1. 2019 OPEN ENROLLMENT

2. ENROLL THROUGH EMPLOYEE NAVIGATOR

3. HEALTH BENEFITS
Cypress Benefit Administrators
Provider Selection through
First Choice Health Network

4. EMPLOYEE BENEFITS PACKAGE
Medical
HSA - $1500
Medical
PPO - $750
Principal
Dental
Principal
Life & AD/D
Principal
Voluntary Life & AD/D
Principal
Vision
Principal
Voluntary Short
Term Disability
Principal
Voluntary Accident
Health Joy Wellness Tool
Flexible Spending Account
FSA
Dependent Care
Krowdfit
Health Saving Account

5. 2 Plans to Choose from
Option 1. HSA Qualified plan with a $1,500 deductible Option 2. PPO Buy-Up plan with a $750 deductible

6. Medical Plan Features Plan Name HSA QUALIFIED PLAN TRADITIONAL PPO
Deductible
Individual: $1,500
Individual: $750
In or Out of Network:
Family: $3,000
Family: $1,500
Annual Out-of-Pocket
Individual: $3,000
Individual: $3,500
Family: $6,000
Family: $7,000
Cost Share
In-Network: 80%/20%
In-Network: 80%/20% or $30 Copay
Out-of-Network: 60%/40%
Office Visits
In-Network:80%/20%
In-Network:$30 Copay
Preventative Care
In-Network: 100%
Emergency Services
Deductible, then20% Co-insurance
$250 Copay / 20% Co-insurance
Urgent Care
Same as Office Visit
$50 Copay
Inpatient Hospital
Deductible then 20% Co-insurance
Diagnostic Test (X-ray, Bloodwork)
Out-of-Network: 50%/50%
Imaging (CT/Pet scans, MRI)
Chiropractic Services –
20 Visits Per Calendar Year
Pharmacy
Generic $10 Copay
Preferred Brand $50 Copay
Non-Preferred Brand $70 Copay

7. HealthJoy Mission Control for Your Employee Benefits
Access and understand your benefits
On-demand LIVE help
Make smart choices
Save time and money
Chat or phone
24/7/365
MEDICAL
DENTAL
HSA
LIFE INSURANCE
WELLNESS

8. HEALTHJOY SIMPLIFIES HEALTHCARE
Consult with an online doctor
Live healthcare concierge
Researched provider & facility recommendations
Find lower-cost medications
Check bills for errors
Schedule appointments
One app for your family’s healthcare needs
18-22% of claims are coming from RX! This is national averages and only goin up. This is a HUGE savings piece and we know it. Imagine being able to waive OOP expenses by proactively getting people on Mail Order that is then shipped to their home address? Convenient (member does nothing or have to go anywhere). Meds are shipped and delivered to their front door; OOP reduced because its cheaper and signifcant savings on employer side by Mail Order....people dont do mail order becasue its sucks to fill out paperwork; its a tedious task; etc)

9. Who’s eligible? TAX ADVANTAGED To qualify for an HSA, you must:
Be covered under a qualified health plan on the first day of any month for which eligibility is claimed
Not be enrolled in Medicare & collection Social Security
Not be claimed as a dependent on someone else’s tax return
Have no other insurance except what’s permitted by the IRS (see IRS Publication 969)
Discuss double coverage, example: if you are on your souses non-qualified insurance plan you are not eligible to contribute to an HSA.
TAX ADVANTAGED

10. DETAILS Contribution Limits: $3,500/$7,000 ($1,000 catch up at Age 55)
HSA
Credit Card
Contribution Limits: $3,500/$7,000 ($1,000 catch up at Age 55)
Distributions from your HSA are tax-free if they are taken for “qualified medical expenses.”
For individuals age 65 and older, HSA distributions can be used for non-qualified medical expenses without facing the 20 percent penalty.
However, income taxes will apply for non-medical distributions. Think of an IRA.

