July 1, 2010 – June 30, 2011 Benefit Overview Annual Open Enrollment The Glendale open enrollment period for the 2010/2011 employee benefit plan year will begin May 1, 2010 and conclude on May 21, 2010. Open enrollment meetings will start on April 19, 2010. Open enrollment changes will be effective July 1, 2010. This is your once a year opportunity to add, drop or change existing coverage. Next opportunity to make a change without a qualifying event will be May 2011 for a July 1, 2011 effective date. Agenda Glendale Online Enrollment System Medical Presentation July 1, 2010 Renewal Summary Glendale Employee Benefit Website Glendale Online Enrollment System © 2008 UnitedHealthcare To Access the Glendale Online Enrollment System 1. 2. 3. 4. 5. Go to GESD homepage Click on Human Resources Select iVisions Log-in Go to Employee Resources, from drop-down menu select Benefits Enrollment. © 2008 UnitedHealthcare Glendale Online Enrollment System © 2008 UnitedHealthcare Glendale Online Enrollment System © 2008 UnitedHealthcare Glendale Online Enrollment System © 2008 UnitedHealthcare Medical © 2008 UnitedHealthcare What We Will Cover Today Medical Plan Options • Choice Plus Plan 003 • Choice Plus Plan 104 • HSA $2,500 (new for 2010) UHC Tools and Resources © 2008 UnitedHealthcare Three key issues experts agree on 1. People are removed from the true cost of health care 2. Health care costs are skyrocketing 3. There’s a need to save for future health care costs Solution… © 2008 UnitedHealthcare A High Deductible Health Plan with a Health Savings Account provides you: • More choices • More control • Dedicated support to help you Lower your costs Improve your health Save for the future Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 12 What this means for you • Introduction of a new medical plan that will give you the opportunity to save • You’ll have consumer tools to assist you in evaluating the true cost of health care • Focus on wellness and prevention of illness • District funded savings account to help you pay for higher deductibles • Lower family premiums Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 13 Preventive care can be the key to better health • Preventive care is covered 100 percent • Regular preventive care helps – Reduce risk of disease – Detect health problems early – Protect you from higher costs down the road – Save your life • No copayments for doctor visits – take advantage • Covers immunizations recommended by the Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC) Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 14 Preventive care services include: Adults Children • Annual routine office visit and exam • Well child visits appropriate to age • Immunizations appropriate to age • Developmental screening appropriate to age • Annual influenza vaccination (flu shot) • H1N1 flu vaccination • Cholesterol screening • Annual mammogram, every 1-2 years beginning at age 40, for normal risk populations • Immunizations appropriate to age • H1N1 flu vaccination • Lead-level testing, where applicable • Annual Pap smear and pelvic exam, every 1-3 years, beginning at age 18 • Colorectal cancer screening beginning at age 50, for normal risk populations UnitedHealthcare has adopted preventive care guidelines based on the recommendations of the U.S. Preventive Services Task Force (USPSTF). Listing of services are only summaries. For complete guidelines, visit www.cdc.gov/hip Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 15 Preventive care vs diagnostic Preventive care: screenings on persons without symptoms for early identification of problems when they are easiest to treat. Examples of preventive care Examples of diagnostic care • Mammogram – annually for women starting at age 40 for normal risk populations • Colonoscopy – every 10 years starting at age 50 for normal risk populations • Immunizations appropriate to age • Breast biopsy to identify abnormality on a mammogram • Colonoscopy and biopsy in a person with unexplained bleeding • Examination and biopsy following consecutive abnormal Pap smears • Pap smear – once annually for women who are 18 years of age or older UnitedHealthcare has adopted preventive care guidelines based on the recommendations of the U.S. Preventive Services Task Force (USPSTF). Listing of services are only summaries. For complete guidelines, visit www.cdc.gov/hip Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 16 Health Savings Account (HSA) $2,500 Plan Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 17 HSA plan topics we will cover About the HSA plan How it works Examples of how it works SM OptumHealth Bank Free information and advice Ways to learn more Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 18 HSA Plan Components Medical Plan United HealthCare • Network and non-network coverage • Annual deductible • Protection from high out-of-pocket costs •100 percent preventive care • No copayments Health Savings Account Optum Health Bank • Your personal bank account • Take it with you if you leave your job • Triple-tax benefits • Use it for medical & pharmacy bills • No “use it or lose it” rule Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 19 About the HSA Plans Out-of-pocket maximum • Protects you from high costs • Gives you peace of mind Tools and resources • Available via telephone or Web • Health coaches • Cost/Quality