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Axeon Specialty Products
2017 Employee Benefits Guide
Revised 10/16
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Introduction
Axeon SP’s 2017 Open Enrollment Period will begin on November 7 and continue through November 20. We
encourage you to review all your benefit options and make choices that are best for you and your family. Once
you’ve enrolled, you will not be able to make any changes again until the next Open Enrollment period unless
you have a qualified event.
Important information concerning your 2017 benefits, effective January 1, 2017:
Represented Employees will need a separate enrollment for the USW Medical and Prescription Drug plan in the
spring for an April 1, 2017 effective date.
Medical and Dental plans will be provided by Aetna. The Medical and Dependent Care FSA will be provided by
Ameriflex.
This year’s enrollment will be “active” – You must enroll online and choose your coverage.
Prescription Drug Tiers will look different in 2017! The current copays and deductibles will be in place for 2017:
Summary: o Primary Care Office Visit Copay: $25
o Specialist Copay $50
o Urgent Care Copay $75
o Emergency Room 80% after $300 copay
o Deductible $500/Individual, $1,000 Family
o Rx Copay $3/$10/$35/$70/$150/$300
o Out of Network Coinsurance 50%
There will be a medical premium increase for 2017
Dental insurance premiums will decrease by 3%
Vision coverage is provided at no cost to you. The copayment for your vision exam will be $20.
No other premium increases for other insurance plans
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Medical
Under the Aetna Medical Plan, you may use in-network and out-of-network health care providers in locations
where the Aetna Medical Plan is offered. Aetna’s Open Access Managed Choice POS network includes
physicians, hospitals and other health care professionals who deliver services at contracted rates. In order to
receive the highest benefit level, a network provider should be selected.
The Aetna plan reimburses 100% for in-network office visits after paying an office visit copay. Reimbursement
is 80% after your deductible for all other network medical services. Out- of- network services are also covered
subject to higher deductibles and co-insurance.
Benefit changes for 2017: • Primary Care Office Visit Copay $25
• Specialist Copay $50
• Urgent Care Copay $75
• Emergency Room 80% after $250 copay
• Deductible $500 individual / $1000 family
• Rx Copay see chart below
• Out of network coinsurance 50%
If you are enrolled for Medical Insurance coverage, Prescription drug coverage is automatically included. The
prescription coverage includes copayments based the medication prescribed.
Pharmacy Plan Type
Retail Pharmacy Co-Pay
(30-day supply)
Mail Order Co-Pay
(90-day supply)
Value Drugs Tier 1A $3 $7.50
Generic Drugs $10 $25
Preferred Brand-Name Drugs $35 $87.50
Non-Preferred Brand-Name Drugs $70 $175
Pr Premier Specialty Drugs – Preferred
$150
N/A
Premier Specialty Drugs – Non-Preferred
$300 N/A
There is no deductible to meet for the prescription plan
To locate a medical provider, visit www.aetna.com. To locate a retail pharmacy or to sign up for Mail Order Delivery, visit www.aetna.com. New Medical ID cards will be received for the 2017 calendar year.
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Dental
We offer a comprehensive Dental PPO Plan through Aetna to meet the needs of you and your family. You
are able to use any dentist or facility in the Aetna Dental PPO network for additional dental savings, but there
is no penalty when you use a non-network provider.
There is an annual benefit maximum of $2,500 per covered member. An annual deductible of $50 per
covered member (3x per family) applies to Basic and Major services.
Preventive care is covered at 100% of the Usual and Customary fees. This includes sealants, up to two
oral exams, two fluoride treatments and two cleanings annually.
Basic Care is covered at 80% of the Usual and Customary fees. Basic Care includes: fillings, root canal
therapy, crowns, and extractions.
Major care is covered at 70%. Major services include crowns, dentures, and implants.
Orthodontia care is 50% of the cost for adults and children, up to a lifetime maximum of $2,000 per
person. Orthodontic claims are paid in installments based on the initial treatment plan.
Vision
The Vision Service Plan (VSP) provides you with access to a network of private doctors. Participants may
choose either one set of frames and lenses up to a maximum of $130, or contacts up to a maximum of $150
per calendar year. When you use a VSP provider, the plan pays 100% after you meet the $20 co-payment for
the annual eye examination.
VSP offers an average 15% savings for laser vision correction and 5% savings on discounted laser vision
correction services. In addition, Costco and VSP have partnered to offer frame and lens benefits to VSP
members through their store outlets. Members who use Costco Optical will receive additional savings on
Costco’s already discounted prices.
