local 777 oe presentation for 2020 · 2019. 11. 15. · title: microsoft powerpoint - local 777 oe...

Local 777 Members

Topics for Today

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■ Open Enrollment Process and Resources

■ What’s New

■ Health Care Benefits

– Medical Options

– Prescription Coverage

– Health Savings Account (HSA)

– Flexible Spending Accounts (FSA)

– Health Care Contribution

– Vision Plans

– Dental Plans

■ HealthyLiving

■ Other Benefits

– Life Insurance

– Long-Term Disability

– Life Resources EAP

– Voluntary Benefits

■ Questions?

Open Enrollment for 2020 Benefits

Open Enrollment Process and Resources

3Open Enrollment for 2020 Benefits

General Information

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■ Open enrollment is October 14 – October 28, closing at 5 p.m.

■ You MUST TAKE ACTION if you are: – Adding or removing dependents (must contact HR Service Center to add)

– Changing any plan elections

– Contributing to an HSA or FSA

– Wanting to receive your employer healthcare contribution differently than the default


The Process

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DateGo to MyFirstRewards.com then log onto the Open Enrollment tool:

Oct 7-28

Review your current 2019 benefits selectionsLearn more about your 2020 benefit plan options■ Review your personalized enrollment worksheet for 2020■ Review benefit plan rates

Oct 14-28Make your elections for 2020 benefitsReview and save your confirmation statement

Jan 1 Coverage is effective


Resources

■ Open Enrollment Presentation– Attend an Employee Meeting– View a Presentation Online– Watch an On-Demand Presentation

■ Compare your Medical Plan Options

■ Compare Drug Coverage and Cost

■ Learn more about the HSA

■ Consider Enrollment in a FSA

Open Enrollment for 2020 Benefits 6

www.MyFirstRewards.com

What’s New?


What’s New for 2020?

Medical Deductible

■ Consumer plan deductibles will increase in order to meet IRS requirements

Health Savings Account (HSA) and Flexible Spending Account (FSA)

■ Annual maximum contribution limits for HSA and FSA plans will increase

Basic Vision

■ Employees will be provided Basic Vision plan coverage, unless Supplemental Vision is elected. The Basic Vision plan has no premium


Health Care Benefits


2020 Medical Plan Options

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(all plans include Rx)

*Out-of-network plan design can be located at www.MyFirstRewards.com


Consumer HDHP

In-Network*

Deductible (Single / Family)

Type of Deductible

$2,800 / $5,600Combined Medical/Rx deductible

Embedded

Coinsurance (FirstEnergy / You) - After deductible

80% / 20%

Out-of-Pocket Maximums(OOP Max)(includes deductible & coinsurance)Type of OOP Max

$5,500 / $11,000Combined Medical/Rx OOP Max

Embedded

Preventive/Wellness Care 100%

Emergency Room Visit20% after deductible; $250 copay if not true

emergency

Annual Premium

Employee: $0Employee + Child(ren): $0

Employee + Spouse/DP: $0Family: $0

Other

Eligible for HSA Yes

Eligible for Health Care FSA No

Eligible for Limited FSA (dental/vision only)

Yes

Local 777 members are offered the

FirstEnergy Consumer HDHP in

addition to the healthcare plans

offered by the union.

Elect the Consumer HDHP through FE’s Open Enrollment or

elect a union-sponsored plan

through the union.

Where to Get Care

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Emergency Room

$1,404

Emergency Room Urgent CareDoctor’sOffice

RetailClinic

LiveHealthOnline

$1,636 $147 $105 $82 $59

• This information is from the Be A Better Health Care Consumer series which contains helpful tips, tools and resources for health care consumer decisions.

• Details can be found at www.MyFirstRewards.com/BetterConsumer


Prescription Drug Options


*In addition to coinsurance, participant will also be responsible for difference in cost between generic & brand drug if the participant does not choose to fill script with available generic.The brand penalty does not count towards the deductible and out-of-pocket maximum. **If you choose a brand that has a formulary equivalent (Primary Drug List), you will pay the brand coinsurance.Out-of-network plan design can be located at www.MyFirstRewards.com

Consumer HDHP

Generic Drug Rule Yes*

Retail (up to 30-day supply with one refill)

Annual deductible (Individual / Family)$2,800 / $5,600

Combined Medical/Rx deductible

Coinsurance (FirstEnergy / You) 80% / 20%

Generic Coinsurance 20%

Primary Coinsurance (if no Generic is available) 20%

Brand Coinsurance** 20%

Maximum coinsurance per Rx No maximum

Mail Order (up to 90-day supply with three refills)



Coinsurance (FirstEnergy / You) 80% / 20%


Primary Coinsurance (if no Generic is available) 20%

Brand Coinsurance** 20%


Specialty (up to 30-day supply – must use Caremark Specialty Pharmacy)




Preferred Coinsurance 20%

Non-Preferred Coinsurance 20%


Annual Out-of-Pocket Maximum (OOP Max)

In-Network (Individual/Family)$5,500 / $11,00

Combined Medical/Rx OOP Max

Local 777 members are offered the FirstEnergy

Consumer HDHP in addition to the

healthcare plans offered by the union.

