2016 ITRON U.S. BENEFITS FINAL VERSION U... · 2015-10-20 · UnitedHealthcare (UHC) is Itron’s...
Transcript of 2016 ITRON U.S. BENEFITS FINAL VERSION U... · 2015-10-20 · UnitedHealthcare (UHC) is Itron’s...
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2016 ITRON U.S.
BENEFITS
COLLABORATION. INNOVATION. QUALITY.
What ties us together as a company—collaboration, innovation, and quality—is central in everything we do at
Itron. Embracing these qualities in the work we do helps unify us, and together with our partners and customers,
we can change the way the world manages energy and water. We can create a more resourceful world.
What we do every day addresses the challenges facing our company, our industry and our planet.
As we address those challenges and turn them into opportunities, we also want to make sure we are continuing
to improve the lives of our employees and their families, too. The 2016 Benefits Guide reflects our values as a
company. In the spirit of collaboration, we’ve listened to your feedback and made benefit plan enhancements
and improvements, making sure we are providing the quality benefits coverage you and your family deserve.
The significant enhancements to improve the medical plans in the last year to lower copays, deductibles and
overall out-of-pocket costs are continuing for 2016, and in reviewing our plans, we applied an innovative, new
approach to our plan offerings for the upcoming year.
For 2016, we have designed a benefits package that emphasizes health and wellness and puts you in charge,
encourages a healthy lifestyle, and provides the coverage you need for you and your loved ones. With benefits
built around you, we are encouraging a high-performance culture to help you succeed both on and
off the job.
The work we do every day at Itron matters. We are creating a more resourceful world. And we recognize that
every day, that important work begins at home. We are pleased to present our 2016 Benefits Guide to you and
your families.
Sincerely,
The Human Resources Team
To our Itron employees and their families
COLLABORATION. INNOVATION. QUALITY.
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Medical . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Health Savings Account (HSA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
Flexible Spending Account (FSA) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
Prescription Drug . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Vision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Wellness . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Health Advocacy Services . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Employee Assistance Program . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Life & Accident Insurance / Disability Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Vacation & Holidays . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Voluntary Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
401 (K) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Employee Stock Purchase Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Itron Employee Emergency Foundation (IEEF) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
How To Enroll for Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22
Contacts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Table of Contents
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We offer high quality comprehensive medical plans with low employee premiums, copays, and deductibles.
Itron offers two medical plans: PPO Plan and the Account-Based Plan
UnitedHealthcare (UHC) is Itron’s medical benefits administrator.
Using UHC’s network providers will save you money because the plan pays a higher percent of the charge. UHC’s contracted rates provide deep discounts, which means lower out-of-pocket costs for you. Network providers will also bill the plan directly for covered services, which means less work for you.
To locate a provider in UHC’s network, visit www.myuhc.com and click “Find Physician, Laboratory or Facility” on the home page, and choose UnitedHealthcare Choice Plus from the list of plan selections available. Register to use the medical-plan member website (www.myuhc.com) to access provider ratings; medical claims, deductible and out-of-pocket amounts; claims history; price estimates for medical services; provider cost and efficiency information; and the ability to do virtual visits with a healthcare provider.
How Do Out-of-Pocket Maximums Work?
PPO Plan: All out-of-pocket expenses, except for premiums and prescription drug out-of-pocket costs, accumulate toward the annual out-of-pocket maximum. When you reach the $2,500 maximum as an individual, you’ll have 100% coverage for eligible claims (except for prescriptions). When your family reaches the maximum of $5,000 on a combined basis, covered claims will be paid 100% (except for prescriptions) for all family members. Prescription drugs carry an out-of-pocket maximum of $2,000 per person.
Account-Based Plan: For employee-only coverage, the annual out-of-pocket maximum is $3,000. The annual out-of-pocket maximum is $6,000 for employee + spouse, employee + child(ren) and employee + family coverage. All out-of-pocket costs, excluding premiums, accumulate towards this maximum. Itron contributes up to $1,250/year depending on
coverage tier to help offset your out-of-pocket costs. When out-of-pocket costs reach the maximum, covered claims will be paid 100%
Virtual Visits
New for 2016 is the ability to have virtual visits—video or phone—medical consultation for minor ailments, such as colds/flu, allergies, and sinus infections. Using this new plan feature is less expensive for both you and Itron, and can help you get the treatment you need quickly.
Healthcare Estimator Tool
UnitedHealthcare offers a quick and easy way to estimate your health care costs on myuhc.com and in the UnitedHealthcare Health4Me app with myHealthcare Cost Estimator.
Using the myHealthcare Cost Estimator:
» Shows you the estimated costs for a treatment or procedure
» Displays how that cost is affected by your deductible, co-insurance and out-of-pocket maximum
» Gives you an estimate of what you’ll be responsible to pay
» Provides you with usable information for planning and budgeting
The more you use myHealthcare Cost Estimator, the more you’ll see that not all doctors are the same. Depending on what you’re looking for, you could see a wide range of estimates for the same procedure or treatment. You can use this information to:
» Plan your care
» Budget for medical expenses
» Find doctors that better meet your needs
» Learn about new treatment options
» Save money
It’s all about having the information you need to make the best decisions for your health and your pocket book.
Need help deciding which plan to choose? UHC offers a robust tool at www.pcestimator.com
You can find this tool at www.pcestimator.com userID = ITRON2016 and password = Benefits2016.
