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Employee Benefits Open Enrollment 2016

Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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Page 1: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

Employee Benefits Open Enrollment 2016

Page 2: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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Agenda

� Employee Benefits Update

� 2016 Medical Plans

� 2016 Ancillary Benefit Plans

� Additional Benefits

� Next Steps

Page 3: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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Healthcare Cost Management

What is exp doing to help manage rising healthcare costs?

� Exp has designed a program that provides a comprehensive level of benefits that promotes wellness and offers choices to our employees

� Exp currently pays a large portion of health care coverage premiums for eligible employees and dependents

� Exp offers tools and incentives to empower members to be responsible healthcare consumers

Page 4: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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2016 Open Enrollment

There will be no changes in the benefit plans.

� Exp will continue to offer Medical/Rx plans; administered by UnitedHealthcare.

� Payroll deductions will increase slightly = 5%

� Exp will continue to offer Dental, Vision, Life and AD&D, Short-term and Long-term Disability; administered by Guardian.

Page 5: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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What Can You Do?

� Become better healthcare consumers

� Be proactive with your health – get your annual exams and preventive screenings

� Go to your doctor or a convenience care clinic when ill; don’t wait

� Complete an online Health Risk Assessment

� Use urgent care for non-emergencies instead of the emergency room

� Use generic medications when possible

� Follow Rx dosage instructions

Page 6: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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2016 Benefit Overview

Carrier Coverage

UnitedHealthcare Medical, Prescription Drugs

Guardian Dental, Vision, Life and AD&D, Short-term and Long-term Disability

Trustmark Accident and Critical Illness Plans

Allstate Cancer Plans

myCafeteriaPlan Flexible Spending Accounts and Health Reimbursement Accounts

Health Advocate Assists employees and families navigate the healthcare system

Guardian Employee Assistance Program

Page 7: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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Medical Plan� All of the plans will remain the same for 2016.� UnitedHealthcare will continue to be the national insurance carrier for

exp, with the exception of employees in Alaska.� You will have 3 options to choose from:

� The Choice Plan offers in-network benefits with co-pays at the physician’s office and pharmacy.

� The Choice Plus Plan offers in and out-of-network benefits with co-pays at the physician’s office and pharmacy.

� The HRA Plan is a high deductible in-network only health plan that offers a Health Reimbursement Account.

� Preventive is covered at 100% with no co-pays on all plans.

UnitedHealthcare Medical Options

Page 8: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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CHOICE PLAN

� Primary Care/Specialist office visit: $15/$40

� Virtual Visit **NEW** $25

� In-patient hospital care: 20% after deductible

� Out-patient hospital care: 20% after deductible

� Emergency room: $250 (any ER)

� Urgent Care: $75

� Lab and x-ray: Covered in full

� Scans and Therapies 20% after deductible

� Deductible (Individual/Family) $750/$1,500 per year

� Out-of-Pocket (includes deductible) $3,750/$7,500 per year

� Lifetime Maximum Unlimited

� Prescription Drugs (Retail) $10 Tier 1/$35 Tier 2/$70 Tier 3

� Mail Order (90 day supply) 2.5x Retail

TYPE OF SERVICE YOU PAY:

Page 9: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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CHOICE PLUS PLAN

� Primary Care/Specialist office visit: $15/$40 � Virtual Visit **NEW** $15� In-patient hospital care 20% after deductible� Out-patient hospital care 20% after deductible� Emergency room $250 (any ER)� Urgent Care $75 � Lab and x-ray 100% covered� Scans and Therapies 20% after deductible� Deductible (Individual/Family) $500/$1,000 in-network; $2,000/$4,000 out-of-network� Out-of-Pocket (includes deductible) $3,500/$7,000 in-network; $5,000/$10,000 out-of-network� Lifetime Maximum Unlimited� Prescription Drug(Retail) $10 Tier 1/$35 Tier 2/$70 Tier 3� Mail Order (90 day supply) 2.5x Retail� Out of network coinsurance 40% after deductible

TYPE OF SERVICE YOU PAY:

Page 10: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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CHOICE HRA PLAN

� Primary Care/Specialist office visit: $25/$50� Virtual Visit **NEW** $25� In-patient hospital care: 20% after deductible� Out-patient hospital care: 20% after deductible � Emergency room: $250(any ER) � Urgent Care: $75 � Lab and x-ray: Covered in full � Scans and Therapies: 20% after deductible� Deductible (Individual/Family) $2,000/$4,000� Out-of-Pocket Maximum (includes deductible) $4,500/$9,000� Lifetime Maximum Unlimited� Prescription Drugs (Retail) $10 Tier 1/$35 Tier/ $70 Tier 3� Mail Order (90 day supply) 2.5x Retail

TYPE OF SERVICE YOU PAY:

Page 11: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

Health Reimbursement Account

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� Exp is offering employees a Health Reimbursement Account (HRA) on the high deductible plan option only to help offset the costs associated with out of pocket expenses.

