2024 Open Enrollment Webinar Slide Deck
Presentation used for BB&N's webinars on our benefits prior to the upcoming open enrollment period.
EMPLOYEE BENEFITS OPEN ENROLLMENT JUNE 1, 2024 – MAY 31, 2025
WHAT IS OPEN ENROLLMENT?
OPEN ENROLLMENT is the period of time set by BB&N WHAT IS OPEN that occurs annually and allows you to make changes to your ENROLLMENT? benefit elections Monday, May 6th – Friday, May 17th ELECTIONS made during open enrollment cannot be changed until the next 2024 is a passive enrollment, meaning your open enrollment period, unless current elections will automatically carry over if you have a “qualifying event” no changes are needed. QUALIFYING EVENTS • Change in marital status • Birth or adoption of a child • Change in eligibility status • Death of your spouse or dependent PLANS ELIGIBLE For open enrollment include: • Medical • Dental • Vision • Health FSA/ Dependent Care FSA • Life and Disability
WHAT’S NEW WHAT IS STAYING FOR 2024? THE SAME? PPO Medical plan option – Nationwide and Dental and Vision coverage will continue to be local network coverage and benefits provided by BCBS – Rates are not changing! available for out-of-network providers! 2024-2025 Contribution Rates Life/Disability/Leave insurance - MetLife Rate increases will not go into effect until Medical plan buy-out will not be offered for new September (first pay period, September 13th) employees -Only employees currently participating may Health FSA maximum increase continue Discounts & Pet insurance - BenefitHub WellCents – Helping Employees Develop Financial Confidence
2024 – 2025 Employee Contributions Employee Only Employee + One Family Bi-weekly cost Bi-weekly cost Bi-weekly cost The amounts listed are for Medical – HMO $113.20 $277.08 $337.77 full-time staff and faculty. Costs are deducted from your Medical – HMO HDP $94.16 $243.82 $280.97 paycheck on a bi-weekly basis. Medical – PPO HDP $103.19 $267.20 $307.91 Dental $15.51 - $38.28 Vision $3.84 $7.40 $11.45
MEDICAL
KEY MEDICAL TERMS PCP A PrimaryCarePhysiciandesignatedwith yourhealthplanwhoprovidesthe first contact of care. The PCPwill also provide referrals for specialist services as needed DEDUCTIBLE Theamountyouneedtopayeachyearforeligiblehealthcare expensesbefore insurance paymentsbegin COPAY A fixed amount you pay each time you get a healthcare service [doesn’t apply to BB&N plan] COINSURANCE Thepercentage of costs of a covered healthcare service you pay (i.e. 20%) after you have paid your deductible. For example: You receive a service for $100 that requires you to pay coinsurance. Your deductible has been met. You will pay 20% of the $100 service, or $20. [doesn’t apply to BB&N plan] OUT-OF- POCKET Themaximumamountyoupayeachyearforeligiblehealthcare expensesin deductible, MAXIMUM copayments, and coinsurance [doesn’t apply to BB&N plan] ALLOWEDAMOUNT Maximumamountonwhichpaymentisbasedforcoveredhealthcareservices.Thismaybecalled “eligible expense,” “payment allowance,” or “negotiated rate.” If your provider charges more than the allowed amount, and is out of network, you may have to pay the difference. (Out of network) When a provider bills you for the difference between the provider’s charge and the BALANCEBILLING allowed amount.For example, if the provider’s charge is $100 and the allowed amount is $70, the provider may bill you for the remaining $30. A preferred provider may not balance bill you for covered services.
