1. Your Emeriti Retirement Health Plan
2017 Benefits
Your Emeriti Retirement Health Plan
Gettysburg College

2. A more secure retirement includes healthcare planning

3. Your Emeriti Retirement Health Plan helps you address the gap
Know the Facts
Medicare is Not Enough
Medicare covers only about 62% of total healthcare expenses in retirement.*
62%
Your Emeriti Retirement Health Plan helps you address the gap
*National Institute on Aging, Newsroom, Dramatic changes in U.S. highlighted in new census, NIH report, June 26, 2013.

4. Know That You’re Covered
Retirement Plan
Emeriti Retirement Health Plan
For general retirement expenses
Taxable distribution of pre-tax contributions
Beneficiaries
Assets passed to estate after death
Exclusively for healthcare expenses
Tax-free distribution
Dependents
Assets may be passed back to plan after death
Connecting health & financial well-being

5. Your Emeriti Retirement Health Benefit
Tax-advantaged
Retiree Health Account
Tax-free
Reimbursement Benefit
For Qualified Out-of-Pocket Medical Expenses
Flexible
Group Health Insurance
Underwritten By Aetna (HealthPartners in Minnesota)
For you and your dependents

6. Emeriti Retirement Health Solutions
How Contributions Work
Contributions
Lifecycle
Mutual Funds
Employee has the option of transferring accumulations
or reallocating future contributions*
TIAA and
Nonproprietary
Mutual Funds
TIAA-CREF
Money Market
Mutual Fund
* Transfers and reallocations may be subject to limitations and restrictions
As with all mutual funds, the principal value of a Lifecycle Fund isn’t guaranteed. Also, please note that each Fund’s target date is an approximate date when investors may begin withdrawing from the fund.
An investment in the TIAA-CREF Money Market Fund is not insured or guaranteed by the Federal Deposit Insurance Corporation or any other government agency. Although the Fund seeks to preserve the value of your investment at $1.00 per share, it is possible to lose money by investing in the Fund.

7. IRC Section 213(d) includes
Emeriti Retirement Health Solutions
How Contributions Can Be Used
IRC Section 213(d) includes
Co-pays
Deductibles
Prescription drugs
Health insurance premiums
Hospital & surgical expenses
Dental
Vision
Reimbursement for qualified IRC Section 213(d) medical expenses
Benefits available to employee (retiree), spouse and eligible dependents

8. Tax Efficiencies In Action
Pay with Emeriti Health Account
Pay with retirement plan account
Tax-free withdrawal $1,000
Taxable withdrawal $1,389
28% federal income tax bracket
$1,000 Medical Bill
This is a hypothetical example for illustrative purposes only. It assumes the retirement plan account does not include after-tax contributions. Actual tax consequences will vary based on a variety of factors, including your tax bracket and the type of contributions made to your retirement plan account. Please consult a tax advisor for assistance with your particular situation.

9. Who Makes Contributions?
Employer will make annual contribution when you are age 35 with 2 years of service
Employee can make after-tax contributions to Emeriti Health Account at any time
Utilize payroll deduction during active service
Use ACH transfer from your bank account – even after you terminate or retire
Your voluntary contributions will be made on an after-tax basis
All earnings will accumulate and be paid out tax to help pay for qualified medical expenses

10. When Can You Use Funds?
You can access the funds if you are age 55 with 10 years of service when you terminate employment.

11. What Health Plans Are Available?
3 Medicare Advantage Plans
2 Medicare Supplement Plans
3 Medicare-approved Part D prescription drug plans
Annual choice Guaranteed issue
Optional dental plan
Underwritten by Aetna
Benefits available to employee (retiree) and, if the plan permits, spouse and eligible dependents

12. When Are You Eligible For Emeriti Health Insurance?
You worked 10 years, and are age 55 or older at time of termination
Institution Eligibility
Enroll at age 65, after enrolling in Medicare Parts A & B
Emeriti Plan Eligibility

13. The Building Blocks of Medicare
Next
The Building Blocks of Medicare

14. A,B,C,Ds of Medicare Part A – Hospital Medicare provides the coverage
Original Medicare
Medicare provides the coverage
There are some coverage limits that may require you to pay part of the costs
Doctor services & custodial care that is not medically necessary are not covered
You have your choice of doctors & providers
There is a Part A deductible, with copay and coinsurance in some circumstances

