University of Wisconsin System Annual Benefit Enrollment (ABE) Period October 5 – 30, 2015 www.wisconsin.edu/abe Benefit Changes Allowed during Annual Benefit Enrollment (ABE) o All changes made during this period are effective January 1, 2016. o If you do nothing, your existing benefit elections, with the exception of your Flexible Spending Accounts (FSA), will continue in 2016. Open Enrollment Change Plan Add Dependents Remove Dependents Cancel Coverage State Group Health Yes Any Health Plan Yes Yes Yes EPIC Benefits+ No Remove vision No Yes Yes Dental Wisconsin Yes PPO Yes Yes Yes VSP Vision Yes N/A Yes Yes Yes No Increase current coverage No Any time Any time Yes Must re-enroll every year N/A N/A N/A Plan Individual & Family Life Insurance Flexible Spending Accounts (FSA) Select 2016 Annual Benefit Enrollment (ABE) Health Insurance Changes and Updates 3 2016 Health Insurance Name Changes 4 Previous Name New Name for 2016 Coinsurance Uniform Benefits (HMO/Regional PPO Uniform Benefits) Health Plan/IYC Health Plan High Deductible Health Plan High Deductible Health Plan (HDHP)/ IYC High Deductible Health Plan (HDHP) Standard Plan Access Health Plan/IYC Access Health Plan HDHP Standard Plan Access HDHP/IYC Access HDHP 2016 Health Insurance Plan Changes o Elect or Waive Uniform Dental Benefits o Increased Cost Sharing Added deductibles New office visit copayments Increased out-of-pocket limits Changes to pharmacy benefits o $2,000 Health Insurance Opt-Out Incentive o Increased HSA Employer Contribution 5 2016 Health Insurance Provider Changes Health Plan Arise Health Plan Arise- Aspirus Health Plan Network Health Plan What’s New in 2016? Combining service area Offering new service area Offering new service area in southeast part of the state Will NOT be providing coverage in following service areas: East: Florence, Fond du Lac, Forest, Jefferson, Kenosha, Langlade, Lincoln, Marinette, Oneida, WEA Trust Price, Racine, Taylor, Vilas PPO (all) • Northwest Chippewa Valley: Burnett, Sawyer, Trempealeau • Northwest Mayo Clinic Health System: Buffalo Access Health Uniform Dental benefits will be included with (Standard) health coverage automatically. This was not included in prior years. Plan 6 Action Needed during ABE All Arise participants should confirm provider network for 2016. None. Select new health plan if you will be affected. May select plan with or without the Uniform Dental benefit. 2016 Health Insurance Opt-Out Incentive If enrolled in State Group Health insurance (except Craftworkers and Graduate Assistants) in 2015 can opt-out of coverage for the 2016 plan year and receive a $2,000 Incentive. o Must be enrolled (did not waive) for the 2015 year o May not be covered under the State Group Health insurance program as a dependent in 2016 o Must submit a State Group Health insurance PAPER application during ABE to receive the opt-out incentive for 2016. o How will the incentive be paid out? o Paid out in installments throughout year o Incentive will be considered taxable. 7 2016 Health Insurance Premiums Premium Tier Tier 1 Tier 2 (Access Plan – out of state) Tier 3 (Access Plan) Employees Covered by the Employees Covered Employees Covered by WRS – by the WRS – Grad Assistant/ShortIt’s Your Choice Health It’s Your Choice HDHP Term AS (It’s Your Plan Health Plan Choice Health Plan only) Single Family Single Family Single Family With Dental $86 $217 $32 $81 $44.50 $112.50 Without Dental $83 $209 $29 $73 $41.50 $104.50 With Dental $136 $341 $82 $205 $69.50 $174.50 Without Dental $133 $333 $79 $197 $66.50 $166.50 With Dental $253 $632 $199 $496 $128 $320 Without Dental $250 $624 $196 $488 $125 $312 Premiums listed do not apply to those who are required to pay the less than half-time rates or the total premium. 8 Uniform Dental Benefits New for 2016: Employees may enroll or waive the Uniform Dental benefits as part of their State Group Health Insurance election. o Employees must be enrolled in State Group Health insurance coverage in order to be eligible for the Uniform Dental Benefit plan. o Current State Group Health participants - Uniform Dental benefits are included automatically (including Access Plan, formerly Standard Plan). o Employees must take action during the ABE period to select a health plan without the dental option, if they wish to waive Uniform Dental. 