health insurance coverage 2015 1. 2007 premium increase - 16% 2008 premium increase - 0.0% 2009...
TRANSCRIPT
![Page 1: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/1.jpg)
Health Insurance Coverage
2015
1
![Page 2: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/2.jpg)
2007 Premium Increase - 16%
2008 Premium Increase - 0.0%
2009 Premium Increase - 0.0%
2010 Premium Increase - 2.0%
2011 Premium Increase - 1.9%
2012 Premium Increase - 9.9%
2013 Premium Increase - 8.3%
2014 Premium Increase - 11.2%
2015 Premium Increase - 18.0%
Health Insurance
2
![Page 3: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/3.jpg)
1. Lower Out of Pocket Expenses for Health Care.
2. Manage Total Premium Expenses(Insurance Payroll Deductions) for All Team Members.
3. Fast Track our Transition to High Deductible Coverage.
4. Provide HSA/HRA Benefits to Smooth the Transition.
5. Stress the importance of team members’ deposits Into their Health Savings Account (HSA).
2015 Plan Objectives for Team Members
3
![Page 4: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/4.jpg)
High Deductible Health Plan Facts
S Network
Co-Insurance 100%
Single Deductible $2,500 – $500 (HRA) -
$2,000
Single Max Out of Pocket
$2,500 – $500 (HRA) -
$2,000
Family Deductible $5,000 – $1,000 (HRA) -
$4,000
Family Max Out of Pocket
$5,000 – $1,000 (HRA) -
$4,000
Average Doctor Visit $80 ~ $120
Average Prescription Drug
$40 ~ $150 or more4
![Page 5: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/5.jpg)
High Deduct. vs. Traditional Co-Pay
Component High Deductible Traditional Co-PayCo-Insurance 100% 80% / 20%
Single Deductible $2,500 – $500 (HRA) - $2,000 $1,500
Single Max Out of Pocket $2,500 – $500 (HRA) - $2,000 $2,500
Family Deductible $5,000 – $1000 (HRA) - $4,000 $3,000 ($1500 x 2)
Family Max Out of Pocket $5,000 – $1000 (HRA) - $4,000 $5,000 ($2500 X 2)
Doctor Visit Full Cost Applies to
Deductible*$35
Does Not Apply to Deduct.
Prescription Drugs Full Cost Applies to
Deductible *$10~$35~$60
Does not apply to Deduct.
Outpatient Surgery Full Cost Applies to
Deductible Deductible / Co-Ins
5* New Regulations- Cost Does Apply to Maximum Out of Pocket
![Page 6: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/6.jpg)
HSA Program only legally allowed alongside High Deductible Plans
• Doctor Visits and Prescription expenses are counted against the personal and family deductibles.
– These expenses do not count towards your deductible in the Traditional Co-Pay Plans.
Preventive Drug Prescription is Provided!
$5 Generic Drugs
$25 Preferred
$50 Non-Preferred
6
High Savings Account(HSA)
![Page 7: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/7.jpg)
• Be Committed to Saving Money in Advance for Higher Up Front Out of Pocket Expenses.
High Deductible Health Plan Facts
7
![Page 8: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/8.jpg)
HSA Program only legally allowed alongside High Deductible Plans
Ajax Turner Company - Health Savings Account (HSA) Program
Details
8
Single Family
• ATCo’s Match Limit $400 $800
• To achieve ATCo’s Maximum Match $15 $30
• ATCo’s March 13th “Seeding” Deposit $250 $500
• September, “Second Deposit” $150 $300
Maximum allowed by Law $3,350 $6,650
TAX-FREE PAYROLL DEDUCTION!
![Page 9: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/9.jpg)
• Team Member HSA Contributions deducted from PRE-TAXED earnings. – In 2014 $178,982 in Tax Free Contributions!!– ATCo Contributed $79,008 to Employee’s HSA.
• Team Members may make lump sum or extraordinary contributions into their accounts (via payroll deductions).
• HSA Account opened for participating team members at Pinnacle Bank. No fees to team members.
• Team members issued as many debit cards for their family as needed.
• Account and all the funds deposited are owned by team member from first dollar (Including ATCO Deposits).
