2018 Annual Open Enrollment

• Open Enrollment Period:

Starts: September 18, 2017

and

Ends: October 23, 2017

• Effective Date of Coverage:

January 1, 2018

2018 Open Enrollment Details

• This will be a PASSIVE ENROLLMENT

• Enrollment MUST be done ON-LINE using the ADP website

• All benefits eligible employees must ENROLL ONLINEwhether making changes to your current coverage or not

• Benefit elections made during OPEN ENROLLMENT go into effect January 1, 2018

• After open enrollment CLOSES you will not be eligible to enroll or make changes to your coverage until the next open enrollment period……….unless you have a Qualifying Life Event (QLE)

Types of Enrollment

•Initial Enrollment

- Within 31 days of date of hire

•Qualifying Life Event (QLE)- When life changing event occurs

•Open Enrollment

- Once a Year

Qualifying Life Events

• Getting married or divorced

• Having a baby or adopting a child

• Death in family

• Change in your spouse’s work status

• Change in eligibility for Medicare/Medicaid

Supporting Documentation will be required to support

the Life Event!

You have 31 days from the Life Event to enroll!

What Counts as a Qualifying Event?

Initial Enrollment Waiting Period

• Priests and Religious:

- First day of the month following date of hire

• Lay Employees:

- First day of the month

following 60 DAYS of

employment

• Principals, Assistant

Principals, and Teachers

under contract:

– First Day of the month of

date of hire

2018 Group Benefits Plan

The Archdiocese will continue to offer:

•3 tier Medical Plan with Rx coverage

•Dental

•Vision (VSP)

•Basic Life/AD&D

•Short Term & Long Term Disability

•Supplemental Life

•403b

•Family Medical Leave Act (FMLA)

Who’s Eligible For Coverage?

• Priest, Religious, Seminarian, Lay Employee

-Working 30 or more hours per week

• Dependent Children up to age 26

-Natural, Foster, Adoptive, Legal

Guardianship, Step Children, Disabled

Child (no age limit)

• Legal Spouse

2018 Group Health Plan Providers

Aetna Healthcare for Medical, Dental and Pharmacy

coverage:• Aetna Choice POS II network • Personalized retail and mail order pharmacy• Ability to access and print Medical ID cards

• Visit your Aetna navigator member website at www.aetna.com

Vision Service Plan (VSP) www.vsp.com• Eye and contact lens exams every 12 months

• Lens and frames at great discounts

• Diabetic Eye Care Plus

The Hartford for Life and Disability Insurance–www.hartfordvalueaddedservices.com

• Life insurance protection for you, your spouse* and your dependent children

• Income replacement for qualified periods of Short and Long-term disability

• Employee Assistance Plan (EAP), travel and funeral planning/grief counseling

• Family Medical Leave Act (FMLA)

2018 Aetna Medical Plan

Choice POS II Network:

• Economy- 70/30

-$1,200 deductible

-Employer pays “employee only” premium

-Employee pays for dependents

• Priest- 90/10

- $400 deductible

• Standard- 80/20

-$800 deductible

-Employer pays “employee only” premium

-Employee pays for dependents

2018 Wellness Service

• Preventive Care: No Copay and Covered at 100%

• Covered at 100% in doctor’s

office after Copay:

- Annual Routine Physical

-Well Woman Exam

-Well Child Care

-Immunizations

2018 Wellness Services

• Preventive or Diagnostic Care:

• Laboratory Services:

- covered at 100% for first

occurrence per calendar year:

1. Mammograms

2. Colonoscopy

3. Sigmoidoscopy

-Subject to deductible and coinsurance

when you use out of-network facility

-100% when processed by Quest

Diagnostics

2018 Medical Services Copays

•Ambulance Services (All Tiers):-Ground: $100

-Air: $1000

•Emergency Room Services:-Standard: $170 copay/visit

-Economy: $230 copay/visit

•Urgent Care Clinics

2018 Prescription Drugs

You can estimate the cost of your prescription drugs by registering online at www.Aetna.com

There you can order new prescriptions, sign up for automatic refills, check drug interactions and find local pharmacy.

