Your Retiree Medical Transition Guide

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1 Your Retiree Medical Transition Guide What you need to know. Prepare for your enrollment. Partner with your own dedicated Benefits Advisor. Get help paying for your coverage.

2 A New Way to Find the Right Health Care Coverage for You Over the past few years, more and more choices have become available in the health care marketplace for individuals to find competitively priced coverage that suits their needs. This increase in the number of available plans is a good thing, especially for Medicare-eligible individuals, for whom individual coverage may be secondary to Medicare. The increase in options can help you choose the right coverage, without over-insuring or over-paying. But the increase in the number of plans also brings additional responsibility to research and learn about your options. That s where Aon Hewitt will help you. Beginning January 1, 2015, Dun & Bradstreet (D&B) Medicare-eligible retirees and their covered dependents age 65 and older will have access to a variety of coverage options as D&B transitions from company-sponsored group coverage to individual coverage. We re offering coverage through an individual Medicare market referred to as the Aon Retiree Health Exchange. In addition, to help with your premiums and other eligible health care costs, D&B will make a contribution to a Health Reimbursement Arrangement (HRA) for those retirees who are currently eligible for subsidized D&B group coverage. As mentioned in the letter you received in July, this guide includes more information on the process you ll follow to choose the best medical coverage for yourself and/or any Medicare-eligible dependents. Dental and Vision Coverage Now Available As a part of D&B s transition to the Aon Retiree Health Exchange, you will have the option to enroll in dental and vision coverage. If you are interested, please discuss this during the call with your Benefits Advisor. Your Benefits Advisor can transfer you to one of their preferred insurance companies, and you can get plan details and costs from them. There is a separate cost for the dental and vision coverage. Dependent Coverage Covered dependents age 65 or older will participate in this new individual coverage, along with you. Covered dependents under age 65 will remain eligible for health care coverage under the current D&B Retiree Medical Plan for individuals under age 65 ( D&B Pre-65 Retiree Medical Plan ), subject to the terms of the plan. You ll Have Help Every Step of the Way Changing medical coverage is not something you do every day, and we know you might have concerns. That s why D&B has partnered with Aon Hewitt a Medicare coordinator that will work with you to explore your coverage options and prices. Helping retirees is a primary focus of Aon Hewitt. This guide will help you learn about each step in the process of choosing your own insurance plan to supplement your Medicare benefits. Please read it carefully and share it with family and trusted advisors. ii Dun & Bradstreet

3 Contents This Guide Is Organized into Five Sections Section 1: What You Need to Know Learn about this guide and other upcoming communications. Section 2: Prepare for Your Enrollment A telephone appointment will be scheduled for you to speak with an Aon Hewitt Benefits Advisor, who will help you enroll in a new health care plan. To assist your Benefits Advisor in your plan selection, you will need to prepare some information before this appointment takes place. Section 3: Partner with Your Own Dedicated Benefits Advisor Every day, Aon Hewitt helps people like you select a new plan to replace their current group coverage. Learn how your own dedicated Benefits Advisor can help you. Section 4: Get Help Paying for Your Coverage D&B will contribute to an HRA that you can use to be reimbursed for your health care premiums and other eligible health care expenses. Section 5: Answers to Your Questions Why Isn t Medicare Enough? You probably already know that for most retirees, Medicare Parts A and B provide some coverage for hospital and medical costs. What you might not know is that there is no limit on the amount of money you could have to pay annually out of your own pocket. D&B has partnered with Aon Hewitt so you and your Medicare-eligible covered dependent age 65 or older can find individual insurance plans that meet each of your needs, supplement your Medicare benefits to protect you from unexpected medical costs, and limit your financial exposure. Your Retiree Medical Transition Guide 1

