Open Enrollment 2016 IMPORTANT PLEASE READ! Medical, Dental, Vision, Long Term Disability Insurance TIP: Open Enrollment is not offered every year and future open enrollment periods are not guaranteed UMR will mail insurance identification cards to all health plan enrollees’ home address Medical Plan (UMR) Managing your health $0 Preventive Health Services The health plan provides for an annual wellness visit with your physician with a $0 co-payment Preventive services save you money Disease Management Active participation in the disease management and coaching programs offered through UMR & OnLife health The University of Arkansas is offering an open enrollment for medical, dental and vision plans The open enrollment period begins on November 2, and ends December 1, 2015 All changes made during this period will be effective January 1, 2016 Enrollment forms are enclosed or available for download from the Department of Human Resources’ website http://ualr.edu/humanresources/current/benefits/open-enrollment2016/ Forms may also be picked up in the Department of Human Resources This is a once-a-year opportunity to make changes to your benefits After December 1, 2015, you can only make changes if you are within 30 days “of a qualifying life event” (marriage, divorce, birth, etc) All forms must be returned to Human Resources by Tuesday, December 1, 2015 LATE FORMS WILL NOT BE ACCEPTED Through December 1, 2015, you can make the following changes: • Enroll for the first time in medical, dental or vision coverage; • Add or delete eligible dependents to/from medical, dental or vision plans; • Cancel medical, dental or vision coverage; • Change between Classic and Point of Service medical plans; • Change vision insurance between the Basic and Enhanced Vision Plan; • Enroll in Flexible Spending Accounts (Dependent Care and/or Health Care) This is a positive election and you must re-enroll each calendar year • Change medical, dental and vision premiums between after-tax and pre-tax No evidence of insurability, pre-existing condition exclusions, or waiting periods apply If you are currently enrolled in the medical, dental or vision plan and NOT want to make any changes, NO action is required; your current coverage will remain the same This will include after-tax and pre-tax contributions UMR has a national network; therefore, participants are not required to select a Primary Care Physician (PCP) Medical services can be accessed by any of the network providers in the UMR network For a listing of participating providers visit UMR’s website at http://www.umr.com/oss/cms/UMR/UAS There is no increase in Health premiums for 2016 Medical Changes (Classic/In-Network Plan) • Deductibles will increase from $750 to $1250 (individual); and from $1500 to $2500 (family) • Out of pocket (OOP) maximum $5250 (individual) and $10,500 (family) OOP is the maximum combined deductible, co-insurance and co-pays you will pay in a calendar year Family OOP maximum requires two individual family members to meet the individual OOP maximum See Medical plan comparison for additional information – footnotes: (c) • Participants who participated in the Health Screening and took the Health Assessment by 09/30/2015 will receive the $1400 reduction in their 2016 Maximum OOP and $2800 reduction for family Medical Plan cont Provide for $0 co-pay for generic medications for diabetes & hypertension Call 1-866-494-4502 for more details or to enroll Pregnancy Management If you are pregnant or become pregnant, enroll in the health plan pregnancy assistance and education program You’ll receive a $300 discount off of your hospital expenses if you enroll within the 1st trimester or $150 off if you enroll in your 2nd trimester Contact UMR 1-866-494-4502 Tobacco Products If you currently use or have recently quit using tobacco or nicotine products, enroll in the cessation or maintain tobacco-free programs with OnLife The program offers $0 co-pay Chantix and you can receive the nicotine replacement patches at $0 co-pay through the health plan Dental Plan (Delta Dental) Did you know the dental plan provides a “carry-over” plan for additional dental benefit dollars? Contact Delta Dental each year to see if you have “carry-over” benefits Remember that covered individuals have two cleanings and annual exams that are covered in full each year • UPDATE: Newly hired employees with an effective date of August 1, 2015 or greater for medical insurance; will receive the 2016 Maximum OOP reduction • Prescription co-pays; $15 (generic), $50 (preferred name brand), & $80 (nonpreferred name brand) • Prescription co-payments will have a separate $1600 (individual) and $3200 (family) out-of-pocket