2015 2015 Open Enrollment November 3, 2014 to November 21, 2014
Employees
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1 Welcome to 2015 Benefits Annual Enrollment The 2015 Benefit
Election Period is November 3-21, 2014. This is the only time of
year for you to make changes to your benefit elections without a
qualifying event. All employees must make benefit elections to
participate in the 2015 benefit plans. Your current benefit
elections will not be carried over into 2015 if you do not enroll
during this benefit election period. Benefit elections made during
this time will become effective January 1, 2015. Unless you have a
qualifying event (such as marriage, birth, change in work hours,
etc.) the elections you make now will remain in effect until
December 31, 2015.
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2015 Medical/Rx Plan Options Blue Cross Blue Shield
MedTrak
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3 2015 Medical/Rx Plan Options A Traditional PPO plan A High
Deductible Health Plan
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4 What do both plans have in common? Both plans cover
preventive care services at 100% Both plans use the Blue Cross
provider networks Both plans offer coverage both in-and
out-of-network With either plan you choose, you may pay
significantly more if you go to an out-of-network provider How do
the plans differ? If you use an in-network provider, the PPO plan
costs you less at the time you use services. You will be
responsible for office visit, ER, and Rx co-payments at time of
service. You will also be responsible for a lower deductible and
applicable coinsurance. This plan will cost you more out of your
paycheck (higher premium). The HDHP initially costs you more at the
time you use services. You will be responsible for a higher
deductible before any expenses are paid by the plan. This includes
all services except preventive care. This plan will cost you less
out of your paycheck (lower premium). If you enroll in the HDHP,
you may open and contribute to a Health Savings Account (up to
$3,350 single/$6,650 family) If you enroll in the PPO, you may
contribute to a Flexible Spending Account (up to $2,500) 2015 Plan
Design Comparison g\filepath
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5 In-NetworkOut-of-Network Deductible:
Individual/Family$750/$1,500$1,500/$3,000 Coinsurance (your
share):20%40% Medical Out-of-Pocket Maximum: Individual/Family
(includes deductible, coinsurance and all co-pays other than Rx
co-pays/coinsurance) $3,600/$9,000$7,200/$18,000 R(x) Out-of-Pocket
Maximum: Individual/Family $2,000/$4,000Not covered Primary Care
Office Visit$25 co-pay, not subject to deductibleDeductible then
40% Specialist Office Visit$40 co-pay, not subject to
deductibleDeductible then 40% Preventive Services100%, not subject
to deductibleDeductible then 40% Hospital: Inpatient or
OutpatientDeductible then 20%Deductible then 40% All Other Covered
Services (this includes, but is not limited to, x-rays, labs,
inpatient and outpatient services, other physician services,
ambulance, medical equipment, home health and hospice) Deductible
then 20%Deductible then 40% Emergency Room Services$100 co-pay per
visit then 100% (co-pay waived if admitted) Traditional PPO
Plan
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6 High Deductible Health Plan (HDHP) In-NetworkOut-of-Network
Deductible: Individual/Family$3,000/$6,000 Coinsurance (your
share):0%40% Out-of-Pocket Maximum: Individual/Family (includes
deductible and Rx co-pays/coinsurance) $6,000/$12,000$9,000/$18,000
Primary Care Office VisitDeductible then 0%Deductible then 40%
Specialist Office VisitDeductible then 0%Deductible then 40%
Preventive Services100%, not subject to deductibleDeductible then
40% Hospital: Inpatient or OutpatientDeductible then 0%Deductible
then 40% All Other Covered Services (this includes, but is not
limited to x-rays, labs, inpatient and outpatient services, other
physician services, ambulance, medical equipment, home health and
hospice) Deductible then 0%Deductible then 40% Emergency Room
ServicesDeductible then 0%
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7 Traditional PPO Plan Prescription Drug Out-of-Pocket Maximum
Individual/Family $2,000/$4,000 Generic$5 co-pay Name Brand$100
deductible, then $30 co-pay + 20% of remaining balance (the $100
deductible on Brand Name Drugs can be waived for members who attain
Gold or Platinum Vitality status) HDHP You must meet your
deductible first then: Prescription Drug Out-of-Pocket Maximum
Individual/Family Rx co-pays and coinsurance go towards medical
OOPM, then all medical and Rx drugs covered at 100% Generic$5
co-pay Name BrandDeductible, then $30 co-pay + 20% of remaining
balance Prescription Drugs
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8 Key Differences in the HDHP Plan You pay 100 percent of your
office visits, prescription drugs and other medical expenses until
you reach your deductible Offers a lower premium Allows you to open
a Health Savings Account Contributions made through payroll
deduction will be to a UMB account NEW FOR 2015: Your pharmacy
benefit plan will now include coverage for certain generic
preventive medications at a $0 co-pay to help protect against or
manage medical conditions. Preventive drugs are intended to
maintain your quality of life and keep you from developing other
health conditions. For a full listing of the most commonly
prescribed preventive drugs, please check here.here
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Understanding Health Savings Accounts (HSAs) UMB
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10 Top 10 custodian of Health Savings Accounts (HSAs) Provide
solutions for: More than 3.25 million healthcare accounts 450,000+
HSA accounts with more than $800 million in HSA deposits Leader in
Healthcare Payments industry since 1996 Who Is UMB Healthcare
Services? Image 2013 Thinkstock. All rights reserved.
