1. Open Enrollment October 27 – November 22 DBR Benefits Briefing

2. This presentation is intended for communication purposes only, it is not a guarantee of benefits.
Please see insurance plan documents and for complete information.
Open Enrollment for 2017

3. Open Enrollment Ends Tuesday, November 22 at 5:00 PM
All changes effective on January 1, 2017
Open Enrollment for 2017

4. Actions Enroll or deenroll from disability insurance
Change or enroll in medical, dental, vision or legal
Enroll eligible family members in medical, dental, vision or legal plans
Enroll in Health or Dependent Care Flexible Spending Account (reenroll each year)
Change contribution to Health Savings Account
Open Enrollment for 2017

5. How to Make Changes Go to Open Enrollment website on UCnet
Select “Sign In”
Sign-in using your AYSO ID and password
Select “Open Enrollment for 2017” link
Select the tab for the change you desire
Confirm your selection
Print your confirmation
Open Enrollment for 2017

6. Campus Events Staff & Faculty
Mini-Fair & Presentations – November 7 at UCEN
Presentations , Help Desks
Post-Doctoral Scholars
- November 14
Presentations slides and handouts will be posted on HR web
Open Enrollment for 2017

7. All Health Plans Continue in 2017
Health Net Blue & Gold HMO
Kaiser HMO
UC Care PPO
Health Savings Plan
Core PPO
Delta Dental PPO
DeltaCare USA
Vision Services Plan
Open Enrollment for 2017

8. Changes in Employee Medical Rates
Employee net increases are small — very few employees will see an increase of over $10, and no premiums are increasing more than $12. Premiums for UC Care are decreasing significantly.
2016 to 2017 Changes
Self
Self & Child(ren)
Self & Adult
Self & Adult & Child(ren)
Health Net Blue & Gold
$3.24
$5.83
$9.24
$11.84
Kaiser
$2.00
$3.60
$4.38
$5.97
CORE
$0.00
Health Savings Plan
$1.15
$2.07
$2.52
$3.43
UC Care
($26.17)
($47.11)
($52.52)
($73.44)
Open Enrollment for 2017

9. What’s the same, what’s new?
Health Net Blue & Gold and Kaiser HMO
Same copays
Same participating medical groups
Same Behavioral Health administrators
Health Net uses Optum behavioral health
Kaiser uses Optum or Kaiser behavioral health providers
A few new benefits
Open Enrollment for 2017

10. What’s the same, what’s new?
PPOs have new administrators
PPO plan designs and benefits are much the same
Coverage
2016
2017
Medical
Blue Shield
Anthem Blue Cross
Behavioral Health
Optum Behavioral Health
(Core – Blue Shield)
Prescription Drug
Optum Rx
Open Enrollment for 2017

11. Transition - PPO Networks
Anthem has been working to reduce provider disruption
Blue Shield and Optum providers have been invited to join the Anthem network
Transition of Care
PPO members may request transition-of-care support if they are a continuing member of a PPO plan and are currently receiving medical or behavioral health care from a provider that is not in Anthem’s network. See details on Open Enrollment booklet and website.
Open Enrollment for 2017

12. UC Select network is the same
UC Select (Tier 1) in Santa Barbara is limited to:
Sansum Clinic
Cottage Hospital System (Santa Barbara, Goleta and Santa Ynez)
Quest Diagnostic Labs
Pacific Diagnostic Labs
Pueblo Radiology
Additional UC Select providers in adjacent cities and UCLA
No changes in 2017
Open Enrollment for 2017

13. Out-of-Pocket Maximums
2017 UC Care will have same design as other PPOs Medical, behavioral health and pharmacy are combined
Covered Service
UC Select
Anthem Preferred
Out-of-Network
Medical
Behavioral Health*
Pharmacy*
Individual $5,100
Family
$8,700
Individual $6,600 Family
$13,200
Individual $8,600
$19,000
Cross accumulate
*UC Select/Anthem Preferred pharmacy and behavioral health expenses accumulate toward the UC Select maximum.
Open Enrollment for 2017

14. Health Savings Plan Core PPO
Medical PPO combined with a Health Savings Account
UC contribution to HSA remains the same
$50 increase in voluntary individual HSA contribution
Minimum balance to invest HSA funds is reduced from $2000 to $1000
Core PPO
Benefits for transgender services added
After deductible, 20% coinsurance
Open Enrollment for 2017

15. UC continues to pay the full premium for dental and vision
Delta Dental PPO
Second routine exam per year for individuals at higher risk for oral disease; based on prior treatment history
Cost Explorer Tool – estimate typical cost for procedures
DeltaCare USA (HMO)
No benefit changes
Vision Services Plan (VSP)
UC continues to pay the full premium for dental and vision
Open Enrollment for 2017

16. Flexible Spending Accounts (FSA)
Tax savings on your expenses
Health FSA – health care
Dependent Care FSA – child and dependent adult care
Reminder:
Must enroll or reenroll during Open Enrollment to make contributions in 2017
Health FSA - may carry-over $500 from 2016 contributions to 2017 plan year
Open Enrollment for 2017

17. ARAG Legal Plan Open for new enrollments New benefits added
Tax planning, preparation and audits
Administrative hearings
Domestic violence protective orders
New Live Chat feature on website
3.9% rate increase
Open Enrollment for 2017

18. Life Insurance Employee Supplemental Life rates decrease 7.4%
Dependent Basic and Expanded Life rates decrease 7.5%
Not part of Open Enrollment
Employees may apply at any time – see instructions on UCnet
Open Enrollment for 2017

19. Family Member Eligibility Verification
Employees adding a new family member during Open Enrollment will receive a notice from SECOVA in January.
Employees who add new family members to their health plans are required to participate in the Family Member Eligibility Verification (FMEV) program.
SECOVA asks for documentation to verify that the family member satisfies the UC eligibility criteria.
See UCnet for more information:
UC Group Insurance Eligibility Factsheet
Family Member Eligibility Verification Process

20. Resources http://ucnet.universityofcalifornia.edu/OE
Insurance plan websites
Open Enrollment booklets
Benefits Events
Fair on Monday, November 7 9:00 – 2:00 at UCen
Benefits Workshops – see event calendar
Open Enrollment for 2017