MEDICAL PLAN OPTIONS Plan year Deductible June 1 – May 31 Blue Cross Blue Shield of MA Blue Cross Blue Shield of MA Blue Cross Blue Shield of MA HMO HMO HDP PPO HDP In-Network Only In-Network Only In-Network / Out-of-Network Plan Deductible $4,500 member / $9,000 family $4,500 member / $9,000 family $4,000 member / $8,000 family BB&N Pays via RSI $4,000 member / $8,000 family $3,750 member / $7,500 family $3,000 member / $6,000 family Employee Deductible $500 member / $1,000 family $750 member / $1,500 family $1,000 member / $2,000 family Responsibility Out-of-Pocket Max $6,450 member / $12,900 family $6,450 member / $12,900 family $6,450 member / $12,900 family Preventive Visit $0 $0 $0 $0 PCP Office Visit $0 after deductible $0 after deductible $0 after deductible $0 after deductible Specialist Visit $0 after deductible $0 after deductible $0 after deductible $0 after deductible Emergency Room Visit $0 after deductible $0 after deductible $0 after deductible $0 after deductible Diagnostic Visit $0 after deductible $0 after deductible $0 after deductible $0 after deductible Imaging $0 after deductible $0 after deductible $0 after deductible $0 after deductible InpatientCare $0 after deductible $0 after deductible $0 after deductible $0 after deductible OutpatientCare $0 after deductible $0 after deductible $0 after deductible $0 after deductible Prescription Drugs All tiers $0 PPO HDP Plan: Please note that balance billing for the amount over allowed charges applies to all Out Of Network claims that are submitted to BCBSMA/RSI. The balance billed amounts are completely outside of the medical plan. Please refer to the medical plan certificate for more information.
MEDICAL PLAN DESIGN BCBS Insurance with Participating Funding Arrangement (PFA) administered by RSI HMO Individual Two-Party & Family Full BCBS $4,500 Full BCBS $9,000 BCBS HMO Member Deductible Deductible Responsibility: - Your $500 - Your $1,000 Per Member $500 Deductible Deductible =BB&N Pays $4,000 = BB&N Pays $8,000 Family Maximum $1,000 HMO High Deductible Plan (HDP) Individual Two-Party & Family Full BCBS $4,500 Full BCBS $9,000 BCBS HMO HDP Member Deductible Deductible Responsibility: - Your $750 - Your $1,500 Per Member $750 Deductible Deductible =BB&N Pays $3,750 = BB&N Pays $7,500 Family Maximum $1,500
MEDICAL PLAN DESIGN BCBS Insurance with Participating Funding Arrangement (PFA) administered by RSI NEW PPO HDP Plan Option! Individual Two-Party & Family Full BCBS $4,000 Full BCBS $8,000 BCBS PPO HDP Member Deductible Deductible Responsibility: - Your $1,000 - Your $2,000 Per Member $1,000 Deductible Deductible =BB&N Pays $3,000 = BB&N Pays $6,000 Family Maximum $2,000
DEDUCTIBLE SERVICES BCBS HMO, HMO HDP & PPO HDP Member Responsibility: Office Visit Deductible applies Specialist Visit Deductible applies Emergency Room Deductible applies Inpatient Stay Day Surgery Deductible applies High Tech Imaging Labs & X-Rays Deductible applies
RX DRUG BENEFITS • Same benefit level for HMO, HMO HDP & PPO HDP • All major pharmacies are included • Pharmacy Benefit Manager is CVS Caremark • Member uses RSI debit card to cover the full cost of covered Rx drugs Member Responsibility Tier 1 Tier 2 Tier 3 30 Day (Retail) $0 $0 $0 90 Day (Mail Order) $0 $0 $0
YOUR PFA WITH RSI What You Do What BCBS Does What RSI Does + You or a dependent visits a provider + BCBS will process your claim + RSI will issue payment to your provider directly + Show your BCBS ID Card + Then they will notify/pay the provider for the BB&N plan’s share of the deductible and + You pay nothing at the time of the visit + They will send a Summary of Health Plan select copays + Your doctor or provider will bill BCBS Payments to you and your provider. The + RSI will notify you via RSI’s EOB of what BB&N + Track your claims in the RSI Claims Portal for Summary is not a bill and should be saved for has paid on your behalf BB&N Employees your records! + They will let you know what portion of the bill + BCBS sends a weekly report to RSI on your claim you are responsible for paying as outlined in your RSI EOB. YOUR ID CARDS Blue Cross Blue Shield Blue Cross Blue Shield RSI RSI MEDICAL DENTAL MEDICAL PAYER CARD DEBIT CARD This is your primary health insurance This is your dental insurance card. This is your medical supplemental This is your debit card to pay for all card. Please show this card to all Please show this card to your dental payer card. This card is for your approved BCBS Rx medications and all medical providers at the time of provider at the time of service. personal reference only and has no qualified FSA and DCA expenses. service, including pharmacists. commercial value.
