2018-2019 benefits guide · employee hsa accounts. here is how it works -• you must be covered...

2018-2019

Benefits

Guide

Your Health

Your Decision

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When can I Enroll? Elections made now will remain until the next open enrollment period unless you or your family members experience a qualifying event. If you experience a qualifying event, you must contact Human Resources within 31 days.

Welcome to your 2018-2019

Benefits Open Enrollment

Enrollment Process………………..………………………………..3

Mobile App……………………………………………………………...4

Medical………………………………………………………………...5-6

Dental……………………………………………………………………...7

Vision……………………………………………………………………….8

Voluntary Benefits…………………………….……………..…9-10

Life Insurance………………………………………………………..11

Disability…………………………………………………………….....12

Identity Theft Protection…………………………………….….13

Important Contacts………………………………………………..14

What’s in the guide? We are honored to present your 2018-2019 Benefit Options! The elections you make during your enrollment will be effective March 1, 2018 through February 28, 2019.

Bulkmatic Transport Company offers you and your eligible family members (current legal spouse and dependent children) a comprehensive and valuable benefits program. We encourage you to take the time to educate yourself about your options and choose the best coverage for you and your family.

• High Deductible Health Plan (replacing the current basic plan). Includes a cumulative family deductible that will apply to your prescription drugs.

• Health Savings Account Option for eligible HDHP participants

• Express Scripts is our new pharmacy vendor. You will receive 2 separate medical and pharmacy ID cards.

• Deductibles and out-of-pocket maximums have increased.

• 12 month Frame Allowance on the Vision plan

New for

2018

2018-2019 Bulkmatic Transport Company Benefits Guide

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Enrollment Process

Options to Enroll

Decide which of these two convenient enrollment options best fits your needs:

Self-Service - available February 1st - February 11th

Visit www.explainmybenefits.com/bulkmatic on any computer, click on the black “Log into Your Open Enrollment” button and move through the enrollment system at your own pace. Or download the new Mobile App on your phone or tablet (see page 4 for instructions) and move through the enrollment at your own pace.

Be sure to click “submit” at the end of the process and make note of your confirmation number. If you do not receive a confirmation number you have not completed your enrollment and you will not be enrolled for the 2018-2019 plan year.

Return to the system anytime and click your confirmation number to view your confirmation statement.

Call Center

Call the Explain My Benefits Call Center at 888-447-1191.

9:00am - 5:00pm EST; Monday, February 5th - Friday, February 9th to speak with a benefit counselor, one-on-one regarding your benefits.

Reminders

When using any of the above options for enrollment:

• Be sure to review the 2018-2019 Benefit Guide and plan summaries prior to going through any enrollment process.

• Be prepared by gathering dependent and beneficiary information (i.e. collect info such as SSNs and birth dates)

The benefits you elect during Open Enrollment will be effective March 1, 2018.

Open Enrollment is the one time per year that you can make changes to your benefits without a qualifying life event.

Open Enrollment will be held from Thursday, February 1st - Sunday February 11th

Mandatory Enrollment Process! Every employee (including new hires) must re-elect or waive coverage for March 1st or your current benefits coverage will be terminated.

We are again partnering with Explain My Benefits, our technology/ benefit communication vendor to assist in our Open Enrollment. This year we will have a self-service online enrollment using the EMB Enroll online system.

http://www.explainmybenefits.com/bulkmatic

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Mobile App


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Cigna is the medical provider this year for Bulkmatic Transport Company. Comprehensive healthcare provides peace of mind. In case of an illness or injury, you and your family are covered with an excellent medical plan through Bulkmatic Transport Company.

The plans allow you to select where you receive your medical services; however, if you use in-network providers, your out-of-pocket costs will be less.

New Pharmacy benefits will be offered through Express Scripts. You will receive a separate ID card.

New Non-Embedded Deductible that applies to Pharmacy on HDHP Basic Plan.