2016 Medical Plan Highlights
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Benefits PPO Plan Account-Based Plan
Office Visit $20 co-pay / $30 for specialists 90% covered after deductible
Virtual Visit $20 co-pay 90% covered after deductible
Preventive Care 100% covered 100% covered
Annual Deductible $400 (individual) / $800 (family) $1,500 (employee only) / $3,000 (employee +1 or more)
Out-of-Pocket Maximum $2,500 (individual) /$5,000 (family) $3,000 (employee only )/ Including Deductible $6,000 (employee +1 or more)
$750 (individual) / Employer HSA Contribution N/A $1,000 (employee + spouse or children) / $1,250 (family)
Lifetime Maximum Unlimited Unlimited
Diagnostic X-Ray and Lab 100% covered 90% covered after deductible
Advanced Radiological 80% covered after deductible 90% covered after deductible Imaging (MRI, CAT, PET)
Emergency Room (not including $150 copay, then 100% covered 90% covered after deductible advanced radiological imagine) (copay waived if admitted to hospital)
Ambulance 80% covered after deductible 90% covered after deductible
Durable Medical Equipment 80% covered after deductible 90% covered after deductible
Chiropractic $20 copay; 90% covered after deductible; 20 visits PCY* 20 visits PCY*
Urgent Care $50 copay 90% covered after deductible
Inpatient Maternity (Delivery, 80% covered after deductible 90% covered after deductible Hospital, Birthing Center)
Outpatient Maternity (Office Visit, $20 copay 90% covered after deductible Initial Visit to Confirm Pregnancy)
Hospital Inpatient 80% covered after deductible 90% covered after deductible Outpatient
Mental Health Inpatient 80% covered after deductible (IP) 90% covered after deductible Outpatient Facility or $20 copay (OP) Physician Visits
Alcohol and Drug Abuse Inpatient 80% covered after deductible (IP) 90% covered after deductible Outpatient $20 co-pay (OP)
In-Network Medical Coverage At-a-Glance
*PCY means “per calendar year”Please refer to the Summary Plan Description for out-of-network coverage levels.
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Spousal Surcharge
The rates above do not include the $75/month surcharge for adding a spouse to your plan who qualifies for other health insurance, such as from an employer or a retirement plan. If you enroll your spouse, you must indicate whether or not he or she is eligible for other insurance.
If you add your spouse to Itron’s medical plan but don’t opt out of the spousal surcharge, we’ll apply it by default.
Tobacco Surcharge
Tobacco use leads to higher medical costs. If you or your spouse uses tobacco, we’ll add a surcharge of $40/month per tobacco user. You may recoup this surcharge by starting the Quit for Life Tobacco Cessation program by March 30, and completing it by September 30, 2016. You may join the Quit for Life program by calling (866) QUIT-4-LIFE.
We will apply this charge by default to you and your covered spouse unless you indicate that you do not use tobacco.
Tobacco products include, but are not limited to: cigarettes, cigars, pipes, all forms of smokeless tobacco (chewing tobacco, snuff, dip, or any other product that contains tobacco), clove cigarettes and any other smoking devices that use tobacco. E-cigarettes are also considered a form of tobacco.
Important Note for Election Surcharges: We expect you to ethically and honestly report you and your covered spouse’s tobacco use, and spousal eligibility for insurance, under an employer or retirement plan. Failure to do so may result in our applying surcharges retroactively, as well as other disciplinary action.
Tip: » If you enroll your spouse and he/she doesn’t have access to his/her own medical coverage, be sure to say so when making your medical plan elections to avoid the $75/month spousal surcharge.
» If you (and your spouse, if applicable) are not tobacco users, make that declaration during benefits enrollment to avoid the $40/month tobacco-use surcharge.
» Reminder: The Tobacco Surcharge and Spousal Surcharge will be applied automatically to your enrollment elections unless you opt-out from them.
» Enroll in the Vitality Wellness program when making your benefit elections, and you may be eligible for a medical premium discount in 2017 based on your achievements in the program in 2016. Not participating in 2016 will result in up to $20/month in medical premium surcharges in 2017.
2016 Medical Premium Rates + Incentives & Surcharges
Monthly Bi-weekly PremiumPPO Plan EE Only $80.00 $36.92 EE + Spouse $155.00 $71.54 EE + Children $150.00 $69.23 Employee + Spouse + Children $240.00 $110.77 Account-BasedPlan EE Only $50.00 $23.08 EE + Spouse $80.00 $36.92 EE + Children $75.00 $36.92 Employee + Spouse + Children $125.00 $57.69
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A valuable Part of the Account-Based Medical Plan:
A Health Savings Account (HSA) is available to employees enrolled in Itron’s Account-Based Plan. HSAs can be powerful vehicles for paying out-of-pocket medical expenses as well as saving for the future.
An HSA offers three tax advantages that help you save money and grow it for the long term. First, employees and employers contribute on a pre-tax basis, meaning the funds deposited aren’t included in your taxable income. Second, you may invest your contribution in several ways, and it will grow tax free. Third, you may withdraw funds tax free for eligible out-of-pocket medical expenses. This triple tax advantage makes an HSA even more tax effective than a 401(k) plan or an IRA.
The 2016 contribution limit is $3,350 for individuals and $6,750 for those who elect family coverage. For employees age 55 and older, the IRS allows an additional $1,000/year catch-up contribution.
Choosing the Account-Based Medical Plan earns you a contribution from Itron to help fund your account. Itron’s contributions in 2016 will be:
» Employee Only / $750
» Employee + Spouse / $1,000
» Employee + Child/Children / $1,000
» Employee + Family / $1,250
Note: Those joining the Account-Based Plan after January 1 will receive a pro-rated share of Itron’s HSA contribution. Joining or leaving the Account-Based Plan during the calendar year may result in pro-ration of the IRS-allowed maximum annual contribution. Those who remain in the plan for 12 months or more generally are not affected. Consult IRS regulations or your tax advisor if this applies to you.
