2014 Annual Retiree

Benefits Open Enrollment

2014 Insurance Highlights

• Medical Insurance continues with United Healthcare

• Approximately 3.8 % premium increase

• New Pharmacy-Optum Rx– New cards issued June 2013

2014 Medical Insurance

• United Healthcare with two plan choices– Base Medical Plan: $1,500 Individual

deductible– Accelerated Medical Plan: $500

individual deductible– Rx copays

• Base Medical Plan: after deductible• Accelerated Medical Plan: immediate

2014 Medical Insurance• Base Plan (high deductible plan)

– Available to retiree who are pre-65 Medicare eligible

– After $1,500 individual deductible, Rx copays then apply

– $3,000.00 deductible for family

– Health Savings Account (HSA) option available• Family members collectively required to meet family

deductible

– Medical Reimbursement Account (MRA) option available• Two family members can meet individual deductible

amount, and then family deductible reached

2014 Medical Insurance• Accelerated Plan (low deductible plan)

– Available to retiree who are pre-65 and post-65 Medicare eligible

– $500 Individual Deductible– $1000 for family Deductible

– $10/$35/$60 Rx retail copays for the entire year, not subject to deductible

2014 Insurance• No Changes to Pharmacy Copays

– Rx Tier copays at retail pharmacy• Tier 1 = $10/ Up to 31-day supply• Tier 2 = $35/ Up to 31-day supply• Tier 3 = $60/ Up to 31-day supply

– Rx Tier copays through mail order• Tier 1 = $25/ Up to 90-day supply• Tier 2 = $87.50/ Up to 90-day supply• Tier 3 = $150/Up to 90-day supply

2014 Medical Insurance Retiree Monthly Premiums

Base Plan Monthly Premium

** Accelerated Plan Monthly Premium

Pre-65 Retiree $401.89 * $502.42

Retiree + Spouse (NME) $843.52 * $1,055.09

Retiree + Spouse (ME) $843.52 * $926.27

Retiree + Child(ren) $763.19 * $954.60

Retiree + Spouse (NME) + Child(ren)

$1,164.86 $1,457.03

Retiree + Spouse (ME) + Child(ren)

$1,184.53 $1,378.44

Post-65 Retiree n/a * $423.85

Retiree + Spouse (NME) n/a * $890.10

Retiree + Spouse (ME) n/a * $890.10

Retiree + Child(ren) n/a * $805.32

Retiree + Spouse (NME) + Child(ren)

n/a * $1,307.74

Retiree + Spouse (ME) + Child(ren)

n/a * $1,229.16

Life Insurance

• Retiree Life Policy through Anthem Life –no change.

• $5,000 policy only for retirees who elected the policy at time of retirement

• Premium due of $4.56 November 15, for 2014

Medicare Eligible

• Once you become Medicare Eligible notify Human Resources– Copy of Medicare Card– Complete Cross Over Form– Medicare becomes Primary– United Healthcare becomes

secondary

UnitedHealthcare Providers• To find a United Healthcare Provider online:

– http://www.uhc.com/ or http://myuhc.com – From here, you can search for a physician or

hospital• Contact information:

– Donna Spencer – (573) 651-2855 or dspencer@semo.edu