Health Benefits & FSAs 2017 R. Mark King, Treasurer/Benefits Officer Mark & Dale R. Mark King, Treasurer/Benefits Officer & Dale Bryant, Benefits Administrator

Health Benefits

A Word About Insurance…… Role of Insurance: PREVENTS CATASTROPHIC LOSS Original Idea: Pooling of resources to prevent/share in losses Ancient Babylonians & Chinese Lloyd’s of London American Approach

A Word About Insurance…… Acts 2: 42ff Acts 4: 32ff All the believers were one in heart and mind…sharing everything they had. Spirit of our Self-Funded Plan WE ARE THE INSURANCE COMPANY!

A Word About Insurance…… Premiums collected = Costs expended Healthgram and PharmAvail- 3rd party administrators Primary PhysicianCare- network Stop-Loss provision Tier 1: $330,000 Tier 2: $160,000

2017 Active Health Plan Options Each active clergy participant will have the choice between TWO PLANS: Basic plan: Same covered services; lower premium; Higher out-of-pocket costs (deductibles, co-pays, co-insurance) Basic plus plan: Same covered services; higher premium; Lower out- of-pocket costs (deductibles, co-pays, co-insurance) Select ONE plan; dependents must also be included in the same plan. Increased Costs for 2017: Basic Plan 5%; Basic Plus Plan 7% No change to dependent premium. Dale

Medical Health Plan Option: Basic Medical costs (in network) will be based on: Co-pays for primary physician $30 Co-pays for specialty/urgent care visit $40 Individual deductible $1,500 Family deductible $4,500 Coinsurance percentage 70% Out-of-pocket limitations (individual) $6,000 Out-of-pocket limitations (family) $13,200 Some of the basic pieces of the plan. Note that family out-of-pocket limitations are lower than provided at Annual Conference due to IRS maximum allowed. Also discussion of what is included in out of pocket limitations (including copays in current year and pharmacy copays

Medical Health Plan Option: Basic Plus Medical costs (in network) will be based on: Co-pays for primary physician $15 Co-pays for specialty/urgent care visit $25 Individual deductible $1,000 Family deductible $3,000 Coinsurance percentage 80% Out-of-pocket limitations (individual) $4,000 Out-of-pocket limitations (family) $12,000

Participant’s/Employer’s Contribution under Plans BASIC PLAN: Clergy premium costs determined by percentage of premium according to sliding scale salary range. BASIC PLUS PLAN: Same base premium as BASIC PLAN plus $2,619 difference between costs of two plans Church premium cost is SAME for both plans less the clergy contribution. Now we focus on the handout for the premiums…..shows the sliding scales for all salary ranges, with annual and monthly costs. Also, spouse, dependent, and family coverages at the bottom. NOTE TO AUDIENCE…..child coverages includes as many children as you have, 1 or 12!!! Church pays the same amount within the appropriate salary range NO MATTER WHICH PLAN IS SELECTED! Church portion is based on basic plan as differential between two is 100% allocated to the pastor.

Additional Information Conference Wellness Initiative Affordable Care Act provisions Dental & Vision Dale?

2017 Retiree Health Plan Retiree clergy over 65 participate in a Medicare Supplement Plan Premiums based on qualified years of service in WNCC No Cost Increase for 2017 (five years running!) Medical only; no pharmaceutical; no dental Retiree clergy under 65 participate in one of the Active Plans Retiree pays 100% of premium unless appointed ¾ or more Dale

How Make Changes DUE TO CONFERENCE OFFICE BY DECEMBER 1, 2016 for 2017 IF NO CHANGE ELECTION FROM ONE PLAN TO OTHER, no need to do anything! IF CHANGE IN CHOICE OF PLAN OR PERSONAL/DEPENDENT INFORMATION: Forms are provided from Healthgram for Open Enrollment Complete with your name, address, and phone number. Select the plan in which you want to enroll Complete the middle section for spouse and all dependents, including birth dates and social security numbers, who will be enrolled. After Open Enrollment, changes only allowed by “qualifying events.” DUE TO CONFERENCE OFFICE BY DECEMBER 1, 2016 for 2017 All about Dale……. Have I forgotten anything specific or important to mention in this slide?

Flexible Spending Arrangements (Accounts) Mark

Flexible Spending Arrangements WNCC Section 125 Plan ONLY MEDICAL Covers out-of-pocket for allowable medical expenses (co-pays, deductibles, co- insurance) Can contributed up to maximum of $2,550 for 2017 ACA allows $500 to rollover into 2018 Immediate availability of ALL funds Use it or Lose it

Flexible Spending Arrangements WNCC Section 125 Plan ONLY DEPENDENT Covers expenses for any type dependent care (children or adult) Can contributed up to maximum of $5,000 for 2017 Use it or Lose it Funds ONLY available as accrued

How To Enroll / Make Changes (FSAs) New Year Enrollment Required (not automatic) Forms are provided from Healthgram for re-enrollment of ALL participants. Complete name, address, phone number and other personal information requested. Select which coverage and the corresponding amounts. Complete the middle section for spouse and eligible dependents SIGN AND DATE! Forms returned by December 1, 2016 for 2017 After Open Enrollment, changes only allowed by “qualifying events.” Dale

When To Complete Forms? Where To Send Forms? All forms need to be completed prior to December 1. Please write legibly!! Submit completed forms with original signatures to Dale Bryant, Benefit Administrator, at the Conference office for us to receive no later than December 1, 2016! Western NC Conference PO Box 18005 Charlotte, NC 28218 Questions: dbryant@wnccumc.org; 704-714-2332 800-562-7929 x 177 Are the dates right

It’s a lot of information….. Q & A Mark & Dale