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Open Enrollment Presentation 2019 BONNER SPRINGS/EDWARDSVILLE SCHOOL DISTRICT

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Page 1: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

Open Enrollment Presentation

2019BONNER SPRINGS/EDWARDSVILLE SCHOOL DISTRICT

Page 2: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

Agenda

1. Welcome!

2. Healthcare Consumerism Tools & Resources

3. Medical Plan Options and Costs

4. Savings Accounts (HSA & FSA)

5. Dental

6. Vision

7. Voluntary Products

8. Next Steps

Page 3: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

WELCOME!

• Important Dates

• Qualifying Life Event

SECTION 1

Page 4: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

Welcome!

The benefits you elect now are effective

January 1, 2019– December 31, 2019

• Your deductible/out-pocket maximums will re-set to zero on January 1,

2019

• If you select the HMO, you will need to designate a primary care

physician name and ID#. You can find the ID# doing a provider

search at www.bluekc.com.

• Remember to review all your plan options and networks to determine

what best fits your needs

• Consider these things:

1. How do you and your family use the plan?

2. What you are paying in premium to purchase the plan?

3. Factor in the District’s HSA contributions which reduces your

overall exposure

4. Does moving to a lower priced plan make sense?

Page 5: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

Wellness Program

1. Programs and challenges focusing on a variety of topics including physical, mental and

financial wellbeing. Have some fun and earn prizes by participating in the initiatives most

meaningful to you!

2. Monthly communications to keep you in the loop and offer practical tips for maximizing your

personal wellbeing.

3. Get involved and give back with community activity opportunities.

4. “A Healthier You” online wellness portal from Blue Cross. Utilize resources, complete activities

and earn points that can be used to enter Blue Cross sweepstakes.

*In 2019, our premium incentive design is evolving and will be linked to the activities available on

the Blue Cross “A Healthier You” portal offering you more options to earn the incentive. Watch

for more details to come later this fall.

WELLNESS CHAMPIONS:

· BSHS – Crystal Coleman-Richardson

· CMS – Lisa Krone

· BSE – Tammy Dooley

· DRE – Kristi Flack

· EDW – Joshua Merrill

· McDanield/Head Start/District - Kaela Williams

USD 204 WELLNESS VISION STATEMENT“To empower and reward employees for living sustainable

healthy lives both in and out of the workplace”

Page 6: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

Qualifying Life Event

Unless you have a qualified change in status, you cannot make changes to

the benefits you elect until the next annual enrollment period.

• Qualified changes in status include:

• Birth of a child, adoption, marriage, death, divorce, loss of coverage (if you

or your spouse/dependents are covered under another plan and then lose

that coverage)

Should you wish to make changes to your elections due to a qualifying event, you

have 31 days from the event to notify Human Resources and complete/turn in the appropriate paperwork. Otherwise you will have to wait until the next annual

enrollment to make any changes to your benefit elections.

Adding a Newborn

If you have Single Coverage or are currently covering Dependents:

• Request coverage for the newborn within 31 days following the birth

• The baby WILL NOT be automatically enrolled for you

• After you complete the enrollment request, the child will be added

retroactive to his/her birth date

• The member could be responsible for additional Premium

Page 7: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

HEALTHCARE

TOOLS &

RESOURCES• BCBSKC Resources

• Routine Preventative Services

SECTION 2

Page 8: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

BCBSKC

Resources

RETAIL TELEHEATLH1. Visit amwell.com and download the app.

2. Access from anywhere, 24/7/365.

3. Pay PCP copay, or $49 if you are enrolled in a QHDHP.

4. “Facetime” visit for: cold, flu, rash, migraine, pink eye,

ear infection, etc.

RX SAVINGS SOLUTIONS1. Access via your member portal at Mybluekc.com.

