Employee Benefits Programuba-ebc.portals.s3.amazonaws.com/86042_2016 iSystems OE... ·...

iSystems, LLC 59 Rathe Road, Colchester VT 05446 802-655-8347 www.evolutionhcm.com ©Copyright 2015 Confidential

An Industry Leader in Human Capital Management Technology


Employee Benefits Program

2016


What we will cover today

2016 Open Enrollment

Dental- Moving to Delta Dental! – New paperwork required!

Vision- Remains with VSP- no changes

Life & Disability- Remains with Principal- no changes

PET Insurance- NEW Offering!

EAP

Medical- Moving to Cigna! – Please enroll on the iSystems employee portal!

Flexible Spending Account (FSA)- Moving to Cigna

Dependent Care Account (DCA)- Moving to Cigna

How to Enroll:

Paper enrollment for the carrier (Dental)

Portal enrollment for payroll system (all benefits)

Pet insurance can NOT be payroll deducted- direct billing options only


Open Enrollment

Tuesday November 17 – Tuesday December 2nd

Your opportunity to make changes to your benefit elections:

Enroll or drop plans

Enroll or drop dependents

Update beneficiary information

Required: New Delta Dental paper enrollment forms! Cigna- please enroll through the iSystems

employee portal.


TRG Broker Partnership

Annual Goals and Objectives

• Proactively negotiate for the lowest

rates and best value available in the

market.

• Provide a well rounded Employee

Benefits program to serve the needs

of iSystem‟s employees

• Support the Executive team

• Educate employees on their benefit

program


2016 Renewal

2016 Renewal Commitment Improve affordability with new contribution

structure for both medical and dental plans

Added a new EE + Child(ren) tier on medical plan

Wellness initiatives coming in 2016! More details will be shared in Janaury

Move to Cigna enables iSystems to stay off of the VT exchange and have access to a better plan offering

Offer a more robust competitive benefit package aligned with other VT based technology companies

Bring value-added services- Employee Benefit Center (EBC) Login: http://ebc.ubabenefits.com/isystemsllc


Qualifying Events

30DAYS

Qualifying Events

Marriage

Divorce

Death

Birth

Adoption

Spouse‟s coverage ends involuntarily

Newly eligible spouse

Dependents no longer eligible

30-days to act on qualifying events & provide supporting

documents


2016 Renewal Decisions

Renewal Decisions Effective January 1, 2016 Medical: Moving to Cigna for Medical- 3 plan offering HRA, FSA, DCFSA- Cigna Dental: Moving to Delta Dental iSystems is now contributing 50% of employee cost to all tiers! Vision: VSP- No Changes Ancillary: Principal (NO changes)– Life, Std, Ltd, EAP Pet Insurance: ASPCA- NEW voluntary offering


Dental


Delta Dental- NEW!

Plan Coverage Level

Preventive 100%

Cleanings 2

Deductible N/A

Basic 80%

Major 50%

Annual max $2,000/$4,000

family

Ortho (children) 50%

Ortho Max $1,500

Carryover Yes

Delta Dental National Network

Carryover Benefit of $250 per

member

Maximum of $2,000

Health through Oral Wellness

(HOW) Program

Remember, your ID card will

only have the employee‟s name

on it


Dental Costs

Coverage Tier Employee Monthly

Cost

OLD Monthly Cost

Employee $21.67 $46.53

2 party $57.72 $90.19

Family $117.02 $160.03

iSystems is contributing 50% of employee cost


Delta Dental- Carry over benefit

Members can DOUBLE their Calendar

Year Maximum by earning an additional

$250 per year, if:

Use less than $500 in benefits for

Calendar Year

Had at least one Diagnostic or

Preventive Care service

Rollover balances from Principal will

be applied to Delta Dental- nothing

lost!


Health through Oral Wellness (HOW)

1. Register for HOW at

HealthThroughOralWellness.com

3. Share Your Score with your Dentist

Your dentist can clinically verify your results.

Based on your risk, you may be eligible for additional

preventive benefits.

2. Take the Free Oral Health

Risk Assessment


Website Resources on www.nedelta.com

To find a network dentist, search on the Delta Dental website – search for a PPO provider first!

