Health Benefits 2019

1. Health Benefits 2019 R. Mark King, Treasurer/Benefits Officer

2. A Word About Insurance…… • Role of Insurance: PREVENTS CATASTROPHIC LOSS Original Idea: Pooling of resources to prevent/share in losses Ancient Babylonians & Chinese Lloyd’s of London American Approach

3. A Word About Insurance…… • Acts 2: 42ff • Acts 4: 32ff • All the believers were one in heart and mind…sharing everything they had. • Spirit of our Self-Funded Plan WE ARE THE INSURANCE COMPANY!

4. A Word About Insurance…… • Premiums collected = Costs expended • PREMIUMS COLLECTED (August 2017-July 2018)= $10,674,918 • MEDICAL, DENTAL & RX CHARGES = $12,534,733 ______________ Difference= $1,859,815

5. A Word About Insurance…… • Healthgram and PharmAvail- 3rd party administrators • Primary PhysicianCare- network • Stop-Loss provision • Tier 1: $250,000 • Tier 2: $200,000

6. 2019 Active Health Plan Options • Each active clergy participant will have the choice between THREE PLANS: • Basic plan: Same covered services; lower premium; Higher out-of-pocket costs (deductibles, co-pays, co-insurance) • Basic Plus plan: Same covered services; higher premium; Lower out- of-pocket costs (deductibles, co-pays, co-insurance) • HSA plan: High Deductible, no Co-pays or Co-insurance; WNCC seeds HSA • Select ONE plan; dependents must also be included in the same plan. • Increased Costs for 2019: Basic Plan 8%; Basic Plus Plan 10%

7. Medical Health Plan Option: Basic / Plus

8. Medical Health Plan Option: HSA

9. Participant’s/Employer’s Contribution under Plans • BASIC PLAN: Clergy premium costs determined by percentage of premium according to sliding scale salary range. • BASIC PLUS PLAN: Same base premium as BASIC PLAN plus $3,665 difference between costs of Basic vs. Basic Plus • HSA PLAN: Same premium as Basic Plan; Clergy premium costs determined by percentage of premium according to sliding scale salary range. • Church premium cost is SAME for ALL plans less the clergy contribution.

10. MAXIMUM OUT OF POCKET- ALL PLANS(In Network) • BASIC PLAN: $6,000 (Individual); $13,200 (Family) • BASIC PLUS PLAN: $4,000 (Individual); $12,000 (Family) • HSA PLAN: $5,500 (Individual); $10,000 (Family)

11. 2019 Retiree Health Plan • Retiree clergy over 65 participate in a Medicare Supplement Plan • Premiums based on qualified years of service in WNCC • No Cost Increase for 2019 (seven years running!) • Medical only; no pharmaceutical; no dental • Retiree clergy under 65 participate in one of the Active Plans • Retiree pays 100% of premium unless appointed ¾ or more

12. New Offerings

13. Flexible Spending Arrangements • WNCC Section 125 Plan ONLY • MEDICAL • Covers out-of-pocket for allowable medical expenses (co-pays, deductibles, co-insurance) • Can contributed up to maximum of $2,650 for 2018 (2019 maximum announced by IRS) • ACA allows $500 to rollover into 2019 • Immediate availability of ALL funds • Use it or Lose it • DEPENDENT • Covers expenses for any type dependent care (children or adult) • Can contributed up to maximum of $5,000 for 2019 • Use it or Lose it • Funds ONLY available as accrued

14. How To Make Changes • IF NO CHANGE ELECTION FROM ONE PLAN TO OTHER, no need to do anything! • IF CHANGE IN CHOICE OF PLAN OR PERSONAL/DEPENDENT INFORMATION: • Forms are provided from Healthgram for Open and RE-Enrollment (FSA) • After Open Enrollment, changes only allowed by “qualifying events.” • FSA required new enrollment form • Complete name, address, phone number and other personal information requested. • Select which coverage and the corresponding amounts. • Complete the middle section for spouse and eligible dependents • SIGN AND DATE! • For HSA seeding, must have HSA verification by January 31, 2019 • Forms returned by December 1, 2018 for 2019