Benefits Open Enrollment Frequently Asked Questions

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1 Benefits Open Enrollment Frequently Asked Questions Plan year: July 1, 2014, through June 30, 2015 Open Enrollment begins May 15 and ends May 30. You must enroll in order to receive medical, prescription, dental and vision coverage for the new plan year, which is July 1, 2014, through June 30, You must also enroll if you wish to participate in the Flexible Spending Accounts (FSAs) or the MetLaw Legal plan. Take the time to learn about the plans available so you can choose the coverage that best meets your needs and budget. This FAQ provides an overview of Hologic benefits for 2014/2015. You will also find steps to enroll using Oracle Employee Self Service. For more detailed information, visit BenefitsOpenEnrollment.hologic.com. General Prescription Drugs Flexible Spending Accounts Life and AD&D Medical Health Savings Account Dental Disability General When is Benefits Open Enrollment? Open Enrollment begins May 15 and ends May 30. Who is eligible to participate in the Hologic health and welfare benefit plans? You are eligible to participate in the Hologic health and welfare benefit plans if you are a regular full- or part-time employee scheduled to work at least 30 hours per week. When you are eligible and enroll, your legal spouse or domestic partner and dependent children up to age 26 are also eligible to enroll. Note: Former spouses are ineligible. When will my benefits be effective? The benefits that you elect during Open Enrollment will be effective July 1, 2014, through June 30, What happens if I don t take any action during the Open Enrollment period? If you do not elect benefits between May 15 and May 30, you will not have medical, prescription, vision or dental benefits for the new plan year, unless you experience a qualifying life event. You will also not be able to participate in the Flexible Spending Accounts or the MetLaw Legal plan. How do I enroll for benefits? You will enroll in benefits through Oracle Employee Self Service. When will payroll deductions for the new benefits begin? Deductions for all benefits you elect will be effective in your July 11 paycheck. 1 P a g e

2 When will I receive new ID cards for the benefit plans? If you are enrolling in medical, prescription, vision or dental coverage or either Flexible Spending Accounts for the first time, you will receive member ID cards before July 1, If you are re-enrolling or switching plans, please see the chart below regarding your member ID cards. If you are currently enrolled in: PPO or PPO Plus And you enroll in: PPO PPO Plus You will: Receive a new BCBS Medical ID card (one for each covered member) Keep your current CVS Caremark Prescription Card PPO or PPO Plus CDHP PPO with HSA Receive a new BCBS Medical ID card (one for each covered member) Receive an HSA Visa Health Account card (one card with your name on it) Receive a new CVS Caremark prescription card (two cards with your name on them) CDHP The dental plan A Health or Dependent Care Flexible Spending Account PPO PPO Plus Enhanced PPO Plan Core PPO Plan A Health or Dependent Care Flexible Spending Account Receive a new BCBS Medical ID card (one card for each covered member) Receive a new CVS Caremark prescription card (two cards with your name on them) Keep your current Delta Dental cards Keep your current FSA cards Receive new card if your current card reaches expiration date Medical Plans Blue Cross Blue Shield of MA What types of medical plans are available? We will continue to offer three PPO medical plans through Blue Cross Blue Shield of Massachusetts: the Consumer Driven Health Plan (CDHP) with a Health Savings Account (HSA), the PPO and the PPO Plus plan. All plans provide in-network preventive care at 100 percent; cover the same services and provide the same quality of care; use the BCBS nationwide network of preferred providers; and include coverage for office visits, hospitalization, surgery, maternity, care, prescription drugs through CVS Caremark, vision and more. You must first pay toward a deductible for most non-preventive medical services before plan payments begin. Refer to the Open Enrollment eguide for more information. 2 P a g e

