MedicalPlus

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2013 Benefits
Wellsville Bargaining Unit Employees
Disclaimer
•
This document is intended to be a high-level overview. The terms and
conditions of the benefits described are determined solely by the summary
plan descriptions (SPDs) or plan documents and summaries of material
modifications of the Dresser-Rand Company Welfare Plan, Pension Plan for
Employees of Dresser-Rand Company and the Dresser-Rand Company
Retirement Savings Plan. In the event of any inconsistent provisions, the
language of the plan documents applies.
•
As in the past, the Company reserves to itself, pursuant to its sole and
exclusive discretion, the right to change, amend or terminate this Plan
according to the terms of the applicable plan documents and subject to any
collective bargaining agreements.
•
Benefits described herein may not automatically apply to employees at all
locations or employees covered under a labor agreement.
•
Plan is subject to nondiscrimination rules that may reduce or limit the tax
advantages of the plan for certain employees.
2
2013 Benefits Enrollment
Dresser-Rand Benefits Enrollment
•
•
•
•
Enrollment will be on-line
Benefits website: www.dresser-rand.com/benefits
Can review benefits information on website
Can access online enrollment system by selecting:
3
Overview
Dresser-Rand Health & Welfare Benefits
•
Health
•
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•
•
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Income Protection
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•
•
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Medical/Prescription
Wellness
Dental
Vision
Health Savings Account (HSA)
Flexible Spending Accounts (FSAs)
Employee Assistance Program (EAP)
Basic Life and AD&D
Optional Life
Voluntary AD&D
Business Travel Benefits
Voluntary Group Legal
Disability
Pension Plan
401(k)
4
Eligibility
Health & Income Protection
• Full-time employees working over 35
hours per week AND Part-time employees
working over 20 hours per week are
eligible for all benefits
5
Eligible Dependents
Who can you cover?
•
Your legal spouse
•
Your dependent children (biological, adopted or step-children) until the end of the month
they attain age 26 (marital, student or employment status does not apply)
•
Your children age 26 or older who are certified by BlueCross to be disabled due to
mental or physical disability and who are dependent on you for financial support (the
disability must be certified prior to age 26)
NOTE: If both you and your spouse work for Dresser-Rand, the plan does not allow
“double coverage”. Only one of you may choose coverage for your eligible children.
And if you choose an enrollment category that covers your spouse, your spouse will not
be eligible to also choose duplicate coverage under any Company-sponsored Plan or
program.
6
Medical Benefit Choices
Medical Options
• MedicalPlus - A Consumer Directed Health Plan
with a Preferred Provider network
• PPO – Preferred Provider Option
7
MedicalPlus
MedicalPlus utilizes a PPO network of providers
• Choice of physicians and hospitals
• BlueCross BlueShield offers the largest PPO network in the
United States
• Higher level of benefits using BCBS network providers
• No claim forms to file when using network providers
• Lower claim costs through negotiated network
• Prescription Coverage through Caremark
• Health Savings Account contribution
8
MedicalPlus
In-Network Benefits
• $2,500 Individual or $5,000 Family Deductible
(combined medical and prescription claims)
– 10% Coinsurance (Plan pays 90%)
– After the purchase of two 30-day refills for any maintenance medication
at retail pharmacies, all future refills for those prescriptions must be
filled through the Caremark mail order service or through a CVS/Retail
Pharmacy
• Annual Out-of-Pocket Maximum
(including deductible)
– $3,000 individual or $6,000 family
• Wellness Benefits and Well Baby Benefits (100% coverage,
deductible does not apply, no maximum)
9
MedicalPlus
Out-of-Network Benefits
• $3,000 Individual or $6,000 Family Deductible
(combined medical and prescription claims)
– 30% Coinsurance Medical (Plan pays 70%)
– 35% Coinsurance Rx (Plan pays 65%)
• Annual Out-of-Pocket Maximum
(including deductible)
– $5,000 individual or $10,000 family
• No Wellness Benefits
• “Reasonable & Customary” applies
10
MedicalPlus
Health Savings Account
Health Savings Account (HSA)
• Tax-free spending account for qualified medical/ prescription
drug, dental, vision, health club membership (with a doctor’s
certification), and exercise equipment (with a doctor’s
certification)
• Access funds using a debit card or checkbook
• Gives you more control of money spent on health care
• Dresser-Rand will contribute to every participant’s HSA (FSA if
Medicare eligible)
• Employees can make additional tax-advantaged HSA
contributions through payroll deduction (Up to IRS Limits)
• Over-the-counter medication is not reimbursable unless there is
a doctor’s prescription for it
• Contributions are not “use-it or lose-it”!
