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Welcome to RCRV’s presentation of Rockwell Collins Insurance

Programs available to RC Retirees for 2016

10/8/2015, Rev C

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RCRV Presenters

� Don Grimm*

� Harlan Hanson*

� Joe Wells*

� James Wolfe*

� Claudia Young*

* RCRV SHIIP Counselors for the Senior Health Insurance Information Program of the State of Iowa Insurance Division

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Thank You

� RCRV

� St Luke’s Hospital & Angela Berns for the handouts.

� Rockwell Collins for providing our meeting room and up to date information plus Adele Lerma for joining us again from Cypress, CA.

� Towers Watson OneExchange for sending David Carter to join us on 10/5 and 10/6—& Dwight Turner on 10/8

� Kayla Paulson of the 55 + Initiative has a few words for us today.

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Disclaimer� We do not make decisions for Rockwell

Collins (RC), we are here to present information only

� We will not discuss Rockwell Collins Policies or Government Health Care Policy issues

� Please hold all questions until the end of each session

� Save personal questions for one-on-one discussions with a counselor at the end of the presentations

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What Is SHIIP?

• Part of the State of Iowa Insurance Division

• Answers questions and provides assistance

• Doesn’t recommend or endorse specific companies, products or agents

Objective Information Source

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Rockwell Collins Medicare Insurance Program

� Rockwell Collins (RC) has partnered with Towers Watson’s OneExchange to provide information and enrollment for Medicare-eligible retirees and spouses

� RC will continue to provide up to $669 for each eligible retiree and their eligible spouse (based on years of service with RC)

� You will receive these funds in a Health Reimbursement Arrangement (HRA) administered by OneExchange

� You can be reimbursed for your premiums only by submitting claims to OneExchange

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Who is OneExchange?

� Towers Watson’s OneExchange is the largest private Medicare exchange in the industry

� They have over 700 insurance agents, located in Texas and Utah who will work with you to enroll you in a plan of your choice

� Insurance Questions--contact OneExchange at 1-866-249-9924, or visit www.medicare.oneExchange.com/rockwellcollins

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OneExchange 2016 Offerings

� Data from OneExchange website defining their offering for 2016. Handouts have 2015 data as info not avail at time of printing..

� 15 Part D plans from several carriers are being offered by OneExchange. Premiums range from $18.40 to $124.20 per month.

� 9 Medicare Advantage with Prescription Drugs plans by 3 carriers and 1 Medicare Advantage without drugs are being offered by OneExchange. (5 HMOs from $0 to $39 per month and 3 PPOs with drugs from $0 to $95 per month and one PPO plan without drugs at $0)

� See OneExchange’s website for further detail on above products. The above information is for Linn County. Other counties may have more or less plans available

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OneExchange 2016 OfferingsContinued

� Supplements are offered by OneExchange. You will have a choice of 5 Plans C, D, F, High Deductible F or N. See OneExchange website for details.

� The above is for Linn County. Other counties may have more or less plans available.

� If you find a more economical drug plan than offered by OneExchange (and have signed up for a medical plan with OneExchange), you may sign up for a drug plan yourself, or through SHIIP or an agent of your choice and still collect your HRA. However, it is always advised to make changes through OneExchange. 9

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Enrollment Period

� Medicare Open Enrollment is from 10/15/2015 through 12/7/2015

� 2016 information was available on Oct. 1, 2015 at www.medicare.gov or www.Medicare.oneexchange.com/rockwellcollins for programs available through OneExchange

� You must enroll in at least one program through OneExchange, or the HRA will not be available to you now or in the future

� If you are turning 65 and have under-65 dependents, you must enroll prior to the month of your birthday or risk the chance of having your dependent’s insurance canceled by RC. See current contract info in future cell

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If You Want To Stay With Your Current Provider

� If you are already enrolled in a plan through OneExchange and wish to continue that plan, you don’t need to do anything

� We still recommend you review your drug programs. Many retirees can get a more economical drug program if they just look!

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Health Reimbursement Arrangement (HRA)

� RC will provide a HRA for each Medicare recipient (you and your eligible spouse) if enrolled through OneExchange

� You will get this money by providing a claim form to OneExchange for each premium paid along with proof of payment. Use the recurring form for monthly reimbursements for your Part B premium or you can apply online for your moneys

� HRA funds can only be used for reimbursement of premiums, not for copays or other medical costs

� Put both retiree and spouse on one recurring claim forms. Retiree info must be on the top of the form!