New HDHP Basic Plan Premium Buy-Up Plan

In Network Out of Network In Network Out of Network

Deductible (Non-Embedded*) Deductible (Embedded)

Individual $1,350 $2,700 $750 $1,500

Family $2,700 $5,400 $1,350 $2,700

Coinsurance 20% 45% 15% 35%

Coinsurance Out of Pocket Maximum

Individual $6,000 $15,000 $4,500 $15,000

Family $11,000 $25,000 $8,000 $25,000

Doctor’s Office

Office Visit (PCP / SCP) 20% after deductible 45% after deductible 15% after deductible 35% after deductible

Preventive Care Services 100% Covered 45% after deductible 100% Covered 35% after deductible

Hospital Services

Emergency Room 20% after deductible 20% after deductible 15% after deductible 15% after deductible

Urgent Care Center 20% after deductible 45% after deductible 15% after deductible 35% after deductible

Inpatient 20% after deductible 45% after deductible 15% after deductible 35% after deductible

Outpatient Surgery 20% after deductible 45% after deductible 15% after deductible 35% after deductible

Ambulance Service 20% after deductible 20% after deductible 15% after deductible 15% after deductible

Other Services

Diagnostic Lab/X-ray 20% after deductible 45% after deductible 15% after deductible 35% after deductible

Diagnostic (MRI, CT Scans, etc.) 20% after deductible 45% after deductible 15% after deductible 35% after deductible

Prescriptions (Available through Express Scripts)

Retail (34 day supply) Generic/Preferred/Non-Preferred

$10 / $35 / $80 after deductible**

$20 / $70 / $160 after deductible**

$10 / $35 / $80 $20 / $70 / $160

Direct Mail (90 day supply) $10 / $53 / $120 after deductible

Not Covered $10 / $53 / $120 Not Covered

Go to www.mycigna.com to locate a Network Provider. *Eligible Dependents to 26th birthday. Go to www.express-scripts.com to locate a Pharmacy.

Employee Employee & Spouse Employee & Children* Family* Weekly Payroll Deductions

$27.50 $57.75 $52.25 $71.88 Basic Plan (Non-Tobacco)

$52.50 $110.25 $99.75 $137.50 Basic Plan (Tobacco)

Premium Plan (Non-Tobacco) $61.80 $129.78 $117.42 $154.50

Premium Plan (Tobacco) $95.00 $199.50 $180.50 $237.50

Medical & Pharmacy

*Under IRS Guidelines the HDHP plan must have a Non-Embedded deductible which applies to pharmacy. If you have dependents covered, the full family deductible must be satisfied before the plan cost shares. One person in your family could meet the full family deductible or any combination of family members. **Deductible waived for certain preventive drugs.

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Health Savings Account (HSA) For HDHP Base Plan Participants Only

A Health Savings Account paired with your High Deductible Health Plan (HDHP) Basic Plan helps you plan, save, and pay for health care. HSA’s are individual savings accounts that offer tax savings for qualified medical expenses (medical, dental, vision). Bulkmatic Transport offers convenient pre-tax deductions and has partnered with Cigna and HSA Bank to administer employee HSA accounts.

Here is how it works -

• You must be covered under a high deductible health plan (HDHP) on the first day of the month.

• You have NO other health coverage (PPO, POS, FSA) except what is permitted by the IRS.

• You are not enrolled in Medicare, Tricare or receiving VA benefits.

• You cannot be claimed as a dependent on someone else’s tax return.

If you are eligible for an HSA, by electing the Cigna HDHP Basic Plan an account will be opened for you! Be watchful for information from HSA Bank as they may need to validate your identity to fully open your account.

What you need to know -

Deposit your health care dollars:

• Deposits - While you are participating in a qualifying high-deductible health plan, anyone can make a deposit into your HSA - you, your employer, your family or any other individual. Bulkmatic will arrange for deposits to be deducted from your paycheck pre-tax into your account. This Open Enrollment Only! If you are eligible and contribute into an HSA, Bulkmatic will also contribute $25 into your account on March 1st, then again on September 1st if you are still contributing!

• Contribution Limits - The IRS sets guidelines for how much can be contributed to an HSA each year. For 2018 - up to $3,450 for an individual or $6,900

for a family. Age 55+ an additional $1,000. This applies to all contributions, including the Bulkmatic contributions.

Grow your savings

• Earnings - Deposits to your HSA could earn income tax-free interest.

• Investment options - Some HSAs offer an option to invest some of your HSA dollars in mutual funds after you have saved a certain amount in your account—if that fits your risk tolerance and long-term goals.

• Carry-over - There is no “use it or lose it” rule for HSAs. Unspent funds remain in your account.

Save on taxes

• Contributions - The money you contribute to your HSA is tax-deductible up to the annual contribution limit. So, if you are in the 28% tax bracket and deposit $3,000 into your HSA, you could save $840 in federal income taxes.

• Distributions - Money you take out of your HSA to pay for qualified medical expenses (medical, dental, vision) is tax-free.

For complete details on what expenses are covered and not covered under the plan, please refer to the IRS Pub 502 at www.irs.gov/pub/irs-pdf/p502.pdf.