11
MedicalPlus
Health Savings Account
2013 Dresser-Rand Annual Contribution*
Employee Only
$1,000
Employee + 1
$1,500
Family
$2,000
*Company contributions deposited up front; prorated based on portion of
calendar year remaining.
12
MedicalPlus
Health Savings Account
2013 Optional Employee Contributions
Employee Only
Up to an additional $2,250
($3,250 if 55 Years Old by 12-31-2013)
Employee + 1
Up to an additional $4,950
($5,950 if 55 Years Old by 12-31-2013)
Family
Up to an additional $4,450
($5,450 if 55 Years Old by 12-31-2013)
13
MedicalPlus
Health Savings Account
Further HSA information:
• Account must be activated – watch your mail for
information from ACS/Mellon
• Monthly fee of $2.25 for accounts with balances under $3,000
(fee taken from account)
• Electronic statements are encouraged - $0.75 monthly fee for
paper statements
• Once you have accumulated a balance of $1,500 or more,
you can transfer excess balance into one of the Dreyfus
mutual fund investment options
• You can visit www.HSAmember.com for more information
14
PPO
BlueCross BlueShield of Illinois
PPO utilizes same network as MedicalPlus
• Choice of physicians and hospitals
• BlueCross BlueShield offers the largest PPO network in the
United States
• Higher level of benefits using BCBS network providers
• No claim forms to file when using network providers
• Lower claim costs through negotiated network
• Prescription Coverage through Caremark
• No HSA Contribution
15
PPO
BlueCross BlueShield of Illinois
In-Network Benefits
• $300 Individual or $700 Family Deductible
• 20% Coinsurance (Plan pays 80%)
• Annual Out-of-Pocket Maximum (including
deductible)
– $2,000 individual or $4,000 family
• Wellness Benefits and Well Baby Benefits (100%
coverage, deductible does not apply, no
maximum)
16
PPO
BlueCross BlueShield of Illinois
Out-of-Network Benefits
• $600 Individual or $1,400 Family Deductible
• 40% Coinsurance (Plan pays 60%)
• Annual Out-of-Pocket Maximum
– $4,000 individual or $8,000 family
(excluding out of network drugs)
• No Wellness Benefits
• “Reasonable & Customary” applies
17
PPO – Prescriptions
Caremark
In-Network Benefits
• No Deductible
• Retail Benefit (up to a 30-day supply)
–
–
–
–
$10 co-payment for Generic Prescriptions
35% Coinsurance for Brand Prescriptions (Plan pays 65%)
Per prescription maximum cost of $150
After the purchase of two 30-day refills for any maintenance medication at
retail pharmacies, all future refills for those prescriptions must be filled
through the Caremark mail order service
• Mail Order Benefit (up to a 90-day supply)
– $20 co-payment for Generic Prescriptions
– 25% Coinsurance for Brand Prescriptions (Plan pays 75%)
– Per prescription maximum cost of $300
• 90-day supply of maintenance medication may also be purchased at
a local CVS/Retail Pharmacy at the same Coinsurance as the Mail
Order
• Annual Out-of-Pocket Limit $1,250 individual or $2,500 family
18
PPO – Prescriptions
Caremark
Out-of-Network Benefits
• You pay the full, undiscounted cost at the
pharmacy and must submit a paper claim form
• You are eligible for up to 65% reimbursement
• No prescription drug out-of-pocket maximum
19
Medical
Employee Contributions
2013 Monthly Employee Contributions
MedicalPlus
•
•
•
Employee Only
Employee + 1
Family
$ 31.95
$ 55.20
$ 78.15
•
•
•
Employee Only
Employee + 1
Family
$ 74.40
$139.85
$205.25
PPO
Complete the online Health Assessment and your 2013 medical coverage
contribution will be reduced by $9 per month beginning the first of the month after
your questionnaire is processed.