� Reminder: if you enroll in coverage outside of OneExchange, you will lose your HRA

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HRA Info (cont)� Your Medicare Part B premiums ($104.90 for 2015-2016 premium not

available yet) can be reimbursed from the HRA up to the HRA value. Proof of payment can come from one of the following documents sent to you by Social Security:

� Statement you will receive in Dec of 2015 showing benefits and deductions for the coming year, 2016

� SA-1099 you will receive in January 2016 for your 2015 income tax records

� If your eligible spouse does not use all the money in his or her HRA, you can claim your eligible spouse’s unused portion

� Recurring claim form attached to handout—Use one form for self and spouse—Retired workers info on the top of the form.

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HRA Info (cont)� No carry over. You must claim all your HRA for 2016 (claims will

be accepted through 3/31/2017) or you will lose it. (For 2015 dollars, you must claim by 3/31/2016)

� You must enroll in either a Medigap, Medicare Advantage or Part D Drug Plan through OneExchange to be eligible for the HRA

� If you had 25 years (or more) with RC, you will receive $669 each for you and your spouse (if applicable)

� If you had less than 25 years with RC you will receive notification of your HRA amount at the time you retire and a balance indicator as you receive funds from your HRA

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Filling out the OneExchange Recurring Premium Reimbursement form (instructions on back):

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Example SSA “Proof of Income Letter”Send with HRA Reimbursement Application

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Bargaining Unit Insurance current contract

� If you retired under the current contract:

� When you turn 65, you must sign up for Medicare Parts A and B. You must also sign up for a supplement, or a MA plan and/or drug plan as wellthrough OneExchange to be eligible for your HRA with an effectivity the same as your Medicare

� If you retired during the current contract and do not reach age 65 until 2019, then you are covered until 12/31/2018 by your contract.

� If you or your spouse are under 65 and not Medicare-eligible in 2016, then call Family Medical Care Plan (FMCP) directly at 1-877-937-9602.

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Bargaining Unit Insurance prior contract (ended on 5/1/13)

� If you retired under prior contract that expired in May of 2013, and are Medicare-eligible, you must follow the same One Exchange/HRA program as non-bargaining unit retirees.

� If you are under 65, then you will be offered the same plan that active BU employees are offered, Family Medical Care Plan (FMCP)

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Rockwell Collins Insurance for Under 65 Retirees

(Non Bargaining unit only)

� RC will offer a health plan, Consumer-Driven Health Plan (CDHP), that is administered by Wellmark BCBS

� This is a high deductible health plan which is eligible for a Health Savings Account (HSA)

� HSA contributions must be made after-tax and claimed on your next year’s taxes. You can’t contribute if you are also covered by Medicare

� Letters will be sent out Oct 28, 2015 defining RC’s offering.

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Pre-65 Retirees As of January 1, 2016

Full time annual 2016 2016 2016 2016

salary at time of Single Family Single Family

Retirement Deductible Deductible OOPM OOPM

Under $50K $2,000 $3,500 $3,500 $7,000

$50K - $75K $2,500 $4,500 $4,500 $9,000

$75K- $100K $3,000 $5,500 $5,500 $11,000

Over $100k $3,500 $6,550 $6,550 $13,100

Coinsurance is 20% Retiree / 80% Rockwell Collins after deductible is met.

2016 Monthly Premiums*

Single $175

Family $350

*Applies to retirees with 25 or more years of Vested service.

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Split Families(One Spouse under 65, the other on Medicare)

� People on Medicare will need to select a program through OneExchange (no action required if you want the same Medicare plan from OneExchange in 2016 that you had in 2015)

� Folks under 65 will have the CDHP plan administered by Wellmark BCBS

� 4 months prior to your 65th birthday, you will get a package from OneExchange. You must enroll in a plan with the same effective date as your Medicare effective date or risk not having insurance for your dependents and you will not receive a HRA.

