Benefit Packet Full Time Employees Open Enrollment Options

Transcription

1 Benefit Packet Full Time Employees Open Enrollment Options Included in this packet: 1. Healthcare Plan Design Comparison a. Preferred providers for in-network can be found at UHC Choice Plus network b. Printed Plan Descriptions and SBCs for group health and dental plans are available upon request from the Human Resources Department and available on CBE Online under Human Resources\Benefits or under the Benefits link at 2. Health Savings Account (HSA) FAQ Sheet 3. Flexible Spending Accounts (FSA) Requires submitting a Claim Form a. Limited purpose medical FSA can use alongside an HSA i. FSA limited to dental or vision expenses only if contribute to an HSA 4. Wellness Program - Throughout the year there will be fun-filled wellness activities that will promote camaraderie, healthy habits, and stress relief. 5. Vision Plan Description EyeMed Vision plan is available for employees on the healthcare plan 6. Dental Plan Summary with rates 7. Employee Assistance Program and other Perks

2 HEALTHCARE PLAN DESIGN COMPARISON SUMMARY Plan Basics Coverage Traditional HDHP/H S A Employee costs Single Monthly: $139 Semi-Monthly: $69.50 Monthly: $49 Semi-Monthly: $24.50 E + 1 Monthly: $331 Semi-Monthly: $ Monthly:$201 Semi-Monthly: $ Family Monthly: $474 Semi-Monthly: $ Monthly: $284 Semi-Monthly: $ Single $1, $2, Calendar Year Deductible E + 1 $3, $5, Family $3, $5, Coinsurance: Single 20% % Member pays until OOPM E % is satisfied Family 20% Out of pocket maximum(oopm): Single $3, Plan pays 100% after OOPM E + 1 $6, is satisfied Family $6, Optional Health Savings Account: Single Deposit Max; $3,350 Pre-tax $ from pay used to pay Family Deposit Max; $6,650 medical expenses > age 55; extra $1,000 Preventative Care/Screening/Pre- No Charge No Charge Natal/Immunizations Well child visits No Charge No Charge Applies toward deductible Doctor Visits/Urgent Care $25 co-pay UMR Discount applies Plan pays 100% after Generic; $ 15 co-pay Total cost of Rx applies toward Preferred Brand; $ 30 co-pay satisfying the deductible Prescriptions (Rx): 30 day supply Non-preferred; $ 45 co-pay Specialty; $ 85 co-pay No Co-pays Contraceptives paid at 100% Rx OOPM; Single; $ 3,600 Provider Discount applies Family; $7,200 Plan pays 100% after Smoking Cessation products paid at 100% Applies toward deductible Outpatient surgery Deductible applies then UMR Discount applies 20% Coinsurance up to OOPM Plan pays 100% after Applies toward deductible Inpatient Hospitalization Deductible applies then UMR Discount applies 20% Coinsurance up to OOPM Plan pays 100% after * this summary is for comparison purposes only, plan documents prevail if discrepancy

