u.s. retiree benefits overview - dow chemical company u.s. benefits overview 2 . ... though it is an...
TRANSCRIPT
Dow Corning INTERNAL
• The brief summaries of benefits contained in this presentation
provide only general information.
• You should refer to the plan document and summary plan
description (SPD) of the applicable plan(s) for a more
complete description of a plan’s terms and to see if you are
eligible for that plan.
• If there is any conflict between (a) the information provided in
this presentation (or any other oral or written representations
made by anyone regarding a plan) and (b) the legal
documents of a plan, including the plan document or SPD for
the applicable plan, then the plan's legal documents will
govern.
• Dow reserves the right to amend, modify and terminate the
plan(s) described herein at any time in its sole discretion.
U.S. Benefits Overview
2
Dow Corning INTERNAL
• Dates – November 2-18, 2016
• Communications:
– What’s New document mailed annually – details changes
– Communications available on Dow Friends website –
includes What’s New and Rate/Coverage charts
• Expectations:
– For 2017: All pre-Medicare retirees are expected to
complete the enrollment process
– Review enrollments and beneficiaries annually
– Complete working spouse/domestic partner verification
annually if spouse is pre-Medicare
Open Enrollment
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Dow Corning INTERNAL
Retired before January 1, 1995 (Post-65 EGWP Retirees)
• No premium changes
Retirees who retired after January 1, 1995
Post-65 Aon Retirees
• Aon will continue to communicate the enrollment process
• HRA continues to be funded, for those eligible
Split Families
• Pre and Post-Medicare families
• Costs based on individual enrollment
Pre-Medicare Retirees
• New plan options
Dow Retiree Eligibility
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Dow Corning INTERNAL
Post-65 EGWP Retirees (Retired Before 1/1/1995)
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2017 Plan Design MAP Plus Option 1 –
Low Deductible
Deductible
• Individual
• Family
• $250
• $500
Out-of-Pocket Maximum
• Individual
• Family
• $1,750
• $3,500
Monthly Premiums*
• Retiree Only
• Retiree + Spouse
*If you retired with a zero or fixed premium, the
costs above do not apply to you. You will remain
grandfathered at the same cost.
• $50
• $100
Dow Corning INTERNAL
Post-65 EGWP Retirees Plan Differences
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Dow DCC
Deductible • $250 Medical (ind.) • $350
Out-of-Pocket Maximum
• Individual
• Family
• $1,750
• $3,500
• $1,750
• $3,500
Office Visit Copay 20% after deductible $15 Primary Care Visit
$30 Specialty
Coinsurance 20% for most services 10%
Prescription Drugs
Retail – Generic /
Brand Formulary /
Brand Non-Formulary
10% / 20% / 35% $10 / $20 / $35
Mail Order* – Generic /
Brand Formulary /
Brand Non-Formulary
$5 / $80 / $150 $25 / $50 / $85
*90 day preferred mail order through CVS/Caremark
Dow Corning INTERNAL
• National vendor is Aetna rather than
BC/BS.
• Coverage very similar but specifics
available in the Summary Plan
Description (SPD) via Dow Friends
website.
• Retirees who waive coverage at age
65 or over, and later seek to re-enroll,
will not be eligible unless they can
show proof of active employer
coverage or coverage from a
discontinued employer retiree plan
immediately prior to enrolling in Dow
retiree coverage
Post-65 EGWP Retirees Medical Plan Differences
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Dow Corning INTERNAL
• Communications continue to be directly through Aon
• Dow will fund the Health Reimbursement Account (HRA);
$2,020 per person in 2017
• Effective January 1, 2018:
Retirees who waive coverage at age 65 or over, and later
re-enroll, will not be eligible for the Dow funded HRA
contribution unless they can show proof of active employer
coverage or coverage from a discontinued employer retiree
plan immediately prior to joining an Aon plan through the
Dow offering.
Post-65 Aon Retirees Retired on or After 1/1/1995
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Dow Corning INTERNAL
• Split Family – when 1 covered member is Medicare eligible and
the other is not
• Dow treatment effective January 1, 2017:
Members will elect two different plans, one pre-Medicare and
one post-Medicare, and pay split contract rates until all reach
Medicare eligibility
Once set up to do so, post-Medicare member will move to
Aon while pre-Medicare member continues on Dow pre-
Medicare plan until they reach Medicare eligibility
Once eligible for Medicare, member will move to Aon
Split Family Retirees Retired on or After 1/1/1995
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Dow Corning INTERNAL
Split Family Retirees Retired on or After 1/1/1995
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Coverage Tier Both Spouses in MAP 1 One Spouse in MAP 1
and Other in MAP 2
Retiree + Spouse $809 $387
Family $1,449 $605
Mapping Process from Dow Corning plan to Dow plan:
• Retiree is Post-65 and Spouse/DP is Pre-65 – Both will
move to MAP 1 plan under Dow and pay higher premium.
