Analytics Project Outline Healthnet · 2016. 8. 6. · Standard Plan Basic Plan Maximum Benefit Per Calendar Year $1,500 $750 Annual Deductible-Preventive Diagnostic-Basic and Major

Page 1

2016 Group 2

mercermarketplace.com/SYKES

1-855-543-4322 2

What This Presentation Covers

• Eligibility and How to Enroll

• Medical Plans

• Dental Plans

• Vision Plan

• Flexible Spending Accounts (FSAs)

• Life and AD&D Insurance

• Disability Insurance

• Voluntary Benefits

• Employee Assistance Plan (EAP)

• Get Answers to Your Benefits Questions

3

Eligibility

• You

o Must regularly work at least 30 hours per week

• Your spouse and dependent children

• Your domestic partner and their dependent children

o All benefits except life insurance

o Must complete a Domestic Partner Affidavit, which can be found on mercermarketplace.com/SYKES

Note: If you regularly work fewer than 30 hours per week, you may be eligible for the Transamerica medical plans and some Aflac options. SYKES does not contribute to your coverage.

3

Page 4

What’s New for the 2016 Benefits Plan Year

• Great news! This year is a passive benefits enrollment for the 2016 plan year

o If you don’t want to make any changes to your SYKES plan elections, dependents, or beneficiaries from the 2015 plan year, then you don’t need to take any action for most plans. However, you must re-enroll annually into spending accounts (Flexible Spending and Health Savings Account).

Your elections, dependents, and beneficiaries from the previous plan year will carry over.

Please note: There could be changes to the rates of which you’ll need to be aware. To check premiums, please see the rate sheets, go online to the Mercer Marketplace (mercermarketplace.com/SYKES) or contact your HR representative.

o In order to enroll, make changes to plan enrollments or to check premiums, you’ll need to take the steps as noted in this presentation and in the enrollment materials.

• There is more good news!

o Only small changes to the plans and plan design – from last year to this year.

Page 5

An Assortment of Quality Benefit Options

Medical & Pharmacy

Dental

Vision

Discounts(Perkspot)

Supplemental (Voluntary Benefits)


1-855-543-4322 6

How to Enroll Onlinemercermarketplace.com/SYKES

• You must enroll either during the Annual Enrollment period (Oct. 22 – Nov. 5), or if you are a new hire, during your benefits eligibility waiting period.

• Coverage takes effect:

– January 1st for Annual Enrollment

– New hires become effective the first of the month after 60 days from the end of your 30-day Orientation Period, but in no case longer than 120 days from your hire date.

Password Instructions: See next slide

Password Issues? Call the Benefit Center at

1-855-543-4322 for support.

New for 2016: Live chat!


1-855-543-4322

How to Enroll Onlinemercermarketplace.com/SYKES

Returning Enrollees to Mercer Marketplace:

• Username: Use the username you created in the past. If you have forgotten your username, please contact Mercer Marketplace at 1-855-543-4322.

• Password: Your password will be reset to your last name and the last four digits of your Social Security number (Example: Jones1234).

First-Time Enrollees to Mercer Marketplace:

• Username and Password: You’ll need your Social Security number, last name, and date of birth to identify yourself and then you will be prompted to select a unique username and password that you will use going forward.

• If you have any issues logging in, you can also click on the ‘Can’t access my account’ link or you may call the Mercer Marketplace Benefit Center at 1-855-543-4322.

7October 26, 2015


1-855-543-4322 8

How to Enroll Online: mercermarketplace.com/SYKES (continued)

1. Once you have logged in, click “Get Started”

2. Review your personal and dependent information

3. Compare your plan options and enroll

• Review each benefit plan that is offered

• Enroll in those you would like and decline those you do not need

4. When you are finished,

• You should print your confirmation statement and save it

You can make changes to your benefit electionsuntil the enrollment period ends.


