2020 Annual Employee BenefitsOpen Enrollment | Nov. 1–13, 2019

New health plan changes coming!

Hey! All Asante Health Plan

members will be mailed a new card from Regence for

your 2020 health plan regardless of whether you

participate in open enrollment.

Open enrollment eventsIn the days leading up to and during open enrollment, you will have the opportunity to meet with representatives from Asante Employee Health, Asante Health Promotion, Asante Physician Partners, Asante Population Health, Fidelity, Guild Mortgage, HealthEquity, MetLife, Regence/MedSavvy, Mercy Flights, Reliant Behavioral Health, The Standard, VSP and Willamette Dental Group to discuss your benefits-related questions. Spouses are welcome to attend all events.

What do employees need to do?Only employees who want to make changes to their current benefits, are enrolling or re-enrolling in a flexible spending account, or FSA, for 2020 or wish to elect earned-time-off, or ETO, cash-out will need to participate in open enrollment this year. If you do nothing, your current benefit elections and covered dependents will automatically roll over into next year, except for FSA plan participation and ETO cash-out.

New plan changes Pre-enrollment Q&A sessionsLearn about the changes to the Asante Health Plan in 2020 and speak one-on-one with benefits experts. No appointment necessary.

Asante Ashland Community Hospital Conference Room 1Tuesday, Oct. 29 | 11 a.m.–1 p.m.

Asante Contact Center AuditoriumTuesday, Oct. 29 | 11 a.m.–1 p.m.

Asante Three Rivers Medical Center AOC Conference Room 4Wednesday, Oct. 30 | 7:30–9 a.m. and 11 a.m.–1 p.m.

Asante Rogue Regional Medical Center CafeteriaThursday, Oct. 31 | 7:30–9 a.m., 11 a.m.–1 p.m. and 5–6:30 p.m.

Benefits fairs and enrollment assistanceNo appointment necessary.

Asante Ashland Community Hospital Conference Rooms 1 and 2Monday, Nov. 4 | 8 a.m.–4 p.m.

Asante Rogue Regional Medical Center Hospital Entrance CTuesday, Nov. 5 | 7 a.m.–5 p.m.

Asante Contact Center AuditoriumWednesday, Nov. 6 | 10 a.m.–2 p.m.

Asante Three Rivers Medical Center AOC Conference Rooms 5 and 6Thursday, Nov. 7 | 8 a.m.–4 p.m.

For details about the new health plan options, see pages 4 and 5 of this booklet. For plan FAQ, articles and more, visit myHR or asante.org/employee-benefits/2020.

Only those employees and dependents as described below may be covered under the Asante Health Plans. All active employees:Regular | 0.9–1.0 FTEScheduled to work at least 72 hours per pay periodRegular | 0.7–0.8 FTEScheduled to work at least 56 hours per pay periodRegular | 0.5–0.6 FTEScheduled to work at least 40 hours per pay periodFlexible | 0.1–0.4 FTEScheduled to work less than 40 hours per pay period

Dependent: Your family members (dependents) may also be eligible for certain benefits. Eligible dependents for health, dental, vision and certain voluntary benefits include your legal spouse and your children who are:■ Under age 26, regardless

of their marital and student status and whether they live with you or you provide any of their support; or

■ Physically or mentally incapable of self-support due to a physical or mental disability that arose prior to attaining the limiting age

under the plan and who are financially dependent on you for more than half of their support; or

■ Under age 26 and for whom you are required by a Qualified Medical Child Support Order, judgment, decree or order issued by a court or through an administrative process established under state law to provide medical coverage.

Eligibility rules

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Medical/Rx

Asante PPO Health Plan*Regular (0.9–1.0 FTE)Regular (0.7–0.8 FTE)Regular (0.5 –0.6 FTE)Asante Savings Health Plan*Regular (0.9–1.0 FTE)Regular (0.7–0.8 FTE)Regular (0.5–0.6 FTE)Asante Reimbursement Health Plan*Regular (0.9–1.0 FTE)Regular (0.7–0.8 FTE)Regular (0.5–0.6 FTE)Asante Flexible Workforce Health Plan*Flexible (0.1–0.4 FTE)

Employee only $36.06 $67.25 $96.09 Employee only $7.85 $21.88 $35.74 Employee only $16.25 $41.80 $59.72

$294.89

Employee + spouse $160.05 $195.60 $248.95 Employee + spouse $72.70 $103.31 $142.31 Employee + spouse $117.82 $144.00 $183.27

N/A

Employee + child(ren) $124.91 $152.69 $194.30 Employee + child(ren) $61.22 $87.23 $111.07 Employee + child(ren) $91.95 $112.40 $143.03

$471.84

Employee + family $206.91 $252.85 $321.82 Employee + family $99.47 $142.33 $183.96 Employee + family $152.31 $186.14 $236.90

N/A

*Plan names have changed for 2020. Refer to the eligibility rules for definitions of regular and flexible workforce.

