group health benefit plans open enrollment plan year july 1, 2010 – june 30, 2011

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GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

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Page 1: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

GROUP HEALTH BENEFIT PLANS

OPEN ENROLLMENT

Plan Year July 1, 2010 – June 30, 2011

Page 2: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

2

Agenda

Francis Parker School Benefit Plan updates

Health Reform changes Open enrollment options Individual carrier presentations

including perks and discounts offered by carriers

Page 3: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

3

Medical Renewal

Health Net Renewal came in with 14.5% increase in HMO rates.

Continue with Health Net Medical Plans: Silver Network HMO Plan (does not include

Scripps Medical Groups) Full Network HMO Plan (includes Scripps

Medical Groups) PPO Plan

Page 4: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

4

What’s Changed?

Flex Benefit dollars increased to $245 per check for full-time participants 100% if you take the School’s medical

plan Flex Benefit dollars for non-participants

held flat at $175 per check Part-time Flex benefit dollars for those

eligible employees working 50% or 80%

Page 5: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

5

What Has Changed?

Benefit levels under all three Medical plans remain the same.

Dental: Out-of-Network Preventative Services will now include $50 Deductible

Unum Voluntary Life - Open enrollment opportunity with Guaranteed Issue amounts for employees & spouses

Page 6: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

6

Health Reform changes for 2010-11 Medical Reimbursement Account

As of January 1, 2011, Over-the-counter medications will no longer be permitted.

Make sure to take that into account when making your election this upcoming plan year

Page 7: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

7

Health Reform changes for 2010-11 Overage Dependents

For renewals occurring after September 23, 2010, overage dependents will be allowed to enroll under parents’ employer coverage. For renewals occurring after September 23, 2010, overage dependents will be allowed to enroll under parents’ employer coverage

Dependents that are enrolled on a Health Net plan as of June 1, 2010 will be allowed to remain on the plan regardless of student status up to age 26.

Page 8: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

OPEN ENROLLMENT PROCEDURES

Page 9: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

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Open Enrollment Options

Opportunity for eligible full-time Employees

to enroll or waive coverage

Add or terminate your eligible covered

dependents

Terminate your coverage if you no longer

wish to be enrolled in any of the benefits.

Enroll in the Section 125 plan.

Page 10: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

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Open Enrollment Instructions

Enrollment will be completed online

through Benetrac.

The login Employer ID is Fran9101

If you forgot your password the system will

allow you to choose another one

Open enrollment is June 7 – June 11.

Page 11: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

CARRIER PRESENTATIONS

Page 12: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Francis Parker SchoolEmployee Benefits Enrollment

Presented by

The Principal Financial Group®

Page 13: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Dental Insurance

A benefit that makes you smile.

Page 14: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

• Unit 1 preventative procedures – routine exams, teeth cleaning, fluoride treatments and x-rays

• Unit 2 basic procedures – simple oral surgery and fillings, root canal therapy,

• Unit 3 major procedures –crowns, dentures, bridgework, and implants

• Unit 4 orthodontic procedures – adult and child

Your dental benefits

Page 15: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

One of the largest dental provider networks in the U.S., with over 70,000 network locations.

* Maximum for Units 1, 2, and 3 are combined. Unit 4 maximum benefit is a lifetime maximum.

Point of Service Dental Plan

MAXIMUM*EPO PPO Non-Network EPO PPO Non-Network EPO / PPO/ Non-Network

Unit 1 Preventive

Procedures

$0 $0 $50 100% 100% 80%

Unit 2 Basic

Procedures$0 $0 $50 90% 80% 80%

Unit 3 Major

Procedures$0 $0 $50 60% 50% 50%

Unit 4 Orthodontic Procedures

$0 $0 $0 50% 50% 50% $2,000

DEDUCTIBLE COINSURANCE

2,000 per person per policy year

Page 16: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Benefits Beyond Dental

• VSP Access Plan

VSP Access offers enrolled employees and their dependents discounts on vision services offered through VSP doctors- at no additional cost.

• Epic Xylitol Products

receive discounts on Xylitol dental products offered through Epic dental. Xylitol is a natural sweetner used in toothpaste, oral rinse, mints and gum. More than 20 studies support Xylitol’s effectiveness in reducing tooth decay and preventing cavities.

• Other Discounts

Weight Watchers

Quitline- tobacco based counseling system

Page 17: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Voluntary Vision Insurance

Page 18: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Vision Care Insurance

Exams (A)Frames and Lenses

(B)Contact Lenses (C)

Exams: $50One Exam each 12 months

Frames: $100One set each 24 monthsLenses:$50 for single vision$75 for bifocal$100 for trifocal$150 for lenticularTwo lenses (one pair) each 12 months

Contact Lenses: $150

The maximum payment for two contact lenses (one pair) will be equal to the maximum payment for single vision lenses plus frames.