3 Health Savings Accounts Frequently Asked Questions (FAQ) TPA Advantage Administrators A health savings account can be a powerful financial tool to cover medical expenses and save for the future. An HSA gives you a triple tax break: Your contributions are sheltered from income taxes, the money grows taxdeferred, and the funds can be withdrawn tax-free for medical expenses. It s like a supercharged flexible spending account that never expires, and it can even serve as an extra retirement-savings fund. Below are answers to frequently asked questions about how HSAs work and how to make the most of them. How do I qualify for an HSA? You need a high-deductible health insurance policy, whether it s through an employer or on your own. CBE s HDHP option is the only plan that allows participation in an HSA as a pre-tax, payroll deduction option. How much can I contribute? You can make pretax contributions each payroll. You choose the amount you want payroll deducted. In 2015 you can contribute up to $3,350 a year if you have individual coverage, or up to $6,650 if you have family coverage. People age 55 and older can save an extra $1,000 per year. (Contribution limits are set each year by the IRS and usually increase due to cost of living increases) Can I change my payroll deduction HSA contribution amount? CBE s HSA plan allows you to change your payroll deduction amount at the beginning of a calendar quarter. (January 1, April 1, July 1, and October 1) Contact Human Resources to make the change. How can I use the money? You may spend the HSA money tax-free on out-of-pocket medical expenses, such as your deductible, co-payments for medical care and prescription drugs, or bills not covered by insurance, such as vision and dental care. CBE HSA plan provides a debit card and an online reimbursement request option through Advantage Administrators on-line website. Unlike a flexible spending account, you don t have to use the money by the end of the year it can grow taxdeferred in your account for later use. There s no deadline for making a withdrawal: You can reimburse yourself in future years for medical costs you incur now, as long as you have records of past bills. You can use HSA funds to pay Part D or Medicare Advantage (but not medigap) premiums, or for a portion of your longterm-care insurance premiums. If you use HSA money for nonmedical expenses, you ll have to pay taxes on it (plus a 20% penalty before age 65). A complete list of eligible expenses can be found at click on Health Savings Accounts. Can I use the HSA to pay for family member s medical expenses? You may use HSA funds to pay for medical expenses incurred by dependent children or a spouse even if you have an Employee only HDHP plan. However the IRS does not allow you to use HSA funds to pay for adult children s medical bills if they are over age 24. How do I access my HSA money? You will be issued a pre-paid benefits debit-card or you can request a distribution directly from Advantage Administrators. An annual $15 fee is charged for the debit card. No claim form or proof of expense is needed for reimbursement. Keep proof of medical expenses in case of an IRS audit. You cannot pre-spend, but you can reimburse yourself once the money is deposited. For example if you need a prescription for $50, but you only have $25 in the HSA account your HSA debit card will not work at the time of purchase, however you can use your regular checking account to pay for the prescription and then request a reimbursement after your HSA balance reaches $50. How do I invest the HSA money? HSA accounts through CBE are administered by Advantage Administrators with your money deposited into Healthcare Bank. If you maintain a minimum balance of $2,000 your additional funds may be invested in mutual funds yielding tax-free earnings. If I set up an HSA through CBE, what happens if I switch jobs? You can keep the money in an HSA account even after you leave CBE, similar to a 401(k). But you will get stuck with a 20% penalty -- plus an income-tax bill -- if you use any of the money for nonmedical expenses before age 65.

4 Flexible Spending Accounts (FSA) TPA Advantage Administrators Enrollment required January 1 for FSA and HSA each calendar year. Flexible Spending and Health Savings Account Plans are effective January 1 through December 31, Employees can add Health Savings Account at Open Enrollment time if switching to the HDHP Plan. Caution: If you already have a Medical FSA and open a HSA in the same year your Medical FSA can only be used for dental and vision expenses and will change to a Limited Purpose FSA. Limited Purpose FSA allowed in tandem with a health savings account (HSA) Reimbursement of qualifying dental or vision expenses only Use HSA for medical expenses Must incur expense within calendar year Must submit a claim form with proof of expense for reimbursement Reimbursement for FSA Submitting a Claim: Wellness Plan Access to accounts using a convenient Consumer Portal available 24/7/365 File claims easily online or via fax to Advantage Administrators Throughout the year there will be fun-filled wellness activities that will promote camaraderie, healthy habits, and stress relief. Schedule of Wellness Events: February /30/2015; Healthy Choice Wellness Incentive Program Full-time employees employed February 1, 2015 through November 30, 2015 can earn up to $150 by acquiring 100 Wellness Points by completing the Healthy Choice Verification Form. Documentation is required for approval. The Healthy Choice Verification Form can be found on CBE on-line Human Resources\Benefits\Wellness. Submit completed form and documentation to Human Resources by November 30, April 2015 Poker Walk Employees will walk outside on a pre-designated route for up to 15 minutes. Each time they reach a Wellness representative on their walk, they will receive a playing card until they collect five (5) of them. The employee with the best Poker hand at the end of the Poker Walk will receive a wellness prize. There will be a winner of a $25 gift certificate at each location. June 1 through August 1, 2015 Walk, Walk, Talk, Talk! Grab a buddy or two and walk 15 minutes outside over lunch break three (3) times a week for six (6) weeks during June and July. Log your minutes and dates walked, have your buddy sign your log and turn your journals into your HR office. Winners from each location will be drawn from those that turn in journals. September 2015 Be Fruitfull, Veggiefull and Waterfull! Learn about healthy habits, record your fruit, vegetable, and water consumption for the month of October and win! Winners from each location will be drawn from those that turn in journals. November 20, 2015 January 2, 2016 Maintain Don t Gain Conservative eating habits over the Holidays will get you a $10 gift card. Weigh in prior to Thanksgiving and do not gain weight through New Year s Day at the final weigh in.