3 Are there any changes to the medical plans for the new plan year? Yes. As part of the Affordable Care Act, we have removed the annual dollar limits from essential health benefits such as durable medical equipment. This change is applicable to all three medical plan options. Here are some additional changes specific to each plan: CDHP with HSA The IRS has increased the 2014 HSA contribution maximum to $3,300 for employee only coverage and $6,550 for family coverage. Keep in mind that the amount Hologic contributes to your HSA counts toward this maximum. PPO The plan year in-network deductible will increase to $750 per person and $1,500 per family. The in-network out-of-pocket maximum will increase to $3,000 per person and $6,000 per family. The office visit copay for primary care office visits will increase to $30. The office copay for specialists will increase to $40. The deductible now applies to medical/mental health office visits and day surgery. All non-preventive labs and X-rays will now be subject to a 15 percent coinsurance after first meeting the deductible. PPO Plus The plan year in-network deductible will increase to $500 per person and $1,000 per family. A new in-network out-of-pocket maximum of $2,000 per person and $4,000 per family has been added. In addition, the out-of-network out-of-pocket maximum will now be $3,000 per person and $6,000 per family. There will now be a copay differential between primary care office visits and specialist office visits. The primary care office visit will remain at $20 while the specialist office visit copay will increase to $30. All medical copays will now apply toward the out-of-pocket maximum. The deductible now applies to medical/mental health office visits and day surgery. All non-preventive labs and X-rays will now be subject to a $30 copay after first meeting the deductible. Is vision coverage available through each medical plan option? Yes. When you enroll in a medical plan, you will automatically receive vision coverage at no extra cost. Your routine vision exam is covered at no cost when you go to an in-network provider. At the time of service, present your Blue Cross Blue Shield ID card for coverage. You will need to pay for your vision hardware out-of-pocket and then complete and submit a medical claim form to Blue Cross Blue Shield for reimbursement. Are there any changes to the vision plan for the new plan year? Yes. Children through age 12 may receive reimbursement for up to two pairs of prescription glasses per calendar year. There is no dollar limit. For ages 13 and older, you may continue to receive reimbursement for lenses, frames and contact lenses up to an overall $250 benefit per member per calendar year. 3 P a g e

4 How can I determine if my doctor is in the BCBSMA network of providers? Go to and then: To see matches in your network, enter HLX as the member ID. Under Search by, enter the specialty, procedure, provider name, etc. Under Location, enter your city and state and choose the distance from city and state from the drop down box, then click Go. Prescription Coverage CVS Caremark Is prescription drug coverage included with the medical plan options? Yes. When you enroll in a medical plan, you are automatically covered for prescription drug coverage through CVS Caremark at no extra cost. You will receive a separate ID card for prescription drug coverage. Are there any changes to the prescription drug coverage? Yes. We have added a new program, called Maintenance Choice, which allows you to purchase a 90-day supply of your prescription drug(s) at a CVS retail pharmacy for the cost of a 60-day supply. You must request a new prescription from your doctor for the 90-day supply. Where can I find out how much my prescription will cost me? Hologic s prescription plan is a 3-tier program that allows for coverage of medications that are generic (tier 1), preferred brand name (tier 2) and non-preferred brand name (tier 3) drugs. The cost of these medications will depend on the medical plan that you choose to enroll in as the plans each have a different level of cost sharing by tier. To find out the actual cost of a specific medication, you may visit Benefitsopenenrollment.hologic.com or contact CVS Caremark directly at How can I determine in what tier my medication will fall? CVS Caremark publishes a Preferred Drug list, which shows the drugs that align with tier 2 costs. If your medication is not on this list and you already know it is not a generic, it may be what is considered a non-preferred brand name medication (tier 3) or it may not be covered. To determine if your drug is covered and at what tier it is covered, you may refer to the Caremark Formulary or contact CVS Caremark directly at or visit Benefitsopenenrollment.hologic.com. Mail Order Service Why should I use the CVS Caremark Mail Service Pharmacy for my prescriptions? The CVS Caremark Mail Service Pharmacy is a convenient and cost-effective way for you to order up to a 90-day supply of maintenance or long-term medication because you only pay a two-month copay for a 90-day supply. You can have your long-term medications delivered to your home, office or a location of your choice with free standard shipping. By using mail service, you minimize trips to the pharmacy while saving money on your prescriptions. 4 P a g e

