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2016 Annual Enrollment October 2015 Note: The information within this presentation does not apply to employees of AirWatch or Wandering Wi-Fi.

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Page 1: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

2016 Annual Enrollment

October 2015

Note: The information within this presentation does not apply to employees of AirWatch or Wandering Wi-Fi.

Page 2: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Presentation Overview

Annual Enrollment 2016

• What’s Happening

• When is Annual Enrollment

• Benefit Changes

• New Contribution Rates

Getting Informed & Enrolled

• Annual Enrollment Portal on Benefits Source

• Enrollment

Helpful Tools

• Aetna HDHP Microsite

• Health Equity Health Savings Account (HSA)

• Plan Cost Estimator Tool

• Benefits Advisor Tool - ALEX

2

Aetna Medical Review

• Aetna HDHP

• Aetna PPO

HSA Review

FSA Review

• Introduction of the Limited Purpose FSA

• General Purpose FSA

• Dependent Care FSA

Reminders and Contact Us

• Enrollment Deadline

• VMware Benefits Center

Page 3: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Annual Enrollment

What’s Happening?

• It’s that one time of year for employees to review their benefits elections and

consider making the following changes the plan year effective January 1, 2016

through December 31, 2016:

Add/Delete dependents to medical, dental and vision

Change medical plan

Enroll in the dental plan

Change vision plan (core vs. buy-up)

Enroll in HSA

Enroll in FSA – GPFSA/LPFSA and DCFSA

Add/Change Voluntary Life Insurance Coverage

Change taxable benefit selections on STD & LTD

Enroll in ARAG Group Legal Plan (voluntary)

Update beneficiaries – Life Insurances, 401(k) Plan, Stock Plans

Update dependent social security numbers

When is Open Enrollment?

• October 12 – 23, 2015 (5pm PT deadline – No Late Enrollments Accepted)

3

Page 4: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Benefits Changes for the Plan Year 1-1-16 thru 12-31-16

4

Plan Description

New Plans • Aetna High Deductible Health Plan (Aetna HDHP)

• HealthEquity Health Savings Account (HSA)

• VMware will seed the account

• $500 Individual coverage or $1,000 Family Coverage

• Plus one time contribution $250 Individual or $500 Family

• Limited Purpose Flexible Spending Account (LPFSA)

Aetna HMO, EPO, HRA,

and Tufts HMO

• These 4 medical plans will no longer be offered. If you are currently

enrolled and do not make a new election, you will be defaulted as follows:

• Aetna HMO, EPO, Tufts HMO Aetna PPO

• Aetna HRA Aetna HDHP

FSA Changes • Health Care FSA will be changed to the General Purpose FSA

• If you are enrolled in the Aetna PPO or Kaiser HMO you can enroll

in this plan

• VMware $250 company match will no longer be offered

• Introduction of Limited Purpose FSA

• If you are enrolled in the Aetna HDHP you can enroll in this plan

• Dependent Care FSA

• No Changes

Employee Contributions • Due to increased medical spending, employees will experience slightly

higher contributions for all plans and tier levels

Page 5: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

January 1, 2016 – December 31, 2016 Contribution Rates Per Pay Check

5

Pre-tax contributions per pay checkEmployee

Only

EE +

Spouse

EE +

Children

EE +

Family

Aetna HDHP (all US) $27.17 $82.74 $67.18 $127.19

Aetna PPO (all US) $42.55 $120.56 $98.71 $182.96

Kaiser HMO (N. CA) $34.56 $95.38 $80.17 $146.06

Delta Dental (all US) $3.66 $8.38 $11.98 $16.92

VSP Core Plan (all US) $0.51 $0.90 $0.92 $1.63

VSP Buy-up Plan (all US) $5.23 $8.05 $8.20 $13.38

Page 6: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Benefits Source Open Enrollment Portal

6

• From Horizon click on Benefits Source Total Rewards

https://login.vmware.com/enwisen

• Under Alerts click on 2016 Annual Enrollment

Page 7: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Benefits Source Open Enrollment Portal

