voluntary short-term disability (STD) plan increases from.8% of earnings (annual maximum contribution of $700) to 1% of earnings (annual maximum contribution of $900). OUR BENEFITS GROW WITH YOUR FAMILY Along with introducing the new Bonding Leave in January, Intel strives to improve benefits that help you and your growing family. While details in the Family section of Circuit My Benefits & Career tab highlight even more of these valuable benefits, here are two key changes we believe will meet the needs of our Intel families in 2016: Adoption reimbursement increases to $15,000 per adoption (from $5,000). The value is even greater by removing the benefit lifetime cap and expanding the list of eligible reimbursements to include expenses associated with surrogacy and adoption of spouse s existing child. The fertility lifetime maximum increases to $40,000 (from $10,000) for medical services and $20,000 (from $5,000) for prescription drugs with all plans, except for HMOs. This includes a variety of new conception services for employees wishing to expand their families.

4 What do I need to do during Annual Enrollment? Log on to My Health Benefits from Circuit, find in Quick Links in left navigation or search for My Health Benefits; from the Internet, go to intel.com/go/myben then: Re-elect pre-tax savings plans and choose contribution amounts for: Health Savings Account (HSA), Health Flexible Spending Account (Health FSA), Limited Use Health Flexible Spending Account (Limited Use Health FSA), and Dependent Care Assistance Program (DCAP). Update your dependent Social Security Number(s) or Taxpayer Identification Number(s) in My Health Benefits by December 31, 2015 in order to comply with reporting requirements under the Affordable Care Act (ACA) individual shared responsibility mandate. If we are missing your dependent social security number(s), an alert will show at the top of My Health Benefits with a link. In addition, you may: Add or drop dependents from your coverage. Make changes to your health, dental, vision, life insurance, short-term disability, and Hyatt Legal Plan. Log on to the MetLife website mybenefits.metlife.com to enroll in voluntary benefits such as supplemental long-term disability, critical illness insurance, auto and home. Validate or update life insurance beneficiary information. What if I don t make any changes during Annual Enrollment? While it is important for you to review the plan information and make your decisions for 2016, if you don t make any changes during the annual enrollment period, the following will occur: The health, dental, and vision plan you and your dependents are currently enrolled in will remain the same for Your HSA, Health FSA, Limited Use Health FSA, and DCAP contributions will stop at the end of Your life insurance, voluntary benefits, and short-term disability coverage will remain the same for Get the Help You Need Phone The Intel Health Benefits Center, 877-GoMyBen ( ), is available Monday Friday, 6 a.m. 6 p.m. Pacific. Web My Health Benefits Access My Health Benefits site from Circuit Quick Links in the left navigation of the homepage or search for My Health Benefits. You can also access it via the Internet at intel.com/go/myben, which allows the entire family to view your health benefits at home. To access from the Internet, you need to log in with your user ID and password. First-time users need to create a user ID and password to log in. Once logged in, you can ask questions via web chat Monday Friday, 6 a.m. 6 p.m. Pacific. Ask Ivy Ivy provides personalized answers to many common questions related to Annual Enrollment. Circuit Select Annual Enrollment under Quick Links. Social 24x7 Virtual Roadshow and Webinars Visit intel.com/annualenrollment so you and your dependents can use the tool s interactive functionality to access more in-depth materials from HR and our plan providers. Inside Blue Our Annual Enrollment community is a great place to get insights from your fellow employees if you want to collaborate and benefit from their BKMs. Ask Vote Answer This new channel that s often used for our CEO s Business Update Meeting will be used to see what questions about Annual Enrollment surface to the top and are frequently asked by your peers. My Best Life Annual Enrollment requires us to focus on our benefits elections for 2016, but Intel benefits power your best life year round. See what Anna Ballard and other employees have to say about Intel benefits and how fulfilling their lives are as a result. From Circuit, goto/mybestlife.

