Presentation on theme: "Johnson County Board of Education"— Presentation transcript:
1Johnson County Board of Education Note: An important step in the enrollment process is to get the employer’s approval of your slides prior to the group meeting.Your role in the group meeting is to describe the employer’s entire benefits package. This makes it challenging to provide you with a one-size-fits-all presentation. What you have in the slides that follow are some possible options for the employer’s presentation. You will need to determine which slides you can modify and use and which ones you’ll have to eliminate completely.In the basic presentation we have assumed that the employer is offering only one health plan option and that plan takes a consumer-driven approach using an HRA. Some employers may want to position this as a personal benefits account.Slide 4-10 attempt to take you through a consumer-driven only approach. Slides provide you some optional slides to use if the employer will be offering more than one option for their medical insurance. If they are using an HRA or HSA, you will need to select the appropriate slides to include.Your 2010 Voluntary Benefits Briefing
2Colonial Supplemental Insurance Colonial Agents will be available on:September 20st and 22nd – Middle/High SchoolSeptember 22nd and 23rd – Elementary School
3Premium Only Plan Flexible Benefits Programs Also called “Cafeteria Plans”Premium Only Plan is available through your employerIRS Code Section 125 allows selected employee benefits to be deducted from Gross EarningsLowers taxable income, increases spendable incomeElections must be maintained for a yearExceptions: Family Status, Employment Status, Leaves of Absence, Major Health Plan changes
4Premium Only Plan Flexible Benefits Programs As part of your benefits plan, you may have Medical, Dentalor other non-Colonial BenefitsEach Enrollee should:Be aware of what the plan provides youSome coverage have 100% paid benefits (wellness, preventive care) that make your premium contribution worthwhileBe aware of out-of-pocket expenses that can add financial stress to an already stressful eventCo-payments, deductibles, annual maximums can limit your ability to maintain your lifestyle
5Why Supplemental Insurance? Ask yourself, “If something happened to me TODAY, could IPay my rent or mortgage?Put food on my table?Keep my car on the road?Pay my bills? (especially heating andelectricity)Provide for my children?Can you support or maintain your lifestylein the face of reducing personal assets tomeet your expenses?
6Supplemental Insurance Benefits These Voluntary benefits are designed to protect your assets and reduce your out-of-pocket expensesMedical Bridge 3000**Special Medical Bridge offer this year**Short Term DisabilityLong Term DisabilityAccident CareCancer SecurityCritical Illness InsuranceLife Insurance
7Colonial Life The Advantage of Colonial Life plans: Most plans pay in addition to other benefits you may have with other insurance companies.Benefits are paid directly to you, unless you specify otherwise.With most plans, you can keep your coverage even if you change jobs or retire.Most plans are guaranteed renewable.Prompt and courteous customer service.
8Colonial Life Hospital Confinement Indemnity Insurance Often referred to as “Gap” or “Medi-Gap” plansDesigned to supplement your existing major medical coverage.Lump-sum benefit helps you to pay medical and non-medical expenses associated with a hospital stay, such as:Deductibles or co-payments.Diagnostic TestsEmergency Room FeesProduct underwritten by Colonial Life & Accident Insurance Company.Policies have exclusions and limitations that may affect benefits payable. All plans may not be available in all states and benefits provided may also vary by state.
9Medical Bridge 3000 Hospital Indemnity Colonial’s Medical Bridge 3000 covers:Hospital Confinement – you choose $500 or $1000 benefitOutpatient surgery in a hospital or surgery center - $500 or $1000 benefit, depending on procedure$250 Diagnostic Testing Benefit$150 Emergency Room Benefit$50 Wellness Benefit$25 Doctor’s Office Benefit
10Medical Bridge Hospital Indemnity Benefits are paid regardless of other insurance coverage and paid directly to youCoverage is portableGuaranteed renewable for lifePre-existing condition clause is in-forceMonthly Rates (age 17-49):Confinement Benefit: $500 $1000Individual: $ $36.75Employee + Spouse $ $74.40One-Parent Family $ $73.90Two-Parent Family $ $88.00
11Medical Bridge 3000 Special Disability Offer Special Offer for 2010Post-Enrollment Guaranteed Issue for ALLeligible employeesPre-existing condition limitations: 12/12Portable & Renewable to 65 & age 70 if employedApplications must be completed, but all questions willbe ignored and discarded by home officeParticipation of 15% of all employees required, ifmet, ALL Applications will issue!!NOTE – if participation requirement is NOT met, medical questionswill be reviewed and qualified applications will issue. Your benefitscounselor will advise you of your status at the time of application.
12Colonial Life Short-Term Disability Insurance Helps protect your income and lifestyle if you are unable to work due to a covered accident or covered sickness.Use benefits to help pay for:Mortgage or rent payments.Utility bills and other household expensesUse the money where it’s needed mostProduct underwritten by Colonial Life & Accident Insurance Company.Policies have exclusions and limitations that may affect benefits payable. All plans may not be available in all states and benefits provided may also vary by state.