7

Page 8: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Enrollment – October 12 - 23 by 5pm PT

• From Horizon click on Benefits: US Enrollment

https://login.vmware.com/adp

• Click on Benefits Enrollment in Upper Right Corner

• Click on Enroll Now

8

Actions:

- Review Current Elections

- Enroll/Change Benefits

- Update Beneficiaries

- Update Dependent Social

Security Numbers

Page 9: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Helpful Tools

Title Description

Aetna HDHP Website

www.aetnavmware.com

The Aetna HDHP website explains how the HDHP plan works,

helps you compares cost and coverage amongst plans, and

provides helpful FAQ’s

Health Equity Health Savings

Account (HSA)

www.healthequity.com/ed/vmware

An interactive educational tool that provides easy-to-understand

guidance of what a Health Savings Account is, how to use the

account, and the tax savings offered

Plan Cost Estimator Tool

https://www.aetna.com/planselecti

on/mbrDis.jsp?id=871

An interactive decision-support tool for assistance with making

your plan elections. If you’re already an Aetna plan member, the

tool will download your last 12 months of claims history so that

you will be able to compare what your spending would have

looked like if you had enrolled under other health plans

Benefits Advisor Tool (Alex)

www.myalex.com/vmware

An interactive educational tool that provides easy-to-understand

guidance through the process of selecting a plan option or

learning more about how your benefits work from health, life, and

disability insurance, FSA and more

9

Page 10: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Aetna HDHP - www.aetnavmware.com

10

Page 11: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Health Equity HSA - www.healthequity.com/ed/vmware

11

Page 12: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Plan Cost Estimator Tool -

12

https://www.aetna.com/planselection/mbrDis.jsp?id=871

Page 13: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Benefits Advisor Tool – www.myalex.com/vmware

13

Page 14: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Questions

Enroll between October 12 - 23(5:00 pm PT deadline – No Late Enrollments)

Enroll online at https://login.vmware.com/adp

Contact the Benefits Service Center at [email protected]

• If emailing on October 22 or 23 you will be referred to call the Benefits Center due to deadline of Annual Enrollment

• 1-888-VMware8, select “US Benefits” option (5:00 am – 5:00 pm PT Monday – Friday)

Questions?

14

Page 15: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

© 2009 VMware Inc. All rights reserved

Aetna HDHP (Aetna Choice® POS II) – All USAetna PPO (Aetna Choice® POS II) – All US

VMware, Inc.

15

Page 16: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Aetna HDHP and Aetna PPO Plans Offer

Freedom of Choice and Flexibility

• No PCP Required

• No Referrals Required

• Both plans use the same national network of physicians and hospitals

• Coverage in network and out of network

16

Page 17: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Aetna HDHP Medical Plan Features

• Allows you to elect an HSA account administered by Health Equity

• There are no copays

• A deductible must be satisfied before coinsurance kicks-in

• Plan has a maximum out of pocket. Once satisfied the plan pays medical and pharmacy costs at 100%

17

Page 18: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

How Does the Aetna HDHP Plan Work?

18

Single Coverage

Ou

t-o

f-p

ock

et

Ma

x

0% after you reach the OOP

$2,000 in-network/

$6,000 out-of-network

Pay the deductible

$1,350 in-network/

$1,350 out-of-network

Then pay coinsurance

10% in-network/

30% out-of-network

10

0%

Pre

ve

nti

ve

Care

(in

-ne

two

rk)

De

du

cti

ble

*Contribution$750 Employer + Employee $

Coverage Level

Family Coverage

Ou

t-o

f-p

ock

et

Ma

x

0% after you reach the OOP

$4,000 in-network/

$12,000 out-of-network

Pay the deductible

$2,700 in-network/

$2,700 out-of-network

Then pay coinsurance

10% in-network/

30% out-of-network

10

0%

Pre

ve

nti

ve

Ca

re

(in

-ne

two

rk)

