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Office of Group BenefitsAnnual Enrollment 2012
FOR ACTIVE EMPLOYEES & RETIREES WITHOUT MEDICARE
Welcome
This presentation is a summary of information and does not purport to present complete details of all plan options offered by the Office of Group Benefits. For complete information on each plan option, individuals should read plan documents carefully and also consult other OGB and plan administrators’ publications.
Welcome
This presentation will cover:
Ways to SaveEligibilityOverview of Health PlansLife InsuranceFlexible Benefits
Office of Group Benefits
OGB serves state agencies, universities and school boards
OGB’s administrative costs are only 3.5% of total costs (June 30, 2011)
Medical Benefits 71.4%
Prescription Drug Benefits21.9%
Administrative Costs3.5%
Mental Health Benefits
1%
Life Insurance2.2%
Annual Enrollment Timeline
January 1 November 4October 3
Annual Enrollment begins
Flexible Benefits Annual Enrollment ends
Deadline for employees to submit Flexible Benefits forms to HR
(may be earlier for some agencies)
Annual Enrollment ends
Deadline for employees to submit health plan enrollment forms to HR
(if changing plans)
2012 plan year begins
Ways to Save
Your Health: Our Premium Priority7 Ways to Save
1
3
2
Choose the right health plan for you Out-of-state coverage differs by plan Out-of-state dependent? Job transfer? Travel? Are your providers in the plan’s network? All plans accessible through OGB website www.groupbenefits.org
Stay in your health plan’s provider network Avoid balance billing
Request generic drugs Same active ingredients and big savings Preferred drug list at www.CatalystRx.com
Your Health: Our Priority7 Ways to Save
4
7
Get preventive (wellness) exams Prevention Early diagnosis
Use Flexible Benefits (active employees) Pre-tax deduction saves money More take-home pay
6Sign up for Diabetic Sense program (PPO & HMO plans) Get test supplies free Free glucometer Provided by Catalyst Rx through Liberty 1-888-341-8582
Sign up for Living Well Louisiana program (PPO & HMO plans) Access to health coaches 24 hours a day, 7 days a week Prescription drug incentive for active LWL participants Lower co-pays1-800-383-0115
5
Prescription Cost Comparison
Brand-Name Drug Average Cost per Prescription *
Approved Generic Alternative
Average Cost perPrescription *
Ambien insomnia $ 173.36 zolpidem $ 4.06
Imitrex migraines 342.63 sumatriptan 66.85
Neurontin seizures 231.48 gabapentin 21.54
Flomax prostate hyperplasia 143.47 tamsulosin 42.06
Effexor XR depression 198.93 venlafaxine XR 129.85
Valtrex anti-viral 268.43 valacyclovir 149.43
Ultram ER pain 260.89 tramadol ER 138.33
Wellbutrin XL depression 258.79 bupriopion XL 61.16
Lamictal seizures 404.79 lamotrigine 24.26
Prozac depression 320.23 fluoxetine 12.39
Topamax seizures 422.89 topiramate 31.06
Zocor cholesterol 147.35 simvastatin 9.59
Pravachol cholesterol 147.95 pravastatin 12. 20
Paxil depression 140.85 paroxetine 13.68
* Average costs as of 8-31-11 utilization; subject to change. Source: Catalyst Rx
Living Well Louisiana
Free health management program for active employees, retired employees without Medicare and rehired retirees without Medicare who are diagnosed with 1 or more of these 5 ongoing health conditions:
Diabetes Heart disease Heart failure Asthma Chronic obstructive pulmonary disease (COPD)
Living Well Louisiana is not available to individuals who have Medicare as primary coverage
Health Management ProgramFor PPO and HMO Plans
Living Well Louisiana
Once enrolled, you have access to... Health coaches – 24 hours a day, 7 days a week Online health information and resources
Reduced co-payments to eligible LWL participants for prescription drugs used to treat these 5 chronic conditions
When Medicare Part A and/or B become primary,you are no longer eligible for LWL program
Health Management ProgramFor PPO and HMO Plans
Living Well Louisiana
Active participation requires: Initial assessment by phone Follow-up contacts by phone, mail or email Ongoing relationship with LWL health coaches
(contact at least once every 3 months)
If plan member fails to maintain contact with health coaches, or if Medicare becomes plan member’s primary health coverage, participant is no longer eligible to participate in LWL program or receive reduced co-pay on applicable prescription drugs
Health Management ProgramFor PPO and HMO Plans
Premium Cost-Saving Strategies
Married Couples
If both are state or school employees...