• Standard- Member Copay $10 / $50 / $75

• Economy- Member Copay $10 / $55 / $80

• Step Therapy Program

- This program only applies to certain drugs

2018 Aetna Dental Plan

Group Dental Plan:

• Annual Deductible - $50 Individual

• Family- $150

• Preventive & Diagnostic Care – 100%

• Basic Care – 80% after Deductible

• Major Care – 50% after Deductible

• Maximum Annual Benefit - $1500

• Orthodontia Lifetime Maximum - $1500

2018 Vision Plan

Vision Service Plan (VSP):

• Glasses Copay- $20

Allowance for frames- $150

• Contact Lens Copay- $20Allowance for contact lens- $150

• Eye Exam Copay- $20

2018 Basic Life and Accidental Death and Dismemberment

•Basic Life and AD&D coverages are

provided at no cost to all benefits eligible employees through The Hartford Life Insurance Company.

- One-and-a-half times base annual salary, rounded to the next thousand* $50,000 maximum

Reminder: It is always a good idea to update your

Beneficiary or Beneficiaries. Forms are available on the

Archdiocese website.

2018 Supplemental Life Insurance

You have the option to purchase additional life insurance for you and your dependent children*

• Employee:

- $25,000 increments up to $100,000

- Not to exceed 5X basic annual salary

- $100,000 Guaranteed Issue up through age 64*

- Evidence of Insurability May Be Required

• Children:

- $10,000 per child for children up to age 26

- $500 for a child under 6 months

This service is also administered by The Hartford Life

Insurance Company

Spouse Coverage was discontinued as of January 1, 2016. If

you elected spouse coverage prior to 2016, the coverage was

grandfathered. You will not be able to increase/decrease the

coverage but can elect to drop the coverage.

2018 Disability Benefits

• The Archdiocese of Galveston-Houston offers Short-Term Disability (STD) and Long Term Disability (LTD) benefits to all

benefits eligible employees

• The Hartford Insurance Company is our current insurance carrier and manages all STD and LTD claims

• In addition to managing STD and LTD, The Hartford also manages applications and makes determinations for employees

who apply for the Family Medical Leave Act (FMLA)

• WHEN ANY EMPLOYEE TRANSITIONS TO

LONG TERM DISABILTY, THE EMPLOYEE

WILL BE EXITED FROM EMPLOYMENT

AND THE ARCHDIOCESE OF GALVESTON-

HOUSTON’S HEALTH AND DENTAL

BENEFITS WILL END ON THE DATE LTD

ELIGIBILITY BEGINS

2018 Additional Services from The Hartford

•Travel Assistance Program- Provides emergency medical and personal assistance when traveling away from home

• Employee Assistance Program (EAP)

- Assists with health, personal or family related challenges

- Three free confidential face-to-face sessions with local EAP counselor

• Legal Resources

- Help with will preparation and other non-work related legal issues

• Everest Funeral Planning

- First nationwide funeral planning and concierge service

403(b) Retirement Savings Plan

• Archdiocese sponsors two 403(b)

accounts to help you save for retirement:

• 403(b) is funded by your pre-tax

contributions through payroll deductions

• The maximum annual deferral contributions

will go up by $500:

2017 - $18,000

2018 - $18,500

• The annual catch-up provision for employees over the age

of 50 for 2017 and 2018 will remain the same at $6,000

-VALIC and Fidelity Investments

- Local representatives are available to assist

with enrollment, investment choices, and to

answer any questions you may have

Important Contact Information

• Benefits Advocacy Center: 1-855-664-8164

• Employee Assistance Program (EAP): 1-800-964-3577

• Vision Service Plan (VSP): www.vsp.com

or1-800-877-7195

• Hartford: www.thehartford@work.com

or1-800-523-2233

• Aetna: www.aetna.com

- Medical: 1-888-416-2277

- Dental: 1-888-416-2277

• Human Resources Hotline: 713-652-8265

• Information available on www.archgh.org under Human Resources/Benefits;

Benefit provider links are also available

Helpful Hints

• First Time Users MUST register in ADP. Refer to the ADP Online Enrollment for instructions

• Access the ADP web portal to enroll for your benefits at: https://workforcenow.adp.com

• Print copy of enrollment for your records

• Good idea to complete a new Beneficiary Form. Keep a copy and send original to Human Resources

• Complete the EOI if applicable

• Contact the Benefits Department if you need assistance or have questions

• For routine benefits questions, please contact the Benefit Advocate Center:

1-855-664-8164

Questions?

Need assistance?

Contact the

Benefit Advocate Center at 1-855-664-8164

Or the

Human Resources Hotline at

713-652-8265