2. Find out if a generic is available.

3. Research savings opportunities.

Page 9: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

Routine Preventative

Services

In-Network routine preventive services and the

related office visit for routine preventive services

covered at 100%

• Annual Physicals

• Childhood immunizations

• Well women exams including mammograms

• PSA Tests

• Colorectal cancer exams

• Generic contraceptive drugs at 100%

• Breastfeeding support, supplies (pumps)

and counseling at 100%

Services MUST be Preventive

Services MUST be done in a different calendar year

All services received from an out-of-network provider are subject to the out-of-network deductible and coinsurance,except for childhood immunizations, which are paid at 100%.

Page 10: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

2019 MEDICAL PLAN

• Medical Insurance Terms

• Network Availability

• Network Differences

• Spira Care

• Plan Designs & Cost

• Claim Examples

SECTION 3

Page 11: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

Copay – a fixed dollar amount you pay for covered services. Such

services include but are not limited to physician office visits, urgent care,

and prescriptions.

Medical Insurance Terms

Out-of-Pocket Maximum – is the most you will pay in a

given plan year for your benefits, not including your premium. Your

deductible, copays, and coinsurance all accumulate towards this

maximum amount. Once this is met, all covered services will be paid at

100% for the remainder of the plan year.

Deductible – is the amount of money you pay for services before

coinsurance applies. This does not apply to preventive services required

under the Affordable Care Act.

Coinsurance – is the percentage you pay for certain services

based of the allowed amount charged. Generally, the insurance

company pays the larger portion of the percentage and you pay the

smaller portion. Coinsurance applies after the deductible has been met.

Page 12: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

Network

Availability &

Differences

BCBS of KC Networks

Preferred Care Blue Blue Care BlueSelect Plus

1) Applies to :

Option 2: QHDHP

Option 3: Base PPOOption 4: Buy-Up PPO

1) Applies to :

Option 5: HMO

1) Applies to :

Option 1: Spira Care EPO

2) Larger network in

Greater KC as well as

Nationally and

Internationally

2) Hospitals and

Providers are limited

to Greater KC area

2) Smallest network,

limited to 9 hospitals

and approximately

3,300 providers and

access to the new

Spira Care Centers

3) Provides out-of-

network coverage

3) No coverage out of

network unless it is an

emergency

3) No coverage out of

network, but does

provide access to the

National Blue Card network

The network of providers available to you depends on the plan you choose:

Visit www.bluekc.com to find a provider

Page 13: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

BlueSelect Plus Network

(Option 1: Spira Care EPO)

BlueSelect Plus Hospitals include only:

Children’s Mercy Hospital

Children’s Mercy South Hospital

Liberty Hospital

North Kansas City Hospital

Olathe Medical Center

Shawnee Mission Medical Center

Truman Medical Center – Hospital Hill

Truman Medical Center – Lakewood

University of Kansas Hospital

All other hospitals in BCBS’s service area are considered out

of the BlueSelect Plus Network.

Page 14: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

BlueSelect Plus

Network

1) If you are in the BlueSelect Network and have services provided by a hospital or provider that do not participate in the BlueSelect Plus Network, you will have significantly higher out of pocket costs.

2) If you are traveling and are outside of the BlueSelect Network, you still have access to the BCBS national Blue Card PPO Network and can receive in-network benefits.

3) If you are traveling outside the BlueSelect Plus Network and have a life or limb threatening situation, you will receive emergent care at the in-network level.

Page 15: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

Spira Care Centers

WHAT IS SPIRA CARE?

Blue KC is collaborating with one of the highest-performing Blue KC Medical Homes, to create Spira Care – an innovative new offering centered on a reimagined primary care experience.

Spira members will benefit from the network’s lower overall costs and convenient access to local providers across the metro area. Spira membership and care locations are exclusive to those employer groups enrolled.

Chronic condition

managementSpecialist referrals & scheduling

Digitalx-rays

Common Prescriptionsfilled on-site

Lab draws

Extended full service

hours

Routine preventative

care

Behavioral health

sciences

WHAT SERVICES ARE INCLUDED IN SPIRA CARE?