Both eligible?May save if split coverage
Eligibility
Eligibility – Same for All Plans
Full-Time Employees and Dependents
Legal spouseLouisiana does not recognize same-sex marriages regardless of other states’ laws
Children up to age 26 – regardless of child’s student, marital or tax status
No one can be enrolled simultaneously as both an employee and a dependent in OGB health plans or life insurance
No dependent can be covered by more than one employee
Dependent verification required
Eligibility – Children
• Natural child of you or your legal spouse
• Legally adopted child
• Child placed in home for adoption
• Child in home under legal guardianship
or custody
• Grandchild dependent on you whose
parent is your covered dependent
Dependent Verification
Plan member must provide proof of the legal relationship of each dependent within 30 days of date of application for coverage
Proof: Official documentsMarriage certificateBirth certificateOther court records or legal documents
Eligibility Change – Newborns
Effective July 1, 2011, OGB must receive child’s birth certificate within 6 months of birth
Birth letter will suffice for first 6 months only – if
received within 30 days of DOB
OGB will send reminder letter 90 days after birth
date
Over-Age Dependents
Covered child under age 26 who is or becomes incapable of self-sustaining employment is eligible to continue coverage as an overage dependent
OGB must receive required medical records before dependent reaches age 26
Definition of incapacity broadened – now includes both mental and physical incapacity
Pre-Existing Condition Limitation forNew Hires and Late Applicants
Must complete enrollment form (GB-01) within 30 days for
new dependent … otherwise, pre-existing condition
limitation (PEC) applies
If diagnosed or treated within 6 months prior to enrollment
date, condition is pre-existing ... no benefits are payable for
that condition in first 12 months of coverage
PEC limitation does not apply to anyone under age 19
May be exempt from pre-existing condition limitation if
continuously covered without 63-day break in coverage prior
to enrollment date
Retirement
Coverage must be in effect prior to retirement date
Participation schedule applies to...Employees who joined an OGB health
plan on or after January 1, 2002Dependents who joined an OGB health
plan on or after July 1, 2002
Prior OGB health plan coverage as a spouse qualifies in computing years of participation
Retiree Participation Schedule
Years of OGB Health Plan Participation
State Premium Subsidy %
Less than 10 years 19%
10 years or more, but less than 15 years 38%
15 years or more, but less than 20 years 56%
20 years or more 75%
Schedule not affected when you change OGB health plans
Medicare and OGB Coverage
If you reached age 65 on or after July 1, 2005, AND are retired
AND are eligible for Medicare Part A premium-free, then…
You MUST enroll in Medicare Part B to receive OGB
health plan benefits for medical expenses covered by
Medicare Part B
You must submit Social Security verification to OGB:
If eligible – submit copy of Medicare card
If not eligible – submit letter from Social Security
This also applies to your covered spouse
If you are not yet retired, this will apply when you retire
Overview of Health Plans
OGB Health Plans for 2012
PPO(Statewide)
Administered by OGB
HMO(Nationwide)
Administered by Blue Cross and Blue Shield of La.