1-855-543-4322 9

Your Medical Plan Options

• Three medical plan options:

1. Low Limited Benefit Medical Plan

2. Medium Limited Benefit Medical Plan

3. $2,500 Deductible Plan with HSA

What’s the same between the plans:

What’s different between the plans:

•All plans satisfy your obligation under Healthcare Reform to have coverage•All plans cover essential benefits

(preventive services) at 100%in-network

•What you pay for covered services differs from plan to plan• Limited Benefit Medical Plans: you have

a fixed dollar benefit for covered services•$2,500 Deductible Plan with HSA: you

pay the full cost for services until you meet the deductible


1-855-543-4322 10

Your Medical Plan Options (continued)

• The difference among the plans is this:

The amount you pay in premiums per paycheck

The amount the plan will pay toward covered services

You Pay Plan Pays

Bi-Weekly DeductionEmployee Only

Per Day Office Visit Hospital Confinement

Low Limited Benefit Plan

Reference rate sheets $60 $300/day, up to $20,000 Calendar Year max

Medium Limited Benefit Plan

Reference rate sheets $80 $500/day, up to $100,000 Calendar Year max

$2,500 Deductible Plan w/HSA

Reference rate sheets 70% after deductible ($2,500)

70% after deductible ($2,500)

Please consult your 2016 Benefit Guide that will be provided to you for full details on cost and coverage options. Or, you may also call a certified Mercer Marketplace counselor at 1-855-543-4322 with benefit coverage questions before and after you enroll.


1-855-543-4322 11

Consider Other Options

Depending on your:

• Household income

• Family size

Medicaid could:

Offer better coverage

Cost less

Keep you safe from any tax penalties

Check to see if you qualify for Medicaid:→ Contact a licensed Mercer Marketplace Counselor at

1-855-543-4322→ Go to healthcare.gov


1-855-543-4322 12

Prescription Drugs

Limited Benefit Medical Plans

$2,500 Deductible Plan w/HSA

• Generic: $10 benefit for 30-day supply (insurance pays $10 and you are responsible for the remainder)

• Brand: $20 benefit for 30-day supply(insurance pays $20 and you are responsible for the remainder)

• Maximum of 3 prescriptions/month*

• Mail order available

• Pay the full cost of prescriptions until you meet the deductible

• Once you meet deductible,plan pays 70% coinsurance(in-network)

• Mail order available

* You may fill no more than 1 prescription/day.


1-855-543-4322 13

Dental Plans

• Administered by Delta Dental(www.deltadental.com)

• You pay a percentage of the cost for service

• You may see any dentist—but a network dentist will save you money based on a negotiated rate

Plan Feature Coverage Amount

Standard Plan Basic Plan

Maximum Benefit Per Calendar Year $1,500 $750

Annual Deductible-Preventive Diagnostic-Basic and Major (Individual/family)

None$50/$150

None$50/$150

Preventive (exams, cleanings) You pay 0% You pay 10%

Basic Services (fillings, oral surgery, repairs) You pay 20% You pay 30%Major Services (endodontics, crowns, bridges, dentures)-One year waiting period

You pay 50% N/A

Orthodontia Not covered Not covered


1-855-543-4322 14

Vision Plan

• Vision plan administered by EyeMed

• Go to the EyeMed website to find a provider in your area (www.eyemedvisioncare.com)

Standard Vision Plan

Plan Feature In-Network

Eye Exam (once/year) $10 copay

Standard Lenses $25 copay

Lens Options $15-$75 copay

Contacts (in lieu of glasses) Covered up to $130

Frequency for Lenses or Contacts Every 12 months

Frames Up to $130 allowance; 20% discount any amount over

Frequency for Frames Every 24 months


1-855-543-4322 15

Health Care Flexible Spending Account (FSA)

• Use this account to pay eligible out-of-pocket medical, dental, and vision expenses that you have during the 2016 calendar year

• You elect to contribute each pay to your FSA (pre-tax)—from $5 per pay up to $2,550 annually

• Use your Benefits Debit Card to pay your eligible expenses

Remember: Use It or Lose It! (You’ll need to plan wisely and use all your

FSA funds during the plan year, or lose them)


1-855-543-4322 16

Dependent Care Flexible Spending Account (FSA)

• Use this account to pay approved expenses you have during the 2016 calendar year that relate to caring for a dependent (child or spouse)while you work