You may use your HSA for long-term savings, to help pay medical expenses, and to fund certain medical expenses after you retire. Should you leave Itron, you may take the account with you. For those employees living in California, New Jersey or Alabama, employee and employer contributions are subject to state tax withholding.
Health Savings Account (HSA)
You may withdraw money from an HSA tax free to pay out-of-pocket medical expenses. You may also withdraw money from an HSA for non-medical expenses, but you may have to pay income tax plus a 20% IRS penalty if you are under 65.
Distributions from an HSA used to fund health-care expenses for you, your spouse and dependents are tax free, provided they meet the IRS definition of a “qualified medical expense.” The good news is that many expenses qualify for payment or reimbursement, such as:
» Health plan deductibles and co-insurance
» Most medical care and services
» Dental and vision care
» COBRA premiums and health premiums if you are unemployed, and once over 65 for any medical insurance policy other than a Medigap policy
If you are enrolled in Medicare Part A or B, you are not eligible to contribute to an HSA and Itron is not allowed to contribute to it.
When enrolling in the HSA:
» Elect an eligible health plan (the Account-Based Plan)
» Contact Fidelity at netbenefits.com or 401k.com to open an HSA account (so Itron can contribute the HSA seed money)
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We offer two types of Flexible Spending Accounts:
1: Health Care Flexible Spending Account (Only Available to those who elect Medical PPO Plan)
This account lets you pay for certain out-of-pocket medical costs such as prescription drugs, doctor visits, co-pays, deductibles, and co-insurance payments with pre-tax money. You may contribute up to $2,500 per plan year (minimum $130), deducted from your paychecks in installments.
2: Dependent Care Flexible Spending Account (Available to those waived or enrolled in either medical plan)
This account lets you use tax-free money to pay for certain dependent-care costs that enable you to work, such as day care or elder care. Maximum contribution is $5,000 per plan year (minimum $130).
Flexible Spending Accounts
» Plan before you enroll: you can’t change or stop FSA elections during the plan year, unless you have a qualifying event
» You must re-enroll each year to continue participating; your prior year’s election will not carry over
» Enrolling in the Account-Based Medical Plan with a Health Savings Account disqualifies you from participating in the Health Care Flexible Spending Account, but you can still contribute to the Dependent Care Flexible Spending Account
» Keep all receipts for purchases under the FSA, as you may need to submit them as documentation to the FSA administrator or to the IRS
Make the Most of Your Flexible Spending Account:
Save money with a Flexible Spending Account (FSA), which lets you set aside money through pre-tax payroll deductions to pay for certain expenses. These funds are not taxed at the front end, when you contribute to the account, or at the back end, when you are reimbursed for eligible expenses.
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What Are the Differences? A Health Savings Account (HSA) is available to employees enrolled in Itron’s Account-Based Plan. HSAs can be powerful vehicles for paying out-of-pocket medical expenses as well as saving for the future.
Flexible Spending Accounts & Health Savings Accounts
Health Savings Account (HSA) Available to those in the Account-Based Plan
Both employees and Itron contribute. Employees contribute pre-tax payroll deductions or a lump sum contribution made on an after-tax basis by writing a check to the HSA administrator (Fidelity Investments).
Itron will also contribute up to $1,250 to employees’ HSA accounts, depending on coverage tier elected.
The total maximum contribution for 2016 by both employee and employer is $3,350 for those with employee-only coverage and $6,750 for those with employee + 1 or family coverage. Contributions to an HSA are not allowed if you are enrolled in Medicare Part A or B
Out-of-pocket medical, dental and vision expenses such as copays, deductibles and coinsurance
Eligible medical expenses not covered under the medical plan (Over-the-counter medications and supplies will no longer be reimbursed without a prescription.)
Premiums for tax qualified long-term care insurance
COBRA medical premiums
Medical insurance premiums paid while unemployed. For those over age 65, medical plan premiums such as Medicare premiums (excluding Medigap)
Your contributions, made each pay period, fund your HSA. Funds will be available as they accrue.
Itron will contribute its portion of your HSA funds within a month after you open your account.
You may use your HSA debit card. You may write a check to yourself from your HSA as reimbursement for out-of-pocket expenses, or call Fidelity (the HSA trustee) and request a check. You are responsible for keeping medical-expense receipts in the event the IRS audits you.
Or, you may use your HSA debit card to pay expenses.
Unused funds carry over year-to-year and are also yours if you leave Itron.
Yes. The funds are held in a brokerage account. You may invest in mutual funds (minimum $2,500 investment), ETFs, stocks, and bonds. Investment earnings grow tax-free in an HSA.
Flexible Spending Account (FSA) Available to those in the PPO Medical Plan only
Employees contribute through pre-tax payroll deductions.
$2,500
Out-of-pocket medical, dental and vision expenses such as co-pays, deductibles and co-insurance
Eligible medical expenses not covered under the medical plan (Over-the-counter medications and supplies will no longer be reimbursed without a prescription.)
January 1, even before you have contributed
You may submit a copy of your bill with a reimbursement form or use your FSA debit card.
You may roll over up to $500 in unused 2016 medical FSA funds to your 2017 account.
No
Who contributes?
What is the maximum annual contribution?
What can be reimbursed from the account?
When can I access funds in the account?
How do I access funds from my account?
What happens to unused money in the account?
Do I earn any interest on money held in the account?
