1

PLAN YEAR: JANUARY 1, 2014-DECEMBER 31, 2014

CONNECTING YOU TO QUALITY HEALTH PLAN OPTIONS

Open Enrollment 2014

Meeting Objectives

1. Share How Affordable Care Act (ACA) Affects You and Emmis

2. Describe New Healthcare Quality & Cost Savings Tool

3. Discuss New Health Plan Option

4. Review Open Enrollment Steps

The Affordable Care Act (ACA)Change is coming. Let’s break it down

In 2014:

• All Americans* will be required to purchase a qualified health insurance plan

• The health insurance marketplace

• We will continue to offer a company health plan

• Our plan has some changes

*some exceptions apply

4

What’s new for 2014

Castlight – Addition of a healthcare quality & cost comparison tool (Feb 2014)

High Deductible Plan with HSA - Addition of a Consumer Driven High Deductible Health Plan with Health Savings Account

Wellness – Increased incentive discount Spouses will be required to

participate in the wellness program Employees and spouses must

complete the screening and assessment by March 31st

5

Go to urgent care centers instead of emergency roomsSave $ Urgent Care visit versus going to the ER

Use in-network doctorsSave with a lower deductible and coinsurance

 

Pre-certify hospital services (PPO plans)Call to pre-certify services

 

Use the Castlight “Quality/Cost Comparison” transparency toolFind cost ranges for services and quality reviews for doctors

Save money with SpecialOffersGet discounts on health-related products and services

Manage prescription costsUse generic when available and mail order for maintenance Rx

THINGS TO REMEMBER....

INTRODUCING CASTLIGHT HEALTH• Use the online tool to compare in-

network doctors and medical services in your area

• See personalized cost estimates before you go to the doctor

• Review step-by-step explanations of past medical spending

• Receive recommendations about ways to find high-quality care and save money!

Choosing

your health plan

9

Your health care needs are unique

Select from 2 health plan options

Both plans include:

• Access to one of the nation’s largest networks of doctors

• Prescription drug coverage with money-saving mail service

• 100% coverage for preventive care, like annual checkups and vaccinations

• Dental coverage through Delta Dental

IT’S GOOD TO HAVE OPTIONS

10

DeductibleThe amount you pay each year before your plan starts to pay

CopayA flat fee you pay for covered services like doctor visits

CoinsuranceYour share of health plan costs (a percentage of total cost) after meeting your deductible

Out-of-pocket maximumThe most you have to pay out-of-pocket each year for health care services

PremiumThe amount you pay to belong to a health plan

KEY TERMS

•Current plan option•Includes deductibles, copays and coinsurance

•Discounted services for using in-network providers

Current Option: Preferred Provider Organization (PPO)

12

• You pay a higher bi-weekly premium in the PPO option

• If you use the plan minimally, you could be paying more total out of pocket for this plan option

• Can’t take advantage of increased tax savings with HSA

• You have a lower deductible to meet before co-insurance applies

• Flat $ copays apply for Rx & doctor’s visits; you know your cost

PPO Plan Option

How it works:• You pay a copay for in-network office visits and prescriptions

without meeting a deductible• After you meet your deductible you pay a percentage of the cost

for all other covered services until you reach the annual out of pocket maximum

• Empowers employees to make informed health care choices

• Employees become more aware of quality and cost issues

• Gives employees the opportunity to use a pre-tax Health Savings Account (HSA)

New Option: Consumer Driven Healthcare Plan with Health Savings Account

(CDHP/HSA)

• You have a higher deductible, so you pay the first $2,000 EE only/$4,000 family out of pocket (with the use of the HSA) until you meet your deductible

• You pay the full out-of-pocket discounted price for all services, including prescriptions, until you meet your deductible

• Your bi-weekly premium is lower than the PPO plan option; minimal users save $

• Funds you put into a pre-tax HSA account can be used during the current year or saved for future expenses regardless of where you work

• Your HSA contribution is not taxed, as long as you spend your funds on covered services

CDHP/HSA Option

How it works:- You pay the full in-network cost of an office visit and

prescription until you meet your deductible; use pre-tax HSA $ to pay for those costs

- You must meet a higher deductible before the plan pays its share of coinsurance for services such as hospitalization

How a CDHP & HSA work together:

Health Savings Account (HSA)• You can put money into your

HSA, pre-tax, to help pay for your covered medical expenses, like office visits, lab work and tests.

• HSA funds are accessed via the plan-provided debit card or online bill pay.

• Unused HSA funds roll over from year to year, as long as you remain enrolled in the HSA plan.