5 How long does it take for my prescriptions to arrive by mail? Please allow seven to 10 days for delivery from the time the order is placed. How should I ask my doctor or other prescriber to write my prescription in order to receive the maximum benefit from the CVS Caremark Mail Service Pharmacy? Remind your doctor or other prescriber to write a 90-day supply plus refills prescription, when clinically appropriate, for maintenance medications that are purchased through the CVS Caremark Mail Service Pharmacy. CVS Caremark must fill your prescription for the exact quantity of medication that is prescribed by your doctor or healthcare provider, up to your plan design limit. When you need to take your maintenance medication right away, ask your doctor or other prescriber for two prescriptions: The first for up to a 30-day supply The second for up to a 90-day supply, with refills when clinically appropriate Have the short-term supply filled immediately at a CVS Caremark retail network pharmacy and send the 90-day supply prescription to the CVS Caremark Mail Service Pharmacy. Health Savings Account - HealthEquity What is a Health Savings Account? A Health Savings Account is an IRS tax-advantaged savings account that allows you to contribute money on a pre-tax basis through payroll deduction for qualified current and future eligible healthcare expenses. The interest and investment earnings grow tax-free and you can withdraw the money tax-free as long as it is used to pay for qualified healthcare expenses. Note: If you live in California, Alabama or New Jersey, contributions made to your HSA by you or Hologic are subject to state income taxes. In addition, interest and investment earnings are subject to state taxes in the same three states plus New Hampshire and Tennessee. Who is eligible to contribute to an HSA? You are eligible to participate in an HSA as long as you are: Enrolled in the Consumer Driven Health Plan (CDHP) Not covered by any other medical plan, including a Health Care Flexible Spending Account or a government health plan such as Medicare; and Not claimed as a dependent on another person s tax return. 5 P a g e

6 What happens to the money in my HSA if I leave the company or in the event of my death? You take that money with you wherever you go, even if you leave the company. You can still use the money to pay for qualified healthcare expenses. In the event of your death, your account will transfer to your designated beneficiary and they will receive any remaining funds in your account. HSA Contributions Who can deposit funds into my HSA? You and the company can contribute to your HSA. When you contribute through payroll deductions, your contributions are pre-tax. You may also choose to make a deposit directly into your HealthEquity account on an after-tax basis and take an above the line deduction from your federal taxable income when you file your taxes. In addition, Hologic contributes $23.08 per pay period ($600 annually) for employee only coverage or $46.16 per pay period ($1,200 annually) for family coverage, as long as you are actively employed by Hologic and enrolled in the CDHP. How much can I contribute to an HSA? The IRS establishes HSA contribution amounts each year. For 2014, you and Hologic combined can contribute up to a maximum of $3,300 for employee only coverage and $6,550 for family coverage, provided that you maintain coverage for the entire plan testing period as defined by IRS publication 969. If you are age 55 or older, you can make an additional catch-up contribution of up to $1,000 to your HSA in Can I deposit money into my HSA on my own? Yes. You can make deposits into your HSA on an after-tax basis and take an above the line deduction from your federal taxable income when you file your taxes. Keep in mind that you cannot exceed the IRS limit for 2014 ($3,300 for employee only coverage; $6,550 for family coverage). Will I lose my money at the end of the year? No. The money in your HSA account will roll over year to year. You do not lose the money or the interest it s earned. In the event that you choose to enroll in another medical plan, you will still be able to use the money in your HSA; however, you will not be able to contribute any additional money into it. If I enroll in the CDHP with HSA plan, can I make the maximum contribution for 2014? If July 1 is the first time you enroll in a high deductible health plan this tax year, you may contribute the maximum amount for 2014 provided that you maintain coverage for the entire plan testing period as defined by IRS publication 969. It is important to note that if you do not maintain enrollment in a qualified high deductible plan for the entire next tax year, you may want to consider contributing a prorated amount for this tax year to avoid taxes and penalties. HSA regulations are complicated and we encourage you to seek tax advice when deciding how much to contribute to your account in a given tax year. Using HSA Funds What is a qualified healthcare expense? Qualified healthcare expenses are outlined in IRS publication 502. For a complete list, visit 6 P a g e

7 How do I pay for qualified healthcare expenses using my HSA? You can pay for qualified healthcare expenses at the point-of-sale by using your HealthEquity Visa Health Account Card, providing you have enough funds in your HSA. You may also pay for expenses through your online account with HealthEquity. Can I use my HSA to pay for my spouse s or children s healthcare expenses? Yes. You can use your HSA account to pay for qualified healthcare expenses for any family member who qualifies as a tax dependent. Can I spend my HSA dollars any time? Yes, as long as the dollars have been deposited into your HSA account. You can withdraw your HSA funds at any time, tax-free and without penalty when you are paying for qualified healthcare expenses. If you withdraw funds for nonqualified expenses, you will pay income tax plus a 20 percent penalty. Can I use the money in my HSA for non-medical expenses? Yes. If you use the money for non-medical expenses, and are under the age of 65, you will be taxed on the money you use and incur a 20 percent penalty. If you are age 65 or older, you will be taxed on the money used, but you will not have to pay a penalty. What if I don t have enough funds in my HSA to pay for an eligible healthcare expense? You can pay for the expense out-of-pocket. Once you have accrued enough money in your account, you can reimburse yourself online through Do I need to keep records of healthcare expenses in case I am audited by the IRS? Yes. You must save your receipts in the event you need to provide documentation for expenses for which you received reimbursement. Please consult your tax advisor for advice on how to maintain the records and how long you should keep them. Investing my HSA Dollars How are HSA contributions invested? Once your account is established with HealthEquity, your and Hologic s contributions will be deposited into an interestbearing account. The money in your account will earn interest on a tax-free basis. HealthEquity calculates compounds and credits interest monthly based on the applicable rate for your account balance. Visit the Interest Rate Schedule. Can I invest the money in my HSA? Yes. Similar to an IRA, many HSAs let you choose to invest your account balance in stocks, bonds, mutual funds, CDs and annuities. With your HealthEquity HSA, you can typically invest in pre-selected mutual funds after you reach a $2,000 balance in your account. Is my HSA FDIC-insured? Yes. However, eligible monies in investments are not FDIC-insured. 7 P a g e

8 Flexible Spending Accounts What is a Flexible Spending Account (FSA)? An FSA is a tax-favorable way to save money on healthcare and/or dependent care expenses. You pay less in taxes because you do not pay federal income and Social Security taxes on the money you contribute to an FSA. What types of Flexible Spending Accounts are available? You have the opportunity to participate in the following types of FSAs: Health Care FSA: Helps you pay for eligible out-of-pocket healthcare expenses not covered by your insurance. Examples of eligible healthcare expenses include: copays, deductibles, coinsurance, prescriptions or certain over-the-counter drugs or healthcare products, such as bandages and diagnostic tests and monitors. Dependent Care FSA: Helps you pay for child or adult day care costs so that you, and if married, your spouse can work, look for work or attend school full-time. Examples of eligible dependent care expenses include: before or after school programs, day care (child and adult) or summer day camp. How much can I contribute to the FSAs? The IRS sets limits each year on how much you can contribute to each type of FSA. For 2014, the limits are: Health Care FSA: You may contribute up to a maximum of $2,500 per year. If you and your spouse each have a Health Care FSA, you can each contribute up to the maximum. Dependent Care FSA: You may contribute up to $5,000 per year. If you and your spouse each have a Dependent Care FSA, you are limited to $5,000 between the two of you. What happens if I don t use all of the money in my FSA by the end of the plan year? IRS rules state that any funds you contribute but do not use for eligible expenses incurred during the plan year must be forfeited. Keep this in mind when estimating your plan year contribution. How do I use the funds in my FSA? There are two ways to use the funds in your FSA: Use your PayFlex Card to pay for eligible expenses at the point of sale. When you use the card, the money comes out of your FSA account directly. Pay out-of-pocket for eligible healthcare or dependent care expenses and then submit a claim for reimbursement online or via a paper form. When are the funds in my FSA available to use? If you participate in the Health Care FSA, you can begin paying for eligible expenses immediately, even though you may not have funds in your account. However, if you participate in the Dependent Care FSA, you must accrue funds in your account before you can pay or submit a claim for reimbursement. Do I need to save my receipts for eligible expenses? Yes. You must save your receipts in the event you need to provide documentation for reimbursed expenses. 8 P a g e