Medical Home HMO(Statewide – must choose
PCP in Region 9)
Fully insured by Vantage Health Plan
CDHP-HSA *(Nationwide)
Administered by UnitedHealthcare
Regional HMO(Regions 6, 7, 8 & 9)
Fully insured by Vantage Health Plan
* CDHP-HSA plan is not available to retirees; other plans are available to all employees and retirees
Key Points
Can change health plans during Annual Enrollment
Compare costs, benefits and restrictions when choosing a plan
Active employees and retirees who choose to keep same plan do not have to fill out a form
Active employees who want to change plans must notify your HR office
Key Points
Retirees who want to change plans must…
Fill out an OGB enrollment form … or
Write a letter to OGB that includes: Your plan choice
Your name and address
Your date of birth
Your daytime phone number
Sign form or letter and mail it to ...OGB Eligibility Division
P.O. Box 66678
Baton Rouge, LA 70896
... or visit any OGB Agency Services office
Plan Member Out-of-Pocket Expenses
In-Network PPO HMO Medical Home HMO CDHP-HSA Regional HMO
Coverage Area All regions Nationwide
Statewide *** PCP must be in Region 9
(northeast LA)Nationwide
Regions 6, 7, 8 & 9 *** (Baton Rouge, Alexandria,
Shreveport & Monroe)
Administrator OGB Blue Cross Vantage Health Plan UnitedHealthcare Vantage Health Plan
Lifetime Maximum Unlimited
Deductible$500 active$300 retiree
3-person maximumNone None
$1,250 employee$2,500 employee + 1
$3,000 familyNone
Out-of-Pocket Maximum $1,000 per person ** $1,000 per person
$3,000 per family No maximum $2,000 per person $1,000 per person$3,000 per family
HospitalIn-Network
10% of contracted rate*Pre-certification
required
$100 per day$300 maximum per
admissionPre-certification
required
$100 per day$300 maximum per
admissionPre-certification required
20% of contracted rate* Pre-certification
required
$100 per day$300 maximum per
admissionPre-certification required
Doctor Visits10% of
contracted rate*No referral required
Co-pay $15 PCP $25 specialist
No referral required
Co-pay $10 PCP$25 specialist
Referral required for most specialists; PCP required
20% of contracted rate*(primary care & specialty care)
Co-pay $15 PCP $25 specialist
Referral required for most specialists; PCP required
* Subject to plan year deductible and/or applicable co-insurance ** Active employees and retirees without Medicare*** Active employees and retirees without Medicare
Plan Member Out-of-Pocket Expenses
In-Network PPO HMO Medical Home HMO CDHP-HSA Regional HMO
Referrals None required None requiredRequired for all specialists
except OB/GYN;1 routine eye exam every year
None required Required for most specialists
Maternity Doctor Visits
10% of contracted rate *
$90 co-pay(first visit only)
$10 co-pay(first visit only)
20% of contracted rate *
$90 co-pay(first visit only)
No referral required
MRI or CAT Scans ***
10% of contracted rate * $50 co-pay $50 co-pay 20% of
contracted rate * $50 co-pay
Sonograms *** 10% of contracted rate * $25 co-pay $25 co-pay 20% of
contracted rate * $25 co-pay
Chemotherapy Radiation Therapy ***
10% of contracted rate * $15 co-pay $25 co-pay per treatment 20% of
contracted rate * $25 co-pay
Routine Mammograms **
0% of contracted rate $0 co-pay 100% covered Member pays $0 $0 co-pay
Routine PSAs ** 0% of contracted rate $0 co-pay 100% covered Member pays $0 $0 co-pay
Cardiac Rehabilitation ***
10% of contracted rate * Complete within
6 months$15/$25 co-pay
20% co-insurancePre-authorization required
Up to 18 visits in 6-week period
20% of contracted rate * $15/$25 co-pay
Emergency Care $150 deductible $100 co-pay $100 co-pay 20% of contracted rate* $100 co-pay