5 THE CBE GROUP, INC. EyeMed Vision Care is your provider for quality eye care services. EyeMed Vision Care s Network consists of private practicing optometrists, ophthalmologists, opticians, and optical retailers, such as LensCrafters, Target Optical and most Pearle Vision and Sears Optical locations. Our eye care professionals are looking forward to meeting your vision care needs. We are confident you will find complete satisfaction in their services and products. Receiving your vision benefit is as easy as visiting your EyeMed provider. To locate providers, call and use EyeMed s locator service or speak with an EyeMed Customer Service Representative or visit our website at A complete description of your vision care benefit is detailed in the box to the right. VISION PLAN DESIGN ACCESS PLAN C Vision Care Services Member Cost Out-of-Network Reimbursement Exam with Dilation as Necessary $20 Copay Up to $35 *Complete Pair Eyeglasses Discounts Frames: 35% off retail Standard Plastic Lenses**: Single Vision Bifocal Trifocal Lens Options (paid by the member and added to the base price of the lens): Tint (Solid and Gradient) UV Coating Standard Scratch-Resistance Standard Polycarbonate Standard Anti-Reflective Standard Progressive (Add-on to Bifocal) Other Add-Ons and Services Contact Lenses (discount applies to materials only): $ 50 $70 $105 $15 $15 $15 $40 $45 $65 20% off retail price Conventional 15% off retail price ** LASIK and PRK Vision Correction Procedures: 15% off retail price OR 5% off promotional pricing Frequency: Exams Frames Standard Plastic Lenses Contact Lenses Once every 12 months Unlimited Unlimited Unlimited *Frame, Lens & Lens Option discount applies only when purchasing a complete pair of eyeglasses Additional Purchases and Out-of-Pocket Discount Member will receive a 20% discount on remaining balance at Participating Providers beyond plan coverage, which may not be combined with any other discounts or promotional offers, and the discount does not apply to EyeMed s Providers professional services or disposable contact lenses. Benefits are not provided for services or materials arising from: orthoptic or vision training; subnormal vision aids and any associated supplemental testing; aniseikonic lenses; medical and/or surgical treatment of the eyes; corrective eyewear required by an employer as a condition of employment, and safety eyewear unless specifically covered under the plan; services provided as a result of Workers Compensation law; plano non-prescription lenses and non-prescription sunglasses (except for the 20% EyeMed discount); two pairs of glasses in lieu of bifocals (does not apply to Primary Plan members); services or materials provided by any other group benefit providing for vision care. Benefit allowances provide no remaining balance for future use within same benefit period. Lost or broken lenses, frames, glasses, or contact lenses will not be replaced except in the next benefit period. Underwritten by Fidelity Security Life Insurance Company. The Certificate of Insurance is on file with your employer. Contact your employer to review a copy. Getting an eye exam is beneficial to your health! Getting an eye exam is more than just testing your vision. Eye exams can assist in the early detection of vision conditions and health conditions such as: Glaucoma Diabetes Cataracts High Blood Pressure Astigmatism That s why it s important to get an eye exam on a regular basis. Children need eye exams, too! Did you know the American Optometric Association recommends that children receive an eye exam as early as six months of age? Our nationwide provider network will be happy to assist you in servicing your vision care needs. **LASIK and PRK Benefit EyeMed is pleased to provide all EyeMed Vision Care members with a laser vision correction benefit. EyeMed and LCA-Vision have arranged to provide his benefit to all EyeMed Vision Care members through the U.S. Laser Network. Members are entitled to a 15% discount on the usual and customary fees for LASIK and PRK procedures, or a 5% discount on any promotional pricing, whichever is the greater benefit. One easy phone call to LASER6 begins the process of using your benefit. No claim forms are needed, making it a hassle free process for members. Contact Lens By Mail Program Effective January 1, 2004, you may order replacement contact lenses for great prices via the internet, and have the contacts mailed directly to your home. The service is for replacement contact lenses only, and your core benefit allowance or discount will not apply to the service. Your initial pair of contact lenses must still be purchased from your eye care provider to ensure proper fit and follow-up care. Simply visit for details, and a link to the order site. Check with your participating EyeMed provider for services and selection.