De

du

cti

ble

Coverage Level

*Contribution$1,500 Employer + Employee $

*Includes one time seed money of $250 for single and $500 for family

Page 19: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Aetna PPO Plan (Aetna Choice POS II)

19

In-Network Out-of-Network

Calendar Year

Deductible$250 – Individual

$750 – Family

$250 – Individual

$750 – Family

Coinsurance 10% after deductible 30% after deductible

Calendar Year Out-of-

Pocket Maximum$2,250 – Individual

$6,750 – Family

$6,250– Individual

$18,750– Family

Office Visit $15 co-pay 30% after deductible

Preventive Care100% 30% after deductible

Hospital

10% after deductible

30% after deductible;

additional $500 per

confinement deductible

Lab and X-Ray10% after deductible 30% after deductible

Emergency Room You pay 10% after $100

emergency room deductible;

waived if admitted

10% after $100 emergency

room deductible; waived if

admitted

Page 20: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Aetna HDHP (Aetna Choice POS II) HSA Eligible

20

In-Network Out-of-Network

Calendar Year

Deductible

$1,350– Individual

$2,700– Family

$1,350– Individual

$2,700– Family

Coinsurance 10% after deductible 30% after deductible

Calendar Year Out-of-

Pocket Maximum

$2,000– Individual

$4,000– Family

$6.000– Individual

$12,000– Family

Office Visit 10% after deductible 30% after deductible

Preventive Care100% 30% after deductible

Hospital 10% after deductible 30% after deductible

Lab and X-Ray10% after deductible 30% after deductible

Emergency Room10% after deductible 10% after deductible

Page 21: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Aetna PPO (Choice POS II)

Aetna Pharmacy Management

Prescription ProgramsParticipating

Pharmacy

Non-Participating

Pharmacy

Rx – Retail

Generic Formulary

Brand Formulary

Non-Formulary

(up to a 30 day supply)

$10 co-payment

$20 co-payment

$40 co-payment

50% after a

$10 co-payment

$20 co-payment

$40 co-payment

Rx – Mail Generic Formulary

Brand Formulary

Non-Formulary

(*Up to a 90 day supply)

$20 co-payment

$40 co-payment

$80 co-payment

Not Covered

21

* Obtain a 90 day Rx from your MD. Mail Order Drug (MOD) forms can be found on www.aetna.com/aetnarxhomedelivery. Once on MOD obtain refills online.

Page 22: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Aetna HDHP (Choice POS II)

Aetna Pharmacy Management

Prescription ProgramsParticipating

Pharmacy

Non-Participating

Pharmacy

Rx – Retail

Generic Formulary

Brand Formulary

Non-Formulary

(up to a 30 day supply)

10% after deductible

10% after deductible

10% after deductible

***Coinsurance applies after

deductible is met***

50% after deductible

50% after deductible

50% after deductible

Rx – Mail Generic Formulary

Brand Formulary

Non-Formulary

(*Up to a 90 day supply)

10% after deductible

10% after deductible

10% after deductible

***Coinsurance applies after

deductible is met***

Not Covered

***Preventive Medications– Deductible is waived for certain preventive medications such that only the coinsurance

applies. A full list of these drugs is available on Aetna Navigator or the following link Preventive Drug List

22

* Obtain a 90 day Rx from your MD. Mail Order Drug (MOD) forms can be found on www.aetna.com/aetnarxhomedelivery. Once on MOD obtain refills online.

