2014 Open Enrollment
Schneider Electric Benefit Program
for U.S. Employees
October 2013
Welcome!
●New for 2014
●Open Enrollment Process
●2014 Default Coverage
●Key Dates
●Resources
Mark Your Calendar!
Open Enrollment Period:
October 28, 2013 November 12, 2013
Schneider Electric - Rewards NA – 2014 Open Enrollment – October 2013
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New for 2014: Disability Provider
MetLife
● Short-term Disability (STD) claims administrator
● Long-term Disability (LTD) insurance provider
Coverage levels remain the same
● STD = Company-paid 60% base pay or Buy-up
70% of base pay
● LTD = Company-paid 40% base pay or Buy-up
60% of base pay
Schneider Electric - Rewards NA – 2014 Open Enrollment – October 2013
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New for 2014: Government Regulated Changes
Out-of-pocket limits
Currently, only co-insurance amounts are applied toward the out-ofpocket limit. NEW! Deductible and medical co-payment amounts
will also be applied toward the out-of-pocket limits.
EPO
Core PPO
Buy-up PPO
High Deductible
Health Plan (HDHP)
In-network
Innetwork
Out-of
Network
Innetwork
Out-of
Network
Innetwork
Out-of
Network
Out-of-pocket
(Individual)
$6,250
$2,700
$5,400
$1,800
$3,600
$4,450
$8,900
Out-of-pocket
(Family)
$12,500
$5,400
$10,800
$3,600
$7,200
$8,900
$17,800
Schneider Electric - Rewards NA – 2014 Open Enrollment – October 2013
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New for 2014: Government Regulated (Cont.)
Health Care Reform – Individual mandates
● Requires all Americans to be covered by health insurance or incur a
tax penalty
● Legally required notice will be mailed to employees before 10/1/13 to
explain the Health Insurance Marketplace (also commonly referred to
as “Exchanges”)
● Bottom line: Schneider Electric coverage meets the minimum
coverage and affordability standard
Health Savings Account – Optional employee contribution
amounts increase by $50 (individual)/$100 (family)
● Employee only HSA contribution limit = $2,800
● Family HSA contribution limit = $5,550
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New for 2014: Medical Plan Design
● Annual deductible increase for EPO medical option
● Specialist office visit co-payments increase by $5
EPO
Core PPO
Buy-up PPO
High Deductible
Health Plan
InNetwork
InNetwork
Out-of
Network
InNetwork
Out-of
Network
InNetwork
Out-of
Network
Deductible
(Individual)
$250
$400
$800
$250
$500
$1,450
$2,900
Deductible
(Family)
$500
$800
$1,600
$500
$1,000
$2,900
$5,800
$35
$35
$20
Co-payment
copayment
copayment
Specialist
office visit
co-payment
Subject to deductible & coinsurance
Subject to deductible & coinsurance
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New for 2014: Employee Contributions
Medical
● 8% increase for Core PPO, Buy-up PPO, & High Deductible Health
Plan (HDHP)
● 12% increase for EPO
● Medical tobacco user rates will remain $25 more per month than
non-tobacco user rates
Disability
● Short-term Disability (STD) Buy-up option decrease from $0.08 to
$0.06 (per $100 of monthly base pay)
● Long-term Disability (LTD) Buy-up option increase from $0.142 to
$0.186 (per $100 of monthly base pay)
All other rates will remain the same
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2014 Employee Costs: Medical
2014 Medical Semi-Monthly Non-tobacco Employee Costs
EE Only
EE + Spouse /
Domestic Partner
EE + Child(ren)
/DP Child(ren)
EE + Family
Core PPO
$46.78
$98.23
$88.88
$147.35
Buy-up PPO
$66.49
$139.62
$126.33
$209.43
EPO
$68.82
$144.52
$130.75
$216.77
HDHP
(w/ HSA)
$14.81
$31.09
$28.13
$46.64
Medical tobacco user rates will remain $25 more per month
than the non-tobacco user rates
Schneider Electric - Rewards NA – 2014 Open Enrollment – October 2013
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2014 Employee Costs: Medical
2014 Medical Weekly Non-tobacco Employee Costs
EE Only
EE + Spouse /
Domestic Partner
