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2011 Annual Benefits Open Enrollment

2011 Annual Benefits Open Enrollment. Agenda. 2011 Insurance Overview Presentation Medical insurance changes Cafeteria Plan Funding/Dependent Medical Premium Supplements Health Savings Accounts – new banking institution Flexible Spending Accounts – Over-the-Counter claim changes

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2011 Annual Benefits Open Enrollment

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  1. 2011 Annual Benefits Open Enrollment

  2. Agenda • 2011 Insurance Overview Presentation • Medical insurance changes • Cafeteria Plan Funding/Dependent Medical Premium Supplements • Health Savings Accounts – new banking institution • Flexible Spending Accounts – Over-the-Counter claim changes • UnitedHealthcare Presentation • Plan design features • Provider network • Treatment Cost Estimator and Rx Cost Estimator features • Myuhc.com • 2011 University Paid Leaves Presentation • Paid Sick Leave and Short Term Disability • Paid Time Off (PTO) – Applies to staff only

  3. 2011 Insurance Highlights • Medical Insurance • Change to UnitedHealthcare • Premium decrease • Changes in Cafeteria Plan Funding • University-paid dependent premium supplements for Base Plan (formerly plan B) • Health Savings Account (HSA) and Medical Reimbursement Account (MRA) options • Rx copays • Dependent children age limit – through age 26 (per Patient Protection and Affordable Care Act)

  4. 2011 Insurance Highlights • Dental and Vision Insurance • Delta Dental of MO and VSP • Approximate 6% increase in premium • Enhanced Vision Plan B allowance • Flexible Spending Accounts (MRA and Dependent Care Assistance) • PowerGroup Administrators • Changes to Over-the Counter Claims Reimbursement Guidelines (per Patient Protection and Affordable Care Act)

  5. 2011 Medical Insurance • UnitedHealthcare • 13% decrease in employee only premium • 43% decrease in premium for Pre-Medicare retiree premiums • Same deductible/cost share levels • Rx copays • Health Savings Account (HSA) banking option • Plan coverages and provider network to be discussed during upcoming UnitedHealthcare presentation

  6. 2011 Medical Insurance • Base Plan (formerly Plan B) • Employee premium 100% paid by University • $750 in cafeteria plan funding • After $1,500 deductible…$10/$30/$50 Rx copays • University-paid supplement for dependent premiums • Spouse = $75/month supplement • Child(ren) = $100/month supplement • Family = $200/month supplement • Health Savings Account (HSA) option available • Family members required to meet family deductible • Medical Reimbursement Account (MRA) option available • Family members can meet individual deductible

  7. 2011 Medical Insurance • Accelerated Plan (formerly Plan A) • Employee contribution to employee only premium based on 2009 calendar year reported Form W-2 Medicare wages (box 5) • $250 cafeteria plan funding • $10/$30/$50 Rx copays, not subject to deductible or cost share • MRA will be available

  8. 2011 Medical Insurance EmployeeMonthly Premiums

  9. 2011 Medical InsuranceDependent Premiums with Adjustments • Base Plan: Employee Only Premium 100% Paid by University

  10. 2011 Medical InsuranceEmployee and Dependent Monthly Premiums with Adjustments • Accelerated Plan: Employee Contribution to Employee Only Premium ($22-$90/month)

  11. 2011 Medical Insurance Retiree Monthly Premiums

  12. 2011 Medical InsuranceCafeteria Plan Funding • Base Plan - $750 • Can apply funding to: dependent medical premiums, health savings account (HSA), medical reimbursement account (MRA), vision and dental premiums, and/or dependent care assistance • Accelerated Plan - $250 • Can apply funding to: employee’s portion of medical premium, dependent medical premiums, vision and dental premiums, medical reimbursement (MRA), and/or dependent care assistance • Prorated funding for part-time employees

  13. Health Savings Account (HSA) • Available with Base Plan • New Banking Institution: OptumHealth Bank (www.optumhealthbank.com) • Account features: • Balances roll over year after year • Interest-bearing • Portable • Use to pay for qualified medical expenses

  14. Health Savings Account (HSA) • Contributions • Both employer and employee contributions are permissible • Employer contribution via Cafeteria Plan funding • ½ of annual amount contributed in January • Remaining ½ contributed February - December • 2011 maximum contribution levels: • Single Coverage = $3,050 • Family Coverage = $6,150 • 2011 Age 55+ Catch Up: Additional $1,000

  15. Health Savings Account (HSA) • Distributions • Tax-free if used to pay for qualified medical expenses • Monies must be available in account at time of distribution • Use for qualified expenses incurred on or after account is established • Can apply qualified medical expenses of spouse and children, even if not covered by your medical insurance

  16. Health Savings Account (HSA) • Distributions • Qualified Medical Expenses: • Deductibles • Cost Shares • Out of pocket costs on medical claims • Over-the-counter medical items • Medicare insurance premiums • COBRA premiums • Long Term Care insurance premiums • Patient Protection and Affordable Care Act legislation – Requires a doctor’s prescription for over-the-counter medical items. Keep copies of both prescription and receipt for your records.