� The company will be adding an annual contribution of $500 automatically to your HRA on January 1. You can use this money for co-pays, deductibles, or other out of pocket costs associated with qualified medical, dental, or vision expenses. You will receive a debit card to access the money.

� You are able to earn an additional $500 one time contribution into your HRA fund. Each employee that completes an on-line Health Risk Assessment will be eligible for an additional $500 contribution to the HRA.

� Spouses and dependents can use Health Reimbursement Account (HRA) funds only if they are enrolled in a health plan that meets the minimum standards of the ACA (either with expor elsewhere). Spouses and dependents with no proper health insurance coverage will not qualify for HRA use.

� HRA funds do not roll-over into next plan year. Unused HRA funds will be forfeited at the end of the plan year.

� If you elect the Healthcare FSA also, your HRA funds will be used first.

Page 12: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

Health Risk Assessment

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� A Health Risk Assessment provides you with an individual wellness score that measures your overall health, will take about 20 minutes to complete, and includes 50 standard lifestyle questions.

� The Assessment is confidential, and you only need to complete the Assessment, not achieve a certain score.

� To start the Health Risk Assessment, you will need to set up an account at www.myuhc.com.

w.myuhc.com� No need to submit proof upon completion,

balances to the HRA will automatically be credited the additional $500 on a monthly basis.

Page 13: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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Scans and Therapies

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� Scans and Therapies are major diagnostic services such as MRI, CT Scan, PET Scan, MRA and Nuclear Medicine.

� They are typically performed at a hospital or out-patient center, and sometimes in a doctor’s office.

� They can cost several hundred dollars or more (if in-network, more if out-of-network.)

� Use the Treatment Cost Estimator on myUHC.com to determine what your cost will be.

� Regardless of where the test is done, the benefits are subject to Deductible, then Coinsurance, even if performed in a doctor’s office (“Covered” does not mean “Paid at 100%.”)

Page 14: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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Saving money on Prescriptions

� Several pharmacies now offer special prescription programs, including $4 generic drugs and free antibiotics.

� Generic drugs contain the same active ingredients and are available in the same strength and dosage form as their brand-name counterparts but could cost up to 50% less.

Generic Medications:

� You can order a 3 month supply of medicine to be shipped to you for only the cost of 2.5 co-pays.

� This saves you time and money for medicines you take on a routine basis.

Mail Order Prescription Benefits:

Page 15: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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myUHC.com

� Look up network doctors / hospitals

� Estimate costs� Track claims status� Health improvement

program� Personal Health Record� Health product discounts� Review plan details

Page 16: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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You will be assigned a

Personal Health

Advocate (PHA)

Health Coaching

•Obtain unbiased health information

•Help prepare patients for healthcare appointments

•Help members become active participants in their healthcare

Information & Service Support

•Assist with eldercare issues

•Obtain health information to help make informed decisions

•Assist with finding qualified wellness programs

•Help arrange transportation

Clinical Services

•Find qualified healthcare providers

•Schedule appointments

•Locate and research the newest treatments

•Assist with complex medical condition

•Assist with understanding test results

Administrative Services

•Navigate within an insurance company

•Assist with correcting billing mistakes

Health Advocate

� 24/7 Toll-free telephone support� Your privacy is protected

Page 17: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

Dental Benefits

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� Guardian is the provider for dental insurance.� There are 2 plans to choose from: a low and a high PPO option.� Please visit www.guardiananytime.com to look up dentists in the

network.

