2015 employee benefit meeting - penn tank lines 2015 presentation.pdf · 2015 employee benefit...
TRANSCRIPT
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2015
Employee Benefit Meeting
This PowerPoint presentation is for illustrative purposes only. In the event there appears to be a contradiction between the benefits
described and those provided by respected carriers Summary Plan Descriptions, the Summary Plan Description shall prevail.
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AGENDA
�Medical Plan Options
�HSA- Health Savings Account
�Payroll Deductions
�Dental
�What You Need To Do - Online Open Enrollment
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Plan Changes
All Plans will continue to utilize the Blue Cross
network through Independence Administrators
� No Changes to Current plans
� Changes to Medical Plan Contributions – you choose how
you want to fund your medical plan option
� Aflac offerings continue to be available for January 1, 2015
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In-Network
� $15 Office Visit Co-pay� $15 Specialist Co-pay� Emergency Room $75 co-pay� Unlimited Lifetime Maximum � Prescription Drugs: $10/$25/$40
There are out of network benefits, coinsurance applies after deductibleThe deductible for out of network benefits is $300 for an individual and $600 for
families. You must meet that deductible, out of network, before benefits will start to pay on out of network claims
PTL WHITE
Member Needs Medical Services
Non-Participating ProvidersParticipating Providers
Out-of-Network
� $300 / $600 Deductible� $70% coinsurance for office visits after
deductible� Emergency Room $75 co-pay� Unlimited Lifetime Maximum � Prescription Drugs: not covered
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Member Needs Medical Services
Non-Participating ProvidersParticipating Providers
� Deductible - $750 Ind/ $2,250 Family � $35 Office Visit Co-pay � $45 Specialist Co-pay� $300 Emergency Room Co-pay (waived if
admitted)� Inpatient Hospital Services, covered 100%,
after deductible� Outpatient Hospital Services, covered 100%
after deductible� Unlimited Lifetime Maximum � Prescription Drugs: $10/$25/$40
� $1,000 Ind/ $3,000 Family Deductible� Office visit: 70% coinsurance, after deductible� Specialist: 70% coinsurance, after deductible� $300 Emergency Room Co-pay� Inpatient hospital Services, 70% after
deductible� Outpatient Surgery, 70% after deductible� Unlimited Lifetime Maximum� Prescription Drugs: not covered
PTL BLUE
There are out of network benefits, coinsurance applies after deductibleCalendar Year Deductible — A Covered Person must satisfy the individual deductible amount only once during a calendar year. However, after the Covered Persons in a family unit have satisfied the family deductible amount
during a calendar year, benefits will be payable for covered medical charges incurred for all Covered Persons in a Family Unit for the remainder of that calendar year.
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Member Needs Medical Services
Non-Participating ProvidersParticipating Providers
� $1,500 Ind/ $3,000 Family Deductible� Office visits,$15 copay after deductible � Emergency Room, $75 copay after deductible� Inpatient Hospital Services, 100% after deductible� Outpatient Hospital Services, 100% after deductible� RX copays, $10/$25/$40, after deductible� Unlimited Lifetime Maximum
� $3,000 Ind/ $6,000 Family Deductible� Office visits, 70%, after deductible� Emergency Room, $75 copay after deductible� Inpatient hospital Services, 70% after deductible� Outpatient Surgery, 70% after deductible� Unlimited Lifetime Maximum
All services except Preventive services are subject to the Calendar Year Deductible:Individual : If you are enrolled in an individual Health Savings Account, you must meet the individual Calendar Year Deductible before any benefits are payable. Family Aggregate: If you are enrolled in a Family Health Savings Account, you and/or any members of your family must meet the Family Calendar Year deductible before any benefits are payable.
PTL HSA
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Member Needs Medical Services
Non-Participating ProvidersParticipating Providers
� $3,000 Ind/ $6,000 Family Deductible� Office visits,$15 copay after deductible � Emergency Room, $75 copay after deductible� Inpatient Hospital Services, 100% after deductible� Outpatient Hospital Services, 100% after deductible� RX copays, $10/$25/$40, after deductible� Unlimited Lifetime Maximum
� $6,000 Ind/ $12,000 Family Deductible� Office visits, 70%, after deductible� Emergency Room, $75 copay after deductible� Inpatient hospital Services, 70% after deductible� Outpatient Surgery, 70% after deductible� Unlimited Lifetime Maximum
All services except Preventive services are subject to the Calendar Year Deductible:Individual : If you are enrolled in an individual Health Savings Account, you must meet the individual Calendar Year Deductiblebefore any benefits are payable. Family Aggregate: If you are enrolled in a Family Health Savings Account, you and/or any members of your family must meet the Family Calendar Year deductible before any benefits are payable.