EE + Child(ren)
/DP Child(ren)
EE + Family
Core PPO
$21.59
$45.34
$41.02
$68.01
Buy-up PPO
$30.69
$64.44
$58.30
$96.66
EPO
$31.76
$66.70
$60.35
$100.05
HDHP
(w/ HSA)
$6.83
$14.35
$12.98
$21.52
Medical tobacco user rates will remain $25 more per month
than the non-tobacco user rates
Schneider Electric - Rewards NA – 2014 Open Enrollment – October 2013
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2014 Employee Costs: Dental
2014 Dental Semi-Monthly Employee Costs
EE Only
EE + Spouse /
Domestic Partner
EE + Child(ren)
/DP Child(ren)
EE + Family
Core PPO
$3.50
$7.35
$6.65
$11.02
Buy-up PPO
$6.25
$13.12
$11.87
$19.68
2014 Dental Weekly Employee Costs
EE Only
EE + Spouse /
Domestic Partner
EE + Child(ren)
/DP Child(ren)
EE + Family
Core PPO
$1.61
$3.39
$3.07
$5.08
Buy-up PPO
$2.88
$6.06
$5.48
$9.08
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2014 Employee Costs: Vision
2014 Vision Semi-Monthly Employee Costs
Vision
EE Only
EE + Spouse /
Domestic Partner
EE + Child(ren)
/DP Child(ren)
EE + Family
$2.93
$6.09
$5.51
$8.13
2014 Vision Weekly Employee Costs
Vision
EE Only
EE + Spouse /
Domestic Partner
EE + Child(ren)
/DP Child(ren)
EE + Family
$1.35
$2.81
$2.54
$3.75
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2014 Open Enrollment
● Open Enrollment period is:
October 28 - November 12
● Enroll at: www.se-benefitslink.com
● On 10/21, passwords will be reset
to last 4-digits of your Social
Security Number
● You will be required to create a
unique password upon initial login
after 10/21
● For help contact: PeopleLink
● PeopleLink will be available from
6:00 a.m. – 6:00 p.m. CT
● Available in English and Spanish
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Enrollment Process: Tobacco Questions
● Medical and Life tobacco questions must
be answered during Open Enrollment
even if previously answered.
● 2013 tobacco status will not carryover.
● Tobacco users are eligible to receive nontobacco user rates if tobacco user enrolls
in the Quit for Life® program during 2014
(and answers the tobacco question
accordingly).
● Enroll in Quit for Life program at
www.quitnow.net or 1-866-QUIT-4-LIFE.
Schneider Electric - Rewards NA – 2014 Open Enrollment – October 2013
If the tobacco
questions are not
answered,
employee will
default to tobaccouser rates for
medical,
supplemental
and/or spouse life.
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Enrollment Process: Dependent Eligibility
• Supporting documentation is required for any
spouse/domestic partner and/or child(ren)
that is added during Open Enrollment
• If dependent is enrolled in medical, dental
and/or vision in 2013, you do NOT need to
submit documentation
• Dependent documentation not required for
Spouse or Child Life
• Deadline to submit documents to PeopleLink
is November 19, 2013 at 5 p.m. CT
• E-mail documents to
peoplelink@schneider-electric.com
with Subject line: OE New Dependent
Documentation (SESAxxxxx)
• Fax: 1-859-372-2176
Schneider Electric - Rewards NA – 2014 Open Enrollment – October 2013
If documentation is
not submitted by
Nov. 19, the
dependent will not
be enrolled for
benefits and any
claims incurred will
not be covered.
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Enrollment Process: Dependent Eligibility
Dependent
Documentation required
Spouse
• Copy of front page of your most recent federal tax return that
includes your spouse
OR
• Photocopy of marriage certificate, and
• Proof of joint debt/ownership dated within past 90 days (must
have your name and your spouse’s name)
Domestic
partner
• Domestic Partner Registration as legally recognized
OR
• TWO (2) documents that show both your names and address
Child
• Photocopy of birth certificate showing the parent’s name OR a
copy of the most recent federal tax return showing the child
listed
A complete list of acceptable documents can be found online at
www.se-benefitslink.com under Resources > Documents > Forms.