PART-TIME EMPLOYEES: If you are a part-time employee scheduled to work at
least 20 hours but less than 35 hours per week you are eligible for medical
coverage at 150% of the monthly contribution rates stated here for full-time
employees.
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Wellness Program
Blue Care Connection
• Well onTarget
• 24/7 Nurseline
• Special Beginnings
• Blue Care Advisors
• Case Management
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Wellness Program
Blue Care Connection
Well onTarget
•
•
Liveon Member Wellness Portal
• Onmytime Self-directed Courses
• Health and Wellness Library
• Tools and Trackers
Onmyway Health Assessment (HA)
– Questions to help you learn more about you
and your health
– Life Points Program
Completely voluntary and confidential
22
Wellness Program
Blue Care Connection
• Fitness Program
–
–
–
–
–
No long-term contract required
Membership is month to month
Monthly fees are $25 per member per month
More than 8,000 participating gyms
Earn bonus Life Points for joining
23
Wellness Program
Blue Care Connection
Nurse Line
Provides immediate telephone access to registered nurses for
health care information, advice and medical guidance for you and
your family.
Available 24/7
• Answer your questions about symptoms and health-related topics
• Help you decide how and where to get the care you need
• Help you determine what questions to ask your doctor before an
appointment.
Not a substitute for your regular physician, health care specialist or routine preventive exams. In
the event of a medical emergency, seek immediate medical attention from the nearest
emergency facility or call 911.
Completely voluntary and confidential
24
Wellness Program
Blue Care Connection
Health Assessment
•
Online questionnaire that evaluates your health and gives you a
detailed, confidential report with action steps to help you improve your
health.
•
Receive a $9 discount on monthly medical contributions if you complete
the online Health Risk Assessment. Your discounted rate will begin the
first of the month after your questionnaire is processed.
•
You will need to enter your personal biometric data
– Blood pressure
– Cholesterol and blood glucose levels
– Body mass index
Completely voluntary and confidential
25
Wellness Program
BCBS Illinois
Special Beginnings
Offers support for expectant mothers
Helps you understand the active role you can take to give your baby
the greatest chance of being born strong and healthy by
providing:
– Support & education
– Pregnancy risk factor identification
– Personal contact from program staff
The first step is to call Special Beginnings at 888-421-7781
Completely voluntary and confidential
26
Dental
BlueCross BlueShield Illinois
Deductible
•
•
Preventive Services
Basic, Major & Orthodontic
None
$25 individual/$75 family
Coinsurance
•
•
•
•
Preventive Services
Basic Services
Major Services
Orthodontic Services
100%
80%
50%
50%
Maximum Coverage
•
•
Dentistry
Orthodontics*
$1,200 per person annual
$1,200 lifetime maximum
Preventive Services DO NOT count toward annual maximum
* Note: Orthodontic coverage provided for eligible dependent children up to age 19
27
Dental
BlueCross BlueShield Illinois
Preventive Services
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•
•
•
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Oral examinations
Routine scaling and polishing
Routine bitewing x-rays
Fluoride treatments (children through age 18)
Sealants (children through age 15)
Basic Services
•
•
•
•
Fillings and Extractions
Stainless steel crowns
Relining of dentures
Repair of crowns, bridges, and removable dentures
Major and Restorative Services
•
•
Inlays, onlays, and crowns (other than temporary crowns or stainless steel)
Full mouth rehabilitation