5 Health Plan Comparisons This table summarizes categories and plans, including the main features and amounts you would pay. High Deducible Health Plan (HDHP) Primary Care Plus Health Maintenance Organization (HMO) Provider Choice: Receive the highest level of coverage when using providers who are part of your plan s network. Anthem Blue Cross National Network Cigna Open Access Plus (OAP) National Network Cigna Open Access Plus (OAP) National Network CA: Kaiser Permanente + MA: Fallon Community + WA: Group Health Cooperative +Self-Funded HMO What do I pay when I access care? For each plan, you will be responsible for a deductible, coinsurance and/or copayment. In-network preventive care is covered at 100% under all plans. First you pay your annual deductible: Employee only: $1,400 Employee + child(ren): $2,810 Employee + spouse: $3,515 Employee + spouse and child(ren): $3,515 Once you have met your deductible, you pay a coinsurance for services: In-network: 10% coinsurance Out-of-network: 30% coinsurance; reimbursement limits apply For in-network Primary Care Provider visits and Prescriptions, you pay a copayment when you use these services: $15 copayment per primary provider visit Copayment for prescription drugs: $10 generic, $20 formulary, or $35 non-formulary For all other care (including lab work), you are required to pay an annual deductible: Employee only: $500 Family: $1,000 Once you have met your deductible, you pay a coinsurance for services: For in-network care, you pay a copayment when you access care. In-network: $15 copayment per primary provider visit $35 copayment per specialist visit $100 copayment per emergency room visit $250 copayment per hospital stay Copayment for prescription drug; $10 generic and $20 formulary (30-day supply) Out-of-network: Not covered except emergencies In-network: 10% coinsurance Out-of-network: 30% coinsurance You re protected by the out-of-pocket maximum. This is the maximum annual amount you would pay outof-pocket for in-network care (not including any paycheck deductions). Employee only: $2,180 Employee + child(ren): $4,370 Employee + spouse: $5,200 Employee + spouse and child(ren): $5,200 The plan pays 100% for all remaining in-network costs you incur. Employee only: $1,500 Family: $3,000 The plan pays 100% for all remaining in-network costs you incur. Employee only: $1,500 Family: $3,000 The plan pays 100% for all remaining in-network costs you incur. Health accounts you can enroll in to help you pay for your out-of-pocket healthcare expenses with pretax dollars (such as deductibles, coinsurance, and copayments). Health Savings Account (HSA): Use funds to pay for your eligible out-ofpocket medical, dental, and vision expenses. Unused dollars go with you when you change plans, leave the company, or retire. Annual contribution limits are: Employee only: $3,350* Health FSA: Use funds to pay for your eligible out-of-pocket medical, dental, or vision expenses. Up to $500 will carry over for use in the following year. Any unused amounts over $500 will be forfeited. Annual contribution limit is: $2,500 Health FSA: Use funds to pay for your eligible out-of-pocket medical, dental, or vision expenses. Up to $500 will carry over for use in the following year. Any unused amounts over $500 will be forfeited. Annual contribution limit is: $2,500 Family: $6,750* Age 55+ can contribute an additional $1,000 * HSA contributions reflect IRS limits for 2016 Limited Use Health FSA: Use funds to pay for your eligible out-of-pocket dental and vision expenses only. Up to $500 will carry over for use in the following year. Any unused amounts over $500 will be forfeited. Annual contribution limit is: $2,500