4 Section 1: What You Need to Know Step 1 Review This Material This Transition Guide provides an overview of the upcoming change and some details about the process. It s important that you review this material so you understand the process and can take full advantage of the resources that will be available to you. Step 2 Read Through the Education Kit Early October 2014 You will receive an Education Kit from Aon Hewitt at your mailing address. The kit will include: A specific telephone appointment date and time scheduled just for you to speak with a personal Benefits Advisor. Remember to confirm your appointment in advance. A Medicare Insurance Guide to help you learn more about the basics of Medicare, including the types of insurance plans available to supplement your Medicare benefits. The guide also provides more information about the HRA and offers tips to help you prepare for your appointment. Step 3 Your Personal Appointment October December 2014 You will have your personal, one-on-one telephone appointment with your dedicated Benefits Advisor. Your appointment will take one to two hours, depending on whether you and your covered dependent share the appointment. You must enroll no later than December 31, Otherwise your coverage will not start until the first of the month following the month in which you enroll; therefore, you would have a gap in coverage. Step 4 Your HRA Welcome Kit January 1, 2015 Your new individual coverage begins. Around this time, you will also receive your HRA Welcome Kit, which will contain all the information you need to understand how to use the tax-free D&B contribution account (the HRA). You will also receive information about Aon Hewitt Advocacy Services, through which you and your dependents have access to advocates (different from the Benefits Advisors) who can help with any health care insurance needs you may have after you are enrolled, including billing, claims, and coverage questions. 2 Dun & Bradstreet

5 Section 2: Prepare for Your Enrollment Medicare Parts A and B Are Required Every individual age 65 or older must be enrolled in Medicare Parts A and B to enroll in an individual Medicare insurance plan. You and your Medicareeligible dependents must enroll in Medicare before reaching age 65 to ensure that your Medicare coverage is effective at the same time you are ready to select your new individual insurance coverage. If you do not, you might experience a gap in coverage, be subject to a penalty assessed by Medicare, and/or lose the opportunity to gain Medicare supplemental coverage that is guaranteed issue. You must be enrolled in Medicare Part B to enroll in an individual Medicare insurance plan. If you are not already enrolled in Medicare Part B, contact Social Security today at Or call TTY users should call Note: Guaranteed issue means that a policy is offered to any eligible applicant without regard to health status. If a retiree (or dependent) does not get Medicare supplement coverage on a guaranteed issue basis, then the retiree (or dependent) might be subject to medical underwriting requirements in the future, which potentially could limit the plans available or result in increased cost. Your Retiree Medical Transition Guide 3

6 Prepare for Your Appointment Before your telephone appointment with your Aon Hewitt Benefits Advisor, make sure you are enrolled in both Medicare Parts A and B, and have your Medicare ID card available for the appointment. Aon Hewitt will need your Medicare Parts A and B eligibility dates, which you will find on your ID card. To help your Benefits Advisor determine which plans might be a good match for you, you ll need to provide the following information for you and your Medicare-eligible dependent who is age 65 or older: Medical needs Preferences (such as whether you prefer to pay more for coverage and less at the time of care, or vice versa) A list of all the prescriptions you are currently taking A list of all the doctors, specialists, hospitals, and other providers you use, including those you see regularly and those you see on occasion Whether you spend part of the year in another state Whether you will have a friend or family member with you to assist during the phone appointment, and his or her contact information if you expect that person will speak on your behalf You can provide this information using the Aon Hewitt website at retiree.aon.com/dnb when you set up your account or, if you don t have access to the Internet, when you call to confirm your appointment. Also, be sure to write down any questions you have for your Benefits Advisor. Confirm or Change Your Appointment You must contact Aon Hewitt promptly when you receive the Education Kit to confirm your appointment, reschedule it, or let Aon Hewitt know that you have found coverage elsewhere. By law, if you do not confirm your appointment first, Aon Hewitt is not permitted to call you. The website address and toll-free phone number to contact Aon Hewitt will be in the Education Kit. If you don t have access to the Internet, you ll need to call to confirm your appointment and provide the information listed under Prepare for Your Appointment. 4 Dun & Bradstreet