� You must have your spouse covered under the RC plan if you want coverage for other dependents. If you and your spouse are both Medicare eligible, then RC insurance will not be offered to the remaining dependents

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Medicare Info

� From this point forward, we will be reviewing Medicare requirements for folks just going on Medicare within the next year. It is a good review for the rest of you already on Medicare and you are welcome to stay.

� Ask questions now for first part of the briefing

� If you want to leave, this would be a good time to do so. We will take a small break at this time. Be back in 10 minutes. Thank you.

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People Turning 65 in 2015

� Rockwell Collins retirees turning 65 will receive a package from OneExchange 4 months prior to their birthday. To preserve your eligibility for the RC HRA you must sign up for a medical or drug insurance plan through OneExchange prior to your birthday.

� Your plan must take effect on the same date as your Medicare effective date

� If not, you may lose your RC insurance for your dependents who are not yet 65. You may also lose the HRA for both yourself and your spouse now and in the future years.

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MEDICARE - Who Is Eligible?

Must be a U.S. citizen or permanent resident for 5 years

MEDICARE

Age 65and older Disability ALS

End-Stage Renal

Disease

Medicare Health Insurance

Part AHospital

Insurance

Part B Medical

Insurance

MEDICARE

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Monthly MedicarePart A Premiums – 2015*

Based on Work Credits� 40 quarters ----------------- Free

(Eligible for Social Security benefits)

� 30-39 quarters ------------- $234� Less than 30 quarters -- $426* 2016 info not available yet

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Cost Of Enrolling In Medicare Part A

Part A is free for people who have 40 quarters of work credit under Social Security or Railroad Retirement.

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Enrolling in Medicare Part A

For people who have 40 work quarters of credit, i.e., for whom Part A is free

� Enrollment is automatic if drawing Social Security benefits

� No penalty for delaying Part A if it is free. You can enroll during Initial Enrollment Period or later

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What If You Don’t Enroll In Part B

General Enrollment Period

• January 1 through March 31 each year• Coverage effective July 1• Premium increases 10% for each 12-month

period you were eligible but did not enroll• Pay this penalty as long as you have Part B

During Your IEP Or When You Retire?

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Cost Of Enrolling In Medicare Part B for 2015

� Everyone pays for Part B - $104.90 per month in 2015.

� People with higher incomes pay more if their income is above: • $85,000 individual • $170,000 couple filing joint return

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Medicare-EligibleRetired & No Working Spouse

� Medicare is your primary coverage.

� Need to enroll in Medicare Part A and Part B.

� Enrolling in Part B later can result in higher premium and a wait before getting coverage.

All Rockwell Collins Retirees at age 65 must enroll in Part A and B unless your spouse is working and you are covered on their insurance

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Medicare-Eligible andYou or Your Spouse Works

� Can continue on employer plan � Employer’s plan remains primary to

Medicare� Employer can’t offer alternatives� Don’t need to enroll in Medicare Part A or B� Can enroll in Part B when worker retires @

regular premium & no delay in coverage� If contributing to a HSA then do not sign up

for Medicare Parts A or B

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Part B for Worker or SpouseSpecial Enrollment Period

� For worker or spouse with Medicare

� Up to 8 months after worker retires. (Rockwell Collins Retirees must have insurance through OneExchange with same effective date as your Medicare effective coverage to get HRA and to keep insurance for your under age 65 dependents)

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Forms to enroll in Part B

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You might want to delay Part A if

You are working or covered by a working spouse and

the employer plan is a qualified high deductible plan and you have a Health Savings Account (HSA--Rockwell Collins plans qualify)

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Your Medicare Coverage Choices

Original Medicare Medicare AdvantagePart C

Part A Hospital InsurancePart B Medical Insurance

Supplemental Coverage

Prescription Drug Coverage – Part D

Combines Part A & Part B

May include Prescription Drug Coverage – Part D

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Medicare Part A

Home Health Care

Hospital Insurance

SkilledNursing Facility

Inpatient Hospital

Hospice

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Inpatient Hospital & SNF Benefit Period

BenefitPeriodEnds

No Inpatient Hospital Care or Skilled Nursing Care

OUT60 consecutive days

Benefit Period Begins

INhospital

LeaveHospital

EnterHospital

Part A Inpatient - What You Pay in 2015

Days 1-60 Days 61-90 60 Lifetime Reserve Days

You

pay all

costs

Deductible $1,260

Daily Coinsurance

$315

Daily Coinsurance

$630

Renewable days

Renewable days

Each day available only

once

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Medicare Part B$104.90 per Month (2015)

OtherServices &Supplies

DoctorServices

OutpatientHospital & Emergency

Room

Home Health Care

Medical Insurance

DurableMedical

Equipment

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How Do I Pay The Part B Premium?