Other website resources include:

Look-up your claim and benefit information

Request additional ID cards

Get oral health tips

Take oral health risk assessment

Download helpful forms and information

13


Vision


Vision Insurance- No changes

Eye Exam Every Calendar year

Lenses Every Other year

Frames Every Other year

Allowance $130

Copays (exam/ materials) $10/ $25

Vision coverage is offered through VSP You will be automatically enrolled at no additional cost if you are

enrolled in the Cigna medical plan for 2016. Please visit WWW.VSP.Com for a list of providers in your area You will not receive a member ID card from VSP- you will use your SSN

at point of service

http://www.vsp.com/


Vision Insurance- Monthly Rates

Tier Monthly Rate

Employee $5.73

Employee + 1 $8.31

Employee + 2 or more $14.90


Life and Disability

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRxqFQoTCOLxocyQwMgCFcOsPgod_I8DzA&url=http://termlifeinsuranceratetables.blogspot.com/2015/04/life-insurance-for-sick-people-to.html&bvm=bv.104819420,d.cWw&psig=AFQjCNECNIoEmTV-AwCNgzlhPc8-mIsDEg&ust=1444849044039256


Life, Short & Long Term Disability- Principal 100% Employer Paid Benefits

Employer Paid Benefits:

Life Insurance:

iSystems provides life insurance for all full time employees at no cost in the amount

of: 1x annual salary up to a max of $250,000

Short Term Disability:

60% of weekly earnings to $1,000/week

Benefit begins on day 30 of an accident/day 30 of an illness

Benefit period is 22 weeks after elimination period

Long Term Disability:

60% of monthly earnings to $6,000/month

Benefit begins after 180 days

Maximum benefit period is to age 65 or SSNRA


Pet Insurance- NEW Offering!

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&ved=0CAcQjRxqFQoTCJia_rv62MgCFUePPgodyz0MHQ&url=http://www.stonewaysinsurance.co.uk/inter_dogcat_3.html&psig=AFQjCNEhm_Qix1tPNn8KCUE5dMaebzUzPA&ust=1445701913613733


ASPCA Pet Insurance


Flexible coverage choices-ASPCA Pet Health Insurance

Prices are average starting at rates; some rates may be lower.


Employee Assistance Program

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRxqFQoTCIb2pZCawMgCFcI0PgodDIkIWQ&url=http://www.htt24.com/life-insurance&bvm=bv.104819420,d.cWw&psig=AFQjCNECNIoEmTV-AwCNgzlhPc8-mIsDEg&ust=1444849044039256


24/7 confidential support, guidance & resources

Toll free & web access

www.MagellanHealth.com/member

1-800-450-1327

Employee Assistance Program

23


Medical

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRxqFQoTCKDX2tCMwMgCFQQdPgodJKUFNA&url=http://drexel.edu/healthservices/&bvm=bv.104819420,d.cWw&psig=AFQjCNE3hPeCAldKN8hRvRcPIa_ARwSGlg&ust=1444847965207370


2016 Changes with Cigna

NEW! 3 plan offering with 4 tier rates

Gold - HRA with employer funding

Silver- NO employer funding

Bronze (catastrophic)– HSA no employer funding

Provides choice

4 tier rates (new tier EE + child)

Improved contribution structure

New paperwork required!

New ID cards will be issued!


Health Care Reform

FORM 1095-C

All employees will receive Form 1095-C for the first time

in January 2016

1095-C shows the months you were offered coverage or

covered under the medical plan

It's important because you will need this information to

prepare your 2015 taxes

Watch for this form in your mailbox from BlueCross for

plan year 2015


Cigna Medical Plans

Plans Gold (HRA) Silver (HRA- no Funding)

Bronze (HSA)

Preventive (not

diagnostic)

