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2014 Annual Open Enrollment
presentation for the employees of
September 1, 2014
2014 Annual Open Enrollment
First, a brief discussion of
The Affordable Care Act (ACA)
(aka “Obamacare”)
2014 Annual Open Enrollment
New Terminology:
• Exchanges (Marketplaces)• Premium Subsidies (tax credits)• Cost-sharing Reductions
2014 Annual Open Enrollment
Employer Plan
Marketplace Plan
Subsidy (PMG) No Subsidy!
2014 Annual Open Enrollment
So, what are the changes for 2014/15?
• Benefit Changes• Cost Changes
2014 Annual Open Enrollment
All of the players are familiar:
• Medical – Blue Cross/Blue Shield• Dental – Delta Dental of NC• FSA – UHC Benefit Services (Dependent Care Reimbursement only)• HSA accounts – Benefit Wallet• Basic Life – USAble Life• Voluntary Life, STD and LTD – Principal
2014 Annual Open Enrollment
Current Group Medical Plan
Dual Option:
HSA-Qualified Plan 1-2-3 Plan
2014 Annual Open Enrollment
Initial Renewal Request 1-2-3 Copay Plan
Semi-Monthly Employee Contributions
Current Renewal Annual Copay Plan Copay Plan Difference
Employee only $ 65.24 $138.54 $1,759.20
Employee/Spouse $254.10 $393.93 $3,355.92
Employee/Children $210.48 $334.75 $2,982.48
Employee/Family $410.14 $605.09 $4,678.80
2014 Annual Open Enrollment
Initial Renewal Request HSA-Qualified Plan
Semi-Monthly Employee Contributions
Current Renewal Annual HSA Plan HSA Plan Difference
Employee only $ 36.96 $ 98.84 $1,485.12
Employee/Spouse $191.33 $307.83 $2,795.88
Employee/Children $106.58 $193.11 $2,076.72
Employee/Family $337.69 $506.70 $4,056.36
2014 Annual Open Enrollment
2014/15 Group Medical Plan
Single Option:
HSA-Qualified Plan
2014 Annual Open Enrollment
HSA-Qualified Plan• $3,000 Plan Year Deductible (9/1 – 8/31) for “employee only”
• $6,000 Aggregate Plan Year Deductible for “employee plus dependents”• Plan pays at 60% after the Deductible is met
• Plan pays at 100% after the $6,350 “employee only” or $12,700 “employee plus dependents” Out-of-pocket Limit is met
• No Copays for physician’s office visits or prescription drugs – all covered charges (except Preventive Care) help to meet the Plan Year Deductible and
Out-of-pocket Limit• Preventive Care is covered at 100% – does not count towards
Deductible/Coinsurance
Health Savings Account• Set aside money on a tax-free basis for “Qualified Medical Expenses”
• Benefit Wallet HSA is integrated with BCBS claims• $3,300 Individual/$6,550 Family Maximum Contribution for 2014• Additional $1,000 “Catch-up” Contribution for employees age 55+
• Flexible contribution options• Easy access to funds: Debit Card, Paper Check, or electronic payment of claims • 24/7 access to the entire HSA account balance (No Overdraft Protection!)
• Account balance earns interest and offers investment options starting at $1,000 • Account goes with you upon termination of employment
• No “double-dipping” allowed – spouse cannot participate in FSA
2014 Annual Open Enrollment
2014 Annual Open Enrollment
Health Savings Account
PMG Research, Inc. will contribute
$50 per month
($600 annually)
to employee’s HSA account for 2014/15!
2014 Annual Open Enrollment
HSA-Qualified Plan
Semi-Monthly Employee Contributions
Current Current Core HSA Plan Buy-Up Copay Plan 2014/15 HSA Plan
Employee only $ 36.96 $ 65.24 $ 44.35
Employee/Spouse $191.33 $254.10 $229.60
Employee/Children $106.58 $210.48 $127.89
Employee/Family $337.69 $410.14 $405.22
2014 Annual Open Enrollment
2014 Annual Open Enrollment
2014 Annual Open Enrollment
2014 Annual Open Enrollment
• $50 Plan Year Deductible per individual ($150 per family)
• $1,500 Annual Maximum Benefit per individual
• Plan pays at 100% (no Deductible) for Preventive Services
• Plan pays at 80% after the Deductible for Basic Services
• Plan pays at 50% after the Deductible for Major Services
• Plan pays at 50% for Orthodontia, to $1,500 Lifetime Maximum Benefit
• www.deltadentalnc.org
2014 Annual Open Enrollment
Semi-monthly Employee Contributions
Employee Only $0.00
Employee and Spouse $16.97
Employee and Child(ren) $33.92
Employee and Family $58.21
2014 Annual Open Enrollment
Be sure to review your current elections for:
• Principal Voluntary STD
• Principal Voluntary Life
2014 Annual Open Enrollment
Q & A
presented by
Lou Pierce, [email protected]
Cindy Connor, Director of Employee [email protected]
6518 Airport Center Drive, Suite 101Greensboro, NC 27409
P 336.292.9050 P 877.282.1099F 336.292.4618www.plybon.com
2014 Annual Open Enrollment
