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2012/2013 Plan Year 2012/2013 Plan Year

2012/2013 Plan Year. 2012/2013 Benefit Year This only happens once a year! Decisions you make are generally binding for the entire year. Qualifying Event

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2012/2013 Plan Year2012/2013 Plan Year

2012/2013 Benefit Year This only happens once a year!

Decisions you make are generally binding for the entire year.

Qualifying Event Marriage Divorce Birth Adoption

Important Dates to Remember!Enrollment period: April 23rd – May 23rd Deadline for making changes: May 23rd Changes effective : JULY 1, 2012

Benefits:No changes in coverage or cost!Add or delete eligible dependentsChange Beneficiary on Basic or Voluntary

Life

Not making any changes? We need the following:2012/2013 Benefits Open Enrollment Election

formFlex Spending Account (FSA) and/orHealth Savings Account (HSA)

Flexible Spending AccountReduce your taxable income by what you

spend on non-reimbursable medical and dependent care expenses.

Maximums: $2,500 Health and $5,000 dependent care.

VERY IMPORTANTIf you are currently enrolled in the Flexible

Spending Account, you MUST enroll for each plan year. If you do nothing – you will not be able to contribute to Flex next year unless you have a qualifying event.

Plan ABenefit Description In-Network Out-of –Network

Annual Deductible $500/person$1,000/family

$1,500/person$3,000/family

Coinsurance 80% 50%

Out-of-Pocket Maximum

$2,000/person* $6,250/person*

* Deductible is not included in out-of-pocket maximum.

Health Savings AccountContribution limits for 2012:

$3,100 for Single$6,250 for FamilyEmployer contribution will apply to your

maximum contribution allowed.Your contributions will be withdrawn from your

paycheck each pay period.Important Information:

Once you have accumulated at least $2,000 in your HSA, the balance of your account (above $2,000) will automatically be invested in an interest-bearing, FDIC-insured account.

Your allocation can be changed.HSA Investment Account are available online at

www.eflexgroup.com

High DeductibleHealth Plan (HDHP)Benefit Description In-Network Out-of-Network

Annual Deductible$1,500/person$3,000/family

$3,000/person$6,000/family

Coinsurance 85% 60%

Out-of-Pocket Maximum

$3,000/person*$6,000/family**

$8,000/person*$16,000/family**

*IRS regulations require that the family (including any individual in the family) must meet the family deductible before any reimbursement is made for eligible medical expenses (other then preventative care).** Deductibles and copayments will also accumulate to your Out-of-Pocket maximum.

Making Changes in Health Plans?All forms are available in the Human

Resources Department.Complete a new Enrollment Form

indicating additions or deletions.Complete a Deduction Change form.Complete the Election Form.

All employees, whether you have changes or not.

Submit all forms to H.R. no later than May 23rd.

Voluntary Life InsuranceSun Life

Purchase additional Life Insurance through convenient payroll deductions.

Cost is based on age. Employee – up to $100,000. Spouse – 1/2 of employee coverage up to a

maximum of $25,000. Children – up to a maximum of $5,000 for each

child. Your dependents may ONLY be covered if the

employee is covered.

Employee Assistance PlanAETNA EAP

Free, confidential support to help you balance the demands of work counseling, life and personal issues.

Assessment & short term counseling – 10 Visits24 hour crisis intervention line.1-888-238-6232, or visit www.AetnaEAP.com

Reminders!You need to take action if:

You want to switch to the HDHP or Plan AYou have a Flexible Spending Account or

Health Savings Account You must renew it during Open Enrollment

You want to add or drop a dependentYou want to change your beneficiaries

Complete the Election FormEven if you make no changes

Open Enrollment ends 5/23/12All changes are effective July 1, 2012

Questions?

Thank You! Have a Great Day!Patty Ortiz

[email protected]