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Benefit Summary.

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Presentation on theme: "Benefit Summary."— Presentation transcript:

1 Benefit Summary

2 BlueCross BlueShield of North Carolina
Medical Plan BlueCross BlueShield of North Carolina Provides access to quality doctors and facilities Supports your health with great resources Offers the latest technology to help you navigate your plan All of the current in-network providers are in the BlueCross BlueShield of North Carolina network.

3 Health Plan: Coverage Levels
Four coverage levels for medical, dental and vision: Employee only Employee + Spouse Employee + Child or Children Employee + Family you can choose family coverage for medical, employee plus children coverage for dental and employee only coverage for vision.

4 High Deductible Health Plan (HDHP)
Medical Plan Benefit High Deductible Health Plan (HDHP) PPO Plan In-Network Out-of-Network Individual Deductible* $1,500 $500 $1,000 Family Deductible* $3,000 $2,000 Snyder’s-Lance HSA Contribution – Employee Only Not applicable Snyder’s-Lance HSA Contribution - Family Individual Out-of-Pocket Maximum $2,500 $5,000 Family Out-of-Pocket Maximum $6,000 $10,000 Preventive Care Covered at 100% 35% after deductible Primary Care Office Visit 20% after deductible $25 copay Specialist Office Visit $40 copay Speaker Notes: There are some important differences between the HDHP and PPO options. First, let’s review the financial features. Each option has a different annual deductible amount. This is the amount you must pay before the plans begin to share the cost of most non-preventive care. The HDHP has a higher deductible in exchange for lower per paycheck contributions. There are also differences in the out-of-pocket maximums for the plans. This is the most you will pay in a year for medical care – and your deductible counts toward this amount. Now, let’s look at how the plans cover care. Both plans cover in-network preventive care – services like an annual physical, immunization, and cancer screening – at 100%. There’s no deductible for eligible preventive care, so this means you pay nothing. There’s a difference in how the plans pay for care received in a doctor’s office. When you enroll in the HDHP, you pay 20% after the deductible for doctor office visits. With the PPO, you pay a copay – $25 for each visit to a primary care physician and $40 per visit to a specialist. For most other care, you pay a share of the cost after the deductible – 20% when you enroll in the HDHP and 15% in the PPO. Like today, eligible dependents up to age 26-medical plan only

5 HDHP: How does it work? Before you meet your deductible After you reach your deductible You pay 100% of your health care & prescription drug expenses (except generic preventive drugs which are covered at 100%) Exception: In-network preventive care is covered at 100%, without paying your deductible first You pay 20% of your health care expenses, including prescriptions BCBSNC pays the rest! After you reach your out-of-pocket maximum of $3,000 employee tier/$6,000 all other tiers, BCBS pays 100% for the remainder of year.

6 Deductibles *A note about deductibles
If you enroll in the HDHP, your deductible depends on who you cover. For employee-only coverage, you meet the individual deductible ($1,500 in-network). If you enroll your spouse and/or children, you and your dependents meet the full family deductible ($3,000 in-network) before the plan shares in the cost of non-preventive care. If you enroll in the PPO Plan, the deductible applies to each person you cover individually, so you do not have to meet the full family deductible before the plan begins sharing the cost. Deductibles go towards out of pocket costs.

7 Prescription Drugs: Prime Therapeutics
Retail Pharmacy Benefits HDHP In-Network PPO In-Network Tier 1 (Generic) 20% after deductible (preventive prescriptions covered 100% with no deductible**) $10 copay Tier 2 (Preferred Brand) $30 copay Tier 3 (Brand) $50 copay Tier 4 (Specialty Drugs) must be filled with CuraScript 25% up to $100 maximum Mail-Order Benefits $20 copay $60 copay $100 copay Tier 4 (Specialty Drugs) Not allowed HDHP Plan generic preventive prescriptions are covered at 100% with no deductible. Generic preventive prescriptions include medications for chronic conditions like allergies, high blood pressure and heart medicine, and diabetes. For all other medications, you pay 20% of the cost of the prescription after meeting the medical plan’s deductible. PPO Plan will have a copay that’s based on the type of medication – generic, formulary or non-formulary. NO DEDUCTIBLE **