15. A,B,C,Ds of Medicare Part B – Medical Original Medicare
Medicare provides the coverage
Enrolled automatically if receiving Social Security benefits when you become eligible for Medicare
Deductibles, copayments & coinsurance may apply
Does not cover vision, dental or hearing except in limited circumstances
Part B also has a monthly premium

16. A,B,C,Ds of Medicare Part C – Medicare Advantage
Combines many of the benefits of Medicare Parts A & B through coverage by a private insurance company
Typically covers what Parts A & B cover, and you may receive extra benefits
Medicare Advantage plans have monthly premiums, copays & coinsurance
You continue paying Part B premiums

17. A,B,C,Ds of Medicare Part D – Prescription Drug
Private insurers approved by Medicare provide coverage
Different plans cover different drugs at different levels
If you do not enroll when you are eligible, there may be penalties, including a higher premium if you enroll later

18. Emeriti Retiree Health Insurance
Next
Emeriti Retiree Health Insurance

19. How Medicare Advantage Plans Work
Aetna provides Medicare Parts A & B benefits
Aetna is your primary insurance
Use one Aetna card
You still need to get your Medicare card You still pay Part B premium
Extra Benefits
Annual eye & hearing exams Silver & Fit Exercise & Healthy Aging Program Aetna Nurse Case Manager Wellness Coach
No plan deductibles.
No Medicare Parts A & B deductibles.

20. No extra benefits. How SRM Plans L & K Work Medicare Card. Aetna Card.
Aetna plans coordinate with Original Medicare Parts A & B
Medicare is primary insurance
Medicare Card. Aetna Card.
You pay Part B premium
No extra benefits.
No plan deductibles.
You pay percentage of Medicare Parts A & B deductibles.

21. 2017 Aetna POST-65 Medical Plans – CHOOSE ONE PLAN
Aetna Medicare Advantage Premium
ESA
Aetna Medicare Advantage
Plus
PPO/ESA-PPO
Standard
Aetna SRM
Plan L
Plan K
Plan Deductible
$0 in- and out-of-network $0
Medicare Deductible
25% of Part A
100% of Part B
50% of Part A
Primary Care
$15 copay *
15% coinsurance
(in-network)
25% (out-of-network)
$15 copay (in-network)
30% coinsurance
(out-of-network)
25% coinsurance
50% coinsurance
Specialist
$40 copay
Hospital
100% by the Plan
$500 per admission (in-network) 25% per admission
$200 per day (1-7) (in-network) 30% per admission.
Preventive Care
Covered 100%
$0 after Medicare
50% after Medicare
Out-of-Pocket Limit
$2,000 *
$2,750 (in-network)
$5,500 (out-of-network)
$6,700 (in-network)
$10,000 (out-of-network)
$2,480
$4,960
2017 Aetna POST-65 Medical Plans – CHOOSE ONE PLAN 1 2 3 4 5
Medicare Advantage Premium
Medicare
Advantage
Plus
Standard
Aetna SRM
Plan L
Plan K
Plan Deductible
$0* $0
Medicare Deductible
25% of Part A
100% of Part B
50% of Part A
Primary Care
$15 copay *
15% coinsurance in-network
$15 copay in-network
25% coinsurance
50% coinsurance
Specialist
$40 copay in-network
Hospital
Covered 100%
$500 per admission in-network
$200 per day (1-7) in-network
25% of the Medicare Part A deductible
50% of the Medicare Part A deductible
Preventive Care
Some paid by Medicare
Out-of-Pocket Limit
$2,000 *
$2,750 (in-network)
$5,500 (out-of-network)
$6,700 (in-network)
$10,000 (out-of-network)
$2,480
$4,960
Medicare Advantage replaces Medicare Parts A and B. SRM Plans coordinate with Original Medicare – and Medicare is the primary insurer.
*In- and out-of-network
NOTES: The ESA-PPO Plan has the same benefits as the In-Network PPO Plan.
Aetna’s GMS Plans A and L will be offered in Florida in place of SRM Plans K and L.
For 2016, the SRM Plans are not available in VT, MD, MN, and U.S. Territories.