* Subject to plan year deductible and/or co-insurance * * Age and time restrictions may apply *** Prior authorization may be required
Plan Member Out-of-Pocket Expenses
Out-of-Network Providers
PPO HMO Medical Home HMO CDHP-HSA** Regional HMO
Louisiana resident
30% of fee schedule *
$1,000 deductible per person; $3,000
maximum per family 30% of reasonable
and customary charge *
Emergencies covered worldwide;
all other services require prior plan
approval
30% of fee
schedule *
30% of Vantage allowable after separate $1,000
deductible *
Out-of-state resident
10% of fee schedule *
Same as Louisiana resident *
Same as Louisiana resident
Same as Louisiana resident *
Same as Louisiana resident *
* Plan member owes deductible, co-pay, co-insurance and balance of billed charges ** No out-of-pocket maximum for non-network providers
Mental Health & Substance Abuse Treatment Benefit
PPOValueOptions
HMOValueOptions
Medical Home HMO
Vantage Health Plan
CDHP-HSAOptumHealth
Regional HMOVantage
Health Plan
Inpatient 2Member pays
10% of contracted rate 1
$100 co-payment;$300 maximum per admission
$100 co-payment per day; $300
maximum per admission
Member pays 20% of
contracted rate 1
$100 co-payment; $300 maximum per admission
OutpatientMember pays
10% of contracted rate 1
$25 office visit co-payment
100% after $25 co-payment per office visit 2
Member pays 20% of
contracted rate 1
$25 office visit co-payment 2
1 Subject to plan year deductible and/or co-insurance2 Pre-authorization required
Prescription Drug BenefitPPO and HMO (Administered by Catalyst Rx)
Prescription Drug Benefit In-Network
Plan Member Out-
of-Pocket Expense
Generic drug & brand-name drug with no generic available: Plan member pays 50% of cost Maximum $50 per 31-day fill After $1,200 per person per plan year, plan member
pays co-pay of $15 for brand-name drug, $0 for generic drug
Brand-name drug with FDA-approved generic available: Plan member pays cost difference between brand-name
drug and generic, plus 50% of brand-name drug cost Cost not applied to $1,200 out-of-pocket maximum
Formulary Open *
Mail Order Program Same as above
* OGB’s open formulary means EVERY FDA-approved prescription drug is covered by PPO and HMO health plans
Prescription Drug BenefitRegional HMO (Administered by VHP’s Catalyst Rx)
Prescription Drug Benefit In-Network
Plan Member Out-of-Pocket
Expense
Generic drug & brand-name drug with no generic available: Plan member pays 50% of cost Maximum $50 per 30-day fill After $1,200 per person per plan year, plan member
pays co-pay of $15 for brand-name drug, $0 for generic drug
Brand-name drug with FDA-approved generic available: Plan member pays cost difference between brand-name
drug and generic, plus 50% of brand-name drug cost Cost not applied to $1,200 out-of-pocket maximum
Formulary Closed with exceptions *
Mail Order Program
30-day supply – 1 co-pay60-day supply – 2 co-pays90-day supply – 3 co-pays
* Prescription drugs not on Vantage’s formulary list may be available at higher out-of-pocket cost
Prescription Drug BenefitMedical Home HMO (Administered by VHP’s Catalyst Rx)
Prescription Drug Benefit In-Network
Plan Member Out-of-Pocket
Expense
Per 30-day fill Generic drugs – $5 co-pay Preferred brand drugs – $30 co-pay Non-preferred brand drugs – $50 co-pay Specialty drugs – 20% co-insurance
Formulary Closed with exceptions *
Mail Order Program
30-day supply – 1 co-pay60-day supply – 2 co-pays90-day supply – 3 co-pays
* Vantage Health Plan’s open formulary means prescription drugs not on the Vantage formulary list may be available at higher out-of-pocket expense