RSI EXPLANATION OF BENEFITS When you receive your RSI Explanation of Benefits (EOB), make sure it matches the bill sent from the provider before you pay anything. Remember: IF IT’S RED, READ IT! RSI’s Explanation of Benefits (EOB) educates you of your final plan liabilities as well as: + Patient name + Date of service + How much is owed + How much was paid + The provider from whom you will receive a bill + Where you are in your deductible to date HAVE QUESTIONS? Have a question about your Health Plan? Confused about a bill or collection notice you received from a medical provider? Need assistance talking to your medical provider about your plan? The RSI Claims Advocate for BB&N can help! Margaret Patenaude Phone: 1-855-493-9859 x6153 Email: [email protected]
EXPERTASSISTANTS OurHealthAssistantsare experienced,expert WhatWe Compassionateassistance assistants proficient in navigating the constantly fromindustryexperts evolving health care system. Caring, friendly and Promise readyto supportmembers with their healthcare. PRIVACYISOURPOLICY Memberinteractions with TouchCareare 100% Wetakeemployeeprivacy confidential. TouchCare is HIPAA compliant and abides by extremely seriously strict security and confidentiality standards that ensure memberinformationis never shared. We’re not a call center. Our team is madeupofrealpeople,whocan listen and solve complex issues for members, ULIMITEDACCESS OurHealthAssistantsare experienced,expert compassionately and swiftly. All of our convenient services, assistants proficient in navigating the constantly free for members evolving health care system. Caring, friendly and readyto supportmembers with their healthcare.
WhyaskTouchCareforhelp? SaveMoney SaveTime GetSupport AvoidErrors LessStress TouchCare Health Health Assistants work on Healthcare is confusing. According to our own It can be stressful dealing www.touchca Assistants ensure members behalf of members, saving OurHealth Assistants s data, around 50% of the with healthcare. Our goal re.com never pay more than they them time that would have are locally-based and bills that review contain is to work on the hard needto for everything beenwasted on waiting on come to TouchCare with an error. We’ve helped stuff, so members can focus from medical procedures years of experience to prescriptions. hold with providers and workingin recuperate and average on what really matters – carriers. the healthcare system. of $1400 per instance. feeling better.
Finding, Choosing, Benefit Questions How do We Help? and Scheduling and Navigation We find quality doctors with We help members navigate all all the specifications of their work-sponsored requested by members. benefits as well as any TouchCare assists with more than just available ancillary options. medical insurance. We support ALL employee benefits including dental, vision, voluntary, FSAs, PFML/medical Cost Estimates & Billing & Claims leave paperwork, and more. Comparisons Assistance Members can get cost Our experts work with estimates for services in providers & carriers to ensure their area and compare with bills are accurate and other facilities nearby. members aren’t overpaying.
To open their first case, members simply need to register. GettingStarted Registration is easy and can be done in a few minutes through our online portal at www.touchcare.com/portal. 1 CreateanAccount 2 VerifyEmail 3 CompleteForm Finally, fill out our Visit www.touchcare.com Uponcreating your quick intake form with andclick on ‘member account, you will be your full name, DOB, login.’ Click new asked to verify your www.touchca andcompany to finish 1 creating your profile. memberonthe sign-up email address. Find the 9 re.com You’re all set! pageandenter your verification email in your email address. inbox and click ‘verify email.’ www.touchcare.com/ask
DENTAL
DENTAL PLAN BLUE CROSS BLUE SHIELD OF MA DENTAL BLUE FREEDOM Benefits begin on June 1st but dental benefits are provided In-Network on a calendar year basis Annual Deductible $50 member / $150 family maximum Annual Maximum Benefits $1,500 / year per person PreventiveCare (Cleanings and Exams) 100% Coverage; deductible does not apply to preventive services Basic Care (Fillings, Extractions, etc.) 80%Coverage* MajorCare (Crowns, Implants, Dentures) 50%Coverage* Orthodontia 100% Coverage; deductible does not apply to orthodontia services Lifetime maximum of $2,000 per family member Accumulated MaximumRollover If your claims do not exceed $700 during the plan year, BCBS will rollover $500 towards your calendar year maximum to use next year and beyond. The rollover balance is capped at $1,250 *after deductible Benefits are reduced by 20 percent when services are received from an out-of-network dentist
VISION
