Presentation on theme: "Enrollment and Health & Welfare Benefits (Active employees)"— Presentation transcript:
1Enrollment and Health & Welfare Benefits (Active employees) Caterpillar Inc. Employee Health, Life & Disability Benefit Program Caterpillar Inc. Group Insurance Plan A, Caterpillar Inc. Group Insurance Plan B, Caterpillar Inc. Group Insurance Plan 2004, Caterpillar Inc. Group Insurance Plan 2005In the event that the content of this document or any oral representations made by any person regarding the plan conflict with or are inconsistent with the provisions of the plan document, the provisions of the plan document are controlling. To the fullest extent permitted by law, Caterpillar Inc. reserves the right to amend, modify, suspend, replace or terminate any of its plans, policies or programs, in whole or in part, at any time and for any reason, by appropriate company action.CATERPILLAR CONFIDENTIAL: GREEN
2Caterpillar/Vendor interaction Aon HewittHealth & Welfare BenefitsEligibility,Investments and PensionAdministrationMetLifeLife InsuranceHMOMedical ClaimsUnitedHealthcarePPO/ChoiceMedical and FSACaterpillarMedicalRestatPrescription drugCignaDental2
4EligibilityTypically, your eligible dependents include your spouse and any dependent children who meet the eligibility requirements outlined in your Summary Plan Description (SPD)If your spouse or parent works for, or is retired from Caterpillar and you are currently a dependent on his or her healthcare coverage, your spouse or parent must contact the Caterpillar Benefits Center to remove you from his or her healthcare coverage in order for you to complete your enrollment process. Once you are eligible for benefits as an employee, you are no longer eligible to be enrolled as a dependent under another employee's coverage (unless you are a dependent child under age 26).
52012 Coverage OptionsCATERPILLAR CONFIDENTIAL: GREEN
62012 Healthcare benefit plan options Caterpillar Preferred Provider Organization (PPO)Caterpillar NetworkUnitedHealthcare NetworkUnitedHealthcare Choice Plan and HMO’s available in some areasHealthcare plan eligibility is based on multiple factorsincluding residential zip code and network service area.
7Health Maintenance Organization (HMO) General information Some HMOs require you to select a primary care physician (PCP) when you enroll in the planVision coverage varies by HMOMost HMO's do not have deductibles, which means the first time you use your healthcare the plan begins to pay its portionCo-payments for primary care and specialist visitsRequires the use of network providersNo coverage for out-of-network care, except for emergencies and when needed care is not available in the network
8Dental benefits$50/$100 annual deductible (except for preventive care)$1,500 annual maximum benefit per covered person over age 18$1,500 Orthodontia lifetime max (age 21 and under)Preventive (no deductible) 100%Fillings, Basic Dental 80%Crowns, Bridges, Dentures 50%Orthodontia %
9PPO Vision benefits (HMO coverage varies) $150 lump-sum vision benefit for those over age 18 available on a rolling 24-month cycle based on when you last used your benefitCan be used for routine vision services and suppliesFrames excluded from coverage(Vision coverage varies for some groups participating in the PPO option. Refer to your summary plan description for the benefits that apply to you.)
10Flexible Spending Account There are two types of accounts:Health Care Spending Account – used for medical, dental, prescription drugs, vision and hearing expenses not covered by health plans for you and your dependentsDependent Care Spending Account – used for expenses such as daycare for eligible dependents (you cannot use this account for dependent healthcare costs)Enrollment or changes to elections in Flexible Spending Accounts are not permitted after October 31 of each plan year
11Healthy Balance®A health promotion program created by Caterpillar to improve the health of employees and dependents.Programs offered includeSmoking Cessation Assistance – Quit for life®Disease Management – Lifestyles for HealthNutritional Consultation – Ask A Dietitian (online)Health Risk AssessmentFor more information visit CatHealthBenefits.com > Healthy BalanceIf you or your spouse have questions/concerns during your participation, contact: CAT-9494 or
12Healthy Balance® premium reduction Premium reduction per month—$75 employee, $75 spouseEmployee and Spouse must participate to receive reductionCaterpillar healthcare premiums automatically reflect the Healthy Balance premium reductionTo maintain the Healthy Balance premium reduction employees and spouses must complete a Health Risk Assessment periodically (usually twice a year)
13Spousal surchargeA spousal surcharge premium applies when your spouse has access to group health coverage, declines that coverage and is enrolled in a Caterpillar medical plan. You must indicate at enrollment whether the spousal surcharge applies to you.
14Information and tools to help you make your enrollment decisions… Enrolling in benefitsInformation and tools to help you make your enrollment decisions…CATERPILLAR CONFIDENTIAL: GREEN
15Caterpillar Benefits Center Caterpillar Benefits Center is your first contact for:Health and welfare administration– Healthcare and Flexible Spending Accounts– Eligibility– Enrollment– Qualified Status ChangesSpecific questions regarding eligibility, enrollment and/or changes should be directed to the Caterpillar Benefits CenterNote: Newly hired employees must enroll in healthcare and FSA benefits within 31 days of hire date
16Caterpillar Benefits Center at Aon Hewitt Contact the Caterpillar Benefits CenterPhone:Hours: Monday-Friday 8:30 a.m. – 4:30 p.m. (Central time)Online at: resources.hewitt.com/cat
17Importance of establishing a User ID and password at the Caterpillar Benefits Center Your user ID and password provides access to your health & welfare plans aswell as your your savings planWebsite: resources.hewitt.com/catFirst time log on you will be prompted to establish a User ID and PasswordPhone:If you do not have internet access, you may establish a numeric password over the telephoneYour password is required to access your account either online or whencalling Caterpillar Benefits Center.You should also establish security questions in the event you forget yourpassword.
18Step 1: Access the Your Benefits Resources™ web site at You will land on the Home page
19Step 2: On Home Page you will see the "Enroll in Your Benefits" link in the box at the top of screen.
20Step 3: When you click on the "Enroll" link, you will be taken to the New Hire Enrollment page to enroll in Healthcare Benefits. Simply follow the steps.
23What to expect after you enroll As long as you enroll by your enrollment deadline, your coverage will be effective on your eligibility dateApplicable premiums will be deducted from your payYour enrollment information will be sent to the applicable plan administratorsYour identification (ID) cards will be mailed directly to your home in about 4-6 weeksRemember to keep your address updated with Caterpillar to receive important mailings
24Qualified status changes If you experience a qualified status change such as marriage or the birth/adoption of a child, you must contact the Caterpillar Benefits Center within 31 days of the qualified status change to make the necessary updates to your benefitsCertain qualified status changes may also allow you to make changes to your current enrollment status, including your Flexible Spending Account enrollment elections, but changes must be made within 31 daysIf changes are not made within 31 days, the next opportunity will be at annual enrollment
25Social Security number reminder A Social Security number must be on file with the Caterpillar Benefits Center for all enrolled participants.Adding newborn to coverage– Must be done within 31 days of birth– Social Security numbers are not required to enroll eligible dependents under 6 months of age, however, you must provide the Social Security number once it is receivedCoverage will be terminated at the end of the plan year for dependents age six months and older if the Social Security number is not provided