  17. Health Savings Account (HSA) • Serviced through OptumHealth Bank • If electing HSA for first time: • University will initiate process to open/activate accounts • After activation, Welcome Kits will be mailed to members • For current HSA holders: • ACS/Mellon accounts will begin to incur monthly fees after 1/1/2011 – to avoid this: • Consider rolling over funds to OptumHealth Bank • Print and complete forms from HR website: • Mellon Bank form: http://www.semo.edu/president/images/HR_HSAFormTrusteeToTrustee.pdf • OptumHealth Bank form: http://www.semo.edu/president/images/HR_HSA-RolloverTransferForm.pdf • Mutual fund investment options • All set up and monthly fees paid by University while having Base Plan coverage • OptumHealth Bank: 1-866-234-8913

  18. 2011 Flexible Spending Accounts (MRA and Dependent Care Assistance) • PowerGroup Administrators • MRA – • Available for both Base Plan and Accelerated Plan • Monies can be claimed immediately • “Use or Lose” feature, no roll over • Dependent Care Assistance – • Available for both Base Plan and Accelerated Plan • Monies must be available in the account in order to claim reimbursement • “Use or Lose” feature, no roll over • Annual Contribution Maximums: $5,000

  19. 2011 Flexible Spending Accounts (MRA and Dependent Care Assistance) • Debit card feature • File claims using UHC insurance card before use! • Direct Deposit available • Complete PowerGroup Administrators Direct Deposit Authorization form on HR website • Substantiation of claims may be required per IRS guidelines • Patient Protection and Affordable Care Act legislation – will require a doctor’s prescription to accompany a reimbursement claim for some over-the-counter medical items

  20. 2011 Flexible Spending Accounts (MRA and Dependent Care Assistance) • Per PowerGroup, some categories that will fall under the Rx requirement: • Acid controllers, allergy/sinus medication, antibiotic products, anti-diarrhea, anti-gas, anti-itch and insect bite medication, anti-parasitic treatments, baby rash creams, cold sore remedies, cough/cold/flu medications, digestive aids, feminine anti-fungal/itch products, hemorrhoid preps, laxatives, motion sickness, pain relief, respiratory treatments, sleep aids and sedatives, stomach remedies, vitamins/supplements • Submit claim form with Rx for above related items

  21. 2011 Dental and Vision Insurance • Dental Insurance • Continue with Delta Dental of Missouri • Same coverage levels • Approximate 6.6% premium increase • Vision Insurance • Continue with Vision Service Plan (VSP) • Plan B Enhancement: $130 Allowance for eyewear • Approximate 6% premium increase

  22. 2011 Dental and Vision InsuranceMonthly Premiums Dental Insurance – Delta Dental of Missouri Plan A-Low OptionPlan B-High Option CurrentRenewalCurrentRenewal Employee $12.30 $13.12 Employee $28.42 $30.32 Spouse $14.08 $15.02 Spouse $27.70 $29.54 Children $28.66 $30.57 Children $42.72 $45.57 Family $41.92 $44.72 Family $74.08 $79.02 Vision Insurance – Vision Service Plan (VSP) Plan A-Exam PlusPlan B-Signature Plan CurrentRenewalCurrentRenewal Employee $2.88 $3.05 Employee $10.80 $11.44 Spouse $1.18 $1.25 Spouse $ 6.52 $ 6.91 Children $1.24 $1.32 Children $ 6.88 $ 7.29 Family $3.22 $3.41 Family $17.72 $18.78 Note: For total premium, add employee and dependent amounts.

  23. 2011 Life Insurance • Limited Open Enrollment period being offered by Anthem Life: • May elect one additional level of supplemental coverage up to Guarantee Issue ($100,000 in coverage) • Evidence of Insurability required for requested levels of coverage exceeding Guarantee Issue • Complete Application Form and send to Cynthia Paul in Human Resources, MS 3150, by November 30:http://www.semo.edu/hr/benfits/group_life_insurance.htm

  24. 2011 Open EnrollmentProcessing your enrollment… • November 15 – November 30, 2010 • Full-time (100% assignment) employees will once again use Employee Self Service to process Open Enrollment elections • Part-time (< 100% assignment) and dually employed spouse employees • Part-time employee premium contribution based on percentage of assignment • Will receive enrollment forms via email for completion and return to HR by November 30 • New medical insurance cards for 2011

  25. UnitedHealthcare Presentation

  26. Employee Paid Sick Leave Effective 1/1/2011 • Paid Sick Leave Accrual System • Verified Sick Leave - starting banks • Based on past 10 years’ sick leave usage as of December 31, 2010 • Will give 120 hours accrual per year, less actual usage ≤ 120 hours • Converts to a maximum bank of 1,040 hours • Unverified Sick Leave • Staff: Accrue 8 days annually; Faculty: Accrue 6.64 days annually • Hours accrued in excess of maximum annual accrual will roll over into verified sick leave bank • Balances on December 31, 2010, roll over • Qualifies for up to 6 months of additional service credit under MOSERS • MOSERS website capability to enter sick leave accrual and forecast a projected retirement benefit • Memo forthcoming

  27. Employee Paid Sick Leave Effective 1/1/2011 • Short Term Disability Plan • 30 Calendar Day Elimination Period: • Use Verified Sick Leave, Unverified Sick Leave and PTO for paid leave • At end of Elimination Period, employee can choose one of two options: • Continue using banked paid leaves at 100% pay; or • Use Short Term Disability policy at 60% pay • Cannot use leave time to supplement Short Term Disability

  28. Employee Paid Time Off (PTO)Effective 1/1/2011 • Paid Time Off (PTO) System includes: • Employee’s current vacation accrual schedule plus 92 hours of energy conservation leave • Maximum annual accrual limit: 340 hours • Maximum payout at termination – 240 hours • Current vacation balance rolls over into new PTO balance • PTO balances roll over from year to year • No change in paid holidays • Eliminate vacation buyback

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