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2013 Annual Enrollment and Benefit Changes for U.S. Employees October 5, 2012.

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Presentation on theme: "2013 Annual Enrollment and Benefit Changes for U.S. Employees October 5, 2012."— Presentation transcript:

1 2013 Annual Enrollment and Benefit Changes for U.S. Employees October 5, 2012

2 2013 Benefits and Annual Enrollment  Over the next 45 minutes…  Our Benefits Philosophy  Benefits Partner Changes  Overview of Benefits for 2013  Benefit Program Changes  Benefit Plan Basics  Annual Enrollment Process  Retirement Benefits  Additional Questions 2

3 Our Benefits Philosophy  Our benefits philosophy  Provide a comprehensive package of benefits  Provide a high quality customer service experience  Foster better health care decision-making through plan design  Encourage appropriate benefit choices  Provide plan design and cost that are at market median  Those who use more health care benefits will pay more  Our benefits program is based on caring for your total health, and we are committed to:  Provide benefits that support personal, physical and financial health for you and your family  Offer wellness programs, tools and resources to help enhance your life  Establish customer service and health advocacy as a priority 3

4 Your Commitment  Your commitment to use what we provide to:  Take care of yourself  Wellness and Incentive program details will be mailed to your home address in November  Make informed benefit choices  2013 Benefits Enrollment Guide  Medica’s Cost Advisor tool  Make informed personal, physical and financial health decisions  Utilize Medica’s health coach program to get you started 4

5 Benefit Partner Changes  Medica will replace Aetna as our medical plan administrator  Medica partners with United HealthCare (UHC) to provide networks across the U.S.  Better customer service  Goal of getting you the right answer  Delta Dental will become our new dental plan administrator  Same PPO-type of plan as now, with similar benefits  Larger provider network  Enhanced customer service  OptumHealth Bank is our new HSA provider  Your contributions and the H.B. Fuller contribution will be deposited to your new HSA with OptumHealth beginning January 1.  If you keep your J.P. Morgan Chase HSA you will be responsible for fees associated with that account.  There are several ways to transfer existing balances from J.P. Morgan Chase to OptumHealth Bank. You will receive additional information by mail to your home address. 5

6 Overview of Benefits for Value 750 OptionHigh Deductible with HSA option In-networkOut-of-networkIn-networkOut-of-network Annual Deductible $750 Single $1,500 Family $1,500 Single $3,000 Family $2,000 Single $4,000 Family $3,000 Single $6,000 Family Company-funded HSAN/A $500/Single $1,000 Employee + 1 & Family (paid per pay period throughout 2013 Out-of-pocket maximum (includes deductible & coinsurance $3,500 Single $7,000 Family $7,000 Single $14,000 Family $4,000 Single $8,000 Family $5,000 Single $10,000 Family Primary Care Physician Office Visit $40 does not apply to deductible and out-of-pocket maximum You pay 40% after deductible Plan pays 80% after deductible Plan pays 60% after deductible Specialist Office Visit $40 does not apply to deductible and out-of-pocket maximum You pay 40% after deductible Plan pays 80% after deductible Plan pays 60% after deductible Preventive care Plan pays 100%; no deductible No coverage Plan pays 100%; no deductible No coverage Emergency care Plan pays 80% after deductible and $150* copayment Covered as in-network Plan pays 80% after deductible Covered as in-network Outpatient surgery Plan pays 80% after deductible Plan pays 60% after deductible Plan pays 80% after deductible Plan pays 60% after deductible Medical Plan Design

7 Overview of Benefits for Value 750 OptionHigh Deductible with HSA Option In-networkOut-of-networkIn-networkOut-of-network Retail Prescription Drugs (Cost shown is for a 31-day supply. You can also get a 93 day supply at retail at 3x cost shown) Tier 1: $10 or the cost of the drug if less than $10 Tier 2: You pay 30% (minimum $25/maximum $50) Tier 3: You pay 50% (minimum $65/maximum $130) You pay 40% after deductible You pay 20% after deductible for Tier 1 and Tier 2. You pay 40% after deductible for Tier 3. You pay 40% after deductible Specialty Pharmacy Tier 1 and Tier 2: You pay 50% (maximum $200) Rx costs do not apply toward deductible or out-of-pocket max No coverage Tier 1 and Tier 2: You pay 20% after deductible No coverage Mail Order Drugs (93 day supply) You pay 2 copays for a 93-day supply for the same drug Rx costs do not apply toward deductible or Out-of-pocket max No coverageYou pay 20% after deductibleNo coverage Prescription Drug Benefits