9 Uniform Dental Benefits o Employees must take action during the ABE period to select a health plan without the dental option, if they wish to waive Uniform Dental. o Coverage level (single/family) must be the same as medical. o Dental expenses, including those for HDHP plans, are separate from medical benefits and will not be subject to a deductible and do not count toward the OOPL. o Employees should search Delta Dental’s website: www.deltadentalwi.com/ to determine if their current providers are included in the coverage network. 10 Uniform Dental Benefits (in conjunction with any covered service under the UDB) Make sure your dental provider is in-network before receiving dental services in 2016. No benefit for out-of-network providers Search for in-network providers: deltadentalwi.com/state-of-wi Uniform Dental Benefits • Administered by Delta Dental of Wi (providers are no longer determined by Health Plans) • Two Delta Dental provider networks: • Delta Dental PPO – best cost savings • Delta Dental Premier • ID Cards for 2016 are expected to be sent out in December, 2015 • Tools and resources at: DeltaDentalWI.com/state-of-wi 12 Deductibles Q: What is a deductible? A: A deductible is the amount you must pay out of pocket for the full cost of certain health care services before your health plan begins to pay. Certain preventive health services are covered 100% and are not subject to the deductible. Health Plan Deductible High Deductible Health Plan (HDHP) Access Health Plan (In-Network) Access Health Plan HDHP (In-Network) Single Family Single Family Single Family Single Family $250 $5001 $1,500 $3,0002 $250 $5001 $1,700 $3,4002 _______________________________________________ 1 After an individual within a family plan meets the $250 deductible, medical services will be covered for that individual. 2 The full family deductible must be met before any medical services are covered. 13 Office Visit Copayments Q: What is a Copayment (copay)? A: A copay is a fixed amount you pay for certain covered health care services or prescription drugs, usually due at the time you receive the service. New for 2016: Copays will be applied to primary care and specialty care office visits as well as Pharmacy • Health Plan Copays will not count toward the deductible, but will count toward the out-of-pocket limit. • High Deductible Health Plan (HSHP) copays are applied after the deductible is met. • Additional services billed as part of the office visit (labs/x-ray)are subject to deductible and/or coinsurance. • Preventive services are covered 100% and are not subject to copays. 14 Visit Type Includes Copayment Counts Toward Out-of-Pocket Limit? Primary Care Office Visit General Physician - Pediatrician OB/GYN - Nurse Practitioner Chiropractor $15 Yes Specialty Office Visit Specialty Providers - Urgent Care Vision Exam in an office visit setting $25 Yes Emergency Room Emergency Room $75 (waived if admitted) Yes Coinsurance Q: What is coinsurance? A: Coinsurance is the member’s share of the costs of a covered health care service or prescription drug, calculated as a percent of the amount for the service or cost of the drug. o Coinsurance amounts are based on the total cost of a drug or service. o For the Health Plan and In-Network HDHP, once the deductible is met, a 10% coinsurance will be charged for all non-copaymentrelated services beyond the charge for the office visit. Exception: A 20% coinsurance applies to covered durable and disposable medical equipment, certain hearing aids, and cochlear implants. o Federally preventive services are not subject to a deductible, copays, or coinsurance. o Medical coinsurance amounts count towards the OOPL. 15 Pharmacy Benefits New for 2016: Increased pharmacy out-of-pocket limits. Costs for Levels 2, 3 and 4 prescriptions will change from copay to coinsurance, up to a specified maximum. Level 1 will continue to be a copay. 