Page 23: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Programs and Online Tools

Online Tools

• Aetna Navigator ® secure member website –

Also available thru Horizon SSO

• iTriage – A mobile decision support tool, claim information tool

and e-ID card all in one easy to use APP

• Due Date Plus – Mobile App for maternity support

23

Page 24: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Aetna Navigator

Register online at http://www.aetna.com

Redesigned Registration – Open the presentation at right for step-by-step

registration instructions

•Transactions, Decision Support and Health Information

•Check claims, balances, enrollment

•DocFind®

•Estimate the Cost of Care

•Price-A-DrugSM

•Virtual Assistant “Ask Ann”

•Simple Steps To A Healthier Life®

•Aetna InteliHealth®

•Healthwise® Knowledgebase

•Check out www.Aetnatools.com

24

Page 25: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

DUE DATE PLUSMOBILE MATERNITY MANAGEMENT PROGRAM

Symptoms & Issues

• Search for health issues

• Get benefits-based actions / program

referrals

Health Plan Features

• 24/7 hotlines and other benefits

• Look up in-network providers

• Referrals to available programs

Organizing Tools

• List of topics for doctor

• Set reminders

Available on iTunes and Google Play

Page 26: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Contacting Aetna

Secure, personal website

•Aetna Navigator™ at www.aetna.com

E-mail

•Outbound messaging through Aetna Navigator

Telephone:

•Medical Member Services

• 1-877-204-9186 (24-hour, 7 days a week)

• Aetna Voice Advantage

Informed Health Line

• 24-hour nurse line

• Audio library

• 1-800-556-1555

26

Page 27: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Copyright © 2013 HealthEquity, Inc. All rights reserved. HealthEquity and the HealthEquity logo are registered trademarks and service marks of HealthEquity, Inc.

Confidential and proprietary. Reproduction without express written consent is prohibited.

VMware

Winning with an HSA

Page 28: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Two Parts: Health Plan + Savings Account

• HSA-qualified plan: Aetna High Deductible

Health Plan

• Preventative services covered at 100%

• Office Visits, Rx, Deductible, Copays, and

Coinsurance ALL count towards Out of

Pocket maximum

• HSA through HealthEquity

• Tax-free savings for medical

expenses

• Works in conjunction with the

HSA powered plan

Page 29: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Why choose an HSA?

29

**Source: Fidelity http://www.fidelity.com/inside-fidelity/employer-services/fidelity-analysis-reveals-extra-health-care

*Tax statements refer to federal taxes. A few states treat HSA contributions as taxable. Those states include California, Alabama, and New

Jersey. Consult your tax advisor for more details.

• In tax free

• Grows tax free

• Out tax free

Easy win in today’s complex health care system:

– Save now:

• Lower monthly insurance premiums

• HSA deposits aren’t taxed*

• Typically lowers income tax liability*

– Save for the future:

• The average retired couple will need $220,000 tocover medical expenses not covered by Medicare in retirement**

• HSA funds roll over from year to year

• Tax-free interest earned

• You keep the money even if you changejobs or insurance plans

• Comprehensive and easy investment options

– Same doctors, same network, same pricing

Triple Tax

Savings!!

Page 30: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

How an HSA works

30

You and VMware

$

$

Qualified medical expenses:Exams, prescriptions, procedures, vision, dental and more

For a complete list of qualified expenses see Publication 502

Page 31: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Maximize your savings

31

Maximize your HSA contributions in 2016:

• Single-coverage: $3,350 Save up to $1005 in Taxes!*

• Family-coverage: $6,750 Save up to $2025 in Taxes!*

• Catch-up contribution, age 55+: $1,000

*Based on 30% tax rate. Actual results may vary.

Page 32: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

How to contribute to your HSA

32

• VMware is contributing into your HSA!

• Employer seed:

• Individual: $500, Family: $1,000*

• First year, one time contribution:

• Individual: $250, Family: $500*

• Make pre-tax contributions through payroll deductions

• Change your payroll contributions at any time

• Make post-tax contributions directly to HealthEquity online or by sending a check

• Make contributions anytime after your HSA is open

• Can make contributions up until April 15th for the previous tax year *Post-tax contributions ONLY

*For employees enrolled effective July1 through December 31 the annual employer contribution shall be reduced by 50% for each tier

level. Employer contribution will be made in a lump sum each pay period– As soon as administratively possible. No pro-ration by pay

period.