8 Overview of Benefits for 2013 Premium Rates  Changing medical and dental plan premiums to align rates with the cost of providing coverage for family members 8 Value 750 OptionHigh Deductible with HSA Option PremiumBi-weeklyMonthly % Change Bi-weeklyMonthly % Change EE EE + Spouse or Domestic Partner EE + Child(ren) EE + Family* $35.54 $82.15 $72.92 $ $77.00 $ $ $ % 14.7% (20.9%) 9.8% $28.15 $66.00 $58.15 $96.00 $61.00 $ $ $ (5.7%).8% (29.0%) (3.7%) Delta Dental PPO Bi-WeeklyMonthly% Change EE $5.08$11.000% EE + Spouse or Domestic Partner $9.69$21.000% EE + Child(ren) $10.62$23.000% EE + Family*$14.77$32.000% * Family includes spouse or domestic partner and child(ren)

9 Benefit Program Changes 2013 Government Mandated Benefit Changes  Women’s health preventive care covered at 100%  W-2 Reporting  Summary of Benefit Coverage (was sent 10/1 with Enrollment materials)  Maximum you can contribute to an HSA in 2013 is increasing to $3,250 for employee and $6,450 for employee plus one or more  If you are age 55 or older, you may contribute an additional $1,000 to your HSA  Maximum you can contribute to a Health Care Flexible Spending Account is decreasing to $2,500 per IRS rules 9

10 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. WELCOME TO MEDICA!

11 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. About Medica Our market standing Online Personal Health Profile My Health Rewards Pharmacy Nurse line Main Street Medica Rewards Transparency Improved Health Lifestyle Condition Support  Medica has been in business more than 37 years.  Provide health coverage and related services to approximately 1.5 million members  Fastest growing health plan : 80% growth  Medica Health Plan: A Rated* *Weiss Rating, Inc. rates health insurers on financial strength and stability

12 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. LET’S GET STARTED

13 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Medica Choice ® Passport >670K National providers >5K National hospitals >60K National pharmacies

14 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Medica Choice ® Passport Network  National provider network  See any network doctor without a referral Medica Choice Passport UnitedHealthcare Choice Plus

15 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. BENEFITS OVERVIEW

16 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Your Summary of Benefits Choice Passport

17 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Benefit Program Changes Medical Plan Administration Adopted many Medica standard practices  No specific age or frequency limits for preventive care, instead, physician recommendations are followed  Immunizations covered at 100%  Value 750 plan: Lab tests covered at 100% in-network  Complex imaging (X-rays, MRI, etc.) covered at 20% coinsurance regardless of where administered (doctor’s office, hospital, lab)  Acupuncture covered for other services at office visit copay with 15 visit annual limit  Orthopedic shoes are covered when a diagnosis of diabetes is present; foot orthotics are covered  No precertification penalties  Obesity treatments not covered out of network, but no frequency limit with in-network Centers of Excellence 17

18 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Benefit Plan Basics Convenience Care – Value 750 Plan  $25 copay for office visits (as opposed to $40) Participating facilities include:  Minute Clinic (CVS Pharmacy) - National  Target Clinic – National  Take Care Health (at select Walgreens) – National  Rcmh Llc – Texas  Little Clinic – Georgia 18

19 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. HEALTH SAVINGS ACCOUNT (HSA)

20 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Think of it like a medical savings account:  An individually owned savings account* used to pay for current and future health care  It’s a way to plan, save and pay for health care services income tax free What is an HSA? *Savings and investments managed by OptumHealth Bank High deductible plan reduces premium costs Deposit the cost savings into your HSA account Instead of paying all costs towards one traditional plan