Elect the Consumer HDHP through FE’s Open Enrollment or

elect a union-sponsored plan through

the union.

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Medical/Prescription Drug RatesPre-tax contributions


Weekly – Full Time Consumer HDHP

Employee $0

Employee + Child(ren) $0

Employee + Spouse/ Domestic Partner

$0

Family $0

What is an HSA?

■ Health savings account (HSA) – allows you to set aside pre-tax dollars to pay for out-of-pocket health care expenses

– Interest-bearing health savings account like a 401(k) for health care-related expenses

■ HSAs are portable

– Individual account in your name – take it with you when you leave or retire

■ No “use it or lose it” rule

■ HSA can be used:

– For qualified expenses including medical, prescription drug, dental and vision

– For you, your spouse or generally any dependent claimed on your tax return

– Now or later (great vehicle for future health care)

■ For more information on HSAs, visit:

– IRS Publication 502 and 969

– www.healthequity.com/firstenergy


HSA Enrollment

■ Elect a HDHP medical plan during open enrollment

– An HSA will be opened automatically for you upon first-time enrollment

■ You cannot:

– Have other medical coverage, such as

– A spouse’s health plan (unless the coverage is a HDHP)

– Medicare or TRICARE

– Health Care FSA (the employee or spouse)

– Be claimed as a dependent on someone else’s tax return

– Have received veterans’ benefits within the last 3 months


NOTE: There are important rules regarding Medicare and HSAs. Contact HealthEquity for guidance.

HSA Employee Contributions

■ Can be made through pre-tax payroll deductions or post-tax contributions

■ Payroll deductions are divided equally between number of pay periods in year

■ Total annual HSA contribution election is NOT available on Jan 1st

■ Can change your contribution amount at any time


1. Employer and employee contributions count toward the maximum HSA contribution limit.

2. If you are turning 55 or older in 2020, you are permitted to contribute an additional $1,000 Catch-up Contribution. This contribution does not count toward the above limits.

Flexible Spending AccountsMandatory enrollment required

■ You can use FSA funds for you, your spouse and generally any dependent(s) you claim on taxes.

■ View IRS Publication 969 for details.


Health Care FSA

Limited Health Care FSA

Dependent Care FSA

Who is eligibleEmployees NOT

enrolled in a HDHP medical plan

Employees enrolled in a HDHP medical plan

Anyone that has the below expenses

Eligible expenses

MedicalPrescription

DentalVision

DentalVision

Daycare, before & after school care for children under age 13 and Elder

care

Annual limit $2,700 $2,700 $5,000

Can incur claims Through Dec 31, 2020 Through Dec 31, 2020 Through Mar 15, 2021

Claims submission deadline

Mar 31, 2021 Mar 31, 2021 Jun 30, 2021

Eligible to carryover up to $500 to 2021

Yes Yes No

FirstEnergy Health Care ContributionHSA, 401(k), or taxable cash payment

■ To help you save now for future retiree health care expenses, FirstEnergy will provide you with a lump sum health care contribution

■ Who is eligible?

– Employees actively at work

– Regular part-time and full-time employees

– Employees on sick leave and/or Extended Disability

– Employees who are eligible for benefits on Jan. 1, 2020


Based on medical plan and tier as of Jan 1, 2020

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FirstEnergy Health Care Contribution

Consumer HDHP

Union Opt-out Medical

Waive FirstEnergy & Opt-out Medical

HSA$500 single $1000 two-

person/family

401(k) or Cash

$500 single$1000 two-

person/family

401(k) or Cash$500

Contributions will be received in January 2020

ACTION REQUIRED by October 28 in the OE tool if

you want to receive the taxable cash payment.


you want to receive the taxable cash payment.


you want to receive the taxable cash payment or

401(k) contribution.


Vision Options

FirstEnergy offers two vision options:

1. Basic Vision

2. Supplemental Vision– Electing single coverage on the Supplemental Vision plan will eliminate the Basic

Vision option for any dependents

– Ex: Joe has elected the Consumer HDHP for family coverage, but elects single coverage on the Supplemental Vision. The Basic Vision plan will not be available to his family.