Page 33: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Who is eligible for an HSA?

To contribute to an HSA, you as the

account holder need to:

– Be covered ONLY by an HSA-qualified

health plan

• Other health coverage (including

Medicare, Tricare, a traditional health

plan) may disqualify you

– No general purpose FSA (including

through a spouse)

– Not claimed as a dependent on

someone else’s tax return

33

Page 34: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Eligible for Entire Calendar Year

If an individual is eligible for the entire calendar year, January –

December, then he or she may contribute the full contribution maximum

depending on his or her age and coverage type. If not they must pro-rate

their contributions for the months they are eligible.

Pro-rated Example: An employee under age 55 is enrolled in the

Family Aetna HDHP January-June of 2016. Then in June they leave the

company and elect a non-HSA qualified plan. This would mean that they

were only an eligible individual for 6 months of the year, and would not

qualify to contribute the full IRS maximum of $6,750.

To figure the amount they can contribute divide the total by 12 months and

times that by the number of eligible months ($6,750/12= $562.50 X 6=

$3,375). $3,375 is the most that could go into the HSA in total

contributions for the year 2016.

34

Page 35: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Who can use my HSA dollars?

• Spouse

– For Federal tax purposes, HSAs can be used to pay medical expenses of same-sex spouses

– For Federal tax purposes, domestic partners are not considered spouses

• Domestic Partners can set-up their own unsponsored HSA with HealthEquity

• Tax Dependents

– If a child is still a tax-dependent (up to age 19 or, if full-time student, age 24), then the child’s out-of-pocket medical expenses can be paid with your HSA

– When your child is no longer a tax-dependent but on your medical insurance plan (through age 26), then your child’s out-of-pocket medical expenses cannot be paid with your HSA

• Dependent can set-up their own unsponsored HSA with HealthEquity

35

Page 36: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Convenient Access

36

• Convenient access– Debit card

– Online• Single Sign on through the VMware

benefits site

– Using our free mobile app

– By telephone

• Use your HealthEquity account to– Check your balance

– Review transactions

– Review claims

– Submit new claims or documents

– Send payments and reimbursements

– Access tax documents

Page 37: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Flexible Spending Accounts

Health•General Purpose FSA (formerly Health Care FSA)

• Limited Purpose FSA

Dependent Day Care•Dependent Care FSA

All FSA plans•All FSA contributions are free from Federal, State, and

FICA taxes, saving you up to 35% on your out of pocket health care and day care costs by leveraging this pre-tax benefit.

•You must enroll each year you wish to participate.

37

Page 38: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

What is an FSA?

Confidential38

Health FSA

• Employees can be reimbursed for eligible health care expenses for themselves and eligible family members using pre-tax money

• Employees can contribute between $25 - $2550

• If enrolled in Aetna PPO/Kaiser HMO – you can enroll in the General Purpose FSA

• If enrolled in the Aetna HDHP with HSA – you can enroll in the Limited Purpose FSA for dental and or vision expenses

• Medical expenses can be reimbursed from your HSA

Dependent Day Care FSA

• Employees can be reimbursed for daycare expenses for eligible dependents using pre-tax money

• Employees can contribute between $25 - $5000 per family ($2500 if married but filing single)

Page 39: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Common General Purpose FSA Expenses:

Eligible Ineligible

•Doctor visit copays/deductibles

•Acupuncture and chiropractic services

•Physical therapy

•Dentist & Orthodontist services

•Optometrist/eye care: prescription

glasses/contacts/sunglasses, LASIK

•Prescription medicines

•Some over the counter items – contact

lens solution, insulin, blood pressure

monitors, first aid items, etc. – see the

FSA Store link on our website for item by

item verification

•Durable goods including wheelchairs,

crutches, etc.

•Cosmetic procedures (unless

reconstructive in nature)

•Teeth whitening and veneers

•Colored contact without vision correction

•Over the counter drugs and medicines

(unless formally prescribed by your

physician)

•Vitamins for maintaining good health

•Personal hygiene items – toothpaste,

shampoo, etc.

