1. Open Enrollment
2017
Please Note: The information contained in this presentation is summary information only. Please refer to your benefit plan documents for complete details and a listing of limitations and exclusions. If there is any discrepancy between this document and the plan documents, the plan documents will prevail.

2. EMPLOYEE BENEFITS
Pate Trucking Company offers employees and their families a comprehensive benefits package which includes:
Health Benefits
Telemedicine Benefits
Wellness Program
Dental Benefits
Vision Benefits
Basic Group Life Insurance
Voluntary Term Life Insurance

3. PPACA AND INSURANCE RENEWAL
The Patient Protection and Affordable Care Act, also know as “Obamacare” and “Health Care Reform,” has had a significant impact on the cost of health insurance due to the taxes and fees associated with the legislation.
One of the main goals of Health Care Reform is to limit the number of Americans without health coverage. As of January 1, 2015, most individuals are required to have “minimum essential” health coverage – a requirement called “Individual Mandate.”
All of the employer-provided health plans will meet this requirement. You will NOT be eligible for a subsidy or tax credit on the exchange.

4. Open Enrollment Your Open Enrollment period is the month of April.
This is the only time during the year that changes can be made to your benefit plans without having a qualifying event, which include:
Any changes made during Open Enrollment will be effective May 1, 2017 through April 30, 2018.
・ Marriage ・ Birth/Adoption of a Child
・ Divorce ・ Death of a Dependent
・ Loss of Coverage ・ Significant change in job

5. Plan A Plan B HEALTH BENEFITS BlueCross and BlueShield of TX.
Your health plans will continue to be administered by
BlueCross and BlueShield of TX.
You can choose between
two medical plan options :
Plan A
Plan B

6. HEALTH PLAN COMPARISON
In-Network Benefits (Amounts shown are your cost if you use a Network Provider)
Plan A (Buy-Up)
Plan B (Base)
Office Visit Copays
$30 Primary Care
$30 Specialist
$55 Urgent Care
$40 Primary Care
$40 Specialist
$65 Urgent Care
Prescription Drugs
$20 – Generic
$35 – Preferred Brand
$50 – Non-Preferred Brand
$40 – Preferred Brand
$60 – Non-Preferred Brand
Calendar Year Deductible
$3,000 per member
$6,000 per family
$5,000 per member
$10,000 per family
Out-of-Pocket Limit
(includes deductible)
$6,350 per member
$12,700 per family
$6,850 per member
$13,700 per family
* In-Network benefits are illustrated. Please refer to plan documents for Out-of-Network benefits and other plan limitations/exclusions.

7. HEALTH PLAN COMPARISON
In-Network Benefits
(Amounts shown are your cost if you use a Network Provider)
Plan A (Buy-Up)
Plan B (Base)
Preventive Care
Covered at 100%
Routine Lab and X-ray
Diagnostic Imaging
30% after deductible
Hospital Services
Emergency Room Services
$250 copay per visit plus 30% after the deductible
* In-Network benefits are illustrated. Please refer to plan documents for Out-of-Network benefits and other plan limitations/exclusions.

8. HEALTH PLAN NOTES
To obtain the highest level of benefits be sure to utilize In-Network Providers, which can be found at
If you receive any facility balance bills or collections notices for services incurred from May 1, 2015 to April 30, 2016 please continue to forward them to: ELAP Services Inc Pottstown Pike, Chester Springs, PA Phone: Fax:
If you have an existing balance bill or collections notice being managed by ELAP, that service will continue even with the change in carriers.

9. PATE WELLNESS PROGRAM
Pate Trucking offers employees access to a FREE Wellness Program
Enjoy access to:
free health screenings at your job location
personal coaching
wellness and disease management education
all while earning a medical plan premium discount.
PARTICIPANTS WHO:
Complete a health screening
AND
2. Complete TWO coach calls
EARN A $15 PER WEEK DISCOUNT ON THEIR MEDICAL PLAN PREMIUMS.
Call to obtain more information about your wellness program!

10. Weekly Employee Medical Contributions
HEALTH PLAN RATES
Weekly Employee Medical Contributions
Plan A
Plan B
Wellness Program
YES NO
Employee Only
$30
$45 $0
$15
Employee + Children
$110
$125
$90
$105
Employee + Spouse
$200
$215
$155
$170
Employee + Family
$310
$325
$240
$255
No change to the rates!

11. TELEMEDICINE BENEFITS
PARTICIPANTS WHO:
Complete a health screening
AND
2. Complete a coach call
EARN A $15 PER WEEK DISCOUNT ON THEIR MEDICAL PLAN PREMIUMS.

12. TELEMEDICINE BENEFITS
PARTICIPANTS WHO:
Complete a health screening
AND
2. Complete a coach call
EARN A $15 PER WEEK DISCOUNT ON THEIR MEDICAL PLAN PREMIUMS.
1. Call 800-TELADOC
2. Provide your Name, Date of Birth and Employer Name
3. Complete Medical History and Request a Consult
4. Talk to a doctor in less than 1 hour.

13. TELEMEDICINE BENEFITS
PARTICIPANTS WHO:
Complete a health screening
AND
2. Complete a coach call
EARN A $15 PER WEEK DISCOUNT ON THEIR MEDICAL PLAN PREMIUMS.

14. TELEMEDICINE BENEFITS
PARTICIPANTS WHO:
Complete a health screening
AND
2. Complete a coach call
EARN A $15 PER WEEK DISCOUNT ON THEIR MEDICAL PLAN PREMIUMS.