13Disability 1000 Short Term Disability Replace lost income in the event of disability due toaccident or sicknessMaximum 66 2/3% of salary coverage availableMonthly maximum benefit of $5,000 Choice ofelimination periods3, 6, 12* or 24 month benefit periodPre-existing condition limitations: 12/12Portable & Renewable to 65 & age 70 if employedGuaranteed Issues for all NEW Employees
14Insurance Benefit Short Term Disability Period of DisabilitySTDLTDReturn to Work –Benefits EndShort Term Ends – File Long TermElimination Period Ends – File Short TermStart of Disability – Enter Elimination Period
15Insurance Benefit UNUM Long Term Disability 24 hour coverage, worldwide coverage365 day elimination period for injury or sicknessMonthly Gross Disability Benefit = 60%Monthly Benefit Maximum = $6,000Benefit period = to age 65No premiums while disabledCoverage can be extended for 12 months if you leave workplacePre-existing conditions not covered for 24 monthsStandard underwriting rules are in effect. Guaranteed issue for NEW employees only.
16Insurance Benefit UNUM Long Term Disability When are you considered disabled?When proof is provided that you:are disabled due to sickness or injuryrequire the regular care of a physicianHow is your benefit determined?Benefits are based upon a percentage of income to be replaced.What if your disability occurs again?If a disability reoccurs within 6 months, it will be treated as a continuation.
17Voluntary Insurance Benefit Pre-Existing Conditions Exclusion Applies to Disability 1000 and Medical Bridge 3000 for 12 monthsApplies to Long Term Disability for 24 monthsCertain “pre-existing” conditions may not covered for specified periodAny condition treatment or advice from the 12-months prior to the application date may not be covered for the 1st 12-months of coverage (24 months for LTD)Any claim submitted in the 1st 12-months a policy is in force will initiate a medical records review for the 12-months prior to the application date (24 months for LTD)
18Colonial Life Accident Insurance Helps pay the direct (medical) and indirect (non-medical) expenses that may result from a covered accident.Provides benefits for initial care and treatment, in addition to some follow-up care that you may need.Product underwritten by Colonial Life & Accident Insurance Company.Policies have exclusions and limitations that may affect benefits payable. All plans may not be available in all states and benefits provided may also vary by state.
19Colonial Supplemental Insurance Accident Care Colonial’s Accident Insurance offersFamily coverage for you, your spouse and your childrenDesigned to help you recover out-of-pocket expensesBenefits paid directly to youBenefits paid regardless of other insuranceCoverage is worldwidePolicy is portable
20Accident Care Benefits Initial CareAmbulance, ER Treatment, Doctor’s OfficeOpen or Thoracic SurgeryBlood, Plasma, PlateletsTransportation and LodgingHospital Admission and ConfinementFollow-up CareAccidental Death and Dismemberment
22Accident Care Additional Options Health Screening BenefitAccident Only Disability IncomeAccident/Sickness Disability IncomeSickness Hospital ConfinementMonthly Rates (Base Plan):Individual: $14.25Individual w/Spouse $20.00One-Parent Family $25.75Two-Parent Family $31.50
23Colonial Life Cancer Insurance Helps protect you against the indirect costs and other expenses associated with cancer diagnosis and treatment.Benefits payable for:Specified cancer screening tests.Diagnosis of skin cancer.Hospital confinement and surgical benefits.Radiation/chemotherapy.Transportation and lodging.Product underwritten by Colonial Life & Accident Insurance Company.Policies have exclusions and limitations that may affect benefits payable. All plans may not be available in all states and benefits provided may also vary by state.
24Colonial Supplemental Insurance Cancer 1000 The risk of developing cancer is, unfortunately, very real .The lifetime risk for men is 1 of 2, and for women 1 of 3Improved treatment and screening make cancer more detectable and survivable than ever.5-year survival rate for screening accessible cancer is 80%It could be as high as 95% if everyone took advantage of regular screeningCancer costs exceed $174 Billion annually in the U.S.ONLY 35% are Medically related expensesPrimarily indirect and hidden costsnot covered by major medical plans
25Cancer 1000 Benefits Wellness Benefit. Annual benefit for 17 diagnostic tests performed$1,000 - $5,000 Initial Diagnosis BenefitDefray up-front, immediate costsBone Marrow donor/donation benefits.Inpatient BenefitsUp to $300/day for 30 daysTransportation and lodging for companionBenefits paid directly to you, regardless of other insuranceGuaranteed Renewable, Portable
26Cancer 1000 Treatment Benefits Radiation/Chemotherapy, Medication, Blood and Plasma, ProsthesisMedical Imaging$250 per scan/$500 annual maxInpatient and Outpatient SurgeryExtended Patient Care
27Cancer 1000 BenefitsIndividual, one-parent and two parent family plans4 options available, select benefits to suit your needsOptional coverageFirst DiagnosisProgressive PaymentSpecified DiseaseMonthly Rates (Base Plan):Individual: $26.50One-Parent Family $30.00Two-Parent Family $45.00
28Colonial Life Critical Illness Insurance Helps protect your financial security if you experience a specified critical illness such as heart attack (myocardial infarction), or strokePays a lump-sum benefit upon diagnosis.The benefit is paid to you unless you specify otherwise—use the money where it’s needed most!Product underwritten by Colonial Life & Accident Insurance Company.Policies have exclusions and limitations that may affect benefits payable. All plans may not be available in all states and benefits provided may also vary by state.