2020Open Enrollment for 2020 Benefits – Non-Bargaining Employees 20

NOTE: Your VSP identification number is your SAP number with leading zeros to make a nine-digit number. Example: 000002345

If you do not enroll in the Supplemental Vision plan, you and your family members will be automatically enrolled in the Basic Vision plan at no cost, regardless if you elect medical plan.

Vision Options


Under the Supplemental Vision plan, a $25 copay applies to prescription glasses or contacts.

Basic Vision Supplemental Vision

Exam

In-Network$50 copay

With purchase of complete pair of glasses$10 copay

Out-of-Network Not covered Reimbursed up to $45

Frames With purchase of complete pair of glasses

In-Network 25% discount$160 retail frame allowance

(all manufacturers)

Out-of-Network Not covered Reimburse up to $70

Lens & Lens Options With purchase of complete pair of glasses

In-NetworkSingle: $40 copayBifocal: $60 copay

Trifocal/Lenticular: $75 copay

$0 copay - standard progressive lenses$25 copay – premium & custom progressive lenses

$25 copay - anti-reflective lenses

Out-of-Network Not covered

Single vision – reimburse up to $30Bifocal lenses – reimburse up to $50Trifocal lenses – reimburse up to $65

Lenticular Lenses – reimburse up to $100

Contacts (instead of glasses)

In-Network15% discount on exam only(no discount on materials)

Elective – $160 allowanceMedically necessary – covered in full

(must be pre-approved)

Out-of-Network Not coveredElective – reimburse up to $105

Medically necessary -– reimburse up to $210

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Supplemental Vision RatesFull- and part-time pre-tax contributions

■ Your 2019 Supplemental Vision election will continue into 2020 if you make no changes during open enrollment.

■ No premium increase for 2020.


Weekly EmployeeEmployee + Child(ren)

Employee + Spouse/Domestic

PartnerFamily

Employee Cost $4.19 $8.77 $8.37 $12.24

Dental Options


Basic Plan Plus Plan

In Network Out of Network In Network Out of Network

Deductible $100 / $300 $200 / $600 $50 / $150 $100 / $300

Annual x-ray, 2 cleanings/exams

(coinsurance only – not subject to deductible)

100% / 0%FirstEnergy % / your %




Basic Restorative (your %)

50% 70% 20% 40%

Major Restorative (your %)

75% Not Covered 50% 70%

Orthodontia

Benefit $Eligibility

Not Covered Not Covered$1,500 lifetime maxOnly children up to

age 19

$1,500 lifetime maxOnly children up to

age 19

Calendar Year Maximum Benefit Plan Pays (excludes ortho)

$1,000 per person $1,000 per person $2,000 per person $2,000 per person

Dental RatesFull- and part-time pre-tax contributions

■ Rates increased 3.7% from 2019.

■ Your 2019 dental election will continue into 2020 if you make no changes during open enrollment.


Basic Plan

Employee CostEmployee

Employee + Child(ren)


PartnerFamily

Weekly $4.41 $11.02 $8.89 $17.35

Plus Plan

Employee CostEmployee

Employee + Child(ren)


PartnerFamily

Weekly $7.67 $20.24 $15.38 $31.18

HealthyLiving Wellness Program

■ Who is eligible?

– Full and part-time employees

– Spouses/domestic partners enrolled in aFirstEnergy or union-sponsored medical plan

■ Components:

– Year-round wellness program administered by RedBrick Health

– Convenient, on-the-go access through the RedBrick Health mobile app

– Earn dollars for healthy results and as you complete healthy activities - the more you do, the more you earn

– Redeem rewards as you earn them, numerous reward options


The purpose of the HealthyLiving Wellness Program is to encourage and reward employees for improving or maintaining their total well-being.

The HealthyLiving Program is free, voluntary, confidential, and secure. Visit Home.RedBrickHealth.com/Privacy for more information.

HealthyLiving Rewards

■ Who can earn rewards

– Employees are eligible for up to $600

– Eligible spouses/domestic partners are eligible to earn up to $200

■ Earn rewards July 1 through June 30


Health Assessment is the only required activity to earn rewards

Rewards not redeemed by Jun. 30 will default to HSA (for those enrolled in Consumer HDHP or Enhanced HDHP) or to the 401(k) Savings Plan for everyone else.