comparisons Medical plan pays (coinsurance) HSA With an HSA you can: • Deposit dollars • Grow your savings • Save on taxes • Pay for health care now or later Annual Deductible Preventive Care Health Coverage • Must be satisfied before health coverage begins • Preventive care not subject to deductible •Preventive care covered 100 percent by your employer Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 20 About the HSA $2,500 Plan Employee + 1 or more Employee Only Health Coverage Plan pays 80% $4,500 Out-of-Pocket maximum Health Coverage Plan pays 80% $9,000 Out-of-Pocket maximum $3,050 District Contribution $2,000 Annual Deductible $2,500 $6,150 Annual Deductible $5,000 District Contribution $2,000 Preventive Care: 100% Max HSA contribution Preventive Care: 100% Max HSA Contribution: Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 21 HSA Pharmacy Benefits – Members are subject to their Medical/Pharmacy deductible before copay’s apply. Medications listed on Preventative Drug List are subject to copays. Tier 1 Tier 2 Tier 3 Retail Mail order $10 Copayment 31-Day Supply $25 Copayment 90-Day Supply $30 Copayment 31-Day Supply $50 Copayment 31-Day Supply $75 Copayment 90-Day Supply $125 Copayment 90-Day Supply Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 22 To open and contribute to an HSA you must: • Be covered by high-deductible health plan (HDHP) • Not covered by other non-HDHP health insurance • Not enrolled in Medicare or TRICARE • Not eligible to be claimed as a dependent on another person’s tax return Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 23 HSA key points • Triple tax advantage • Pay for health care expenses now or save it for future • No minimum contribution; start or stop any time • May earn interest • Investment options for long-term growth • Keep all receipts in case of audit • For more details, go to myuhc.com Investments are not FDIC insured, are not guaranteed by the bank and may lose value. Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 24 Contributing to the HSA • The District will contribute $2,000 to your HSA account for the 7/1/10 plan year!!! • For 2010, you and/or your employer can contribute up to the IRS maximum of: – $3,050 (single) – $6,150 (family) • Age 55 and older, “catch-up” contributions of $1,000 • Contributions may be made via: – Payroll deduction (if allowed – and it’s pre-tax) – Direct to OptumHealth Bank by check or on myuhc.com Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 25 How it works – Christopher His reasons for selecting the HSA $2,500 were: • Opportunity to save on taxes and save for future health care expenses • Preventive care and preventive medications covered 100 percent Annual deductible: District funds HSA: Maximum HSA contribution: $2,500 $2,000 $3,050 Health coverage (network): Out-of-pocket maximum: 20 percent $4,500 Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 26 Christopher – Year One HSA $2,500 Plan HSA pays $275 $2,500 $275 $250 HSA Remains $2,500 HSA in HSA $2,225 Annual Deductible Preventive Care: 100% Health Coverage 20% coinsurance $4,500 out-of-pocket max Chris funds his HSA $ 500 District funds HSA $ 2,000 Preventive care $ 250 Non-preventive 1 Urgent Care visit 2 Prescriptions $ $ 200 75 275 HSA pays $ 275 Member pays $ 0 Remains in HSA for Year Two $ 2,225 Note: Assumes all network care – different coinsurance levels on non-network care apply. Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 27 Christopher – Year Two HSA $2,500 Plan HSA pays $575 Annual Deductible $ 2,225 Chris Funds his HSA $ 500 District Funds HSA $ 2,000 Total $ 4,725 Preventive care $ 275 Non-preventive 3 Physician Visits 4 Prescriptions $ $ 350 225 575 HSA pays $ 575 Member pays $ 0 Remains in HSA for Year Three $ 4,150 $2,500 $575 $275 HSA Remains $4,725 inHSA HSA $4,150 Preventive Care: 100% Health Coverage 80% coinsurance $4,500 out-of-pocket max HSA funds from year 1 Note: Assumes all network care – different coinsurance levels on non-network care apply. Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 28 How it works – Jane Her reasons for selecting the HSA $2,500 Plan were: • No upfront cost for preventive care visits • Free preventive medications, list of 2010 Core List of Preventive Medications Annual deductible: District funds HSA: Maximum HSA contribution: $2,500 $2,000 $3,050 Health coverage (network): Out-of-pocket maximum: 20 percent $4,500 Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 29 Jane – Year One HSA $2,500 Plan $2,000 Coinsurance $32,500 Preventive Care: 100% $2,500 $1,500 deductible paid by HSA $250 Health Coverage 80% coinsurance $4,500 out-of-pocket max $28,000 paid by Health Plan Annual Deductible HSA $0 $2,500 Note: Assumes all network care – different coinsurance levels on non-network care apply. Jane Funds her HSA $ 500 District Funds HSA $ 2,000 Preventive Care $ 250 $ $ 2,250 28,050 700 1,500 32,500 HSA Pays Deductible $ 2,500 Remaining Amount: Coinsurance @ 20% But out of pocket is: $ $ $ 30,000 6,000 4,500 So Jane pays: Health Plan pays: $ 2,500 30,000 Non-Preventive 1 ER Visit Hospitalization 4 Physician’s visits 11 Prescriptions So only $2,500 comes out of Jane’s pocket on a $32,500 bill. Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 30 The HSA payment process 11 Present ID card to doctor. 