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Welcome to Benefits Open Enrollment July 1, 2015 to June 30, 2016 Human Resources 312-534-5360 1.

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Presentation on theme: "Welcome to Benefits Open Enrollment July 1, 2015 to June 30, 2016 Human Resources 312-534-5360 1."— Presentation transcript:

1 Welcome to Benefits Open Enrollment July 1, 2015 to June 30, 2016 Human Resources 312-534-5360 1

2 2 HR Contacts Chris Cannova Director of Personnel Services, 312-534-8349 Human ResourcesCompensation and Benefits Fred Van Den Hende Director of Human Resources 312-534-5352 Erika Gallardo Field Representative for Vicariates III & IV 312-534-2017 Diana York Field Representative for Vicariates V & VI 312-534-8369 Kim O’Donoghue Field Representative for Vicariates I & II 312-534-2021 Susan Zarnowski HR Assistant 312-534-5287 Mel Stasinski Benefits Manager 312-534-5386 Julie Reizman HRIS & Compensation Specialist 312-534-5359 Lupe Hernandez Benefits Specialist 312-534-8209 Arletta Ferrell Pension and Life Insurance Admin 312-534-8276

3 Benefit Eligibility Rules All full-time and benefits-eligible part-time employees who are regularly scheduled to work at least 26 hours per week for 8 months of the year. Those who meet these requirements are eligible for all employee benefits. The hours each employee works per week must to be entered into IOI. 3

4 4 What’s New for Plan Year 7/1/15 to 6/30/16? Plan Design Changes New college tuition benefit program offered through Guardian Dental Dependent Audit New rates for employees Return of the wellness program Positive Enrollment – May 18 to June 2, 2015

5 What’s New for Plan Year 7/1/15 to 6/30/16? New College Tuition Benefit program offered through Guardian Dental: What is it? A way to earn points that can be converted to dollars when used to offset college tuition. When does it start? The College Tuition Benefit program starts July 1, 2015. Who is eligible? All benefits eligible employees who are enrolled in the dental insurance plan (PPO or DHMO) through the Archdiocese of Chicago with Guardian. Who can benefit from this program? Eligible children, grandchildren, nieces, and nephews of a benefits eligible employee enrolled in the Guardian Dental Plan. 5

6 Dental Plan Design Change Currently, if an employee is not enrolled in our dental plan and wants to enroll in the PPO Dental Plan, there is a one year waiting period for coverage of any major dental services. Effective July 1, 2015 the one year waiting period of coverage for major dental services will be eliminated. 6

7 7 Dependent Audit – BAS MyEnroll – Employees who cover their dependents (spouse and children) will be required to submit documentation that their dependents are eligible under our plans. – Audit is targeted to take place from September 1, 2015 to October 15, 2015. Documentation must be submitted through a special audit module on MyEnroll (similar to the FSA claims process). Required documentation includes: Marriage license or certificate Birth Certificate Tax forms – Dependents who are found to be not eligible for coverage will be removed from coverage. – If the necessary documentation is not submitted, further action will be taken. 7 What’s New for Plan Year 7/1/15 to 6/30/16?

8 Dependent Audit Timeline Plan Year 7/1/15 to 6/30/16 9/1 Audit Opens 9/30 Initial deadline 10/15 Final notice sent 10/31 Removed from coverage 7/1/2016 Open Enrollment for the next year 8

9 Medical Plan Comparison 9 PPOHMO ILBlue Advantage In-networkOut-of-networkIn-network OnlyIn-network only Annual deductible – max of two deductibles a family each calendar year $500$0 Annual out-of-pocket max – Max amount you’ll pay each calendar year out of your own pocket** Single Family $2,500 $4,500 $4,000 $7,500 Not Applicable Coinsurance – what the plan pays 85% after deductible 75% after deductible 100% (no deductible) 100% (no deductible) Adult and children immunizations and inoculations, well child and well adult care 100% not subject to deductible 75% after deductible $0 copay Routine physical100% not subject to deductible 75% after deductible to $500 calendar year max $0 ** Deductible is now part of the out of the pocket maximum

10 Medical Plan Comparison – Continued 10

11 Prescription Drug Copays 11 All Medical Plans Type of DrugRetail ( Up to 30-day supply) Mail Order (Up to 90-day supply) Generic$6$13 Brand Name*$29$63 Non-Formulary Brand-Name*$45$98 *If a formulary or non-formulary brand-name prescription drug is chosen when a generic alternative is available, you will pay the brand-name copay plus 50% of the cost difference between the brand-name and the generic prescription drug.