7 Section 3: Partner with Your Own Dedicated Benefits Advisor Aon Hewitt will assign you a specially trained and licensed Benefits Advisor. This professional is dedicated to helping you compare coverages, make the best choices for your circumstances, and enroll in the health care coverage that meets your needs. You and/or your family members can speak to your advisor throughout the process and receive personalized assistance. This dedicated support is available at no cost to you. Note: Your Benefits Advisor can also help you make decisions about dental and vision coverage. Your Benefits Advisor Provides: Knowledgeable guidance to local individual insurance options. One-on-one assistance to help you enroll in the plan you choose. Ongoing support if you move, or your health or financial picture changes. How Personalized Support Works On the date of your telephone appointment, your Benefits Advisor will call you at the specified time to help you select and enroll in a plan, provided you have confirmed your appointment in advance. Your appointment will take one to two hours, depending on whether you and your covered dependent share the appointment. If you have asked a power of attorney, friend, or family member to attend the appointment with you, please make sure this person is actually available at the time of your appointment. Your Benefits Advisor will ask questions to get to know you and understand your needs and preferences. He or she will then help you decide which plans meet your needs and budget, based on the insurance options available in your area. Once you choose a plan, your Benefits Advisor will work with you to complete your application, either by telephone or online, and to fill out any required forms. Aon Hewitt Benefits Advisors receive no special compensation to enroll you in a specific plan, so you can be sure they ll help you choose a plan that s right for you. Keep Your Appointment You and your dependent who is age 65 or older will need to consider your options carefully and each choose a plan that is best for your individual needs. You must enroll no later than December 31, Otherwise your coverage will not start until the first of the month following the month in which you enroll; therefore, you would have a gap in coverage. Your Retiree Medical Transition Guide 5

8 Section 4: Get Help Paying for Your Coverage Your Health Reimbursement Arrangement (HRA) To help you pay for your individual insurance plan, D&B will contribute $580 to your HRA for You can then use the account to be reimbursed for your health care premiums and other eligible health care expenses. What Is an HRA? An HRA is a tax-free account that reimburses you for eligible health care expenses. Under current laws, you do not pay taxes on your account balance or on the reimbursements you receive from your account. These accounts do not pay interest. Know How to Use Your HRA Aon Hewitt s Your Spending Account service will administer your HRA funds and manage the reimbursement process. After you ve enrolled in an individual health plan, you ll pay your medical and/or prescription drug premiums directly to the insurance company. You ll then submit a claim to Your Spending Account for reimbursement. As soon as payment of your premium has been verified, Your Spending Account will reimburse you from your HRA. You will be reimbursed up to the balance in your HRA. If you use your entire balance, you will not be reimbursed for additional premiums or expenses for that plan year. Any remaining balance in your HRA at the end of a plan year will roll over to the next plan year. D&B s contribution for the following plan year will be added to any remaining HRA balance. If you exhaust your HRA and reach the catastrophic level of your Medicare Part D coverage for drug expenses, D&B will provide an additional benefit to reimburse prescription drug costs. Please contact Aon Hewitt for more information about this catastrophic prescription drug benefit. Why Do I Pay First? For the funds in your HRA to remain a tax-free benefit to you, you must first pay premiums out of your pocket. You can then reimburse yourself from your HRA for all eligible expenses. Since you won t be paying any premium to D&B or Fidelity, you can use that extra money, along with your HRA, to offset the cost of individual medical and/or prescription drug premiums. More details about your HRA will be sent to you with your Education Kit in October. 6 Dun & Bradstreet