• Earnings - Interest you may earn on your HSA grows income tax free.

Pay for health care, now or later

• Qualified medical expenses - Pay for current and future medical expenses for you, your spouse and your eligible dependents. You can continue to use the funds in your account even if you stop participating in a HDHP. (stop contributions).

• Payment methods - The HSA offers a debit card you can use to pay pharmacies, doctors, clinics and other health care providers on the spot. Or, you can withdraw funds to reimburse yourself for out-of-pocket expenses.

• Tax implications - It’s up to you to maintain records to verify that funds were used for qualified medical expenses. Funds used for nonqualified expenses will be taxed as income subject to a 20% IRS tax penalty. If you are 65 and older, the 20% penalty does not apply.


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Good oral care enhances overall physical health, appearance and mental well-being. Problems with the teeth and gums are common and easily treated health problems. Keep your teeth healthy and your smile bright with the Bulkmatic Transport Company dental benefit plan.

Go to www.metlife.com/mybenefits to locate a network provider. Please note that your out-of-pocket costs may be more if you choose to go to a nonparticipating provider. *Eligible Dependents to their 26th birthday.

MetLife Dental

In-Network Out-of-Network

Annual Deductible $100 per person, maximum of $300 per family

Maximum Payment $1,200 per person per calendar year

Diagnostic & Preventive

Exams, Cleanings, Fluoride and Space Maintainers

100% 100%

X-rays 100% 100%

Emergency Palliative Treatment 100% 100%

Basic Restorative Services (Deductible Applies)

Sealants 80% 80%

Fillings & Prefabricated Crowns 80% 80%

Endodontics Root Canal 80% 80%

Periodontal Services 80% 80%

Oral Surgery 80% 80%

General Anesthesia 80% 80%

Major Restorative Services (Deductible Applies)

Crowns/Inlays/Onlays 50% 50%

Repairs 50% 50%

Bridges/Dentures 50% 50%

Orthodontic Services

Orthodontic Services ($1,500 lifetime max) 50% 50%

Orthodontic Age Limit Up to age 19

Employee Employee & Spouse Employee & Children* Family* Weekly Payroll Deductions $2.35 $5.07 $5.96 $9.36

Dental

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Regular eye examinations cannot only determine your need for corrective eyewear, but also may detect general health problems in their earliest stages. Protection for your eyes should be a major concern to everyone.

For a complete list of providers, go to www.metlife.com/mybenefits or call 855-638-3931.

*Eligible Dependents to their 26th birthday

Vision Care Services

Basic Vision Plan

In-Network Out-of-Network (reimbursement)

Exam with Dilation $10 Copay Up to $45

Standard Contact Lens Exam $60 Copay Up to $45

Retinal Imaging $39 Copay N/A

Frames

$25 Copay, $130 Allowance, 80% of charge over $130

Costco: $25 Copay, $70 Allowance (no discount over $70 allowance)

Up to $70

Single Vision Lenses $25 Copay Up to $30

Lined Bifocal Lenses $25 Copay Up to $50

Lined Trifocal Lenses $25 Copay Up to $65

Polycarbonate (children up to age 18) $25 Copay N/A

Ultraviolet (UV) Coating $25 Copay N/A

Contacts $130 Allowance Up to $105

Medically Necessary Contacts $0 Copay, Paid in Full after Eyewear Copay Up to $210

Laser Vision Correction 15% off regular price or 5% off promotional N/A

Frequency

Examination Once every 12 months

Lenses & Contacts Once every 12 months

Frames Once every 12 months


Vision


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What are Voluntary Benefits? Voluntary Benefits are offered to strengthen your overall benefits package. You customize the benefit based on need and affordability.

• Ownership – Policies are fully portable and belong to you if you leave your employer, same price and same plan

• Benefits are payroll deducted

• Cash benefits are paid directly to you, not to a hospital or to a doctor

• Benefits are paid regardless of any other coverage you may have

• Level premiums

• Guaranteed Renewable

• Designed to provide additional cash flow to assist with out of pocket medical costs and other bills

The Voluntary Benefits offered through MetLife are Accident and Critical Illness.

Accident Plan


A plan that helps pay for the unexpected expenses that result from an accident

• Off the job coverage

• Family coverage available

• Sports related injuries covered as well

Just a few examples of benefit included in the plan:

• Emergency Care - $50 - $100

• Hospitalization - $1,000 - $2,000 admission benefit

• Hospital Confinement - $200 per day benefit

• Fractures & Dislocations - up to $6,000

• Physician Follow-up - $75

• See brochure for a complete list of benefits

• Benefit reduces by 25% at age 65 and 50% at age 70

*Dependents up to age 26 can be covered regardless of student status.

