Benefits Open Enrollment

May 7-27, 2014

• Market-competitive salaries

• Flexible spending accounts

• College savings plan

• Adoption assistance

• Free classes and training

• Certification bonuses

• Nursing scholarships

• Tuition reimbursement

• Employee assistance program

• Energize

• Free parking

Medical Plan Guiding Principles

• Low-cost and market-competitive• Decisions based on best practices and evidence-

based medicine• When possible, drive care to the AAMC medical

community• Align with Vision 2020: Living Healthier Together

and population health management

Steering Group:

3

Julie McGovern Pat Czapp, MD Nancy Luttrell

Kate Snyder, RN Tom PiantaSherry Perkins, PhD, RN

Mitch Schwartz, MD

Changes Effective July 1, 2014

Medical Plan Premium Increase

Per pay period cost increase under each medical plan:

No Premium Increase in Dental and Vision Plans

Core $1.58 (individual)$10.04 (family)

WellChoice

$3.02 (individual)$20.83 (family)

VitalChoice

$4.65 (individual)$32.07 (family)

How Do We Manage Health?

• Focus on prevention, early detection and management of risk factors that are major causes of chronic illness and death

• Heart disease is the #1 health problem locally, regionally and nationally

• This year we are helping our employees know your numbers: your own risk factors for developing heart disease

You and Your Doctor• A primary care doctor helps you

prevent, detect and treat risk factors for heart disease:– High Body Mass Index– High Blood Pressure– High Cholesterol– Diabetes or Pre-Diabetes– Smoking

Healthy EquationThis year, we are launching a new initiative for our adult health plan members. It focuses on the importance of our members:

1) building a relationship with a primary care physician and

2) getting screened for conditions that increase the risk of developing heart disease and diabetes.

Changes Effective July 1, 2014

Healthy Equation See your doctor and get your cholesterol and

diabetes screenings in calendar year 2014

(Jan. 1 – Dec. 31, 2014)

If all three components aren’t completed by Dec.

31, 2014, members will have a $30 per pay

surcharge, in effect from Jan. 30, 2015 through

June 30, 2015.

Applies to employees with our medical plan and

their covered spouses; it does not apply to children.

9

What’s the Healthy Equation?

• Any time during calendar year 2014: many have done it

already!

• Visit does NOT have to be a physical or “check-up”

• Screening is ordered by your primary care doctor and

results go to that doctor

• Screening can be done before, during or after the visit; it’s

up to you and your doctor to decide

• No reporting needed by doctor or patient

• No primary care doctor? We’ll help find you one.

10

Healthy Equation

Combined Leave BenefitNo further reduction to the standard CLB accrual rate

Part time Employees: Employment status up to .9 will accrue CLB based on their employment status. If you are a .5 employee & work more than 40 hours in a pay period, your pay period CLB accrual will max out at the .5 status.•Example: Non-exempt employee .5 employed by AAMC 6 years earns 2.616 hours per pay. If the employee works additional hours during the pay period, his/her CLB accrual will not exceed 2.616 hours.

11

Combined Leave Benefit In addition, the maximum carry over amount will be relative to the updated part-time accrual amounts, (currently the part time carry over is no different than Full time employees).

Example: Using the example in our previous slide this same Non-exempt employee prior to 7.1.14 could carry over 204 hours, however as of 7.1.2014 the maximum carry over is 102.024 hours.

12

Changes Effective July 1, 2014 Copays and Deductible updates:

»PCP visits will remain at $15

»Annual Well Exam/GYN visits continue to be covered in full without a copay

»Visits to a Specialty provider will increase to $40

»Inpatient Hospital Deductibles will increase by $250

»AAMC FastCare Clinics

»Bowie

»Coming Soon: Clinics in Annapolis & Other Location

13

Changes Effective July 1, 2014

Medical Flexible Spending Accounts

»$500 Carryover under the General-Purpose Medical

and Limited-Purpose FSA

»FSA must be re-elected for 7/1/14 to rollover

current year funds or any remaining funds will be

forfeited

»Carryover is in addition to the $2,500 maximum

14

Changes Effective July 1, 2014CareFirst will replace NCAS as the Plan Administrator of the VitalChoice II Dental Indemnity PlanBenefits will continue to be covered through any Dental provider. Additionally there will be several enhancements to the plan:• If you seek care from a CareFirst dentist, you will benefit from the CareFirst provider discount • There will be NO balance billing when receiving care from a CareFirst provider Services received from a non-CareFirst dental provider will continue to be reimbursed based on Usual, Reasonable and Customary

15

Changes Effective July 1, 2014

United HealthCare Vision Plan

»The United Optical stores are now EyeFit Vision Centers – Upgraded diagnostic equipment, better selection, and more locations.

»Benefit increase in contact lenses from $105 to $125

»Polycarbonate lenses are now covered

16

Changes Effective July 1, 2014

Prescription Drug Program

»While oral contraceptives will continue to be

available for $0 copay, applicable coinsurance will

apply to the brand name.

»The initial, first fill of maintenance medications will

be available for a 30-day supply only.

»Following the first fill, maintenance medications

may be filled for a 90-day supply.

17

Questions?