university of st. thomas 2015 annual enrollment briefing
DESCRIPTION
University of St. Thomas 2015 Annual Enrollment Briefing. Annual Enrollment. Monday, November 3 through Friday, November 14 th “Passive ” enrollment this year Your current Medical, Dental, Vision and Life I nsurance elections remain the same - PowerPoint PPT PresentationTRANSCRIPT
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University of St. Thomas
2015 Annual Enrollment Briefing
![Page 2: University of St. Thomas 2015 Annual Enrollment Briefing](https://reader031.vdocuments.mx/reader031/viewer/2022020417/56813507550346895d9c56dc/html5/thumbnails/2.jpg)
Annual Enrollment• Monday, November 3 through Friday, November 14th • “Passive” enrollment this year
– Your current Medical, Dental, Vision and Life Insurance elections remain the same
– Health Care and/or Dependent Care Flexible Spending Account(s), and Health Savings Account (HSA) contributions need to be re-elected each year through the online annual enrollment system
• Changes at any other time of the year are not allowed unless you experience a “qualifying status” change
• The effective date for changes is January 1, 2015
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• Increases to the cost for the medical plans - see chart on page 7 for details
• The deductible on the medical high deductible health plan (HDHP) will increase by $100 for an individual and by $200 for a family (from $2500/$5000 to $2600/$5200), per IRS regulations
• The Health Savings Account (HSA) maximum employee annual contribution amount will increase to $3,350 for Employee Only coverage and to $6,650 for Employee+Spouse, Employee+Child(ren) and Family coverage
Changes for 2015
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BCBS Medical Plan Comparison$500/$1000 Deductible + Copay
$1250/$2500 Deductible
$2600/$5200 Deductible - HDHP
Deductible - Calendar Year
$500 Individual$1,000 Family
$1,250 Individual$2,500 Family
$2,600 Individual$5,200 Family
Medical Out of Pocket - Calendar Year
$2,000 Individual$4,000 Family
$2,500 Individual$5,000 Family
$2,600 Individual$5,200 Family
Rx Out of Pocket - Calendar Year
$2,000 Individual $4000 Family
$2,500 Individual$5,000 Family
Included in medical amount above
Preventive Care 100% 100% 100%
Office Visit or Urgent Care
$35 Copay 80% after Deductible
100% after Deductible
Retail Clinic(Target, MinuteClinic, etc)
$15 Copay 80% after Deductible
100% after Deductible
In-Patient, Out-Patient, Emergency Room
80% after Deductible
80% after Deductible
100% after Deductible
Prescription Drugs $15/35/85 $15/35/85 100% after Deductible
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Medical Plan Decision-Making Tool
• You will again have a tool that can help you decide which medical plan is right for you– Start here for 2015 annual enrollment
• The tool will ask you questions about your health usage as well as that of your family