22. 2017 Aetna Part D Drug Plans – CHOOSE ONE PLAN
Rx Premium Plan
Rx Plus Plan
Rx Standard Plan
Open 2 Formulary
GRP B2 Formulary
$100 deductible
$310 deductible
Initial Coverage Limit:
Coinsurance: 15% generic,
25% preferred brand,
40% non-preferred brand
50% non-preferred brand
25% preferred brand
Coverage Gap:
Same coverage at same
coinsurance level
15% copay for Tier 1 generic drugs,
45% brand
58% generic, 45% brand
Catastrophic Coverage:
100% coverage
95% coverage
2017 Aetna Part D Drug Plans – CHOOSE ONE PLAN 1 2 3
Rx Premium
Rx Plus
Rx Standard
Open Formulary
GRP B2 Formulary
Deductible: $100
Deductible: $310
Initial Coverage Limit:
15% generic, 25% preferred brand,
40% non-preferred brand
50% non-preferred brand
15% generic, 25% preferred brand
Coverage Gap:
Same coverage, same coinsurance level
15% copay for Tier 1 generic drugs, 40% brand
51% generic
40% brand
Catastrophic Coverage:
100% coverage
95% coverage
The Medicare Coverage Gap Discount Program will continue to provide manufacturer discounts on brand name drugs to Part D beneficiaries who reach the Coverage Gap and are not already receiving “Extra Help.” A 50% discount on the negotiated price of preferred and non-preferred brand drugs (excluding the dispensing fee) will be available from manufacturers that have agreed to provide the discount.

23. 2017 Aetna Dental Plan – Optional
Preventive Service
100% coverage
Annual Deductible (basic and major services)
$100
Basic Services Coverage
(fillings, standard crowns, extractions)
50%
Major Services Coverage
(root canal therapy, surgical removals, dentures)
Annual Benefit Maximum
$1,500
NOTES:
Twelve month waiting period applies for major services, but may be waived with evidence of continuing coverage.
One-time only opt-in opportunity.
Dental is only available when you enroll in a combination Medical/Rx coverage, or elect the stand-alone Rx Standard Plan
Please note: in the states of CA, OR, WA, the stand-alone Dental plan may be elected if the participant is enrolled in a Kaiser Permanente MAPD Plan, and with evidence of existing coverage.
Dental not available in MD.

24. Getting Ready To Enroll
Enroll when you are first eligible
Enroll later only if you have a qualifying life event
Choose one medical plan
Choose one Rx plan
Consider adding dental
Enroll in health insurance after age 65, upon retirement and after enrolling in Medicare Parts A & B. Post-65 retiree and their dependents can enroll in different plans
NOTE: The employer’s plan establishes rules for vesting in the Emeriti Health Accounts and retirement eligibility for Emeriti insurance.
*Independent domestic partners generally pay for insurance outside of the Health Account.
**Determination of permanent disability also confers access to post-65 insurance for these individuals. Disability must occur before majority.

25. Enroll by phone or online
Visit MyEmeritiBenefits.org
Call the Emeriti
Service Center
1-866-EMERITI ( )

26. Working Together
Emeriti & TIAA are working together to connect health & financial well-being

27. Thank You
FOR JOINING US

28. Important information
Emeriti Retirement Health Solutions provided this information and is responsible for its content.
Emeriti, TIAA, CBIZ Savitz, Aetna Life Insurance Company, and HealthPartners are independent corporations and are not legally affiliated.
Emeriti Retirement Health Solutions is not an insurance company, insurance broker or insurance provider.

29. TIAA-CREF Individual & Institutional Services, LLC serves as a broker-dealer with respect to underlying mutual funds only, and does not offer, market or sell interests in such plans or otherwise provide broker-dealer services with respect to the interests in such plans.
Interests in any retiree healthcare plan discussed herein are offered solely by the employer.
Teachers Insurance and Annuity Association of America (TIAA) will provide services to the plan and may issue plan communications on behalf of the plan sponsor, in its capacity as a plan recordkeeper.
TIAA-CREF products may be subject to market and other risk factors. See the applicable product literature, or visit tiaa.org for details. Investment, insurance and annuity products are not FDIC insured, are not bank guaranteed, are not deposits, are not insured by any federal government agency, are not a condition to any banking service or activity, and may lose value.
The TIAA group of companies does not provide legal or tax advice. Please consult with your legal or tax advisor.
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