9 Can I submit claims for reimbursement after June 30, 2015? Yes. You can receive reimbursement for eligible expenses as long as the claim(s) are incurred by June 30, 2015, and submitted within 90 days of the plan year end, which is September 28, Can I participate in a Health Savings Account and a Health Care FSA at the same time? No. If you are enrolled in the CDHP with HSA medical plan, you cannot participate in the Health Care FSA, including a spouse s Health Care FSA plan; however, you can still participate in the Dependent Care FSA. Dental Are there any changes to the dental plan? Yes. The current dental plan will be replaced by two new Delta Dental plans: The Core Plan has a deductible of $100 per person and $300 per family. The plan year maximum is $750 per person. This plan does not include orthodontia coverage. The Enhanced Plan has a deductible of $50 per person and $150 per family. The plan year maximum is $2,000 per person. This plan does include orthodontia coverage for children and adults and covers 50 percent of eligible charges up to a lifetime max of $2,000. Do the new dental plans include the Rollover Max feature? Yes. Both plans include the Rollover Max feature. Core Plan: Roll over up to $200 into the next plan year if you receive one cleaning/oral exam and your total yearly claims do not exceed $300. Note: Your accumulated rollover total is capped at $500. Enhanced Plan: Roll over up to $600 into the next plan year if you receive one cleaning/oral exam and your total yearly claims do not exceed $800. Note: Your accumulated rollover total is capped at $1,500. I am currently enrolled in the dental plan and have met the eligibility requirements for the current Rollover Max feature program. What will happen to my rollover funds that I earned for the plan year July 1, 2013, through June 30, 2014? Under the current Rollover Max feature program, you can rollover $500 to either of the new plans, effective July 1, This amount will be applied toward the new plan year maximum benefit in your new dental plan. If a member of my family currently has braces and I enroll in the Enhanced Plan, effective July 1, 2014, will I receive another $500 in orthodontia coverage? Not necessarily. If the braces were banded within the past 24 months, the member will be eligible for a prorated payment of up to an additional $500. The orthodontist will need to resubmit the claim for recalculation. 9 P a g e

10 If my dentist is not in the Delta Dental network, will the plan still pay toward my dental services? Yes. However, if you receive services from a non-participating dentist, you will pay higher out-of-pocket costs because the Delta Dental contract rates do not apply. Non-participating dentists may balance bill, which means you are responsible for the difference between the non-participating maximum plan allowance and the full fee charged by the dentist. You will also need to file your own claim forms when using a non-delta Dental dentist. Life and AD&D insurance Are there any changes to life and AD&D insurance? Yes. Our vendor for basic life insurance, optional life insurance and AD&D, spouse/domestic partner and child life insurance, short-term disability and long-term disability insurance is changing to Liberty Mutual, effective July 1, Is the basic employee life insurance and AD&D amount changing? No. You will still receive basic employee life and AD&D insurance amounts equal to 2x your base annual salary up to a maximum of $500,000. This benefit is paid for by Hologic. Is the optional employee life insurance coverage amount changing? Yes. The maximum coverage for optional employee life insurance cannot exceed the lesser of 10x your base annual salary or $1,000,000. Is the spouse/domestic partner life insurance coverage amount changing? Yes. The maximum coverage for spouse/domestic partner life insurance will be equal to the employee s basic life insurance amount plus the optional employee life insurance amount up to a $500,000 maximum. What if I or my spouse/domestic partner already have a coverage amount greater than the new life insurance plan maximum? The amount of life insurance in force as of June 30, 2014, will be grandfathered into the new plan. Can I still apply for optional employee or spouse/domestic partner life insurance? Yes, you may apply for optional employee or spouse/domestic partner life insurance at any time. You must complete evidence of insurability and be approved by the vendor before the coverage becomes effective. If you apply for optional life coverage prior to July 1, 2014, you will need to complete the evidence of insurability application for The Standard. Note: If your application is not approved by June 30, 2014, you will need to reapply for coverage through Liberty Mutual. You can find instructions for completing evidence of insurability on My Hologic under Human Resources > Benefits > US > Life and AD&D. 10 P a g e

11 Can I still purchase optional life insurance coverage for my child(ren)? Yes. You may purchase life insurance coverage for your child in the amount of $2,500, $5,000 or $10,000. You pay the full cost of the coverage with after-tax payroll deductions. You do not need to satisfy evidence of insurability first. Short- and Long-Term Disability Are there any additional changes to the short-term disability (STD) plan? The only change to the STD plan is the vendor, which will be Liberty Mutual, effective July 1. The STD plan features remain the same. Once you have been disabled for seven days, the plan will pay 100 percent of your pre-disability earnings for the next four weeks of your disability. If your disability lasts longer than four weeks, the plan will pay 60 percent of your pre-disability earnings for up to an additional eight weeks. Is the current long-term disability (LTD) plan changing? The only change to the LTD plan is the vendor, which will be Liberty Mutual, effective July 1. The LTD plan features remain the same. After 90 days of total disability, the LTD plan will pay 60 percent of your pre-disability earnings up to a maximum monthly benefit of $25, P a g e

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