8 Health Savings Accounts: An Overview
A Health Savings Account (HSA) is a special account, owned by an individual, and used to pay for current and future healthcare expenses. HSAs are used in conjunction with a “High Deductible Health Plan” (HDHP). The benefits of an HSA are: Your own HSA contributions are tax-deductible. Interest earned on your account is tax-free. Withdrawals for qualified expenses are tax-free. Unused funds and interest are carried over, without limit, from year to year. You own the HSA and it is yours to keep—even when you change plans or retire. Money is tax free when used for qualified expenses. Carries over year after year Take it with you Once you reach 60 years of age you can use the funds how ever you want to with no penalty, but subject to normal income taxes.

9 Health Savings Accounts: Additional Details
Contributing to an HSA: Employee and/or Employer The maximum annual HSA contribution is based on the statutory limit for your coverage level (employee only or employee + dependents) each year. $3,100 - $500 = $2,600 (Employee only) $6,250 - $500 = $5,750 (Employee + Dependents) If you are age 55 or older, you can also make additional “catch-up” contributions $1,000 S-L contributing $500, you must open the health savings account with Mellon Bank, this info will be sent to you once you elect the high deductible plan. $500 is prorated, weekly

10 Health Savings Accounts: Eligible Expenses
Eligible Expense…very similar to HCFSA Deductible and coinsurance amounts Visits to your doctor Medical procedures Prescription drugs Eyeglasses, contact lenses Laser eye surgery Hearing aids Verify For guidance, visit publication 502

11 Medical Premiums $26.60 $59.87 $55.95 $83.81 $15.00 $38.68 $34.81
 Plan and Coverage Tier Weekly Paid Medical PPO: EE $26.60 Medical PPO: EE & SP $59.87 Medical PPO: EE & Child(ren) $55.95 Medical PPO: Family $83.81 Medical HDHP: EE $15.00 Medical HDHP: EE & SP $38.68 Medical HDHP: EE & Child(ren) $34.81 Medical HDHP: Family $54.15

12 Dental Option 1: MetLife
Option 1 In-Network Out-of-Network Deductible Individual/Family $75/$225 Annual Maximum Benefit $1,000 Preventive Care 100% , no deductible 100% of R&C Fee*, no deductible Basic Care 50% after deductible 50% of R&C Fee* after deductible Major Care 50% of R&C Fee* after deductible Orthodontia  Not Covered Note: Dependent children/grandchildren are eligible up to age 19 or up to age 25 if a full-time student. Certification of full-time student status must be provided on an annual basis. Both dental plan options provide coverage for preventive and diagnostic, basic and major dental care. In-network preventive care is covered at 100% and employees pay a share of the cost after the deductible for basic and major care. Option 2 also provides coverage for orthodontia ***Dependent/grandchildren eligibility***

13 Dental Option 2: MetLife
Option 2 In-Network Out-of-Network Deductible Individual/Family $50/$150 Annual Maximum Benefit $2,000 Preventive Care 100% , no deductible 100% of R&C Fee*, no deductible Basic Care 80% after deductible 80% of R&C Fee* after deductible Major Care 50% after deductible 50% of R&C Fee* after deductible Orthodontia  50%, $2,000 lifetime maximum  50% of R&C Fee* $2,000 lifetime maximum Note: Dependent children/grandchildren are eligible up to age 19 or up to age 25 if a full-time student. Certification of full-time student status must be provided on an annual basis. Similar to our current plan.