Prescription Drug BenefitCDHP-HSA (Administered by UHC’s PrescriptionSolutions)
Prescription Drug Benefit In-Network
Plan Member Out-
of-Pocket Expense
Per 31-day fill Generic drugs – $10 co-pay Preferred brand drugs – $25 co-pay Non-preferred brand drugs – $50 co-pay Specialty drugs – $50 co-pay
Prescription drugs subject to deductible except maintenance drugs
Formulary Open
Mail Order Program
Same as above for 90-day supply
Maintenance drugs not subject to deductible(See myuhc.com for list of maintenance drugs)
Life Insurance
Life Insurance
Prudential Insurance Co. of America
Group term life insurance policy
State pays half of premium for employees and retirees
Employee pays full premium for dependent life insurance
25% reduction in coverage and appropriate reduction in
premiums on July 1 after plan member reaches age 65
and age 70
Life Insurance
Basic Plan
Option I Option II
Employee $5,000 $5,000
Spouse $1,000 $2,000
Each Child $ 500 $1,000
Employee Premiums
Schedule in Helpful Information Book
Premiums for Dependent Life
Employee Pays $0.88/mo $1.76/mo
Life Insurance
Basic Plus Supplemental Plan
Option I Option IIEmployeeSchedule to maximum of $50,000 (amount based on employee’s annual salary)
Same Same
Spouse $2,000 $4,000
Each Child $1,000 $2,000
Employee Premiums Schedule in Helpful Information Book
Premiums for Dependent Life
Employee Pays $1.76/mo $3.52/mo
Life Insurance
Accidental Death and Dismemberment (AD&D)
benefits available to all active and retired employees
covered under Basic or Basic Plus plan
Retirees over age 70 not eligible for AD&D
ALL inquiries and changes in life insurance must
be made through your agency’s HR office
Sources of Information
OGB website with links to all health plans…..
www.groupbenefits.org
OGB (PPO)…..1-800-272-8451
Blue Cross and Blue Shield of La. (HMO)….. 1-800-392-4089
Vantage Health Plan (Medical Home & Regional HMO)…..1-888-823-1910
UnitedHealthcare (CDHP-HSA)…..1-866-336-9374
Catalyst Rx…..1-866-358-9530
Living Well Louisiana Program…..1-800-383-0115
Diabetic Sense Program…..1-888-341-8582
ValueOptions…..1-866-492-7143
DataPath Administrative Services….1-877-685-0655
Flexible Benefits
2012 Plan Year
January 1, 2012 – December 31, 2012
Flexible Benefits Options – Why Enroll?
Flexible
Benefits Plan
Reduce taxes
Easy to participa
te
Increase
spendable
income
Flexible Benefits – More Take-Home Pay
Premium Conversion Option
(no fee)
Set aside eligible payroll deductions for health care premiums
Eligible premium deductions automatically continue in Premium Conversion from year to year unless you request to drop out during Annual Enrollment
Health Savings Account
(no fee)
Set aside money from paycheck for out-of-pocket medical expenses
MUST RE-ENROLL EACH YEAR during Annual Enrollment Must participate in OGB Consumer Driven Health Plan (CDHP)
General-Purpose (Health Care) FSA
($36/plan year)
Set aside $600 - $5,000 (per plan year) from your paycheck for eligible out-of- pocket medical expenses
MUST RE-ENROLL EACH YEAR during Annual Enrollment
Limited-Purpose(Dental & Vision) FSA
($36/plan year)
Set aside $600 - $5,000 (per plan year) from your paycheckfor eligible out-of-pocket dental and vision expenses only
MUST RE-ENROLL EACH YEAR during Annual Enrollment
Dependent Care FSA
($36/plan year)
Set aside money from your paycheck for dependent care expenses while you work
MUST RE-ENROLL EACH YEAR during Annual Enrollment
Premium Conversion
More Take-Home Pay – Example
Premium Conversion OptionCategory Participant Non-Participant