Annual Deductible

• You are responsible for paying an annual deductible before the plan begins to pay a percentage of your covered expenses.

• You can use the money in your HSA to help meet your deductible.

Major Medical

Coverage (coinsurance)• After you meet your annual

deductible, you pay a percentage of the cost of your covered expenses, called coinsurance.

• If you still have money in your HSA after you've met your annual deductible, you can use the funds to pay your share of coinsurance.

• Once you reach your annual coinsurance maximum, the plan pays 100 percent of any of your remaining covered expenses for the rest of the year.

CDHP/HSA Option

• Health Savings Accounts (HSA) are tax-advantaged interest bearing checking accounts

• The HSA money can be used to help pay the cost of out-of-pocket medical and prescription drug expenses or for long term investment purposes

• HSAs must be coupled with an HSA-compatible high deductible health plan (HDHP) in order to make contributions to the account

What is a Health Savings Account (HSA)

The IRS and the U.S. Department of the Treasury have specific rules on who can open an HSA.

You can open an HSA if you: • Are enrolled in the CDHP like the new option we’re offering

• Are not enrolled in Medicare• Are not claimed as a dependent on another individual’s tax return

• Are not active military

Note: You cannot open an HSA if you have coverage under any other health plan that is not an HSA-compatible health plan.

Who can open an HSA?

Then, per the IRS:You:Your spouse:

only you may set up an HSA. You may contribute up to $6,550

have CDHP self + family coverage onlyIs enrolled in Medicare

neither of you may set-up an HSAhave PPO self + family with a $1,250 deductible

Has PPO self-only coverage with a $1,000 deductible

you are both treated as having family coverage, and combined may contribute up

to $6,550 to an HSA

have CDHP self + spouse coverage with a $3,000

deductible

Has CDHP self + family coverage with a $3,000

deductible

you are both treated as having family coverage, and combined may contribute up

to $6,550 to an HSA

have CDHP self + child coverage with a $4,000

deductible

Has CDHP self-only coverage with a $1,500 deductible

you are treated as having single coverage and only you may set-up an HSA . You may

contribute up to $3,300

have CDHP self-only coverage

Has PPO self + children coverage

HSA Eligibility for Married Couples

Funding Your Health Savings Account

(HSA)

There are several ways you can contribute to your account: Tax-free through payroll deductions

Post-tax by personal check When you file your taxes, you can make an adjustment to your

gross income to receive the tax benefit You’ll receive deposit slips for your HSA in the mail

Annual maximum contribution limits are: $3,300 for individual coverage $6,550 for family coverage $1,000 catch up contribution for those 55 or older

Use of HSA for a non-qualified expense (e.g. not covered services or qualified medical expenses) require you to pay tax on the expense and a 20% tax penalty on the amount.

Making Contributions to Your HSA

Are There Any Fees Associated with My HSA?

Typical banking fees applyMonthly account fee Emmis paidDebit card transactions no chargeATM transactions $1First 2 debit cardsFreeAdditional debit cards $5 per cardCard replacement fee $12 per cardCheck Order $10.65 per requestNon-sufficient funds $25Stop check service $20 per occurrenceCopy of check $10 per copy

Mailed statements $1.00

The HSA is an interest-bearing checking account

Once you reach a minimum balance of $1,000, you can begin to invest any additional funds into the available investment fund options

When you are ready to invest, all you need to do is go to anthem.com and select the Chase Bank link for more details

Does My HSA Earn Interest? Can I Invest Money in My Account?

HEALTH ACCOUNT OPTIONS:PREFERRED PARTNER ORGANIZATION (PPO) PLAN + FSA OPTIONCONSUMER DRIVEN HEALTH PLAN + HSA (CDHP/HSA)

Eligibility, Funding & Usage

FSA (health care) HSA

Qualified high deductible health plan required

No Yes 

Pretax premium deduction Yes Yes

Eligibility

Employee who meets employer’s eligibility requirements

Employee who meets employer’s eligibility requirements and is covered by CDHP and no other non high deductible plan coverage

Changes to Contributions Only with qualifying life event Yes

Balance Carry Over No Yes

Maximum contribution

IRS 2014 limit $2500 IRS 2014 limit: Individual = $3,300 > Individual = $6,550 **Additional $1,000 for those 55 and older

Portable at termination No Yes

Non-medical withdrawals

Not allowed Yes, after death, disability or age 65, otherwise will be included in gross income and subject to 20% excise tax.