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Prescription Drug Coverage At-a-Glance
Network Pharmacy 30-Day Supply
Home Delivery up to 90-Day Supply
Non-Network Pharmacy
Out of Pocket Maximums
PPO Plan
Generic: $7
Brand Preferred: You pay 30% coinsurance with $30 minimum and $60 maximum per prescription
Brand Non-Preferred and Specialty: You pay 50% coinsurance with $50 minimum and $100 maximum per prescription
Generic: $14
Brand Preferred: You pay 30% coinsurance with $75 minimum and $150 maximum cost per prescription
Brand Non-Preferred and Specialty: You pay 50% coinsurance with $125 minimum and $250 maximum cost per prescription
You pay 40%
$2,000 per member
Account-Based
Generic: You pay 10% after reaching your deductible
Brand Preferred: You pay 10% after reaching your deductible
Brand Non-Preferred and Specialty: You pay 10% after reaching your deductible
Generic: You pay 10% after reaching your deductible
Brand Preferred: You pay 10% after reaching your deductible
Brand Non-Preferred and Specialty: You pay 10% after reaching your deductible
You pay 30%
Prescription costs accumulate towards Account Based Medical Plan deductible/ out-of-pocket maximums. ($3,000 individual/ $6,000 family)
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PPO Plan members will carry a separate out-of-pocket maximum of $2,000 per member. Once the member reaches the maximum on drugs of $2,000, insurance will pay 100% of prescription costs for the rest of the year. Prescription costs under the Account-Based Plan will continue to apply to the deductible and out-of-pocket maximum.
Those enrolled in the Account-Based Plan may also obtain certain preventive/maintenance drugs with no out-of-pocket costs from an in-network pharmacy or mail-order source. See the list of drugs that fall into this category on iConnect.
Home Delivery Prescription Drug Service Can Save Money and Time
You may purchase ongoing maintenance medications at a retail pharmacy or order a 90-day supply through Express Scripts Mail Pharmacy Service.
Here’s how to start:
1. Ask your doctor to prescribe a 90-day supply plus refills. You may also want a 30-day prescription to fill at a retail pharmacy while awaiting your first delivery.
2. Complete the home delivery form. Initially, you must submit your form and written prescription by mail.
3. Enclose your co-pay for each prescription, paying by check or credit card.
4. Allow 2-3 weeks for your prescription to arrive.
5. Order refills at www.express-scripts.com or by calling 1-844-550-2714.
Express-Scripts.com: a website designed for you
Register at www.express-scripts.com for access to one of the largest and most experienced online pharmacies in the industry, plus resources and features designed to help you manage your benefits and lower your costs. It’s easy to get started, and completely safe and secure.
Prescription Drug Coverage At-a-Glance
Use the website to:
» Submit mail-order refills
» Compare the cost of brand-name and generic drugs via retail and mail
» Find lower-cost generics to discuss with your doctor
» Review your prescription records and out-of-pocket costs
» Find health news and information
» Print claim forms and envelopes
» Find participating retail pharmacies
» Find the Express Scripts preferred drug list exclusions
» Print ID cards
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Network
Exam Copay
Hardware Copay
Hardware
Frequency
Coverage Plan
In-Network
$20
$20
Lenses covered after copay; frames covered up to $150
Up to $150 in contact lens coverage provided in lieu of lenses/frames
Every 12 months
EE only
EE + Spouse
EE + Children
Employee + Spouse + Children
$11.22
$22.80
$24.42
$38.94
$5.18
$10.52
$11.27
$17.97
Out of Network
$20 copay for exam with coverage for exam services up to $50
$20
Up to $100 towards lenses, frames, or contacts provided after $20 copay
Every 12 months
Vision Care CoverageRegular eye exams not only identify vision correction needs, but may also detect eye diseases and other health conditions such as high blood pressure and diabetes.
We provide annual eye exam benefits for all employees and their eligible dependents, with a $20 copay.
You can “buy up” and pay a premium to obtain hardware (glasses/contact lenses) through the VSP vision care network.
Buy-Up Hardware Vision Benefits
2016 Employee Premiums for Buy-Up Hardware Vision Coverage
Monthly Premium Bi-weekly Premium
TIP: Protect your smile for free! Preventive dental services such as cleanings, exams and x-rays are free within the dental plan. And by having a dental screening, you earn points towards the Vitality Wellness program.
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Annual Maximum
Deductible
Coinsurance » Diagnostic and preventive (exams, cleanings, fluoride, x-rays, sealants)
» Restorative (restorations, oral surgery, endodontics, periodontics)
» Major (crowns, dentures, bridges, partials, implants, nightguards)
Orthodontics For adults and eligible dependent children
Dental Highlights
$2,000
$20
» 100% at an in-network provider (Preventive services do not accrue towards annual maximum)
» Company Pays 80%
» Company Pays 50%
Company Pays 50% up to $1,500 lifetime maximum
Dental HighlightsDelta Dental is Itron’s dental administrator, and the plan allows you to see any licensed dentist. Seeing an in-network dentist, however, will lower your out-of-pocket costs.
You can find a Delta Dental PPO network dentist in your area by visiting our Web site at www.DeltaDentalWA.com and:
» Click on the Patients tab and then on the Find a Dentist tab at the top of the screen
» Choose the “Delta Dental PPO” option under “In a Certain Plan” or “Network”.