21 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Benefit Plan Basics Health Savings Account  You can open a Health Savings Account (HSA) only if you participate in the High Deductible Option  Triple tax advantage  H.B. Fuller contribution  $500 for Employee or $1,000 for Employee plus one or more  You can contribute pre-tax money to your account  Up to $3,250 for employee or $6,450 for employee + one or more  Use for medical expenses (deductibles, coinsurance, etc.), dental and vision expenses – or save to use later in your retirement  Income tax liability plus 20% penalty if used for anything other than eligible medical expenses  HSA funds grow at money market interest rates 21 No “use it or lose it” rule for HSAs

22 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. You are Eligible if You: Note: Eligibility is based on your status as an employee (not your spouse or dependents).  Are covered by a federally qualified high-deductible health plan  Are not covered by other health insurance Includes a spouse’s medical coverage or medical FSA (if it covers you) Does not apply to injury insurance, accident, disability, dental care, vision care and long-term care  Have not elected Medicare  Can’t be claimed as a dependent on someone else’s tax return

23 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. How You Benefit:

24 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Deposit Your Health Care Dollars  Both you and your employer can contribute  Make contributions through payroll deduction or by mailing a deposit to OptumHealth Bank  In 2013, contributions limited to $3,250 for single coverage and $6,450 for family coverage  Special catch-up provision for those over age 55 ($1,000)

25 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Grow Your Savings  The money is yours  The account earns interest  Change employers? Take it with you  Use it or save it; balances roll over  If you die, remaining funds go to your beneficiary

26 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Investment Options  Once you have $2,000 in your account, you have the opportunity to invest and earn interest  Investments are made in $100 blocks  Variety of fund families – samples below Mutual FundTypeMorningstar Rating John Hancock Classic ValueLarge Cap Value          American Funds BalancedLarge Cap Balance        Neuberger Berman FascianoSmall Cap          Vanguard Global EquityInternational          Vanguard S&P 500 IndexIndex        Federated U.S. Government 2 to 5 Year MaturityFixed Income          PIMCO Real Return FundFixed Income        Federated Master TrustMoney Market N/A

27 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Save on Taxes  Money put into your HSA is income tax-deductible  Money taken out to pay for qualified healthcare expenses is tax-free (www.irs.gov)  Any interest earned is not taxable

28 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Pay for Health Care, Now or Later  Use your HSA to pay deductibles, copayments, coinsurances, and other qualified expenses  After you reach the out-of-pocket maximum, the plan pays 100% of covered expenses  After age 65, use the funds for any purpose without penalty (taxes may apply)

29 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Methods of Payment  MasterCard® prepaid debit card (used like credit card)  Withdraw cash at ATM to reimburse yourself for out-of- pocket (transaction fees apply)  Free online bill payment (pay doctor, pay yourself)  Checks (available for purchase online in quantities of 25; cost is $10)

30 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. OptumHealth HSA Debit Card  Convenient access to your HSA funds for medical and pharmacy claims  Account information is available on mymedica.com  Can be used only up to the value of funds currently in your HSA  Your Debit Card and Pin number are mailed separately in plan white envelopes

31 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. HSA Claims Process Visit your Dr. Dr. sends bill to Medica Medica processes claim: Explanation of Benefits (EOB) sent to you & Dr. You receive the bill from your Dr. You pay your Dr. Applies discount

32 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica® Cost Comparison Example 32 Carol (Employee Only)Value 750HSA Comments Annual premium Office Visits $40 copay % HDHP Annual Exam $200)$0 Preventive covered Lab Tests Preventive covered Prescription Drugs-Generic $25) $10 for % for HDHP Total paid out of pocket Total applied toward deductible Annual out of pocket cost1, , Paid + Premium HBF HSA ContributionNA Annual out of pocket (if using HSA)1,

33 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. MOVING YOUR HSA FUNDS TO OPTUM HEALTH BANK

34 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. MEMBER ID CARD

35 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Member ID Card - Medica Choice ® Passport  Your name and covered dependents  Your copayment amounts  Important phone numbers  Secure ID number  Show your Medica ID card at Doctor & Pharmacy after January 1, 2013 Your individual identification numberYour employer’s identification number

36 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. PRESCRIPTION DETAILS

37 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Tier 1 $ $ $ $ $  Least expensive  Brand-name equivalent Tier 2 $ $ $ $ $  Generally more expensive  Not all brand-name drugs have generic equivalents Tier 3 $ $ $ $ $  Generally most expensive  Other equivalent and less expensive drugs are available Reviewing Your Pharmacy Benefits Find out if your medications are covered:

