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H.B. Fuller Company 2010 Open Enrollment: PowerPoint PPT Presentation

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H.B. Fuller Company 2010 Open Enrollment:. Helping you Buy Well, Use Well, Be Well. October, 2009. Today’s Discussion. Overview of 2010 medical options Tools and resources How and when to enroll Incentives reminder and sales pitch. PURPOSE OF TODAY’S MEETING:

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H.B. Fuller Company 2010 Open Enrollment:

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H.B. Fuller Company2010 Open Enrollment:

Helping you Buy Well, Use Well, Be Well

October, 2009

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Today’s Discussion

  • Overview of 2010 medical options

  • Tools and resources

  • How and when to enroll

  • Incentives reminder and sales pitch


To help you understand your medical plan options

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Medical Plan

1 Medical Plan

3 Options for Paying

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Medical Plan Options Summary

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Why change ER Co-pays?

  • Our ER usage is higher than the general population

  • Cost of emergency room is $550-750/visit versus $110-150 for regular office visit

  • Most of our ER usage was considered preventable

  • Emergency Room alternatives:

    • Have a family doctor (Medical Home)

    • Get regular preventive care

    • Use Urgent Care or Walk In Clinics before the ER

Aetna’s DocFind has a link for alternatives to the ER

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Medical Plan Options Summary

Deductible – the amount you pay before the plan pays

* This is an additional deductible – not part of in-network.

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Deductible Example (Value 750)

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Medical Plan Options Summary (cont.)

Co-insurance: The percentage of the cost you pay after you meet your deductible

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Medical Plan Options Summary (cont.)

Out of Pocket Maximum: The most you will pay out of pocket for the year

Separate maximum for in-network and out-of-network.

*OOP Maximum for out-of-network does not include costs over “reasonable and customary”

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Claims Payment Comparison

* Office visit co-pays, ER co-pays pharmacy co-pays not included

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Medical Plan Premiums

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Why is the Market 500 higher?

  • We are self-insured. This means our rates are based on our volume of medical claims.

  • Claims costs per employee for this option through July are considerably higher than the other options:

    • $1,500/person for Market 400 versus $705/person for Value 750

  • Premiums adjusted based on option costs

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Pharmacy Coverage

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Pharmacy Example

Example cost for non-formulary drug:

Retail Drug Cost: $450

Aetna Negotiated Rate: $292

You pay: Market 500 (50%) $80 (ongoing)

Value 750 (50%) $80 (ongoing)

High Deductible* $292

* Pay full amount until deductible is met

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Key Features of an HSA

What is an HSA?

It is a savings account that is owned by you and is associated with a High Deductible Health Plan

  • Tax-free contributions to pay for current and/or future medical expenses

  • Interest earned tax free

  • Flexible – you choose when or whether to use the account for health care expense

  • Banking services provided by JPMorgan Chase Bank. Some fees required.

  • Easy access to funds through debit card

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HSA Tax-Qualified Expenses

  • Includes expenses such as:

    • Deductibles

    • Coinsurance

    • Not covered but eligibleIRS expenses

    • Prescription drugs

  • It also includes expenses for:

    • COBRA-continuation coverage

    • Health plan coverage while receiving unemployment compensation

    • Medicare premiums and out-of-pocket expenses

    • Qualified long-term care insurance

Employees are responsible for keeping all receipts and records, demonstrating that HSA dollars were used for qualified health care expenses.

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Long Term Disability Plan

Changes for 2010:

  • This is an employee-paid benefit

  • You will be auto-enrolled for 50% coverage

  • The Company will reimburse your premium

  • No buy-up option

    Why the change?

    Since this is a post-tax benefit, you will not pay taxes on any amount you receive while on long-term disability.

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Total Absence Management

For 2010, our disability and Family Medical Leave programs will be managed by UNUM

Why the change?

  • To gain consistency throughout the country.

  • To better manage our disability programs.

  • To employ expertise for managing FML program.

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Resources and Tools

For help with your benefit plan questions:

  • October 2009 For Your Benefit newsletter

  • 2010 Open Enrollment Guide (online)

  • Aetna:


    Aetna Navigator

    Plan Selection and Cost Estimator Tool

    Customer Service line (plan questions)

  • Benefits Connection (general benefits)

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Do I need to enroll this year?

You must enroll if:

  • You want to change your medical plan

  • You have a High Deductible Plan and want to put money into a Health Savings Account through payroll deduction

  • You want to put pre-tax money into a Flexible Spending Account for Health Care or Dependent Care

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What if I don’t Enroll?

If you don’t enroll, your benefit elections from last year continue, EXCEPT:

  • Flexible Spending Account deductions go to $0

  • Health Savings Account deductions go to $0

  • You are automatically enrolled in Long Term Disability

  • Those in the Market 400 plan in 2009 will be enrolled in the Market 500 plan for 2010

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How and When to Enroll

Enroll between October 28 and November 11

  • To enroll online, you will need:

    • your 6-digit employee ID (on your pay stub)

    • Your PIN (Unless changed, PIN is last four digits of SSN)

  • To enroll by phone:

    • Call Benefits Connection weekdays between 8:00 am. And 5:00 p.m. Central time

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What happens after I enroll?

Make sure that your enrollment is correct. To do so:

  • Print a copy of your enrollment elections at end of your online session

  • In early December, confirmation statements will be sent to everyone by mail

  • Review the statements carefully

  • Call Benefits Connection by December 14 if you need to make corrections.

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Incentive Program Status

2009 Incentive Program Ends November 30

Make sure you:

  • Take your Health Assessment – learn about your health and earn $150

  • Review incentives on Aetna Navigator

  • Complete programs by 11/30 to get an incentive

  • Aetna tracks doctor, dental and program completion

  • If you don’t have our medical coverage, see me

    Watch for 2010 program details in December

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Thank you for your time!


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