Dental Insurance - Guardian Life Insurance Company

Benefit DetailsLow PlanYou Pay:

High Plan You Pay:

Preventive & Diagnostic Services Deductible waived for preventative Deductible waived for preventativeIn-Network Covered in Full, no deductible Covered in Full, no deductible

Out-of-Network Covered in Full @ R&C*; no deductible Covered in Full @ R&C*; no deductible Basic Services

In-Network 20% after deductible 20% after deductible Out-of-Network 20% after deductible** 20% after deductible**

Major ServicesIn-Network 50% after deductible 50% after deductible

Out-of-Network 50% after deductible** 50% after deductible**Orthodontic Services

In-Network & Out-of-Network 50% to $1,500 lifetime max, No Deductible

Dependent Child Only up to age 19

50% to $1,500 lifetime max, No Deductible

Dependent Child Only up to age 19Calendar Year Deductible Individual / Family Individual / Family

In-Network $50/$150 $50/$150Out-of-Network $50/$150 $50/$150

Annual Maximum BenefitIn-Network & Out-of-Network $1,000 Combined $2,000 Combined

** Important: When using an out-of-network provider, you may be balanced billed for amounts over the reasonable and customary charges

*R&C = Reasonable and Customary: the amount that your health plan determines is the normal range of payment for a specific service within a given geographic area

Page 18: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

Vision Benefits

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� Guardian is the provider for vision insurance, using the Davis Vision network.� Please visit www.davisvision.com to look up a provider in the network.

Vision Insurance - Guardian Life Insurance Company

Benefit Details Choice Plan You Pay:

Benefit Frequency Exams Once every 12 monthsLenses Once every 12 monthsFrames Once every 24 months

Exam Co-paysIn-Network $10 Co-pay

Out-of-Network Up to $50 AllowanceLenses Co-pay

Single Vision: In-Network $25 Co-payOut-of-Network Up to $48 Allowance

Bifocal: In-Network $25 Co-payOut-of-Network Up to $67 Allowance

Trifocal: In-Network $25 Co-payOut-of-Network Up to $86 Allowance

Lenticular: In-Network $25 Co-payOut-of-Network Up to $86 Allowance

FramesIn-Network $130 Allowance

Out-of-Network Up to $48 AllowanceContact Lenses

Conventional: In-Network Up to $130 AllowanceOut-of-Network Up to $105 Allowance

Medically Necessary: In-Network $25 Co-payOut-of-Network Up to $210 Allowance

Page 19: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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� Exp provides all full-time employees with Basic Term Life Insurance with Accidental Death & Dismemberment (AD&D.)

� The benefit amount is two times your annual earnings to a maximum of $200,000.

Employee Life and AD&D Insurance

Supplemental Employee Coverage� AD&D Coverage included at no additional cost.

� Elect coverage in units of $10,000.

� Maximum is the lesser of $500,000 or 5 times basic annual earnings.

� During your initial enrollment period: Guarantee Issue amount is the lesser of 3 times basic annual earnings or $150,000.

� If you are already enrolled in EE Supplemental Life, the amount of your life insurance will automatically increase 5% each year, up to 5 years, with premium remaining at the lower elected amount. You do not need to do anything in order for the automatic increase to take effect.

� If you would like increase the amount of Spouse coverage you currently have OR enroll for the first time, you will need to fill out an Evidence Of Insurability form (available during the enrollment process).

Page 20: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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Dependent Life InsuranceSupplemental Spouse Coverage� If you elect Employee Supplemental Life and AD&D Insurance for yourself,

you may choose to purchase Spouse Supplemental Life and AD&D Insurance in increments of $5,000, $5,000 minimum to a maximum of $100,000.

� You may only elect up to 50% of the employee’s election for spouse life insurance. For example, if you elect 100k on yourself, you can only elect up to 50k on your spouses.

� Spouses’ rate are based on Employee's age bracket.� If you would like increase the amount of Spouse coverage you currently

have OR enroll for the first time, you will need to fill out an Evidence Of Insurability form (available during the enrollment process).

Children Coverage� If you elect Supplemental Life and AD&D Insurance for yourself, you may

choose to purchase Child(ren) Supplemental Life and AD&D Insurance in increments of $2,000, $2,000 minimum to a maximum of $10,000 for each child.

� Eligible Child(ren) are from age 15 days to 26 years.

Page 21: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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Disability Insurance� In the event you are out of work due to a short term medical

condition, exp provides all eligible employees a Short-Term Disability program through Guardian.

� This benefit will pay up to 60% of your weekly earnings to up to a maximum amount for up to 13 weeks.

� The company also provides Long-Term Disability at no cost to the employees.