9 Section 5: Answers to Your Questions 1. Why is D&B moving from our group health coverage arrangement to the individual Medicare market for Medicare-eligible retirees in 2015? After closely monitoring the development of the individual Medicare market for Medicare-eligible retirees, and after conducting significant analysis, D&B determined that the individual Medicare market has reached a point where it may offer our retirees more options and at lower costs than D&B can provide. There are a variety of insurance companies offering medical and prescription drug coverage in the individual Medicare market, under a variety of plan designs and premium levels, which will allow you to find the coverage to best meet your specific health care and financial needs each year. This market provides far more choice than D&B could provide through the group structure, and the choice and competition among insurance carriers in the individual Medicare market help keep health care costs down. 2. What is the difference between a group health plan and an individual insurance plan that supplements Medicare benefits? A group health plan is generally offered through an employer or association, and only to the retirees of that employer or association. Everyone covered under that plan has something in common (e.g., employment, former employment, membership). Plan choices are usually limited and are selected by the former employer or association. Your current 2014 retiree medical coverage is through the group-based D&B retiree health care plan. An individual insurance plan that supplements Medicare benefits is one that any individual can buy, either directly from an insurance company or through an insurance broker. Available options are based on where you live. Beginning with your 2015 enrollment, you will purchase an individual insurance plan. 3. How is D&B s offering different from Medicare Supplement insurance that I can purchase on my own? The options available through the individual Medicare market that D&B is introducing are the same options you can purchase on your own as Medicare Supplement insurance, also called Medigap. They cover the same services and supplies at the same levels and for the same cost. By participating in what D&B offers, you get additional support from your personal Benefits Advisor and the contribution D&B pays toward the cost for your coverage. Your Retiree Medical Transition Guide 7

10 4. Is the individual Medicare market the same as the government-run Health Insurance Marketplace? No. The government-run Health Insurance Marketplace was put in place as a result of the Affordable Care Act, which focuses on providing access to coverage to all Americans under age 65. The individual Medicare market we re introducing provides retirees age 65 or older with greater access and flexibility to buy the coverage that is right for them. It is available only to D&B retirees, and their eligible dependents, age 65 or older and eligible for Medicare. 5. Will I be able to buy the same coverage I have today through D&B? I have medical and prescription drug coverage through Aetna and Caremark/SilverScript today through D&B s program. Are Aetna and Caremark/SilverScript available in the individual Medicare market? You may not be able to find the identical plan design that you have today when you review the 2015 plans available through the individual Medicare market. A variety of insurance companies offer medical and prescription drug coverage in the individual Medicare market under a variety of plan designs and premium levels, including Aetna and Caremark/SilverScript. For example, reputable insurance companies, such as Anthem, Cigna, Humana, and UnitedHealthcare, just to name a few, also provide medical and prescription drug coverage in the individual Medicare market. In October, your dedicated Benefits Advisor will be able to walk you through the specific insurance companies and 2015 plans available in your area for your consideration. That said, when considering both premium requirements and out-of-pocket costs (deductibles, copays, etc.), we are confident that a majority of retirees will be able to find equal or better coverage in the 2015 individual Medicare market compared with what D&B is currently offering. Your Benefits Advisor will help you find these opportunities, based on your specific needs. 8 Dun & Bradstreet