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11 Understanding the HSA Concept Health Insurance Plan HSA HSA
Qualified High Deductible Health Plan (QHDHP) Covers preventive
health care and claims beyond deductible Individually owned Tax
advantaged Used to pay for current out-of- pocket expenses Used as
a savings and investment vehicle to prepare for future
expenses
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12 Benefits of HSAs Savings Tax SavingsTriple tax advantage
Long term savings opportunity Lower costs ControlYou decide: How
much money to put into the account How to spend your money Whether
to invest any of your HSA money Which investments to make
Portability You own italways! Image 2013 Thinkstock. All rights
reserved. *Neither UMB Bank n.a., nor its parent, subsidiaries, or
affiliates are engaged in rendering tax or legal advice and this
presentation is not intended as tax or legal advice. All mention of
taxes is made in reference to federal tax law. States can choose to
follow the federal tax-treatment guidelines for HSAs or establish
their own; some states tax HSA contributions. Please check with
each states tax laws to determine the tax treatment of HSA
contributions, or consult your tax adviser.
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13 Understanding an HSA Contributions Distributions Earnings
Pre-tax/Tax Deductible Tax Deferred Growth Tax Free Distributions
(for Qualified Medical Expenses)
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14 Eligibility for HSAs To be eligible to contribute to an HSA:
You must be enrolled in an HSA-qualified HDHP like the HDHP option
that Waddell & Reed is offering You cannot be enrolled in
Medicare, TRICARE or TRICARE for Life You cannot be eligible to be
claimed as a dependent on someone elses tax return You cannot be
covered by your spouses health plan (unless it is a qualified HDHP)
healthcare FSA, or Health Reimbursement Account (HRA) You cannot
have any other non-permissible coverage
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15 Permissible Coverage Permissible coverage includes: Limited
purpose FSAs (like the one that Waddell & Reed will offer)
Critical Illness Insurance (like the AFLAC plan offered by Waddell
& Reed) Accident or Disability Dental and Vision care Long-Term
Care Insurance Non-permissible coverage is basically any coverage
that could provide medical coverage prior to meeting your
deductible (other than preventive care) Note: Refer to IRS
Publication 969 for specific questions
17 Catch-up Provision (Age 55 and older) $1,000 make-up
contribution allowed Two spouses 55 and older need two accounts
Coverage Class Dictates Contribution Limits Spouses that both have
single coverage Tax Year Funding April 15th tax deadline
Contributions Employees are responsible for tracking limits
(includes employer contributions).