� This benefit covers up to 60% of your basic monthly earnings up to a maximum should you be unable to work due to non-work related illness or injury.

Page 22: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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Voluntary Benefits� Voluntary benefits provide you with supplemental coverage

that strengthens your overall benefits package.

� The Trustmark Critical Illness Insurance is a benefit that will pay you a lump sum of money if you are diagnosed with a critical illness, heart attack or stroke.

� The Trustmark Accident insurance is a plan that helps pay for the unexpected expenses that result from an accident.

� The Allstate Cancer Insurance offers a first occurrence benefits that pay cash to you based upon the severity of the cancer diagnosis

� See the state specific brochure from Allstate and Trustmark for additional details and rates

Page 23: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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Flexible Spending Account� The FSA allows you to put money aside through payroll

deductions before taxes are withheld to pay the cost of health care expenses not covered by your medical plan and for the cost of qualified dependent care.

� By doing so, you reduce your taxable income, which increases your take-home pay.

� Healthcare FSA – allows you pay for certain IRS-approved medical care expenses not covered under your insurance plan with pre-tax dollars.

� Please note that the IRS limit is $2,550 annually.� Dependent Care FSA – allows you use pre-tax dollars towards

qualified dependent care expenses.� Adoption Assistance FSA – provides tax break for adoption

expenses.� Qualified Transportation Plan – allows you to set aside pre-tax

funds to be used for transportation and commuter parking expenses for travel to and from work.

Page 24: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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Important Information for Flexible Spending Accounts

� You must make an election to enroll in the 2016 FSA programs, as this benefit will not roll over into the new plan year.

� If you have any HealthCare FSA funds from 2015 left over, you may roll up to $500 into the new plan year. This will automatically occur for you, no action is needed on your end.

� For 2015 Healthcare FSA participants: You will have until March 31, 2016 to submit for reimbursement for FSA Health expenses incurred during the plan year from January 1, 2015 to December 31, 2015. There is no longer a grace period for incurring claims in 2016, because the plan will allow up to $500 of unused funds to roll over into the 2016 plan year.

� Please remember that these accounts have a “use it or lose it” rule, so make sure you use the money in your account by the deadlines.

2016 Maximum ContributionsMedical FSA $2,550 annually

Dependent Care FSA $5,000 if you are married and filing a joint tax return, or $2,500 if you are married and file separate returns

Adoption Assistance FSA $13,460 annually

Transit Account $130 monthly

Parking Account $255 monthly

Page 25: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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MyCafeteriaPlan.com

� My Cafeteria Plan manages the FSA/ HRA accounts

� You will receive a “Benny Card” in the mail soon after January 1st. If you are already enrolled, you will keep the same debit card that you have and money will be added to this card for the new plan year.

� You may go online to check your balances and account activity at http://myaccount.mycafeteriaplan.com

� If you have questions or need assistance, please see Human Resource Manager, Mary Beth Pfaller, at +1.312.616.7445 or by email at [email protected]

Page 26: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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Enrollment Process

� You will be enrolling via a self-service online enrollment system, EMB Enroll. The online system can be accessed from any computer with internet access.

� If you are making changes to your current benefits, you will need to log onto the EMB Enroll site and complete the process. If you do not enroll, your current benefits will roll over into the same plan you are already enrolled in (except FSA).

� Any amounts up to $500 in your 2015 Healthcare FSA will roll over into 2016. If you want to enroll into the FSA, you will need to make an election. Your 2015 Election amounts will not rollover. If you don't make an election you will have a zero election amount.

� Please see your enrollment guide for the instructions on how to log in and use the online enrollment system to complete your enrollment.

Page 27: Employee Benefits Open Enrollment 2016 · 2015. 11. 20. · 4 2016 Open Enrollment There will be no changes in the benefit plans. Exp will continue to offer Medical/Rx plans; administered

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Next Steps � Please review your benefit guide and carrier summaries.

� Please make sure to have the necessary dependent information (birth date, social security numbers) if you are enrolling dependents to any of the plans for the first time.

� Select your benefits carefully. The only changes that can be made mid-year are for life events such as marriage, divorce, birth or adoption, death, or a reduction in hours from full-time to part-time.

� Notify Human Resources within 30 days of having a life event in order to make any changes.

� Should you have any questions, do not hesitate to contact exp’sHuman Resource Manager, Mary Beth Pfaller, at +1.312.616.7445 or by email at [email protected].