11 6. What types of coverage are available in the individual Medicare market to supplement my Medicare benefits? Generally, there are two categories of medical options: Medicare Supplement Plans and Medicare Advantage Plans. Medicare Supplement Plans provide coverage for all or a portion of the Medicare Parts A and B medical cost-sharing requirements. There is a range of standard Medicare Supplement Plans available in the individual Medicare market, with some providing more comprehensive coverage than the D&B program, and some providing less coverage but at a lower cost. Just as in D&B s program, you can see any doctor who accepts Medicare when enrolling in a Medicare Supplement Plan. Medicare Advantage Plans are offered by private insurance companies that contract with Medicare to provide Part A and Part B benefits, plus additional benefits, to those who enroll in the plan. These are generally managed care plans and can be structured as Health Maintenance Organizations (HMOs) or Preferred Provider Organizations (PPOs), with a network of providers supporting the program. You will generally need to see a doctor who participates in the plan s network in order to receive benefits from a Medicare Advantage Plan, although many PPOs offer out-ofnetwork benefits as well. For prescription drug coverage, you can purchase a stand-alone Medicare Part D Prescription Drug Plan (PDP), offered by any one of a number of insurance companies and pair it with a Medicare Supplement Plan or Medicare Advantage Plan of your choosing. Some Medicare Advantage Plans will also offer Part D prescription drug coverage as well, as a part of their benefit package. 7. Will the same medications that I use today through D&B s plan be covered under the new individual Medicare market plan I choose in 2015? It is very likely that the medications you use today will be covered by any one of a number of Medicare Part D Prescription Drug Plans (PDPs) available in the individual Medicare market. The Medicare program requires that these plans provide at least a minimum level of prescription drug coverage, which meets the needs of most seniors. There are also plans that offer more robust prescription drug coverage options. You and any Medicare-eligible dependents can provide a list of medications to your Benefits Advisor during your appointment in October. He or she will help you determine which plans cover your medications, and at what cost, so you can select the plan that s best for you. 8. I heard that Medicare Part D prescription plans have a donut hole. What is a donut hole? With Medicare Part D, there is an annual deductible to meet before the plan shares in the cost of your prescription drugs through co-insurance or co-payments. A Medicare Part D Plan also has a coverage gap (sometimes referred to as a donut hole ). When you reach this gap, you have to pay the full cost of your prescription drugs up to a certain limit. Once you are out of the coverage gap, you have a small co-insurance or co-payment to pay. However, the Medicare Part D donut hole is gradually being filled in over the next few years due to actions taken by the federal government. Many Part D plans (which are available through the Aon Retiree Health Exchange) offer generic drug coverage during the donut hole, and the drug manufacturers may subsidize more than 50 percent of the cost of brand name prescriptions for those who are in the donut hole. This should help limit your costs. You should discuss plan options with your Benefits Advisor during your enrollment call. Your Retiree Medical Transition Guide 9

12 9. Do I need to choose the same plan for myself and my dependent who is age 65 or older? No. Unlike with the current D&B group medical plan, you will have more flexibility to choose the coverage that fits your individual needs. For example, your dependent might need a higher level of benefits or a more robust prescription drug plan. This new approach gives you the option to choose the plans that best meet your and your dependent s needs, individually. 10. What if I m age 65 and Medicare-eligible, but my dependent is not (or vice versa)? The individual who is age 65 or older can enroll in an individual medical and prescription drug plan through Aon Hewitt to supplement his or her Medicare benefits and will receive the tax-free contribution from D&B. Individuals under age 65 will be covered by the D&B Pre-65 Retiree Medical Plan and receive a D&B premium subsidy as they do today as long as they are eligible. When an individual reaches age 65, he or she will then be eligible for the new individual Medicare market strategy, D&B s contribution, and personal customer service from Aon Hewitt. 11. My covered dependents are under age 65. What happens to their health care coverage? They will continue to be covered under the D&B Pre-65 Retiree Medical Plan until they attain age 65 or otherwise lose eligibility under the plan. 12. What if my covered dependent or I am Medicare-eligible because of disability, but under age 65? At present, not all products supplementing Medicare are available to individuals under age 65. Anyone under age 65 will continue to be covered under the D&B Pre-65 Retiree Medical Plan until they reach age 65 or otherwise lose eligibility under the plan. 13. Do I need to be enrolled in both Medicare Parts A and B before enrolling in an individual insurance plan to supplement my Medicare benefits? Yes. Aon Hewitt cannot enroll you or your eligible dependent unless you both are enrolled in Medicare Parts A and B. Enrollment in Medicare Part A (which covers hospital services) is automatic for most people, while enrollment in Medicare Part B (which covers physician and medical services) is optional. To enroll in Medicare Part B, contact Social Security today at medicareonly. Or call TTY users should call This step should be completed before your appointment with your Benefits Advisor. Please note, this requirement exists under the current D&B Retiree Medical Plan and is not a change. 14. Aren t Medicare Parts A and B enough? If you do not enroll in a plan in the individual Medicare market, you ll continue to have coverage under Medicare Parts A and B (assuming you are enrolled in both). However, we strongly recommend you find an individual insurance plan to supplement your Medicare benefits. Medicare alone does not limit your out-of-pocket liability, and you could face penalties if you don t enroll during specific Medicare enrollment periods. Go to for more information about when you need to enroll to avoid penalties. 10 Dun & Bradstreet