2016 Prescription Copays, Coinsurance, and Out-of-Pocket Limits (It’s Your Choice Health Plan) Prescription Drug Level Member Costs Annual RX OOPL* Level 1 $5 per fill $600 individual / $1,200 family Level 2 20% ($50 maximum per fill) $600 individual / $1,200 family Level 3 Does not apply to Rx OOPL. Only applies to 40% ($150 maximum Federal maximum out-of-pocket limits per fill) (MOOP): $6,850 individual / $13,700 family Level 4 Preferred Specialty Drug • Filled at a Preferred Specialty $50 per fill Pharmacy (e.g. Diplomat Specialty Pharmacy) • Filled at any other pharmacy $1,200 individual / $2,400 family 40% ($200 maximum per fill) *HDHP Plans: Members are responsible for the full cost of prescriptions until their annual deductible has been met. Once the deductible is met, the member costs in the table above will apply. See the HDHP Combined OOPL amount for each plan at www.wisconsin.edu/abe 16 How to Determine Prescription Costs Coinsurance is a percentage of total cost (for Level 2, 3 and 4 drugs); the cost of the drug will impact how much you pay. o Option 1: Contact your pharmacist and ask what the total cost of your prescription is. If you take this approach, show your pharmacist your Navitus ID card if necessary and be sure to inform your pharmacist that: You are a State Group Health insurance program member Navitus Health Solutions is your Pharmacy Benefit Manager You need to know the Navitus discounted cost of the drug– not the full retail cost. o Option 2: You may also find the total cost of your prescribed drug on the documents and/or receipts you receive with your prescription. o Option 3: If enrolled in SGH for 2015, review your medication history via the Members portal on Navitus’ website. Log in to the members section of navitus.com to view the current formulary and determine levels 17 Out-of-Pocket Limits (OOPL) Q: What is an out-of-pocket limit? A: An out-of-pocket limit (OOPL) is a plan provision that limits the member’s cost-sharing. It is the maximum amount that a member will pay for in-network, covered services during a plan year. Once the OOPL is met, coinsurance and copayments no longer apply for health. o Reminder: There are separate medical and prescription out-of-pocket limits (except for HDHP plans). Increased Medical OOPL for Health Plans and Access Health Plan in 2016; No change to HDHP plans. 2016 OOPL Health Plan High Deductible Health Plan (HDHP) Access Health Plan (In-Network) Access Health Plan HDHP (In-Network) Single Family Single Family Single Family Single Family $1,250 $2,5001 $2,500 $5,0002 $1,000 $2,0001 $3,500 $7,0002 _______________________________________________ 1 After an individual within a family plan meets the single OOPL, medical services will be covered at 100%. 2 The full family OOPL must be met before medical services will be covered at 100%. 18 19 Is the HDHP/HSA Right for You? o Considerations when deciding to enroll in the HDHP/HSA option The HDHP has higher out-of-pocket costs The HDHP has a lower monthly premium The HSA provides a way to set aside pre-tax monies into a savings account that can earn interest Your employer will contribute $750 for single or $1,500 for family coverage to your HSA in 2016 20 COST SHARING EXAMPLE: HEALTH PLAN You enroll in a single Health Plan with a local HMO for 2016. o VISIT #1: You visit your doctor in January 2016 and have minor surgery (such as removing a precancerous mole) while you are in the office. This is not considered preventive medical services. This is your first doctor visit of the year and nothing has been applied to your deductible for 2016. The doctor bills the following: • Office Visit: $100 • Minor Surgery: $300 • Total: $400 o Your insurance coverage includes a $15 Primary Care Visit copay, a $250 calendar year deductible and a 10% coinsurance for medical services. 