Covered 100% Covered 100%

Covered 100%

Deductible $2,500/$5,000 $2,500/$5,000 $5,000/$10,000

Coinsurance 80% 80%

100%

Out of pocket Max $5,300/$10,600 $5,300/$10,600 $5,000/$10,000

Office visits $20/$30

$20/$30 Deductible then $0

Urgent Care/

ER/Hospitalization/Lab

$30 UC/Deductible then 20%

ER/Deductible then 20%

Hospital & Labs

$30 UC/Deductible then 20%

ER/Deductible then 20%

Hospital & Labs

Deductible then $0

Prescription Drugs $100/$200 Deductible-

$5/$30/$60 (Rx Co-pays not

reimbursed from HRA)

$100/$200 Deductible-

$5/$30/$60

Deductible then $0

Annual Employer

Contribution

$1,000/$2,000 after member

pays $1,500

$0 $0


2016 Rates

Gold Silver Bronze

Employee Only $400.18 $123.33 $90.00 $10.37

Employee +

Spouse $751.32 $246.67 $180.00 $28.71

Employee +

Child(ren) $788.89 $239.15 $172.49 $21.19

Employee +

Family $1,127.01 $336.67 $270.00 $43.04

iSystems Monthly

Contribution

Employee Monthly

Contribution


Health Savings Accounts

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRxqFQoTCOLh4N_qv8gCFcFtPgodj5UFcA&url=http://expertbeacon.com/how-avoid-open-enrollment-mistakes-health-care-benefits/&bvm=bv.104819420,d.cWw&psig=AFQjCNG-N5bUtMMuoW_nj5H43eyiSVbnkA&ust=1444838928358150


HRA vs. HSA

HRA HSA

Gold Plan Bronze Plan

iSystems owns the account YOU own the account

Medical only Medical, Dental, Vision (or save it

for retirement)

Only iSystems contributes

$1,000 and $2,000

Employer contribution

Bronze Plan $0

(employee can make contributions)

Rollover Cap All funds rollover, unlimited

No interest Earns interest

Remains with iSystems Take it with you


HSA „s (Bronze Plan)

Preventive Services covered at 100%

All other services must apply toward a high deductible

This plan enables you to put money into a health savings account – your choice

2016 IRS HSA limits:

$3,350 - Single

$6,750 - 2 person or family

Health Savings - pre-tax dollars to use for health care

You can deposit pre-tax dollars via payroll or

You can deposit post-tax dollars and deduct expenses at year-end

Or rollover an existing health savings account

31


IRS 2016 HSA Contribution Limits

32

Under age 55 and not enrolled in Medicare (based on

a 12-month period):

Up to $3,350 individual coverage

Up to $6,750 family coverage

Age 55 or older and not enrolled in Medicare:

Maximum contribution increases by $1,000

(considered a “catch-up” contribution)

Up to $4,350 individual coverage

Up to $7,750 family coverage


Flexible Spending

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRxqFQoTCMDIuZO2i8kCFQkaPgodN1MOwQ&url=http://www.katanaabbott.com/smart-money-tip-5-spend-less-than-you-make/&psig=AFQjCNEZFiXexLz_bYpSjis8o2CIjQ7bGg&ust=1447431482627089


Flexible Spending Account (FSA)

34

Administered by Cigna in 2016

You can elect up to $2,550 (increased limit over 2015)

Plan Year: 1/1/16 – 12/31/2016

Pre-tax money, contributed through payroll deductions

Up to $500 can roll into 2017, remainder is forfeited if not used

Eligible expenses:

Medical & Rx expenses

Dental Expenses

Vision Expenses

Limited Over the Counter

No medical expenses if you contribute to your H.S.A. in 2016


FSA vs. LFSA- What‟s the difference?

35

FSA (Flexible Spending Account)

LFSA (Limited Flexible Spending Account)

Medical, Dental, Vision expenses Dental & Vision only expenses

Cannot be used with an HSA Can be used with an HSA


Dependent Care Account (DCA)

Dependent Children under age 13:

Pre- tax money- contributed through payroll deductions

Can elect up to $5,000 annually

Pay as you go, can only spend what you have contributed

“Use it or Lose it”

Eligible expenses: custodial care for IRS dependents while

employee is at work (daycare, summer camp)

36


Cigna Medical- Value Adds


Register today! And use this site to:

Find doctors and medical services

Manage and track claims

See cost estimates for medical procedures

Compare quality of care ratings for doctors and hospitals

Access a variety of health and wellness tools and resources

myCigna.com


My CIGNA MOBILE APP

Instant, real-time access to health information on the go

Store and organize info right on

smartphone

Easy and simple navigation

Completely personalized

Available whenever, wherever


FIND DOCTORS AND SERVICES

Valuable quality-of-care ratings

Easily Search for a health care

professional in Cigna‟s national

network

Easily navigate using consumer-

friendly language, not jargon

Access maps for driving directions

right from your smartphone


KEEP YOUR HEALTH CARE SPENDING IN CHECK

Find the cost for

many common

medical procedures

Compare costs for

doctors to determine

your total out-of-

pocket costs


• real-time prices at 60,000

Search real-time prices at 60,000 pharmacies nationwide

Find closest pharmacy locations

Research medications and dosages

Find cheaper alternatives

LOOK UP DRUGS AND COMPARE PRICES


2016 Medical Plan Comparisons and Cost Analysis

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRxqFQoTCIfr7r-ki8kCFUo3PgodzF0GvQ&url=http://ideas.thenest.com/money-advice/getting-out-of-debt/articles/couple-cash-resolutions.aspx&psig=AFQjCNGXzxZS4P0DMavI1fZrcBbgt6Xtvg&ust=1447431439117998


Plan Comparison Cost Analysis (Estimated In-Network Costs)

Estimated Healthcare Costs – single coverage

Assuming low utilization

Gold HRA

$1,000/$2,000 after member pays $1,500

Silver HRA

No HRA Funding

Bronze HSA

No HSA Funding

Out-of-Pocket Maximum $5,300 $5,300 per year $5,000

1 preventative care visit $0(covered 100%)

$0 (covered 100%) $0 (covered 100%)

12 generic prescriptions $110 ($100 deductible then $5 each)

$110 ($100 deductible then $5

each)

$300 ($25 each) ded first

Total Member Healthcare Costs $110 member cost $110 member cost $300 member cost

Annual Employee Premium Contribution $1,479.96 $1,080

$124.44

Funding by iSystems HRA $0 (member pays first & Rx co-

pays not reimbursed by HRA)

HRA $0 HSA $0

Net Cost to Member for Year $1,589.96

$1,190 $424.44 + opportunity to fund HSA up to IRS limit

$3,350



Estimated Healthcare Costs – single coverage

Assuming High utilization

Gold HRA


Silver HRA

No HRA Funding

Bronze HSA

No HSA Funding

Out-of-Pocket Maximum $5,300 $5,300 per year $5,000

1 preventative care visit $0(covered 100%) $0 (covered 100%) $0 (covered 100%)

2 Specialist Visits $60 ($30 copay) $60 ($30 copay) $240 ($120 each- ded first)

1 Outpatient Surgery $6,000 $6,000 $6,000

6 brand Rx $180 ($100 ded then $30 each)

$180 ($100 ded then $30 each)

$300 (assume $50)

12 generic prescriptions $60 ($5 each) $60 ($5 each) $300 ($25 each) ded first

Total Member Healthcare Costs $6,300 met ded. of $2,500 =$3,800 *20% coins

2500 + 760 = $3260

$6,300 met ded. of $2,500 =$3,800 *20% coins

2500 + 760 = $3260

$6,840 met ded. & OOP Max of $5,000 = total member cost $5,000

Amount over Deductible covered by BCBS $3,040 $3,040 $1,840

Annual Employee Premium Contribution $1,479.96 $1,080 $124.44

Funding by iSystems HRA $1,000 (member pays first $1,500 & Rx co-pays not reimbursed by HRA)

HRA $0 HSA $0

Net Cost to Member for Year $3,739.96 $4,340 $5,124.44 + opportunity to fund HSA up to IRS limit

$3,350



Estimated Healthcare Costs – EE+ Spouse coverage


Gold HRA


Silver HRA

No HRA Funding

Bronze HSA

No HSA Funding

Out-of-Pocket Maximum $10,600 $10,600 $10,000

1 preventative care visit $0 $0 (covered 100%) $0



each)