13 15. As a result of this transition, will a current retiree or dependent who is age 65 be able to enroll in COBRA to keep the current benefits? No. The transition to an individual insurance policy is not a COBRA-qualifying event. 16. Can I change plans after I enroll in 2015? Each fall, you will have the opportunity to change plans for the following year during the Medicare open enrollment period. With a few exceptions, you won t be able to change plans mid-year. Your Benefits Advisor can provide more information during your discussion. 17. Can I reschedule my appointment if necessary? Yes. If your scheduled time is not convenient for you, you may contact Aon Hewitt to reschedule to a more convenient time. 18. Will there be comprehensive Medicare Advantage Plans to choose from that include dental and vision coverage? In many cases, yes. Some Medicare Advantage Plans offer extra coverage, such as dental, vision, and/or hearing benefits. And most Medicare Advantage Plans include Medicare prescription drug coverage, which means you do not have to purchase it separately. Your Aon Hewitt Benefits Advisor can also refer you to a national dental or vision provider. 19. Will my retiree life insurance benefit continue? Yes. If you have retiree life insurance through D&B, your coverage will continue as long as you remain eligible and will continue to be administered by Fidelity. Your premiums will be either deducted from your pension check or billed to you by Fidelity. 20. Will the way I pay for my health care premiums continue to be the same in 2015? No. You will pay your premiums directly to your new insurance company beginning in 2015, and you can use the contribution D&B will provide you to support all or a portion of these premium costs. If you are paying health care premiums through your pension benefit today, your last premium deduction will be from your December 2014 pension payment. If you are currently being billed by Fidelity for your health care premium, your last payment will be for December However, if you have a dependent who is under age 65 and still covered by the D&B group medical plan, their required premiums will be either deducted from your pension or billed to you by Fidelity. 21. How will Aon Hewitt provide personal support through the transition? Aon Hewitt will assign you a dedicated Benefits Advisor who will work with you to review your options against your health care needs and enroll in coverage. You will speak to the same Benefits Advisor throughout the process for dedicated, consistent support. In October, you ll receive an Education Kit that includes the date and time for your first appointment with your Benefits Advisor. The appointment will likely last one to two hours, depending on whether you enroll that day, if you include your dependent or a family member in the conversation, and how much you prepare in advance. You can speak to the advisor for as long as you need, and you can call back and continue the discussion with your advisor at your convenience. You will have a few weeks to make a decision concerning your 2015 health care coverage and won t be required to enroll in coverage during your first appointment. You have complete flexibility here. More information on how to prepare for this call will be included in the Education Kit you will receive in October. Benefits Advisors are professionals with expertise in health care plans. They are not insurance brokers or salespeople. They do not receive any incentive to steer you to one option over another. Their purpose is to help you make the best decisions for your circumstances. Your Retiree Medical Transition Guide 11