• Must actively elect MAP 1/MAP 2 coverage
• Retiree is Pre-65 and Spouse/DP is Post-65 – If enrolled in
Dow Corning CDHP, will move to MAP 2/MAP 1 coverage
Dow Corning INTERNAL
National Preferred Provider Organization
(PPO) plans administered by Aetna
• Medical Assistance Program = MAP
• MAP Plus Option 1 Low Deductible
─ Higher monthly premium
─ Lower out-of-pocket costs at point of service
• MAP Plus Option 2 High Deductible
─ Lower monthly premiums
─ Higher out-of-pocket costs at point of service
Health Maintenance Organization (HMO) and other plans
• In-network coverage only (narrow network)
• Eligibility based on ZIP code
• Generally higher monthly premium and lower out-of-pocket
costs
Pre-Medicare Retirees Retired on or After 1/1/1995
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Dow Corning INTERNAL
Pre-Medicare Eligibility and Enrollment Differences
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Eligibility/Enroll
ment Provision Dow DCC
Pre-Medicare
Working
Spouse/Domestic
Partner (DP)
If spouse/DP works full time or
is retired from employment and
is offered subsidized employer
coverage, then must enroll as
primary
If spouse/DP works more than
17.5 hours/week and offered
subsidized employer
coverage, then must enroll as
primary
Grandchild
Dependents
Must be legal dependent of
Retiree – grandfathering those
currently covered (new rule
effective 1/1/2017)
Eligible if parent of grandchild
is Retiree’s eligible dependent
child
Enrollment Change
Notification
90 days to enroll or change
coverage after Qualifying Life
Event Change
60 days to enroll or change
coverage after Qualifying Life
Event Change
Life Event Enrollment
Changes
Make changes online or by
calling the Retiree Service
Center
Complete enrollment form
Dow Corning INTERNAL
• Dow Corning, like Dow, implemented a contribution cap years ago
• The following note has been taken from the Dow Corning Retiree
open enrollment booklets
IMPORTANT NOTE REGARDING PRICING AND CREDITS…
Dow Corning provides a subsidy of up to $6,000 for retiree only,
$12,000 for retiree plus one and $18,000 for retiree plus two or more
toward the cost of health care coverage. Your premium is the
difference between the actual cost of the plan and this subsidy. The
cost of every plan now exceeds this subsidy so all future health care
inflation will cause your premium to escalate significantly. Retirees
who retired prior to reaching 85 points or 30 years of service or age
60 with 10 years of service have a pro-rated subsidy so the premium
increases are even more substantial.
A Note About Retiree Rates
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Dow Corning INTERNAL
• Trends (medical inflation) for the Dow Corning pre-Medicare
retiree population and the Dow Chemical pre-Medicare retiree
population were very disappointing: • Very difficult Specialty Pharmacy claims
• An increase in the number of catastrophic cases
• Affordable Care Act
• In view of these costs and the contribution caps, regardless of
the change in ownership structure of the company, Dow
Corning retiree rates were going to increase dramatically
A Note About Retiree Rates (Continued)
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Dow Corning INTERNAL
Pre-Medicare Retirees Medical Plan
16
2017 Plan
Design
MAP Plus Option 1
Low Deductible
MAP Plus Option 2
High Deductible HMOs
In-Network Out-of-
Network In-Network
Out-of-
Network
Deductible
• Individual
• Family
• $125/$100 (Rx)
• $375/$300 (Rx)
• $500/$100 (Rx)
• $1,500/$300 (Rx)
• $2,000
• $4,000
Max of $2,600
for one person
• $4,000
• $8,000
None or
minimal
Out-of-Pocket Max
• Individual
• Family
• 4% of last base
annual salary
• 8% of last base
annual salary
Max of $7,150
per person
• 8% of last base
annual salary
• 12% of last base
annual salary
• $4,000
• $8,000
Max of $4,000
for one person
• $8,000
• $16,000
Varies
Full Service
Premiums
• Retiree Only
• Retiree + Spouse
• Retiree + Child(ren)
• Family
Monthly
• $ 640
• $1,281
• $1,281
• $1,921
Monthly
• $218
• $437
• $437
• $655
Varies
1) In-Network Out-of-Pocket Maximum is limited to $7,150 / $14,300.