Your benefit maximum will equal either A+B or A+C, depending on your choice of glasses or contacts. You don’t have coinsurance or a deductible to satisfy for Vision Care Insurance

Page 19: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

• eService – 24/7 tools and resources about your benefits

• www.principal.com and click ‘login’

– Check your claim status online

– Find local providers

– Review your benefits

– [Check balances]

– Contact customer service

eService from Principal Life

Page 20: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

• [Group Medical, Dental & Vision Benefits Verification Line: 800-247-4695]

• www.principal.com and click “login”

Resources

Page 21: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Questions?

This is a summary of the group coverages offered by Principal Life. Additional limitations and restrictions may not be listed here. See your benefit booklet for complete details. [This material is a summary of Health Savings Accounts and High Deductible Health Plans.

It is not a complete statement of the provisions or requirements of HSAs and HDHPs. It is intended to provide accurate and authoritative information in regard to the subject matter covered. The accuracy of the information is not guaranteed and is provided with the understanding that The Principal is not rendering legal, accounting, or tax advice. While this communication may be used to promote or market a transaction or an idea that is discussed in the publication, it is not a marketing opinion and may not be used to

avoid penalties under the Internal Revenue Code. You should consult with appropriate counsel or other advisors on all matters pertaining to legal, tax, or accounting obligations and requirements. High Deductible Health Plans and custodial services for Health Savings Accounts offered by Principal Life Insurance Company. Bank products and services provided by Principal Bank, Member FDIC, Equal Housing Lender. HSA monies held in a Principal Bank account are FDIC insured. Securities offered through Princor

Financial Services Corporation, 800/247-4123, member SIPC. HSA monies held in an account at Princor Financial Services Corporation are not FDIC insured, have no bank guarantee and may lose value. Principal Life, Principal Bank, and Princor® are

members of the Principal Financial Group, Des Moines, IA 50392.]

BZ 450-2 l 10/2006 l ©2006 Principal Financial Services, Inc.

Page 22: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

2222

June 2, 2010

Voluntary Life/AD&D, BasicLife/AD&D, and Long Term Disability

Francis Parker School

Page 23: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

2323

Basic Life/AD&D

• 1x your annual salary to a maximum benefit of $200,000

• Guaranteed Issue

• Portable

* Employees can change beneficiary designations at any time during the year, please contact Human Resources

Page 24: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

2424

Long Term Disability

• 60% of your monthly pre-disability earnings to $10,000/month

• 90 day elimination period

• 2 year usual occupation

Page 25: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

2525

Additional Benefits…

• Employee Assistance Program

• Travel Assistance Program

• Identity Theft Solutions

Page 26: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

2626

Supplemental Life and AD&D

• Employees can purchase Supplemental Life and AD&D insurance. Coverage is available to spouses and dependent children. Amounts are as follows:

– Employee- In increments of $10,000 up to 5x salary with a maximum of $500,000.

– Spouse- In increments of $5,000 up to 100% of the employee amount to a maximum of $500,000

– Children- In increments of $2,000 up to a maximum of $10,000

• AD&D- Same schedule as Supplemental Life coverage

* Employees can change beneficiary designations at any time during the year, please contact Human Resources

Page 27: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

2727

Plan Features

• Guaranteed Issue: No medical questions in amounts at or below:

– Employee: $130,000

– Spouse: $50,000

– Children: $10,000

• “Buy 10 Rule”: As long as you enroll in the minimum of $10,000 during open enrollment, you can elect coverage up to the Guaranteed Issue maximum at ANY OPEN-ENROLLMENT going forward as long as you are actively at work. There will be NO QUESTIONS ASKED

Page 28: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

2828

Sample Monthly Premiums per $10,000

25 $0.52/month

35 $0.90/month

45 $2.07/month

55 $5.04/month

Page 29: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Flexible Benefit Plan Enrollment 2010

Page 30: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

A tax free way to pay for certain annual expenses for you and your

family!

What is the purpose of What is the purpose of a Flex Plan?a Flex Plan?

Page 31: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

What do you What do you mean…mean…

TAX FREE?TAX FREE?

Page 32: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

¨ FICA (Social Security + Medicare)

- 7.65%¨ Federal Taxes

- Start at 15%¨ State Taxes

- Approximately 8%

Place a portion of your salary per pay period into the Flex Plan before…

Page 33: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

A Flex Plan allows A Flex Plan allows you to pay you to pay for:for:

¨ Certain Medical expenses¨ Dependent or Child Care

expenses

TAX FREE !!!