6 Health, Dental, and Vision Plan Annual Paycheck Deductions This table shows how much will be deducted from your paycheck for 2016, depending on your plan and eligible dependents you cover. Costs represent your annual cost. See below to determine your cost per paycheck***. Plan Year You Only National Plans Anthem Blue Cross HDHP Cigna HDHP Cigna Primary Care Plus Regional Plans (HMOs) Fallon + (MA) Group Health Cooperative (WA) Kaiser + (CA) You & 1 Child Global Plan (available only to employees on expatriate assignment) Aetna International (AI) Dental Plans You & 2 You & 3 or More You & You, & 1 Child You, & $0 $0 $0 $0 $0 $0 $0 $ HFL* You will receive a $250 deposit into your Health Savings Account.** 2015 $0 $0 $0 $0 $0 $0 $0 $ $0 $0 $0 $0 $0 $0 $0 $ HFL* You will receive a $250 deposit into your Health Savings Account.** 2015 $0 $0 $0 $0 $0 $0 $0 $0 You, & 3 or More 2016 $1,335 $2,547 $3,891 $4,836 $5,103 $6,438 $7,761 $8, HFL* $1,085 $2,297 $3,641 $4,586 $4,853 $6,188 $7,511 $8, $1,308 $2,496 $3,816 $4,740 $5,004 $6,312 $7,608 $8, $465 $1,224 $1,995 $2,436 $3,330 $3,561 $4,419 $5, HFL* $215 $974 $1,745 $2,186 $3,080 $3,311 $4,169 $5, $456 $1,200 $1,956 $2,388 $3,264 $3,492 $4,332 $5, $699 $1,602 $2,436 $3,171 $3,207 $4,014 $4,836 $5, HFL* $449 $1,352 $2,186 $2,921 $2,957 $3,764 $4,586 $5, $684 $1,572 $2,388 $3,108 $3,144 $3,936 $4,740 $5, $672 $2,154 $2,508 $3,318 $3,219 $4,038 $4,884 $5, HFL* $422 $1,904 $2,258 $3,068 $2,969 $3,788 $4,634 $5, $660 $2,112 $2,460 $3,252 $3,156 $3,960 $4,788 $5, $378 $1,101 $1,458 $1,812 $1,800 $2,436 $2,742 $3, HFL* $128 $851 $1,208 $1,562 $1,550 $2,186 $2,492 $2, $372 $1,080 $1,428 $1,776 $1,764 $2,388 $2,688 $2,952 Delta Dental (Intel Dental Plan) 2016 $0 $120 $216 $336 $240 $336 $444 $588 DeltaCare DHMO (CA) 2016 $0 $48 $108 $132 $72 $132 $180 $204 Vision Plans VSP Basic Vision 2016 $0 $0 $0 $0 $0 $0 $0 $0 VSP Vision Plus 2016 $84 $102 $114 $138 $156 $180 $192 $216 *2016 annual paycheck deductions with Health for Life discount if you met the requirement for completing the Intel Vitality Check. **If you are enrolled in the HDHP for 2016 and you met the requirements for completing the Intel Vitality Check during 2015, Intel will deposit $250 into your Health Savings Account. You must be eligible for a Health Savings Account, and have an open, active account on February 28, 2016 with the Health Savings Account administrator associated with your health plan (BNY Mellon BenefitWallet for Anthem Blue Cross and HealthEquity for Cigna HDHP). The $250 deposit will be made on or before March 31, ***The paycheck deductions shown in the table are for the whole year, but here s how to determine your amount per paycheck: If you are an exempt employee, take the annual rate and divide by 24. If you are a nonexempt employee, take the annual rate and divide by Self-Funded.

7 2016 Annual Enrollment Oct. 26 Nov. 13 This 2016 Annual Enrollment Guide is intended to be a Summary of Material Modifications to your benefit plans. The information provided here is a summary of your benefits and is not intended to take the place of or change official plan documents in any way. In the event of any discrepancy between the information in this guide and the 2016 Pay, Stock and Benefits Handbook (PSBH), the 2016 PSBH will prevail. For a copy of the current PSBH, from Circuit search Pay, Stock and Benefits Handbook. PSBH Updates will be available in Q Intel reserves the right to modify, change, or discontinue any benefit provided under PSBH, at its sole discretion. Reproduction, photocopying, and/or electronic storage or transmission of this publication in whole or in part without the written permission of Intel Corporation is strictly prohibited. Letters and comments should be directed to: 2016 Annual Enrollment Guide, 4100 Sara Road, RR5-306, Rio Rancho, NM Copyright 2015 Intel Corporation. All rights reserved. Intel and the Intel logo are trademarks of Intel Corporation in the U.S. and/or other countries. 0915/TSG/HBD/PDF Printed in the USA. Please Recycle. CPS# H