maximum Does not apply to Referenced Based Pricing which is 100% member paid or non-covered medications • Pregnancy benefit update: UAMS offers a $500 waiver of out-of-pocket expenses for deliveries at its hospital (This includes deductible and co-payment/co-insurance) Pre-authorization is required This is a change from their previous $1000 waiver Changes you can make by December 1, 2015 Enroll in Health plan as a new member effective January 1, 2016 Add spouse or children effective January 1, 2016 Drop spouse or children effective December 31, 2015 Switch between the two Health plans, Classic or Point of Service, effective January 1, 2016 Terminate coverage effective December 31, 2015 The Dental plan offers expanded preventative care for individuals with diabetes, heart disease and periodontal disease and will now cover nitrous oxide sedation For a listing of participating dentist, visit Delta Dental’s website; www.deltadentalar.com There is no increase in Dental premiums for 2016 Dental FYI • The dental plan provides for two annual exams and cleanings, covered in full, you pay $0 co-payment If you are diabetic or have heart/renal disease, additional cleanings and exams are available at the same $0 cost Using your dental preventative services you also trigger the plan carry-over which will credit you with more dental plan dollars to be used in a future year Your plan maximum could be increased as high as $3000, versus the normal $1500 annual benefits limit in a calendar year • Dental rates are listed on the attached 2016 Benefit rate sheet Benefits are described in the Dental Schedule of Benefits under the 2016 Open Enrollment section on the Human Resources’ website at www.ualr.edu/humanresources Changes you can make by December 1, 2015 Enroll in Dental as a new member effective January 1, 2016 Add spouse or children effective January 1, 2016 Drop spouse or children effective December 31, 2015 Terminate coverage effective December 31, 2015 Vision Plan (Superior Vision) The vision plan offers a Basic or Enhanced Plan For comparison information of the two plans, please visit the Human Resources’ website for information under vision coverage Vision Plan cont Vision insurance provides coverage for eye exam, lenses, frames or contacts Your benefits are greater if you use a Superior Vision participating provider Check “Locate a Provider” on Superior Vision’s website at www.superiorvision.com There is no increase in Vision premiums for 2016 Changes you can make by December 1, 2015 Enroll in Vision as a new member effective January 1, 2016 Add spouse or children effective January 1, 2016 Drop spouse or children effective December 31, 2015 Change between the two Vision plans, Basic or Enhanced, effective January 1, 2016 Terminate coverage effective December 31, 2015 Long Term Disability The University’s Long Term Disability program is administered by The Standard You can University provides benefit coverage for employees’ salary up to $20,000 Employees may elect optional coverage to cover salary in excess of $20,000 Disability benefit provides 60% of annual salary Voluntary Products Long-term care Home/Auto Critical Illness Plan Long Term Care Insurance - CNA Long Term Care Insurance is not simply nursing home care for the elderly It encompasses a variety of services for people who need assistance with the ordinary activities of daily living, including home-based care Home/Auto Insurance (Liberty Mutual) Critical Illness Plan (MetLife) Apply for $10,000 or $20,000 of coverage that pays a lump sum benefits if you experience one of the following medical elect to cover your salary in excess of $20,000 (maximum covered salary $100,000 for Long Term Disability) During the open enrollment period, employees can enroll in optional long term disability without providing evidence of insurability Enrollment for the option long term disability program would provide an employee 60% of their total salary if a long term disability occurred Payments will be made to the employee until age 65 (benefit payments are extended for a limited period beyond age 65 if disability occurred at age 65) During this special open enrollment there are no health questions to answer However, if you sign up during this open enrollment, your plan will be subject to a 12 month pre-existing condition exclusion period Pre-existing means that you had symptoms, took medications, had treatment, or were diagnosed during the six month period immediately prior to your 1/1/2016 effective date of coverage Employees wishing to enroll in Long Term Disability Insurance must request and complete a UA Group Change form This form can be obtained from Human Resources