VISION PLAN BLUE CROSS BLUE SHIELD OF MA 20/20 VISION PLAN In-Network Out-of-NetworkReimbursement EyeExam – Benefit available every 12 months $10copay Up to $50 Frames – Benefit available every 24 months Allowance $150 allowance, then additional 20% off the balance Up to $90 Lenses &Enhancements – Benefit available every 12 months SingleVision $25 copay Up to $42 LinedBifocal $25 copay Up to $78 Lined Trifocal Lenses $25 copay Up to $130 StandardProgressive $90 copay Up to $130 ContactLenses – Benefit available every 12 months Conventional $150 allowance, then additional 15% off the balance Up to $120 Disposable $150 allowance Up to $120 Medically Necessary Paid in full Up to $210
FLEXIBLE SPENDING ACCOUNT (FSA)
FLEXIBLE SPENDING ACCOUNTS Healthcare FSA Dependent Care FSA Annual Contribution Max FSA Benefits Annual Contribution Max $3,200 Enjoy significant tax savings with pre-tax deductible $5,000 per household ($2,500 if married filing separately) Rollover contributions and tax-free reimbursements for qualified plan expenses Rollover Rollover up to $640 of unused funds into the next plan Unused funds are forfeited at the end of the plan year year. Unused funds beyond $640 are forfeited Quickly and easily access funds using the prepaid Eligible Expenses benefits card at point of sale, or request to have funds Eligible Expenses Use funds on FSA-eligible out-of-pocket medical, dental, directly deposited to your bank account via online or and vision expenses mobile app Use funds on FSA-eligible childcare or eldercare expenses How to use Funds How to use Funds Use your FSA debit card at point of sale or request Get one-click answers to benefits questions Request reimbursement with receipt through your reimbursement with receipt through your member portal member portal Plan Administrator File claims easily online (when required) and let the Plan Administrator Reimbursement Specialists, Inc. (RSI) system determine approval based on eligibility and Reimbursement Specialists, Inc. (RSI) availability of funds Enrolling Annually Enrolling Annually The IRS requires annual re-enrollment in Flexible Stay up to date on balances and action required with The IRS requires annual re-enrollment in Flexible Spending Accounts. The funds you elect for the year are automated email alerts and the convenient web portal Spending Accounts. The funds you elect for the year are available to use the day the plan begins and mobile app home page messages available to use the day the plan begins
LIFE AND LONG TERM LONG TERM AND DISABILITY SHORT TERM INSURANCE DISABILITY
LIFE AND AD&D INSURANCE + Employees receive 1x your salary up to $100,000 in life coverage and AD&D coverage + This benefit reduces to 67% at age 70 + BB&N covers 100% of the premium costs of Life and Accidental Death and Dismemberment Insurance through MetLife. + Employees are automatically enrolled in this coverage once they become benefits eligible. + Employees must choose a beneficiary upon eligibility. Additional employee Life insurance on an employee-paid basis is also available. This benefit is provided to all benefits-eligible employees and does not require enrollment. However, we do recommend reviewing your designated beneficiaries regularly to ensure we have the most updated information.
LONG-TERM DISABILITY Long-Term Disability (LTD) insurance provides income to workers whose earnings are interrupted by periods of disability longer than 90 consecutive days. Long-term disability refers to a condition where an individual is unable to work for an extended period due to a severe illness, injury, or medical condition. LTD insurance is designed to provide financial support to individuals who are unable to work due to such disabilities, offering a portion of their pre-disability income to help cover living expenses and medical costs during their period of incapacity. This insurance can offer peace of mind by providing a safety net for individuals and their families in the event of a long-lasting inability to work. This benefit pays 60% of your This benefit begins paying Coverage is paid for by your monthly salary tax-free up to after 90 days of disability employer and enrollment is $6,500 automatic
Employee Paid Supplemental Life Insurance Opportunity Employee Paid Supplemental Life Insurance Opportunity • Supplemental Life Insurance is additional Term Life insurance beyond what BB&N provides and it’s 100% employee paid (participation is voluntary) • Supplemental Life is purchased in increments of $10,000 above the BB&N provided Basic Life coverage amount (one times base salary) for faculty/staff • Employees can elect an amount up to the lesser of 5x salary or $300,000 • Most Supplemental Life coverage elected after initial eligibility requires medical questions before acceptance, i.e. Evidence of Insurability (EOI) • If you already have Supplemental Life Insurance you may elect an additional $10,000 up to a combined $120,000 of Supplemental Life without EOI • Coverage is portable if an employee leaves BB&N