• Unused funds rollover from year to year. No “use it or lose it” as in FSA program.
• Team members provided monthly statements by Pinnacle.
(HSA) Other Details
9
![Page 10: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/10.jpg)
• Increase per Payroll Tax Free Savings into Your Account Now!– Will Reduce “Sticker Shock” of HD Plan
• Take Advantage of ATCO HSA Funds• Always Your Money- Rolls Over from Year to
Year.
*Suggested Payroll Deposits
Singles Families$50 $100
HSA Plan Encouragement
10
![Page 11: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/11.jpg)
HRA Program only Available in HD Plan
• ATCO Provides Team Members a Health Reimbursement Arrangement (HRA).
• BCBS will reimburse the final $500 (Single) and $1,000 (Family) of maximum out of pocket expenses.
• Claims will be handled automatically thru BCBS. No claim to file.
Ajax Turner Company ~ HRAHealth Reimbursement Arrangement
11
![Page 12: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/12.jpg)
Ajax Turner Company and Team Members Insurance Premium
SplitsNetwork 2013 2014 2015 2016
S NetworkTraditional
60% ATCo / 40% Team Member
55% ATCo / 45% Team
Member
50% ATCo / 50% Team
Member ?S Network High Ded.
60% ATCo / 40% Team Member
60% ATCo / 40% Team Member
60% ATCo / 40% Team Member
60% ATCo / 40% Team Member
12
![Page 13: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/13.jpg)
New Payroll Costs
Network Plans 2013 2014 2015(P Network) HDHP- Closed to New Enrollments (8) Single Coverage $48.40 $54.48 $68.20(9) Family Coverage $125.87 $141.67 $163.75
(S Network) Traditional (22) Single Coverage $56.47 $71.51 $94.86(29) Family Coverage $157.54 $199.48 $244.59
(S Network) HDHP(38) Single Coverage $45.70 $51.44 $62.78(71) Family Coverage $109.87 $123.67 $150.73
13
![Page 14: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/14.jpg)
Network Plans 2015As Compared to (S) High Deductible
(S Network) Traditional(22) Single Coverage $2,466.36 + $834.08
(29) Family Coverage $6,359.34 + $2,440.36
(S Network) High Ded.(38) Single Coverage $1,632.28
(71) Family Coverage $3,918.98
2015 Annualized Team Member Premium
Expenses
14
![Page 15: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/15.jpg)
High Deductible PlanMaximum Out of Pocket at
RiskSingles Families
High Deductible $2,500 $5,000
Less TM HSA* $1,300 $2,600
Less ATCO HSA $400 $800
Less ATCO HRA $500 $1,000
Total at Risk $300 $60015
![Page 16: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/16.jpg)
Traditional S Network PlanMaximum Out of Pocket at
RiskSingles Families
Maximum Out of Pocket
$2,500 $5,000
Less TM HSA N/A N/A
Less ATCO HSA N/A N/A
Less ATCO HRA N/A N/A
Total at Risk $2,500 $5,00016
![Page 17: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/17.jpg)
Maximum Out of Pocket
Annualized Amounts Single Family Single Family
Annualized Monthly Premiums $2,466 $6,359 $1,632 $3,919
Maximum Insurance Out of Pocket $2,500 $5,000 $2,500 $5,000
HSA(Health Savings)Less ATCo HSA $0 $0 $400 $800
HRA(Health Reimbursement)Less ATCo HRA $0 $0 $500 $1,000
Total Out of Pocket $4,966 $11,359 $3,232 $7,11917
Traditional (S) High Deductible(S)
![Page 18: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/18.jpg)
• 129 Out of Network Visits in 2014–Control Expense by Using in
Network Facilities.• 20% of Prescriptions were Name
Brand Prescriptions. – That 20% accounted for 80% of
Prescription Costs.• 89 Emergency Visits
– Majority were for Non-Emergency
– Consider Urgent Care/Clinics
Controlling Expenses
18
![Page 19: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/19.jpg)
To Control Escalating Premium Expenses, ATCo Coverage
Components may change in the Coming Years!