21 COST SHARING EXAMPLE: HEALTH PLAN (The doctor bills the following: $400) You will pay • Copay: $15 - Office Visit • Deductible: $250 of the $300 Minor Surgery • Coinsurance: $5 (10% of the remaining $50) TOTAL AMOUNT PAID BY YOU: $270 • You paid $270 in medical costs towards your OOPL of $1,250 in January, leaving $980 remaining o The remaining $130 will be covered by your insurance according to your policy terms. 22 COST SHARING EXAMPLE VISIT #2: HEALTH PLAN o Following Visit #1, You visit the Emergency Room in February 2016 and get admitted to the hospital for appendicitis. You end up having an appendectomy and staying in the hospital for a day. This is not considered preventive medical services. The doctor bills the following: • Emergency Room: • Imaging: • Surgery: • Hospital Stay: o Total: $ 200 $ 600 $30,000 $ 4,200 $35,000 o Your insurance coverage includes a $75 Emergency Room copay, a $250 calendar year deductible and a 10% coinsurance for medical services. The out-of-pocket limit for your plan is $1,250, for an individual. 23 COST SHARING EXAMPLE VISIT #2: HEALTH PLAN (The doctor bills the following: $35,000) You will pay • Copay: $0 – Waived if admitted. • Deductible: $0 - Met in January in Visit #1 • Coinsurance: $980 10% of $34,800 for Imaging, Surgery and Hospital Stay is $3,480. You paid $270 in medical costs towards your OOPL of $1,250 in January, leaving $980 remaining in your OOPL for Medical. TOTAL AMOUNT PAID BY YOU: $980 o The remaining $34,020 will be covered by your insurance according to your policy terms. You have met your cost sharing for 2016. 24 COST SHARING EXAMPLE: High Deductible Health Plan (HDHP) You enroll in a single HDHP with a local HMO for 2016. o VISIT #1: You visit your doctor in January 2016 and have minor surgery (such as removing a precancerous mole) while you are in the office. This is not considered preventive medical services. This is your first doctor visit of the year and nothing has been applied to your deductible for 2016. The doctor bills the following: • Office Visit: $100 • Minor Surgery: $300 o Total: $400 o Your insurance coverage includes a $1,500 calendar year deductible and a $15 primary care visit copay along with a 10% coinsurance for medical services, after the deductible is met. 25 COST SHARING EXAMPLE: High Deductible Health Plan (HDHP) (The doctor bills the following: $400) You will pay • Copay: $0 • Deductible: $400 • Coinsurance: $0 TOTAL AMOUNT PAID BY YOU: $400 • All of this will be applied towards your deductible. You will have $1,100 remaining to meet your deductible. o Your insurance will not provide payment for this service according to your policy terms. 26 COST SHARING EXAMPLE VISIT #2: High Deductible Health Plan (HDHP) o Following Visit #1, You visit the Emergency Room in February 2016 and get admitted to the hospital for appendicitis. You end up having an appendectomy and staying in the hospital for a day. This is not considered preventive medical services. The doctor bills the following: • Emergency Room: • Imaging: • Surgery: • Hospital Stay: o Total: $ 200 $ 600 $30,000 $ 4,200 $35,000 o Your insurance coverage includes a $1,500 calendar year deductible, a $75 Emergency Room copay, and a 10% coinsurance for medical services, after the deductible is met. You have $1,100 remaining to meet your deductible following visit #1. The OOPL for the HDHP plan is $2,500. 27 COST SHARING EXAMPLE VISIT #2: High Deductible Health Plan (HDHP) (The doctor bills the following: $35,000) You will pay • Copay: $0 - Waived if admitted (only applies after deductible) • Deductible: $1,100 (remaining to reach the full $1,500 annual deductible) • Coinsurance: $1,000 10% of $33,900 for ER, Imaging, Surgery and Hospital Stay is $3,390), $1,100 towards the deductible. You paid $1500 in medical costs towards your OOPL of $2,500, leaving $1,000 left to reach your OOPL. TOTAL AMOUNT PAID BY YOU: $2,100 o The remaining $32,900 will be covered by your insurance according to your policy terms. You have met your cost sharing for 2016. 