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BWXT 2017 BENEFITS Fall 2016
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2017 Benefits Agenda Process Review Medical Coverage Overview
What is new for 2017 Administration
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2017 Benefits – Process Review
Benefits Design The decision making process for determining the structure was made up of the following: Employee Survey Regulatory Requirements Value proposition Limit complexity Costs: Employee and Employer Self funded Executive review Positive Feedback Large majority value BWXT benefits Thrift Plan is highly valued Ancillary benefits are important Other Items Out of Pocket Expenses in Medical More Education in Existing Benefits
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2017 Benefits – Medical Coverage Overview
The Consumer Choice Plan If you enroll in the comprehensive, high deductible Consumer Choice Plan: Employee (payroll) contributions will be lower than the PPO Plan Eligible medical and pharmacy expenses will accumulate towards the deductible and out of pocket maximums You will receive a company contribution to your Health Savings Account (HSA) {$500 for “single” and $1,000 for “family” deposited in January of 2017} You may contribute your own, pre-tax monies through payroll deductions to your HSA Healthcare Flexible Spending Account (FSA) can only be used to help pay for dental and vision expenses Your HSA monies are never forfeited – they are yours to spend, even if you change plans or after you retire / terminate employment If you have Medicare, Veterans Affairs (VA), Tri-care or other coverage that deems you ineligible for an HSA, you may still enroll in the Consumer Choice Plan but the IRS will not allow for company contributions or your own deferrals into an HSA account
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2017 Benefits – Medical Coverage Overview
The PPO Plan If you enroll in the comprehensive PPO Plan: The employee (payroll) contributions are higher than the Consumer Choice Plan because the plan pays more for up-front expenses The PPO Plan has copayments which do not exist in the Consumer Choice Plan and lower deductibles than the Consumer Choice Plan Out of pocket expenses for each visit are more predictable because of copayments Medical and Prescription drug copays apply only to the out-of-pocket maximum The Healthcare Flexible Spending Account (FSA) can be used to get reimbursement for medical, dental and vision out of pocket expenses The IRS requires that if you elect the Consumer Choice Plan (HSA) while you have a remaining balance in your HRA, the HRA funds are forfeited
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2017 Benefits – What’s New? Anthem Blue Cross Blue Shield (BCBS)
All locations’ claims for dates of service January 1, 2017 and after processed by Anthem BCBS Locating network providers / assisting with transition services Answering claim and benefit questions Ordering ID cards Education on plans and programs Obtaining pre-certification Confirming member eligibility Management of acute and chronic conditions Health Advocates will replace Care Coordinators (aka, Quantum) Available January 1, 2017 Some items that Health Advocates will help with … Transparency / decision support Answering benefit questions Resolving claims issues Assisting with provider related issues Assist employees and/or their parents with Medicare New ID cards will be issued in December of 2016 Medical and Pharmacy {still administered by Express Scripts/ESI} are 2 separate cards Must be shown to providers and pharmacy starting January 1, 2017 Only completed by Anthem BCBS
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* Rates increased $50 for Tobacco Surcharge
2017 Benefits – What’s New? Medical Plan Employee (Payroll) Deductions The medical plan deductions will increase approximately 2% for 2017, per month New rates are as follows: No Surcharge Monthly Rates * Consumer Choice Plan PPO Plan EE Cost Employee Only $49.00 $124.00 Employee + Spouse $82.00 $226.00 Employee + Child(ren) $67.00 $179.00 Family $97.00 $288.00 * Rates increased $50 for Tobacco Surcharge Dental Plan Payroll Deductions Dental plan payroll deductions will be increased by 3.2% for the 2017 Plan Year Supplemental Life Insurance 2017 rates are increasing by 10% Personal Accident Insurance (PAI) 2017 rates are increasing .5¢ (employee only) to .9¢ (family) per $1,000 of coverage NOTE: No Plans have a Change in Design
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2017 Benefits – Administration
Claims Questions and Transition Services Transition of care Only needed if your provider is not in the National PPO Bluecard Network A form will be posted in November on myBWXT and other intranet sites as well as being available with Human Resources. Complete and return the form to your local HR department or Corporate Benefits if your provider is not in-network and a member has on-going treatment For a limited time until you can find an in‑network provider Visit to see if your providers are in the National PPO Bluecard Network New ID cards Anthem BCBS Medical ID cards – show your new card at the doctor’s office in 2017 Express Scripts Pharmacy ID cards - show your new card at the pharmacy in 2017 2017 EOBs – Medical EOBs default to mail; can change to electronic Medical EOBs will be mailed to home and/or available on Pharmacy EOBs are available on Service / Questions Anthem BCBS – call or visit Express Scripts – call or visit Health Advocate – call or visit 2016 claims inquiries and explanation of benefits requests after January 1st Health Advocate ( )
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2017 Benefits – Administration
Annual Enrollment Administration The Annual Enrollment period will be October 17th through October 28th BWXT Enrollment Center, provided by bSwift, is the provider of our on-line and phone enrollment process Electronic distribution of ERISA disclosures notice (no CD in enrollment materials) Ask Emma – optional Enrollment Decision Support Tool If you do not make any changes during Annual Enrollment, your 2016 elections will rollover to 2017 except for the following, which must be selected for 2017: HealthCare Flexible Spending Account (FSA) elections {limited to $2,500} Dependent Day Care FSA elections {limited to $5,000} Health Savings Account (HSA) If you are electing to defer your own, pre-tax monies, you must go through annual enrollment If you elect the Consumer Choice Plan, your HSA account is re-activated or activated (if new enrollee) as a part of the enrollment process If you do not go through annual enrollment you must activate/re-activate your 2017 account by calling bSwift at any time after annual enrollment Group Legal
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2017 Benefits – Summary Annual Enrollment October 17th through October 28th Passive enrollment allowed Strongly encourage all employees to actively enroll to validate benefit elections and because some benefits cannot automatically “roll over” “Ask Emma” is available – not required Benefit summary statements will be mailed to employees’ homes in December A new medical ID card and new pharmacy ID card (2 separate cards) will be mailed to employees’ homes in December (separate mailings) Be sure your correct address is on file (through annual enrollment) Must use new cards at doctor or pharmacy beginning January 1, 2017 Claims service questions in 2017 Anthem BCBS for medical only Express-Scripts for pharmacy only Health Advocate also available for medical, pharmacy and much more!
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