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18 Special Contribution Topics Excess Contributions Excise tax
(6%) when you file your taxes Prorated Contributions Contribute
maximum allowed is pro-rated for number of months eligible Mid-year
changes in coverage status (single/family)
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19 How Do You Use Your HSA? Step 1: Doctor/hospital bills BCBS
Step 2: BCBS processes Sends explanation of benefits to you and
doctor/hospital Step 3: Provider bills you Step 4: Settle payment
with provider
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20 Distributions/Payments Debit Card (No Transaction Fees!) Up
to 5 cards for free for spouse and children $5,000 daily limit
Online Transfer (No daily limit!) Online Bill Pay
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21 Distribution Topics Substantiation Not Required to be
Submitted to UMB Healthcare merchant (MCC) coding Receipts
Non-Qualified Distributions 20% penalty before age 65 Qualified
Medical Distributions Must be after account establishment Tax free
No time restriction on reimbursement Retaining records
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22 Qualified Medical ExpensesDefined by the IRS Medical
out-of-pocket expenses such as deductibles, coinsurance,
prescription drugs and lab tests Dental treatment such as fillings,
braces, extractions Hearing aids including batteries Eye exams,
eyeglasses, and contact lens Chiropractic care and acupuncture
Premiums for qualified long term care insurance (dollar limits may
apply) and COBRA Medicare premiums Source: www.irs.gov, IRS
Publication 502
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23 Your Responsibilities With an HSA Not Employer
Responsibility Employee (Accountholder) Eligibility Contribution
Maximum Tax Filing 1099-SA 5498-SA Form 8889 SubstantiationITEMIZED
receipts
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24 One HSA... Many Ways to Save Each accountholder may choose
one or both of the investment options Base Account (Default)
Fidelity Money Market Sweep Option Self Directed Brokerage
Option
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25 Base Account Interest bearing FDIC Insured All contributions
and distributions flow through the base account All funds in the
Base Account and the Money Market can be accessed via debit card
and/or UMBs website.
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26 Money Market Sweep Account Fidelity Money Market Online
enrollment $1,000 minimum base account balance Automatic sweep
capabilities Not FDIC insured A peg balance (currently $1,000) is
set to determine the amount of money that moves in and out of the
money market mutual fund. Funds in your HSA up to the $1,000 peg
balance, are a deposit in an FDIC-insured account. Funds in excess
of $1,000 are an investment in a money market mutual fund that is
not insured by the FDIC or any other governmental agency. Although
the fund seeks to preserve the value of your investment at $1.00
per share, it is possible to lose money by investing in the fund.
Investments in securities, whether through the Money Market Sweep
Account or through investments in the Self-directed Brokerage
Account are: Not FDIC-Insured May Lose Value No Bank
Guarantee.
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27 Investment Options Most of the Ivy Funds included Online
enrollment and trading Trades are $7.95 each or $2.00 for recurring
trades (same fund) Comprehensive website tools $1,000 minimum base
account balance to invest Investments in securities, whether
through the Money Market Sweep Account or through investments in
the Self-directed Brokerage Account are: Not FDIC-Insured May Lose
Value No Bank Guarantee. Investments you make through your HSA are
not FDIC-insured. Securities offered through UMB Financial
Services, Inc., member FINRA (www.finra.org), SIPC (www.sipc.com).
UMB Financial Services, Inc. is a subsidiary of UMB Bank, n.a. UMB
Bank, n.a. is a wholly owned subsidiary of UMB Financial
Corporation. UMB Financial Services, Inc. is not a bank and is
separate from UMB Bank, n.a. and other banks.
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28 Accountholder Service Unparalleled Service & Dedication
Expert knowledge; dedicated healthcare staff Account service and
investment account questions Online account access, web chat, and
e-mail Availability 24/7 account access (IVR, lost/stolen cards)
Live HSA support center Monday Friday: 7:00 a.m. 7:30 p.m. Central
Time Saturday: 8:00 a.m. 5:00 p.m. Central Time 300 languages
supported All calls digitally recorded Domesticlocated in Kansas
City, MO 866-520-4HSA (4472) hsa.umb.com 866-520-4HSA (4472)
hsa.umb.com
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29 Internet Portal and Mobile Banking
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30 Internet Banking Portal Real-time account management 24/7
Account balance and transaction history Current and prior year tax
information Online transfer to/from HSA Online contributions Online
reimbursement Investment enrollment Update information Online
bill-pay and mobile banking Healthcare resources Forms
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31 What Happens After I Enroll in the HDHP and Open my HSA?