14 22. Am I the only one who can speak with my Benefits Advisor? You are welcome to include your dependent or a caregiver, friend, or family member in your conversations with your Benefits Advisor. However, only someone with legal power of attorney can enroll for you or sign forms and other documentation for you. When you confirm your appointment, be sure to let your Benefits Advisor know whether someone will be speaking on your behalf, and provide his or her contact information. 24. Do I still need to call Fidelity with benefits questions? If you are age 65 or older and eligible for Medicare, after 2014 you will no longer need to call Fidelity for questions about your health care coverage options. If you or your dependents are under age 65 and not yet eligible for Medicare, Fidelity will continue to administer the group-based D&B pre-65 health care programs after 2014, so you should continue to call Fidelity with questions about these benefits. 23. Why did D&B choose Aon Hewitt to support retirees for 2015 and beyond? D&B selected Aon Hewitt because of their long history as a benefits administrator, their retiree customer service reputation, and their strong capabilities. Additionally, once you ve enrolled in a medical plan through Aon Hewitt, your Benefits Advisor, customer service representatives, and advocates are available to help you free of charge. As enrolled customers of Aon Hewitt, you will have access to highly trained advocates who can help you if there is an impasse with an insurance provider. Advocates are experienced in a variety of Medicare insurance topics, including claims, billing procedures, appeals, and even problems getting appointments with specialists. This type of service is not generally offered if you enroll in an insurance plan through an insurance carrier or broker. It s an added feature that we think distinguishes Aon Hewitt. 12 Dun & Bradstreet

15 Answers to Your Questions Health Reimbursement Arrangement (HRA) 1. How will D&B contribute to the cost of my health care coverage? If you are eligible for subsidized D&B group coverage, D&B will open a Health Reimbursement Arrangement (HRA) account in your name and make a contribution to that account for you and each of your eligible dependents. In most cases, under the current law, the amount D&B contributes to your HRA account is tax-free to you. You and your dependents will need to enroll in an individual health insurance plan through Aon Hewitt to be eligible for the HRA contribution made by D&B. The contribution can be used toward premium payments for your new insurance plan and for other health-related costs, such as deductibles. Any unused amounts in your HRA account can be carried over to future years. Aon Hewitt will administer this account on your behalf. Each retiree will have his or her own HRA account for his or her family unit, and D&B will provide a contribution for the Medicareeligible retiree and any dependent the retiree covers. The account can be used to support health care costs for any eligible family member. You will receive more information about your HRA, eligible expenses, how to access the funds, and more as you prepare for 2015 enrollment. 2. What is the amount of the 2015 D&B contribution toward my HRA account? What will it be in future years? At this time, D&B will make an annual HRA contribution of $580 in 2015 for each Medicare-eligible retiree and dependent. The annual contribution amount will be reduced each year thereafter until 2030, when D&B will no longer contribute to the HRA. This HRA contribution strategy is subject to change at D&B s discretion. 3. Why can t D&B just pay my health care premiums for me using the funds in my HRA account? For the funds in your HRA account to remain a tax-free benefit, you must pay premiums out of your own pocket first and then request reimbursement from your HRA. Your Retiree Medical Transition Guide 13

16 4. Are my prescription drug co-payments reimbursable through the HRA account? Yes. However, depending on your prescription drug needs, there is a chance you could reach what is called the Medicare Part D catastrophic benefit phase for prescriptions. This happens when your Medicare Part D-eligible prescription drug costs reach a specific dollar level during the year. If you exhaust your HRA account and have entered the Medicare Part D catastrophic benefit phase, D&B may provide an additional benefit to reimburse prescription drug costs. Please contact the Aon Retiree Health Exchange for more information about this catastrophic prescription drug benefit. 5. What is the catastrophic prescription drug benefit? If your utilization of prescription drugs is high, there is a chance you could reach the Medicare Part D catastrophic coverage level for prescriptions. If you do, D&B provides you with additional support through a catastrophic HRA. You must use all the money in your HRA first before the catastrophic HRA begins paying. In 2015 the prescription out-of-pocket threshold to reach Medicare Part D catastrophic coverage is $4,700 (subject to change each year). D&B s prescription drug catastrophic HRA benefit begins after both the prescription out-of-pocket threshold and an additional $200 deductible in total drug costs have been met. Total drug costs include the deductibles, co-insurance, and co-payments that you pay, as well as payments made by the plan or by pharmaceutical manufacturers toward the cost of your prescription drugs. Prescription drug plan premiums are not eligible for reimbursement through the catastrophic HRA, nor are claims reimbursed from any other source. If the total amount of your prescription drug costs in a calendar year exceeds the annual D&B catastrophic requirements, then D&B will provide an additional reimbursement on top of any individual HRA contribution you receive that calendar year. Once a new calendar year starts, you need to reach the catastrophic level again in order to receive the additional reimbursement. You and your eligible dependents are individually eligible for this tax-free reimbursement as long as you are enrolled in a prescription drug plan through the Aon Retiree Health Exchange and have exhausted your HRA funds. Your Medicare Part D Prescription Drug Plan will send you a monthly prescription plan summary statement that will show your total drug cost. You will be required to submit this statement to support any reimbursement from the catastrophic HRA. Please contact the Aon Retiree Health Exchange for more information about this catastrophic prescription drug benefit. 14 Dun & Bradstreet

