2014 Annual Benefits Open Enrollment

2014 Annual Benefits 2014 Annual Benefits Open EnrollmentOpen Enrollment

2014 Insurance Highlights 2014 Insurance Highlights Medical Insurance - UnitedHealthcareMedical Insurance - UnitedHealthcare

– Approximate 3.8% premium increaseApproximate 3.8% premium increase– Cafeteria Plan funding levels remain the sameCafeteria Plan funding levels remain the same– University-paid dependent premium supplements University-paid dependent premium supplements

for Base Plan – enhanced by $50/tier to the for Base Plan – enhanced by $50/tier to the following:following: $125/month credit for spouse coverage$125/month credit for spouse coverage $150/month credit for children coverage$150/month credit for children coverage $250/month credit for family coverage $250/month credit for family coverage

– Health Savings Account (HSA) and Medical Health Savings Account (HSA) and Medical Reimbursement Account (MRA) optionsReimbursement Account (MRA) options

2014 Insurance Highlights2014 Insurance Highlights Vision InsuranceVision Insurance

– VSP (Vision Service Plan)VSP (Vision Service Plan)– No change in coverages or premiumsNo change in coverages or premiums

Dental Insurance Dental Insurance – Delta Dental of MO Delta Dental of MO – No change in coverages or premiumsNo change in coverages or premiums

Flexible Spending Accounts (MRA and Dependent Care Flexible Spending Accounts (MRA and Dependent Care Assistance Assistance – BMI HealthPlansBMI HealthPlans– No change in plan administrationNo change in plan administration

2014 Medical Insurance2014 Medical Insurance Base Plan Base Plan

– Employee premium 100% paid by UniversityEmployee premium 100% paid by University– $750 in cafeteria plan funding$750 in cafeteria plan funding– Rx Copays - after $1,500 deductibleRx Copays - after $1,500 deductible

$10/$35/$60 retail pharmacy$10/$35/$60 retail pharmacy $25/$87.50/$150 mail order pharmacy$25/$87.50/$150 mail order pharmacy

– University-paid supplement for dependent premiumsUniversity-paid supplement for dependent premiums Spouse = Spouse = $125/month $125/month supplementsupplement Child(ren) = Child(ren) = $150/month $150/month supplementsupplement Family = Family = $250/month $250/month supplementsupplement

– Health Savings Account (HSA) option availableHealth Savings Account (HSA) option available Family members required to meet family deductibleFamily members required to meet family deductible

– Medical Reimbursement Account (MRA) option availableMedical Reimbursement Account (MRA) option available Family members can meet individual deductible Family members can meet individual deductible

2014 Medical Insurance2014 Medical Insurance Accelerated Plan Accelerated Plan

– Employee contribution to employee only premium Employee contribution to employee only premium based on 2012 calendar year reported Form W-2 based on 2012 calendar year reported Form W-2 Medicare wages (box 5) Medicare wages (box 5)

– $250 cafeteria plan funding$250 cafeteria plan funding– Rx copays - not subject to deductible or cost shareRx copays - not subject to deductible or cost share

$10/$35/$60 retail pharmacy$10/$35/$60 retail pharmacy $25/$87.50/$150 mail order pharmacy $25/$87.50/$150 mail order pharmacy

– MRA availableMRA available

<$27,000 $27,000 -$44,999

$45,000 -$69,999

$70,000 +

$22/month $45/month $67/month $90/month

2014 Medical Insurance 2014 Medical Insurance EmployeeEmployee Monthly PremiumsMonthly Premiums

UnitedHealthcare Base Plan

UnitedHealthcare Accelerated Plan

Monthly Premium Monthly Premium

Employee $401.68 * Employee $502.42 **

Spouse $441.84 Spouse $552.67

Child(ren) $361.51 Child(ren) $452.18

Family $763.18 Family $954.61

* 100% Paid by University ** $22-$90/month employee contribution will apply

2014 Medical Insurance2014 Medical InsuranceDependent Monthly Premiums with Dependent Monthly Premiums with

AdjustmentsAdjustments Base Plan: Base Plan: Employee Only Premium Employee Only Premium

100% Paid by University100% Paid by University

Spouse Coverag

e

Child(ren)

Coverage

Family Coverag

e

Dependent Premium $441.84 $361.51 $763.18

Less University Supplement

($125.00) ($150.00) ($250.00)

Total Dependent Premium $316.84 $211.51 $513.18

2014 Medical Insurance2014 Medical InsuranceCafeteria Plan FundingCafeteria Plan Funding

Base Plan - $750Base Plan - $750– Will apply funding to: employee portion of medical Will apply funding to: employee portion of medical

premiums (part-time employees only), health savings premiums (part-time employees only), health savings account (HSA), dependent medical premiums, vision and account (HSA), dependent medical premiums, vision and dental premiums, and dependent care assistance and dental premiums, and dependent care assistance and medical reimbursement accountmedical reimbursement account

