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{ Benefits and Wellness } 2015 Open Enrollment. { Benefit Plan Options }. Health: PPO and HDHP/HSA Dental: Basic and Enhanced Vision (voluntary): Kids Care Plan Flexible Spending Accounts: Medical and Dependent Life Insurance (voluntary): Employee and Dependent. { Communication Plan }.
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{Benefits and Wellness} 2015 Open Enrollment
{Benefit Plan Options} Health: PPO and HDHP/HSA Dental: Basic and Enhanced Vision (voluntary): Kids Care Plan Flexible Spending Accounts: Medical and Dependent Life Insurance (voluntary): Employee and Dependent
{Communication Plan} • Information Sessions: September and October • University-wide • Divisions and Departments • Mailings • Hard copy to home address and campus address • Electronic via “Miami Matters” and e-newsletters • Benefit and Wellness Fairs: September 30 and October 1
{Voluntary Life Enrollment} • 2015 enrollment opportunity for employees not currently enrolled • Elect up to $50,000 coverage without evidence insurability • Those previously denied must complete EOI
{2014 Activities} • On-campus Health Services Request for Proposal • TriHealth effective July 1, 2014 • Integration of employee and student services • Access to regions electronic medical record system “EPIC” • “My Chart” patient portal • More in-depth and comprehensive support of programs • TB testing for international students • Healthy Miami biometric screenings
{2014 Activities} • Health Plan Administration Request for Proposal • United HealthCare effective January 1, 2015 • “UMR” technology platform • Focus on data transparency and more informed consumer decision making • Strengthened plan design with more options • 99.15% provider match from Humana to United Healthcare • Members will receive new health plan ID cards late December • Transition Processes • Health Savings Account • Mail Order Pharmacy • Transition of Care 90 day period
{2015 Health Plans} • Two options: PPO and HDHP • Three tiered in-network hospital structure • Strengthened plan design with more options • Potential Savings • Focus on data transparency • My Healthcare Cost Estimator
{Definitions} • Deductible • Upfront flat amount a member pays before plan begins sharing costs for certain services • Co-insurance • A percentage cost share a member pays for certain services after the deductible is met • Out-of-pocket maximum • The maximum amount paid for in-network deductible and co-insurance covered services in a calendar year • Co-payment • Upfront flat amount a member pays for certain services • Plan Maximum • The maximum amount paid for in-network deductible, co-insurance AND co-payments
{Health Care Reform} • Health Insurance Marketplace (i.e. Exchanges) • Employers required to provide notice to all employees • Ohio has a “federally facilitated exchange” • Metal levels of plans • Platinum, Gold, Silver and Bronze • Criteria for subsidies • Miami’s coverage is minimum value and affordable
{Open Enrollment} • October 1-31 • Review benefit plan options • Do Flexible Spending Account contributions automatically continue? • No, if desired re-enrollment must be completed via Open Enrollment • Do Health Savings Account contributions automatically continue? • No, if desired re-enrollment must be completed via Open Enrollment
{Healthy Miami: Premium Discount Program} • Complete following steps by November 15: • Annual well/preventive physician visit • Health questionnaire • Biometric screening • Age and gender applicable screenings • Tobacco Free Certification • Tobacco free portion of discount ($45) • Completing the university sponsored “Freedom from Smoking” class qualifies for the discount