All preventative health services conducted at your Care Centers are 100% covered with no out-of-pocket cost to members. All diagnostic care is subject to a maximum allowable charge*.

There are currently two locations - Olathe and Shawnee.

OLATHE

15710 West 135th St

Olathe, KS 66062

SHAWNEE

10824 Shawnee Mission Pkwy

Shawnee, KS 66203

LEE’S SUMMIT

760 NW Blue Pkwy

Lee’s Summit, MO 64086

LIBERTY

8350 N Church Rd

Kansas City, MO 64158

WYANDOTTE

Location TBD

CROSSROADS

1916 Grand Blvd

Kansas City, MO 64108

Three more care centers will be opened by January

2019 in the locations below. The Wyandotte location is planned to open mid-2019.

● Children’s Mercy Hospital

● Children’s Mercy Hospital - South

● Liberty Hospital

● North Kansas City Hospital

● Olathe Medical Center

● Shawnee Mission Medical Center

● Truman Medical Center - Hospital Hill

● Truman Medical Center - Lakewood

● University of Kansas Hospital

WHERE ARE THE CLINICS LOCATED?

WHERE ARE THE CLINICS LOCATED?

Page 16: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

Medical Rates

EMPLOYEE ONLY

DISTRICT

FUNDED HSA(EMPLOYEE ONLY)

FAMILY

Option 1: Spira Care EPO $0 $102 $590

Option 2: QHDHP $0 $10 $824

Option 3: BASE PPO $0 N/A $868

Option 4: BUY-UP PPO $116 N/A $1,140

Option 5: HMO $52 N/A $978

Page 17: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

2018 Medical Plan Design

Option 1: Spira Care EPO

BlueSelect Plus

Option 2: QHDHP

Preferred Care Blue

Deductible

Individual

Family

$2,700

$5,400

$2,700

$5,400

Member Coinsurance 0% 0%

Out-of-Pocket Maximum

Individual

Family

In-Network

$2,700

$5,400

In-Network Out-of-Network

$2,700 $5,400

$5,400 $10,800

Office Visit

Primary Care Physician

Specialist

Spira Care Center

Subject to Deductible

Subject to Deductible

$60

Subject to Deductible

Subject to Deductible

N/A

Preventive Care Covered 100% Covered 100%

Urgent Care Subject to Deductible Subject to Deductible

Emergency Room Subject to Deductible Subject to Deductible

Outpatient Surgery Subject to Deductible Subject to Deductible

Inpatient Hospital Services Subject to Deductible Subject to Deductible

Prescription Drug

Retail (30-day supply)

Tier 1 – Generic

Tier 2 – Preferred

Tier 3 – Non-Preferred

Mail Order (120-day supply)

Subject to Medical Deductible

Subject to Medical Deductible

Subject to Medical Deductible

Subject to Medical Deductible

Subject to Medical Deductible

Subject to Medical Deductible

Subject to Medical Deductible

Subject to Medical Deductible

Page 18: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

2018 Medical Plan Design

Option 3: BASE PPO

Preferred Care Blue

Option 4: BUY – UP PPO

Preferred Care Blue

Option 5: HMO

Blue Care

Deductible

Individual

Family

$1,000

$2,000

$500

$1,000

None

None

Member Coinsurance 20% 20% 0%

Out-of-Pocket Maximum

Individual

Family

$4,000

$8,000

$2,750

$5,500

$3,000

$7,500

Office Visit

Primary Care Physician

Specialist

$40

$80

$20

$40

$40

$80

Preventive Care Covered 100% Covered 100% Covered 100%

Urgent Care $80 $40 $80

Emergency Room $200 then deductible then 20% $150 then deductible then 20% $200

Outpatient Surgery Deductible then 20% Deductible then 20%$500 per day up to $2,500/

calendar year/person

Inpatient Hospital Services Deductible then 20% Deductible then 20%$500 per day up to $2,500/

calendar year/person

Prescription Drug

Retail (30-day supply)