Dow Corning INTERNAL
Pre-Medicare Retirees Medical Plan PPO Differences
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Dow DCC
Deductible • $125 Medical (ind)
• $100 Pharmacy
• $350
Out-of-Pocket
Maximum
• Individual
• Family
Based on percentage of salary: • 4% individual of last base annual salary
• 8% family of last base annual salary
Max of $7,150 per person
• $1,750
• $3,500
• $5,250
Office Visit
Copay
$20 Primary Care Visit
$50 Specialty
$15 Primary Care Visit
$30 Specialty
Coinsurance 15% for most services 10%
Prescription Drugs
Generic / Brand Formulary
/ Brand Non-Formulary 20%* / 20%* / 30%* $10 / $20 / $35
• After an initial retail prescription and two refills, the coinsurance will move to 50% unless you use mail order.
• Maintenance Choice Program allows you to get your mail order
prescriptions at CVS.
Dow Corning INTERNAL
Pre-Medicare Retirees Medical Plan HDHP/CDHP Differences
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Dow DCC
Deductible • $2,000 Individual
• $4,000 Family
• $1,300 Individual
• $2,600 Family
Out-of-Pocket
Maximum
• $4,000 Individual
• $8,000 Family
• $2,600 Individual
• $5,200 Family
Coinsurance 20% in-network for
most services 10% in-network
Prescription Drugs
Generic / Brand
(Formulary/Non-
Formulary)
20% / 20% / 20% $10 / $20 / $35
• There is no financial incentive to use mail order, though it is an available option for HDHP/CDHP participants.
• Maintenance Choice Program allows you to get your mail order prescriptions at CVS.
Dow Corning INTERNAL
• National vendor is Aetna rather than BC/BS.
• Blue Care Network is also available in Great
Lakes Bay Region Area.
• Coverage very similar but specifics available in
the Summary Plan Description (SPD) via Dow
Friends website.
• Working spouse information must be given
every year as part of annual enrollment for all
pre-Medicare spouses. Your spouse will be
dropped from coverage if not completed.
• Four coverage tiers instead of three:
Retiree, Retiree+S/DP, Retiree+Child(ren),
Retiree+Spouse/DP+child(ren).
Pre-Medicare Retirees Medical Plan Differences (all plans)
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• Retirees who waive coverage at age 65 or over, and later seek to re-enroll,
will not be eligible unless they can show proof of active employer coverage
or coverage from a discontinued employer retiree plan immediately prior to
enrolling in Dow retiree coverage
Dow Corning INTERNAL
• No employer contribution to HSA.
• Make individual contributions - no payroll deductions
Important HSA Information
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Health Equity Fees
Monthly
Administration
Free – however, balances below $2,500 will incur
a $3.95 monthly fee
Paper Statement $1.00 per statement
Account Closure $25.00
Dow Corning INTERNAL
• Check to make sure your provider is in the Aetna network, if
you choose an Aetna plan, by accessing Doc Find online or by
calling Aetna.
• Pre-Medicare working spouse reminder: If spouse/DP works
full time and is offered subsidized employer coverage, then
they must enroll in their employer coverage as primary. You
must complete the working spouse verification during annual
enrollment each year.
Important Reminders
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Dow Corning INTERNAL
Dental Plan • Dental is no longer offered as a group plan with pension deductions
• Enroll directly through Delta Dental – mysmilecoverage.com/dow or call Delta Dental directly at 800-971-4108
Vision Plan*
• Vision is no longer offered as a group plan with pension deductions
• Administered by VSP – in-network and out-of-network coverage
• Enroll directly with VSP – go to dowretirees.vspforme.com or call VSP
directly at 800-400-4569
2017 Premiums: Monthly
Retiree Only $12.80
Retiree + 1 $25.61
Family $30.10
Dental and Vision Plans
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* Coverage for an eye exam each year continues to be available through a Dow medical
plan if you do not elect to participate in the vision program.