Monthly Taxable Salary $3,000 $3,000
Pre-Tax Premium (Employee + spouse) *
- $420 - $0
Taxable Income $2,580 $3,000
Federal Taxes (25%) - $645 - $750
After-Tax Premium - $0 - $420
Spendable Income $1,935 $1,830
* Employee + spouse is health plan premium for employee and spouse
$105 monthly savings x 12 months = $1,260 yearly savings
Premium Conversion (Free Participation)
Eligible Payroll Deductions
OGB health plan premium
OGB life insurance premium (Prudential)
Employee portion only
Some miscellaneous/statewide insurance premiums Cancer insurance deduction*
Dental insurance deduction
Hospital indemnity insurance deduction
Intensive care insurance deduction
Vision insurance deduction
* Policy cannot have a cash value or a return-of-premium rider
Health Savings Account (HSA)
OGB Health Savings Account (HSA)
You cannot participate in OGB HSA option if you have:• General-Purpose (Health Care) FSA – or your spouse
has General-Purpose (Health Care) FSA• Medical coverage under a non-CDHP• TRICARE or TRICARE for Life coverage• Used any VA benefits within previous 3 months• Medicare Part A or Part B coverage
You must participate in OGB Consumer Driven Health Plan (CDHP) to participate in Health Savings Account (HSA) option
Health Savings Account (HSA)
You can use your HSA to pay these eligible
expenses:
Office visits (including deductibles and co-insurance) Chiropractic services Prescription drugs Over-the-counter medications with a prescription Dental expenses Eye glasses, contact lenses and solutions Eye surgery (including Lasik) Lab fees COBRA, Medicare and qualified long-term care premiums
Health Savings Account (HSA)
State will make initial $100 deposit in your HSA
State will match your additional HSA contributions, dollar-for-dollar, up to $400 – if made through an IRS Section 125 cafeteria plan via payroll deduction
Reimbursement limited to current account balance
Total contribution limits for calendar year: $3,100 (individual coverage) $6,250 (employee plus 1 or family coverage) Can add $1,000 more if you are over age 55
Health Savings Account (HSA) – Contribution Amount Changes
Requested changes in your contribution amount during the plan year will take effect as follows:
A change request received on or before the 15th of the month will be effective on the 1st of the next month
A change request received after the 15th of the month will be effective on the 1st of the following month
Health Savings Account (HSA)
IRS “use-or-lose” rule does not apply
Funds can roll over from one plan year to the next
Money in your HSA grows tax-free
If you change health plans or jobs, or you retire, HSA is yours to keep
From age 65 on, you can use your HSA dollars for any health care or non-health care expense with no penalty
Decrease your taxable income
Use tax-deferred dollars to pay health care costs for family household members NOT on your health plan
UnitedHealthcare Consumer Driven Health Plan (CDHP) with HSA Option
UnitedHealthcare Consumer Driven Health Plan (CDHP) with Health Savings Account (HSA) option CDHP premium must be paid through an IRS Section 125
cafeteria plan (i.e. OGB’s Premium Conversion option)
Health Savings Account (HSA) eligibility Current participants in General-Purpose (Health Care) FSA must
have $0 balance on or before…December 31 to be HSA-eligible on January 1; or March 15 to be HSA-eligible on April 1
Flexible Spending Arrangements (FSAs)
FSA Participation
Employees can participate in these Flexible Spending Arrangements:
General-Purpose (Health Care) FSA Limited-Purpose (Dental & Vision) FSA Dependent Care FSA
Even if they are...
