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2013 US Benefit Orientation. Impact of Health Care Reform Grandfathered Status Statement.
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Impact of Health Care Reform Grandfathered Status Statement • The Amdocs Medical Plan believes the Amdocs Medical Plan is a “grandfathered health plan” under the Patient Protection and Affordable Care Act (the Affordable Care Act). As permitted by the Affordable Care Act, a grandfathered health plan can preserve certain basic health coverage that was already in effect when that law was enacted. Being a grandfathered health plan means that your plan may not include certain consumer protections of the Affordable Care Act that apply to other plans, for example, the requirement for the provision of preventive health services without any cost sharing. However, grandfathered health plans must comply with certain other consumer protections in the Affordable Care Act, for example, the elimination of lifetime limits on benefits • Questions regarding which protections apply and which protections do not apply to a grandfathered health plan and what might cause a plan to change from grandfathered health plan status can be directed to the plan administrator at St. Louis Benefits Department at 1-866-426-8003. You may also contact the Employee Benefits Security Administration, U.S. Department of Labor at 1-866-444-3272 or www.dol.gov/ebsa/healthreform. This website has a table summarizing which protections do and do not apply to grandfathered health plans
If you are a full-time, active Amdocs employee who is regularly scheduled to work at least 30 hours per week, you are eligible for coverage under the Amdocs’ group benefits program. You have 31 days from your date of hire to enroll into the benefit programs. Enrollment is not automatic. Benefit Eligibility
You can also choose coverage for your eligible dependents. Eligible members of your family include: Your spouse Your eligible children Your children who are physically or mentally disabled Your domestic partner and their eligible dependents Children are eligible up to the age of 26 regardless of student or marital status Child cannot be eligible for another employer sponsored plan It does not apply to dependents of the child (spouse or child) Cost – will not be treated differently than other eligible dependent children Dependent Eligibility You must provide the Social Security Number (SSN) for all eligible dependents enrolled in the Amdocs benefit plans.
Domestic Partner Coverage Amdocs offers insurance coverage for Domestic Partners and eligible children of the domestic partner. Eligible Domestic Partners include: • Same sex partners • Opposite sex partners when one partner is at least over the age of 62 • Eligible Domestic Partner Children • A Declaration will need to be completed by both the employee and Partner, confirming that eligibility criteria has been met. The form will be sent once elections have been updates in Benefits Self Service • Employee contribution rates for the additional coverage will be taken from each paycheck on a post-tax basis. This deduction will be in addition to current pre-tax deductions for each coverage type that is selected. • For tax reasons, the dollar value for the health, dental and vision coverage will be treated as taxable income for the taxable income for these benefits is subject to withholdings for Federal income tax, State income tax as well as FICA. Payroll will withhold the appropriate POST-Tax deduction for each pay period. The taxable income will be reported on the W2 issued to the employee for the years in which the coverage is provided.
Medical Plan Options The administrator is CIGNA HealthCare (www.cigna.com) • Eligibility begins on date of hire • Employee contributions deducted from earningswill begin on the next available paycheck after enrollment is complete • Two Options for coverage: • POS - Point of Service • PPO - Preferred Provider Organization
Point of Service (POS) Plan No Annual Deductible for In-Network Services Must select Primary Care Physician (PCP) • Doctor’s Visit - $15 co-pay • Preventative visits to your primary care physician will be 100% covered. No doctor visit co-payment will be required. Examples of preventative visits include: Well Child Pediatrician Visits, Annual Physicals, Annual Well Women Visits, mammograms and PSA Screenings • Urgent Care Facility - $30 co-pay • Emergency Room - $75 co-pay, which is waived if admitted • Outpatient Surgical Facility – $40 co-pay • Other outpatient services – paid at 100% • Inpatient Hospital Service – $150 co-pay per admission • Lifetime maximum benefit is unlimited
Preferred Provider Organization (PPO) • No need to select Primary Care Physician • MUST meet annual deductible before plan will pay any expenses • Preventive Services including annual physicals, mammograms, PSAs • In-network - paid at 100% - no deductible • Doctor’s Visit (non-preventive services) • In Network - Pays 80% after deductible • Hospital Services (inpatient or outpatient) and Emergency Room • In Network - Pays 80% after deductible
Out of Network Coverage If you go outside of the CIGNA network for coverage: • POS and PPO Out of Network Benefits • Plan pays 70% after employee deductible and is subject to usual and customary rates
Prescription Coverage • Preventive Medications – Save money by using mail order to fill your preventive medications. • Generic Preventive $0 co-pay for 90 day supply • Preferred Brand Preventive $20 co-pay for 90 day supply • Why Switch? - Save money and delivery right to your home. No trips to the pharmacy!