12 12 PPO Members - VSPHMO Members – Davis Vision In-networkOut-of-networkIn-network Annual Exams – every 12 months$10 copay$45 max allowanceHMO Specialist office visit copay applies Lenses – every 12 months Single Bifocal Trifocal $10 copay $30 max allowance $50 max allowance $65 max allowance Davis Vision offers an allowance, plus discounts off retail cost, toward the purchase of eyeglasses (frames and standard spectacle lenses) and/or contact lenses, once every 12 or 24 months. Frames – every 24 months$170 allowance$70 allowance Contact Lenses – in lieu of glasses$170 allowance$105 allowance Vision Plan Comparison

13 Dental Plan Comparison 13

14 July 2015 – June 2016 Total Monthly Cost Extended Health Coverage Cost PlanCurrent July 2015 – June 2016 PPO Single$671.00$690.00 PPO Family$1,675.00$1,723.00 HMO IL Single$653.00$678.00 HMO IL Family$1,410.00$1,464.00 BA Single$573.00$596.00 BA Family$1,236.00$1,285.00 14

15 July 2015 – June 2016 Monthly Employee Medical Premiums PlanCurrent July 2015 – June 2016 PPO Single$88.00$93.00 PPO Family$511.00$523.00 HMO IL Single$83.00$89.00 HMO IL Family$422.00$440.00 BA Single$47.00$50.00 BA Family$371.00$386.00 15

16 Dental PlanJuly 2015 – June 2016 Dental PPO Single$38.50 Dental PPO Family$110.00 Dental HMO Single$13.50 Dental HMO Family$32.00 July 2015 – June 2016 Employee Dental Premiums 16 The current rates will remain in effect for the plan year July 2015 – June 2016.

17 17 Two Spouses – Cost Breakdown Example Scenario 1 Two Spouses Covered Separately Both Enroll in Single Coverage Spouse 1Spouse 2 Blended Rate$800 Employee Portion (single coverage) $50 Paid by Employee $50 Paid by Each Parish $800 Scenario 2 Spouse 1 Enrolls in Family Coverage Spouse 2 Waives Coverage Spouse 1Spouse 2 Blended Rate$800$0 Employee Portion (family coverage) $386$0 Billed to Parish$1,186$0 Paid by Employee$50$0 Cost Split by Parishes – $1,136 Total Paid by Each Parish $569.50

18 Qualifying Life Events Employee Employee completes enrollment form, attaches supporting documentation and submits to local administrator. Local administrator completes the transmittal form and submits to the HR within 30 days of qualifying event. Human Resources Reviews the documentation If documentation is in compliance with plan provisions, the change is entered in MyEnroll by HR. If documentation is NOT in compliance with plan provisions, HR will contact local administrator. 18

19 Positive Enrollment for Plan Year July 1, 2015 to June 30, 2016 Enrollment for the upcoming Plan Year will not be passive as in past years. All benefit eligible employees will be required to log on to MyEnroll and go through the enrollment process for each benefit plan, and verify their coverage elections or waivers of coverage. If an eligible employee does not complete this enrollment process, they will be contacted and if non-compliant, further action may be taken. 19

20 Here We Go! ALL enrollments completed online through MyEnroll. Open Enrollment is May 18, 2015 to June 2, 2015. All eligible employees must log into MyEnroll to: – Verify Coverage – Make all benefit election changes – Review and name beneficiaries – Review confirmation statement 20

21 Human Resources 21


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