38 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Mail Order Prescriptions Save time & money!  Rx delivered to your home  Up to three-month supply (ask your doctor if a 93-day prescription is appropriate)

39 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Choice90Rx Retail Pharmacy Program Convenient, saves time  Up to 3-month supply You pay 3 copays for a 3-month supply Ask your doctor if a 93-day Rx is appropriate  You choose how to order From participating retail pharmacies Online ordering is available from many pharmacies

40 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Specialty Pharmacy Program Specialty medications:  Defined as self-injectable, oral, high- tech or high cost  For treatment of diseases requiring complex therapies  May require special handling  Most often prescribed by specialists Specialty drug vendors:  Walgreens Specialty Pharmacy  Fairview Specialty Pharmacy

41 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. HEALTH AND WELLNESS

42 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Health & Wellness Coaching  High blood pressure  Diabetes  Cholesterol  Low back pain  Obesity  Diet & exercise  Depression  Stress  Anxiety Health & Wellness Call to get started Topics limited only by the goals you establish! It’s like a coach without the whistle One-to-one or group support for chronic conditions, physical challenges and mental issues, such as:

43 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Tobacco Cessation Program Enroll in the program to receive:  Up to five sessions with a quit-coach  A personalized quit plan and self-help materials  Information about medications that can help you quit  Free 8-week supply of nicotine replacement therapy (gum, patches, lozenges), if medically appropriate  Online tools and support 24/7 Health & Wellness Call when you are ready to quit

44 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Healthy Pregnancy Program Get off to a good start Medica’s Healthy Pregnancy program can help you:  Take care of yourself during pregnancy  Adjust during your baby’s first six weeks of life Learn more about the text4baby program  text4baby.org Health & Wellness Call to sign up

45 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. 24-Hour Nurse Line Your nurse is one call away Health & Wellness Call to access a registered nurse Chat live with a nurse online at mymedica.com  Immediate support for your health concerns  Help in making decisions about your health  Available 24-7

46 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Employee Assistance Program (EAP) Help with life’s hurdles Start with one easy call to the Medica EAP (available 24/7) Whatever your concern:  Find a new day care for your child  Manage credit card debt  Research addiction support options  Look for a family counselor  Deal with grief Call Tailored support when you need it – free and easy

47 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Medica is There to Help Medica’s Open Enrollment Website for H.B. Fuller Medica Customer Service  Monday - Friday, 8 a.m. - 6 p.m. Central Time  (Closed Wednesdays, 8 a.m. - 9 a.m.)  Medica by visiting medica.com/contactmedica  Call Medica at: or TTY for hearing impaired: or Customer Service

48 Personalize. Empower. Improve. Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Helpful Resources found on

49 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. DO THE MATH Resources to help you compare plan offerings

50 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Coverage Advisor  Helps you consider the financial impact of your plan  Takes about 10 minutes to complete  Provides cost estimates based on info you submit  Offers a plan-comparison tool

51 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. IS YOUR DOCTOR IN THE NETWORK?

52 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Find a Network Physician or Facility  Search by provider name, specialty, address, etc.  Find out if doctor is board certified and accepting patients  Get driving directions

53 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. Medica Premium Designation Program  Look for doctors with stars after their names when searching for a doctor using Medica’s search tool  Quality care  Quality + cost-efficient care  Premium Designation physicians: Have lower surgery repeat rates Follow nationally recognized guidelines for care More likely to be aware of the latest research and clinical trials

54 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. What is Continuity of Care? A request to continue ongoing medical care with a provider that is not part of your network (at the highest benefit level) because the member is engaged in a current course of treatment.  Medica requests medical records and supporting documentation  Each request is reviewed on a case-by-case basis  Coverage may be granted at the highest benefit level up to 120 days Forms are available at today’s meeting or call Medica Customer Service at

55 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. MANAGE YOUR BENEFITS ONLINE mymedica.com

56 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. mymedica.com You’re in control  Find out what’s covered by your plan  Track your claims  Check to see if your doctor is in your network  See which drugs are covered  Order ID cards  View account balances

57 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. mymedica.com

58 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®. mymedica.com Pharmacy Resources: Price a Medication