» For dentists outside of Washington State – Click on the green “search the national Delta Dental directory” link. This will take you to our national directory. Be sure to check the Delta Dental PPO network
Coverage Plan EE only
EE + Spouse
EE + Children
Employee + Spouse + Children
2016 Dental Premiums
Monthly Premium Bi-weekly Premium
$16.00
$32.00
$44.00
$61.00
$7.38
$14.77
$20.31
$28.15
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Itron Wellness Program
We’re committed to your health and well-being. That’s why we offer the Itron Wellness Program in partnership with the Vitality Group. This unique program will help you change your lifestyle, and your life.
Vitality’s personalized, interactive approach features a variety of activities, as well as rewards including insurance cost savings, gift cards and health-club subsidies for you and your family members.
Here’s how it works:
» Elect to participate in the Vitality Wellness Program.
» Complete or update your Vitality Health Review (online health questionnaire) early in 2016; you’ll receive a health status report and customized goals. You decide which wellness goals to pursue, and will earn Vitality points as you achieve them.
» If your spouse or domestic partner is not on Itron’s medical plan, you are not required to enroll her/him in the wellness program.
» Earn more points with health screenings, fitness activities, online courses and company-wide challenges.
» Redeem your Vitality points for merchandise. Note: Items purchased from the Vitality Mall are not tax-exempt.
» Your 2016 status level will determine your eligibility for medical-premium discounts or surcharges in 2017, as follows:
Opt-out: $20/month surcharge
Bronze: $10/month surcharge
Silver: No surcharge or discount
Gold: $10/month discount
Platinum: $20/month discount
Itron Wellness Resources
Itron offers several additional programs and services to help you live at your happiest and healthiest.
Health Advocacy Programs
The health-care and insurance system can seem complicated and confusing. A health concierge can help. Itron provides this service from Health Advocate at no cost to you.
Health Advocate provides you and your family (including parents and parents-in-law) with clinical and administrative support around your healthcare needs. Health Advocate’s Personal Health Advocates are comprised of doctor-supported nurses and benefits professionals with insurance and billing expertise. The service is available 24/7 by telephone or the online.
Health Advocate can help you:
» Untangle and resolve insurance claim issues, and negotiate billing and repayment plans
» Clarify benefits, including making sense of medical insurance jargon
» Find a medical provider, make appointments on your behalf, and expedite appointments
» Find research regarding complex medical conditions as well as the latest treatments
» Coordinate care, facilitate pre-approvals, schedule follow-up visits, and transfer x-rays and medical results to those who need to know
» Arrange specialized treatments and tests, and answer questions about the results, treatments, and prescribed medications
» Provide health-care cost estimates for common procedures
» Provide ongoing “gaps in care” coaching
» Contact a nurse and find web-based information to support treatment decisions
» Locate eldercare, including assisted living and adult day care
» Help seniors with medical and Medicare issues
To utilize Health Advocate, call (866) 695-8622.
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Personal Health Support 2.0
The healthier you are, the lower your health-care costs. Personal Health Support 2.0 connects you to wellness, care and disease management resources, no matter your focus – staying healthy, getting healthy, or living with a condition.
At several points of contact, Personal Health Support 2.0 is available to educate and guide you through your health experience:
» A Designated Nurse Team: Itron has a designated team of nurses who understand our company culture. At the time of a health event, a “Nurse in the Family” is assigned and will continue to work with you and your family if other health events arise in the future.
» Treatment Decision Support: To increase referrals to quality and efficient providers, and improve health outcomes and overall savings
» Innovative Clinical Programs – Healthy Pregnancy Program – Congenital Heart Disease (CHD) Resource Services – Transplant Resource Services – Phone number: PPO Plan (844) 637-7503; ABP Plan (844) 217-0934
Cancer Resource Services (CRS)
CRS provides access to a Cancer Centers of Excellence network for financial savings and improved quality of care. It also provides short-term clinical consulting services from experienced cancer nurses to help patients and/or case managers understand cancer diagnoses and treatments, and make informed decisions about cancer care and where to receive it.
Autism - Applied Behavioral Analysis (ABA) Coverage
Itron’s medical plan provides ABA coverage for treatment of autism. The program also provides personal advocates who can help provide education, resources, support, and coordinate community and medical options so that the right outcome is received.
Alere Quit for Life Tobacco Cessation Program
Want to quit tobacco? Join the Free and Clear Quit for Life Tobacco Cessation Program. Free to employees and covered dependents over 18, this program provides six
Additonal Programs
months of phone counseling and web support, as well as free products such as nicotine patches and gum.
Paying the $40/mo. tobacco-use surcharge? Get your money back by starting the Quit for Life program in 2016 and completing it by September 30, 2016. You can join the Quit for Life program by calling (866) QUIT-4-LIFE.
Employee Assistance Program
The Employee Assistance Program (EAP) provides assistance for more than major life events. Confidential assistance with your personal, family and work-related concerns is just a phone call away, at no cost to you.
The EAP is your single source for support, resources and information:
» Confidential counseling on personal issues, including relationships, problems with your children, substance abuse, stress, anxiety or depression, job pressures, marital conflicts, grief and loss, and empty-nesting
» Legal Information, Resources and Consultation, including divorce and family law, debt obligations, landlord and tenant issues, real estate transactions, bankruptcy, criminal actions, civil lawsuits and contracts
» Financial Information, Resources and Tools, including getting out of debt, retirement planning, credit card or loan problems, saving for college, tax questions and estate planning
» The Importance of Estate Planning
» Information, Referrals and Resources for Work-Life Needs, including finding child or elder care, planning for college, relocating to a new city, entertaining family and friends, finding pet care, purchasing a car and home repair
ComPsych is Itron’s EAP provider. You, your dependents or your household members may contact the ComPsych employee assistance program directly at:
» Crisis services: (800) 311-4327, 24 hours a day, 7 days a week
They’ll arrange a phone or in-person consultation, depending on the problem. For most concerns, you and your eligible dependents may receive up to eight counseling sessions per incident. We pay for these sessions. And if you want additional counseling, your EAP counselor can help you find it.