17 6. Can I use my HRA to pay premiums other than those for medical and prescription drug coverage? Yes. Premiums you pay out of your pocket for dental and vision coverage are also eligible for reimbursement from your HRA. 7. Can I use my HRA to pay for health care expenses other than medical and prescription drug premiums? Yes. In addition to your premiums, your HRA can be used for co-pays, deductibles, and other out-of-pocket health care expenses. Once your HRA has been established, you can find a full description of these expenses on the Your Spending Account website or by talking with your Benefits Advisor. 8. My dependent and I are both age 65 or older. How do the HRA contributions work? You and your eligible dependent will each receive a $580 contribution which D&B will deposit into a single HRA account. The funds can be used to reimburse eligible expenses for either of you. 9. What happens to the balance in my HRA when I die? If you die before your Medicare-eligible dependent, he or she will be advised to open an account in his or her name and deposit any amount remaining in your HRA. If you die before your dependent who is not Medicare-eligible or do not have a surviving dependent, any amount remaining in your HRA will be forfeited. Your estate will have six months from the date of your death to file claims for reimbursement for any eligible expenses incurred before your death. 10. How can I learn more about my HRA? More details about the amount D&B will contribute to your HRA (if you are eligible) will be sent to you with your Education Kit in October. 11. Is the Medicare Part B premium reimbursable through the HRA contribution? No. 12. Are my prescription drug co-payments reimbursable through the HRA contribution? Yes. However, depending on your prescription drug needs, there is a chance you could reach what is called Medicare s catastrophic coverage limit for prescriptions. This happens when you have spent a specific dollar amount out of pocket for prescription drugs during the year. If you exhaust your HRA and have met the catastrophic level of your Medicare Part D coverage, D&B will provide an additional amount for you to use for prescription drug costs. 13. Can I pay my pre-65 dependent s group health plan premiums, co-payments, or other out-of-pocket expenses through the HRA contribution? No. The amount D&B contributes to your HRA is to reimburse you for your individual plan costs and not group program costs of any kind, unless required by law. Your Retiree Medical Transition Guide 15

18 Reminder Your Education Kit will arrive in the mail in October. In the meantime, for general information about Medicare benefits, Health Reimbursement Arrangements (HRAs), or Aon Hewitt, call (TTY use 711 Relay). Benefits Advisors (licensed professionals) are available from 8:00 a.m. to 8:00 p.m., Central time, Monday through Friday. Detailed information regarding health benefits provided to eligible D&B retirees is provided in the official Plan Documents. If there is a conflict between statements in this communication and the Plan Documents, the Plan Documents will govern and control the operation of the Plan. The Board of Directors of D&B (and/or its delegate) reserves the right to modify, suspend, change, or terminate the Plan, including D&B s contribution to such Plan, at any time for all or any group of participants, whether actively employed or retired. D&B does not guarantee, and does not have any responsibility for, the tax, legal, or other implications of an employee s or retiree s participation in any employee benefit plan. 16 Dun & Bradstreet

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