Controlling Expenses
19
![Page 20: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/20.jpg)
For Network Listings of Doctors, Hospitals as well as other benefit information refer to the benefits
section on www.ajaxteammember.com
Never hesitate to contact the
insurance companies directly.20
![Page 21: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/21.jpg)
• FSA's provide a balanced approach for paying for estimated medical expenses with pre-taxed income.
• Estimate your annual out of pocket medical expenses Dr. Co-Pays, Prescriptions, insurance deductibles, etc...
• Total amount divided by 26 pay periods. This amount deducted from gross, pre-tax income each payroll.
• Once expenses incurred, receipts are returned to ATCo. Team members are then reimbursed.
• 2015- Maximum allowed is $2,550, and now can rollover $500 unused into next plan year.
Flexible Spending Account Facts (FSA)
21
![Page 22: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/22.jpg)
For all Blue Cross plans,
The Deductible is
JANUARY through DECEMBER.
The ATCO Plan year is
MARCH through FEBRUARY.
22
Deductible vs. Plan Year
![Page 23: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/23.jpg)
Delta Dental Premiums
2010 2011 2012 2013 2014Single Coverage $4.58 $4.78 $4.78 $4.78 $4.78 Family Coverage $12.59 $13.15 $13.15 $13.15 $13.15
Premiums per Payroll
23
NO INCREASE
Coverage 2010 2011 2012 2013 2014 2015
Single Coverage
$4.58 $4.78 $4.78 $4.78 $4.78 $4.78
Family Coverage
$12.59 $13.15 $13.15 $13.15 $13.15 $13.15
![Page 24: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/24.jpg)
Vision Premiums per Payroll
Guardian / Davis Premiums
24
Coverage 2010 2011 2012 2013 2014 2015
Single Coverage
$3.48 $3.48 $3.48 $3.62 $3.62 $3.73
Family Coverage
$7.71 $7.71 $7.71 $8.02 $8.02 $8.26
![Page 25: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/25.jpg)
• Accident Policy– Includes Accidental Death Benefit.– Includes Wellness Benefit of $60 dollars.– Biweekly premium - Single $12.24 - Family
$23.22.
• Cancer Policy– Includes Wellness Benefit of $70 or $75
dollars.– Biweekly premium - Single $18.18 - Family
$32.28.25
![Page 26: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/26.jpg)
Check for Low Cost Generic Prescriptions, at these Retailers!
Flexible Spending Account Facts (FSA)
26
![Page 27: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/27.jpg)
This is the time of year thatteam members can make
any change they wish.
Changes throughout the year can ONLY be done within 30 Days of
aLife Event.
27
![Page 28: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/28.jpg)
Don’t Be Scared – Call ‘Em
Insurance Co. Group # Phone Number
Blue Cross 96214 800-565-9140
Delta Dental 7473 800-223-3104
Davis Vision309023 877-393-7363(Guardian Davis Vision)
28
![Page 29: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/29.jpg)
New Insurance EnrollmentsBecome effective on
3/01/2015
New Plan Year InsuranceRates become effective on the
3/13/2015 Payroll
New Plan Year HSA / FSADeductions become effective on the
3/13/2015 Payroll29
![Page 30: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/30.jpg)
BENEFITS and Safety FAIR
Wednesday 2/18/15Insurance Enrollments Uniform OrdersSam’s Club Wellness ChecksCostco Tennessee Credit
Union401k Retirement Advice Life
Insurance AdviceDon’t miss out on:
HSA Enrollments with Pinnacle BankService and Sales Rep’s Safety Bonus
30
![Page 31: Health Insurance Coverage 2015 1. 2007 Premium Increase - 16% 2008 Premium Increase - 0.0% 2009 Premium Increase - 0.0% 2010 Premium Increase - 2.0% 2011](https://reader035.vdocuments.mx/reader035/viewer/2022062718/56649e985503460f94b9aecf/html5/thumbnails/31.jpg)
The Company has arranged for 1-on-1 Benefit Counselors to
handle enrollments.Benefit Counselors will be
here:Friday 2/13/15 10am – 4pmWednesday 2/18/15 9am –
5pm31