14 Dental Premiums: MetLife
 Plan and Coverage Tier Weekly Paid Dental Option 1: EE $4.38 Dental Option 1: EE & SP $9.06 Dental Option 1: EE & Child(ren) $10.40 Dental Option 1: Family $16.70 Dental Option 2: EE $7.57 Dental Option 2: EE & SP $15.69 Dental Option 2: EE & Child(ren) $14.59 Dental Option 2: Family $24.61

15 Vision In-Network: VSP
Option 1 In-Network Option 2 Well Vision Exam $10 copay Frequency: 1/calendar yr. Prescription Glasses $ 20 copay Frequency: every other calendar year Frequency: every calendar year Frames Included in copay above for glasses - $130 allowance 20% off amount over your allowance Frequency: Every other calendar year Included in copay above for glasses - $160 allowance Frequency: Every calendar year Lenses Included in copay for glasses above Single vision, lined bifocal, and lined trifocal Polycarbonate lenses for dependent children Included in copay in copay for glasses above Co pays now for exam. Just like our plan today, you can only get frames or contacts. Difference between the plans: Frequency $$ paid towards frames/contact lenses

16 Vision: VSP Option 1 In-Network Option 2 Lens Options
Option 1 In-Network Option 2 Lens Options Standard Progressive lenses: Copay $50 Premium progressive lenses: Copay $80-$90 Custom Progress lenses: Copay $120-$160 Average 35-40% off other lens options Contacts (instead of glasses) Contact lens exam (fitting & evaluation): Copay up to $60 Contacts: $130 allowance Frequency: Every other calendar year Contacts: $160 allowance Frequency: Every calendar year Extra Savings & Discounts Discounts on additional Glasses and Sunglasses Guaranteed pricing on Retinal Screening Discount on Laser Vision Correction Con’t

17 Vision Out-of-Network: VSP
Option 1 Out-of-Network Option 2 Out of Network Well Vision Exam Allowance: up to $50 Frequency: 1/calendar yr. Frames Allowance: up to $70 Frequency: Every other calendar year Frequency: Every calendar year Lenses Allowances: Single Vision Lenses: up to $50 Lined Bifocal Lenses: up to $75 Lined Trifocal Lenses: up to $100 Contacts: up to $105 If you choose to go out of network, your benefit is less. No change from what we have now.

18 Vision Premium: VSP $1.24 $1.77 $2.13 $3.40 $2.24 $2.71 $3.26 $6.12
 Plan and Coverage Tier Weekly Paid Vision Option 1: EE $1.24 Vision Option 1: EE & SP $1.77 Vision Option 1: EE & Child(ren) $2.13 Vision Option 1: Family $3.40 Vision Option 2: EE $2.24 Vision Option 2: EE & SP $2.71 Vision Option 2: EE & Child(ren) $3.26 Vision Option 2: Family $6.12

19 Flexible Spending Accounts: Ceridian
3 Types of Accounts: Health Care Limited Health Care Dependent Care These accounts are a way for employees to set aside money from their paycheck, each pay period, before taxes are withheld to pay certain out-of-pocket health care expenses and qualifying dependent day care expenses. Throughout the plan year, the employee can be reimbursed for the medical or dependent day care expenses incurred. Benefit: Reduces the amount paid in taxes and increases spendable income Similar benefit with the addition of Limited Health Care account, only available with the HDHC.

20 Short-Term Disability: MetLife
Administered by MetLife – Company Provided 60% Plan: maximum weekly benefit of $600 Calculated: hourly wage x 40 hrs No cost to you, one less deduction each week.

21 Long-Term Disability: MetLife
Administered by MetLife Company Provided Benefits begin after STD is exhausted (26 weeks) 60% of eligible pay, up to $15,000 per month maximum No out of pocket, no cost

22 Life Insurance: MetLife
Snyder’s - Lance provides life insurance coverage at no cost to you. Basic Life Insurance & AD&D – 1.5 times base pay up to max of $500,000 Computers available.