PTL HSA 3000
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HSA Plan � Stay healthy with 100% in-network
preventive care coverage
� You have the option to make contributions to your account.
� You can use your account dollars to pay for medical care and prescription drugs
� Medical and RX apply to deductible - you can use dollars available in your HSA.
� Entire family deductible must be met before any benefits begin.
� 100% coverage then kicks in after you
have satisfied your deductible. You will only have copays.
HSA
Funded by employee
Preventive Care
100% In-Network
Deductible
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HSA Plan – Key Features� Funds deposited into an HSA are tax-
advantaged and owned by the account
holder.
� Funds may be rolled over year to year;
no “use-it or lose-it” rule.
� Accounts can accumulate significant
assets that can be used for healthcare
tax-free.
� Funds are portable and available
through job changes.
� Funds in the HSA can be invested.
HSA
Funded by employee
Preventive Care
100% In-Network
Deductible
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Am I Eligible for a Health Savings Account?
� 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 an HSA-qualified High Deductible Health Plan (HDHP)
◦ Cannot be covered by any other insurance that reimburses for health expenses
◦ Are not enrolled in Medicare or Medicaid
◦ Are not claimed as a dependent on another individual’s tax return and must be over 18 years of age
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How Do I Make Contributions to My HSA?� There are several ways you can contribute to your account:
◦ Payroll deductions:
◦ After-tax contributions:
� Anyone may contribute to your HSA, provided the total
contributions to your HSA do not exceed your maximum
allowable annual limit
� You can make catch-up contributions if you are 55 years
of age or older ($1,000)
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How Much Can I Contribute to a Health
Savings Account (HSA)?
� Each plan year, you may contribute money to your HSA up to a
maximum amount set by the U.S. Treasury and the IRS
� All combined contributions to your account cannot exceed the annual
contribution maximum
� For 2015, the annual contribution maximum set by the U.S. Treasury and
the IRS is $3,350 for individual coverage and $6,650 for family coverage
� The contribution maximums set by the U.S. Treasury and the IRS may be
increased for inflation annually
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Payroll Deductions
PTL
White
PTL
Blue
PTL
HSA
PTL HSA
3000Payroll
DeductionsWeekly Weekly Weekly Weekly
Employee $ 75.00 $ 41.00 $21.00 $9.00
Employee + 1 $ 133.00 $ 72.00 $ 39.00 $15.00
Family $ 169.00 $ 103.00 $ 49.00 $19.00
Monthly Monthly Monthly Monthly
Employee $325.00 $177.67 $91.00 $39.00
Employee + 1 $576.33 $312.00 $169.00 $65.00
Family $732.33 $446.33 $212.33 $82.33
*Employees who participated in the wellness initiative (completed a health screening and
online health assessment) will have no increase to their medical contributions for the plan
year beginning January 1, 2015
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No changes to the current dental plan utilizing the United Concordia
network of participating dentists
• Plan Year Deductible - $50 Single, $150 Family*
• Plan Year Maximum per person - $1,000
• Possible Balance billing at non-participating dentists
• Diagnostic/Preventive – 100%
• Basic – 80%
•Orthodontia for dependent children to age 19 - 50%; $1,000 lifetime maximum
*Deductible applies to: Basic services only
Dental Benefits
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Dental Payroll Deductions
Payroll Deduction Weekly
Employee Only $5.00
Employee + 1 $11.00
Family $21.00
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EmployeeConnect – Employee Assistance Program
Beginning January 1, 2015, you can access online information by visiting:
www.Lincoln4Benefits.com and click on the Employee Connect link
User Name: LFGsupport
Password: LFGsupport1
Toll-free number: 1-888-628-4824
� EmployeeConnect Employee Assistance Plan offers confidential guidance and resources for you or an immediate household family member.
� Short Term Counseling Services:◦ Marital/Family Counseling, Depression, Addiction, Stress/Anger, Life Transitions
� Legal Service◦ Telephonic access, referrals and consultation by ComPsych staff Attorney
� Financial Service◦ Telephonic access to a ComPsych staff Financial Expert
� Work Life Services◦ Unlimited telephonic access to work-life services
� Online and Mobile Access◦ Broad range of information on the web
� ID Theft◦ Included online and through ComPysch legal staff.
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What You Need To Do
� Determine how you utilize healthcare expenses◦ Compare annual payroll deductions to plan deductible and out of
pocket expenses
� Review your Penn Tank Lines Benefit Brochure� Visit www.enroll.crawfordadvisors.com to review or change
benefit elections or� Complete an enrollment form and fax or email to Crawford
Advisors at (410)229-8356 or [email protected]
� Open Enrollment Website open November 11th – November 25th.
� If you have additional questions, please contact Crawford Advisors at 888-771-0505