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Annual Enrollment

Presented by Stephanie BellSchool of Medicine

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Annual Enrollment Changes

Change Health Plan Increase Employee Optional

Life Enroll in Medical/ Dependent

Spending Account Other reminders How to make changes

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Types of Changes to Health Plans

Change your health plan From one plan to another

Types of Health Plans Savings Standard Blue Choice HMO CINGA HMO (certain counties) Medicare Supplemental Plan

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Savings Health Plan No Increase in Premiums in 2009 High deductable health plan

$3000 deductable for single $6000 deductable for family

Coinsurance In network- Plan pays 80% Out of network- Plan pays 60%

Prescription Drugs Plan will reimburse 80% of the allowed amount, you

pay 20%

Employee can enroll in HSA and deduct $$$ pre-tax from their paycheck for qualifying medical expenses

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Standard Health Plan No Increase in Premiums in 2009 Standard health plan

$350 deductable for single $700 deductable for family

Coinsurance In network- Plan pays 80% Out of network- Plan pays 60%

Prescription Drugs Three tier coverage $10,$25, and $40

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Blue Choice HMO Health Plan

Increase in Premiums in 2009 HMO health plan (referral needed for

specialists) $250 deductable for single $500 deductable for family

Coinsurance HMO pays 90%

Prescription Drugs Three tier coverage $7, $35, $55

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CIGNA Health Plan

No Increase in Premiums in 2009 HMO health plan (referral needed for

specialists) $0 deductable for single $0 deductable for family

Coinsurance HMO pays 80%

Prescription Drugs Three tier coverage $7, $25, $50

Only available in certain counties

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Medicare Supplemental Health Plan

Available to retirees and covered dependents who are eligible for Medicare

Medicare Supplemental Plan Pays Medicare Part A and Part B deductibles

Coinsurance Pays Part B coinsurance of 20%

Prescription Drugs Three tier coverage $10, $25, $40

Refer to page 8-9 of Insurance Advantage for applicable rates

MUSC Options No Longer Available

MUSC Options, a health plan offered in Berkeley, Charleston, Colleton, and Dorchester counties, will not longer be available as of January 1, 2009.

Subscribers enrolled in the plan should choose another plan.

Those who do not make a choice will be assigned to the State Health Plan Standard Plan.

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Changes you CAN’T make with health or dental

insurance

You CAN’T add or remove your spouse or dependent children unless you have a qualifying event to do so and it is within 31 days

Dental Insurance

This year employees are not able to make changes in the dental plan

Dental changes will be allowable during Open Enrollment, 2010

Dental Plus Premiums are increasing

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Changes in Optional Life Insurance

Without medical evidence form: Employees may enroll and/or increase

their optional life insurance for up to $50,000 in $10,000 increments

Employees without optional life insurance may enroll for up to $50,000 in $10,000 increments

Employees can enroll children for $15,000, $1.24 per month for any number of children

Employees can always decrease or cancel Optional Life or Dependent Life coverage

Changes in Optional Life Insurance

With medical evidence Employees may enroll their spouses in $10,000

increments for up to 50% of their Employees Optional Life coverage or $100,000, whichever is less.

Employees may enroll for above $50,000 with medical evidence

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MoneyPlu$ Programs

To participate in MoneyPlu$ accounts in 2009

You must enroll or re-enroll You can do this online

https://www.myfbmc.com You must meet eligibility requirements

of having been employed by January 1st 2008.

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HSA (Health Savings Account)

You must be covered by the State Health Savings Plan or another high deductible health plan

You cannot be covered by any other type of health plan, including Medicare (Part A or B) and you cannot be claimed as a dependent on another person’s tax return

If you were enrolled in an HSA in 2008, you do not need to re-enroll in 2009 if you remain eligible but you may change the amount you contribute monthly

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Dependent Care Account

You must enroll or re-enroll in this if you wish to participate in 2009You may deduct up to $2500 if on taxes you file married, filing separatelyYou may deduct up to $5000 for single, head of household or married, filing jointlyYou may not be refunded for $$ you have not yet put in

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Medical Spending Account

You must enroll or re-enroll in this if you wish to participate in 2009You may receive reimbursement for eligible medical expenses incurred by you or your family members up to $5000 maximum annuallyYou may be refunded for $$ you have not yet put it in. For example, if you enrolled for $3000 and you have surgery costing $3000 on 01/01/2009 you are eligible to claim and receive the full amount.

Medical Spending Account

MSA subscribers may sign up for an EZ Reimburse MasterCard. Check box on enrollment form Not available for limited-use MSA Advantages include instant

reimbursement for health care expenses, instant approval of some medical, prescription, vision and dental expenses, easy access to your account funds

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2010 Increased Health Plan Premiums

For tobacco users, premiums will increase in 2010

Free and Clear® Quit for Life State Health Plan subscribers and

covered dependents ages 18 and older may participate at no charge

A research-based program that has been successful in helping people stop tobacco use.

For more info call 1-866-Quit-4-Life (866-784-8454)

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Health Management Program

Blue Cross identifies participants for the program from healthcare information received from medical, pharmacy and lab claims.

If you are identified as someone who could benefit from the program, you are automatically sent a welcome letter giving you more information.

Examples the program is designed to assist with… diabetes or asthma

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Mothers-To-Be

You must call Medi-Call within the first trimester to enroll in the Maternity Management Program

Once you are enrolled in the maternity management program, you can correspond online with your case manager and receive relevant articles from recognized medical resources.

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Long Term Care

Prudential is our New Long Term Care Provider

If an employee was already covered under AETNA they will automatically receive a package sometime in September telling them what they need to do to change to Prudential

If an employee was not covered under AETNA and wants to enroll, Prudential is holding a ONE TIME Open Enrollment from February 16-March 6,2009 to enroll employees with no medical evidence forms.

Premiums will no longer be payroll deducted so employees will be directly billed for the service

Annual Enrollment October 1st through October 31st, 2008 Employees may make annual enrollment changes on

MyBenefits, 24 hours per day, 7 days per week www.eip.sc.gov and select “My Benefits”

Employees may also come to 1 MP, Suite 340 for assistance from HR to make any allowable changes

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What are Your Questions?