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Enrollment Process: Domestic Partner
Requirements for adding a domestic partner or
domestic partner’s child:
● Indicate tax dependent status on www.se-benefitslink.com
● Provide proof of dependent eligibility documentation to PeopleLink
by Nov. 19
● Provide completed “Declaration of Domestic Partnership” and
“Certification of Tax Dependency” forms to PeopleLink by Nov. 19
If domestic partner currently covered and tax status
has changed:
● Update tax status on www.se-benefitslink.com
● Provide completed “Certification of Tax Dependency” form to
PeopleLink by Nov. 19
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Enrollment Process: Dropped Dependents
Dependents dropped during Open Enrollment will not
receive COBRA paperwork
● Not a qualifying event
● If drop is due to a change in status, then employee must initiate
status change event rather than the Open Enrollment event on
www.se-benefitslink.com
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Enrollment Process: Evidence of Insurability
●Evidence of Insurability (EOI) or proof of good health
required if you increase your Disability, Supplemental Life
and/or Spouse Life coverage
● EOI process
● For Disability, MetLife will mail the EOI to your home address
● For Life, Unum will mail the EOI to your home address
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Enrollment Process: 2014 Elections
The elections in the enrollment tool as
of the close of the enrollment period will
be considered your 2014 elections
regardless of whether you click
“Complete.”
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Enrollment Process: Enroll to Win!
Eight randomly selected employees who enroll by
November 1 will win points in the Recognition Portal!
● Three employees who complete their enrollment by 10/29 (5 p.m. CT)
will win 3,200 points
● Three employees who complete their enrollment by 10/30 (5 p.m. CT)
will win 1,600 points
● Two employees who complete their enrollment by 11/1 (5 p.m. CT)
will win 800 points
Schneider Electric - Rewards NA – 2014 Open Enrollment – October 2013
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2014 Open Enrollment: Default Coverage
Coverage
January 1, 2014 default coverage
Medical
Dental
2013 medical option and coverage level, at the
tobacco user rate
2013 dental option and coverage level
Vision
2013 vision option and coverage level
Basic Life and AD&D
One times your base pay; Company-paid
Supplemental Life
2013 coverage level, at the tobacco user rate
Supplemental AD&D
2013 coverage level
Spouse Life
2013 coverage level, at the tobacco user rate
Child Life
2013 coverage level
Short-Term Disability
2013 coverage level
Long-Term Disability
2013 coverage level
Health Care FSA or
Limited Use FSA
Dependent Care FSA
No participation
Health Savings Account
No participation
Schneider Electric - Rewards NA – 2014 Open Enrollment – October 2013
No participation
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2014 Open Enrollment: Key Dates
October 21
www.se-benefitslink.com password is reset to the last four
digits of your Social Security Number
October 28
Open Enrollment begins
November 1
Win points if enrolled by this date!
November 12
Open Enrollment ends at 5:00 p.m. CT
November 19
Deadline for submitting dependent documentation to
PeopleLink by 5:00 p.m. CT
Early December
Receive EOI from MetLife or Unum (if applicable)
Late December
New ID cards and PayFlex FSA and HSA debit cards
mailed (if applicable)
January 1
New benefits take effect
January 31
Claims related to open enrollment elections must be
submitted to PeopleLink no later than 1/31/2014
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Resources
●Resources are available on www.se-benefitslink.com and
company intranet (from Swebi: Operations > U.S. > Human
Resources > PeopleLink > My Rewards > U.S. Benefits)
● 2014 Enrollment Guide
● Summary of Benefits and Coverage (SBC)
● Summary Plan Descriptions (SPD)
●PeopleLink
1-877-248-2998
 peoplelink@schneider-electric.com
 Monday through Friday from 6 a.m. to 6 p.m. Central Time*
*Applicable during the Open Enrollment Period
Schneider Electric - Rewards NA – 2014 Open Enrollment – October 2013
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