59 Proprietary and confidential. Not to be copied or redistributed without written consent from Medica®.

60 Benefit Plan Basics Teladoc is:  A phone and/or video resource to help resolve routine but urgent medical issues (ear infections, pink eye, etc.)  A national network of board certified doctors available 24/7  Available to all participants in the H.B. Fuller medical plan  A cost effective and efficient alternative to the ER or Urgent Care  No cost to you as long as you complete your health profile in advance Teladoc is not:  A replacement for your primary care physician Look for more information in the Fall 2012 newsletter 60

61 Benefit Plan Basics  Dental Plan Coverage 61 ServiceDeductibleCoinsurancePlan Maximum Preventive$0 None* Maintenance, Restorative, Oral Surgery $25 Employee $50 Employee You pay 20% AD$1,000 annual per covered person OrthodontiaIncludedYou pay 20% AD$1,500 lifetime per covered person *Preventive care does not count toward your $1,000 annual maximum

62 Dental Plan Networks 62 Delta Dental PPO 80,000 Delta Dental Premier 139,000 Non- participating 21,000 Significant discounts Negotiated discountsNo discounts PPO Networks 50,000-80,000 Non-Participating 80,000+ DiscountsNo discounts Delta Dental Networks Other Dental PPO Carriers

63 Benefit Plan Basics Flexible Spending Accounts  Health Care Flexible Spending Account  Pay for eligible medical, dental and vision expenses, plus some OTC  IRS Maximum for 2013 is $2,500  Limited Health Care FSA for High Deductible Plan participants  Pay for eligible dental and vision expenses, plus some OTC  IRS Maximum for 2013 is $2,500  Dependent Care Flexible Spending Account  Pay for dependent care expenses that enable you to work outside the home – NOT for dependent medical expenses  IRS Maximum for 2013 is $5,000 (same as 2012) 63 “Use it or lose it” IRS requires you to forfeit any unused FSA money each year

64 Benefit Plan Basics Other Benefit Options  Supplemental Life Insurance  Employee - up to 4 times eligible earnings  Spouse – up to 50% of employee amount or $500K, whichever is less  Child - $5,000 or $10,000  Supplemental AD&D Insurance  Employee - up to $500,000  Spouse - up to $250,000  Child – 10% of employee coverage with maximum $25,000  Vision Service Plan (VSP)  ARAG Legal Plan  Long-Term Disability  You pay premium; however, the Company will reimburse you for the premium amount 64

65 Annual Enrollment Process Go online at (24/7 access) OR Call Benefits Connection at (hours are 8:00 to 6:00 Monday-Friday CT) 65 Annual Enrollment begins October 23 and ends November 6, 2012

66 Annual Enrollment Process  Who is Benefits Connection?  Our resource for benefits eligibility and enrollment  First source of information for benefit plan questions, except:  Medica handles medical claims, precertification,  Delta Dental handles dental claims questions  Online access to your benefits information – current coverage, covered dependents, life insurance/AD&D beneficiaries  Links to various other benefits resources and information  Enrollment Guides, newsletters, OE presentations  Summary Plan Descriptions and required disclosures 66

67 Annual Enrollment Process Verify Your Enrollment Choices  Make sure that your enrollment is correct. To do so :  Print a copy of your enrollment elections at the end of your online session  Review your confirmation statement carefully  Call Benefits Connection immediately, if you need to make corrections. 67 No benefit changes until next Open Enrollment period, unless you have a qualifying Life Event Change (such as getting married, having a child, etc.)

68 Retirement Benefits 68

69 Retirement Benefits (Former Forbo)  H.B Fuller’s retirement program includes two components:  401(k) feature  100% company match on the first 4% you contribute each year  Immediate vesting in company match  Variety of investment funds to meet your retirement planning strategy  Defined Contribution Retirement feature  H.B. Fuller contribution of a flat 3% of pay for all eligible employees  Vesting in company contribution after 3 years  Same investment fund options as 401(k) feature  Both components administered by JP Morgan  During the transition, you will have an opportunity to choose new investment funds through JP Morgan.  More information to come  Assets from the former Forbo plans will automatically roll over to the J.P. Morgan accounts. 69

70 Thank You! Questions? 70


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