$344.52



HRA $0 HSA $0



$6,750



Estimated Healthcare Costs – EE + Spouse coverage


Gold HRA


Silver HRA

No HRA Funding

Bronze HSA

No HSA Funding






$180 ($100 ded then $30 each)

$300 (assume $50)



5,000 + 260 = $5260

$6,300 met ded. of $5,000 =$1,300 *20% coins

5,000 + 260 = $5260

$6,840

Amount over Deductible covered by BCBS $1,040 $1,040 $0



HRA $0 HSA $0

Net Cost to Member for Year $6,220.04 $7,420 $7,184.52 + opportunity to

fund HSA up to IRS limit $6,750



Estimated Healthcare Costs – EE+ Child(ren) coverage


Gold HRA


Silver HRA

No HRA Funding

Bronze HSA

No HSA Funding




$110 ($100 deductible then $5 each)



Annual Employee Premium Contribution $2,869.80 $2,069.88

$254.28



HRA $0 HSA $0


$2,179.88 $554.28 + opportunity to fund HSA up to IRS limit

$6,750



Estimated Healthcare Costs – EE + Child(ren) coverage


Gold HRA


Silver HRA

No HRA Funding

Bronze HSA

No HSA Funding






$180 ($100 ded then $30 each)

$300 (assume $50)



5,000 + 260 = $5260

$6,300 met ded. of $5,000 =$1,300 *20%

coins

5,000 + 260 = $5260

$6,840


Annual Employee Premium Contribution $2,869.80 $2,069.88 $254.28

Funding by iSystems HRA $2,000 (member pays first $1,500 & Rx co-


HRA $0 HSA $0

Net Cost to Member for Year $6,129.80 $7,329.88 $7,094.28 + opportunity to fund HSA up to IRS limit

$6,750



Estimated Healthcare Costs – EE+ Family coverage


Gold HRA


Silver HRA

No HRA Funding

Bronze HSA

No HSA Funding





each)




$516.48

Funding by iSystems HRA $0 (member pays first & Rx

co-pays not reimbursed by HRA)

HRA $0 HSA $0



$6,750



Estimated Healthcare Costs – EE + Family coverage


Gold HRA


Silver HRA

No HRA Funding

Bronze HSA

No HSA Funding






$180 ($100 ded then $30 each)

$300 (assume $50)



5,000 + 260 = $5260

$6,300 met ded. of $5,000 =$1,300 *20% coins

5,000 + 260 = $5260

$6,840




HRA $0 HSA $0

Net Cost to Member for Year $7,300.04 $8,500 $7,356.48 + opportunity to fund HSA up to IRS limit

$6,750


Next Steps

http://www.google.com/url?sa=i&rct=j&q=&esrc=s&frm=1&source=images&cd=&cad=rja&uact=8&ved=0CAcQjRxqFQoTCO6n2PSLwMgCFYV0PgodgNAG9Q&url=http://dumc.my/099-next-step/&bvm=bv.104819420,d.cWw&psig=AFQjCNEMmYM09piJKuj9xHNHjqFxEnL8Jw&ust=1444847691784017


Complete new enrollment forms for Dental

iSystems employee portal for ALL benefits

Return all paperwork to HR no later than December 2nd!

Enter your dependents (SS# and DOB)

Visit the Employee Benefit Center (EBC) for up to date benefit information 24/7!

Action Items


Employee Benefit Center

24/7 Access to all your benefit information Carrier resources and contact information Claim forms Benefit summaries

Login:

http://ebc.ubabenefits.com/isystemsllc


SUMMARY

Carrier Benefit

Cigna Medical

Cigna HRA

Cigna FSA/DCFSA

Delta Dental Dental

Principal Life, STD, LTD

VSP Vision

Principal EAP

ASPCA Pet Insurance


QUESTIONS

Employee Benefits Programuba-ebc.portals.s3.amazonaws.com/86042_2016 iSystems OE... ·...

Documents

Transcript of Employee Benefits Programuba-ebc.portals.s3.amazonaws.com/86042_2016 iSystems OE... ·...