Amdocs has a Step Therapy process in place for 14 classes of prescription drugs (see appendix for the list of classes) Requires that Non-Preferred Brand prescriptions try a generic and a preferred brand equivalent prior to using the non-preferred Brand. How does it work? Can fill a prescription for 30 days. CIGNA will notify you and your doctor of the Step Therapy requirements. At any time, your doctor may submit documentation to support the need to use the non-preferred brand drug If no action is taken within 30 days of the initial fill, you will not be able to fill the non-preferred brand prescription. It will be filled with a generic or preferred brand equivalent. Prescription Coverage – Step Therapy
Dental Plan • Administered by CIGNA Dental - www.cigna.com • Eligibility begins date of hire • Employee contributions deducted from earnings will begin on the next available paycheck after enrollment is complete Employee may choose a provider from: • CIGNA DPPO Network • Non-Contracted (Out of Network) Provider – if use a non-contracted provider, claims will be paid based on usual and customary rates (UCR). Annual Deductible: • $50 for individual • $150 for family
Dental Plan (cont.) • Examples of Preventive Services are: • Oral Exam (limit to 2x per year) • Bitewing X-rays (not more than 2x per year) • Prophylaxis (limited to 2 treatments per year) • If you choose a Non-Contracted provider employee may have to file claim for reimbursement. Claims will be subject to usual & customary rates.
Dental Plan (cont.) • Orthodontic Treatment • Plan pays 50% after deductible • $1,000 Maximum lifetime benefit • Covers children up to age 19 • $1,500 annual maximum benefit for other than orthodontic treatment. • Wellness Plus Program – If participants get 2 routine exams/cleanings per year their annual maximum benefit will increase by $100 for the following calendar year, up to a maximum of $1800.
Administered by Davis Vision Davis Vision Member Services: 1-800-999-5431 Davis Vision Website: www.davisvision.com Eligibility begins date of hire Employee contributions deducted from earnings will begin on the next available paycheck after enrollment is complete Two options for coverage are available Basic Vision Plan – no cost to employee Voluntary Vision Plan – employee pays cost of plan Frequency of visits Once every 12 months (from last date of service) Plan pays for either lenses & frames or contacts once in a 12 month period Out of network coverage is available. Benefits are paid at a lesser rate Vision Plan Options
Life Insurance • Life Insurance - Administered by MetLife • Eligibility begins date of hire – must be actively at work • Basic (employer provided) • Employee only coverage equal to 1.5x annual base salary, up to $1 million • Optional (employee paid) – can elect coverage for employee, spouse or children. • *Guarantee issue applies only when coverage is first offered • Employee - may choose from $75,000 to $1,000,000 in additional coverage. Guaranteed issue of $300,000*. If you elect over $300,000 in additional coverage, evidence of insurability will be required. • Spouse - may choose $10,000 increments up to $100,000. Guaranteed issue of $30,000*. If elect over $30,000, evidence of insurability will be required. • Child(ren) - may elect $5,000 or $10,000 coverage per child age 2 weeks to 19 years (age 25 if full time student). Child coverage covers all children. • The cost of employee and spousal optional life coverage will increase as the employee ages. Additional information can be found in the appendix. Please note that if your spouse also works for Amdocs you may not carry spousal Optional Life Insurance on each other. Children of Amdocs employees may only be covered by one parent for Optional Life Insurance.
Accidental Death & Dismemberment Accidental Death & Dismemberment Insurance • Eligibility begins date of hire • Basic (employer provided) • Employee only coverage equal to 1.5x annual base salary You may elect Optional Accidental Death & Dismemberment (employee paid) • Employee – can elect from 1 to 10x salary, up to a maximum of $2 Million • Family – Employee elects from 1 to 10x salary. Spousal benefit is equal to 50% of employee election. Each child has a benefit of $10,000 (children age 2 weeks to 19 years - age 25 if full-time student) • No evidence of insurability required Please note that if your spouse also works for Amdocs you may not carry Optional Accidental Death & Dismemberment Insurance on each other. Children of Amdocs employees may only be covered by one parent for Optional Accidental Death & Dismemberment Insurance.