Rate calculation is available on the Human Resources’ website Enjoy discounted group rates and the convenience of payroll deduction by contacting these carriers for information on individual insurance policy The coverage you elect and the cost of that coverage is determined by you and the carrier The carrier will advise Human Resources of the payroll deduction amount Long Term Care – SPECIAL NOTE: New enrollment opportunities for the long-term care program will end on January 31, 2016 The University will phase out payroll deductions for the long-term premiums Participants may continue their long-term care insurance through CNA through bank draft or other direct payment with the vendor, CNA Long Term Care Insurance is not simply nursing home care for the elderly It encompasses a variety of services for people who need assistance with the ordinary activities of daily living, including home-based care Contact CNA at 1-877-777-9072 or www.ltcbenefits.com (password is UALTC) Policies are subject to underwriting and can be extended to family members including parents and grandparents You can enroll at any time through Liberty Mutual for home/auto insurance and enjoy a discount up to 15% on auto, home and renters insurance Contact Liberty Mutual at 1-800-524-9400 or www.libertymutual.com MetLife is offering an enrollment opportunity during Open Enrollment for employees and their dependents Apply for $10,000 or $20,000 of coverage that pays a lump sum benefits if you experience one of the following medical conditions* - cancer, heart attack, stroke, kidney failure, major organ transplant, Alzheimer’s (newly added), or coronary artery bypass graft (as defined in the insurance certificate as issued by MetLife) The plan has also been enhanced to pay up to three times in the case of a separate diagnosis or recurring illness conditions* - cancer, heart attack, stroke, kidney failure, major organ transplant, Alzheimer’s (newly added), or coronary artery bypass graft (*as defined in the insurance certificate as issued by MetLife) Accidental Death & Dismemberment (AD & D) Flexible Spending Accounts The maximum annual limit for the health care spending account is $2,550 FSA AUTOMATICALLY ENDS DECEMBER 31, 2015 You must re-enroll by December 1, 2015 if you want to participate in 2016 This is an annual enrollment Note: ALWAYS keep your receipts on FSA expenditures Maintain them in your files the same as your other tax records Promptly send in documentation when requested by UMR Remember, this is a benefit that reduces your taxable income, so UMR must follow IRS rules Using the Benny card (FSA debit card) is a convenience Dependent Eligibility Critical Illness Insurance is designed to pay you a lump sum benefit Benefits are paid directly to you Participants in the Critical Illness Insurance must be covered by a health insurance plan Enrollment is subject to a health questionnaire or screening Contact MetLife directly at 1-800-GET-MET8 (1-800-438-6388) or visit www.metlife.com/mybenefits AD&D Insurance is purchased in $25,000 increments from a minimum of $25,000 to a maximum of $300,000 AD&D will pay a benefit in the event of a death or dismemberment caused by an accident You can enroll, increase, decrease, or cancel AD&D coverage at any time Complete a Group Benefits Change form, available at www.ualr.edu/humanresources Rate information is available on the Human Resources’ website IMPORTANT NOTE: Health Care Flexible Spending Account increases to $2550 This is the annual enrollment period for the flexible spending accounts (Health Care and Dependent Care Reimbursement Accounts) You may want to consider enrolling in the Health Care FSA, if you have out-of-pocket medical expenses such as braces, prescriptions and insurance co-pays, insurance deductibles and co-insurance Eligible expenses include medical, dental or vision expenses not reimbursed by an insurance plan for the employee, eligible spouse (if filing a joint tax return) and eligible dependents The minimum annual contribution is $120 and the maximum contribution is $2,550 An FSA Debit card is issued with enrollment in the Health Care Reimbursement plan (please retain your current debt card if enrolled in previous plan years) Consider the Dependent Care FSA for qualifying daycare expenses for dependent children under the age of 13 or elderly persons with a disability as long as they are claimed as your dependents for federal tax purposes The maximum annual contribution is $5,000 Important CHANGE regarding your FSA: • Please remember that the “grace period” was removed and the Rollover option was added to the Healthcare FSA beginning in the plan year 2015 • $500 rollover for