Accelerated Plan - $250Accelerated Plan - $250– Will apply funding to: employee’s portion of medical Will apply funding to: employee’s portion of medical

premium, dependent medical premiums, vision and premium, dependent medical premiums, vision and dental premiums, dependent care assistance, and dental premiums, dependent care assistance, and medical reimbursement (MRA)medical reimbursement (MRA)

Prorated funding for part-time employeesProrated funding for part-time employees

Health Savings Account Health Savings Account (HSA)(HSA)

Available with Base Medical Plan coverageAvailable with Base Medical Plan coverage OptumHealth Bank OptumHealth Bank

(www.optumhealthbank.com)(www.optumhealthbank.com) Account features:Account features:

– Balances roll over year after yearBalances roll over year after year– Interest-bearingInterest-bearing– PortablePortable

Use to pay for qualified medical expensesUse to pay for qualified medical expenses


IRS Eligibility Rules -IRS Eligibility Rules -– Covered by a high deductible health plan Covered by a high deductible health plan – Cannot be covered by any other health plan Cannot be covered by any other health plan

that is a low deductible health plan (individual that is a low deductible health plan (individual deductible must be at least $1,250)deductible must be at least $1,250)

– Cannot be drawing Medicare benefitsCannot be drawing Medicare benefits– Cannot be claimed as a dependent on Cannot be claimed as a dependent on

someone else’s tax returnsomeone else’s tax return– Employees who have received VA benefits in Employees who have received VA benefits in

past three months (some exceptions)past three months (some exceptions)


ContributionsContributions– Both employer and employee contributions are Both employer and employee contributions are

permissiblepermissible– Employer contribution via Cafeteria Plan fundingEmployer contribution via Cafeteria Plan funding

½ of annual employer-funded amount contributed in ½ of annual employer-funded amount contributed in January with remaining ½ contributed February - January with remaining ½ contributed February - DecemberDecember

– 2014 maximum contribution levels:2014 maximum contribution levels: Single Coverage = $3,300Single Coverage = $3,300 Family Coverage = $6,550Family Coverage = $6,550

– 2014 Age 55+ Catch Up: Additional $1,0002014 Age 55+ Catch Up: Additional $1,000


DistributionsDistributions– Tax-free if used to pay for qualified medical Tax-free if used to pay for qualified medical

expensesexpenses– Monies must be available in account at time of Monies must be available in account at time of

distributiondistribution– Use for qualified expenses incurred on or after Use for qualified expenses incurred on or after

account is establishedaccount is established– Can apply qualified medical expenses of Can apply qualified medical expenses of

spouse and children, even if not covered by spouse and children, even if not covered by your medical insuranceyour medical insurance


DistributionsDistributions– Qualified Medical Expenses:Qualified Medical Expenses:

DeductiblesDeductibles Cost SharesCost Shares Out of pocket costs on medical claimsOut of pocket costs on medical claims Over-the-counter medical itemsOver-the-counter medical items Medicare insurance premiumsMedicare insurance premiums COBRA premiumsCOBRA premiums Long Term Care insurance premiums (based on federal tax Long Term Care insurance premiums (based on federal tax

deductible limits)deductible limits) Patient Protection and Affordable Care Act legislation – Patient Protection and Affordable Care Act legislation –

Requires a doctor’s prescription for over-Requires a doctor’s prescription for over-the-counter medical items. Keep copies for your the-counter medical items. Keep copies for your records.records.


Serviced through OptumHealth BankServiced through OptumHealth Bank If electing HSA for first time:If electing HSA for first time:

– Activate your account via personal portal pageActivate your account via personal portal page– After activation, Welcome Kits will be mailed to membersAfter activation, Welcome Kits will be mailed to members

For current OptumHealth Bank HSA holders:For current OptumHealth Bank HSA holders:– Existing bank account will continue to be usedExisting bank account will continue to be used– Continue using same debit cardContinue using same debit card

Optional mutual fund investment Optional mutual fund investment – To waive investment fee charges, enroll in the eSaver product by calling 1-To waive investment fee charges, enroll in the eSaver product by calling 1-

800-791-9361, option 0800-791-9361, option 0 All set up and monthly fees paid by University while having All set up and monthly fees paid by University while having

Base Plan medical coverageBase Plan medical coverage OptumHealth Bank: 1-800-791-9361 or 1-OptumHealth Bank: 1-800-791-9361 or 1-

866-234-8913 866-234-8913

2014 Flexible Spending Accounts 2014 Flexible Spending Accounts (MRA and Dependent Care Assistance)(MRA and Dependent Care Assistance)

Medical Reimbursement Account (MRA) Medical Reimbursement Account (MRA) – Available for both Base Plan and Accelerated PlanAvailable for both Base Plan and Accelerated Plan– Monies can be claimed immediatelyMonies can be claimed immediately– ““Use or Lose” feature, no roll overUse or Lose” feature, no roll over

Dependent Care Assistance Account Dependent Care Assistance Account – Available for both Base Plan and Accelerated PlanAvailable for both Base Plan and Accelerated Plan– Monies must be available in the account in order to Monies must be available in the account in order to

claim reimbursement claim reimbursement– ““Use or Lose” feature, no roll overUse or Lose” feature, no roll over

2014 Annual Contribution Maximums: 2014 Annual Contribution Maximums: – MRA - $2,500MRA - $2,500– Dependent Care Assistance - $5,000Dependent Care Assistance - $5,000

2014 Flexible Spending 2014 Flexible Spending Accounts Accounts (MRA and Dependent Care (MRA and Dependent Care

Assistance)Assistance) Administrator – BMI-HealthPlansAdministrator – BMI-HealthPlans

Debit CardsDebit Cards– New participants will receive cardNew participants will receive card– Current participants should continue using same debit cardCurrent participants should continue using same debit card

Remember: File claims using UHC insurance card Remember: File claims using UHC insurance card beforebefore using using MRA debit card!MRA debit card!

Direct Deposit available – BMI Direct Deposit Authorization form Direct Deposit available – BMI Direct Deposit Authorization form on HR websiteon HR website

Substantiation of claims may be required per IRS guidelinesSubstantiation of claims may be required per IRS guidelines Patient Protection and Affordable Care Act legislation – will require Patient Protection and Affordable Care Act legislation – will require

a doctor’s prescription to accompany a reimbursement claim for a doctor’s prescription to accompany a reimbursement claim for some over-the-counter medical items, typically “medication” some over-the-counter medical items, typically “medication” itemsitems

Myflexonline.com Myflexonline.com Contact Information: Contact Information:

– Phone: 1-800-513-9681 Phone: 1-800-513-9681 – Fax: 1-866-513-9681Fax: 1-866-513-9681

2014 Dental and Vision 2014 Dental and Vision InsuranceInsurance

Monthly PremiumsMonthly PremiumsDental Insurance – Delta Dental of Missouri Dental Insurance – Delta Dental of Missouri

Plan A-Low OptionPlan A-Low Option Plan B-High OptionPlan B-High OptionEmployeeEmployee $13.18$13.18 EmployeeEmployee $30.46 $30.46 Employee + SpouseEmployee + Spouse $28.26$28.26 Employee + SpouseEmployee + Spouse $60.12$60.12Employee + ChildrenEmployee + Children $43.88$43.88 Employee + ChildrenEmployee + Children $76.22$76.22Employee + FamilyEmployee + Family $58.10$58.10 Employee + Family $109.80Employee + Family $109.80

Vision Insurance – Vision Service Plan (VSP)Vision Insurance – Vision Service Plan (VSP)

Plan A-Exam PlusPlan A-Exam Plus Plan B-Signature PlanPlan B-Signature PlanEmployeeEmployee $3.05 $3.05 EmployeeEmployee $11.44 $11.44 Employee + Spouse Employee + Spouse $4.30 $4.30 Employee + SpouseEmployee + Spouse $18.35$18.35Employee + ChildrenEmployee + Children $4.37 $4.37 Employee + ChildrenEmployee + Children $18.73$18.73Employee + FamilyEmployee + Family $6.46$6.46 Employee + FamilyEmployee + Family $30.22 $30.22

2014 Open Enrollment2014 Open EnrollmentProcessing your enrollment…Processing your enrollment…

October 21 – November 1, 2013October 21 – November 1, 2013 Full-time and part-time (50% assignment or greater) Full-time and part-time (50% assignment or greater)

employees will once again use Employee Self Service employees will once again use Employee Self Service to process open enrollment electionsto process open enrollment elections

Part-time (< 100% assignment) employees medical Part-time (< 100% assignment) employees medical premium contribution based on percentage of premium contribution based on percentage of assignmentassignment

Dually employed spouse employees enrollmentDually employed spouse employees enrollment– Definition: Both spouses employed by Southeast with Definition: Both spouses employed by Southeast with

children coverage and can take advantage of the family children coverage and can take advantage of the family deductible requirementdeductible requirement

– Will receive enrollment forms via email for Will receive enrollment forms via email for completion and return to HR by November 1completion and return to HR by November 1

Open Labs schedule – on HR websiteOpen Labs schedule – on HR website

Location: Kent Library 4Location: Kent Library 4thth Floor Floor Email: Email: [email protected]

http://www.semo.edu/hr/benefits

Chat with a Benefits Specialist: Chat with a Benefits Specialist: https://www.semo.edu/webim/

Donna Spencer – 651-2855Donna Spencer – 651-2855

Bonnie Modglin – 651-2205Bonnie Modglin – 651-2205

Alissa Vandeven – 651-2206Alissa Vandeven – 651-2206

Human Resources Human Resources Contact InformationContact Information

Documents

2014 Annual Benefits Open Enrollment