Dow Corning INTERNAL
• Not offered to retirees going forward
• If currently enrolled, your coverage will end December 31, 2016
• Legal Plan coverage may be continued with Hyatt Legal
Services for 30 months at the same rate offered today, but you
must pay the entire premium upfront, in full – Premium for 30 months is $397.50 ($13.25 x 30 months)
– Continue coverage by contacting Hyatt Legal Services Plan at 800-
821-6400 within 30 days of loss of coverage
Legal and AD&D Plans
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Dow Corning INTERNAL
Retiree Life Insurance Group Term Life Policies – Administered by MetLife
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Coverage Retiree Life Coverage
Company-
Paid
• Pre-65: 1X final base salary + $5,000
• Post-65: ─ Ages 65-69, coverage reduces from 1X final base
salary + $5,000
─ Age 70 and older is $5,000
Retiree-Paid • Current coverage will continue to age 65, if
premiums are paid
• Any life coverage currently in place will transition over from
Minnesota Life to MetLife
• For life insurance lost or reduced, conversion/portability options
offer opportunities for you to continue coverage through a
separate policy with MetLife
Dow Corning INTERNAL
• Provides counseling and services to help you cope with any major loss,
such as death, divorce, serious medical diagnosis, loss of pet, etc.
─ Receive confidential support from licensed professional counselors,
either in person or by phone.
─ You, your dependents and beneficiaries are eligible for up to 5
counseling sessions per event, at no cost to you.
─ Additional services and information are also available from research
specialists if needed.
─ Call 1-855-609-9989 (24/7 toll-free number), or log onto
https://griefcounseling.harrisrothenberg.net/default.aspx
─ Username: MetLife
─ Password: grief
Grief Counseling Available to Retirees with Company-Paid Life
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Dow Corning INTERNAL
Will Preparation/Estate Resolution Services Available to Retirees with Pre-65 Retiree Optional Life
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• Will Preparation Service
─ Prepare or update a standard will at no cost, using one of Hyatt
Legal Plans’ more than 10,000 network attorneys.
─ Using a non-network attorney, receive partial reimbursement for will
preparation - current reimbursement limits are:
─ $150 for employee will, and
─ $175 for employee and spouse will
─ Call Hyatt Legal Plans (1-800-821-6400) – state you are a Dow
retiree with Optional Life coverage, Group Number 11700, and are
calling about Will Preparation Service.
• Estate Resolution Service
─ Provides assistance to your executor, beneficiaries, etc. in settling
your estate – available by calling Hyatt Legal
Dow Corning INTERNAL
Omada uses a multi-faceted approach that includes:
Expert one-on-one Health Coaching
Small Group Support with private online peer groups for
encouragement
Health Data Monitoring
Interactive Program that adapts to you
Weekly Online Lessons to educate and inspire
• Dow covers the cost of the program; you pay nothing ($700 value).
• Your participation in the program is voluntary and your responses will
be handled confidentially.
• No individually identifiable data will be shared with Dow.
• If you have questions, please contact your local Health Services
representative or call the Retiree Service Center at (800) 344-0661.
Pre- Medicare Retirees Omada Diabetes Prevention Program
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Dow Corning INTERNAL
Company-Paid and Retiree-Paid Life Insurance
• Life insurance beneficiaries on file with Minnesota Life will be
transferred to MetLife in January 2017.
– Beneficiaries selected for the Company-Paid Life Insurance plan
will be used for all insurances unless you designate a different
beneficiary for other plans.
>> Through December 2016, change beneficiaries with Minnesota
Life.
>> From January 2017 forward, designate beneficiaries with
MetLife at https://mybenefits.metlife.com/MyBenefits, or click on
“Change My Beneficiaries” on the Dow Benefits website.
Retirees’ Savings Plan
• Register beneficiary information on Fidelity’s web site at https://nb.fidelity.com/public/nb/dow/home or rely on defaults defined in Summary Plan Description (SPD)
Beneficiary Designation
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Dow Corning INTERNAL
DowFriends Website • General retiree plan information and retiree forms for health and
insurance plans are available on the DowFriends website
(http://www.dowfriends.com).
Retiree Service Center (for health and insurance benefits) • (877) 623-0661
• E-mail: Dow Benefits website, “Message Center”
• 8:00 a.m.- 6:00 p.m. ET (Monday-Thursday)
• 8:00 a.m.- 5:00 p.m. ET (Friday)
Aetna • https://www.aetna.com
• 1-800-US-AETNA (1-800-872-3862)
• 8:00 a.m. - 7:00 p.m. ET
Resources
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