2 Doctor sends claim to UnitedHealthcare 33a If you owe payment as part of your deductible, your provider will bill 3b you the discounted If you have amounts for the satisfied your services deductible, provided. Health Coverage will pay the provider. The provider will bill you for your portion. 4 When you have claim activity, you will receive a Health Statement. Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 31 HSA Plan Components Medical Plan United HealthCare • Network and non-network coverage • Annual deductible • Protection from high out-of-pocket costs •100 percent preventive care • No copayments Health Savings Account Optum Health Bank • Your personal bank account • Take it with you if you leave your job • Triple-tax benefits • Use it for medical & pharmacy bills • No “use it or lose it” rule Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 32 OptumHealth BankSM • A leader in health care banking and HSAs • Member FDIC • A UnitedHealth Group company Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 33 OptumHealth BankSM Easy access to funds • Use at the point of service (doctor’s office, pharmacy) • Can withdraw cash at ATM where MasterCard is accepted* • Can ask for additional cards for covered family members • Free online bill pay • Checks (optional, $10 for 25 checks) *Access fees may also be charged by ATM owner. Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 34 Three HSA Choices - Only from OptumHealth BankSM Health eAccessSM HSA for active health care spenders Health eSaverSM HSA for those looking to earn competitive interest rates Health eInvestorSM HSA for those who plan to build and grow their HSA balances Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 35 35 Choose the Right Mix of Fees and Interest Understand the rates, fees and features for each account type: Health eAccess Health eSaver Monthly Maintenance Fee $0 if balance exceeds $500 $1 if balance is $1-$499.99 $0 if balance exceeds $5,000 $3 if balance is $1-$4,999.99 Balance Required to Obtain APY Annual Percentage Yield (APY) Annual Percentage Yield (APY) Health eInvestor $0 if balance exceeds $5,000 $3 if balance is $1-$4,999.99 Annual Percentage Yield (APY) $0-$499.99 0.00% $500-$999.99 0.00% $1,000-1,999.99 0.00% $2,000-$4,999.99 0.00% $5,000-$14,999.99 0.00% $15,000+ 0.00% Investment Threshold $2,000 $2,000 $500 Monthly Investment Fee $3 $0 $2.50 Variable based on balance Variable based on balance Investments are not FDIC-Insured, are not guaranteed, and may lose value. Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 36 Medical ID Cards All employees who move to a new medical plan will receive new ID cards. The cards will be shipped to your home mailing address. Continue to use your current ID cards until 6/30/10. Use the new ID cards effective 7/1/10. Employees who enroll in the HSA $2,500 medical plan option will receive a debit card by 7/1/10. Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 37 Medical Plan Evaluator Tool brought to you by Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 38 This tool is available on the Glendale Elementary School District employee benefit website. To access the website: Go to www.thebagnallcompany.com Select the “Benefit Login” box Enter the District’s password in all lowercase letters: glendale When you enter the Glendale Elementary employee benefit website, select the “Medical Plan Evaluator Tool” tab on the left toolbar. If you have 23 pay periods: Click the link “If you have 23 pay periods click here to access the tool” User name: gesd23 Password: gesd23 If you have 25 pay periods: Click the link “If you have 25 pay periods click here to access the tool” User name: gesd25 Password: gesd25 *Make sure you use all lowercase letters. Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 39 Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 40 Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 41 Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 42 Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 43 Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 44 Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 45 Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 46 Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 47 Additional UnitedHealthcare Tools & Resources Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 48 Hospital Comparison Program • On myuhc.com • Find national quality ratings and cost information on 54 procedures and conditions • Side-by-side hospital comparisons on cost and quality based on specific procedures Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 49 Treatment Cost Estimator • Provides cost estimates for specific treatments and procedures based on selected physician’s costs • Helps you understand the cost of treatment • Allows you to plan in advance of your health care need Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 50 Additional Benefits Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. © 2008 UnitedHealthcare Vision - UnitedHealthcare Examination ($15 copay, once every year): Receive a comprehensive eye examination from a state licensed optometrist or ophthalmologist, covered-infull, after exam copay. Materials ($30 copay): The materials copay is a single payment that applies to the entire purchase of eyeglasses (lenses and frames), or contacts in lieu of eyeglasses. Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. Base Dental – MetLife Carrier Benefits Basic Information Annual Deductible Individual Family Annual Plan Maximum Benefits Composite fillings Anesthesia Type I - Diagnostic & Preventive Type II - Basic Service (fillings & crowns) Type III - Major Services (bridges & dentures) Type IV - Orthodontic Services Orthodontia Age Limitation Orthodontia Lifetime Maximum Orthodontia Lifetime Deductible Adult Orthodontia Periodontic Coverage Endodontic Coverage MetLife Current Plan MetLife Effective 7/1/2010 Base Plan Base Plan In-Network Out-of- In-Network Out-ofNetwork Network $50 $150 $1,500 $50 $150 $1,500 Not Covered Under Type II & III 100% 80% 50% Covered on molars Under Type I, II & III 100% 90% 80% 70% 50% 40% N/A N/A N/A N/A N/A 80% 80% N/A N/A N/A N/A N/A 80% 80% Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. © 2008 UnitedHealthcare Buy Up Dental – MetLife Carriers Benefits Basic Information Annual Deductible Individual Family Annual Plan Maximum Benefits Composite fillings Anesthesia Type I - Diagnostic & Preventive Type II - Basic Service (fillings & crowns) Type III - Major Services (bridges & dentures) Type IV - Orthodontic Services Orthodontia Age Limitation Orthodontia Lifetime Maximum Orthodontia Lifetime Deductible Adult Orthodontia Periodontic Coverage Endodontic Coverage MetLife Current MetLife Effective 7/1/2010 Buy Up Plan In-Network Out-ofNetwork Buy Up Plan In-Network Out-ofNetwork $50 $150 $2,000 $50 $150 $2,000 Not Covered Under Type II & III 100% 80% 50% 50% Children to age 25 $1,000 None Not Covered 80% 80% Covered on molars Under Type I, II & III 100% 90% 80% 70% 50% 40% 50% Children to age 25 $1,000 None Not Covered 80% 80% Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. © 2008 UnitedHealthcare District Paid Life/AD&D and Optional Life Minnesota Life will replace SunLife All employees will be automatically rolled over based on current elections One time opportunity to enroll up to the Optional Life guaranteed issue amount without completing medical questions!!! Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. 55 Basic Life/AD&D 100% paid by Glendale!!! 2 x Base Annual Earnings rounded to the next higher multiple of $1,000 to a maximum benefit of $500,000 Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. Optional Life Employee: An amount between $10,000 and $500,000, in increments of $10,000, not to exceed 5x basic annual earnings. Guaranteed Issue Amount is $100,000. Benefits cease at retirement. Any amount in force prior to age 70 reduces to $30,000 from age 70-79, and then $1,000 at age 80+. Spouse: An amount between $5,000 and $250,000, in increments of $5,000. Guaranteed Issue amount is $50,000. Spouse Optional Life coverage may not exceed 50% of the employee’s coverage. Any amount in force prior to age 70 reduces to $15,000 at age 70. Children: 14 days – 6 months = $500 6 months – 19 years = Increments of $2,000 to a maximum of $10,000 Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. Short Term Disability (STD) Optional Employee Paid STD offered by Assurant Benefit up to 66 2/3% of your monthly salary Waiting period: 0 days injury, 3 days sickness 3 Month Duration Proof of good health is required for any amount greater than $2,000. Proof of good health is required for all late enrollments. District Paid STD offered by UNUM Benefit up to 66 2/3% of your weekly salary up to $1,155 per week Waiting period: 89th day injury, 89th day sickness 12 Week Duration PRE‐EXISTING CONDITIONS No benefits are payable for disabilities that commence within 12 months of your effective date if you received medical treatment, consultation, care or services, including diagnostic measures, or took prescribed drugs or medicines for the disabling condition in the 12 months just prior to your effective date. Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. Flexible Spending Account – Wage Works Contribute to up to $3,000 per year to the health savings account and/or up to $5,000 per year to the dependent care savings account. Money is deducted from your paycheck on a “before tax” basis to cover the cost of eligible items such as: copays, glasses, dental work, prescriptions, daycare for your children, etc. Don’t forget the use-it-or-lose-it rule Should you enroll in the new HSA $2,500 plan, you can enroll in a Limited Purpose FSA to receive reimbursement for Dental, Vision and/or Dependent Care expenses. The HSA account can be used for Medical, Dental and Vision expenses as well. Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. Don’t Forget About…. Prepaid Legal & Identity Theft This benefit is not included in the online enrollment system. You must complete a hard copy enrollment form that can be picked up at the meeting today. Liberty Mutual insurance discounted rates for home, auto and recreational vehicles. Employees must contact Dan Klith at 623-572-4440 ext 56470 Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. © 2008 UnitedHealthcare Benefit Plan Information Go to www.thebagnallcompany.com Click on the “Benefits Login” button Enter your password in all lowercase letters: glendale Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. © 2008 UnitedHealthcare Confidential property of UnitedHealth Group. Do not distribute or reproduce without the express permission of UnitedHealth Group. © 2008 UnitedHealthcare © 2009 United HealthCare Services, Inc. UHCEW439246-000