• You elect to contribute each pay to your FSA—from $5 per pay up to $5,000 annually (pre-tax)

• Use your Benefits Debit Card to pay your eligible expenses

• A list of eligible expenses can be found at:https://www.discoverybenefits.com/employees/eligible-expenses

Remember: Use It or Lose It! (You’ll need to plan wisely and use all your

FSA funds during the plan year, or lose them)


1-855-543-4322 17

Life and AD&D Insurance

• Basic Life & AD&D

– You are covered for $5,000 at no cost to you

– Coverage underwritten by The Hartford

• Supplemental Life

– Available for you, your spouse, domestic partner, dependent children, and domestic partner children

– See your Benefits Guide or contact a Mercer Marketplace Benefits Counselor for more information

• Supplemental Accidental Death & Disability (AD&D)

– Also available for you, your spouse, domestic partner, dependent children, and domestic partner children

Evidence of Insurability (EOI) If Evidence of Insurability is required for enrollment into any of these plans you will be prompted for it during the enrollment process.


1-855-543-4322 18

Voluntary Short-Term & Long-Term Disability

• Short-Term Disability (STD) – Voluntary coverage that pays you a fixed dollar benefit while away from work for a short-term disability

– Depending on your work location, available through either your local Aflac representative or The Hartford at mercermarketplace.com/SYKES

• Long-Term Disability (LTD) - Voluntary coverage that pays you a fixed dollar benefit while away from work for a long-term disability

– Available from The Hartfordat mercermarketplace.com/SYKES

Evidence of Insurability (EOI) If Evidence of Insurability is required for enrollment into either of these plans you will be prompted for it during the enrollment process.


1-855-543-4322 19

Other Supplemental (Voluntary) Benefits

Transit Flexible

Spending Account

Aflac plans

Pet Insurance

Health Advocate

ID Theft

Group Legal

Perkspot (Employee Discounts)

ID Theft

• Please note: Not all benefits are effective January 1, 2016. Some benefits are not

available in certain states.


1-855-543-4322 20

Employee Assistance Program (EAP)

• An employee assistance program (EAP) is a program designed to assist you in resolving personal problems (such as marital, financial or emotional problems; family issues; substance/alcohol abuse) that may be troubling you

• No cost to you

• Confidential counseling service offered 24x7 through ComPsych

– https://www.guidanceresources.com/groWeb/login/login.xhtml

– 1-800-272-7255

– Company Code: COM589

• Referrals for help with personal issues

• Other services

‒ FamilySource

‒ FinancialConnect

‒ LegalConnect


1-855-543-4322

Smart Ways to Save Money

• Here are two easy ways you can save moneyon healthcare expenses:

1. In-network vs. out-of-network: Before you visit a doctor, dentist, provider, or facility, make sure that the person or facility is in-network, meaning he or she (or it) is part of your health plan. If you see an out-of-network provider, your costs will be higher. You can check on this by calling the provider’s office, or by looking online. Usually, it’s safest to call.

2. Generic medications: Make sure that when you visit the pharmacy or call mail-order for your (or your family’s prescriptions), you ask for the generic equivalent of the medication. Sometimes, however, generic will not be available.

21October 26, 2015


1-855-543-4322 22

Get Answers to Your Benefits Questions

Online: Go online to www.mercermarketplace.com/SYKES

Phone: Contact licensed Benefits Counselors through the Benefit Center at1-855-543-4322

October 5 - December 5, 2015

Monday through Friday from 7:00 am - 10:00 pm EST Saturdays from 10:00 am - 2:00 pm EST (with exceptions on holidays)

December 6 – December 31, 2015

7:00 am – 10 pm EST, Monday through FridaySaturday and Sunday: Closed

After January 1, 2016 7:00 am - 9:00 pm EST, Monday through Friday Saturday and Sunday: Closed

Documents

Analytics Project Outline Healthnet · 2016. 8. 6. · Standard Plan Basic Plan Maximum Benefit Per Calendar Year $1,500 $750 Annual Deductible-Preventive Diagnostic-Basic and Major