If you use a non-participating provider, eligible vision expenses may be paid based on a limited benefit
reimbursement schedule.
Before making an appointment, call VSP to identify a network provider or verify if your current provider is a
network member.
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Voluntary Life Insurance
Axeon Specialty Products automatically gives all employees a multiple of two times (2x) their annual salary (up
to $500,000) in Basic Life Insurance.
• Employees can also choose to elect up to five times (5x) their multiple of annual base salary (to a
maximum of $1,000,000) in Voluntary Life Insurance. Any elected amount over $400,000 is subject to
medical underwriting. Amounts over the guaranteed issue require insurance approval through medical
underwriting.
• Spouse benefits can be purchased in increments of $10,000, $25,000, $50,000, $100,000 and $150,000.
Any elected amount more than $50,000 is subject to medical underwriting. Employees must elect life
insurance coverage in order for their spouse to be insured. The Voluntary Life Insurance cannot exceed
50% of the employee’s election.
• Voluntary Life Insurance for the employee’s child(ren), up to age 26, is available in the amount of $10,000
for each eligible child.
Accidental Death and Dismemberment
The Accidental Death and Dismemberment (AD&D) Insurance covers the loss of life, limb and eyesight or
full or partial paralysis as a result of an accident. Each enrollment period, coverage can be purchased in
increments of one to seven times your annual benefit base salary with the maximum amount of coverage of
$1 million. Partial coverage extends to your eligible dependents.
Option % of Employee’s Amount
Spouse 60%
Child* 20%
Spouse & Child* 50% & 15%
*The maximum child benefit is $150,000
Health Care Flexible Spending Account
A great way to save for out-of-pocket health care expenses is through the Health Care Flexible Spending
Account (FSA). The FSA allows employees to contribute money to an account that can be used to reimburse
health care expenses that are deductible on a federal income tax return, and not reimbursed by any health
care plan. In 2017, the Health Care FSA will be administered by AmeriFlex www.myameriflex.com .
By enrolling in the Health Care FSA, you will receive a debit card for instant access to your pre-tax FSA
dollars for eligible out-of-pocket expenses. Examples of eligible expenses include the annual deductible,
co-pays and over-the-counter medical supplies, such as bandages and contact lens solution. As a
reminder, over-the-counter medications, are not eligible for reimbursement without a doctor’s prescription.
The Health Care FSA’s minimum annual contribution for 2017 is $300.
You can contribute up to $2,600 per year on a pre-tax basis to pay for eligible out-of-pocket medical, dental
and vision expenses.
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Dependent Day Care Flexible Spending Account
The Dependent Day Care Flexible Spending Account (FSA) can be used for reimbursement of Child Day
Care (for children 12 and under) or an Adult Day Care Program for parents, disabled dependents or both.
In general, any day care expenses that would be deductible on a federal income tax return are eligible for
reimbursement through the Dependent Day Care FSA.
One of the greatest advantages of this program is that Axeon SP provides an annual subsidy of $300 per
eligible child for day care expenses. Dependent children through age 12 (up to a maximum of four children)
are eligible for this subsidy. The day care subsidy only applies to eligible dependents born prior to January 1,
2017 The Dependent Day Care FSA’s minimum annual contribution for 2017 is $300.
You can contribute up to $5,000 per household per year on a pre-tax basis to cover your cost of childcare
for children 12 and under.
Important FSA Rules to Keep in Mind
FSAs offer sizable tax advantages, but they are also subject to strict IRS regulations, including the following:
• The IRS has a strict “use it or lose it” rule. If you do not use the full amount in your FSA(s) by the end of
the plan year, you will lose any remaining funds, unless your plan includes a grace period provision. Axeon
SP’s FSA includes the grace period.
• Your Ameriflex FSA may be used for any claims incurred January 1, 2017 or after.
• Your AmeriFlex FSA includes a two-and-a-half month grace period to submit FSA expenses from the
prior year’s enrollment. Eligible expenses may be incurred up to March 15, 2018 and any remaining 2017
FSA balances will be used for reimbursement. Any balance at the end of the grace period is forfeited.
• When estimating your health care and dependent care costs, it is better to be conservative and
underestimate rather than over estimate your expenses.
• You cannot transfer funds from one FSA to another.
• You cannot stop or change your FSA contribution amount during the year unless you have a qualified
change in family status.
