Presentation Transcript

1. BioClinica, Inc. / Corelab PartnersImportant Benefit Plan Updates
2. Introduction This document provides information on key benefit plan updates for employees of the combined Corelab Partners and BioClinica (new BioClinica) To ensure fairness and objectivity in selecting an appropriate benefit plan, we have worked with our independent insurance broker to benchmark various plan options with what similar organizations offer their employees We are confident that we have selected a benefit plan that provides the appropriate level of coverage for employees of our organization
3. Table of Contents Highlights of benefit plan changes Medical/Rx/Vision Plan Dental Plan Company paid Life, AD&D, and Disability Plans Employee paid Voluntary Benefit Plans Open enrollment Other benefits
4. Highlights of Benefit Plan Changes BioClinica Legacy Employees
5. Summary of Benefit Plan Changes Open Enrollment for Plan Year beginning June 1, 2013. All new plan designs and carriers for health and welfare plans Open Enrollment for new plans begins now Due to the complexity of plan changes, we will not map over current elections. All eligible employees must complete the HRB open enrollment program Domestic Partnership benefits now offered! Company sponsored benefits for employees working 30 hours or more! Two Dental Plans being offered! Employee Savings Plan – 401(k) No changes for the 2013 Plan Year BioClinica and CLP legacy plans will be merged effective January 1, 2014. New matching formula will be effective with the merging of the plans Paid Time Off (PTO) No changes for the 2013 Plan Year BioClinica and CLP legacy plans will be merged effective January 1, 2014. New “years of service” brackets and accrual will take effect with the merging of the plans BioClinica’s PTO Buy plan will be offered for 2014 Plan year Other Benefit Plans There are currently no other benefit plan changes identified
6. Benefit carriers are changing….. Our new Health and Welfare plans effective June 1, 2013 include all new carriers: Independence Blue Cross (IBC) will administer the Medical, Prescription Drug and Vision benefits Delta Dental will administer dental benefits and; Lincoln Financial will administer benefits for Company paid Life and Disability Supplemental and Dependent Life
7. Medical/Rx/Vision Plan Administered by Independence Blue Cross – IBC
8. Medical/Rx/Vision Plan Overview With the IBC plans, you have the freedom to choose your own doctors and hospitals through the Personal Choice network or, if you are outside of the Philadelphia area, by accessing care through the network of preferred providers that participate in the BlueCard PPO program. You also have the option to see non-network providers. In-network Out-of-network PCP selection is NOT required Referrals are NOT required Doctor or hospital responsible for pre-certifications Any provider Deductible applies Coinsurance always applies Subscriber or dependent responsible for notifying IBC for services that require pre-certification (e.g., inpatient stays, outpatient surgeries, etc.) PLEASE NOTE: These plan highlights are intended for information purposes only. For specific details, conditions and exclusions,refer to your benefit summary.
9. Medical/Rx/Vision PlanPlan Options and Employee Responsibility
10. Medical/Rx/Vision PlanTransition of Care and Deductible Carry-over Transition of Care Forms are available if: Your physician is not in the IBC preferred network and you are in treatment (cancer, pregnancy, etc) You have a scheduled outpatient surgery, inpatient hospital stay for early June. The Transition of Care form needs to be completed by yourself and your physician and returned directly to IBC for review. Typically there is a 60-90 days continuation period granted. Deductible Carry-Over Deductibles and annual maximums are applied on a calendar year basis Any deductible for expenses incurred from January 1- May 31, 2013 will carry over, however, you will need to submit your last EOB to IBC to obtain the credit. EOB’s can be obtained by logging in to your Aetna Navigator account. Please note that if you do not create an account with Aetna prior to June 1, 2013, you will need to contact Aetna Member Services to request a copy of your EOB.
11. Medical/Rx/Vision Plan Vision Exam If you enroll in a medical plan, each covered member (employee, spouse, children) also receives a vision exam benefit whenutilizing a Davis Vision Provider. Go to www.ibx.com. Click on Find a Provider then click on Find a Vision Provider (left hand side of the page). There is no copay for a vision exam when using a participating provider. You are eligible for an eye exam once every two calendar years. In-Network Discounts are also available for many lens options (e.g., progressive lenses). Members receive a $100 lens/glasses allowance once every two years.
