TM

ANNUAL BENEFIT

ELECTION PERIOD

for the FY2016 benefit year

July 1, 2015 – June 30, 2016

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Spring Tour 2015

Montana University System

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Agenda for Today

Important Changes for FY2016

1. Medical Benefit Enhancements

2. Flexible Spending Account Changes

3. New Tax Advantaged Accounts

4. Wellness Incentive

Benefit Changes and your Decisions for 2016

1. Medical, dental, and vision

2. Rates and Fees

Time Frames for Making Benefit Change Decisions

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Important Changes for 2016

MEDICAL PLAN CHANGES

Enhancements to Complementary

Health Care ServicesAcupuncture, Chiropractic and Massage Therapy

(New!) benefits have a $15 co-pay and 30 visits per

year

Naturopathic services have a $15 co-pay, no visit

limit

The patient is responsible for any difference

between the allowable amount for a service and the

charge

Chiropractic has both in and out of network benefit

Enhancements to Miscellaneous

Services Dietary/Nutritional Counseling, Obesity

Management, TMJ and Infertility Treatment now have

an out-of-network coinsurance of 35%

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Important Changes for 2016 (cont.)

Selection Of Medical Plan - WE WILL

CONTINUE OFFERING THREE MEDICAL

PLAN OPTIONS IN 2016

Allegiance Managed Care

Blue Cross and Blue Shield

Managed Care

Pacific Source Managed Care

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Important Changes for 2016 (cont.)

Use In-Network Providers – Be sure to use

in-network providers to ensure you do not I

incur “balance billing” charges

Network participation by

providers is changing in the

health care market

Always check - DO NOT assume

participation “….but my doctor has

always been in-network!”

Check with your medical plan vendor,

MUS Benefits Office, or your campus if

you need help finding in-network

providers

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Important Changes for 2016 (cont.)

ELIGIBILITY

Dependents up to age 26 may now enroll

annually in medical, dental, and vision

benefits (Does not include spouses)

Proof of eligibility according to

criteria in the Summary Plan

Document will be required

Mid-year disenrollment may only

occur with a “qualifying event” or

during a “Special Enrollment Period”

FLEXIBLE SPENDING ACCOUNT CHANGES

Continuing changes with the implementation of the

Affordable Care Act require changes to the MUS

Choices Medical FSA

Recall in FY2013 that FSA accounts were lowered

from a $6,000 limit to $2,500

Beginning in FY2016 there are new changes to

medical Flexible Spending Accounts (FSAs):

1. Employees will no longer be permitted to direct their

excess employer contribution (state share) to an FSA

2. The maximum amount an employee can deposit to an FSA

account increases to $2,550 for the FY2016 plan year8

Important Changes for 2016 (cont.)

FLEXIBLE SPENDING ACCOUNT CHANGES

With the limitations on the manner and amount

of employer funds that may be placed in a

medical FSA, MUS Choices will now offer two

account options for employees:

1. Medical FSA option funded only with employee

contributions (up to $2,550 per year)

2. NEW! A Tax Advantaged Account (TAA)

• $750 employer contribution in FY2016

• Same allowable expenditures as a medical FSA

• No “Use-it-or-Lose-it” annual requirement!!!

• Account balance is portable upon termination of

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Important Changes for 2016 (cont.)

MEDICAL SPENDING ACCOUNTS 2016

Tax Advantaged Account (TAA) things to know....

Only employer funds can be placed in a TAA; employee

funds cannot be contributed (use the FSA instead)

If your spouse has coverage through a HSA or

has a high-deductible health plan, you may wish

to talk to a tax advisor about whether to elect the

TAA

The TAA will be funded for FY2016 and MUS will review

available funds to determine whether contributions

can be made in the future

Account balances are not use-it-or-lose-it and can continue up to 24

months following the last day of employment with MUS (for terminating or

retiring employees) and up to 24 months following the date that MUS

ceases to make employer contributions (including Wellness Incentives)

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Important Changes for 2016 (cont.)

MEDICAL SPENDING ACCOUNTS 2016

OLD Arrangement for Medical FSAs….

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Important Changes for 2016 (cont.)

1. State Share $s – Benefit Elections $s

= Employer Contribution #1

2. Wellness Incentive - $250/$500

= Employer Contribution #2

Employee Contribution $s

Medical

FSA

MEDICAL SPENDING ACCOUNTS FY2016

NEW Arrangement for Medical Spending Accounts

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Important Changes for 2016 (cont.)