ADDITIONAL PERKS
FINANCIAL WELLNESS *NEW FOR 2024!* Helping Employees Develop Financial Confidence TM : WellCents mywellcentsapp.com/login WellCentsTM is a financial wellness solution that helps employees develop financial confidence and remove barriers that prohibit them from reaching their financial goals. Personal Investment Retirement Theprogramprovides: Finance Planning Planning + Personal financial assessments and planning guidance + One-on-one consultations with an IMA Retirement advisor focused on establishing a personalized financial plan based upon the employee’s Protection Estate Retiring unique financial priorities Planning Planning Well + Coordinated advice that integrates an employer’s available benefits offerings Questions? Please feel free to contact + Tailored group education meetings to address a workforce’s specific Ben Stein, Retirement Plan Manager. areas of interest + Mobile appfor employees to complete assessments, schedule one-on- TM WellCents program technology is not proprietary to IMA Retirement. This technology is one sessions, and review action plans offered through the RPAG platform. RPAG and IMA Retirement are separate, non-affiliated companies. IMA Retirement pays RPAG for use of their platform and resources. + Employer reporting that provides insights into a workforce’s financial challenges and measures overall wellness
BENEFITHUB BenefitHub’s Discount Marketplace houses “real and relevant” deals offering something for everyone. Employees can find incredible savings of up to 60% on hotels, 39% on movie tickets, 60% on apparel and more, including Pet Insurance! • To enrich the amazing discounts, over 70% of the offers provide cash back, too! Tracked in the portal for easy access and redeemable at any time. • Employees are able to easily and conveniently access their marketplace from any device. BenefitHub’s smart technology and dynamic maps use geolocation to show ‘deals near you’ for shopping on the go. • Live service is available 24/7 1) Go to: bbns.benefithub.com BenefitHub is available to all BB&N employees and family members! It’s 2) Enter referral code: 9SYQUQ easy to sign up and start saving today with BenefitHub! 3) Complete Registration Call 1-866-664-4621 or email [email protected]
EAP - LIFEWORKS Employee Assistance Program • Employees & Dependents have access to an array of confidential services to help you meet the challenges that life, work, and relationships bring. You have unlimited, 24/7 access to: • Information, Resources, & Referrals for family matters such as Call: 1-888-319-7819 to speak with a child & elder care, personal growth and emotional wellbeing counselor or schedule an appointment • Legal Experts for issues relating to civil, personal and family law, Mobile App: Search “LifeWorks” on financial matters, real estate & estate planning iTunes App Store or Google Play Online: metlifeeap.lifeworks.com • Financial Experts for budgeting, financial guidance, retirement username: metlifeeap & password: eap planning, buying or selling a home, tax issues
![2024 Open Enrollment Webinar Slide Deck - Page 33](/cdn-cgi/image/width=600,quality=80,format=webp/https://cdn.relayto.com/images_originals/663507ed55afa.jpeg)
NEXT STEPS
OPEN ENROLLMENT SCHEDULE Feel free to join any of the scheduled events we have listed below! TOUCHCARE WEBINAR: WellCents WEBINAR: th • Wednesday, May 8 4:30pm – 5pm (Zoom) • Monday, May 13th 5:30-6pm (Microsoft Teams) ON CAMPUS OFFICE HOURS: OPEN ENROLLMENT VIRTUAL OFFICE HOURS: • Upper School Commons: Tuesday, May 7th 11am – 1pm Please note that RSI will be available for questions th th • Middle School Stowe Room: Wednesday, May 8 11am – 1pm • Tuesday, May 14 10am – 11am (Zoom) th th • Lower School Kelsey House: Thursday, May 9 11am – 1pm • Tuesday, May 14 3:30pm – 4:30pm (Zoom) BENEFITHUB WEBINAR: OPEN ENROLLMENT BEGINS! th MAY 6th th • Wednesday, May 15 4:00pm – 4:30pm (Zoom) – MAY 17
Next Steps Continue on the same BB&N insurance plan with the same individual or family coverage… You do not need to re-enroll Changing medical plans, the number of people covered, or opting out of the BB&N plan altogether? Re-elect with your changes in ADP To participate or continue to participate in the Flexible Savings Account (Health and Dependent Care)… Enroll via ADP We recommend logging into ADP to review your elections so that no mistakes are made: Medical, Dental, Vision, Healthcare FSA, Dependent Care FSA, Supplemental Life Insurance. TH Enrollment Deadline: FRIDAY, MAY 17
QUESTIONS?