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2013 Employee Benefits Enrollment

2013 Employee Benefits Enrollment. Open Enrollment. Changes effective January 1, 2013 It’s the time of the year to: Add or change Medical and Dental plan Add or delete dependents Enroll in Flexible Spending Accounts for 2013 Changes must be received by Monday, December 3rd.

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2013 Employee Benefits Enrollment

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  1. 2013 Employee BenefitsEnrollment

  2. Open Enrollment • Changes effective January 1, 2013 • It’s the time of the year to: • Add or change Medical and Dental plan • Add or delete dependents • Enroll in Flexible Spending Accounts for 2013 • Changes must be received by Monday, December 3rd

  3. Wellness Program Based on the Wellness Activities you completed during 2012 determined whether you earned GOLD, SILVER or BRONZE. The $$ you get in your Health Reimbursement Account is based upon your completion!

  4. 2013 HRA Contributions

  5. What can I use this money for? Reimbursement for copays, prescriptions, vision, dental expenses, etc. How do I get this money? Complete HRA claim form, attach receipt (see example on page 40) or EOB, and send to address on form or you use your Debit Card - more on this later! What happens if I don’t use all the money? The unused portion rolls to the next year.

  6. So what do you have to do in 2013? TBD!!

  7. Cholesterol  Waist Circumference  Weight  Blood Pressure  Body Fat

  8. Mayo Clinic Health Risk Assessment Who Knows my INFO? The Mayo Clinic & You! What Does my Employer Know? Unity House will receive a group report compiled and controlled by Mayo Clinic. This aggregate report is stripped of all personally identifying information and provides general direction in designing health programs that match employee needs.

  9. How Do I Get to Mayo?www.relphhealth.com

  10. Flexible Spending Account

  11. Flexible Spending Accounts Participation in an FSA reduces the taxes you pay to Uncle Sam “Use It or Lose It” – Prepare by budgeting your predictable expenses You Must re-enroll each year in order to participate Maximum Annual Election is $ 2,500 (CHANGE FOR 2013) for Health Care FSA and $ 5,000 for Dependent Care FSA Voluntary plans – you are not required to participate

  12. Health Care FSA Sample Eligible Expenses (see pg 38):

  13. Budgeting Your Expenses

  14. Dependent Care FSA Pre-Tax Funding of Dependent Daycare Expenses Participate only if care is necessitated for work or school-related expense Maximum Election is $5,000 $$ must be in account prior to reimbursement Provider must have a Tax ID # Can’t use Childcare Tax credit & Dependent Care – talk to your tax advisor!

  15. Keep Your current Benny Card or • You will need to sign up for a debit card if: • If you did not receive a card in 2012 • If you lost your card and did not order a new one there is a $5 charge

  16. Debit Cards * Do not use your debit card at the Dentist’s office Debit Cards can be used for FSA and HRA Expenses “All Claims MUST be substantiated!” So says the IRS! When a purchase is NOT automatically substantiated (ie, vision), FBS will request receipts…

  17. Please Respond! First Receipt Request If you do NOT respond after two letters? FBS will block your card Your employer will garnish. IRS Rules!

  18. How to Respond to a Letter Requesting Debit Substantiation? • Debit Substantiation Procedures • 1-Return a copy of the letter along with the requested receipts. • 2-Receipts must meet IRS acceptable “5-Point” receipt requirements • 3-Reply directly by fax (585-641-7500) or US Mail as indicated on the letter.

  19. Tired of Having Your Claims Denied? For Rx Claims: Employee or Dependent Name Fill Date Provider Amount Due by Employee Drug Name Pull receipt off the bag! For Over the Counter Items: Date of Purchase Store Name Eligible Item Purchased Amount Due by Employee Prescription if Medication What do we need to process a claim? Detailed Receipts! For Dental/Vision: Employee or Dependent Name Date of Purchase Provider Services Rendered Amount Due by Employee Amount paid by insurance

  20. SEBF Medical & Dental • Aetna Medical Plan – No Change! • SEBF Dental & Vision Plans – No Change!

  21. MetLife Dental Plan

  22. MetLife Dental Plan Plan Features • Deductible $50 (3 per family) for Basic & Major Services only • $1,000 annual maximum • Dependent/Student - 19/25 • REMEMBER, while you can enroll for 1/1/2013, you would have waiting periods if not newly eligible : • 6 months on Basic Restorative (Fillings) • 12 months on all other Basic Services • 24 months on Major Services

  23. MetLife Dental Plan Per 26 Pay Costs

  24. NEW for 2013! MetLifeVision Plan Dependents to 20/26 – different than dental

  25. MetLife Vision Plan

  26. Life and Disability PlansCore - Company Paid Benefits Group Term Life & AD&D Insurance – 1 times your annual salary to maximum of $150,000 Statutory NYS Short Term Disability 50% of you weekly salary to a maximum of $170 per week Long Term Disability 60% of your monthly salary after 180 days of disability

  27. NEW Lincoln Short Term Disability • 14 day elimination period • 40% of weekly salary up to $1,000 per week • Does not integrate with NYS Disability • 3/6 Pre-existing condition • All employees will be Guarantee Issue – no medical questions

  28. Voluntary Short Term Disability Example Sam Jones, $1500 monthly salary or $346 weekly salary Monthly benefit $600 This is in ADDITION to NYS Disability Per 26 Pay Deduction $6.20 (same rate $.97 per $10 regardless of age )

  29. Sam’s Disability Payment Monthly Salary $1,500 VoluntaryShort-TermDisability$600 After-TaxPaycheck $1,085 Total Disability Payment $1,133 NYSDisability$533

  30. ING Whole Life Insurance • Qualified Issue Coverage for all eligible employees. • Qualified Issue Coverage Levels: • Employees – 3x salary to $100,000 max • Spouses – Death benefit amount what $5/wk will purchase • Children – Individual Polices for $10,000 or Term Riders for $10,000 • Affordable Level Premium(30 yr. old/$25,000/$4.65 wk) • Loan Provision Cash Value Accumulation($9,025) • Flexible Convenient Payroll Deduction • Portable

  31. Cancer Insurance If you or a family member were diagnosed with cancer, your medical insurance would cover your hospital and medical expenses, but not your "Indirect Costs". Indirect costs can include: Medical Related Expenses Co-payments Non-medical Expenses Travel Expenses − Meals Lodging − Care giver loss of income Out-of-Pocket Expenses Car Payments − Mortgage or Rent Payments Utility Bills − Health Insurance Premiums

  32. VIEWMYBENEFITS.comAll your benefit information in one location! Forms, provider directories & questions answered!

  33. If you agree with Employee Information Statement and are making these elections…. 1. Address Check 2. Am I enrolled correctly? Sign Form 3. Please list dependents with SSN 4. Do I want FSA? Write in annual election 5. Do I need Benny Card? Check box 6. Do I want to enroll in MetLife Vision? Check box 7. I understand pre-tax rules, Debit card rules and give my employer permission to deduct… Sign Form Return to HR by December 3, 2012

  34. If you wish to sign up for Lincoln Short Term Disability or MetLife Vision 1. Do I want the Lincoln STD coverage? Fill in your address and information 2. Sign Form Also Return to HR by December 3, 2012

  35. Thank You

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