23 Supplemental Life Insurance: MetLife
Employee can purchase from $25,000 up to $500,000 ($25,000 increments) Spouse Life - $25,000 to $100,000 - not to exceed 50% of employee Supp. Life Cvrg. Child(ren) Life - $10,000 * Employee must elect Supplemental Life to be eligible for Spouse and Child(ren) Life. Computers available. 23 23

24 Supplemental AD&D: MetLife
Employee can purchase from $25,000 up to $500,000 ($25,000 increments) If employee chooses Family Coverage Spouse - insured for 50% of coverage amount Children - insured for 10% of coverage amount Computers available. 24 24

25 2012 Holiday and Personal Days
Total 10 Days Includes both company recognized holidays (6) and personal days (4) The company recognized holidays are applicable to all locations across the company Company Recognized Holidays – 6 New Years Day Memorial Day Independence Day Labor Day Thanksgiving Day Christmas Day Personal Days – 4 In situations where business needs dictate the designation of a personal day(s) as a planned holidays, locations may specify a planned holiday to be observed for the location. Computers available. 25

26 New Hires – Personal Days
New Hires are eligible for up to 4 Personal Holidays based upon the following schedule:  Quarter of Hire Days Eligible 1st Quarter – Begins January 1 3 Days 2nd Quarter – Begins April 1 2 Days 3rd Quarter – Begins July 1 1 Day 4th Quarter – Begins October 1 0 Days Computers available. 26

27 2012 Holiday and Personal Days
All regular full-time associates scheduled to work an average of 30 hours a week or more are eligible to receive holiday pay beginning on their first day of employment. To schedule vacation, associates should refer to their immediate supervisor or local Human Resources representative for the process used at their location. Associates who are on alternating work schedules should see their supervisor or local Human Resources representative for holiday observance for company designated holidays. Associates may not take a Personal Holiday until the have completed 90 continuous days of employment. Personal Holidays do not “carry over” to the next year, and are not paid out on termina- tion of employment (except for states in which forfeiture of personal holidays is prohi- bited). Personal holidays should be planned and schedules as far in advance as possible and requires supervisory approval. Computers available. 27 27

28 New Hires – Vacation Eligibility
Vacation Hours – New Hires New hires are eligible for up to 80 vacation hours based upon the following s schedule: Month of Hire Eligible Hours January 80 Hours July 32 Hours February 72 Hours August 24 Hours March 64 Hours September 16 Hours April 56 hours October 0 Hours May 48 Hours November June 40 Hours December Computers available. 28

29 Current Associates Vacation Eligibility
New Hires – Vacation Hours Following Year of Hire On January 1 of every year following the employee’s year of hire, vacation hours are based upon the schedule below. Current Associates – Vacation Hours On January 1 of every year, vacation hours are based upon the schedule below. When Eligible Hours Eligible January 1 Following Year of Hire 80 Hours Year in which 5th Anniversary Occurs 120 Hours Year in which 12th Anniversary Occurs 160 Hours Year in which 20th Anniversary Occurs 200 Hours Computers available. 29

30 Using Vacation Hours Vacation hours accrue on a pro rata basis over the course of the year, however, associates may take up to their allotment of annual vacation at any time during the calendar year. Vacation should be planned and scheduled as far in advance as possible and requires supervisory approval. In some cases, business needs will dictate when vacation hours may be taken (for instance, during holiday periods). Associates may not take a vacation until the have completed 90 continuous days of service. To schedule vacation, associates should refer to their immediate supervisor or local Human Resources representative for the process used at their location. Vacation Pay will not be advanced. Computers available. 30 30

31 Online Benefits Enrollment: The Benefits Center
Go to: Click “My Benefits” Find benefits information and the link to the Benefits Center. Use the Comparison Tool in the Benefit to cost compare. Computers available. IMPORTANT – Benefits are effective 30 days and to the first of the month following your hire date. You must make an election prior to your effective date of coverage or you will be defaulted to Employee Only Coverage – PPO Plan and company paid benefits* If you need assistance or have any questions, you can contact: Employee Resource Center 31 31


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