Not enrolled in Premium Conversion optionNot enrolled in an OGB health plan
Eligibility and Enrollment Rules
• Must be active, full-time employee (as defined by employer) in a participating payroll system
• Must be continuously employed as active, full-time employee for at least 12 consecutive months from January 1, 2011, through December 31, 2011
• Can enroll during Annual Enrollment or after you experience an IRS qualifying event
• Must re-enroll each year to continue participation
General-Purpose FSA and Limited-Purpose FSA
General-Purpose FSA
General-Purpose Flexible Spending Arrangement
Minimum amount $600; maximum amount $5,000
Can be used for medical expenses – for you, your spouse and your eligible dependents
Health coverage-related expenses – deductibles and co-pays
Medications – both prescription drugs and prescribed over-the-counter drugs
GPFSA – Yearly Savings (Example)
Category Participant Non-Participant
Monthly Taxable Salary $2,000.00 $2,000.00
Monthly DeductionGeneral-Purpose FSA - $150.00 - 0.00
Monthly Administrative Fee General-Purpose FSA - $3.00 - 0.00
Monthly Taxable Income $1,847.00 $2,000.00
Taxes (20%) $369.40 $400.00
After-Tax (Out-of-Pocket) Health Care Expenses - 0.00 - $150.00
SPENDABLE INCOME $1,477.60 $1,450.00
$27.60 Monthly Savings x 12 = $331.20 Yearly Savings
Limited-Purpose FSA
Limited-Purpose (Dental & Vision) Flexible
Spending Arrangement
• Minimum amount $600; maximum amount $5,000
• Can be used only for dental and vision medical expenses
• Can be used in conjunction with a Health Savings Account
• Cannot participate in both General-Purpose (Health Care)
Flexible Spending Arrangement (GPFSA) and Limited-Purpose
Flexible Spending Arrangement (LPFSA)
Reminder – Dependent Coverage Rule
Reimbursement of eligible out-of-pocket medical expenses for children up to age 27 through:
General-Purpose (Health Care) FSA
or
Limited-Purpose (Dental & Vision) FSA
Dependent Care FSA
• For eligible dependent care expenses while you work
• Signing up for DCFSA Recurring Expense Service reduces submissions of DCFSA claims
• Reimbursement limited to current amount in account
• Must re-enroll each year to continue participation
• Minimum annual amount is $600
• Must file an IRS Form 2441
DCFSA – Remaining Balance
After termination of employment, employee can use remaining balance in Dependent Care FSA while looking for work
Claim reimbursement request must be submitted by April 29
Dependent Care FSA – Contributions
Parental/Tax Status
Maximum Amount Allowed Dependents
Single Parent or Married Filing
Separately$2,500
Child age 12 or younger
Older dependent incapable of self-care
Single Head of Household $5,000
Child age 12 or younger
Older dependent incapable of self-care
Married Filing Jointly $5,000
Child age 12 or younger
Older dependent incapable of self-care
Spouse incapable of self-care
Note: DCFSA is good for employees who earn $25,000 or above
Easy Participation … FSA Card
mySource FSA card can be used to pay providers who accept MasterCard for eligible expenses…
General-Purpose (Health Care) FSA Limited-Purpose (Dental and Vision) FSA Dependent Care FSA
• Full amount of General-Purpose (Health Care) FSA funds available immediately (interest-free loan)
• Full amount of Limited-Purpose (Dental and Vision) FSA funds available immediately (interest-free loan)
• Dependent Care FSA funds available upon deposit
Easy Participation … FSA Card
Fax receipts within 2 weeks upon request
No receipts needed for: Hospitals Physician providers Dental providers Vision providers
Doctors’ prescriptions and receipts
needed for reimbursement of FSA-
eligible over-the-counter drugs and
medicines at:
Albertsons
CVS Pharmacy
Kroger
Sam’s Club
Sav-A-Center
SuperFresh
Target
Walgreens
Walmart
Winn-Dixie
drugstore.com
IPS
Grace Period and Run-Out Period
Grace Period
January 1, 2013 – March 15, 2013
Can incur eligible expenses during this period to be paid with money remaining in FSA from the immediately preceding plan year
Run-Out Period
March 16, 2013 – April 29, 2013
Must receive claims from the immediately preceding plan year for reimbursement
Flexible Benefits – Key Facts
No fee for Premium Conversion option or Health Savings
Account option
Administrative fee ($36 per account per year) – applies to: General-Purpose (Health Care) FSA
Limited-Purpose (Dental and Vision) FSA
Dependent Care FSA
“Use or lose” rule applies to all FSAs – but not to HSA
Flexible Benefits elections locked in for plan year –
except in case of qualifying event as defined by IRS
Flexible Benefits Annual Enrollment Period
October 3 – November 4, 2011
May vary by agency –
check with your agency’s HR office
DataPath Administrative Services
Phone (toll-free): 1-877-685-0655
E-mail: [email protected]
Fax: 1-888-472-6777
Website: www.myrsc.com
Questions?