Disability Additional benefits provided by Amdocs at no cost – no enrollment required • Short Term Disability – up to 26 weeks • Starts on 8th calendar day of illness – 2nd day for injury related to an accident • Pays 100% of base earnings for the first 11 weeks, following elimination period • Pays 70% of base earnings for weeks 13 through 26 • Long Term Disability – Disability that exceeds 26 weeks • For employees in bands 1-3: pays 60% of base monthly earnings to a maximum benefit of $5,000 per month • For employees in bands 4 & up: pays 60% of base monthly earnings to a maximum benefit of $10,000 per month Disability – Administered by CIGNA Leave Solutions
Employee Assistance Program Employee Assistance Program • Administered by Ceridian LifeBalance® • Free, confidential assistance to support you with all the issues of daily living • Counseling (including addiction and recovery) • Eldercare, childcare • info on “how to” – lease cars, apartment listings, general tax information, etc. • Financial • Legal • Health and Wellness • Contact LifeBalance® at 1-877-510-0556 or go online to www.lifebalance.net user ID: Amdocs password: us
Flexible Spending Account (FSA) Claims Administrator: Conexis Account Options: 1) Health Care FSA 2) Dependent Care FSA • Employee Contribution Amounts: MinimumMaximum • Health Care $240/year $2,500/year • Dependent Care $240/year $5,000/year per family • Enrollment for these plans will start the 1st of the month following your enrollment. Example: You enroll through Benefits Self Service on January 15th, your benefits are effective the 1st of February.
Flexible Spending Accounts (FSA) cont’d Health Care FSA • Benefit – Eligible contributions are deducted from paycheck on pre-tax basis – placed into a separate account • Eligible Expenses –Medical, dental and vision expenses not covered by existing insurance • Conexis Elite Card – Can be used at point of service to pay for eligible health care expenses - no need to file paper claims for reimbursement Dependent Care FSA • To Qualify – both spouses must be working full time; or 1 spouse working full-time & 1 spouse a full-time student; or single parent with primary custody • Eligible Expenses –those that enable you and your spouse to work, or enable your spouse to attend school full time • This includes daycare and before and after school care for children up to age 13
The Flexible Spending Accounts through Conexis have a grace period for the filing of previous year claims Employees will have until March 15th of the following year to use the Healthcare & Dependent care funds remaining in their current year’s account with Conexis. This grace period extends the amount of time in which eligible expenses can be reimbursed to the employee “Use it or Lose it” Feature – Employees will have until March 31st of the following year to file claims. Unused funds will not be returned to the employee and may will NOT be carried forward Grace Period for FSA Accounts
Claims Administrator is Conexis www.conexis.org Member services: 866-279-8385 Options: Parking Plan Maximum Monthly Reimbursement: $245.00 Parking claims must be submitted for reimbursement within 180 days of the expense Transit Plan – includes, but not limited to subway and bus fare. Does not include tolls. Maximum Monthly Reimbursement: $245.00 Transit passes MUST be ordered through Conexis’ on-line system Transit passes not purchased through on-line system will NOT be reimbursed Additional information on eligible expenses is available from Conexis Transit Reimbursement Account
Retirement Savings 401(k) Plan • Plan Administrator • Prudential Retirement Services • Eligibility • Begins after receipt of first paycheck and you will be able to enroll approximately 3-5 business days after you have received it • Enrollment • Contact Prudential Retirement at 1-877-PRU-2100 or go on-line at www.prudential.com/online/retirement to enroll or make changes
Retirement Savings (401k) Plan (cont.) • Contributions • Up to 50% of your pay (subject to tax law limits) • 2013 employee contribution limit is $17,500 • Company Matching Contribution • 0.50 per dollar contributed, up to 6% of your total eligible compensation • Vesting in Company Match • 100% vested after 5 years of service Note: For 2013, if you have contributed to other 401(k) plans during the calendar year, you are responsible for monitoring your total annual contributions to ensure you do not exceed contribution limits.