healthcare FSA – This benefit will continue for the plan year 2016 You will have until December 31, 2015 to incur expenses that will apply to your 2015 Healthcare FSA plan Unused 2015 Healthcare FSA monies (not to exceed $500), will transfer to your 2016 plan Unused amounts in excess of $500 will be forfeited Transfer amount should not be included in your 2016 election amount The transfer benefit may ease your fear of the “use-it-or-lose-it” rule • There is a grace period for the Dependent Care FSA account Employees have until 3/15/16 to incur expenses that will apply to their 2015 Dependent Care FSA All expenses that should apply to the 2015 Dependent Care account must be filed with UMR no later than March 31, 2016 There is no carryover for Dependent Care Accounts; 100% of unused amounts will be forfeited Changes you can make by December 1, 2015 Enroll in a 2016 healthcare FSA Enroll in a 2016 dependent care (daycare) FSA Please make sure that children covered on your medical, dental, vision, life and AD&D plans are eligible dependents NOTE: If both you and your spouse work for the University of Arkansas in benefitseligible positions, you should make sure you coordinate benefits enrollment with each other You cannot be covered as both an employee and a dependent of an employee Reminders Birthdates of covered dependents must be provided on enrollment forms To comply with Federal health care reform reporting requirements, employees will be required to provide Social Security Identification Numbers for spouse and dependents who participate in the University’s health plan The government will use the information collected to identify those individuals who have health coverage or who should be purchasing health coverage through the health care marketplace Eligible spouse and dependent participants in the University benefit plans: • The lawful spouse of an Eligible Employee; as defined by the laws of the State of Arkansas • Each Child of the Eligible Employee from birth until the date on which they attain the age of twenty-six (26) years Child includes (in additional to your natural child) the following: o Adopted Child for whom a petition for adoption has been filed or the final court order has been issued; o Step Child for whom you are legally responsible; o Children can only be covered under one employee’s plan if both employee and spouse work for the University of Arkansas • If you have a child under the age of 3, and wish to enroll them in your dental and/or vision plans, you must enroll them 30 days before or after their rd birthday or during the open enrollment period • All completed enrollment and change forms must be submitted to Human Resources by the deadline of December 1, 2015 to be effective January 1, 2016; • Social Security numbers for covered dependents are required for medical insurance; • Double check FSA elections for enrollment under the correct account (health or dependent care) and verify the amount elected is correct; Rate & Medical Plan SEE ATTACHMENT Comparison Please make sure that your beneficiary information is current If you need to update the Beneficiary beneficiaries for any of your life insurance plans, fill out a “UA Change” form found on the Information Open Enrollment Sessions Human Resources’ website at www.ualr.edu/humanresources Our office maintains your beneficiary designation for Basic Life, Optional Life and AD&D plans Retirement plan beneficiaries are maintained by your plan sponsor If you are enrolled in the UA Retirement Plan, simply log into your TIAA-CREF and/or Fidelity account to update your beneficiary information on-line or contact them: TIAA-CREF www.tiaa-cref.org 1-800-8422776; Fidelity www.fidelity.com 1-800-343-0860 If you participate in the state retirement plan, APERS, forms are available at www.apers.org or by calling 501-682-7800 Wednesday, November 4, 2015 – Donaghey Student Center – Ledbetter Room A 10 – 11 a.m & – 2:00 p.m Meetings regarding Open Enrollment will be held on the following dates listed Same information will be discussed at each meeting Tuesday, November 10, 2015 – Donaghey Student Center – Ledbetter Room A 10 – 11 a.m & – 2:00 p.m Benefits Office Staff Please contact one of the Benefit representatives in Human Resources if you have questions or email hr-benefits@ualr.edu Fax number Tuesday, November 17, 2015 - William H Bowen Law School – 114B 10 – 11 a.m & – 2:00 p.m Thursday, November 19, 2015 – Donaghey Student Center – Ledbetter Room B 10 – 11 a.m & – 2:00 p.m Cynthia Evans Allen Houston Debra Simpson-Webster 501.569.3181 Benefits Specialist cgevans@ualr.edu Benefits Specialist awhouston@ualr.edu Associate Director Benefits dasimpson@ualr.edu