11. How the Health Savings (HSA) Works
When you choose the HDHP, you are eligible for an HSA. You are responsible for the first $1,500 (Individual) or $3,000 (family) of your calendar year deductible.
An HSA (Health Savings Account) allows you to fund your deductibles with pre-tax dollars through payroll deductions. This account is yours and any unused dollars remain in your account and carry over each year.
How the Health Savings (HSA) Works
Once you’ve met your HDHP Deductible, the plan pays a portion of your eligible medical expenses. The plan pays 80% Co-insurance and you pay 20% up to the maximum out of pocket amount.
After you reach the out-of-pocket maximum, your plan pays 100% of all eligible medical and prescription drug costs for the remainder of the calendar year.
Your Responsibility
Quick HSA Facts:
If I have family coverage on the medical plan, can I use the HSA?
Absolutely. You can contribute up to the family IRS maximum and use your funds to pay health care expenses for you, your legal spouse and tax dependent(s).
I have employee only coverage, can I use my HSA for my family?
Yes, you can use your HSA for your eligible expenses, as well as the eligible expenses of your legal spouse and tax dependents, even if they are not enrolled in the Sound Community Bank medical plan with you.
How do I get reimbursed?
When you enroll in an HSA and use payroll deductions to fund it through Sound Community Bank, you’ll receive an debit card to use to pay for eligible expenses. You can also submit claims online if you forget your debit card.
What happens if I leave the company?
Your HSA is yours to keep if you retire or leave the company. If you’re considering retirement, HSAs are a great retirement savings account. You can contribute up to the annual IRS maximums (including the age 55+ catch-up contributions) with pre-tax dollars while you are working to pay for health care after you retire.
What happens if I use it for ineligible expense?
You will pay applicable taxes and an excise tax penalty (currently 20% for individuals under age 65). Please consult your tax advisor.
Co-Insurance
100%
80%
20%
Plan Pays 100%
Plan Pays Majority

12. 2019 MEDICAL MONTHLY DEDUCTIONS

13. Funding Illustration EMPLOYEE ONLY ILLUSTRATION Your Monthly Premium
Qualified H.S.A
PPO Buy-Up
Monthly Difference
in Premium
Annual Difference in Premium
$1,500 Deductible
$750 Deductible
$3,000 Max OOP
$3,500 Max OOP
PAYROLL DEDUCTIONS:
Employee
$82.00
$164.00
$984.00
Employee/Spouse
$327.00
$452.00
$125.00
$1,500.00
Employee/Child
$273.00
$349.00
$76.00
$912.00
Employee/Children
$300.00
$398.00
$98.00
$1,176.00
Employee/Spouse/Child
$382.00
$529.00
$147.00
$1,764.00
Employee/Spouse/Children
$709.00
$180.00
$2,160.00
Single Illustration
Annual Differences
Annual Deductible
$750.00
Annual Premiums
$1,968.00
Your Annual Deductible & Premium - Combined:
$2,484.00
$2,718.00
Maximum Plan Out of Pocket
$3,000.00
$3,500.00
You Maximum Out of Pocket:
$3,984.00
$5,468.00

14. HEALTH SAVINGS ACCOUNT
Insurance Company Pays 80% after $1,500 Deductible. $2,000-$1,500= $500
80% = $400
80/20
Ins Co Pays $400
You Pay $100
HSA PROCESS
YOU
BILL
INSURANCE
COMPANY
$2000
EOB & BILL
You Owe
$1,500 Deductible
$100 Coinsurance
$1,600
HEALTH SAVINGS ACCOUNT
$82 x 12 = $984
YOU
EMPLOYEE
FUNDS
HSA
Credit Card
PAY YOUR BILL
FROM HSA
You can Fund your HSA with Your Pre-Tax Monthly Contributions to pay the Deductible if you incur Medical Charges.
(Your Monthly Savings from lower Monthly Premium)
$1,600 – 984 = $616 you pay out of pocket at the time bill is incurred.

