Benefits Open Enrollment
November 1-30, 2012

Presentation Overview
• UPlan Benefit Changes for 2013
• Open Enrollment Basics
• Open Enrollment Assistance
• Common Questions

UPlan Benefit Changes for 2013

No Copays on Select Medications in 2013
• Generic Plus contraceptives
– Formulary and non-formulary contraceptives—one copay for 90 day supply
• Certain preventative prescription medications
– Breast cancer
– Fluoride supplements
– Tobacco cessation
• Certain over-the-counter medications with a prescription
– 81mg aspirins
– Folic acid supplements
– Tobacco cessation medications
– Iron
– Vitamin D supplements

No Copays on Select
Medical Services in 2013
• Lactation counseling and supplies, such as breast pumps
• Counseling
– HIV
– Sexually transmitted diseases
– Domestic violence
– Personal violence

Reduced Costs of Emergency Services
• Out-of-network Emergency Services now covered at the higher in-network benefits
• Emergency ambulance
• Emergency room visits
• Emergency hospital admissions
• Urgent care

New Offering:
Consult A Doctor 24/7
• 24/7 phone or online advice from physicians for medical nonemergencies
• Copay is $10
• To register:
• Call a Medica care coordinator at 1-855-993-7633, or
• Visit www.medica.com/consultadoctor and click on
“Activate Account”

What will UPlan Members pay for
Medical and Dental Coverage in 2013?
• Standard employee contributions for medical coverage will increase by 5.3% — lower than many other medical plan increases in the market.
• Qualified Wellness Points Bank participants will pay less than they did in 2012.
• No change to dental rates.

Help for Lower-Paid Employees to
Pay Medical Coverage Premiums
• Medical premium relief program extended through
June 2013.
• Credit based on plan selected and household income.
• Credits range from $100-$225
• Pro-rated credit appears in each paycheck through
June 2013.
• Current participants do not need to re-apply if coverage status is the same.
• New applications are being accepted through the
December 17, 2012 deadline.

2013 Wellness Points Bank Enhancements
• Longer program year (October 1, 2012—August 31, 2013)
• Increased points values for some activities
• Fit Choices now worth 75 points
• Bike Commuter program now worth 75 points
• Medical Condition Management now worth 200 points
• New Wellness My Way option

2013 Flexible Spending Account Changes
• Maximum reduced from $5,000 to $2,500 per employee for health care accounts
• ADP Benefit Solutions is new FSA administrator.
• FSA debit card used to pay doctor and pharmacy copays
• Daily claims processing
• Participants will need to register bank account information with
ADP for direct deposit.
• Real-time, online account information
• http://storyportfolio.com/ADP/FSASolutions/employees /

2013 Short-Term Disability Coverage
• Employees can increase their existing amount of coverage up to $200 per month, without
providing evidence of good health, but cannot exceed the monthly maximum.
• For more information about short-term disability coverage visit www.umn.edu/ohr/benefits/disability/shortterm

Open Enrollment Basics

When and How to Enroll
• Open enrollment is November 1-30, 2012.
• You can make changes to your benefits selections online at http://hrss.umn.edu
.
• If you or your dependent are age 45 or older, you will need to provide your Social Security
Number.

During Open Enrollment You Can:
• Add or cancel Medical or Dental coverage
• Select a different Medical or Dental plan
• Change your designated dependents
• Choose to participate in the Health Care or
Dependent Daycare Flexible Spending
Accounts

During Open Enrollment You Can:
• Increase your amount of Short-term Disability coverage up to $200 per month.
• Select or change the benefit amount of your voluntary Long-term Disability Coverage (Civil
Service and Labor Represented employees only).

No need to go online and make any changes, unless you want to:
• Set up a FSA account for 2013.
• Change your Medical or Dental Plan or dependent coverage.
– To change your clinic election only, just call Medica:
952-992-1814 or 1-877-252-5558.
• Increase your Short-term Disability coverage.
• Add or increase your Long-term Disability coverage.

Open Enrollment Assistance

Open Enrollment Assistance
• Phone: 612-624-9090 or 1-800-756-2363,
Option 2
• Email: benefits@umn.edu
• Benefits Fairs
• Computer Labs (Twin Cities): Room 315
Donhowe Bldg.
– Nov. 21, 28, 29, and 30 (8 a.m. – 4:30 p.m.)

Benefits Fairs
• Duluth: Nov. 1
– Kirby Student Center Ballroom, 10 a.m. to 2:30 p.m.
• St. Paul: Nov 7
– St. Paul Student Center North Star Ballroom, 10 a.m. to
4:30 p.m.
• Minneapolis: Nov. 8
– Coffman Memorial Union Great Hall, 10 a.m. to 4:30 p.m.
• Morris: Nov 12
– Oyate Hall, UMM Student Center, 11 a.m. to 1 p.m.
• Cookston: Nov. 13
– Prairie Lounge Student Center, 11 a.m. to 12 p.m.

Enrolling Online
• New employees hired before December 1 may make two elections to participate in FSA for 2012 and
2013
• Multiple elections can be made online, but not at the same time; wait a day between enrollments
• Benefits will send an e-mail to affected employees
• Employees with appointments ending prior to
January 1, 2013, cannot enroll online - they are not anticipated to be active employees in 2013
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Open Enrollment Communications
• Employees with enrolled same-sex domestic partners will receive a letter and instructions for
Open Enrollment. Elections can be made online if currently enrolled, or on paper, if not.
• Materials are sent to employees on LOA & to those without computer access
• An e-mail will be sent on November 1 to announce the start of Open Enrollment
• A final reminder will be sent near the end of
November
23

Benefit Materials for 2013
• U & Your Benefits newsletters
• Guide for UPlan Benefits Open Enrollment
• COBRA instructions & rates
• Benefit summaries for prospective employees
• Summary of Benefits for Medical & Dental Plans
• Managers Toolkit on OHR website http://www.umn.edu/ohr/debcp/index.html
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Common Questions

Will I receive a printed
Open Enrollment Booklet?
• Open enrollment booklets will be posted online.
• Select employees will receive a printed booklet.
• Everyone will receive a printed open enrollment newsletter with enrollment details.
– Will arrive in your campus mailbox

Will HealthPartners Medical Group Clinics be available through Medica?
• All HPMG clinics will still be available in Tier 1 of Medica Insights.
– Includes Como & Riverside clinics and Regions
Hospital
– However, UMP clinics will move from Tier 3 down to Tier 2 in Insights.
• Limited HPMG clinics are available in Medica
Elect/Essential, Choice & HSA.

Who can I cover on my
UPlan Medical and Dental Plans?
• Yourself
• Your spouse or registered same-sex domestic partner
• Your dependent children to age 26
• For the definition of eligibility visit www.umn.edu/ohr/benefits/eligibility/index.html

• Some Medica Plans do not require a referral to see an in-network specialist.
– Medica Insights
– Medica Choice National
– Medica HSA
• Medica Elect/Essential have special guidelines.
– No referral needed in your care system
– Referral needed to see an in-network provider who is not in your care system.
• For all plans, you’ll need a referral from your care system and Medica to receive in-network benefits from an out-of-network provider.

Will I receive New Medical and Dental ID Cards?
• Members will receive a new card from Medica and from Delta Dental if that is their dental plan.
• New enrollees will receive HealthPartners
Dental and Prime Therapeutics Pharmacy cards.
• Replacement cards can be obtained from your health plan.

Will flu shots be available this year?
• Yes, seasonal flu shots will be available at no cost.
– On campus
• Walk-in clinics and flu clinics
– On the Twin Cities campus schedule an appointment online at www.bhs.umn.edu/public-health/flu.htm
• Employee Health & Benefits Fairs
– Your medical clinic
– Retail pharmacies (no cost if pharmacy is in Prime
Therapeutics’ network)

Who is eligible for the Medication
Therapy Management Program?
• You are eligible if you take four or more medications for chronic conditions.
• The program offers:
– UPlan-paid consultations with a MTM pharmacist
(HSA members pay full cost of consultations.
– $10 copy reduction for all Generic Plus and Brand medications for six month

• Medica
– 952-992-1814
– 1-877-252-5558
• Delta Dental
– 651-406-5916
– 1-800-448-3815
• HealthPartners Dental
– 952-883-5000
– 1-800-883-2177
• Prime Therapeutics
– 1-800-727-6181
• Fairview Specialty Pharmacy
– 612-672-5289
– 1-877-509-5115

How does the Wellness Points
Bank work?
• Accumulate points for participating in Wellness Points
Bank activities
• Must earn the minimum number of points by August
31.
– 300 points for employee-only or employee plus children
– 400 points for employees who cover a spouse/same-sex domestic partner
• Covered spouses/partners can contribute up to 100 of the 400 total points required.
• Receive either a $300/$400 reduction in your 2014
UPlan Medical Program rates.

How do I earn Wellness Points?
Wellness Activity
Wellness assessment
Biometric health screening
NextSteps health coaching for a medical condition
NextSteps health coaching for lifestyle change
Face-to-face health coaching
Tobacco cessation program
Weight management
Bicycle commuter program
Fit Choices
Healthy Pregnancy
Online Healthy Living program
Step It Up! Walking program
Wellness My Way
Annual flu shot pledge
Non-tobacco user pledge
50
50
25
25
75
75
50
50
150
150
150
150
Points
100
100
200

Wellness
• Self-directed approach to reach a personal wellness goal and increase wellness points
• Earn 50 points for completing your goal by August 31
• Examples of Wellness My Way activities:
• Athletic events, such as marathons, triathlons, 10k walks
• U of M sponsored programs, such as GSX or MBSR
• Regular exercise at home, such as a treadmill or swimming pool
• Alternative weight management programs
• Team sports or fitness classes, such as yoga, zumba, tennis
• Self-report activity in the Wellness Points Bank

2012 Results
• 13,987 Wellness Assessment participants (including spouses/partners)
• Up from 10,800 in 2011
• Health screening participants
• 7,535 versus 951 in 2011
• On-site Health Coaching
• 474 versus 173 in 2011
• Fit Choices participation
• 59% earned credit versus 48% in 2011
• 5,756 UPlan members achieved their point goal and premium reduction
• Up from 2,933 with follow-up programs in 2011

Return on Investment – 2006 - 2010
• Compared Wellness Program participants with those eligible and declined
• Disease Management – reduced employee health care costs by $2,073 per participant year
• Lifestyle Management – reduced health care costs for spouses and dependents by $2,401

Return on Investment – 2006 - 2010
2006 – 2008
Program Costs
Program Savings -
Employees
+ Spouses &
Dependents
Total
Health Care
Cost Savings
$16,626,209
$27,427,863
$1,853,572
$29,281,435
ROI per $1.00 Invested
$1.65
$1.76
Second positive ROI for total wellness program
Saved $1.76 for every $1.00 invested in total program
28% reduction in hospitalizations.

Do you have a Wellness Advocate for your Department?
• Wellness Advocates Program:
• Looking for Wellness Advocates from each
College, Department
• Lead departmental Wellness initiatives
• Wellness Program to provide support, materials, and training
• Plus special programs for wellness advocates
• Interested? Email to well@umn.edu

• Open Enrollment, November 1-30, 2012
• Enroll at http://hrss.umn.edu
• Coverage changes made during Open
Enrollment are effective on January 1, 2013.