• It will then provide you cost information which incorporates your payroll deduction as well as your out of pocket expenses when you incur a healthcare expense
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Medical Plan Cost Comparison
2015 Medical Plan Rates
$500/$1000 Deductible + Copay Plan
Total Monthly Cost
UST Monthly Subsidy
Your Monthly Cost
Your Bi-Weekly Cost
Employee Only $644.78 $471.06 $173.72 $86.86
Employee +Spouse $1,160.56 $741.88 $418.68 $209.34
Employee + Child(ren) $1,063.86 $680.08 $383.78 $191.89
Family $1,676.36 $1,071.62 $604.74 $302.37
$1250/$2500 Deductible Plan Employee Only $586.12 $471.06 $115.06 $57.53
Employee +Spouse $1,054.94 $741.88 $313.06 $156.53
Employee + Child(ren) $967.04 $680.08 $286.96 $143.48
Family $1,523.82 $1,071.62 $452.20 $226.10
$2600/$5200 Deductible Plan - HDHP Employee Only $571.28 $471.06 $100.22 $50.11
Employee +Spouse $1,028.26 $741.88 $286.38 $143.19
Employee + Child(ren) $942.56 $680.08 $262.48 $131.24
Family $1,485.25 $1,071.62 $413.64 $206.82
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7
2014 and 2015 Medical Plan Rate Comparison
$500/$1000 Deductible + Copay Plan2015 Bi-Weekly
Cost
2014 Bi-Weekly
Cost
Employee Cost
Difference
2015 UST Bi-Weekly
Cost
2014 UST Bi-Weekly
Cost
UST Cost Difference
Employee Only $86.86 $83.37 $3.49 $235.53 $212.81 $22.72
Employee +Spouse $209.34 $197.94 $11.40 $370.94 $335.16 $35.78
Employee + Child(ren) $191.89 $181.44 $10.45 $340.04 $307.24 $32.80
Family $302.37 $285.91 $16.46 $535.81 $484.13 $51.68
$1250/$2500 Deductible Plan2015 Bi-Weekly
Cost
2014 Bi-Weekly
Cost
Employee Cost
Difference
2015 UST Bi-Weekly
Cost
2014 UST Bi-Weekly
Cost
UST Cost Difference
Employee Only $57.53 $53.15 $4.38 $235.53 $212.81 $22.72
Employee +Spouse $156.53 $143.65 $12.88 $370.94 $335.16 $35.78
Employee + Child(ren) $143.48 $131.67 $11.81 $340.04 $307.24 $32.80
Family $226.10 $207.49 $18.61 $535.81 $484.13 $51.68
2014: $2500/$5000 Deductible Plan - HDHP 2015: $2600/$5200 Deductible Plan - HDHP
2015 Bi-Weekly
Cost
2014 Bi-Weekly
Cost
Employee Cost
Difference
2015 UST Bi-Weekly
Cost
2014 UST Bi-Weekly
Cost
UST Cost Difference
Employee Only $50.11 $45.01 $5.10 $235.53 $212.81 $22.72
Employee +Spouse $143.19 $128.89 $14.30 $370.94 $335.16 $35.78
Employee + Child(ren) $131.24 $118.15 $13.09 $340.04 $307.24 $32.80
Family $206.82 $186.18 $20.64 $535.81 $484.13 $51.68
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Delta Dental Plan
Delta Dental PPO(In-Network)
Delta Premier(Out of Network)
Diagnostic & Preventive
100% 100%
Deductible – Calendar Year
None $25 Individual; $75 Family
Basic Services 100% 90% after Deductible
Periodontics & Endodontics
80% 80% after Deductible
Oral Surgery 80% 80% after Deductible
Major Services 50% 50% after Deductible
Orthodontics (children age 8-18)
50% to a Lifetime Maximum of $1,500
50% to a Lifetime Maximum of $1,500
The plan will pay up to $1,500 per person per calendar year. This does not include orthodontia; ortho has a separate LIFETIME
maximum benefit.
