1. 2019 Benefits Open Enrollment
Human Resources
October 2018

2. Agenda 2019 Benefit Partners Plan changes and Reminders
What is an HSA?
Choosing the right medical plan for you
Additional benefits (firm paid/voluntary)
Open enrollment
Tools and resources

3. 2019 Benefit Partners
Be Well
Protect
Prepare

4. Plan Changes and Reminders
What is changing?
Premiums
Medical Premiums Increasing
Plan Design Changes on Traditional Plan
Changes to the Pharmacy Co-Pay and Co-Insurance amounts
Reminders
Flexible Spending Accounts
There is a 2 ½ month grace period through March 15, 2019 to use any funds remaining in your Flexible Spending Account.
FSA must be elected every year.
Life Insurance
You can increase your life insurance up to $10,000 a year up to the guaranteed issue amount ($150,000) without completing Evidence of Insurability

5. Health Care Contributions
2017 Average Employer Contribution
Single 80%
Family 73%
2019 Tortoise Contribution
HSA
Single 97%
Family 97%
Traditional PPO
Single 94%
Family 94%
Total Benefit investment from Tortoise (not including employee contributions)
$2.3M
Source: Kaiser Family Foundation

6. 2019 Medical Premium Rates $33 $14 $600 $62 $30 $1,500 $68 $27 $85 $37
Monthly Premiums
Traditional PPO
QHDP - HSA
PPO
HSA Annual Contribution
Employee
$33
$14
$600
Employee + Children
$62
$30
$1,500
Employee + Spouse
$68
$27
Family
$85
$37

7. Medical Plan Pharmacy – Traditional PPO
Increase to the copay amounts for Level 2 and Level 3
2018 Traditional PPO
Level 1 - $10
Level 2 - $30
Level 3 - $50
Specialty – 10% up to $200
Mail Order – 2X Retail
2019 Traditional PPO
Level 1 - $10
Level 2 - $40
Level 3 - $60
Specialty - 50% up to $200
Mail Order - 2X Retail
Level 1 – Generic
Level 2 – Non-preferred (Crestor, Lipitor)
Level 3 – Brand (Advair, Bystolic, Lo Loestrin)

8. What is an HSA?
Own. The HSA is always yours, even if you change jobs, re-enroll in the Traditional PPO plan, become unemployed or retire.
Grow. Your unused balance rolls over from year to year..
Save. HSA’s provide Triple Tax Savings (tax-free contributions, tax-free withdrawals, and tax-free earnings) from investment options.
Choose. Use for current expenses, save for the future or explore investment options.

9. Things to Know About an HSA
Deductibles are higher than the Traditional PPO Plan to start.
All covered medical services and expenses, including Rx will be applied to your deductible.
Importance of using In-Network Providers to obtain the Blue Cross discount.
Allow claims to be processed before you pay. Pay for Rx at the time of service.
In most cases, you should receive a bill & an EOB that match before you pay.

10. HSA Eligibility You must be covered by an HSA plan.
You cannot have any “other coverage” such as:
A plan that is not an HSA-qualified HDHP
Spouse’s plan that is not a HDHP
Medicare or Medicaid
Tricare Coverage (military health care)
Health Flexible Spending Account
Health Reimbursement Arrangement (HRA)
You cannot be claimed as a dependent on someone else’s tax return.
It’s the accountholder’s responsibility to maintain compliance under these regulations.

11. HSA Contributions
Money may be contributed to your HSA by you, your employer, or anyone else, as long as the total doesn’t exceed the IRS annual maximum:
2019 Max: $3,500 individual $7,000 family
Catch up contribution of an additional $1,000 if 55 years of age or older.
No expenses may be reimbursed for services incurred before the HSA is set up, regardless of when the HSA was effective.