Semimonthly amount (taken from the first two pay periods of each month)

This program is intended to help offset a portion of the cost of health plan coverage for lower-wage employees. It is based on hourly wage and health plan category. Qualifying employees will automatically see the appropriate amount semimonthly in the earnings section of their checks, marked “Premium Assistance.”

Health plan categoryEmployee onlyEmployee + spouseEmployee + child(ren)Employee + family

<$14Up to $7

$20$20$35

$14–$18N/A$15$15$25

2020 hourly wage

Regular employeesMetLife core planMetLife buy-up planWillamette Dental Group

Employee only $5.15 $7.34 $5.07

Employee + spouse $15.80 $20.27 $15.59

Employee + child(ren) $15.41 $19.75 $15.23

Employee + family $23.49 $30.11 $23.15

DentalSemimonthly amount (taken from the first two pay periods of each month)

Regular employeesCore visionBuy-up vision

Employee only $0.93 $4.20

Employee + spouse $2.77 $7.69

Employee + child(ren) $2.89 $7.91

Employee + family $6.76 $14.72

Vision

Asante Health Plan medical premium assistance

Semimonthly amount (taken from the first two pay periods of each month)

For complete details on plan benefits, including plan provisions, limitations and exclusions, please refer to the Summary Plan Descriptions posted to myHR or asante.org/employee-benefits. You can also find the Notice of Privacy Practices at asante.org/employee-benefits under Benefit Summaries and Legal Notices.

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Health plan comparison chart

Deductible — individual

Deductible — family

Out-of-pocket maximum — individual

Out-of-pocket maximum — family

Office visit — primary care provider

Office visit — specialist

Inpatient/outpatient professional

Inpatient/outpatient facility

Lab/X-ray

Urgent care

Emergency Department

Acupuncture ($2,000 limit)

Chiropractic ($2,000 limit)

$2,500

$5,000

$10*

$10*

15%

15%

15%

$10*

$3,500

$7,000

$25*

$25*

15%

30%

30%

$25*

$2,000

$4,000

$7,500

$15,000

N/A

$75*

40%

40%

40%

$75*

$2,500

$4,000

$8,250

$16,500

40%

50%

50%

50%

50%

50%

$2,000

$3,000

10%

10%

10%

10%

10%

10%

15%

N/A

N/A

$3,000

$6,000

15%

15%

15%

30%

30%

30%

15%

20%

20%

$3,500

$7,000

$6,000

$12,000

N/A

40%

40%

40%

40%

40%

15%

20%

20%

$4,500

$9,000

$8,000

$14,000

40%

50%

50%

50%

50%

50%

15%

40%

40%

$1,000

$2,000

$2,000

$4,000

$10*

$10*

10%

10%

10%

$10*

N/A

N/A

$1,500

$3,000

$3,500

$7,000

$25*

$25*

15%

30%

30%

$25*

$25*

$25*

$3,000

$6,000

$7,000

$14,000

N/A

$75*

40%

40%

40%

$75*

$25*

$25

$4,000

$7,000

$8,000

$16,000

40%

50%

50%

50%

50%

50%

50%

50%

Medical

Asante PPO Health Plan Asante Savings Health Plan Asante Reimbursement Health PlanAsante

Preferred Network

(Category 1)

Regence Network

(Category 2)

Regence Limited Network

(Category 3)

Out-of- network

(Category 4)

Asante Preferred Network

(Category 1)

Regence Network

(Category 2)

Regence Limited Network

(Category 3)

Out-of- network

(Category 4)

Contributions to HealthEquity HRA

$0

Up to $75 per enrolled employee and spouse

Contributions to HealthEquity HSA

$300 — Employee-only coverage category$600 — All other coverage categories

Up to $300 per enrolled employee and spouse

Contributions to HealthEquity HRA

$300 — Employee-only coverage category$600 — All other coverage categories

Up to $300 per enrolled employee and spouse

Asante Health Fund

Annual basic contributions Only full-time employees enrolled as of Jan. 1, 2020, are eligible. Contributions will be made in January 2020.