6 DENTAL PLAN METLIFE DENTAL PLAN WITHHOLDING AMOUNT PER MONTH COST SEMI-MONTHLY Single $21.00 $10.50 Employee + 1 $40.00 $20.00 Family $54.00 $27.00 MetLife Dental Benefit Summary Coverage Types In Network Out of Network Type A Cleanings and oral exams 100% of PDP Fee* 100% of R&C Fee** Type B - Fillings 50% of PDP Fee* 50% of R&C Fee** Type C Bridges and dentures 50% of PDP Fee* 50% of R&C Fee** Type D - Orthodontia 50% of PDP Fee* 50% of R&C Fee** Deductible*** In Network Out of Network Individual $25.00 $25.00 Annual Maximum Benefit In Network Out of Network Per Person $1000 $1000 Orthodontia Lifetime Benefit Per Person $1000 $1000 *Participating Dental Providers (PDP) Fee refers to the fees that participating PDP dentists have agreed to accept as payment in full, subject to any co-payments, deductibles, cost sharing and benefit maximums. **R&C fees refer to the Reasonable and Customary (R&C) charge, which is based upon the lower of (1) the dentist s actual charge (2) the dentist s usual charge for the same or similar services, or (3) the charge of most dentist s in the same geographic area for the same or similar services as determined by MetLife. ***Applies only to Type B, C & D Services.

7 Employee Assistance Program (EAP) Consultation and Support MetLife We all need help every now and then EAP is available to all employees regardless of benefit selections This benefit is paid by CBE Companies on your behalf EAP provides telephonic consultation and support or web-video consultations. o Call to speak to a clinician or schedule an appointment 3 consultations with a licensed clinician per incident, per individual, per calendar year Consultations are confidential and content of consultation is not shared with CBE. o Consultations for: Financial Services, childcare and elderly assistance, legal services, daily living services EAP can help resolve marriage relationship and family problems, problems at work, changes in mood, stress and anxiety, alcohol and drug dependency, identity theft, health and wellness concerns Greif Counseling MetLife o Resources for comfort and support call Group Auto & Home Insurance Program MetLife o Discounts are available to insure your auto, home, other property, and personal liability at special group rates o Met Life will send information regarding the discounts directly to your home address Will Preparation Benefit CBE Group # o Available to all employees who purchase Voluntary Life Insurance o Call for more information and to find a participating attorney o Telephone and in-person consultations to discuss the preparation or updating of the employee s or spouse s will, living will, and power of attorney QUESTIONS ABOUT BENEFITS? Details of all of CBE Benefits can be found on CBEOnline/Human Resources/Benefits Call Human Resources: Benefits Manager: Terry Zaruba at Benefits Administrator: Leslie Steimel at