12. Medical/Rx/Vision PlanImportant tips for Prescription Drugs Be sure to notify your pharmacy that your insurance has changed when you fill your prescriptions on or after June 1, 2013 If you are close to a refill on your current Rx, refill it now For new prescriptions or refills on mail order Rx on or after June 1, 2013, you will need a new prescription from your doctor Prior authorization is required for certain medications Some medications may also have quantity limits that differ from your prior plan Be sure to check with your doctor to confirm that any authorizations required for your prescriptions are submitted
13. Medical/Rx/Vision PlanID Cards Due to the timing of this Open Enrollment, your IBC ID cards could arrive after June 1, 2013. If you need an ID card before you receive yours in the mail, you can print out a temporary ID card for yourself and/or any of your enrolled family members from the IBC site (www.ibxpress.com) beginning June 1st. Your temporary ID can be used for doctor visits, pharmacy, hospital services, etc.
14. Medical/Rx/Vision PlanIBC Tools: www.ibxpress.com IBC’s Member Portal is your source for IBC benefits info, claims, EOBs, WebMD information, and much more!
15. Medical/Rx/Vision PlanIBC – How to Find a Doctor Simply visit www.ibx.comto find a provider near you. These steps will walk you through this easy process: Visit www.ibx.com Look for Find a Doctoron the left side of thepage Click on the drop-down menus and select the type of medical provider you want Enter your zip code and the distance you would be willing to travel Select your plan If you are looking for a Provider in the 5-County Philadelphia area, use the Personal Choice PPO If you’re looking for a doctor from the national network, select National BlueCard PPO.
16. Medical/Rx/Vision PlanIBC – 1-800-ASK BLUE Locating In-Network Providers: If you have difficulty finding a Personal Choice PPO or BlueCard PPO Provider, call 1-800-ASK-BLUE or 1-800-275-2583. Pre-Authorization: 1-800-ASK BLUE. Personal Choice Doctors: Will obtain pre-authorization for you. BlueCard PPO Providers: Members are responsible for pre-authorizing certain procedures. You could be subject to a 20% reduction in benefits if pre-authorization is not obtained. Out-of Network Providers: Members are responsible for pre-authorizing certain procedures. There will be a 20% penalty if pre-authorization is not obtained.
17. Medical/Rx/Vision PlanHealthy Lifestyles Programs $200 Weight Management Program Reimbursement $150 Health ClubReimbursement $200 Tobacco Cessation Reimbursement Baby BluePrints Nutritional Counseling
18. Medical/Rx/Vision PlanIBC OE Hotline 1-855-222-BLUE Feel free to contact IBC directly for coverage, transition of care or other related open enrollment questions.
19. Dental Plan Administered by DELTA DENTAL
20. Dental PlanPlan Options and Employee Responsibility Dependent children are covered to age 26. www.DeltaDentalins.com
21. Dental Plan Delta Dental PPO Plus Premier Network Delta has multiple dental networks available to obtain services: In-network options Delta Dental PPO Network Provides greater discounts for services, but the network is smaller Delta Dental Premier Network Discounts not as steep, but larger pool of participating dentists Out-of-network For the Standard Plan claims paid to non-participating dentists by utilizing Delta Dental’s Maximum Allowable Charge (MAC) and patient may be responsible for coinsurance and charges above MAC. For the Buy-Up Plan claims paid to non-participating dentists are paid at a level that approximates the 90th percentile and patient may be responsible for coinsurance and charges above the 90th percentile.
22. Delta Dental Sample claim processed in Delta Networks How the Networks Work:
23. Dental Plan Work in Progress Procedures performed after effective date of Delta Dental’s coverage (June 1) are paid by Delta Dental Claims with dates of service prior to effective date – other than orthodontic procedures – are the previous carrier responsibility For orthodontics, Delta Dental takes into account the date that treatment began and the amount already paid toward the treatment Delta Dental pays no more than the contracted maximum lifetime amount for orthodontic services minus the previous carrier’s payments
24. Dental Plan D&P Maximum Waiver Option Allows you to obtain diagnostic and preventive (D&P) dental services without those costs applying to the plan year maximum Promotes good oral health May reduce the need for more expensive, restorative dental services that can result from undetected oral or related health problems
25. Dental Plan Deductible / Maximum Credit Deductibles and annual maximums are applied on a calendar year basis Due to the carrier change, effective June 1, 2013 Delta Dental will apply a new deductible and new maximum for the balance of 2013. If you have met your deductible under your previous carrier in 2013 and want to apply it to the new Delta Dental plan, you will need to: Obtain a copy of your most recent Explanation of Benefits (EOB) from Guardian through your guardiananytime.com account Submit the EOB along with the claim to have the deductible applied to the Delta Dental plan Please note that the amount already contributed toward your maximum from the prior carrier will also be taken from the EOB and applied to your new Delta Dental plan
26. Company paid Life, AD&D, and Disability Plans Administered by Lincoln Financial
27. Basic Life and AD&D Life and AD&D insurance benefit is 2x basic annual earnings up to a maximum of $300,000 BioClinica, Inc. provides these benefits at no cost to the employee
28. Short and Long Term Disability Short Term Disability Insurance Provides 66 2/3% of your base weekly salary to a maximum benefit of $3,000 per week Benefits begin on the 8th day following an injury and on the 8th day of an illness Maximum duration of 13 weeks (including the elimination period) Long Term Disability Insurance Provides 60% of your monthly base salary to a maximum benefit of $14,000 per month As long as you remain totally disabled, benefits may be payable up to your Social Security Normal Retirement Age Benefits for some disabilities are limited to 24 months
29. Employee Assistance Program (EAP) An EAP is provided for all BioClinica employees and their family members(no cost to you) Confidential support is available anytime by calling the EAP. Counselors are available 24/7 Benefits available: Unlimited telephone access to a Counselor by calling 877-757-7587 Up to 4 face-to-face sessions for short-term problem resolution Information available on the internet at www.eapadvantage.com Financial consultation and referrals Phone or in-person consultations with network attorneys Dependent care assistance, including recommendations on caregivers Benefits are provided by Bensinger, DuPont & Associates, a national EAP company.