Annual wellness activity

Wellness program contributions (see page 8 for details)

Asante Preferred Network

(Category 1)

Regence Network

(Category 2)

Regence Limited Network

(Category 3)

Out-of- network

(Category 4)

Asante Preferred Network

(Category 1)

Regence Network

(Category 2)

Regence Limited Network

(Category 3)

Out-of- network

(Category 4)

Asante Preferred Network

(Category 1)

Regence Network

(Category 2)

Regence Limited Network

(Category 3)

Out-of- network

(Category 4)

Rx out-of-pocket maximum

Generic Rx

Brand formulary Rx

Non-brand formulary Rx

$5*

25%

30%

$15

35%

40%

$15

35%

40%

Not covered

Not covered

Not covered

Not covered

Prescription drug (Rx)

* = Deductible waived % = Coinsurance (amount you pay)

Legend: Cost improvements Cost increases Legal requirement

$500

$1,000

$1,400

$2,800

Asante Preferred Network

(Category 1)

Regence Network

(Category 2)

Regence Limited Network

(Category 3)

Out-of- network

(Category 4)

$150* (waived if admitted)

Not covered

Not covered

$150* (waived if admitted)

Shared with medical Shared with medical Shared with medical

$5

25%

30%

$15

35%

40%

$15

35%

40%

Not covered

Not covered

Not covered

Not covered

$5*

25%

30%

$15

35%

40%

$15

35%

40%

Not covered

Not covered

Not covered

Not covered

Asante pays for a basic life insurance policy for all regular employees, and you are automatically enrolled on your date of hire (or benefits eligibility date). For details about this plan, please refer to myHR. Employees may purchase additional life insurance for themselves, their spouse or their child(ren). Refer to myHR for rates and biweekly premium amounts. Coverage limitations are as follows.

Supplemental life insurance coverage limitations

Employeecoverage

Spouse coverage

Child(ren)coverage

■ Guarantee issue at initial eligibility: up to $150,000■ For employees not currently enrolled, you can enroll

up to $150,000. For this open enrollment, $150,000 guarantee issue is available to all employees.*

■ Maximum coverage with evidence of insurability: $450,000†

■ Guarantee issue at initial eligibility: up to $25,000■ For spouses not currently enrolled, you can enroll up to

$25,000. For this open enrollment, $25,000 guarantee issue is available to all employees.*

■ Maximum coverage with evidence of insurability: up to $250,000 but not more than employee coverage†

■ Guarantee issue at any time: up to $10,000■ Coverage options: $2,500, $5,000, $7,500, $10,000

*For this open enrollment, all employees can elect up to the guarantee issue amounts of the plan. Any new amounts above the guarantee issue are approved following medical underwriting approval. When you or your covered spouse reaches the ages that follow, the amount of life insurance will be the amount you have, reduced to the following percentage of your benefit: ages 70–74: 67%; ages 75 and older: 50%. Limitations apply to coverage increases when the covered member is not actively at work on the coverage effective date.

†Employee coverage includes the employee’s supplemental life insurance policy in addition to the basic life insurance policy that Asante pays for.

Additional benefits options‡

◼ Accident insurance◼ Auto and home insurance◼ Critical illness insurance◼ Dependent care FSA, health FSA, limited purpose FSA◼ Hyatt legal insurance◼ Mercy Flights◼ Short-term disability insurance

‡Please refer to myHR or asante.org/employee-benefits fordetailed benefits information.

Basic and supplemental life insurance

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2020 annual open enrollment, Nov. 1–13 | How to enroll

Don’tforget

If you are planning to participate in open enrollment this year, you must do so between Nov. 1 and Nov. 13, 2019. Funds for 2019 FSAs need to be used by Dec. 31, 2019, as they do not roll over from year to year. All employees who want an FSA for 2020 must re-enroll during this open enrollment period. The deadline to enroll is 11:59 p.m. on Nov. 13.

1. Go to myHR: https://hr.asante .org and click Continue to Sign In (if you’re automatically signed in, skip to step 3).

2. You will be asked to sign in: ■ If you are completing this from home, use your Asante email address (e.g., john.doe@ asante.org) and Asante network password. ■ If you are completing this from any Asante network workstation, use your Asante network username and password.

