Presentation on theme: "GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011."— Presentation transcript:
GROUP HEALTH BENEFIT PLANS OPEN ENROLLMENT Plan Year July 1, 2010 – June 30, 2011
2 Agenda Francis Parker School Benefit Plan updates Health Reform changes Open enrollment options Individual carrier presentations including perks and discounts offered by carriers
3 Medical Renewal Health Net Renewal came in with 14.5% increase in HMO rates. Continue with Health Net Medical Plans: Silver Network HMO Plan (does not include Scripps Medical Groups) Full Network HMO Plan (includes Scripps Medical Groups) PPO Plan
4 What’s Changed? Flex Benefit dollars increased to $245 per check for full-time participants 100% if you take the School’s medical plan Flex Benefit dollars for non-participants held flat at $175 per check Part-time Flex benefit dollars for those eligible employees working 50% or 80%
5 What Has Changed? Benefit levels under all three Medical plans remain the same. Dental: Out-of-Network Preventative Services will now include $50 Deductible Unum Voluntary Life - Open enrollment opportunity with Guaranteed Issue amounts for employees & spouses
6 Health Reform changes for Medical Reimbursement Account As of January 1, 2011, Over-the-counter medications will no longer be permitted. Make sure to take that into account when making your election this upcoming plan year
7 Health Reform changes for Overage Dependents For renewals occurring after September 23, 2010, overage dependents will be allowed to enroll under parents’ employer coverage. For renewals occurring after September 23, 2010, overage dependents will be allowed to enroll under parents’ employer coverage Dependents that are enrolled on a Health Net plan as of June 1, 2010 will be allowed to remain on the plan regardless of student status up to age 26.
OPEN ENROLLMENT PROCEDURES
9 Open Enrollment Options Opportunity for eligible full-time Employees to enroll or waive coverage Add or terminate your eligible covered dependents Terminate your coverage if you no longer wish to be enrolled in any of the benefits. Enroll in the Section 125 plan.
10 Open Enrollment Instructions Enrollment will be completed online through Benetrac. The login Employer ID is Fran9101 If you forgot your password the system will allow you to choose another one Open enrollment is June 7 – June 11.
Francis Parker School Employee Benefits Enrollment Presented by The Principal Financial Group ®
Dental Insurance A benefit that makes you smile.
Unit 1 preventative procedures – routine exams, teeth cleaning, fluoride treatments and x-rays Unit 2 basic procedures – simple oral surgery and fillings, root canal therapy, Unit 3 major procedures –crowns, dentures, bridgework, and implants Unit 4 orthodontic procedures – adult and child Your dental benefits
One of the largest dental provider networks in the U.S., with over 70,000 network locations. * Maximum for Units 1, 2, and 3 are combined. Unit 4 maximum benefit is a lifetime maximum. Point of Service Dental Plan
Benefits Beyond Dental VSP Access Plan VSP Access offers enrolled employees and their dependents discounts on vision services offered through VSP doctors- at no additional cost. Epic Xylitol Products receive discounts on Xylitol dental products offered through Epic dental. Xylitol is a natural sweetner used in toothpaste, oral rinse, mints and gum. More than 20 studies support Xylitol’s effectiveness in reducing tooth decay and preventing cavities. Other Discounts Weight Watchers Quitline- tobacco based counseling system
Voluntary Vision Insurance
Vision Care Insurance Exams (A)Frames and Lenses (B)Contact Lenses (C) Exams: $50 One Exam each 12 months Frames: $100 One set each 24 months Lenses: $50 for single vision $75 for bifocal $100 for trifocal $150 for lenticular Two lenses (one pair) each 12 months Contact Lenses: $150 The maximum payment for two contact lenses (one pair) will be equal to the maximum payment for single vision lenses plus frames. Your benefit maximum will equal either A+B or A+C, depending on your choice of glasses or contacts. You don’t have coinsurance or a deductible to satisfy for Vision Care Insurance
eService – 24/7 tools and resources about your benefits and click ‘login’ –Check your claim status online –Find local providers –Review your benefits –[Check balances] –Contact customer service eService from Principal Life
22 June 2, 2010 Voluntary Life/AD&D, BasicLife/AD&D, and Long Term Disability Francis Parker School
23 Basic Life/AD&D 1x your annual salary to a maximum benefit of $200,000 Guaranteed Issue Portable * Employees can change beneficiary designations at any time during the year, please contact Human Resources
24 Long Term Disability 60% of your monthly pre-disability earnings to $10,000/month 90 day elimination period 2 year usual occupation
25 Additional Benefits… Employee Assistance Program Travel Assistance Program Identity Theft Solutions
26 Supplemental Life and AD&D Employees can purchase Supplemental Life and AD&D insurance. Coverage is available to spouses and dependent children. Amounts are as follows: –Employee- In increments of $10,000 up to 5x salary with a maximum of $500,000. –Spouse- In increments of $5,000 up to 100% of the employee amount to a maximum of $500,000 –Children- In increments of $2,000 up to a maximum of $10,000 AD&D- Same schedule as Supplemental Life coverage * Employees can change beneficiary designations at any time during the year, please contact Human Resources
27 Plan Features Guaranteed Issue: No medical questions in amounts at or below: –Employee: $130,000 –Spouse: $50,000 –Children: $10,000 “Buy 10 Rule”: As long as you enroll in the minimum of $10,000 during open enrollment, you can elect coverage up to the Guaranteed Issue maximum at ANY OPEN- ENROLLMENT going forward as long as you are actively at work. There will be NO QUESTIONS ASKED
A tax free way to pay for certain annual expenses for you and your family! What is the purpose of a Flex Plan?