29Colonial Supplemental Insurance Critical Illness Insurance Did you know?The average age at which Critical Illness strikes is 43.Stroke is the leading cause of serious, long-term disability in the U.S.1 in 3 men and women have some form of cardiovascular diseaseAn estimated 1.2 million Americans will have a first or recurrent coronary attack this yearThe chances of surviving a critical illness are better than ever -- could you survive the impact on your finances?
31Colonial Supplemental Insurance Critical Illness Insurance BenefitsMaximum Face Value $75,000Medical Underwriting varies at lesser amountsSpouse Benefit is 50% of named insuredDependent Children Benefit is 25% of named insuredLump Sum Payment -- paid directly to you and can be utilized for related expenses you chooseSubsequent Diagnosis Benefit – reduced benefit paid for previously diagnosed illness for which benefits have been paidGuaranteed Renewable and Fully PortableRates vary depending age of names insured and face value
32Colonial Supplemental Insurance Life Insurance In general, there are two forms of life insurance:Term Life:Easy to get and inexpensiveInsurance ProtectionNo cash build-up, no additional valueProtect your family and their futurePermanent LifeUniversal Life, Whole LifeCash value builds as policy agesPremium never changesInvest in your own, or your families future
33Colonial Supplemental Insurance Term Life 1000 Term Life provides affordable insurance protection. There are two plans available:10, 20 and 30 year terms availableFace amounts of $10,00 to $500,000Guaranteed level premiums for the entire term, based on issue ageAnnual renewal after term is completedConversion privilege to permanent life insuranceCoverage available for Employees and spousesChild Term Rider is available for dependent childrenUp to age 18 to issue, coverage in force to age 25
34Colonial Supplemental Insurance Universal Life Insurance Permanent, “cash-value” insuranceCombines cash building characteristics of Whole Life, with the higher face amounts of Term LifeGuaranteed to build at 4% annuallyGuaranteed renewable and portableSeveral optional “riders” allow you to tailor plan to your needs:Additional Term RiderAccidental DeathWaiver of PremiumGuaranteed Purchase OptionNEW!! Long Term Care Rider
35Colonial Supplemental Insurance Universal Life Insurance NEW - Long Term Care RiderAllows insured to access Universal Life policy death benefit to pay for Long Term Care expenses6% maximum on a monthly basisInsured must meet “Activities of Daily Living” Criteria prior to useMust need assistance in 2 of 6 ADL’sBathing, Continence, Dressing, Eating, Transferring, and ToiletingCovers expenses for Long Term Care, Assisted Living, Home Health Care or Adult Day Care FacilitiesRestoration of Benefits Riders protects original death benefitIf death occurs after Long Term Care benefits are utilized, this option restores the original death benefit
36Colonial Supplemental Insurance Universal Life Insurance Spouse CoverageUniversal Life -- Duplicate the same benefits as offered to you -- even if you don’t buy a policy for yourselfSpouse Term Rider in addition to your Life PolicyJuvenile CoverageUniversal Life -- policy for each childLow rates at younger age, coverage continues even if health problems developOpportunity to increase coverage at age 18, 21 & 24
37Colonial Supplemental Insurance Universal Life Insurance Additional Coverage AvailableAccidental Death*Waiver of Monthly Deduction*Additional Coverage TermGuaranteed Purchase OptionAccelerated Death BenefitNot an option, built in to all Colonial Life insurance plansIf the named insured is diagnosed terminally ill, with 12 month orless to live, Colonial will pay up to 75% of the death benefit in advance
38Why Supplemental Insurance? Ask yourself, “If something happened to me TODAY, could IPay my rent or mortgage?Put food on my table?Keep my car on the road?Pay my bills? (especially heating andelectricity)Provide for my children?Can you support or maintain your lifestyle in the face of reducing personal assets to meet your expenses?
39Questions???You can contact your Colonial Representative, Hal Doyle for more information prior to the open enrollment:HAL DOYLECell Phone ––
40Annual Enrollment Changes are effective … …10/01/2010Colonial Benefit Representatives will be available on from September 20st through 23th … all employees must be seen
41What Happens Next? Take advantage of your options. Don’t be afraid to ask questions.We will meet with you individually to help you tailor your benefits plan to your needs.