3. On the myHR home page, locate the widget titled Open Enrollment.

4. Click on My Open Enrollment.

5. If you plan to add new dependents to your 2020 benefits, click on the

Dependents tab on the menu on the left side of the screen.

6. Click the Add button.

7. To start your enrollment in benefits, click on the Enrollment tab. A list of benefits will display.

8. Select only the benefits you plan to change.

9. When finished making elections, you will land on the Review and Submit page, or you can scroll to the bottom of the menu and click on Review and Submit.

10. All of your elections will display

at the bottom of the Review and Submit page. To submit your elections, click the blue Submit button at the top of the page.

11. Confirm your submission.

Once you’ve submitted your elections, a confirmation statement will be sent to your Asante email address.

12. To make changes to elections you have already submitted, simply open the session again from the My Open Enrollment link on the myHR home page and resubmit by 11:59 p.m. on Nov. 13.

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Employees are required to participate in open enrollment only if:■ The employee wants to enroll or re-enroll in an FSA for 2020■ The employee wants to make changes to current benefits■ The employee wants to add or remove dependents from coverage■ The employee wants to elect earned time off cash-out

How to enroll

2020 wellness program

➑

beWell to our health

19HR026

Earn a premium credit through Know Your NumbersAs a regular Asante employee, you and your covered spouse have an opportunity to earn a wellness credit toward your 2020 Asante Health Plan premium contributions by participating in a biometric screening and online health assessment.

Step 1. Complete a biometric screening or preventive exam that includes a biometric screening by Dec. 6, 2019.Complete an onsite biometric screening at an Asante facility. Refer to myHR for appointment

times, locations and online scheduling or call Asante Health Promotion at (541) 789-5211. You may instead complete a preventive exam with your primary care provider if it includes biometric testing.

Step 2. Complete the Regence online general health assessment by Dec. 13, 2019. Your biometric values will be uploaded into your general health assessment.If you are currently enrolled in an Asante Health Plan, you must go to Regence.com and log in using your username and password. Enrolled

employees and enrolled spouses must each use their own profile. Once logged in, scroll down to the Wellness Tools section and click the link. On the Wellness home page, click Health Assessment to begin the general health assessment.

If you or your spouse is not currently enrolled in an Asante Health Plan but intend to enroll in one during open enrollment, email Asante Health Promotion team at healthpromotion@asante.org for instructions on completing the general health assessment.

Know Your Numbers premium credit Upon completion of Know Your Numbers, employees will see the appropriate amount semimonthly in the earnings section of their checks, marked “Wellness Discount.”

If employee completes Know Your Numbers

$16.25 $13*

If spouse completes Know Your Numbers

$10.84 $8.67

If both complete Know Your Numbers

$27.09

$21.67

2020 semimonthly premium credit

*Regular 0.9–1.0 FTE employees enrolled in the Asante Savings Health Plan who are not covering dependents will receive a $2.17 premium credit and a $10.83 semimonthly HSA contribution.

Earn HSA/HRA incentive dollars Complete any one of the five activity categories below. Incentives apply to both enrolled employees and their spouses; some restrictions apply.

Total annual incentive ■ Asante PPO Health Plan: $75■ Asante Savings Health Plan: $300■ Asante Reimbursement Health Plan: $300

Annual preventive exam opportunities Complete one: ■ Annual wellness and routine checkup ■ Obesity screening: diet, physical activity, BMI counseling

■ Vision exam ■ Dental exam ■ Colorectal cancer screening and counseling ■ Mammogram ■ Pelvic exam with Pap test ■ Prostate cancer screening ■ Skin cancer screening

Livongo diabetes program (includes free meters and test strips)Complete both: ■ HbA1c testing ■ Blood pressure control (<140/90 mm Hg)

Mental health opportunitiesComplete a total of two webinars: ■ Offered by Reliant Behavioral Health ■ Offered by myStrength Financial health opportunitiesComplete a total of two financial courses: ■ Offered by Fidelity ■ Offered by Guild Mortgage

Tobacco-cessation program Complete one: ■ Breath for Life, email healthpromotion@asante.org ■ Freedom from Smoking group quit program, call (541) 789-4444 or email readytoquit@asante.org

Health plan

Asante PPO Health Plan and Asante Reimbursement Health Plan

Asante Savings Health Plan