The Maryland National Capital Park and Planning Commission 2017 Open Enrollment Period Begins October 17 and ends November 4 at 5PM 1

Agenda What’s New for 2017 Cost Sharing Rate Changes Choices for 2017 Open Enrollment Process Break UnitedHealthcare Kaiser Permanente Caremark/SilverScript Questions & Answers 2

WHAT’S NEW FOR 2017  Kaiser Permanente HMO will replace the Cigna EPO plan beginning January 1, 2017  There is a Medicare Complement Component under Kaiser similar to the UHC Medicare Complement plan  Coverage added for virtual visits (telemedicine) at no cost (Kaiser) or only a $10 copay (UHC)  Retirees enrolled in the UHC Medicare Complement plan are not eligible for the UHC virtual visit benefit 3

COST SHARING  The cost share for all employee groups remain the same  Retirees pay 20% for all plans 4

RATE CHANGES  Decreases  The rate for the United Healthcare Point of Service (POS) plan will decrease by 2% ($2.40 less per month for single coverage)  Staying the same  Caremark/Silver Script Prescription  Vision Plan  Increases  Dental plan will increase by 2% ($0.15 cents per month for single)  UHC EPO will increase by 1.8%. ($1.60 cents per month for single)  UHC Medicare Complement (Retirees over the age of 65) will increase by 6.4% ($3.40 more per month for single coverage) 5

Retired Employees and Survivors 6 PlanCoverage LevelCost Share % Bi-Weekly Employee Contribution UHC Choice Plus POS Single80%/20%$ Member80%/20%$ Family80%/20%$ UHC Select EPO Single80%/20%$ Member80%/20%$ Family80%/20%$ Kaiser Permanente HMO with Prescription Single80%/20%$ Member80%/20%$ Family80%/20%$ Medicare Complement and Split Family Coverage UHC Choice Plus POS Medicare Compliment Single80%/20%$ Member80%/20%$ Family80%/20%$ One in Medicare/One in POS80%/20%$ One in Medicare/Two in POS80%/20%$ in Medicare/One or more in POS 80%/20%$ Kaiser Permanente HMO with Prescription Medicare Complement Single80%/20%$ Member80%/20%$ Family80%/20%$ One in Medicare/One Child HMO 80%/20%$ One Medicare /Children HMO80%/20%$ Two Medicare/One Child HMO80%/20%$ Two Medicare/Children HMO80%/20%$321.69

SINGLE MONTHLY RATE COMPARISON RETIREES NOT ON MEDICARE KAISER HMO WITH PRESCRIPTION UHC EPOUHC POS Medical$100.79$88.40$ Prescription$0$40.40 Total Cost$100.79$128.80$

SINGLE MONTHLY RATE COMPARISON RETIREES ON MEDICARE KAISER HMO MEDICARE COMPLEMENT WITH PRESCRIPTION UHC EPOUHC MEDICARE COMPLEMENT Medical$60.06$88.40$55.60 Prescription$0$40.40 Total Cost$60.06$128.80$

Health Plan Choices for 2017  UnitedHealthcare Exclusive Provider Organization (EPO) - (Medicare and Non-Medicare Eligible)  UnitedHealthcare Point of Service (POS) - (Non- Medicare Eligible)  UnitedHealthcare Medicare Complement – (Medicare Eligible)  Kaiser Permanente (HMO) - (Non-Medicare Eligible)  Kaiser Permanente Medicare Complement (Medicare Eligible) 9

Caremark/SilverScript Prescription Plan 10 Your Copay Summary Any network pharmacy (including CVS) Up to a 34 ‑ day supply Maintenance Choice: Only CVS/pharmacy or mail service 84 to 90-day supply Generic drugs$8$16 Preferred brand drugs$16$32 Non-preferred brand drugs $25$40 Fill limit for long ‑ term medications 2 fills before copay increases No limit  For a complete 2017 Formulary Drug list, please visit the Health and Benefits page on or inSite.

United Concordia Dental PPO Plan  Members have the freedom to choose any licensed dentist for service  You are NOT required to select a dentist at the time of enrollment.  You may pay more out of pocket if you choose a out-of-network dentist.  To find a participating provider visit United Concordia Dental’s website at to access the provider directory or call customer service at www.unitedconcordia.com  It is the member’s responsibility to submit Out-Of-Network claims 11

Other Plan Choices for 2017  Vision Plans (VSP)  Low Option – Eye exam every year and frames, lenses or contact lenses every 2 plan years  Moderate Option – Eye exam and lenses or contact lenses every plan year and frames every 2 plan years.  High Option – an eye exam, frames and lenses or contact lenses every plan year.  $10 in-network co-pay for all three options  Kaiser Vision Essentials – a limited discount vision plan included with the medical plan  Prepaid Legal Service Plans  Legal Resources  U.S. Legal Services 12

Annual Benefits Open Enrollment Simple Steps to Follow  Refer to the open enrollment letter from the Executive Director, Patti Barney  Review open enrollment documents and forms which are available on the M-NCPPC website at  From the home page, under Quick Links, click on the 2017 Open Enrollment link  Retirees who don’t have access to the internet may request a hard copy of the enrollment packet or a specific form from the Health & Benefits Office  Complete and submit benefits enrollment/change form and any required documents to Health & Benefits by November 4 at 5 p.m. ET. 13

Documents Online  Enrollment Instructions Guide  Employee Benefits Handbook  Schedule of Open Enrollment meetings  Excerpt of Benefit Changes and Highlights  Contribution Rate Sheets  Supplemental Information for Retirees  Summary of Benefits Coverage (SBC) for each health plan  Application for Benefits Enrollment Form (Now includes box for Legal plans. No separate form needed.) 14

The Decision is yours!  All forms must be submitted by 5:00 p.m. on 11/04/16.  Forms may be submitted in the following manner  Hand deliver  Certified mail  Overnight carrier  to as a PDF or  Don’t send to individual specialists  Fax to  If you are a current Cigna EPO member you must select a new health plan for 2017 or you will not have health coverage and cannot pick it up at a later date !!! 15

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Questions ? ~~ Answers 19