12. Choosing the Right Plan For You
What services and medications do you expect to use?
Review past Explanation of Benefits (EOB’s)
Talk to your providers and pharmacists
Price your prescription drugs
Run the numbers
Compare premium deductions
Annualize the premium
Premiums are deducted pre-tax; so are HSA contributions
Your personal situation
Do you have money saved (or can you save) to pay for medical expenses?
Do you want predictable costs?
Are you looking for greater tax benefits?
What is your “risk” tolerance?
Are you a record keeper?
Are you a saver?
Are you covering your spouse and/or dependents?
Are you considering retirement or eligible for Medicare?
Strongly encourage you to use the Health Plan Comparison Calculator included in this deck to evaluate the best plan for you.

13. Achieving Wealth – Invest for Tomorrow Today
Use a Plan Comparison Tool to determine if an HSA plan is right for you
Use a Health Savings Calculator to determine tax savings and investment growth
Advance your progress
Cover your deductibles
Collect the Company Contribution (+$600/$1500)
What would you have spent on Traditional premiums (+$)?
What would you have deferred to an FSA on a Traditional plan (+$)?
Practice paying for small out-of-pocket expenses with cash
Invest unspent savings –HSA bank has opportunities to invest your HSA funds in self- directed investment fund options. It’s a great way to potentially grow HSA funds for healthcare expenses, or save funds as a nest egg for retirement
Max out IRS limits and keep investing

14. Additional Benefits

15. Additional Benefits Firm pays 100% Telemedicine (First Stop Health)
Dental (Delta Dental)
Group Life (Mutual of Omaha)
Short-Term Disability (Mutual of Omaha)
Long-Term Disability (Mutual of Omaha)

16. Additional Benefits to Elect
Voluntary
Vision (VSP)
Voluntary Life and AD&D (Mutual of Omaha)
Critical Illness (Allstate)
Accident (Allstate)
Identity Theft (IDShield)
Health Savings Account in addition to employer contribution (HSABank)
Flexible Spending (Discovery Benefits)
Health FSA - $2650 pre-tax dollars
Limted FSA - $2,650 pre-tax dollars
Dependent Care – $5000 pre-tax dollars
401k (Charles Schwab)
2019 maximum elective deferrals - $19,000
If you are 50 years of age or older you can contribute an additional $6,000
Company matches 50% on the first 6% deferral

17. Open Enrollment

18. Open Enrollment Monday, October 15 through Monday, November 5
Employees will need to re-enroll in Benefits for the 2019 plan year.
Benefits website updates will be completed by October 15 for Open Enrollment:
Please make any updates to your beneficiaries:
Group Life
Voluntary Life
Critical Illness
401k
401k changes will need to be made through the Charles Schwab website and not ADP this year.
When you go to the benefits website it will walk you through each benefit and show you what you are currently enrolled in. You will need to select any benefits you want to be covered under for If you don’t enroll you won’t have coverage for 2019.
Presentation will posted on the site

19. Tools and Resources

20. Blue Cross Blue Shield www.mybluekc.com 888-989-8842
Ability to find nearest in-network doctor with GPS-enabled locator
Claims and Benefit information
View ID Card
SSO to HSA account and online HSA claims payment

21. HSA Ability to manage account on-the-go through mobile app
Ability to manage account on-the-go through mobile app
Sync to insurance carriers and pay direct
Enter and Track Expenses

22. HSA Learning Resources
The Basics
HSA Bank – What is an HSA
BlueCross BlueShield – HDHP & HSA Basics
Maestro Health – HSA Explainer
Investing
Discovery Benefits – The Smarter Way to Use Your HSA / HSA for Investors
PayFlex – Investing in Your HSA
Tax Savings
Connect Your Care – Saving Taxes with an HSA
Choosing An HSA
Dave Ramsey – Why Should I Use A Health Savings Account

23. First Stop Health Consult requests via phone or app
Consult requests via phone or app
Store preferred pharmacy information for quick access
No registration required
No copays, unlimited consultations

24. FSA – Discovery Benefits
Manage your account through mobile app
Quick view of “All Accounts”
File a new claim, including uploading a receipt
Sync to insurance carriers and pay direct

25. Charles Schwab