Preventive Services DO NOT count toward annual maximum
28
Dental
Employee Contributions
2013 Monthly Employee Contributions
• Employee Only
• Employee + 1
• Family
$25.30
$51.65
$76.95
29
Vision
VSP
Voluntary Vision Program
• Benefits provided by Vision Service Plan (VSP) –
Largest vision care provider in the US with over 50 years
experience
• Plan provides vision benefits each year
– 2 pairs of frames and lenses; or
– 1 pair of frames and lenses and contacts lenses
• Provider network include Costco and Eye Masters
30
Vision
VSP
Voluntary Vision Program
In-Network Benefits
•
•
•
•
•
$10 co-payment for vision exams
$150 allowance for eyeglass frames
$10 co-payment for eyeglass lenses
Progressive & photochromic lenses & tints covered in full
$150 allowance for daily wear contact lenses
31
Vision
VSP
Voluntary Vision Program
Out-of-Network Benefits
•
•
•
•
•
•
•
Up to $45 for vision exams
Up to $70 for eyeglass frames
Up to $30 for single vision eyeglass lenses
Up to $50 for lined bifocal eyeglass lenses
Up to $65 for lined trifocal eyeglass lenses
Up to $100 for lenticular eyeglass lenses
Up to $105 for daily wear contact lenses
32
Vision
Employee Contributions
2013 Monthly Employee Contributions
• Employee Only
• Employee + 1
• Family
$15.27
$30.54
$49.16
33
Maintenance of Benefits
• If you or your dependents are covered under more than one
medical or dental plan
– Plans work together to coordinate benefits
• BCBS will maintain the level of benefit based on the plan you
choose
– The allowable expense is limited to the amount the BCBS plan
would have paid if there were no other medical or dental benefit
coverage in effect
• This is called Maintenance of Benefits
34
Flexible Spending Accounts
(FSA)
• Full Use Healthcare Flexible Spending Account
(for PPO Enrollees)
• Limited Use Healthcare Flexible Spending
Account – dental & vision expenses only
(for MedicalPlus Enrollees)
• Dependent Care Flexible Spending Account –
daycare expenses only
Important Reminder: These are “USE IT or LOSE IT” plans
35
Full Use Healthcare FSA
(PPO Participants)
• Use tax-free contributions to pay for medically necessary, noncovered medical, prescription drug, dental and vision care
expenses:
–
–
–
–
All healthcare deductibles and coinsurance amounts
Eyeglasses, contact lenses
Health club membership (with a doctor’s note)
Exercise equipment (with a doctor’s note)
• You may contribute from $100 to $2,500 per year
• Debit card to access account
• Paper claims will be required for claims not submitted using
debit card or the online claims submission process
• Cannot be used with an HSA
Important Reminders: This is a “USE IT or LOSE IT” plan
Over-the-counter medicine must have a doctor’s prescription
36
in order to qualify for reimbursement.
Limited Use Healthcare FSA
For HSA Participants
• Limited Use FSA coordinated with HSA
• Use tax-free contributions to pay for non-covered
health (dental and vision) expenses:
– Dental and vision deductibles, coinsurance amounts
and other expenses
– NO medical/prescription drug expenses covered by the
Plan are allowed (must use your HSA)
• You may contribute from $100 to $2,500 per year
• Debit card to access account
• Paper claims will be required for claims not submitted
using debit card or the online claims submission process
Important Reminder: This is a “USE IT or LOSE IT” plan
37
Dependent Care FSA
• Use tax-free contributions to pay for day care
expenses for:
– Children (up to age 13)
– Elderly parents
• Not for your dependent’s non-covered
healthcare!
• If married, both you and your spouse must work
outside the home
• You may contribute from $100 to $5,000 per year*
• You can elect direct deposit for your reimbursements
* Employees classified as Highly Compensated will be limited to $4,000
per year.