Tier 1 – Generic

Tier 2 – Preferred

Tier 3 – Non-Preferred

Mail Order (120-day supply)

N/A

$12

$35

$60

$24 / $70 / $120

N/A

$12

$35

$60

$24 / $70 / $120

N/A

$12

$35

$60

$24 / $70 / $120

Page 19: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

There are many opportunities for savings, especially for those enrolled in family coverage. If you are looking for a premium savings, consider what your savings would be if you were to enroll in one of the lower priced plans.

Example #1:Sally is enrolled as a Family in the Buy-up PPO plan today. She would save $3,264 in premium over the year by moving to the Base PPO.

• Yes, the Base PPO family out-of-pocket maximum is $2,500 more but,• Apply the premium savings of $3,264 toward the out-of-pocket expenses • Sally saves $764 over the year!

Example #2:Sally is enrolled as a Family in the Buy-up PPO plan today. She would save $3,792 in premium over the year by moving to the QHDHP.

• Yes, the QHDHP family out-of-pocket maximum is only $100 more but,• Apply the premium savings of $3,792 toward the out-of-pocket expenses• Sally saves $3,692 over the year!

Medical Premium

Savings Opportunities

Page 20: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

Claim Example #1

Employee in good health with single coverage. Sally has a Preventive exam & lab services, one diagnostic office visit, a Tier 1 Rx filled monthly and one additional

Tier 2 Rx filled just once.

Option 1: Spira

Care EPO

Option 2:

QHDHP

Option 3:

Base PPO

Option 4:

Buy-up PPO

Option 5:

HMO

Premium $0 $0 $0 $1,392 $624

Preventive Exam ($75) $0 $0 $0 $0 $0

One PCP Diagnostic Exam

($95)$95 $95 $40 $20 $40

Tier 1 Rx ($15/month) $180 $180 $144 $144 $144

Tier 2 Rx ($60) $60 $60 $35 $35 $35

District HSA Contribution $1,224 $120 N/A N/A N/A

Total Employee Cost ($889) $215 $219 $1,591 $843

Page 21: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

Claim Example #2

Employee with single coverage. Has a car accident in September and is in the hospital for six days, four follow up specialist visits, two Tier 2 Rx’s for 3 months.

Option 1: Spira Care

EPO

Option 2: QHDHP

Option 3: Base PPO

Option 4: Buy-up

PPO

Option 5: HMO

Premium $0 $0 $0 $1,392 $624

Hospital Stay ($50,000) $2,700 $2,700 $4,000 $2,760 $2,500

Four Specialist Visits

($150 each)$0 $0 $0 $0 $320

Tier 2 Rx ($80/month) $0 $0 $0 $0 $105

Tier 2 Rx ($135/month) $0 $0 $0 $0 $75

District HSA Contribution $1,224 $120 N/A N/A N/A

Total Employee Cost $1,476 $2,580 $4,000 $4,152 $3,624

Page 22: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

Claim Example #3

Employee with Spouse enrolled. Employee has chronic condition while the spouse is a healthy, low utilizer. The employee has two brand name prescriptions filled monthly, four diagnostic specialist office visits, and a 5 day inpatient hospital stay.

Option 1: Spira Care

EPO

Option 2: QHDHP

Option 3: Base PPO

Option 4: Buy-up

PPO

Option 5: HMO

Annual Premium $7,080 $9,888 $10,416 $13,680 $11,736

5 Day Inpatient Hospital ($40,000)

$2,700 $2,700 $4,000 $2,760 $2,500

Tier 3 Rx #1 ($160/month) $0 $0 $0 $0 $320

Tier 2 Rx #2 ($85/month) $0 $0 $0 $0 $105

Specialist Office Visits ($125 each)

$0 $0 $0 $0 $75

District HSA Contribution N/A N/A N/A N/A N/A

Total Employee Cost $9,780 $12,588 $14,416 $16,440 $14,736

Page 23: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

Claim Example #4

Employee + Family Plan. Employee in fair health with a monthly cholesterol medication. Spouse is on a $3,000 prescription drug, Child receives well child care and one urgent care for the flu and a tier 1 prescription.