15. TELEMEDICINE BENEFITS
PARTICIPANTS WHO:
Complete a health screening
AND
2. Complete a coach call
EARN A $15 PER WEEK DISCOUNT ON THEIR MEDICAL PLAN PREMIUMS.

16. TELEMEDICINE BENEFITS
PARTICIPANTS WHO:
Complete a health screening
AND
2. Complete a coach call
EARN A $15 PER WEEK DISCOUNT ON THEIR MEDICAL PLAN PREMIUMS.

17. TELEMEDICINE BENEFITS
PARTICIPANTS WHO:
Complete a health screening
AND
2. Complete a coach call
EARN A $15 PER WEEK DISCOUNT ON THEIR MEDICAL PLAN PREMIUMS.

18. You will continue to be offered two dental plan options through
DENTAL BENEFITS
You will continue to be offered two dental plan options through
Plan A
(Buy-Up)
Plan B
(Core)
Dental Rewards Program
Allows participants on the Buy-up Plan to carry-over up to $250 in annual maximum benefit from one year to the next (for up to 4 years) if you:
Generate at least one claim (like a cleaning!)
Generate less than $500 in claims during the claim year.
Employee-only dental coverage under Plan B is provided at no cost to all eligible employees!

19. DENTAL PLAN COMPARISON
Benefits
Plan A
(Buy-Up)
Plan B
(Core)
Calendar Year Deductible
$50 per individual
$150 per family
Preventive Care (i.e. cleanings)
100%, deductible waived
Basic Care (i.e. fillings)
80%, after deductible
Major Care (i.e. crowns, dentures)
50% after deductible
No coverage
Orthodontia
(child only up to age 19)
50%, after deductible
(12 month waiting period)
No Coverage
Annual Maximum Benefit
$1,000 per covered person
$750 per covered person
Orthodontia Lifetime Max
N/A
Utilizing an In-Network dentist can reduce your out of pocket costs, as they will not balance bill you the difference between their billed charges and the Allowed Amount.
* Consult the Ameritas dental plan documents for complete coverage details.

20. DENTAL PLAN RATES Weekly Dental Plan Rates Coverage Tier Plan A
(Buy-Up)
Plan B
(Core)
Employee Only
$2.76
$0.00
Employee + Children
$11.61
$5.11
Employee + Spouse
$8.31
$3.05
Employee + Family
$18.69
$8.16
Find an in-network provider at
No change to the rates!

21. VISION BENEFITS Your vision plan will continue to be offered through
With access to the extensive SIGNATURE Network of providers from VSP

22. VISION PLAN COMPARISON
Benefits
(In-Network Illustrated)
Vision Plan
Annual Deductible
Eye Exam
Materials
$10
$25
Lenses
Single Vision
Bifocal
Trifocal
Lenticular
Covered at 100%
Frames
Up to $130
Contact Lenses (In lieu of glasses)
Exam and Fitting
Elective
Medically Necessary
Member cost up to $60
Frequencies
Exams
Once every 12 months
Once every 24 months

23. VISION PLAN RATES Weekly Vision Plan Rates Coverage Tier Vision Plan
Employee Only
$1.62
Employee + Children
$3.10
Employee + Spouse
$3.18
Employee + Family
$4.67
No change to the rates!
Find an in-network provider at
* In-Network benefits are illustrated. Please consult the Ameritas vision plan documents for complete coverage details.

24. BASIC TERM LIFE INSURANCE
Pate Trucking Company is proud to provide at no cost to the employee Basic Term Life and AD&D coverage through Unum.
Basic Group Life Benefits
(All Active Full-Time Employees are Eligible)
Life Benefit
$15,000
AD&D Benefit
Age reductions apply.
* The illustration above is in summary form only. Please refer to plan booklet for complete coverage details, including limitations and exceptions.

25. VOLUNTARY TERM LIFE
Pate Trucking Company offers employees the option to purchase additional Term Life Insurance coverage for themselves, their spouse, and/or their children through Unum.
Rates are based on age and coverage amounts.
Participants who enrolled in coverage at their initial eligibility, can increase coverage during Open Enrollment up to the Guaranteed Issue amount without submitting a medical questionnaire.
Anyone else wanting to add or increase their coverage will be required to contact Human Resources and complete an Evidence of Insurability form to submit with the application.
Please be sure you have a current designation of beneficiary form on file!
* The illustration above is in summary form only. Please refer to plan booklet for complete coverage details, including limitations and exceptions.

26. PAYROLL DEDUCTION OPTIONS
Participants of the medical, dental and/or vision plans can elect annually to pay for plan premiums with pre-tax or post-tax deductions under Pate’s Section 125 Plan.
Pre-Tax Election:
The participant pays for plan premiums with pre-tax payroll deductions. This may decrease the participant’s overall tax liability.
Requires participant to maintain coverage during the entire plan year, not allowing changes or cancellation of coverage unless there is an applicable qualifying event.
Post-Tax Election:
Requires the participant to pay for plan premiums with post-tax payroll deductions.
Allows the participant to cancel coverage at any time. The participant could not re-enroll until the next open enrollment.

27. Important INFORMATION
ONLY complete an enrollment form if you are making changes.
Turn in any changes to Human Resources no later than Tuesday, April 25, 2017.

28. EMPLOYEE BENEFIT CENTER
The EBC is a benefits website that gives you 24/7access to all documents related to your benefits plans, including:
Benefit Summaries
Plan Documents
Enrollment/Change/Claim Forms
Links to Provider Directories
Carrier websites and phone numbers
Health and Welfare Notices, and more!

30. Questions
Natalia Moore Senior Account Manager