1. Group Name Employer ID: CHO Plan Year: 01/01/2015-12/31/2015
Presented By: Name
Title

2. Instructions: Find and Replace Delete This Slide Before Presenting
Getting Started:
Enrollment presentations can be shown to employees to help explain how to use their Choice Strategies plan.
Before showing this presentation to employees, please customize it by finding and replacing the following:
Group Name: Group Name
Health Insurance Carrier: Carrier
Plan Year: 01/01/ /31/2015
Plan Start Date: 01/01/2015
HRA Single Out-of-Pocket Responsibility: $$$$$
HRA Family Out-of-Pocket Responsibility: $$$$$$
HRA Single Funding: $
HRA Family Funding: $$
Carrier Single Deductible: $$$
Carrier Family Deductible: $$$$
FSA Maximum: $2,550

3. Your Health Plan Carrier
Deductible:
Single: $$$
Family: $$$$
Effective 01/01/2015, Choice Strategies will be administering:
Health Reimbursement Arrangement (HRA)
Flexible Spending Account (FSA)
Dependent Care Account (DCA)

4. Health Reimbursement Arrangement HRA
Group Name’s HRA Plan:
Plan Year: 01/01/ /31/2015
BEFORE funds are available in the HRA for use, you must pay the following amount of Carrier deductible expenses out-of-pocket. This is called your HRA Deductible:
Single: $$$$$
Family: $$$$$$
AFTER you pay the HRA deductible out-of-pocket, the HRA reimburses up to:
Single: $
Family: $$

5. Health Reimbursement Arrangement HRA
Group Name’s HRA Plan:
To activate the account once HRA deductible has been satisfied:
Submit a claim and attach supporting documentation
Claims can be submitted through your online account or claim forms are available under the “For Members” tab and “Forms” page on
HRA-Eligible Expenses include:
Office Visits
Hospital
Prescriptions
Outpatient

6. End of Plan Year Health Reimbursement Arrangement
3 Month Run-Out Period
You have 3 months after the plan year ends to submit all outstanding claims for expenses that occurred during the plan year
Plan Year: 01/01/ /31/2015
Reimbursement for these expenses must be submitted manually through the claim process during the Run-Out Period
Do NOT charge your Choice Strategies Card for dates of service the occurred during a previous plan year.
Example: Plan year ends on 12/31/15. You have until 3/31/2016 to submit manual claims for dates of service that occurred during the 2015 calendar plan year.

7. Flexible Spending Account FSA
You can elect to contribute up to $2,550 pre-tax
Plan Year: 01/01/ /31/2015
Contributed through payroll deductions
“Use it or Lose it”
Eligible Expenses:
Medical
Dental
Vision
Prescriptions
Limited Over-the-Counter (OTC) products

8. End of Plan Year Flexible Spending Account
2 ½ Month Grace Period
You have 2 ½ months after the FSA plan year ends to use any remaining funds for expenses that occurred within the current plan year or during the grace period
Plan Year: 01/01/ /31/2015
You may use your card for FSA eligible expenses during the grace period for any expenses incurred between the beginning of your plan year and the end of the grace period
Example: Plan year ends on 12/31/15. You have until 3/15/2016 to use remaining FSA funds for dates of service that occurred during the 2015 plan year and through the Grace Period.

9. End of Plan Year Flexible Spending Account
The FSA Carryover
What is it? A provision for FSAs that allows up to $500 to carryover from year to year.
Will the carryover amount effect the amount that can be elected pre-tax for the next plan year? No.
So, if the carryover is $500 from a previous year, the available balance for the new year could be anything up to $3,050? Yes.

10. Dependent Care Account DCA
You can elect to contribute up to:
$2,500 if married, filing separate tax returns
$5,000 if single OR married, filing jointly
Plan Year: 01/01/ /31/2015
Contributed through payroll deductions
Pre-tax!
Pay as you go
You can only spend what you have contributed.
Eligible Expenses:
Custodial care of dependents while employee is at work

11. Employee Savings Example
Without FSA / DCA
Gross Monthly Salary
$2,500.00
Less:
Federal Income Tax
$333.61
State Income Tax
$174.79
Social Security Tax
$191.25
Net Income
$1,800.35
Health Care Expenses
$200.00
Dependent Care
$400.00
Spendable Income
$1,200.35
With FSA/DCA
Gross Monthly Salary
$2,500.00
Less:
Health Care Expenses
$200.00
Dependent Care
$400.00
Taxable Income
$1,900.00
Federal Income Tax
$253.54
State Income Tax
$132.84
Social Security Tax
$145.35
Spendable Income
$1,368.27
Monthly Savings
$167.92
Annual Savings
$2,015.04
Based on 13.34% Federal Income Tax, 7% State Income Tax, and 7.65% Social Security Tax Rate

12. Choice Strategies Card The Facts
MasterCard
Card activates upon first use
If balance available and any shared responsibility portions have been met
Employee and spouse automatically receive cards
Separate envelopes
Additional cards can be issued upon request
Swipe as CREDIT vs. Debit for convenience
If needed - PIN is accessible through Member Online Accounts under the My Card tab.

13. Using the Card Medical Providers
Present Your Health Insurance ID Card.
Complete
Visit
Provider Will Submit Claim To Health Insurance
Health Insurance adjusts claim and generates Explanation of Benefits
You will receive an EOB from your Health Insurance and a doctors bill
Do not pay on the date of service, wait until you receive the Explanation of Benefits from Carrier.
Pay with your Choice Strategies Card!

14. Using the Card Prescriptions
Doctor writes a Prescription (Rx) and gives to you.
Bring Rx to pharmacy.
(Make sure updated Carrier information is on file)
Pharmacist advises price of Rx.
Employee pays with Choice Strategies Card!
IIAS (Inventory Information Approval System)
No Request for documentation on Rx charges if IIAS Approved Pharmacy is used. (List available on

15. Submitting a Claim Need Reimbursement?
Online – Faster Reimbursement!
Login to your Online Account
Select “Submit a Claim”
Fill our required fields
Upload Supporting documentation
Select “Submit”
, Fax, or Mail
Fill out a Claim Form available under the “For Members” and “Forms” page on
Attach supporting documentation

16. Substantiation Requirements Documentation Requests
Group Name is required by Federal Law to substantiate all claims.
This means that purchases made with your Choice Strategies Card need to be supported with documentation
Receipt Notification Process:
Employees are sent requests via mail or to provide documentation on card transactions.
Supporting documentation requested may include:
Explanation of Benefits (EOB)
Rx Receipts
Provider Bills

17. Substantiation Service Free and Voluntary
Allows Choice Strategies to view your Explanation of Benefits from the online account with Carrier
Signing Up:
You must set up an online account with Carrier
Sign up for the Substantiation Service by provider your Carrier User ID and Password to Choice Strategies
Use the online HIPAA Release Form under the “For Members” section and forms page on
To take advantage of our Substantiation Service, enroll online at:

18. Member Online Accounts www.choice-strategies.com
Helpful Features!
Check available balance
Review transaction history
Upload supporting documentation
Verify the Choice Strategies Card status
Update personal information
, home address, phone number
Submit claims online
Reimbursement method
Video tutorial available

19. Mobile App Access Your Information on the Go!
Available For iOS and Android
You Can:
Create Account
Check available balance
Review transaction history
Submit claims
Upload supporting documentation
Video tutorial available

20. We are Here to Help! Phone: 888-278-2555 (Option 2)
Hours: Monday-Friday
8:00am – 8:00pm EST