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Open Enrollment 2010.  This is your annual opportunity to change certain benefit elections without a qualifying event.  All elections will be made online.

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Presentation on theme: "Open Enrollment 2010.  This is your annual opportunity to change certain benefit elections without a qualifying event.  All elections will be made online."— Presentation transcript:

1 Open Enrollment 2010

2  This is your annual opportunity to change certain benefit elections without a qualifying event.  All elections will be made online and take effect Jan. 1, 2010 and remain thru Dec. 31,

3  October 19 – Oct. 30, 2009  Online at louisville.edu/hr/benefits/openenrollment/  Benefit Vendors will be on site to answer questions: Oct. 22 & 23, 9 – 4:30 HSC – Abell Building Oct. 27 & 28, 9 – 4:30, Belknap, Human Resources Department 3

4 ◦ Look closely at changes for 2010 to make the best choice for you and your family  After reviewing the plan options and details, if you are happy with the health, dental and or vision plan you currently have DO NOTHING.  If you want a voluntary flexible spending account (health care and or dependent care) you must make that election.  If you waive health insurance and you want some or all of your money in a DEPENDENT CARE flexible spending account you must make that election.  If you want to change plans or the dependents you cover you must make these changes.  If you want to participate in Get Healthy Now and receive the monthly premium incentive ($40) on health insurance you must take the on-line Health Risk Assessment (HRA). 4

5  Health Coverage  Get Healthy Now  Flexible Spending Accounts  Dental Insurance  Vision Insurance 5

6  More Health Plan Choices - We will offer the same health plans in 2010 with the addition of a new plan – Cardinal Care EPO (UofL Healthcare EPO).  Cardinal Care EPO ◦ This new Cardinal Care Plan combines easy access, exceptional clinical care, conveniently located physician offices and low rates in a network exclusively made up of UofL Physicians. The network is limited to UofL Physicians and UofL Hospital. For physician specialists that are not represented in the Cardinal Care EPO, the Chief Medical Officer for UofL Physicians will refer you to a designated provider and you will pay in-network costs.. 6

7  Cardinal Care EPO  Factors to consider in choosing this health plan: ◦ The network is limited to UofL Physicians and UofL Hospital ◦ Low rates ◦ Physicians' offices located at HSC and adjoining Belknap Campus and convenient locations throughout the Louisville area. 7

8  Plan Changes in the EPO and PPO plans  EPO Plan  Inpatient Hospitalization$500 copayPlan Pays 90%  Outpatient Surgery$50 copay$100 copay  Outpatient Services100%Plan Pays 90%  Emergency Room$75 copay$100 copay  Inpatient Mental Health &$500 copayPlan pays 90% Substance Abuseper admission  PPO Plan  Inpatient Hospitalization$100 copay/dayPlan pays 90% ($500 max)after deductible  Outpatient Surgery$50 copayPlan pays 90% after deductible  Inpatient Mental Health &$100 copayPlan pays 90% Substance Abusefor first 5 days after deductible after deductible 8

9  Health Plan Options  Cardinal Care EPO (UofL Healthcare EPO)  EPO  PPO  PCA High  PCA Low 9

10  If you do nothing your coverage will continue as in 2009  Review 2009 claim history by registering at  Humana Open Enrollment

11  Provided thru Express Scripts  Automatically comes with any health plan but does have separate identification card. Keep your Express Scripts ID card to use in  Customer Service

12 12 Pharmacy Copays will stay the same 2010 RETAIL (30 day fill)MAIL (90 day fill) Generic$8$16 Formulary Brand25% with $30 min/$60 max15% with $60 min/$120 max Non-Formulary Brand 40% with $50 min/$100 max35% with $100 min/$200 max

13  Get Healthy Now is a voluntary, incentive based health management program, implemented in  Since program inception UofL has been able to keep healthcare cost increases below the national average.  Employees who have participated in Get Healthy Now have been instrumental in keeping healthcare premiums from increasing. (2.5% vs 19.5%) 13

14  More importantly they are living their lives with increased vitality and energy.  Seleila Renee Booker received the Lifestyle Change Award by the American Heart Association. 14

15 15

16  Participating employees receive a $40 monthly premium incentive.  REMINDER: Annual completion of the on- line health risk assessment is required for participation & to receive the premium incentive. (HRA on-line: Oct.19 – Nov.13)  HRA is 100% confidential. Only you & your health coach can view results.  Regular contact with health coach may be necessary to maintain premium incentive. Biometric Screening (optional)

17  The University will continue to place $195 per month into a Healthcare Flexible Spending account (FSA) if you waive the health plan.  Note: If you would prefer that some or all of this money be placed in a Dependent Care FSA then you must make that known online during open enrollment 17

18 WHAT IS IT?  The absolute best way to pay for expenses you already have. It’s an account that you contribute pre-tax pay to, and then you pay for expenses out of it.  Two different types available: Healthcare FSA which is used for medical expenses for the whole family and the other, Dependent Care FSA which is used for daycare expenses for child care or eldercare  Depending on your tax bracket, you can save 25% to 35% in taxes on every dollar you put into the accounts.  Account good for one calendar year and IRS requirements state unused funds cannot be refunded or carried over so estimate carefully. 18

19  Administered by Chard-Snyder  Keep your Benny card for use in  If you do nothing during open enrollment you will not have an FSA account in

20  Provided by Anthem Dental Blue  No increase in rates  If you do nothing your coverage will remain the same as

21  Provided thru Anthem Blue View Vision  No increase in rates  If you do nothing your coverage will remain the same as

22  If you have Humana EPO or PPO you are eligible for one eye exam every 12 months and discounts on lenses/frames through EyeMed participating optical providers.  If you take the new Cardinal Care EPO you will be eligible for one vision exam every 12 months after a $35 copay 22

23  Go to the Benefits Open Enrollment website; louisville.edu/hr/benefits/openenrollment/ louisville.edu/hr/benefits/openenrollment/  Visit our Benefit Vendor Fairs ◦ Oct. 22, 23 9 am – 4:30 pm at HSC, Abell Building ◦ Oct. 27, 28 9 am – 4:30 pm in HR Dept.  Send a question to the Benefits Helpdesk using our secure web form  Call the Benefits Helpdesk at

24  Open Enrollment is online 10/19 – 10/30  You will have an opportunity in late November to notify HR of any discrepancies.  Thank you and we hope your 2010 benefit choices provide you and your family with the highest level of satisfaction. 24


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