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Benefits Update for 2014

Benefits Update for 2014. Thomas R. Tomberlin Director, District Human Resources Services thomas.tomberlin@dpi.nc.gov (919) 807-3440. Parental Involvement Leave. § 95-28.3. Leave for parent involvement in schools . The statute does apply to school personnel (including classroom teachers).

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Benefits Update for 2014

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  1. Benefits Update for 2014 Thomas R. Tomberlin Director, District Human Resources Services thomas.tomberlin@dpi.nc.gov (919) 807-3440

  2. Parental Involvement Leave • § 95-28.3. Leave for parent involvement in schools. • The statute does apply to school personnel (including classroom teachers). • Mutually agreed upon time – 48 hour notice • Employer may require documentation of visit. • LEA is not required to pay for this leave time.

  3. Annual Leave Bonus • Eligibility: • Any person who is eligible to earn annual leave AND • was a permanent employee of LEA on July 1st, 2013 OR • was under contract to be employed for the 2013-2014 school year on July 1st, 2013.

  4. Annual Leave Bonus • The bonus leave cannot be paid out except for a retiring employee. • The bonus leave can be used for any purpose for which regular annual leave is used. • Bonus leave may not be used on an instructional day if the employee requires a substitute. • Bonus leave cannot be donated as Voluntary Shared Leave (VSL). • Bonus leave can be applied to negative leave balance but not if the negative leave was incurred prior to July 1st, 2013.

  5. Annual Leave Bonus • LEAs may designate 5 of the built-in annual leave days in the calendar as bonus leave, but they should provide clear communication to employees to avoid any confusion. • Bonus Leave is coded to 29 – “2013-14 Bonus Leave” • The bonus leave does not count toward the maximum rollover balance at December 31st.

  6. Embracing a Healthy Lifestyle through the State Health PlanNew Plan Options and Incentives for 2014

  7. Health Plan Options for 2014 Enhanced 80/20 Plan NEW: Consumer-Directed Health Plan (CDHP) with HRA Traditional 70/30 Plan • The current Standard 80/20 Plan with a new name to match the new features • $0 ACA Preventive Services • $0 ACA Preventive Medications • New Wellness Incentives • Reduced medical copay opportunities • A new health plan option • A high-deductible medical plan • A Health Reimbursement Account (HRA) to help offset the deductible • 85/15 Coinsurance • $0 ACA Preventive Services • $0 ACA Preventive Medications • CDHP Preventive Medication List ($0 deductible) • New wellness incentives • Additional HRA funds for visiting certain providers • The current Basic 70/30 Plan with a new name • No incentives available • No $0 ACA Preventive Services • No $0 ACA Preventive Medications Open Enrollment will be conducted October 1 – 31, 2013. You must complete enrollment—otherwise, you and your covered family members will be enrolled in the Traditional 70/30 Plan effective January 1, 2014.

  8. A New Focus On Wellness Enhanced 80/20 Plan NEW: Consumer-Directed Health Plan (CDHP) with HRA Traditional 70/30 Plan • Wellness premium credits when: • Subscriber completes a Health Assessment • Subscriber attests for him/herself and spouse (if applicable) to not smoking...or to being in a smoking cessation program • Selecting a Primary Care Provider (PCP) for self and all dependents • Additional wellness incentives • $15 copay reduction for utilizing the PCP (or someone in that practice) listed on the ID card • $10 specialist copay reduction for utilizing a Blue Options Designated Specialist • $0 inpatient hospital copay for utilizing a Blue Options Designated Hospital • Wellness premium credits when: • Subscriber completes a Health Assessment • Subscriber attests for him/herself and spouse (if applicable) to not smoking...or to being in a smoking cessation program • Selecting a Primary Care Provider (PCP) for self and dependents • Additional wellness incentives • $15 added to the HRA when the PCP (or someone in that practice) listed on the ID card is seen • $10 added to the HRA when a Blue Options Designated Specialist is seen • $50 added to the HRA when a Blue Options Designated Hospital is utilized for inpatient services • No incentives available • No $0 ACA Preventive Services • No $0 ACA Preventive Medications

  9. Lower Your Premiums with Wellness Premium Credits—The Enhanced 80/20 Plan

  10. Lower Your Health Care Costs with Wellness Incentives—The Enhanced 80/20 Plan

  11. The Consumer-Directed Health Plan (CDHP) with HRA   High-Deductible Health Plan Health Reimbursement Account (HRA) • Covers the same services as other Plan options through the same PPO network • The deductible is higher than other Plan options, but the coinsurance is lower • In-network: $1,500 Individual/$4,500 Family • Out-of-Network: $3,000 Individual/ $9,000 Family • After the deductible is met, the member only pays the 15% coinsurance • The deductible applies to both Pharmacy and Medical expenses • If the member reaches his or her deductible and coinsurance out-of-pocket maximum, the Plan pays 100% of the covered expenses for the rest of the benefit year (medical and pharmacy) • The Plan funds the members’ Health Reimbursement Accounts (HRA) annually • HRA funding is based on the number of family members covered • $500 for employee/retiree only • $1,000 for employee/retiree + 1 • $1,500 for employee/retiree + 2 or more dependents • HRA funds are used to pay a portion of the members’ deductibles & coinsurance • Once the HRA is depleted, the member must pay the remaining deductible & coinsurance • Incentives available to add value to HRA • Unused HRA funds are available the following year A different kind of health plan with two components

  12. Lower Premiums with Wellness Premium Credits—CDHP

  13. Lower Member Health Care Costs with Wellness Incentives—CDHP

  14. The Traditional 70/30 Plan • Traditional 70/30 Plan – The new name for the current 70/30 Basic Plan; there are no changes to the Plan’s benefits for 2014 • Copays and Deductibles – The copays and deductibles on the Traditional 70/30 PPO plan are the same as they are today on the 70/30 Basic Plan. There will be no opportunities for copay reductions on the Traditional 70/30 Plan. • Network Services – Members may visit any provider, but they will pay less when they go to a BCBSNC network provider • Preventive Services – Copays still apply to preventive services.

  15. Salary and Benefits Statement • Pursuant to Session Law 2009-63, House Bill 1221, DPI will maintain a website for school employees to calculate their full compensation (salary and benefits) package. • http://apps.schools.nc.gov/benefitstatement

  16. Salary and Benefits Statement

  17. Salary and Benefits Statement • Districts are responsible for keeping their local benefits updated. • DPI will update the page with current information • Please contact me if you need to update your local benefits provider on the webpage.

  18. Questions/Comments Thomas R. Tomberlin thomas.tomberlin@dpi.nc.gov 919-807-3440

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