If you are drawing benefits, the premium is taken out of your monthly payment:

� Social Security

If you are not drawing benefits, you will be billed every 3 months

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Get Help Paying For Part B Premium

Medicare Savings Program – SLMB� Income below:

• $1345 per month individual • $1813 per month couple

� Resources below: • $7280 individual• $10930 couple

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Medicare Savings Programs

Qualified Medicare Beneficiary (QMB)• Pays Medicare premium(s), deductibles & coinsurance

• Income Limits: • $1001 per month – individual • $1348 per month – couple

• Resource Limits: • $7280 – individual • $10,930 – couple

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Covered Preventive Services

• Welcome to Medicare preventive visit

• Annual wellness visit• Abdominal aortic aneurysm

screening• Alcohol misuse counseling• Bone mass measurement• Cardiovascular screenings• Colorectal cancer screenings• Depression screening• Diabetes screening

• Flu shots, pneumococcal shots & Hepatitis B shots

• Glaucoma tests• Hepatitis C screening • Lung cancer screening• Mammograms (screening)• Obesity screening &

counseling• Pap test/pelvic exam/clinical

breast exam• Prostate cancer screening• Smoking cessation

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Medicare Supplement Insurance

• Health insurance policies sold by private insurance companies

• Also called “Medigap”• Cover “gaps” in Original Medicare Plan • 10 standardized policies • Plans A, B, C, D, F, G, K, L, M, N• Guaranteed renewable • One Exchange has Plans C, D, F, F High Deductible and N available only in 2016

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Medicare Part DAvailable to all people on Medicare

�Enrolled in Part A and/or Part B

�Includes those on Medicare due to disability

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Initial Enrollment Period (IEP)

New Medicare Beneficiary – can join a drug plan any time during the 7-month period surrounding their Medicare eligibility (Bargaining unit folks must have Medicare A and B effective at time of their normal Medicare Effectivity)

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Annual Election PeriodOctober 15 – December 7

During the Annual Election Period you can:

� Change prescription drug plans

� Enroll in a drug plan for the first time

� Drop Medicare drug coverage

� Enroll in a Medicare Advantage plan

� Change Medicare Advantage plans

� Disenroll from a Medicare Advantage plan or

� Keep your current coverage

O-5

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Monthly MedicarePart D Premiums, 2015

� Income above:

$85,000 individual and

$170,000 joint –

you will pay a higher premium

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Late Enrollment Penalty

� Assessed 1% of base premium* for every month you were eligible to enroll in Medicare’s prescription drug coverage and did not enroll.

� Pay penalty for your lifetime

Example: Did not enroll in 2006-your penalty would be 103 months X 1% or 103% X $33.13 per month in penalty or $34.12 per month penalty (penalty goes up each year if National average goes up)

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Standard Benefit-What You Pay

Deductible Initial Coverage Coverage Gap(Donut Hole)

Catastrophic Coverage

Up to $320 Up to $2960total cost

Up to $4700out-of-pocket

costs

Through the endof the year

Understanding drug coverage stages

What Is “Creditable Coverage” ?

� Drug coverage that is as good as or better than a Medicare prescription drug plan

� Includes:

• VA drug benefits

• Tricare for Life

• Some employer or retiree coverage

• Indian Health Services

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Comparing Part D Plans

• Premium

• Deductible

• Formulary – the drugs that are covered

• Restrictions on your medications

• Out of pocket costs at pharmacy

• Coverage in the Gap

• Pharmacy network (national availability?) 53

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How do you compare plans?

Information is Online

www.medicare.gov

SHIIP can help you compare plans!