What do you mean… TAX FREE?
¨FICA (Social Security + Medicare) % ¨Federal Taxes - Start at 15% ¨State Taxes - Approximately 8% Place a portion of your salary per pay period into the Flex Plan before…
A Flex Plan allows you to pay for: ¨Certain Medical expenses ¨Dependent or Child Care expenses TAX FREE !!!
Flex vs. No Flex Spendable Income Reimbursed Expenses Net Pay Taxes (2) Taxable Gross Pretax Expenses Gross Pay $22,400 $0 $22,400 $9,600 $32,000 $0 $32,000 Without Flex $23,000 $2,000 $21,000 $9,000 $30,000 $2,000 $32,000 With Flex Group Health Insurance Premium Plan, MCRA, DCAPGroup Health Insurance Premium Plan, MCRA, DCAP Estimated FICA, Federal Income Tax and State Tax at 30%Estimated FICA, Federal Income Tax and State Tax at 30%
¨Medical Care Reimbursement Account redirect up to $6,000 annually nYour Medical Care election is available to you from the first day of the plan ¨Dependent Care Assistance Plan redirect up to $5,000 annually nDependent Care reimbursements are paid from available posted payroll contributions, dollar for dollar Plan Types
Deductibles Co-payments Over-the-counter items Massage Therapy Mileage to/from Doctor’s Office or Hospital Vision Services Laser Vision Correction Dental Orthodontics Qualified Medical Care Expenses Reimbursable up to $6,000 per year *For a complete list of all eligible expenses, please visit
Eligible Expenses In order to get expenses reimbursed, they must be… MEDICALLY NECESSARY! ** A letter of medical necessity may be required from your physician No Vitamins or Dietary Supplements No Toiletries / Sundry Items No lotions, soaps, creams, etc.
Can I stop or change contributions during the plan year? NO, unless there is a… Marriage Divorce/Legal Separation Birth Death Adoption/Change in Legal Guardianship Change in spouse’s insurance
Dependent Care ¨Dependent child must be under the age of 13 ¤Or dependent children who are physically or mentally incapable of self-care ¨Taxpayer ID# or SS# of person or organization providing care required Reimbursable up to $5,000 per year
Dependent Care covers the following while you work: - Babysitters - Day Care Centers - Nursery School/Preschool - After School Care Programs -Summer Day Camp -Adult Day Care Eligible Expenses
Flex Benefits Card ¨ For qualified expenses at approved locations ¨ No out-of-pocket expenses ¤ Your entire election amount is loaded onto the card as of the first day of the plan! ¨ No reimbursement requests to submit ¨ No waiting for reimbursement Medical Care Expenses Only
¨Your new Flex plan year begins July 1, 2010 and runs through June 30, 2011 ¨The last day to send in expenses for the Plan Year is August 31 st following the close of the Plan Year ¨Don’t forget to re-enroll! Plan Highlights
Sending In Your Reimbursement Request ¨Visit for easy submission and to track the status of your reimbursementwww.goigoe.com ¨Upload, , fax, or mail copies of receipts ¤Receipts must show date of service ¤Description of the item/service must be included ¨Reimbursements will be processed on the 7 th and 22 nd of each month and will be distributed by your payroll department ¨Requests must be received 4 business days prior to scheduled processing date
Insufficient Data…. ¨Charge card receipts ¨Balance due statements ¨If your form is filled out incorrectly, your claim cannot be paid
Use It or Lose It! Don’t let this happen to you! ¨Know how to use the plan & how not to use the plan ¨Only put in money for planned expenses ¨Use the worksheets to budget properly *Visit for more info to help you plan smarter!www.goigoe.com
Print & Complete Forms Access Worksheets Log in & view your account Upload requests for reimbursement Send questions to Participant Services Shop the online FSA store Visit us on the web at
Participant Services By Phone: , Option 1 Via Contact Igoe