28 Member Health Plan Medical Costs Overview Person pays for medical costs until they reach their deductible. Then, person pays coinsurance amounts while their insurance covers the remainder of medical care costs. COPAYS are separate from the deductible and apply toward the OOPL 29 Insurance covers expenses at 100% after reaching the out-ofpocket limit (OOPL) or, if applicable, the federal maximum out of pocket (MOOP). Your Health Insurance Options For Health Insurance, you may take the following actions during ABE: Enroll Change health plans Add or remove eligible dependents May select health plan with or without Uniform Dental coverage (default is with dental) Cancel coverage for 2016 Health Insurance Opt-Out Incentive (through paper application only) o As always, confirm your current medical and dental providers will still be available in 2016. 30 Let’s Talk About Savings Flexible Spending Accounts (FSA) Limited Purpose Flexible Spending Accounts (LPFSA) Health Savings Accounts (HSA) 31 FSA Plan Descriptions FSA Type Health Care FSA Eligible Expenses Eligible Dependents Medical, dental, vision & prescription You, your spouse (same or opposite-sex), qualifying child or relative After school care, adult or child Dependent Day daycare, Care FSA preschool Limited Purpose FSA (for employees enrolled in the HDHP) Dental, vision & post-deductible expenses Your spouse (same or opposite-sex), qualifying child or relative You, your spouse (same or opposite-sex), qualifying child or relative Yearly Contribution Limits Min: $100 Max: $2,550 Min: $100 Max: $5,000 — dependent on tax filing status Min: $100 Max: $2,550 Health Savings Account (HSA) (Only for Employees Enrolled in HDHP) New in 2016: Increased Employer Contribution Annual Contribution Information for HSA HDHP Enrollment Employer Contribution (including ER contribution) Single $750/year $3,350* Family $1,500/year $6,750* 2016 Limit o *If you are 55-65 years of age, you may contribute an additional $1,000 “catch-up” per year to your HSA. o The employer contribution will be paid throughout year. o If you do not enroll for the HSA, you are not eligible for the HDHP. o Will follow up prior to processing application for HDHP, to ensure HSA is accepted. o Craftsworkers are not eligible to receive the annual employer contribution to an HSA but must still enroll in the HSA if electing an HDHP. 33 o Grad/Short-term Academic Staff participants are not eligible for the HDHP Flexible Spending Accounts (FSA) o You must re-enroll every year if you want to continue the coverage o To Enroll for the FSA, LPFSA plans: partners.tasconline.com/ETFEmployee o All enrollees will receive a new TASC card in 2016 o Do not use 2015 TASC card for expenses in 2016, as of 1/1/2016 o MyCash balance will remain on 2015 TASC card if funds are not moved to bank account. o Employees should consider moving My Cash balance to bank account 34 Calculate Estimated Prescription Cost 1. ADD the amount your plan paid to the amount that you paid for the prescription in 2015 2. Multiply the total from step #1 by the coinsurance percentage found on your benefit schedule to determine estimated member copay based on 2016 benefit design and formulary coverage Level. Note the Maximum copay amounts. EXAMPLE (using 2015 Rx amounts to estimate cost in 2016) • Formulary coverage Level = 2 (20% with $50 maximum copay). In example, you would pay $50, not $60. Plan paid $285 35 + You paid $15 Level 2 Coinsurance (20%) Total Drug Cost = $300 x 0.20 = Your COPAY $50 ($50 maximum) *NOTE: Drug prices and contracted rates can change daily. All cost calculations will be estimates. Health Care and Limited Purpose FSA Carry-Over o The plan year is from January 1, 2016 to December 31, 2016. o Up to $500 remaining in your Health Care or Limited Purpose FSA can carry over to the following plan year. Anything over $500 will be forfeited. o Current Participants: If you have any unused funds in your 2015 Health Care or Limited Purpose FSA on December 31, 2015, up to $500 will carry over to 2016. o You will have until March 30, 2016 to file your 2015 claims. 