Option 1: Spira Care

EPO

Option 2: QHDHP

Option 3: Base PPO

Option 4: Buy-up

PPO

Option 5: HMO

Annual Premium $7,080 $9,888 $10,416 $13,680 $11,736

Employee Tier 2 Cholesterol Rx ($100/month)

$1,200 $1,200 $420 $420 $420

Spouse Tier 3 Rx ($3,000/ month)

$2,700 $2,700 $720 $720 $720

Well-child visit ($180) $0 $0 $0 $0 $0

Child Urgent Care ($90) $90 $90 $80 $40 $80

Child Tier 1 Rx ($35) $35 $35 $12 $12 $12

District HSA Contribution N/A N/A N/A N/A N/A

Total Employee Cost $11,105 $13,913 $11,648 $14,872 $12,968

Page 24: PowerPoint Presentation · BCBSKC Resources RETAIL TELEHEATLH 1. Visit amwell.com and download the app. 2. Access from anywhere, 24/7/365. 3. Pay PCP copay, or $49 if you are enrolled

SAVINGS ACCOUNTS• Health Savings Account

• Flexible Spending Account

SECTION 4

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Health Savings Account (HSA)

• Established for the purpose of paying qualified healthcare expenses of the

account owner or dependents.

• The account owner must be covered under a Qualified High Deductible

Health Care Plan to contribute to an HSA.

• Portable, it stays with you for life. Even if you change jobs, become

unemployed, or retire.

• Unused funds can rollover to use on future expenses.

25

• A tax-exempt account

• Contributions are tax-deductible (or “pre-tax”)

• Earnings on your balance and investments are not taxed

• Funds withdrawn for qualified medical expenses are not taxed

• An individually owned, tax-advantaged account that may be used to

pay for qualified medical expenses or saved for retirement and certain

long-term care expenses.

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You CANNOT receive/make contributions to an HSA if…

• You are claimed as a dependent on someone else’s tax return (You are NOT a dependent if you are “married filing jointly” or “married filing single”).

• You are covered by another health insurance plan that is NOT a QHDHP, such as coverage under a spouse’s traditional PPO or HMO plan.

• You or your spouse have a Flexible Spending Account (FSA), even if the FSA dollars are not used for you.

• You or your spouse are covered by a Health Reimbursement Arrangement (HRA).

• You have medical coverage under TRICARE, or eligible for Medicare, or Medicaid.

• You are in receipt of Veteran Administration (VA) benefits, for a non-service related disability, including prescription drugs, within the previous 3 months you are not eligible to contribute for 3 months following.

• You CAN still have other disability, dental, vision, and long- term care insurance policies & Dependent Care Account through an FSA.

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Is there a limit to how much I can contribute?

ANNUAL MAXIMUMS

The annual contribution is established by law and subject to changeeach calendar year.

If you are between the ages of 55 & 65, you may also be able to make a $1,000 “catch-up” contribution to the HSA each year.

Contribute

up to

$3,500Single, or

$7,000Family

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• Your own HSA contributions are either pre-tax (via payroll deduction), OR tax deductible if contributed directly to the account.

• You have until April 15th of the following calendar year to make HSA contributions for the prior year, including eligible catch-up contributions.

• In order to contribute the full limit, you must maintain enrollment in a QHDHP for at least 12 months.

• Contribution limits are prorated if you do not maintain enrollment in a QHDHP for at least 12 months.