Page 34: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Flex vs. No Flex vs. No FlexFlex

Spendable Income

Reimbursed Expenses

Net Pay

Taxes (2)

Taxable Gross

Pretax Expenses

Gross Pay

$22,400

$0

$22,400

$9,600

$32,000

$0

$32,000

Without Flex

$23,000

$2,000

$21,000

$9,000

$30,000

$2,000

$32,000

With Flex

• Group Health Insurance Premium Plan, MCRA, DCAPGroup Health Insurance Premium Plan, MCRA, DCAP• Estimated FICA, Federal Income Tax and State Tax at 30%Estimated FICA, Federal Income Tax and State Tax at 30%

Page 35: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

¨ Medical Care Reimbursement Account redirect up to $6,000 annually

n Your Medical Care election is available to you from the first day of the plan

¨ Dependent Care Assistance Plan redirect up to $5,000 annually

n Dependent Care reimbursements are paid from available posted payroll contributions, dollar for dollar

Plan TypesPlan Types

Page 36: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

• Deductibles

• Co-payments

• Over-the-counter items

• Massage Therapy

• Mileage to/from Doctor’s Office or Hospital

• Vision Services

• Laser Vision

Correction

• Dental

• Orthodontics

Qualified Medical Care Qualified Medical Care Expenses Expenses

Reimbursable up to $6,000 per year

*For a complete list of all eligible expenses, please visit www.goigoe.com

Page 37: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Eligible ExpensesEligible Expenses

In order to get expenses reimbursed, they must be…

MEDICALLY NECESSARY!

** A letter of medical necessity may be required from your physician

•No Vitamins or Dietary Supplements

•No Toiletries / Sundry Items

•No lotions, soaps, creams, etc.

Page 38: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Can I stop or change Can I stop or change contributions during the contributions during the plan year? plan year?

NO, unless there is a…• Marriage• Divorce/Legal Separation• Birth• Death• Adoption/Change in Legal

Guardianship• Change in spouse’s insurance

Page 39: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Dependent Dependent CareCare

¨ Dependent child must be under the age

of 13

¤ Or dependent children who are physically or mentally

incapable of self-care

¨ Taxpayer ID# or SS# of person or

organization providing care required

Reimbursable up to $5,000 per year

Page 40: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Dependent Care covers the following

while you work:- Babysitters

- Day Care Centers

- Nursery School/Preschool

- After School Care Programs

- Summer Day Camp

- Adult Day Care

EligibleEligible ExpensesExpenses

Page 41: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Flex Benefits Flex Benefits CardCard

¨ For qualified expenses at approved locations

¨ No out-of-pocket expenses¤ Your entire election amount is loaded onto the card as of

the first day of the plan!

¨ No reimbursement requests to submit

¨ No waiting for reimbursement

Medical Care Expenses Only

Page 42: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

¨ Your new Flex plan year begins July 1, 2010 and runs through June 30, 2011

¨ The last day to send in expenses for the 2010-2011Plan Year is August 31st following the close of the Plan Year

¨ Don’t forget to re-enroll!

Plan Plan HighlightsHighlights

Page 43: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Sending In Your Sending In Your Reimbursement Reimbursement RequestRequest

¨ Visit www.goigoe.com for easy submission and to track the status of your reimbursement

¨ Upload, e-mail, fax, or mail copies of receipts¤ Receipts must show date of service

¤ Description of the item/service must be included

¨ Reimbursements will be processed on the 7th and 22nd of each month and will be distributed by your payroll department

¨ Requests must be received 4 business days prior to scheduled processing date

Page 44: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Insufficient Insufficient Data….Data….

¨ Charge card receipts

¨ Balance due statements

¨ If your form is filled out incorrectly, your

claim cannot be paid

Page 45: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Use It or Lose It!Use It or Lose It!

Don’t let this happen to you!

¨ Know how to use the plan & how not to use the

plan

¨ Only put in money for planned expenses

¨ Use the worksheets to budget properly*Visit www.goigoe.com for more info to help you plan smarter!

Page 46: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

• Print & Complete Forms

• Access Worksheets

• Log in & view your account

• Upload requests for reimbursement

• Send questions to Participant Services

• Shop the online FSA store

Visit us on the web at Visit us on the web at www.goigoe.comwww.goigoe.com

Page 47: GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011

Participant Services

By Phone: 800-633-8818, Option 1

Via E-Mail: [email protected]

Contact IgoeContact Igoe