Reward option Timing of payout Taxable

HSAOnly for those enrolled in the Consumer or Enhanced

HDHP

By the end of the month following reward redemption

No

401(k) By the end of the month following reward redemption

No

Cash By the end of the month following reward redemption

Yes

Gift card Immediate Yes

Charitable donation Immediate Yes

Your HealthyLiving Account


Register and stay connected to the program with the RedBrick mobile app or the HealthyLiving website

Register and stay connected to the program with the RedBrick mobile app or the HealthyLiving website

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Life InsuranceLong-Term Disability

Life Resources EAPVoluntary Benefits


Group Life Insurance PlanBasic Life and Supplemental Life

Basic Life

■ Automatically enrolled in 1x your annual base pay

■ Company paid benefit

Supplemental Life

■ Can increase benefit one tier each open enrollment

– Must be actively at work on January 1, 2020 for any increase to take effect

■ No rate change for 2020


NOTE: Premiums for supplemental life insurance change when your pay changes or when you move into a new age bracket.

Group Life Insurance PlanDependent Life

■ Children eligible until age 26, regardless of their student status

■ Domestic partners eligible for Dependent Life coverage

■ Spouse/domestic partner must complete a statement of health for all increased levels of coverage

– Must be actively at work on January 1, 2020 for any increase to take effect

■ No rate change for 2020


Coverage tierSpouse

Coverage amount Child

Coverage amount Monthly premium

Tier 1 $10,000 $5,000 $2.39

Tier 2 $20,000 $10,000 $4.68

Tier 3 $40,000 $20,000 $9.36

Tier 4 $60,000 $20,000 $13.39

Tier 5 $80,000 $20,000 $17.61

Tier 6 $100,000 $20,000 $21.83

Health Questions

■ Certain life insurance elections require health questions, a statement of health or medical evidence of insurability

■ Required for:

– Supplemental life for first time elections and any elections greater than $1 million

– Dependent life for all increased levels of coverage for spouses and domestic partners only

■ MetLife will reach out to you (or your spouse/domestic partner) after Open Enrollment if required

■ Forms not completed by the deadline will not receive the elected coverage


Group Life Insurance PlanAccidental Death & Dismemberment

■ May elect 1x to 10x annual base pay; $3 million maximum

– Must be actively at work in order for an increase in benefit to become effective

■ Provides coverage for death, loss of limb or loss of sight as a result of an accident

■ Coverage tiers include:

– Employee only

– Employee & Spouse/Domestic Partner

– Employee & Children

– Family

■ Rates increase for 2020 – review your coverage and rates in the open enrollment tool


Long-Term DisabilityEligible if hired after Jan. 1, 2006

■ The LTD plan protects you and your family if you become disabled by continuing a portion of your income until you no longer meet the eligibility requirements.

■ LTD benefits are payable after a 6 month elimination period


Basic LTD Supplemental LTD

Coverage 50% Annual Base Pay Up to 66 2/3% Annual Base Pay

Cost No Employee Contribution $.342 per $100 of coverage

Life Resources EAP

■ Confidential support, information and referral service

– Tools and resources designed to help you and your household members find solutions to issues that come your way

■ Up to 5 free professional counselor visits per issue per year

■ 24/7 assistance is available via phone, in-person and video counseling

■ A short introductory video that highlights the many resources available through the program can be found at www.MyFirstRewards.com > Employee Benefits > Life Resources (EAP) Program.

■ Program offers assistance with issues including but not limited to:


LIFE RESOURCES EAP1-888-745-0714

www.firstenergycorp.com/liferesources

Voluntary Benefits

■ Programs include:Enroll anytime

– Auto and home insurance

– Identity Theft Protection

– Pet Insurance

Enroll Oct 14-28

– Accident Insurance

– Critical Illness Insurance

– Hospital Indemnity Insurance

■ Why participate in the program?

– Group discounts

– Special offers for FirstEnergy employees

– Convenience of payroll deduction


MERCER866-795-0156

www.firstenergyvoluntarybenefits.com

Employee discounts also available

Keep Beneficiaries Up To Date


Keeping your beneficiaries up to date is important.Verify or update your beneficiaries by using the information below:

Keeping your beneficiaries up to date is important.Verify or update your beneficiaries by using the information below:

Benefit Website Phone

Life insurance www.metlife.com/mybenefits 866-492-6983

Health Savings Account

www.healthequity.com/firstenergy(Documents & Forms section)

877-713-7712

Pensionwww.MyFirstRewards.com(Retirement & Savings > Pension Plan)

401(k) Savings Plan www.netbenefits.com 800-982-3451

Do You Have a Benefits Question?

If so, you can:

■ Visit www.MyFirstRewards.com

■ Call the benefit partner or visit its website

■ Contact the HR Service Center

– [email protected]

– 1-800-543-4654