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Helpful Hints on Health Care Consumerism
» In-network preventive care is covered at 100%
» Seeing in-network providers significantly lowers your costs due to network discounts
» It’s important to compare your EOB with the provider’s bill to make sure the out-of-pocket costs match
» At no cost to you, Itron provides an independent Health Advocate who can scrutinize your bill and EOB and make sure you are paying the correct amount
» UnitedHealthcare (UHC) and Express Scripts have price transparency tools on their websites to help you minimize your costs and maximize the quality and efficiency of providers. Be sure to register on express-scripts.com and myuhc.com to utilize the real-time price transparency tools
» Many services, such as lab work and MRIs, are commodity-type services. However, the price can vary vastly depending on where you get these services done, and some providers are more efficient from a cost and service standpoint than others
» If you’re in the Account-Based Plan with the Health Savings Account, you can place your HSA money in a variety of investments such as stocks, bonds and mutual funds to help your account grow for the future – Contact Fidelity to determine minimum initial investment requirements
» A Health Savings Account (HSA) is more tax effective than a 401(k) or IRA. Contributions go into your account tax free and grow tax free, and can be withdrawn tax free when used to pay for qualified medical expenses
» At the time of a health event, consider which facility you should visit. Unless there is major medical trauma such as heart attack, stroke, or a serious accident, an Urgent Care facility may be your best choice, typically offering lower costs and significantly shorter wait times than hospital emergency rooms
» Virtual Visits can be more convenient and cost effective than a trip to urgent care for minor ailments. In the PPO Plan, virtual visits have a copay of only $20 vs $50 for an urgent care center.
Additonal Resources: Glossary of Terms
Additional Online Resources
» http://www.healthcarelane.com/itron Itron’s Web Link to UHC’s Health Care Lane
» http://CareAboutYourCare.org A national conversation highlighting efforts to improve care transitions, reduce avoidable hospital re-admissions, and lift the overall quality of care
» http://www.theihcc.com The Institute for HealthCare Consumerism
» http://consumerhealthchoices.org Free resources for more sensible health-care decisions
Glossary of Terms
Annual Deductible (or Deductible)The amount you must pay for covered health services in a calendar year before the Plan will begin paying for certain benefits
CoinsuranceThe percentage of eligible expenses you are required to pay for certain covered health services
Copayment (or Copay)The set dollar amount you are required to pay for certain covered health services
Explanation of Benefits (EOB)» A statement provided by your benefits administration to you, your physician, or another health care professional that explains: – The benefits provided (if any);
– The allowable reimbursement amounts;
– Deductibles;
– Coinsurance;
– Any other reductions taken;
– The net amount paid by the plan; and
– The reason(s) why the service or supply was not covered by the plan
Out-of-Pocket MaximumThe maximum amount you pay every calendar year.
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We provide basic life, accidental death and dismemberment (AD&D), business-travel accident, short-term disability, and long-term disability insurance – plus options to buy additional life and AD&D insurance.
Basic Life Insurance
We provide basic life insurance coverage at no cost.
» The benefit equals twice your annual base salary, rounded to the next $1,000, to a maximum of $1,000,000
» We also provide $5,000 of basic life insurance for spouses, and $2,000 of basic life insurance for dependent children up to age 26
Optional Life Insurance
» You may purchase additional life insurance for yourself up to five times your annual salary or $1,000,000, whichever is less
» You may purchase up to $50,000 in additional life insurance for your spouse, though some restrictions apply
» Employees electing coverage between $600,000 and $1,000,000 will need to submit an Evidence of Insurability, and coverage will be subject to approval
» You may purchase $5,000 or $10,000 in additional life Insurance for your dependent children up to age 26
AD&D Insurance
We provide basic, company-paid accidental death and dismemberment (AD&D) insurance coverage equal to three times your annual base salary, to a maximum of $1,000,000.
Optional AD&D Insurance
» You may purchase additional AD&D coverage for yourself in increments up to five times your annual salary or $1,000,000, whichever is less. This additional coverage provides a lump-sum benefit to you or your beneficiary if you die or suffer certain injuries as the result of an accident.
» You may purchase up to $100,000 of optional AD&D coverage for your spouse
Life, Accident and Disability Insurance
Business Travel Accident Insurance
We provide insurance against death or accidental injury up to three times your base annual salary (to a maximum of $1 million) while you’re traveling on Itron business. We enroll you automatically, and we pay the premium.
Short-Term Disability
We provide short-term disability (STD) benefits to replace a portion of your income if you are sick or injured and unable to work for more than five consecutive days. Short-term disability benefits are available for up to 13 weeks.Employees in California and New York may have different benefits than described here. Call your Human Resources department for details.
Long-Term Disability
After you have used your 13 weeks of short-term disability, you may be eligible for long-term disability, which replaces up to 60 percent of your monthly earnings to a maximum benefit of $12,000 per month. Eligible employees are automatically enrolled, and the cost of this coverage is fully paid by Itron. You also may purchase an additional 10 percent benefit under long-term disability (capped at $12,000 benefit per month), for which you will pay a small monthly premium.