Voluntary Benefits

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Critical Illness is a benefit that will pay you a lump sum of money if you are diagnosed with a critical illness, heart attack, or stroke. The cash benefit is provided upon the first diagnosis of a covered condition to help you with associated costs and beyond.

Special Underwriting at Initial Offering

Guaranteed Issue:

$15,000 employee/spouse/children

OR

$30,000 employee/spouse/children

If you waived this benefit previously, you must answer a few health questions and be approved for coverage.

Regardless of other coverage in force, the benefit is paid out in a full lump sum. Covered Conditions (Initial Benefit): Full Benefit Cancer, Heart Attack, Stroke, Coronary Artery Bypass Graft, Kidney Failure, Alzheimer’s Disease, Major Organ Transplant, Partial Benefit Cancer (25% benefit) plus 22 additional conditions (25% benefit). Recurrence Benefit: The plan pays a Recurrence Benefit equal to the Initial Benefit for the following Covered Conditions: Heart Attack, Coronary Artery Bypass Graft, Full Benefit Cancer and Partial Benefit Cancer. The maximum amount that can be received through the plan is the Total Benefit and it is 3 times the amount of the Initial Benefit. That means you can receive multiple Initial Benefit and Recurrence Benefit payments until you reach the maximum of 300%. A Health Screening Benefit is included in your Critical Illness Policy and pays $50 ($15,000 Initial Benefit) or $100 ($30,000 Initial Benefit) per each insured. Each covered person will get one screening test percalendar year.

Examples of Health Screenings:

Rates: This benefit is customized by each employee so rates vary by coverage and age. Your specific rate will be calculated in the enrollment system. See brochure for more details.

Critical Illness Plan

• Mammography • Stress Test • Serum Cholesterol • Endoscopy

• Pap Smear • Colonoscopy • Prostate Specific Antigen • EKG

Voluntary Benefits


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Basic Term Life and Accidental

Death & Dismemberment

The amount of life insurance that is right for you depends on a variety of factors, including your age, family status, personal savings, financial commitments, etc. Bulkmatic Transport Company offers a variety of programs to meet your life insurance needs. Bulkmatic Transport Company provides a basic life and accidental death and dismemberment (AD&D) insurance coverage, through Cigna, to all benefit eligible employees at no cost to the employee.

Voluntary Supplemental Term Life You also have the opportunity to purchase supplemental coverage for yourself, spouse and dependent children. Please note that dependent children include unmarried adopted, natural or stepchildren from birth to age 26.

You may elect Voluntary Life Insurance in increments of $10,000 to a maximum of $900,000, not to exceed 3x your current annual salary. You may elect Voluntary Life Insurance on your spouse in increments of $10,000 to a maximum of $100,000, not to exceed 100% of your Optional Life Benefit. You may also elect Voluntary Life Insurance on your child(ren) up to $5,000.

Guaranteed Issue Amount at Initial Offering Only

$400,000 employee (not to exceed 3x current annual salary) / $20,000 spouse / $5,000 children

If you waived this benefit previously or wish to increase your coverage, you must complete an EOI and be approved for coverage.

Age Band Employee Life

Monthly Rate per $1,000

Age Band Employee Life

Monthly Rate per $1,000

Child Life Monthly Rates

per $1,000

Spouse Life Monthly Rate

Spouse Life Monthly Rate

per $1,000

<25 $0.132 50 - 54 $0.660 $0.158 $0.036 $0.252

25 - 29 $0.132 55 - 59 $1.224 $0.048 $0.384

30 - 34 $0.180 60 - 64 $1.560 $0.072 $0.600

35 - 39 $0.216 65 - 69 $2.472 $0.084 $1.008

40 - 44 $0.252 70+ $3.996 $0.120 $1.824

45 - 49 $0.384 $0.168

Costs for Voluntary Supplemental Life and Accidental Death & Dismemberment

Example: A 36 year old female, Sally, wants to purchase $50,000 of term life insurance. .216 x 50 = $10.80 x 12/52 = $2.49 Monthly rate # of units/$1,000 monthly premium Weekly Per $1,000 Premium

Life Insurance

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Short-Term Disability

As an employee of Bulkmatic Transport Company, you are able to enroll in Short Term Disability (STD) coverage through Cigna. STD supplements your lost wages should you be unable to work due to an illness, injury or pregnancy. STD coverage begins after missing the specific elimination period below due to a medically certified reason. Benefits are payable up to the specific benefit duration period below.