- For example, if you are eligible for 4 months:

• $1,150 per individual

• $2,300 for family

HSA Contributions

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HSA Disbursements

You must retain all receipts in the event of an IRS Audit

Disbursements for qualified healthcare expenses are not subject to taxation

Disbursements for non-qualified expenses are subject to regular taxation plus a 20% penalty. The 20% penalty is waived upon attainment of age 65

Expenses incurred prior to establishing an HSA areNOT eligible for reimbursement

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• Eligible health care expenses include expenses for the individual who open the

account, his or her spouse and dependent children. The spouse and

dependent children do not need to be covered under the QHDHP in order to have an eligible HSA expense.

• Hospitalization

• Prescription Drugs

• Doctor Office Visits

• Premiums for Medicare, Long Term Care, COBRA

• Dental expenses (Including Orthodontia)

• Vision (Including Lasik)

• Full list of eligible expenses available on the Treasury website at: www.IRS.GOV

HSA Eligible

Expenses

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Flexible Spending Account (FSA)

Part 1) Pre-tax Premiums• Your premiums for medical, dental, vision and

some other insurance coverages are eligible to be

deducted from your paycheck pre-tax

- Additional tax savings for you

- Increase in your take-home pay

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Flexible Spending Account (FSA)

Part 2) Medical FSA• Pre-tax Medical, Dental & Vision expenses for you and

your dependents.

• Saves approximately 25% on every healthcare dollar spent

• May contribute up to $2,650/year

• “Use it or Lose it” – If you do not use all your funds by December 31, 2019, all but $500 will be forfeited

• All funds available day one of the plan year

• Cannot participate in the Medical FSA if you contribute to a Health Savings Account (HSA).

• IMPORTANT: If you contribute to the FSA and during future enrollments move the QHDHP with the intent of making/receiving contributions to a HSA, you must have a zero balance in your FSA.

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• Eligible health care expenses include expenses for the individual who open the

account, his or her spouse and dependent children. The spouse and

dependent children do not need to be covered under the employee’s plan in order to have an eligible FSA expense.

• Hospitalization

• Prescription Drugs

• Doctor Office Visits

• Dental expenses (Including Orthodontia)

• Vision (Including Lasik)

• Full list of eligible expenses available on the Treasury website at: www.IRS.GOV

FSA EligibleExpenses

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Flexible Spending Account (FSA)

Part 3) Limited FSA• Pre-tax Dental & Vision expenses only

• Use for expenses for yourself and your dependents

• Saves approximately 25% on every healthcare dollar spent

• May contribute up to $2,650/year.

• “Use it or Lose it” – If you do not use all your funds by December 31, 2019, all but $500 will be forfeited

• All funds available day one of the plan year

• You CAN participate in the Limited FSA if you contribute to a Health Savings Account (HSA).

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Flexible Spending Account (FSA)

Part 4) Dependent Care FSA• Pre-tax dependent & elder care expenses.

• May contribute up to $5,000/year.

• If married and filing separately, the maximum is $2,500.

• Use it by December 31, 2019 or lose it. No carry-over

• No restriction applies with regard to HSA account-holder.

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DENTAL • Plan Design

SECTION 5

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Voluntary Dental

DELTA DENTAL OF KANSAS Cost Per Month

Individual

Individual & Spouse

Individual & Child(ren)

Individual & Family

$32.31

$63.94

$63.76

$108.12

PPO PREMIER

DeductibleIndividual / Family

$50 / $150

Annual Maximum $1,500

Preventive Services 100% 100%

Basic Services 90% 80%

Major Services 60% 50%

Ortho Services N/A

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VISION

SECTION 6

• Plan Design

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Voluntary Vision

SURENCY Materials Only

Individual

Individual + Spouse

Individual + Children

Individual + Family

$7.76

$16.27

$13.95

$26.10

CopaysExamsLenses (Single, Bifocal, Trifocal)

$10$25

Frequency of ServiceExam

Lenses

Frames

Every 12 months

Every 12 months

Every 24 months

Reimbursement ScheduleExam Glass Lenses(Single, Bifocal, Trifocal)

100%100%

Frames $100 allowance

Contacts $115 allowance, 15% off amount of $115

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VOLUNTARY

PRODUCTS

SECTION 7

• Disability Insurance

• Voluntary Life Insurance

• Cancer

• Critical Illness

• Accident

• Secure ID2

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Voluntary Products

DISABILITY INSURANCE

Disability insurance provides income protection

if or when you can’t work because of an illness

or injury. It is an additional way to help provide

you a source of income should you become

disabled from a non-work related injury or sickness.