FLEXIBLE SPENDING ACCOUNT

• Up to $2,550 of Employee

Contribution $s

TAX ADVANTAGED ACCOUNT

• $750 Employer Contribution $s

• $250/$500 Wellness Incentive Funds

will be placed in TAA instead of FSA

Medical

FSATAA

MEDICAL SPENDING ACCOUNTS 2016

WELLNESS INCENTIVE

Active employees who completed a

WellCheck (biometric screening,

HRA, and blood draw) during 2014

and achieved the Trailblazer level will

receive a $250 Wellness Incentive

contribution to their TAA

Adult dependents completing a Wellcheck will

receive an additional $250 in the TAA

Maximum of $500 per individual household

enrolled in the MUS Plan

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Important Changes for 2016 (cont.)

MEDICAL SPENDING ACCOUNTS 2016

$500 Annual FSA Roll-Over

If you have funds remaining in your

FSA account as of June 30, 2015, the

rollover provision allows you to:

1. Carry up to $500 forward into the following plan year

(for use beginning July 1) in your FSA. These funds

will be placed in the FSA in October 2015 after FY2015

reconciliation is completed.

2. You may expend these funds on qualifying medical

expenses incurred during the following plan year

from your FSA

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Important Changes for 2015 (cont.)

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Important Changes for 2016 (cont.)

LIFE INSURANCE ELECTIONS

Evidence of Insurability Now Required

When:

1. An Active employee wishes to add Optional Supplemental Life

Insurance in an amount above $300,000 or increase existing

coverage more than one increment of $25,000 annually.

2. Adding Optional Supplemental Dependent Life

for a spouse if not enrolled during the new hire election.

Optional Supplemental Life and

Optional AD&D Coverage premiums

are paid on an after-tax basis.

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Important Changes for 2016 (cont.)

VISION HARDWARE BENEFIT

Optional Vision Benefit now covers ONLY

hardware (frames, lenses, and contacts)

Eye Exam is provided as part of the

medical plan

No need to use a network for

Purchasing hardware – simply select

A place to purchase and then submit

Claims to Blue Cross and Blue Shield

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Benefit Changes and

Your Decisions for FY2016RATES AND FEES

ACTIVE EMPLOYEES• 3.0% Aggregate Increase• Premiums changes after the employer contribution are applied range from a

decrease of $4 to an increase of $57 per month depending on which medical

plan you select and whether you cover dependents

NON-MEDICARE RETIREES• 7.6% Aggregate Increase• Premiums increases are between $46 and $102 per month depending on

which medical plan you select and whether you cover dependents

MEDICARE RETIREES• 7.4% Aggregate Increase• Premiums changes range from a $19 per month increase to a $69 per month

increase depending on which medical plan you select and whether you cover

dependents.

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Benefit Changes and

Your Decisions for FY2016RATES AND FEES (cont.)

Medicare Advantage Plan (MUS MAP)• Rate remains at $196 beginning July 1, 2015

Changes to certain benefits – contact New West for more information

Dental• Active and Retiree rates remain the same as 2015

• Benefits are unchanged

Vision Plan• Vision Hardware Plan has the same rates as 2015

• Remember – the Medical Benefits now cover vision exams!

• Optional Vision Hardware Plan covers frames, lenses, and contacts

Health Plans and Networks

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To receive your best benefits,

STAY IN-NETWORK

with your health plan

Allegiance 1-877-778-8600, www.abpmtpa.com/mus

Blue Cross and Blue Shield 1-800-820-1674,

www.bcbsmt.com

PacificSource 1-877-590-1596,

www.PacificSource.com/MUS

MUS MAP 1-888-873-8049, www.newwesthealth.com

Retiree Updates

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Please review your medical plan choices carefully

1. Review Managed Care Plan choices carefully

2. If you are a Medicare eligible retiree, consider whether the MUS

Medicare Advantage Plan (MUS MAP) offered through New West

Health Services may be an option for you

Look for the retiree information and updates that will be

mailed to your home and/or attend a campus presentation

Contact your Campus benefit staff or the MUS Employee

Benefits Office if you have questions – we are happy to

help!

All forms for any changes must be received by the date

specified by your campus and submitted to the appropriate

address noted on your enrollment form

If NO CHANGES are desired, you don’t need to do anything!

Changes to CHOICES Please watch for campus mailings/information regarding

key dates benefit changes must be submitted by.

Reminder - Closed enrollment for spouses in FY2016 (qualifying event required to add spouses – children to age 26 may be added)

If you do not submit any changes, then you will be re-

enrolled in the prior year benefit elections (except for Flex or TAA)

FLEX PLAN ENROLLMENT and TAA ELECTION1. You must re-enroll in Flex each year and specify the dollars you

wish to go into your account

2. Remember that Flex is USE IT OR LOSE IT! – Rollover provision

permits up to $500 to carry forward to the following year

3. WellCheck Incentive of up to $500 per household is available

with the funds deposited to a TAA

4. TAA must be elected by employee annually

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QUESTIONS?

Thank you for your time!

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