Important Reminder: This is 38a “USE IT or LOSE IT” plan
Employee Assistance Program
• Company-provided benefit
• Free confidential counseling for employees &
dependents
Depression and anxiety*
Relationships*
Addictions and abuse*
Legal consultation
Stress*
Work/life balance*
Financial services
Grief and loss*
* Up to 8 company-paid sessions, per issue, per
year, per family member
39
Employee Assistance Program
• Company-provided benefit
• Free confidential counseling for employees &
dependents
Depression and anxiety*
Relationships*
Addictions and abuse*
Legal consultation
Stress*
Work/life balance*
Financial services
Grief and loss*
* Up to 8 company-paid sessions, per issue, per
year, per family member
40
Life Benefits
• Dresser-Rand provides employees with:
– $50,000 of Basic Life Insurance
– $50,000 of Basic AD&D
• Employees can purchase additional:
– Optional Life Insurance for self & dependents
– Voluntary AD&D Insurance for self &
dependents
41
Optional Life Insurance
Employee
• Employee Optional Life
– $25,000 increments, up to $500,000
– Evidence of Insurability (EOI) required for
amounts elected over $250,000
– EOI required for increases after initial election
42
Optional Life Insurance
Dependents
• Spouse Life
– $25,000 increments, up to $250,000 or 50% of
employee amount, (combined Basic and Optional)
whichever is less
– Employee must elect Optional Life in order to elect
Spouse Life
– Evidence of Insurability (EOI) required for amounts
elected over $25,000
• Child(ren) Life
– If elected, each child will have $10,000 of Life
Insurance
– Employee must elect Optional Life in order to elect
Child Life
– $1.30 per month
43
Optional Life Insurance
Rates
• Employee and Spouse Rates are Based on
– Age
– Tobacco or Non-Tobacco use status
• Tobacco products include cigarettes, pipes, cigars, snuff
and chewing tobacco
– Rate sheet will be included in enrollment packets
and are available on the Dresser-Rand benefits
website: (www.dresser-rand.com/benefits)
44
Employee & Spouse Optional Life
Monthly rate per $1,000 of coverage
Age
Non-Tobacco User
Tobacco User
<25
$0.051
$0.087
25-29
$0.068
$0.110
30-34
$0.086
$0.143
35-39
$0.094
$0.154
40-44
$0.111
$0.176
45-49
$0.162
$0.264
50-54
$0.249
$0.408
55-59
$0.471
$0.760
60-64
$0.720
$1.157
65-69
$1.389
$2.226
70-74
$2.255
$3.610
75+
$3.661
45
$5.873
Voluntary AD&D Insurance
Employee or Family
Can elect Employee or Family coverage
• Employee
– $25,000 increments, up to $500,000
• Family (Benefit based on Family members)
– Spouse only
• 60% of employee coverage
– Child(ren) only
• Each child, 15% of employee coverage
– Spouse and Child(ren)
• Spouse, 50% of employee coverage
• Each child, 10% of employee coverage
46
Voluntary AD&D Insurance
Employee or Family
Monthly Employee Contribution
– Employee only
– Family
$.025 per $1,000 of coverage
$.040 per $1,000 of coverage
47
Legal Benefits
• Voluntary
• Access to a network of over 10,000 attorneys
• Services include:
–
–
–
–
–
Document Preparation
Family Law
Real Estate Matters
Wills and Estate Planning
Traffic Matters
• Employee cost = $15.75 per month
• Access @ www.legalplans.com
48
Disability Benefits
• Short-Term Disability (pay continuation)
• Long-Term Disability
49
Short-Term Disability
(Pay Continuation)
• Dresser-Rand provides you with
replacement income if you are determined
to be disabled for a non work-related injury
or illness.