Qualified retiree insurance None Medicare, COBRA, Qualified LTC

COMPARING PLANS

MEDICAL PLANS% = after deductible

PPO CDHP/HSAIn-Network Out-of-Network In-Network Out-of-Network

Deductible

Employee $1,250 $2,500 $2,000 $4,000

Employee + 1 $2,500 $5,000 $4,000 $8,000

Employee + Family $2,500 $5,000 $4,000 $8,000

Office Visits

Doctor $25 50%20%

coinsurance50%

coinsurance

Specialist $40 50%20%

coinsurance50%

coinsurance

Urgent Care $35 50%

Coinsurance 30% coinsurance

50% coinsurance

20% coinsurance

50% coinsurance

Out of pocket maximum

Employee $4,250 $8,500 $4,000 $8,000

Employee + 1 $8,500 $17,000 $8,000 $16,000

Employee + Family $8,500 $17,000 $8,000 $16,000

Prescription Drugs

Retail $30/$50/$70 NA20%

Coinsurance

50% coinsurance

Mail-Order$60/$100/$14

0 NA

20%Coinsuranc

e NA

Comparing plans - Bi-weekly premium

Premiums Tier II - $30,001 - $60,000

Wellness (PPO) Wellness (HSA)

Employee Only $39.18 Employee Only $27.40

Employee + 1 88.48 Employee + 1 61.87

Family 150.42 Family 105.19

Non-Wellness (PPO) Non-Wellness (HSA)

Employee Only $79.18 Employee Only $67.40

Employee + 1 128.48 Employee + 1 101.87

Family 190.42 Family 145.19

Premiums Tier III - $60,001 - $90,000Wellness (PPO) Wellness (HSA)

Employee Only $53.09 Employee Only $37.12

Employee + 1 118.82 Employee + 1 83.09

Family 192.13 Family 134.36

Non-Wellness (PPO) Non-Wellness (HSA)

Employee Only $93.09 Employee Only $77.12

Employee + 1 158.82 Employee + 1 123.09

Family 232.13 Family 174.36

Comparing plans

Use Anthem’s Coverage Advisor to compare your PPO vs. CDHP costs

27

Use the pre-enrollment website:

Coverage Advisor Tool

2014 Benefits and Open Enrollment Summary

Web Overview eTutorialsThe Basics of Health InsuranceHSA BasicsAnthem website overview

Open enrollment presentation

Links to Ceridian self-service

HrHelp contact information

ANTHEM PRE-ENROLLMENT WEBSITE

NO CHANGES in Dental Coverage for 2014!

Maximum Benefit = $1,500 per person per calendar year for Basic and Major Services; $1,500 per person lifetime for Orthodontic Services

Deductible = $50 per person per calendar year limited to $150 per family per calendar year

WELLNESS for 2014

What’s Changing?

• Spouses will also be required to complete the following for employees to receive discount:

• Health Assessment

• Biometric Screening

• Preventative Care

• Employees and spouses must complete assessment and screening by 3/31/14.

Employees & Spouses

• Emmis offers company paid Basic Life insurance and Accidental Death & Dismemberment at 1x your annual salary to a maximum of $100,000

• In addition to the basic life insurance Emmis offers, you can purchase additional life insurance at competitive rates

• Enroll or change your election during open enrollment

• You can purchase life insurance for your spouse and/or dependents without purchasing for yourself

Life Insurance

*See the Wave or Open Enrollment Summary Booklet for more details

• Can contribute pre-tax money for health care and dependent care expense:→ $260-$2,500 for medical

expenses→ $260-$5,000 for dependent

care expenses

• Simple Reimbursement Methods• Wageworks debit card (Only

available for HCFSA)• “Pay Me Back” process• “Pay My Provider” process

• 14 ½ - month plan year to use funds

• Use it or Lose it!

Flexible Spending Accounts (HCFSA and

DCFSA)

IMPORTANT DATES:

Spend it by: 3/15/15

Claim it by: 3/31/15

No exceptions!

Enrolling

in your benefitsNovember 4th – 13th

Open Enrollment

ENROLLING IS EASY

Log in to Ceridian Self-Service

Print your confirmation of

benefits and check for errors

Choose your benefits options

Submit your plan selections

Your plan goes into effect 1/1/2014

ENROLL USING CERIDIAN SELF-SERVICE

EMMIS ALSO OFFERS:

Employee Assistance Program

Leave pay

Holidays

Vacation

Adoption Assistance

Employee Referral Program

401(k) Plan

Auto & Homeowners Insurance

Q&A

HrHelp@emmis.com