Health Care & Benefits Overview

Transcription

1 Benefits Plus 2014

2 Health Care & Benefits Overview CCR provides comprehensive health, dental, life, AD & D and disability benefits to all eligible Ottawa employees through a Traditional benefits plan Ottawa s benefit provisions are more generous to those provided to nonbargaining CCR employees Short and Long-term Disability benefits provide income security for employees, in the event of a non-work related illness or disability Life insurance provides the employee s family with financial protection should they need it In addition, the company offers a comprehensive, 100% company-paid, Employee Assistance Program to employees and their families, to assist with a variety of personal challenges

3 Introduction to BenefitsPlus ADVANTAGES Over Traditional Choice of coverage based on personal and family needs Prescription Drug Cards to be provided for ALL levels no need to pay out at first instance Certain maximums on Paramedical services for Option 3 are greater than the current plan. No annual maximum for all health expenses combined No annual deductibles per person or per family Ability to purchase additional insurance protection All eligible employees will have some level of coverage as waiver of benefits is no longer an option Changes to coverage can be made annually

4 Eligibility & Coverage Permanent Full-Time employees who regularly work for CCR are eligible to participate in BenefitsPlus CORE BENEFITS Basic Life Insurance Short-Term Disability Long-Term Disability Extended Health Coverage Dental Coverage OPTIONAL BENEFITS Optional Life Insurance (Employee, Spouse &/or Child) Optional AD&D Coverage (Single or Family) 4

5 Life and AD&D Insurance CORE BENEFITS Basic Employee Life Insurance Coverage is 1 times the employee s annual base salary OPTIONAL BENEFITS Optional Employee and/or Spousal Life Insurance Can be purchased in units of $10,000 to a max of 50 units or $500,000 Coverage in excess of $50,000 (for employee only) must be approved by insurance carrier All coverage purchased for spousal must be approved by insurance carrier Optional Child(ren) Life Insurance Can be purchased for eligible children in units of $5,000 to a maximum of $20,000 per child Optional AD&D Insurance Can be purchased in units of $10,000, to a maximum of $200,000 Choose Single or Family coverage 5

6 Disability Maximum 48 hours per calendar year Short -Term Disability Benefits Up to a maximum of $600 per week for a max. 26 weeks Long-Term Disability Benefits 66.67% of monthly income up to maximum of $2,400 6

7 Extended Health Benefits Simplified Options. All with Drug Cards Option 1 Option 2 Option 3 20% Health and Prescription Drugs Coverage 80% Health Coverage 85% Prescription Drugs Coverage* 100% Health Coverage 100% Prescription Drugs Coverage* * Based on National Formulary Choice of coverage for Associate only, Associate plus 1 or Family Out of pocket maximum for prescription drugs under Option 1 is $5,000 and for either Option 2 or 3 is $1,000 Option 1 is a Coordination of Benefits Coverage, which is most beneficial for Associates who are eligible for benefits through spouse s plan 7

8 Extended Health Benefits Some other benefits available under Extended Health (depending on option level selected) include: *Physiotherapy *Speech Pathologist *Massage therapy *Naturopath *Psychologist *Chiropractors *Podiatrist *Vision Care *Orthotics/shoes Out of Province travel coverage for all Options The Travel Benefit and Medi-Passport Coverage offers worldwide assistance when you have a medical emergency while travelling outside of your province 8

9 Dental Benefits Option 1 Option 2 Option 3-20% Basic (Preventative) - 20% Major Restorative - 50% Orthodontia - Annual Max - $1, % Basic (Preventative) - 50 % Major Restorative - Annual Max - $1, % Basic (Preventative) - 80% Major Restorative - 50% Orthodontia - Annual Max - $2,500 Orthodontia coverage is 50% up to a maximum of $3,000 Some Dental expenses that are covered (depending on option level selected) include: * Polishing/Scaling * Endodontics * Periodontics * Dentures/Crowns * Extractions * Orthodontia 9

10 Option 1 - Coordination of Benefits Option ( COB ) Allows employees to optimize the amount of coverage (up to 100%) through BenefitsPlus and their spouse s benefits coverage By selecting the COB option, employees will have basic coverage through CCR and have money that will be allocated towards their Healthcare Spending Account Healthcare Spending Account Monies allocated in the HSA can be used towards reimbursement for eligible out-ofpocket medical/dental expenses not covered by the BenefitsPlus plan An HSA can pay for any eligible expenses as per the medical tax credit rules under the Income Tax Act. Unused HSA credits may be carried forward 1 calendar year The HSA is a non-taxable benefit 10

11 Example of How the HSA works $300 in eligible expenses $150 reimbursed through the BenefitsPlus Plan and through Coordination of Benefits (if applicable) Apply remaining $150 out of pocket towards 2013 HSA allotment - $150 is reimbursed until there is no money left in HSA

12 Life Event Changes A Life Event Change is considered to be: Marriage Cohabitation (for a minimum period of 12 months) Separation, divorce or termination of cohabitation with a common-law spouse Birth, adoption or change in custody/dependency of a child Death of a spouse or dependent child Loss or gain of other group health coverage If you experience a life event change, you must notify the HeRe team within 60 days of the life event change. 12

13 23 Unionized Facilities in Benefits Plus (13 UFCW) Barrie Brandon Calgary Charlottetown, PEI Windsor (Chatham) Fredericton Granby Halifax Lachine/L Assomption (Montreal) Lethbridge/Medicine Hat London Lower Mainland Outaouais Prince George Quebec City Regina Saskatoon Sault Ste. Marie Sudbury Terrace Thunder Bay Trois Rivieres Winnipeg

14 2014 Benefits Plus Rates for Employees Health Option 1** Option 2 Option 3 Associate Only -$ 500 $ 148 $ 613 Associate +1 -$ 500 $ 295 $ 1,227 Associate +2 or more -$ 500 $ 460 $ 1,899 Dental Option 1** Option 2** Option 3 Associate Only -$ 250 -$ 100 $ 30 Associate +1 -$ 250 -$ 100 $ 60 Associate +2 or more -$ 250 -$ 100 $ 96 ** Credit amounts are allocated to the HSA effective January 1, 2014 and prorated for the year

15 15 Typical Coverage Chosen by Employees Most of CCR s employees do not elect to take the highest level of coverage, our experience shows that most employees elect the middle tier for health, and Option 3 for Dental. Here are the rates for 2013: Hourly Union Health Enrolment - January 1, 2013 Option 1 Option 2 Option 3 Total % Single % Couple % Family % Total ,176 % 6% 50% 43% Hourly Union Dental Enrolment - January 1, 2013 Option 1 Option 2 Option 3 Total % Single % Couple % Family % Total ,176 % 3% 17% 80%

16 Accessing Your Benefits Online at This secure website will allow you to: Set up Direct Deposit for your reimbursement payments See the details of your benefits coverage View the status of any benefit claims Print personalized pre-populated claim forms Submit vision and paramedical claims online Obtain the balance of your Healthcare Spending Account Tap into other useful resources related to Health and Wellness or by calling SunLife directly at

17 Advantages of Benefits Plus Choice of coverage based on personal and family needs Prescription Drug Cards to be provided for ALL levels no need to pay out at first instance Certain maximums on Paramedical services for Option 3 are greater than the current plan. No annual maximum for all health expenses combined No annual deductibles per person or per family Ability to purchase additional insurance protection All eligible employees will have some level of coverage as waiver of benefits is no longer an option Changes to coverage can be made annually