– 12 weeks at 100% of base pay (40 hrs / wk)
– 14 weeks at 60% of base pay (40 hrs / wk)
50
Long-Term Disability
• If you remain totally disabled after the STD
period expires (26 weeks), you may be eligible
for coverage in the LTD program
• Employees eligible to continue fringe benefits for
36 months at current active rate
• LTD Benefit includes:
– A monthly basic benefit equal to 40% of your DresserRand base earnings
• Employees are administratively terminated upon
transition to LTD
51
Long-Term Disability
Buy-up Options
• You can purchase Voluntary LTD
coverage for a total monthly benefit of:
– 50% (10% optional buy-up), or
– 60% (20% optional buy-up) of your base
earnings
52
Long-Term Disability
Buy-up Options
Monthly Employee Contributions
• 50% (10% Buy-up) option
• 60% (20% Buy-up) option
$.125 per $100 of benefit
$.303 per $100 of benefit
53
Enrollment
• Enroll at www.dresser-rand.com/benefits from any
computer with Internet access
54
Vacation & Holidays
• Vacations to each employee who has accumulated seniority
• Vacation calculation based on employee’s base rate of pay
Years of Service
Vacation Level
6 months but less than 8 years
80 hours = 2 weeks
8 years but less than 15 years
120 hours – 3 weeks
15 years but less than 25 years
160 hours – 4 weeks
25 years of more of continuous service
200 hours – 5 weeks
• Dresser-Rand provides 10 holidays each year
55
Pension Plan
I.A.M. National Pension Fund
• Dresser-Rand will contribute to the I.A.M.
National Pension Fund as outlined in the
collective bargaining agreement
• Contribution is $1.35 per hour worked, limited
to forty (40) hours per week*
• Contributions begin after 60 calendar days
*contribution will increase to $1.50 per hour worked effective 8/15/2013
and to $1.60 per hour worked effective 8/15/2014 and for the
duration of the contract.
56
Pension Plan
Sources of Information
• If you have any questions regarding your
plan benefits please contact the following
Retirement Team Members:
• Darlene Pfeiffer – Pension Analyst (716) 375-3704
• Michele Benjamin – Pension Analyst (716) 375-4317
• Email – [email protected]
57
401(k)
Eligibility
• As a bargaining unit employee of Dresser-Rand, you are eligible to
participate in the Dresser-Rand Company Retirement 401(k) Plan,
as soon as administratively practicable following your hire or rehire
date
Benefits Available Under the Plan
• The Plan allows you to tax deferred a portion of your eligible
compensation
• A Catch-Up feature, for those age 50 or greater by year end, allows
you to save additional amounts
• Loans and In-Service Withdrawals are available on a limited basis
Plan Recordkeeper - Fidelity
• For general assistance or enrollment contact Fidelity Retirement
Service Center (1-800-835-5097) or visit 401k.com
58
401(k)
Your Savings
Elective Deferrals and
IRS Annual Limits
You may elect to defer between 1% and 75% of
eligible pay into the Plan.
However, you may not exceed the applicable annual
IRS limits below:
• The 2013 Elective Deferral limit is $17,000
• The 2013 Catch-Up Deferral limit is $5,500
(Catch-Up Deferrals are only available to Participants
age 50 or older)
Vesting Schedule for
Elective Deferrals
You are always 100% vested in your contributions and
their earnings.
59
401(k)
Fidelity can assist you if you want to:
•
•
•
•
•
•
Enroll in the Plan
Change Your Investment Election
Change Your Paycheck Deferral Election
Request a Loan
Request an In-Service Withdrawal, and Loan Address Changes
Roll Over Another Plan’s Balance into this Plan
60
401(k)
Enrollment is easy…
• Within 10 days of your hire date with Dresser-Rand
you will receive a packet mailed to your home from
Fidelity with instructions to enroll in the Plan.
• After you receive the enrollment packet, you can
enroll via the internet or by telephone.
• If you have not received your enrollment packet 10
days after your start date, please contact Michele
Benjamin at 716-375-4317.
61
401(k)
For more information:
Fidelity Retirement Service
Center
1-800-835-5097
Fidelity Web Access
401k.com
Retirement Benefits Department
Plan Administrator: Michele Benjamin
Phone: 716-375-4317
E-mail: [email protected]
62
Questions
If you have any questions, contact
your local Human Resources
Representative.
63
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