30. Employee paid Voluntary Benefit Plans
31. Supplemental Life Insurance Lincoln Financial is providing a one-time opportunity to purchase the “guarantee issue” amounts of Supplemental Employee Life and Voluntary Dependent Life benefits without evidence of insurability processing. Supplemental life benefits (self) You may elect up to the lesser of $500,000 or 5x earnings. Your election up to $100,000 (guarantee issue amount) in benefits requires no medical underwriting ($50,000 if age 70 or greater). Any amount over $100,000 ($50,000 if age 70 or greater) requires a medical questionnaire (EOI). Voluntary Spouse Life Insurance This benefit is available up to a maximum $250,000 (not to exceed 50% of the employee’s elected amount). The Spouse Life Guarantee Issue amount is $30,000. Elected amounts over this amount requires EOI. Voluntary Dependent Child Life: Age 14 days to 6 months - $500 Age 6 months to Age 23 (25 if FT Student): Up to $10,000
32. Supplemental Life /AD&D Insurance If you are currently enrolled for Supplemental Life and Voluntary Dependent Life, your benefit amounts will be grandfathered at the current level with Lincoln Financial. No action is required to roll over current elections. If you wish to drop, change, or add coverage; make the applicable election online in HRB during the Open Enrollment Period. The rates in some age categories differ slightly from current.
33. OPEN ENROLLMENT PROCESS ACTION REQUIRED even if you are declining benefits!
34. Open Enrollment Basics Open Enrollment is your opportunity each year to review the benefits available to you and enroll, add dependents, change plans or waive coverage altogether without first experiencing a qualified life event. Enrollment is open now through May 23, 2013 with an effective date of June 1, 2013 Elections you make during this Open Enrollment period will remain in effect for one year (through May 31, 2014) Changes are only permitted throughout the year if you experience a life change event such as: Marriage Divorce Birth or Adoption of a Child Death Gain or Loss of other coverage You must notify your HR Administrator within 31 days of the Qualifying Event to make an election change.
35. Important Enrollment Information Completing the open enrollment wizard is mandatory for all eligible employees. (This is to ensure that you reviewed your options and communicated your elections even if it is to waive benefits.) If you do not do anything, you will be enrolled for employee only coverage in the Standard Medical Plan and the Standard Dental Plan. Exception: Supplemental Life and Voluntary Dependent Life elections will continue at the current elected benefit amount unless you choose to increase, decrease or discontinue your election at Open Enrollment.
36. How to Communicate Enrollment Elections Benefit elections must be completed via the online open enrollment process in HRB from May 9, 2013 through May 23, 2013. Link to our enrollment system: http://adp.employease.com/ If you do not have your login information, please contact HR as soon as possible Benefit elections will only be accepted up to midnight on May 23rd. All benefit elections will take effect June 1, 2013.
37. Open Enrollment To–Do List for eligible employees Attend one of our open enrollment meetings Invites will be distributed for the date/times in your home office. Benefit providers and HR will be in attendance to help you navigate the OE enrollment options and process. Current OE Meeting Schedule: May 13 Princeton May 16 Audubon May 17 Newtown Contact HR with any outstanding questions after attending Log on to HRB and complete the OE wizard, selecting or waiving coverage to meet the needs of you and your family Be sure to continue through to the “Thank you for completing the online open enrollment” screen or your elections will not be captured
38. Thank You! Questions / Comments?