15. MAXIMIZE YOUR MONEY Save and keep your money
Lower premiums, tax-free, long-term savings
You own the account and the money stays with you
Grow your money
Money rolls over year to year
Triple tax-savings
Contributions aren’t taxed and reduce your annual taxable income
Withdrawals are never taxed or penalized when used for qualified medical expenses; including Rx, dental, vision
Earnings aren’t taxed

16. MAXIMIZE YOUR OPTIONS Keep your doctor
Even if your doctor isn’t a network provider, use your HSA to pay your bill
Protect your account and pocket book
Change jobs or retire and keep your account and balance
Most HSA-qualified plans have maximum out-of-pocket limits
Reach your limit, and expenses are fully covered
Before you reach your limit, use your HSA balance to pay costs
Cover spouse/dependent expenses, even if on another health plan
Your spouse and dependents don’t need to be covered by your HDHP to use your HSA funds to pay their out-of-pocket medical expenses

17. FLEXIBLE SPENDING ACCOUNT
FSA: Flexible spending account (you can contribute $2,650 annually) You may roll over $500 unused dollars
DCA: Daycare Allowance (you can contribute $5,000 annually)
TAX ADVANTAGED

18. Flexible Spending Account (FSA)
A health FSA allows you to use pre-tax dollars to pay for eligible health care expenses for you, your spouse, and your eligible dependents.
Examples of eligible health care expenses are as follows:
Copays, coinsurance, deductibles for medical
Prescription drugs
Dental expenses
Eye exams, contacts and eyeglasses
2018 IRS Funding Limits on FSAs
Health Care FSA
$2,650
Dependent Care FSA
$5,000*
*$2,500 if married and filing separately

19. Pre-Tax Savings Example
Dependent Care FSA
Dependent care FSA is also a pre-tax benefit used to pay for eligible dependent care services, such as preschool, summer day camp, before or after school programs and child (under age 13) or adult daycare.
Salary Before Taxes
FSA Contribution
Taxable Income
Less Taxes
Less Dep Care Expenses
Take Home Pay
Tax Savings
Pre-Tax Savings Example
With FSA
Without FSA
$30,000
-$5,000 -0
$25,000
-$5,662
-$6795
$19,338
$18,205
$1,133 $0

20. DENTAL INSURANCE Principal Financial Group Preventive care at 100%
Annual benefit of $2,500 per person
Use of preferred providers stretches benefit dollars
Non-preferred dentists will result in some balance billing

21. DENTAL PLAN OVERVIEW Principal PPO Plan Plan Name Provider Network
Provider Network
Principal PPO
Benefit Period
January 1, 2019 – December 31, 2019
Deductible
Per Person: $50
Per Family: $150
Waived on Class I Services
Benefit Period Maximum
Per Person: $2,500
Class I Services DO NOT apply toward Maximum
CLASS I
Exams, Cleanings, X-rays, Fluoride & Sealants
In Network: 100%
Out of Network: 100%
CLASS II
Fillings, Oral Surgery, Root Canals, Endodontics & Periodontics
In Network: 80% after Deductible
Out of Network: 80% after Deductible
CLASS III
Crowns, Dentures, Partial Dentures, Implants & Bridges
In Network: 50% after Deductible
Out of Network: 50% after Deductible

22. 2019 DENTAL MONTHLY DEDUCTIONS
Employee
$20.00
Employee & Spouse
$40.00
Employee & Children
$50.00
Family
$60.00

23. VISION INSURANCE Comprehensive eye coverage
$20 co-pay for exams / $20 co-pay for frames
$150 allowance for frames / $150 allowance for contacts (every 24 months)
Lenses and enhancements covered after co-pay (ever 12 months)

24. VISION PLAN OVERVIEW Principal Vision Plan Name Provider Network
Provider Network
VSP Choice Network
Well Vision Exam
In Network : $10 Copay
Every 12 months
Prescription Glasses
$25 Copay
Lenses - every 12 months
Frame – every 24 months
$150 allowance + 20% discount on any amount over allowance.
Elective Contact Lenses
(If chosen instead of glasses)
Necessary Contacts
Up to $60 Copay
Up to $150 allowance for contacts
Up to $25 Copay
Covered in Full for specific conditions
** See Booklet for Out of Network Benefit