36 2016 Annual Benefit Enrollment (ABE) Additional Enrollment Options 37 Dental & Vision Insurance Options o All health plans offer Uniform Dental benefits. May select health plan without Uniform Dental benefits. o Vision exam under health plans are subject to $25 specialty office visit copay. o If dental and vision coverage offered by your health plan doesn’t meet your needs, consider one of our optional dental or vision plans. See Comparison Charts. o If elected, you must remain enrolled in the plan for the entire calendar year. 38 Dental Wisconsin www.wisconsin.edu/ohrwd/benefits/med/dentalwi/ o Dental Wisconsin offers two plans – the PPO plan and the Select plan. You may enroll in one of these two plans. These plans provide partial coverage for: Fillings and major dental services (crowns, implants, etc.) up to the annual $1,000 maximum • PPO covers annual cleanings and x-rays Orthodontic services (up to $1,000 lifetime maximum) Vision discount program through Davis Vision Waiting periods apply for new enrollees: Basic: 3 months (i.e. fillings) Major: 3 months (i.e. crowns, implants) Orthodontics: 12 months Waiting periods may be waived if you had prior comparable coverage (no gap in coverage). 39 2016 Dental Wisconsin Premiums www.wisconsin.edu/ohrwd/benefits/premiums o No change in premiums from 2015 to 2016 Monthly Premiums for Employee 2016 40 Employee + Employee + Spouse/DP Child(ren) Family Select $20.52 $42.19 $48.68 $71.59 PPO $25.49 $53.96 $60.34 $91.21 VSP Vision www.wisconsin.edu/ohrwd/benefits/med/vision/ o VSP Vision offers partial coverage for: o Annual vision exam o Eyeglass lenses every calendar year and eyeglass frames every other year o Contact lenses every year instead of eyeglasses or eyeglass lenses o Discounts on laser vision correction o KidsCare program (eyeglasses more often for children) o No benefit changes for 2016. 41 2016 VSP Vision Premiums www.wisconsin.edu/ohrwd/benefits/premiums o No change in premiums from 2015 to 2016 Monthly Premiums for Employee 2016 VSP Vision 42 $6.54 Employee + Employee + Spouse/DP Child(ren) $13.08 $14.73 Family $23.54 Individual & Family Life Insurance– ANNUAL INCREASE OPTION o If covered by the Individual and Family Life insurance plan on October 1st, may increase coverage level by the following amounts: o Employee: $5,000; $10,000; $15,000 or $20,000 o Spouse/Domestic Partner: $5,000 or $10,000 o Child(ren): $2,500 o Coverage maximums: o Employee: $300,000 o Spouse/Domestic Partner: $150,000 o Child(ren): $25,000 NOTE: Spouse/Domestic Partner or Child coverage cannot exceed employee coverage. 43 Individual & Family Life Insurance o Coverage INCREASES for Individual and Family can be made either through: eBenefit election, or Annual Increase Option form Decreases and cancellations of coverage cannot be done through eBenefits, you MUST complete a paper application and return it to your benefits office. 44 Wisconsin Retirement System (WRS) 2016 Contribution Rates 2015 and 2016 WRS Contribution Rates General/Teacher Executives Protectives w/ Social Security Employee Contribution 6.60% 6.60% 6.60% Employer Contribution 6.60% 6.60% 9.40% Total 13.20% 13.20% 16.00% Category o This change will occur on the first check payable in 2016 o Monthly – 1/4/16 o Biweekly – 1/7/16 45 Didn’t we miss a few plans?? o LIFE Insurance & AD&D • Accidental Death & Dismemberment (AD&D) – No Change • University Insurance Association Life (UIA) – Annual Process 10/1/15 • State Group Life (SGL) – No Change o Income Continuation Insurance (ICI) • 20% Premium Increase • Effective Coverage Date Change o Tax Sheltered Annuity (TSA) & Wisconsin Deferred Compensation (WDC) – We Encourage Savings! o Long-Term Care – Transmerica is a new option in addition to United of Omaha 46 Important Reminders 1. All benefit enrollments or changes made during the ABE period are effective January 1, 2016. 2. You have until October 30, 2015 at 4:30 p.m. to submit your paper applications to your institution’s benefits office or make your elections using eBenefits. 3. Visit www.wisconsin.edu/abe for detailed Annual Benefit Enrollment (ABE) information. 4. Contact your institution’s benefits office if you have any questions or need assistance. 47