Identity verification Materials sent (normally received within 5-7
days) Separate mailings Welcome letter Debit card (follow
activation instructions) Remember to signup for online access! Have
questions? 866-520-4HSA (4472) hsa.umb.com 866-520-4HSA (4472)
hsa.umb.com
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32 Tier 1 group health plan employees First Year Seed: $500 for
employee only coverage $1,000 for family coverage Second &
Third Year Seed: $250 for employee only coverage $500 for family
coverage HSA Employer Contribution *Regardless of any seed money
received in 2014, Tier 1 employees enrolled in the HDHP will be
eligible for the seed amounts specified above.
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33 Additional HSA Employer Contribution- Vitality Employees
enrolled in the HDHP will be eligible for an employer contribution
based on attaining Vitality status This is in addition to a premium
discount! Gold Status $15 per month employees only $30 per month
employee and spouse coverage Platinum Status $25 per month
employees only $50 per month employee and spouse coverage
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Flexible Spending Account BMO g\filepath
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35 Healthcare FSA Allows you to be reimbursed with pretax
dollars for qualified out-of-pocket healthcare expenses that you or
your covered dependents incur Qualified Healthcare Expenses
include: Deductibles, co-pays, and prescriptions Health services,
supplies, or expenses not covered by your health, dental or vision
plans IRS Publication 502 provides a complete list of eligible
expenses at www.irs.govwww.irs.gov In general, you may use your
Healthcare FSA to pay for healthcare expenses considered
tax-deductible by the IRS, except for health insurance premiums.
Remember! Use It or Lose It: Federal law requires you to use all
the monies in your FSA by the end of the benefit year. g\filepath
2015 Healthcare FSA Contribution Limit $2,500
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36 Dependent Care FSA Allows you to pay for qualified child and
adult care expenses on a pre-tax basis. Qualified Dependent Care
expenses include: Licensed day-care After-school camp Elderly care
Eligibility: You are a working single parent. You and your spouse
both work. Your spouse is a full-time student. Your spouse is
mentally or physically disabled and unable to care for himself or
herself or your dependent(s). g\filepath 2015 Dependent Care FSA
Contribution Limit $5,000
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37 Limited Purpose Healthcare FSA If you enroll in the HDHP and
have an HSA, you may participate in the Limited Purpose Healthcare
FSA. This FSA allows for reimbursement of eligible healthcare
expenses other than medical. Vision Expenses Dental Expenses
g\filepath 2015 Limited Purpose Healthcare FSA Contribution Limit
$2,500
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38 Transportation Management Account (TMA) The TMA allows you
to pay for qualified transportation and/or parking expenses with
pre-tax dollars. Any benefits eligible Employee is eligible Same
eligibility as FSA program Examples of transportation expenses
include: Bus/ Subway/ Mass Transit Monthly Passes Fare cards Van
Pooling Monthly Parking Expenses 2014 Limits*: Mass Transit
Benefits: $130/month Parking Benefits: $250/month 2015 limits are
expected to be announced toward the end of year. You can change
your elections throughout the year! Balance in the TMA may be
carried forward into the next calendar year, but may not exceed the
annual limits set by the IRS. g\filepath New for 2015! *We will
communicate the 2015 limits once posted New for 2015!
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Dental Plan Delta Dental of Kansas g\filepath
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40 Dental Plan g\filepath In-Network Premier and PPO
Out-of-Network Annual Deductible/Employee$50 Annual
Deductible/Family$150 Deductible Waived for Preventive ServicesYes
Annual Benefit Maximum$1,500 Preventive Services100%80% Basic &
Restorative Services (Subject to Deductible) 80%60% Major Services
(Subject to Deductible)50%40% Orthodontia (Children Under 19)50%
Orthodontia Lifetime Maximum$1,500 Good News! No changes and no
premium increase.