25. VISION PLAN OVERVIEW Principal Vision Plan Name Provider Network
Provider Network
VSP Choice Network
Well Vision Exam
In Network : $10 Copay
Every 12 months
Prescription Glasses
$25 Copay
Lenses - every 12 months
Frame – every 24 months
$150 allowance + 20% discount on any amount over allowance.
Elective Contact Lenses
(If chosen instead of glasses)
Necessary Contacts
Up to $60 Copay
Up to $150 allowance for contacts
Up to $25 Copay
Covered in Full for specific conditions
** See Booklet for Out of Network Benefit

26. OTHER INSURANCE Employer Paid Life– Principal
2x Basic Earnings, up to $400,000
Voluntary Life– For new hires ONLY
Available by payroll deduction up to 2x your basic annual earnings.
Spouse and child coverage available

27. Life & AD/D OVERVIEW Voluntary Life Principal Principal Plan Name
Benefit Amount
2 X Salary up to $400,000
Voluntary Life
Plan Name
Principal
Employee Life Insurance
An amount up to $300,000 in increments of $10,000, not to exceed 2x basic annual earnings
Spouse Life Insurance
An amount up to $50,000, in increments of $5,000
Employee AD&D Insurance
Spouse AD&D Insurance

28. The benefit paid for it’s self.
Income Protection
Voluntary Accident
Want help with those ER bills in the event of an accident? Meet brother’s Bob & Larry. The brother on the right is Larry. He just got a new bike so he could lose a few pounds, instead he lost his balance suffered a concussion and tore his knee cartilage and needed surgery to repair it. His deductible will easily be met, which is $1,
The accident plan will pay money to him for getting injured. This money will go towards his $1,500 deductible.
Here’s How:
Concussion pays: $500
Knee Cartilage Repair pays: $1,500
$2,000
Principal just paid his deductible and all it cost Larry was $11.90 a month.
The benefit paid for it’s self.
Monthly Cost
Employee $11.90
Employee/Spouse $17.39
Employee/Child(ren) $20.63
Family $31.42

29. Employee Assistance Program (EAP)
The EAP program is a professional, confidential, counseling and referral program.
3 face to face counseling sessions per issue
Unlimited telephone access to EAP professionals 24/7
Common items to use the EAP benefit for:
Marital/Family Problems
Health/Mental Concerns
Child/Eldercare Concerns
Parenting Difficulties
Work-Related Problems
Relationship Concerns
Gambling/Substance Abuse
Stress, Anxiety, and Abuse
Self Assessments

30. Travel Assist and Will Preparation
The Travel Assistance Program
Ease some of the worries of traveling. This program offers reassurance. Anytime. Anywhere.
If you are traveling 100+ miles away from home for up to 120 consecutive days you will have assistance for emergencies, lost or stolen items, medical assistance and more.
Will & Legal Document Center
Protect your family, your finances and your future. Now you can create and store you important documents using the Will & Legal Document Center.
Will
Healthcare Power of Attorney
Durable Power of Attorney
Living Will
And more!

31. FINTESS INCENTIVE PROGRAM
The KrowdFit Rewards program is available to all Sound Community Bank employees plus one household member.

32. REMINDERS Do preventive checkups/cleanings
No cost for preventive medical procedures provided you go in network and the procedure is coded as preventive
ALL EMPLOYEES MUST COMPLETE BENEFIT ELECTION THROUGH EMPLOYEE NAVIGATOR
Be sure you have the correct beneficiary listed
Reach out to Trutina or the insurance carrier with individual medical questions

33. 10811 Main Street Bellevue, WA 98004
If you have any questions that your health insurance companies cannot answer, please feel free to contact us at
10811 Main Street Bellevue, WA 98004