Retirement Savings (401k) Plan (cont.) • Catch Up Provision • Must be at least 50 years of age (or will turn 50 in the calendar year) to be eligible • May elect to contribute up to an additional $5,500 for 2013 • Can make Catch Up Elections online at www.prudential/retirement/online or by calling Prudential at 1-877-778-2100 • Your CatchUp contributions will rollover from year to year and will be taken at the same time as your regular employee contribution • Company will not match Catch Up contributions Note: If you are eligible for Catch Up contributions you will need to make sure you do not exceed more than $23,000 between your previous employer’s 401k plan and the Amdocs 401k plan for the 2013 plan year.
Retirement Savings (401k) Plan (cont.) Recognition of World-Wide Service Amdocs is recognizing world wide service with all Amdocs business groups for vesting purposes in the 401k plan. • Example, an employee worked for Amdocs Israel for 2 years then transferred to Amdocs US. This employee would be 40% vested in the 401k plan. Amdocs will immediately vest an employee at 100% upon transfer to another Amdocs business group even if they do not have 5 years of service with Amdocs. As long as an employee is actively employed in any business group of Amdocs they can not take a distribution of their 401k plan or rollover the money into an IRA of their choice. This means, for example, if any employee transfers from the US BG to Israel BG their money must remain in the Amdocs 401k plan. A distribution or rollover can only be taken if the employee terminates with ALL Amdocs business groups or reaches age 59 ½.
You have 31 daysfromdate of hire to go online and enroll in the Amdocs benefit plans through Benefits Self Service Benefits Self Service should be available to you on your date of hire If you do not enroll or waive your Amdocs benefits your Amdocs coverage will be waived automatically and your enrollment opportunity will be closed after 31-days You may enroll in 401k at anytime after you have received your first paycheck from Amdocs Enrollment in Amdocs Benefits
Amdocs Benefit Self-Service What is Benefits Self Service? • A tool that will allow employees to view their benefit information on-line • Accessible through the Amdocs Portal or through Webgate • Will eliminate the need to complete paper forms to enroll or make changes to benefit choices What can employees do in Benefits Self Service? • Allows employees to • View their current benefit choices at any time • Make updates during open enrollment Make updates if you have a qualifying event • Examples are • marriage • divorce • birth of a child • change of employment status for spouse
Employee Self Service Human Resources US – Instructional Manuals Available
Employee Self Service Human Resources US – Instructional Manuals Available
How Do I Access Benefit Self-Service? To update dependents under your profile My Personal Details Benefits for US
Questions? You may open a HR Helpdesk Ticket: http://helpdesk/client/centers/HR/NA/NewGroup.htm Thank you for your time! • America’s Benefit Department • americasbenefits@amdocs.com • 1-866-426-8003
Appendix - 2013 Rates Rates are based on pre-tax deductions taken each pay period.
Appendix – Step Therapy Class List 14 Classes of drugs are included in the Step Therapy Program
2013 Optional Life Rates Rates per $1000 of coverage Rates based on employee’s date of birth Payroll contribution deductions are taken on an after tax basis and will begin on the next available paycheck after enrollment Divide by 2 to get cost each paycheck Child coverage is $1.00 per month for each $5,000 of coverage Appendix - Optional Life Insurance Optional Life Insurances rates for both Employee and Spouse will increase as the employee crosses into the next age band in the chart. The increase will take effect as of January 1st of the following calendar year after crossing into the next age band, or if a qualifying event occurs prior to January 1st. Examples of a qualifying event would include a salary change, marriage, divorce, or birth of a child. In which case, the increase would take effect as of the date of the qualifying event. The Optional Life Insurance offered through MetLife is a Term Life Policy. Term life insurance, as an employee benefit ,works differently than in the individual life insurance market. In the individual market a person will pay premium for a set term and at the end of the term the insurance typically goes away. In the group world, the "term" would be as long as the employee is employed at this employer and is electing to pay premium. Since the rates are presented in 5 year age bands, the premium increases as a person ages..
Rates per $1000 of coverage Payroll contribution deductions are taken on an after tax basis and will beginon the next available paycheck after enrollment Divide by 2 to get per paycheck amount Appendix – Optional AD&D Rates
Appendix – Voluntary Plan Rates Rates based on each pay period