Phone numbers later in presentation54

Plan Finder

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Medicare Advantage(Part C)

Medicare Advantage Plan

Dr. A

$$

$$

$

$

$

Dr. B Lab

Hospital

Home Health Agency

AmbulanceService Drugs

Medicare $

OtherInsurance

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Medicare Advantage - Eligibility

� Have Medicare Parts A & B

� Do not have end-stage renal disease

� Live in service area (county-specific)

� Covers people on Medicare because of disability

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Medicare Advantage - A Private Solution

• Medicare contracts with a private company on an annual basis.

• Contracts require that plans provide Medicare Part A & B services.

• The plan handles claims.

• You receive services and make payments based on the private plan’s rules.

• The plan may offer extra coverages – dental, vision, health club membership

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Medicare AdvantageOut-of-Pocket Costs

� Must still pay Part B premium

� May pay additional monthly premium

� Pay other out-of-pocket costs

� Different from Original Medicare Plan

� Vary from plan to plan

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Medicare AdvantageAnnual Contracts

� Contract year is January 1 through December 31

� The plan can be renewed, changedor terminated on an annual basis

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Medicare AdvantageTypes of Plans

� HMO-Health Maintenance Organization

� PPO-Preferred Provider Organization

� Private Fee For Service

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Medicare HMO

Check that your providers will accept the plan.

� Generally must get care and services from plan’s network

� May have to pay full cost of care outside of plan’s network

� May need to choose primary care doctor

� Need referral to see a specialist

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Medicare PPO

� Can see any doctor or provider

that accepts Medicare

� Don’t need referral to see specialist

� Don’t need referral to see out-of-network provider

� Copayment amounts set by plan

� Will usually pay more for out-of-network care

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Medicare PPO

• There are in-network and out-of-network providers. • Co-payments are set by the plan.

• Usually higher for out-of-network care

• You don’t need a referral to see an out-of-network provider.

• An out-of-network provider does not have to accept your PPO plan.

• You don’t need a referral to see a specialist.

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Initial Enrollment Period

New Medicare Beneficiary –

Can join a Medicare Advantage plan any time during the 7-month period surrounding their Medicare eligibility.

If you are a RC retiree you must enroll through OneExchange with a plan effective on the same date as your Medicare effective date or you will not get the HRA and if you have dependents under age 65, they may have their insurance with RC cancelled.

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Open Enrollment Period

� October 15 – December 7

� Can choose new plan

� Medicare Advantage Plan*

� Medicare Prescription Drug Plan

� Original Medicare Plan

� New plan starts January 1

* You can switch from a MA plan to a supplement within the first year provided you signed up for the MA plan when you first turned 65.

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Medicare Advantage Disenrollment Period

� January 1 – February 14 each year

� Can return to original Medicare

� Can enroll in a stand alone

Part D drug plan

� Change effective first day of following month

Again, these changes must be done through OneExchange

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“Trying Out” A Medicare Advantage Plan

• If you enroll in a Medicare Advantage plan when you first enroll in Medicare part B at age 65

AND• You disenroll from the Medicare Advantage plan

within 12 monthsTHEN

• You will be able to get a Medicare Supplement without answering health questions

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If I have Medicare, do I need to do anything about the Health Insurance Marketplace?

• Medicare isn’t part of the Marketplace• If you have Medicare, you are covered and don’t need a

Marketplace plan If you have a Marketplace plan before you enroll in Medicare:• Cancel your Marketplace plan when Medicare begins• Any premium tax credit and reduced cost-sharing will end when

Medicare starts

Health Insurance Marketplace

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For AssistanceCall for appointments

� Towers Watson’s OneExchange 1-866-249-9924

� UnityPoint Health St Luke’s Hospital SHIIP 319-369-7475

� Heritage AAA SHIIP 319-398-5559 or 1-800-332-5934

� Mercy Medical Center SHIIP 319-861-7887

� Meth-Wick SHIIP, 319-297-8646 (Meth-Wick Residents only)

� Jones County RSVP/SHIIP 319-560-0811

� SHIIP Office, Des Moines 1-800-351-4664

� Rockwell Collins Retirement Dept. 1-800-236-3071

� Family Medical Care Plan (FMCP) 1-877-937-9602

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Thank you for Coming

� Any Questions

� After group questions, we have several SHIIP Counselors as well as Rockwell Collins and OneExchange representatives situated around the room who will answer your questions one-on-one

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