Expanded eligible expense lists available on www.tri-ad.com/fsa

If it is not on the list as eligible, call TRI-AD first!

Page 40: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Common Limited Purpose FSA Expenses:

Eligible Ineligible

Dental services:

•Fillings, crowns, replacement teeth,

•Exam fees

•X-rays

•Orthodontia treatments

Vision services:

•Prescription glasses and contacts

•Prescription sunglasses

•Eye exam and contact lens fitting fees

•Contact lens solution

•LASIK, PRK, etc.

•Medical related expenses

•Over the counter items other than

contact lens solution

•Cosmetic procedures like teeth

whitening and veneers

•Colored contact lenses with no vision

correction

•Non-prescription sunglasses

•Frames without the purchase of

prescription lenses

Save more of your HSA for the long term by leveraging your pre-tax Limited

Purpose FSA for dental and vision expenses.

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Common Dependent Day Care Expenses

Eligible Ineligible

•Before/after school care

•Summer day camps

•Babysitters/nannies in your home

•Preschool (up to Kindergarten age, the

entire day is eligible even if there is some

educational component)

•FICA & FUTA taxes of day care provider

•Backup/Emergency day care

•In home elder care

•Senior day care centers

•Overnight camps

•Kindergarten

•Private school tuition

•Music lessons

•Housecleaning/maid services

•Payments to provider who is your tax

dependent

•Summer school

•Tutoring services

Ever have difficulty in getting a proper receipt from your day care provider? There is an easy

way to submit your Dependent Care claims without receipts. Just log into your TRI-AD

account, create your claim and print the claim form. You will find a signature box for the day

care provider to certify they received the payment for which you are claiming, and no additional

receipts are required! Just upload the signed claim form and your reimbursement will be

processed (pending availability of funds in your account).

Page 42: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Some Rules To ConsiderOnce a year “annual” election

• Generally cannot be changed

• Changes in family status

Plan year

• January - December

• Run-out Period (through March 31st)

• Dependent Eligibility

Forfeit unused amounts

• “Use it or lose it” for any amount left in the Dependent Care FSA, and unused

GPFSA or LPFSA funds >$500

• Claims and debit card transactions are paid first-in, first-out and are not

reprocessed once the prior year’s balance is drawn down

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DCFSA

• All expenses must be incurred within the plan year/calendar year

• You have until March 31 to submit any claims that were incurred in the

previous plan/calendar year. This is known as the Run Out Period.

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What tools are available to help you determine your election?

You can access TRI-AD’s FSA Toolkit right away to use great tools like:

• expanded eligible expense lists

• the expense estimator tool, and

• tax calculator

No log in required.

Just go to www.tri-ad.com/fsa

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Page 44: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

GPFSA/LPFSA: When Are Funds Available to Me?

Example:

• Annual election $1,000 effective January 1

• $1,000 expense incurred on March 15

• $1,000 reimbursed regardless of how much you have contributed thus far

Log in and check your account balance and activity

• At any time

• Complete history online for current and prior years

IRS rule

• Annual election amount available first day of plan year

• New hire: per plan’s eligibility rules

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Dependent Day Care FSA

When are funds available to me?

• Only paid out what you put in

Example:

• Annual election $2,600 effective January 1

• $1,000 claim submitted March 15

• $600 contributed via pretax payroll deduction

• $600 reimbursed, $400 pended and paid automatically as

additional contributions are posted to your account

Log in and check your account balance and activity

• At any time

• Complete history online for current and prior years

IRS rule

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Page 46: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

BenefitCard Reminders

If you are a 2015 Health Care FSA participant, make sure you hold

onto your card. Your 2016 GPFSA/LPFSA election will be loaded

onto your current card and available to use starting January 1, 2016.

You will only receive a new card if your existing card is due to expire.

