1. Employee Benefit Open Enrollment
2017 – 2018
Employee Benefit Open Enrollment

2. Highlight of Medical Changes
Premium increase 5% all plans except for the $300 plan which is 15%.
Enrollment is closed for $300 plan, this is the last year for that plan.
4th Quarter Deductible Carryover removed from all plans
All groups will now have District deductible contributions to the $1200, $2600 and $5000 deductible plans.
All employees can establish a Health Savings Account with SelectAccount if you elect the $5000 deductible plan.
Existing funding in your VEBA can only be used for Dental and Vision expenses
Employee that get a District contribution to the $5000 plan can direct the District amount to an HSA instead of VEBA if you wish

3. Plans Offered – Same as current
In Network Services
$300
Deductible (CLOSED)
$1,200 / $2,400
Deductible
$2,600 / $5,200
$5,000 / $10,000
Deductible HSA
$300 (individual)
$900 (family)
$1,200 (individual)
$2,400 (family)
$2,600 (individual)
$5,200 (family)
$5,000 (individual)
$10,000 (family)
Out of Pocket Max
$700 (individual)
$1,400 (family)
Drugs:
$300 (individual)
$500 (family)
Co-insurance
20%
N/A
Preventive Care
100%
Emergency Room Services
$40 co-pay
deductible
Prescription Drugs
Generic:
$8 preferred
$32 non-preferred
Brand:
$16 preferred
Specialty: $16
Preferred – deductible
non-preferred – not covered
Specialty - deductible
Mail order
2 co-pays for three month supply
90 day supply
Deductible Contribution
$1,000 (individual)
$2,000 (family)
$1,300 (individual)
$2,300 (family)
$1,500 (individual)
$2,600 (family)
Actual plan document will supersede any discrepancies 3

4. Pharmacy Costs
Use the ClearScript Drug Cost tool to help make your VEBA/HSA dollars go further.
30 day supply:
Drug Name
Cub Foods
Vierling Dr
CVS
Dean Lakes
Sam’s Club
Shakopee
Walgreens
Tasha Dr
Lowest cost price savings
Irbesartan 75mg
8.30
12.30
7.75
5.49
55.4%
Lisinopril 20 mg
2.91
3.55
2.36
2.80
33.5%
Levothroxine 100 mcg
13.85
14.92
13.30
8.25
44.7%
Atorvastatin 10 mg
5.86
8.34
5.31
6.96
36.3%
90 day supply:
Drug Name
Cub Foods
Vierling Dr
CVS
Dean Lakes
Sam’s Club
Shakopee
Walgreens
Tasha Dr
Lowest cost price savings
Irbesartan 75mg
19.50
51.43
61.61
68.3%
Lisinopril 20 mg
3.33
8.79
10.53
68.4%
Levothroxine 100 mcg
36.16
39.51
40.14
9.9%
Atorvastatin 10 mg
12.19
32.15
38.51
30 to 90 day supply price (savings) / Additional cost:
Drug Name
Cub Foods
Vierling Dr
CVS
Dean Lakes
Sam’s Club
Shakopee
Walgreens
Tasha Dr
Irbesartan 75mg
(5.40)
14.53
(3.75)
45.14
Lisinopril 20 mg
(1.86)
2.13
Levothroxine 100 mcg
(5.39)
(5.25)
(3.74)
15.39
Atorvastatin 10 mg
7.13
17.63

5. Pharmacy Costs

6. Get valuable PreferredOne benefit information on your mobile device
Get valuable PreferredOne benefit information on your mobile device. Simply use your smart phone, visit PreferredOne.com/mobile. No need to download an application. Find a Provider Locate the nearest in-network urgent care, clinic, doctor, or hospital. View Covered Members Forgot your member card? Go online and access your member ID # for you and any covered dependents. Deductible and Out-of-Pocket Balances Want to know if you have met your deductible or the balance remaining? Same goes for reaching your out-of-pocket maximums. 6

7. Health Savings 101 Can only establish with the $5000 deductible plan
If you have a VEBA with funds and you wish to establish an HSA, the VEBA funds will only be able to reimburse dental and vision expenses
Can not be enrolled in:
Spouse’s medical plan (ie dual coverage)
Spouse’s flexible spending medical account
Spouse’s VEBA plan
Medicare

8. Health Savings 101 IRS 2017 HSA contributions limits:
Individual coverage: $3,400
Family coverage: $6,750
If you are age 55 or older the limits above are increased by $1,000
Contributions include employee and employer amounts.
Funds unspent in your HSA account roll over from year to year.

9. Dental Highlights

10. Coverage is moving to Lincoln Financial Group
Supplemental Life
Coverage is moving to Lincoln Financial Group
Open Enrollment this year only.
Minimum $10,000
Maximum $150,000 (limited to 5 times your salary)
If you elect, than each year you can increase by $10,000 or $20,000 on a guaranteed basis

11. Online Enrollment
You should have received an from with instructions on how to proceed: Website:

12. Online Enrollment
Website: Login: Change your default password:

13. Online Enrollment
Accept the terms and conditions of the insurance:

14. Online Enrollment
Review the pop-up with various Federal and State notices:

15. Online Enrollment
Review your personal data, make sure date of birth, ssn, address, phone numbers, addresses are correct:

16. Online Enrollment Review or add dependents:
(Click the radio button or click the add button)

17. Online Enrollment Review your coverage elections:
(Click the radio button or click the add button)
If you elect the HDHP $5000 plan you will presented with the ability to establish an HSA account. Also if the District is making a deductible contribution to this plan you can direct that money to the HSA also.

18. Online Enrollment
Click the [info] link to get more information about plans, costs, District deductible contributions, links to carrier site, etc. :

19. Online Enrollment
Review the per pay period cost of your elections:

20. Online Enrollment
Add your beneficiaries: (You can use a dependent already in the system or add a new person to assign as a beneficiary)

21. Online Enrollment
Confirm and Log Out, You will get an of your election for your records. You can also return to the site and make changes until the open enrollment period ends on May 5, 2017: