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2015 Open Enrollment

Open Enrollment Saint Francis Care
by

Adriana Florez

on 11 September 2015

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Transcript of 2015 Open Enrollment

The Key To your Success!!
2015 Open Enrollment - Oct 27 to Nov 7
Take Charge, Know your Benefits, Achieve Rewards!!!!
Agenda:
The Good News for 2015!!!!
What's not Changing
Health Plan Options
FSAs & HSAs
2015 Wellness Incentives
Active Open Enrollment
What's Not Changing
Life Insurance
Leave Management Process
Medical Plan Options 2015
Plan Comparison Examples
FSA
HSA
Flexible Spending Accounts
PLUS PLAN or No Coverage
CDHP PLANS
Health Care
Limited Purpose
Dependent Care
Only for Plus Plan or No Coverage
Limited Purpose FSA
Pre-tax
$2,500
Dental and Vision expenses only
Use it or Lose it
Substantition
Only for CDHP plans
PLUS - CDHP - No Coverage
2015 Max pre-tax allowed contribution $2,500
Dental and Vision expenses only
CDHP Plans ONLY
Enrollment in any plan or no coverage
Health Savings Account
Pre-tax Contributions
Rolls over from year to year
Portable
Great Online Platform through Health Equity
Benefits of contributing to an HSA
IRS 2015 Max Employee and Employer Contributions
Incentives
PLUS Plan: up to $400 employee
up to $200 SP /LDA

CDHP Plans: up to $500 employee
up to $200 SP/LDA
Open Enrollment Session
Employee
$50
Wellness Exam by Dec 1
Employee & SP/LDA
$100
Dental Exam by Dec 1
Employee & SP/LDA
$100
Non-Tobacco Affidavit
Employee
$100
Employee
SF Fitness Center or JCC
$150
Other gyms
$75
Employee
$50 each up to $100
Mammogram
2016 Incentives
To earn incentives you MUST submit
Wellness Passport by Dec 1

Individual - $ 3,350
Family (employee + 1) - $6,650
additional $1,000 if over age 55
You are age 65 or older
You have other coverage
You have a traditional Health Care FSA
Are claimed on someone else's taxes
Important Information
about HSAs
TM
Pre-tax contributions
Substantiation
Use it or lose it
Important
30
Short & Long Term Disability
Full Time rates
Eligibility for full time benefits
Rates
No increases to Medical or Dental
Decreases in vision
Plan Design
No changes to deductibles,
Co-pays or Co-insurance
Medical
Dental
New Option for 2015
CDHP 2
Wider Provider Network
PDP PLUS - 307183
IMPORTANT!!
If Enrolled in HCFSA for 2014 you MUST spend monies by 12/31/14
CDHP Plans only
You can't contribute to HSA if:
VOLUNTARY BENEFITS
Group Critical Illness
Group Accident Insurance
Short Term Disability
Whole Life Insurance
Life Enricher Program
Coming Spring 2015
Healthcare Blue Book
Transparency Tool
In-Network
Max out of Pocket
2015 Open Enrollment - ACTIVE
MUST make election or waive
failure to do so will default to coverage CDHP 2 Plan - Single Coverage
Active Enrollment
You MUST enroll from Oct 27 to Nov 7
Confirmation Statements
Contact
Online Tools & Resources
Thank you!
Contact the Benefits Hotline
877-301-3589
Group Term Life 1x base salary
Supplemental Life Insurance
Employee, Spouse, Child
Designate Beneficiaries

Short & Long Term Disability
FMLA
866-330-5257
$50 Spec
$150 ER
$250 InPatient
$40 Outpatient
Co-pays $35 PCP
Deductible SF Network
Ind - $500
Fam- $1000
Deductible applies to
Radiology,
Lab Services
Rehab
Inpatient Services
PLUS Plan
Consumer Driven Health Plan
Deductible

Individual - $1,500
Family - $3,000


All services and prescription
subject to deductible
New CDHP 2
Deductibles:
Individual -
Family -
$2,500
$5,000
Rates:
Lower premiums
Coverage:
Same as CDHP & PLUS Plans
Networks
Out of Network
ConnectiCare
Saint Francis
Wellness Covered at 100%
Refer to Benefit Summaries
on the Infonet
for additional information
866-346-5800
Meet With a Health Coach
Employee
$100
Make appointment
contact the
C.M. Smith Health Coaches Hotline
860-714-7970
Biometrics Clinics
Employee
Oct 28 - Nov 14
$100
Schedule an
appointment
on the infonet
Recommended Frequency of wellness exam
Ages 18 - 39 every 3 years

Ages 40 - 49 every 2 years

Age 50 + every year
Tobacco Cessation Program
Employee & SP/LDA
$50
"No Ifs Ands or Butts"
860-714-7970

"QuitCare"
800-390-3522
Pap smear
Colonoscopy
Employee
Self Service
Nov 10 - Dec 1
The Great News
2015
Hyatt Legal
Hyatt Legal
$4.33 / Wk or $18.75 / Mth
Must Complete Paper Enrollment Form
Cancellations / New Enrollments
CCMC
Saint Francis Network
CLS
RAH
MSRH / PT Partners
Saint Francis Entities
JMMC
All ConnectiCare
Providers
ConnectiCare Network
$13,000
$13,000
Value Added Programs
Healthy Alternatives
College Tuition Rewards
www.connecticare.com
2015 Max Pre-tax allowed contribution $2,500
Qualified Medical Expenses
2015 Max pre-tax allowed contribution for family $5,000
Day Care Expenses
Pre - Diabetes Program
Employee & SP/LDA
Screening Lab $50 by Nov 15
If eligible to participate and enroll in program
$50 by Dec 1
History of Diabetes or Gestational Diabetes
Overweight
Age 45 or older
Delivered a baby over 9lbs
African American, Hispanic, Pacific Islander, Asian American or American Indian
Pre-Diabetes
Program

16 weekly one hr sessions
Monthly Sessions
Successful completion of program
incentive in 2016
Gym Membership
Gaps in Care
Establish & meet a goal in 2015
with Health Coach
Successful completion of
Pre-diabetes or
Tobacco Cessation Program
HealthShared
100,000]
70,000
Benefits Hotline
877-301-3589

BestCare for Our Health
(860) 714-2666

C.M.Smith Health Coaches
(860) 714-7970



Human Resources


Health & Wellness
nfonet
Contact Health Equity @
Full transcript