Presented by Tony Ciez

1. PAEOP: 2018-2019 Benefits ReviewTuesday, August 21st, 2018Benefit Year: November 1, 2018 – October 31, 2019 Presented by Tony Ciez

2. 2018 Benefit Fair and Depot Schedule

3. What are my Medical Plan Options for 2018-2019? All employees will need to complete an enrollment form and Cigna’s beneficiary form! If you do not turn in a form, the Benefit Office will contact you. The arrows indicate the plan that is most similar. Be sure to consider all the plans before making a selection.

4. Transition of Care For those moving from Regence to Kaiser

5. What is my Cost of Coverage?I am a full-time employee (1.0 Benefit FTE) • If you work full time (1.0 fte) you will find your pre-calculated monthly cost for medical on your employee group’s calculation worksheet. • Includes cost of mandatory benefits. • Rate assumes enrollment in Delta Dental. Additional savings for those that select the Willamette Dental Plan • Pooling is not included in these calculations. Find this Worksheet and all other benefits information at this llink: https://www.puyallup.k12.wa.us/cms/one.aspx?pageId=164505

6. What is my Cost of Coverage?I am a part-time employee (less than a 1.0 Benefit FTE)

7. What is my Cost of Coverage?I am a part-time employee (less than a 1.0 Benefit FTE) From the example on the previous page, you can reduce the total premiums below by $341.59. The back of your calculation worksheet also walks you through this calculation.

8. Selecting a Medical Plan Step 1: After reviewing cost, review the basic plan features • Review the cost of each plan and then review the basic plan features. Be sure to look at your monthly premium cost deducted from your paycheck in comparison to the out-of-pocket maximum on the plan:

9. Selecting a Medical Plan Step 1: After reviewing cost, review the basic plan features • Don’t forget to review the Prescription Drug Benefits!

10. Selecting a Medical Plan Step 2: Review networks of plans you’re considering Kaiser Core HMO Network Plan with deductible, copays, and coinsurance. Selected by PSD to give you a high level of coverage from Kaiser Permanente providers: • More than 1,000 physicians with the Washington Permanente Medical Group at 25 locations • 9,000 in-network providers statewide, including 49 hospitals • Visiting member privileges at Kaiser Permanente facilities in other regions while traveling

11. Selecting a Medical Plan Step 2:Review networks of plans you’re considering Kaiser Access PPO Network Traditional plans with a deductible, copays, and coinsurance. Selected by PSD to give you a broad choice of providers: • 2,600 contracted providers, including major medical groups and hospitals in our service area, and designated pharmacies • First Choice Health network in Oregon, Alaska, Montana, Idaho, and Washington and First Health Network providers in all other states • OptumRx network with 65,000 pharmacies across the country • At your out-of-network benefit level, you can also use any licensed doctor in the U.S., including those at Kaiser Permanente facilities outside of our service area

12. PPO versus HSA - Which plan is best for you and your family? Consider the following questions: HSA

13. Eliminated Plans - What you might consider if you were enrolled on the Regence Innova A or B My plan is no longer offered, what are my alternative options? I was on the Regence Innova A or B Plan with most comparable benefits: Kaiser Access PPO - $750 The Kaiser Access PPO - $750 plan has a moderately lower deductible and out-of-pocket maximum and provides a richer coinsurance percentage then that of the Innova B plan. However, the core features of this plan are very similar to the Innova A plan design. The Kaiser Access PPO plans have comparable networks to your current Regence plan but you should verify that the doctors you use routinely are in these networks. Remember to review all your other plan options as well!

14. Eliminated Plans - What you might consider if you were enrolled on Regence Innova $2500 PPO My plan is no longer offered, what are my alternative options? I was on the Regence Innova $2500 PPO plan Plans with most comparable benefits: Kaiser Access PPO - $2500. The core features of this plan are very similar to your current Innova $2500 PPO plan design. The Kaiser Access PPO plans have comparable networks to your current Regence plan but you should verify that the doctors you use routinely are in these networks. Remember to review all your other plan options as well!

15. Eliminated Plans - What you might consider if you were enrolled on Regence QHDHP with HSA Option My plan is no longer offered, what are my alternative options? I was on the Regence QHDHP with HSA Option Plans with most comparable benefits: Kaiser QHDHP with HSA Option. The core features of this plan are very similar to your current QHDHP design in that you will be responsible for the cost of most services except preventive care until you have met your deductible at which point, coinsurance will apply. You can continue to put pre-tax money into a Health Savings Account (HSA) to help offset the high deductible. . The Kaiser Access PPO plans have comparable networks to your current Regence plan but you should verify that the doctors you use routinely are in these networks. Remember to review all your other plan options as well!

16. The Rest of Your Benefit RenewalsMandatory Benefits Voluntary Benefits: Medical Voluntary Life / AD&D Voluntary Vision Hardware Voluntary STD and LTD Voluntary Long Term Care FSA & HSA

17. Delta Dental of Washington Using Plan A Get an annual dental exam to increase your plan coinsurance by +10%in the next benefit period. If you don’t go to the dentist in the current benefit period, your benefit level will decrease by -10%in the next benefit period. • 3 Networks: • PPO Dentists (highest level of coverage) • Premier Dentists (in-network but may experience more out-of-pocket costs) • Non-Participating Dentists (lowest level of coverage) In the event you need to have dental work estimated to cost $300 or more, we recommend you have your dentist submit a treatment plan for pre-authorization.

18. Willamette How to use the network • How to schedule an appointment: • Call the Appointment Center: wait-time for an appointment may vary based on your choice of provider, dental office location, appointment type and desired day or time. • Network providers: • If you select the Willamette dental plan, you must receive care from a Willamette Dental Group dentist or specialist. • If you are referred to an outside dentist or specialist by your Willamette provider, you will have coverage per your Willamette plan.