For those that are not enrolled in the 2015 Health Care FSA but elect

the GPFSA or LPFSA for 2016, you will receive your BenefitCard in

the mail in late December

Be sure to watch your mail, as cards arrive in a non-descript,

business sized envelope

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Page 47: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

IRS Debit Card RulesEvery transaction must be substantiated

• Automatic substantiation for VMware co-pays and IIAS merchants like major grocery stores, Target, Rite Aid, etc.

• Receipts and documentation must be provided when required per IRS regulations

Provide the detail receipt showing: the description of services, date of service, person for whom it was incurred, provider name, and amount.

• Your card will be deactivated if transactions are not substantiated

• Ineligible expenses must be repaid

• Newly submitted claims (for expenses paid out of pocket) may be used to offset outstanding ineligible card transactions

• If you choose to request a card for your dependent(s) please make sure they know to keep the receipts as you will be responsible to provide them if needed

If unable to do any of the above, unsubstantiated transactions are subject to

post-tax payroll deduction and IRS reporting.

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Page 48: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

BenefitCard Substantiation AssistanceYou can log into your insurance company’s website and

download an Explanation of Benefits which contains all the

necessary information for review.

• For any Aetna medical plan, login via Horizon SSO at https://login.vmware.com/. Look for the Aetna logo on the Horizon Apps Page. The direct link is https://login.vmware.com/aetna/. If you are not in an office or connected with VPN, access www.aetna.com and login to your account.

• For Kaiser, login via www.kp.org

• For Delta Dental, login via www.deltadentalins.com

• For VSP Vision (Core and Buy Up), login via www.vsp.com

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Accessing TRI-AD Web Site

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You have 3 ways to access your on-line account with TRI-AD:

• TRI-AD Horizon SSO Access: Log in to TRI-AD through Horizon SSO

https://login.vmware.com. Look for the TRI-AD logo on the Horizon Apps Page.

The direct link is https://login.vmware.com/fsa

• TRI-AD Mobile App: TRI-AD also has a mobile app available on iTunes and

Google Play

• TRI-AD Website: You can still use the traditional methods for connecting with

TRI-AD

• Through their website at https://benefitscentral.tri-ad.com and

• On the Benefits Source Total Rewards section of VMware Source

• While on the TRI-AD website, you can:

• View your current and past elections and your available balance

• View your contributions and previously submitted claims

• View and manage your card transactions requiring substantiation by

uploading your scanned receipts online

• Enter and submit your claims online

• Request BenefitCard(s) for your dependent(s)

• Report your card if lost or stolen

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Benefits by TRI-AD Mobile App

• Optimized for Android, iPhone, and iPad

• Submit your claims – enter the expense

information and take a picture of your receipt

• Check your balance

• View your Claim Status

• View information on your elections, payments,

and contributions

• View your debit card transactions for receipt

requirements and take a picture of your receipt

to substantiate them on the go!

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Manage your FSA on the go with the free mobile app! With the

Benefits by TRI-AD mobile app, you can access your account from your

mobile device.

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How to reach TRI-AD

Website: www.tri-ad.com/fsa

Tools available – tax calculator, expense estimator, expanded expense

lists

Customer Service is available Monday through Friday 5:00 am to 6:00 pm

PT

• 1-888-844-1FSA(1372)

• Email: [email protected]

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Page 52: 2016 Annual Enrollment - VMware · 2019. 9. 23. · Presentation Overview Annual Enrollment 2016 •What’s Happening •When is Annual Enrollment •Benefit Changes •New Contribution

Questions

Enroll between October 12 - 23(5:00 pm PT deadline – No Late Enrollments)

Enroll online at https://login.vmware.com/adp

Contact the Benefits Service Center at [email protected]

• If emailing on October 22 or 23 you will be referred to call the Benefits Center due to deadline of Annual Enrollment

• 1-888-VMware8, select “US Benefits” option (5:00 am – 5:00 pm PT Monday – Friday)

Questions?

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