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Vision Plan VSP g\filepath
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42 Vision Plan NEW FOR 2015! Your in-network retail frame
allowance and contact lens allowance has increased from $120 to
$200. If you choose one of VSPs Featured Frames, your allowance
will be $220. Waddell & Reed employees will now have access to
VSPs retail chain providers, which will give you added convenience
and additional retail locations. Changes have been made in the
out-of-network fee schedule for 2015. The following is a brief
overview of the vision benefits. There will be slight increases to
premiums for 2015. To access a provider directory, visit
www.vsp.com.www.vsp.com g\filepath
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43 Vision Plan g\filepath In-NetworkOut-of-Network Eye
ExamCovered after $35 Co-payReimbursed up to $45 Material
Co-pay$35N/A Single LensesCovered after Co-payReimbursed up to $30
Lined Bifocal LensesCovered after Co-payReimbursed up to $50 Lined
Trifocal LensesCovered after Co-payReimbursed up to $65 Frame$200
Allowance ($220 if one of VSPs Featured Frames) Reimbursed up to
$70 Contacts in Lieu of Glasses$60 Maximum Co-pay on Contact Lens
Exam (Fitting and Evaluation) $200 Allowance Toward Contact Lenses
Up to $105 Allowance Toward the Contact Lens Exam (Fitting and
Evaluation) and Contact Lenses Combined Frequency Limit (Based on
Calendar Year, not Service Year) Exams 12 Months Lenses 12 Months
Frames 24 Months Per Pay Period Premium Contribution $4.19 Member
Only $8.39 Member + Spouse $8.98 Member + Child(ren) $14.36 Member
+ Family
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Critical Illness Aflac
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45 Critical Illness Critical illness insurance can pay a lump
sum benefit at the diagnosis of a covered condition including:
Cancer Heart attack Stroke And many others Guaranteed coverage is
available in the amount of $20,000 for employees, $10,000 for
spouses, and $5,000 for children. g\filepath NON-TOBACCO
Semi-Monthly RatesTOBACCO Semi-Monthly Rates
EMPLOYEESPOUSEEMPLOYEESPOUSE Ages$20,000$10,000Ages$20,000$10,000
18-29$4.58$2.7318-29$7.08$3.98 30-39$7.68$4.2830-39$12.58$6.73
40-49$14.68$7.7840-49$29.88$15.38
50-59$25.81$13.3550-59$50.88$25.88
60-69$40.88$20.8860-69$80.88$40.88 Critical Illness is a great
companion plan to the High-Deductible Health Plan!
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2015 Annual Enrollment Summary
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47 Upcoming Changes for 2015 Waddell & Reed will continue
to offer a High-Deductible Health Plan (HDHP) in 2015, along side a
Traditional PPO option. The family prescription drug OOP maximum
for the PPO plan has decreased from $6,000 to $4,000. If you select
the HDHP option, Waddell & Reed will continue to provide seed
money to the UMB HSA for Tier 1 group health plan employees. The
HDHP pharmacy benefit plan will now include coverage for certain
generic preventive medication at a $0 co-pay to help protect
against or manage medical conditions. Your vision plan in-network
retail frame allowance and contact lens allowance has increased
from $120 to $200! Waddell & Reed employees will now have
access to VSPs retail chain providers, which will give you added
convenience and additional retail locations. Waddell & Reed
employees will now have the option to open up a Transportation
Management Account (TMA)! g\filepath
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48 2015 Dependent Eligibility Audit Waddell & Reed is
committed to providing affordable healthcare. One way to do this is
to ensure that only eligible persons are enrolled in the plan.
Partnership with BMI to conduct audit in early 2015. More
communications to follow early in 2015 regarding process and next
steps. Will include collection of documents validating dependent
eligibility. Annual enrollment is great time to ensure that you are
only enrolling eligible dependents. Eligible Dependents Include: A
same-sex or different-sex spouse, but not a common-law spouse. A
same-sex or different-sex domestic partner, including a common-law
spouse. A child who is a natural child, stepchild, foster child,
adopted child, or a child that a covered employee is legally
obligated to support. The limiting age for a child is 26 years,
except that there is no limiting age for an incapacitated
dependent. Eligible Dependents DO NOT Include: Former spouses,
grandchildren, siblings, neighbors, pets, etc. g\filepath
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49 How to Enroll Be looking for an e-mail on November 3 rd that
will contain an informational booklet and instructions on how to
enroll!
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Questions? g\filepath
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Images 2014 Thinkstock. All rights reserved. Enroll By:
November 21, 2014