Long-Term Disability

As an employee of Bulkmatic Transport Company, you are provided with Long Term Disability (LTD) coverage through Cigna. LTD supplements your lost wages should you be unable to work due to an illness, injury or pregnancy. LTD coverage begins after missing the specific elimination period below due to a medically certified reason. Benefits are payable up to the specific benefit duration period below.

Elimination Period (sickness or accident): 180 days

Maximum Benefit Period: Social Security Normal Retirement Age

Monthly Benefit: 50% of your monthly earnings to a maximum benefit of $5,000

Pre-Existing Condition: Anything you received medical treatment, advice or consultation, care or services including diagnostic measures, or had drugs or medicine prescribed or taken in the 3 months prior to your insurance effective date will not be covered for the first 12 months of the policy.

Disability

Option 1 Option 2

Injury/Sickness/Maternity Elimination Period 0 days accident / 28 day sickness

Maximum Benefit Period 26 Weeks from date of disability

Benefit Percentage 50% Weekly Earnings 60% Weekly Earnings

Maximum Weekly Benefit $500 $1,000

Monthly Rate per $10 of Weekly Benefit $1.276

Pre-Existing Condition: Anything you received medical treatment, advice or consultation, care or services including diagnostic measures, or had drugs or medicine prescribed or take in the 3 months prior to your insurance effective date will not be covered for the first 12 months of the policy.

Option 1 Option 2

Based on an employee with a $31,200 annual salary

Weekly Earnings $600 Weekly Earnings $600

Multiply by 50% $300 Multiply by 60% $360

Divide Coverage by 10 30 Divide Coverage by 10 36

Multiply by Rate $1.276 Multiply by Rate $1.276

Est. Monthly Cost $38.28 Est. Monthly Cost $45.94

Multiply by 12 and Divide by 52 to get Weekly Rate

$8.83 Multiply by 12 and Divide by 52 to get Weekly Rate

$10.60


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*Employee & Children and Family Tiers: You may enroll up to 8 children with 4 of those children between the ages of 18 and 26.


Identity Theft Protection

Identity theft in the United States is a major problem that continues to be on the rise. Professional protection and assistance have become important tools in fighting the identity theft epidemic.

Thieves today can get a hold of your personal information from trash cans, dumpsters, stolen mail, and even shoulder surfing. Once thieves have your information, it’s a simple matter to open new fraudulent ac-counts and make purchases in your name.

When you enroll in LifeLock, you can be confident knowing that they are available 24 hours a day, 7 days a week, and committed 100% to helping protect your information as if it were their own.

LifeLock offers Proactive Protection:

• LifeLock Identity Theft Alert System • Lost Wallet Protection

• Address Change Verification • Black Market Website Surveillance

• Live Member Service Support • LifeLock Privacy Monitor

• Reduce Pre-Approved Credit Card Offers • Identity Restoration Support

• Stolen Funds Replacement - up to $100,000 • Fictitious Identity Monitoring

• Court Records Scanning • Data Breach Notifications

• Investment Account Activity Alerts

$1 Million Total Service Guarantee

LifeLock’s proactive approach works to help stop identity theft before it happens. As a LifeLock member, if you become a victim of identity theft because of a failure in their service, they will help fix it at their expense, up to $1,000,000.

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Vendor Phone Number Website

Medical Cigna

800-244-6224 www.mycigna.com

HSA Account HSA Bank

800-357-6246 www.hsabank.com

Pharmacy Express Scripts

855-230-7781 www.express-scripts.com

Dental MetLife

800-275-4638 www.metlife.com/mybenefits

Vision MetLife

855-638-3931 www.metlife.com/mybenefits

Life Insurance Cigna


Disability Cigna


Identity Theft Protection LifeLock

800-543-3562 www.lifelock.com

Voluntary Benefits MetLife

800-438-6388 www.metlife.com

MetLife Claims Help Explain My Benefits

888-734-6937, Option 3 [email protected]

Important Contacts

Benefit Guide Description

Please Note: This guide provides information regarding the Bulkmatic Transport Company

benefit program. More detailed information is available from the plan documents and

administrative contacts. The plans and policies stated in this information are not a contract or a promise of benefits of any kind, and therefore,

should not be interpreted as such.

2018-2019 benefits guide · employee hsa accounts. here is how it works -• you must be covered...

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