POLICY FEATURES:• Several different benefit plan

options

• Benefit payments deposited

directly into your bank

account

• Benefits are payable year

round

VOLUNTARY LIFE INSURANCE

Help make sure your family is protected

financially in the event of a loved one’s death

is an important way of caring for their needs.

American Fidelity has several types of

individual life insurance plans to choose from,

including permanent, term and children’s policies.

POLICY FEATURES:• Death benefit amount that is

generally tax free and paid

directly to beneficiaries

• A policy that you own – take

with you if you leave

employment

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Voluntary Products

CANCER INSURANCE

A cancer diagnosis can change your life, and

the expenses associated with a cancer

diagnosis can be overwhelming. Limited

Benefit Cancer Insurance may offer a solution

to help you so you can focus on your treatment and healing.

POLICY FEATURES:• Benefit payments are made

directly to you

• Individual, individual and

spouse, individual and child

(eligible child as defined in

the policy) and family

coverage available

CRITICAL ILLNESS INSURANCE

American Fidelity’s Limited Benefit Critical

Illness Insurance is an insurance policy that will

pay a lump sum if you experience an eligible

critical illness, such as a heart attack,

permanent damage due to a stroke, major organ failure and/or major burns.

POLICY FEATURES:• Three lump sum benefit

amounts available

• Annual health screening test

benefit

• Benefits paid directly to you

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Voluntary Products

ACCIDENT COVERAGE

Accidents can bring unexpected costs. A

limited Benefit Accident Only Insurance policy

may help lessen the impact of your finances by

paying benefits to help cover your expenses, regardless of any other coverages you have. C

POLICY FEATURES:• Benefit payments are made

directly to you

• Individual, individual and

spouse, individual and child

(eligible child as defined in

the policy) and family

coverage available

SECURE ID2

Unexpected problems can have serious

influence on your peace of mind. Secure ID2

helps you face those problems with a sense of confidence.

POLICY FEATURES:• ID Sanctuary Enhanced

• Legal Services

• Roadside Assistance

• Global Travel Assistance

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NEXT STEPS

SECTION 8

• How to enroll

• Review

• Ask Questions

• Enroll!

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How To Enroll

Online Self Enrollment:

Complete your self-enrollment online between November 5th

and November 16th. Just use the link on page 3 of your employee guide

- OR -

Assisted Enrollment:

Schedule your one-on-one enrollment session for the week ofNovember 12th to November 16th. Just click on the scheduling link on page 3 of your guide to sign up for a time.

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1 2 3

REVIEW INFORMATION

In the meantime, review this presentation and your employee

benefits guide carefully.

ASK QUESTIONS

Utilize your HR Department to ask questions to better understand your

benefit options.

Remember to use the worksheet at the end of your guide to gather all

necessary info in preparation for enrolling.

ENROLL

Next Steps

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Contact InformationIf you have any questions regarding your benefits, please contact one of your CBIZ representatives or your Bonner Springs representative.

CBIZ Representatives Maggie Releford, Account Executive

816.945.5242

[email protected]

Molly Harrison, Account Manager

816.945.5582

[email protected]

Sarah Kane, Client Service Representative

816.945.5545

[email protected]

Bonner Springs Benefits CoordinatorStormi Vitt

913.422.5600 ext. 1010

[email protected]

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QUESTIONS?