(No changes to the plan design)
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Dental Plan Cost(No change to premium rates)
2015 Dental Plan Rates
St. Thomas Dental Plan
Total Monthly
Cost
UST Monthly Subsidy
Your Monthly
Cost
Your Bi-Weekly
Cost Employee Only $33.74 $8.44 $25.30 $12.65 Employee +Spouse
$84.38 $21.10 $63.28 $31.64
Employee + Child(ren)
$77.34 $19.34 $58.00 $29.00
Family $121.88 $30.48 $91.40 $45.70
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EyeMed Vision Plan(No changes to the plan design)
In-Network Member Cost Out of Network Reimbursement
Exam w/ dilation as necessary
$10 Copay Up to $30
Contact lens fit and follow up Standard contact Premium contact
Up to $4010% off Retail
n/an/a
Frames No copay; $130 allowance; 20% discount on charge over $130
Up to $65
Standard Plastic Lenses Generally $25; see benefit guide for details
Varies from $25-60 depending on type of lens; see benefit guide for details
Lens Options Generally $0; see benefit guide for details
Generally up to $5
Contact Lenses Generally $150 allowance; see benefit guide for details
Up to $120
Frequency Examination Frame Lenses or Contact Lenses
Once every 12 monthsOnce every 24 monthsOnce every 12 months
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Vision Plan Cost(No change to premium rates)
2015 Vision Plan Rates
St. Thomas Vision Plan
Total Monthly
Cost
UST Monthly Subsidy
Your Monthly
Cost
Your Bi-Weekly Cost
Employee Only $ 6.28 - $ 6.28 $3.14
Employee + Family $16.90 - $16.90 $8.45
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2015 Health Care & Dependent Care Flexible Spending Accounts
• Annual amount must be elected through the Online Annual Enrollment System (Murphy Online)
• Separate limit amounts for each account– Health Care Account limit is $2,500 – Dependent Care Account limit is $5,000
• Check your 2014 balance for surplus and spend before December 31st
• Grace Period – Incur claims until March 15th; reimbursable up to May 15th
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2015 - Health Savings Account (HSA)
• Each year you must designate your pre-tax payroll HSA contribution– You can change your election amount through the
Online Annual Enrollment System, as well as access the HSA Enrollment Packet if you are a first time enrollee
• Balance resides in account, no loss at end of year• Penalty for non-qualified withdrawals is 20%• The maximum contribution for 2015 will increase to
$3,350 (individual) and $6,650 (family) • Additional $1,000 contribution allowed for account
holders that are 55 or older• For more detailed information about the HSA, consider
attending one of the HSA education sessions
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Voluntary Term Life Insurance & AD&D
• Employee: – up to 5x your annual salary in increments of
$10,000, not to exceed $500,000
• Spouse: – up to 5x your annual salary in increments of
$10,000, not to exceed $500,000
• Child(ren):– benefit election can be either $5,000 or $10,000
*Note: You must be enrolled in Voluntary Term Life Insurance and/or AD&D to carry coverage for any of your family members.
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Voluntary Term Life Insurance & AD&D
• If currently enrolled in voluntary life and or AD&D, you can purchase additional life insurance up to the guarantee issue amount of $200,000
• If currently enrolled in spousal voluntary life and/or AD&D, you can purchase additional coverage up to the guarantee issues amount of $50,000
• If not currently enrolled or if you would like to purchase above the guarantee issue amount for life insurance and/or AD&D, you will be required to go through “evidence of insurability” (EOI)
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Long Term Disability• The university provides a long term disability (LTD)
benefit providing income should you become disabled
• During annual enrollment, you can elect to pay taxes on the premium, making the income benefit received non-taxable– If you choose to change the taxability of your
LTD benefit, please complete the form provided in your 2015 Benefit Guide and return it AQU213 no later than 4:30 p.m. on Friday, November 14th
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Employee Online Enrollment
• You must complete the online enrollment process to: – newly elect, change, or drop medical, dental
and/or vision coverage – add or drop family members from your
coverage – continue or add a Health Care and/or
Dependent Care Flexible Spending Account election or
– continue or elect a Health Savings Account (HSA) for the first time if enrolling in the medical HDHP
• You do not need to complete the annual online enrollment process if:– you do not wish to participate in the FSA or
HSA and, – you do not wish to make other changes to your
2014 elections
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Online Enrollment• All changes need to be completed and submitted
by 11:59 p.m. on November 14th, 2014• Benefits staff available:
• 8:00am to 4:30pm M-F, Aquinas Hall Room 213• Phone: 651-962-6520• Fax: 651-962-6524• Email: [email protected]
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Eligibility • If your family members currently are covered
under any of our benefit plans, you should confirm their continued eligibility under each of the plans before deciding whether to complete annual enrollment
• It is your responsibility to remove ineligible family members from coverage, and failure to do so could result in adverse consequences to you
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Questions?
• Questions?• Thank you for attending the 2015 Annual
Enrollment meeting!