Notes:» Because your life insurance needs may be different from your AD&D needs, we offer additional life and AD&D insurance – Please note that your spouse can’t have more of our life and AD&D insurance than you carry
» Basic and Optional Life Insurance amounts decrease 35% when you turn 70, and by another 15% at age 75
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Critical Illness insurance is available for purchase via payroll deduction from Met Life, and provides lump sum payments for specific critical illnesses. You can use the lump sum payment as you see fit, and it can be used to complement your medical and disability plan coverages.
The covered conditions are:
• Cancer
• Heart Attack
• Stroke
• Kidney Failure
• Coronary Artery Bypass Graft
• Major Organ Transplant
• 22 other covered conditions
As an incentive to help promote wellbeing, the policy also provides a cash incentive annually for taking one of the eligible preventive screening measures such as a preventive checkup.
Two plan options are available, and premiums vary based on age and smoker status, and are shown in Itron’s benefits enrollment system.
Critical Illness Insurance Accident Insurance
Accident insurance is available for purchase via payroll deduction from Met Life, and provides lump sum payments for covered injuries and accident related medical treatments, including medical services and hospitalization. The payments from this policy can help offset out of pocket costs from your medical plan. Over 150 covered events could trigger benefit payments such as:
• Fractures
• Dislocations
• Burns
• Concussions
• Torn Cartilage in Knee
• Lacerations
• Broken Tooth
• Ambulance Ride
• Emergency Room Visit
• Accident related Hospital Admission and Confinement
Two plan options are available with varying levels of benefit payouts and corresponding levels of premiums.
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Length of Employment
1st day of work to 2nd anniversary date year
Day after 2nd anniversary to 9th anniversary date year
Day after 9th anniversary to 24th anniversary date year
Day after 24th anniversary date
Annual Equivalent
2 weeks for hourly employees; 3 weeks for salaried employees
3 weeks
4 weeks
5 weeks
Vacation Accrual
Vacation begins accruing on your hire date, based on number of hours worked each bi-weekly pay cycle, and will accrue up to 2 weeks of vacation for hourly employees and 3 weeks for salaried employees
Vacation begins accruing at a higher rate the day after your 2nd anniversary, based on hours worked each pay cycle, reaching 3 weeks of vacation by your 3rd anniversary.
Vacation begins accruing at a higher rate the day after your 9th anniversary, based on hours worked each pay cycle, reaching 4 weeks of vacation by your 10th anniversary.
Vacation begins accruing at a higher rate the day after your 24th anniversary, based on hours worked each pay cycle, reaching 5 weeks of vacation by your 25th anniversary.
Vacations and HolidaysOur work/life balance programs include paid vacations and holidays.
Full-time regular employees accrue vacation leave based on length of service. Part-time employees working at least 20 hours per week accrue vacation hours on a pro-rated basis.
Full-time, regular employees accrue vacation at the following rates:
We provide 80 hours of paid statutory holidays if you are working a minimum of 40 hours per week, and 72 hours if you work a minimum of 36 hours per week. If you work less than full-time or are paid hourly, your vacation accrual may vary from the table above. You can find information on holiday schedules and vacation accrual on iConnect.
Employees are allowed to carry over a portion of unused vacation hours at the end of the year, depending on length of service and the state in which you live.
Check with your local HR representative and iConnect for more information.
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All employees may participate in the Itron Incentive Savings Plan for 401(k) retirement savings—and Itron will match your contributions. To enroll or make changes, call Fidelity at (800) 890-4015 or use the website, www.401k.com.
You may contribute from 1 to 50 percent of either pre-tax earnings or after-tax earnings (Roth) through payroll deductions, up to the annual dollar limit established by the IRS. A catch-up provision allows participants age 50 and older to contribute more in order to build their retirement savings at a faster pace.
The Roth 401(k) option gives you the flexibility to contribute after-tax money. These contributions, plus associated earnings, grow in investment accounts tax free and can be withdrawn tax free at retirement age, subject to certain IRS rules.
Our plans offer a variety of funds including target-date funds, a managed account service, and a self-directed brokerage account. Each fund option has a distinct investment objective and risk/reward profile. You may reallocate your investment at any time.
Want help deciding how to invest your money? Try target-date funds or the managed account service. With each of these options, the plan selects the fund mix for you and rebalances it periodically to keep you on track toward meeting your retirement goals.
Don’t Leave Money on the Table
Contribute at least 6% of your salary to your 401(k). For every dollar you pay into your 401(K)—up to 6%—Itron will contribute 50 cents, with matching funds deposited quarterly. To be eligible, you must be actively employed on the last day of the respective quarter.
Your contributions are 100% vested at all times. Itron’s matching contributions vest on a graded basis once you reach three years of service, provided you work 1,000 hours in a given calendar year.
The Incentive Savings Plan – Your 401(k) and the Employee Stock Purchase Plan
Other Important Facts
» We accept rollovers from approved retirement plans as soon as you’re employed with us
» You may borrow from your 401(k) account, subject to certain restrictions
» New hires: We’ll enroll you automatically and contribute 3% of your pre-tax pay starting 30 days after you begin work if you don’t opt out or elect to contribute more.
The Employee Stock Purchase Plan
Eligible employees may purchase shares of Itron stock (ITRI on the NASDAQ exchange) at a 5% discount under our Employee Stock Purchase Plan (ESPP).
To be eligible, you must work at least 20 hours per week. If you choose to participate, you may contribute up to 10% of eligible compensation from each paycheck (on an after-tax basis) toward the quarterly purchase of Itron stock.
Find a detailed plan summary and related information on iConnect. Please read this information carefully before enrolling to learn about the restrictions and limitations as well as tax implications and risks.
Enrollment is voluntary. Make an election or change your contributions at www.netbenefits.com
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The Itron Employee Emergency Foundation (IEEF) is an employee-funded non-profit organization dedicated to making a positive difference in the lives of fellow Itron employees dealing with unexpected hardship.
Thanks to all the employees who have made a donation to the IEEF by dropping spare change into a jar, purchasing a t-shirt, enrolling in automatic payroll deduction, or supporting an event. Your contributions have made, and will continue to make, a difference in the lives of your fellow employees.
“One doesn’t understand how blessed you are by those around you until something like what we have gone through happens. It has truly been a blessing with all of the prayers, well wishes, and now this gift from the Itron Employee Emergency Foundation... we are so very thankful. Please pass our appreciation on to everyone.”
— An IEEF grant recipient”
We Care» In 2014, we processed 32 direct grant requests for assistance from our U.S. & Canada employees
» In 2014, we processed 71 matching grant requests for assistance from our U.S. & Canada employees
We Give» In 2014, almost 500 employees contributed nearly $96,000 through payroll deductions, events, one-time gifts and spare change. Additionally, Itron matched these payroll contributions dollar for dollar
We Help» In 2014, we awarded $76,695 in financial direct grants and $38,680 in financial matching grants for a total of 103 grants and $115,375
Itron Employee Emergency Foundation
“I received a grant from the IEEF to offset my medical burden costs, and cannot even begin to express my gratefulness and gratitude regarding the overwhelming support from my Itron colleagues. I am learning a valuable lesson in compassion, caring, generosity, and other values that the Itron family has demonstrated so many times. Thank you from the bottom of my heart for everything.”
– An IEEF grant recipient
To donate, visit my.Itron.com, select the iConnect portal, and click on the Community Giving App. You may pledge by payroll deduction, one-time deduction, stock gift or credit card transaction.
For more information about the IEEF, news stories and updates, or to apply for a grant, visit www.itronemployeefoundation.org
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Here’s how to select your benefits for the coming year:
1. Read your enrollment materials and make your decisions
2. Log on to my.Itron.com and select the iConnect Portal on the right hand side of the screen. From the iConnect homepage, choose the “Enroll in your Benefits” app under the Apps column on the right
3. Log in using your network UserID and pass word. If you are having trouble with your password, please contact the IT Helpdesk
4. Read your Benefit Confirmation Statement. This is your official record of benefit elections. Contact HR immediately if you find errors on this statement
5. Beneficiaries: If you are adding dependents to health insurance, you will be asked to provide supporting documentation that establishes an eligible dependent relationship. a. You may update your beneficiaries for life and AD&D insurance by contacting HR
b. Your retirement savings plan beneficiaries are managed with Fidelity; log in to NetBenefits at netbenefits.com or 401k.com to update your elections
Note for New Hires:» You have 31 days after you become eligible for benefits to make your benefits elections. If you miss this deadline, you will not be automatically enrolled and will need to wait until the next open enrollment period or qualifying event (see below) for coverage
» Your benefits take effect the first of the month following your date of hire
How to Enroll for Benefits
Qualifying Events: When Can You Change Your Benefits?
Special enrollment rights under the Health Insurance Portability and Accountability Act (HIPAA) allow you and your eligible dependents to change certain benefits if a qualifying event occurs outside of the open enrollment period, such as:
» You or your dependent loses coverage under another group health plan;
» You gain a dependent through marriage, birth, or adoption;
» You lose a dependent due to death;
» Your spouse loses his/her right to coverage under another group plan, meaning Itron’s spousal surcharge would no longer apply
To make a change, notify the HR Helpdesk within 31 days of the qualifying event at 1-877-ITRON-01 or [email protected]. After you supply supporting documentation, you will gain access to change enrollment options on iConnect.
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In-Network Medical Coverage At-a-Glance
Medical Coverage
Health Savings Account
Vision Coverage
Flexible Spending Accounts
Prescription Drugs
Dental Plan
Employee Assistance Program
Wellness – Vitality Group
Health Advocate
Personal Health Support 2.0
401(k)
ESPP
Itron Employee Emergency Foundation
Other Issues - Eligibility - Enrollment Process - Life Insurance
Accident and Critical Illness Insurance:
Contact
UnitedHealthcare at (844) 637-7503 – PPO Plan (844) 217-0934–Account-Based Plan Group Plan #903011
Fidelity at (800) 890-4015
VSP at (800) 877-7195
Discovery Benefits at (866) 451-3399
Express Scripts at (844) 550-2714 Group #ITRONRX
Delta Dental of Washington at (800) 554-1907 Group #03861
ComPsych at (800) 311-4327
Vitality at (877) 224-7117
Health Advocate at (866) 695-8622
UnitedHealthcare at (844) 637-7503 – PPO Plan (844) 217-0934–Account-Based Plan
Fidelity at (800) 890-4015
Fidelity at (800) 544-9354
IEEF at (866) 277-2030
HR Help Desk at (877) Itron-01 [email protected]
1-800-251-0472
Or visit...
www.myuhc.com
www.netbenefits.com
www.vsp.com
www.discoverybenefits.com
www.express-scripts.com
www.deltadentalwa.com
iConnect at my.Itron.com
www.powerofvitality.com
www.HealthAdvocate.com/itron
www.myuhc.com
www.401k.com
www.fidelity.com
www.itronemployeefoundation.com
https://my.itron.com/iconnect
www.metlife.com/mybenefits Search for Itron and create an account
Corporate Headquarters
2111 North Molter Road
Liberty Lake, WA 99019
Phone: 1.800.635.5461
Fax: 1.509.591.3355
www.itron.com 101439BR-0110/2015