• You must save your receipts! The IRS requires that you provide supporting documentation for your
expenses, such as an itemized bill or Explanation of Benefit.
Survivor Income Benefit
The Survivor Income Benefit provides a monthly income to your family in the event of your death. The benefit
allows for 25% of your monthly salary payable to your spouse, until remarriage or death. You may also elect
dependent children coverage at 10% of your monthly salary for eligible children (up to three children) until age
25. For three or more children, coverage is 30% of your monthly salary divided equally among the three oldest
eligible children.
Please note: This benefit is only available if you are newly eligible for this benefit. If you have waived Survivor
Income Benefit in prior enrollment periods, the insurer, MetLife, requires that you apply for coverage and
provide Evidence of Insurability.
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Critical Illness Plan
The Critical Illness Plan provides a $10,000, $20,000 or $30,000 benefit for a wide range of critical conditions,
including cancer, heart attack, major organ failure, stroke and other illnesses. The benefit is paid in addition to
any other medical insurance coverage you have. The Transamerica Critical Assistance Plus Employee
Application is required for Evidence of Insurability (EOI) for employees who were hired before 1/1/2016 and are
electing a higher level of coverage or are not currently enrolled.
Please note: This benefit is only available during open enrollment.
Legal Plan
The Legal Plan offers a variety of legal services that cover you and your eligible family members. These
services include insurance protection for legal representations, estate planning, legal advice and consultation
and financial planning. Participants can choose from a network of more than 7,500 attorneys nationwide for
in-person attorney services, or use an out-of-network attorney. If you stay within the network, the Legal Plan
will pay 100% of covered legal fees, up to the plan limits.
How and When to Enroll In Your Benefit Plans
You can enroll for coverage within 30 days of your eligibility date or during the annual Open Enrollment period.
You will be notified when and how to enroll either as a new employee or during the yearly benefits enrollment
period.
If you do not enroll for coverage within 30 days of your eligibility date, you lose the opportunity to make
any changes to your benefit elections. You will continue to be enrolled at the same coverage level
as your current enrollment. All new employees must elect or waive coverage within the 30-day initial
enrollment period.
Changing Coverage During the Year
If you experience an IRS-defined qualified life status event, you will have the opportunity to make mid-year
changes to your benefit elections within 30 days of the event date. Examples of a qualified life status event
include, but are not limited to, the following:
• Marriage, divorce, legal separation, or annulment
• Birth or adoption of a child
• Change in employment for you or your spouse that affects your benefit eligibility
• Loss of other health coverage
It is your responsibility to notify Axeon Specialty Products within 30 days after a qualifying event. A
paper form is required to make any changes to your benefits. You will need to provide documentation
of the event, and any benefit changes must be directly related to the qualified life status event.
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Company Paid Benefits
Axeon provides at no cost to employees many company paid benefits that are designed to give a solid
foundation of coverage. These company paid benefits include:
• Vision Insurance for you and your covered dependents
• Basic Life Insurance
• Short-Term Disability
• Long-Term Disability
• Occupational Accidental Death & Dismemberment Insurance
• Business Travel Accident
Contact Information
This list of toll-free numbers and websites makes it quick and easy to contact Axeon SP’s benefit providers.
Effective date for contact phone numbers listed below is January 1, 2017.
Provider Benefit Toll-Free Numbers Web Address
Aetna Medical Plan
Dental Plan
888-982-3862
877-238-6200
www.aetna.com
AmeriFlex Flexible Spending Account
888-868-3539 Member portal: www.myameriflex.com
Member Questions: member.flex125.com
VSP Vision Plan 800-877-7195
www.vsp.com
MetLife Life & AD&D 800-638-6420 www.metlife.com
Transamerica Critical Illness Plan 888-763-7474 www.transamericaemployeebenefits.com
ARAG Legal Plan 800-247-4184 www.ARAGLegalCenter.com
Access Code: 17904ax
Employee Assistance
Program (EAP)
CuraLinc 888-881-5462 www.support-linc.com
username: axeon password:
linc123
UNUM Short-term Disability
Long-term Disability
888-857-0157 www.unum.com
For assistance, contact a Human Resources Representative:
Carol Parmelee (856) 224-7436 [email protected]
Stephanie Hughes (210) 249-9660 [email protected]
Dean Roberts (210)249-9461 [email protected]
Please note that changes to your elections can only be accepted during open enrollment, except in the
case of a qualified status change including, but not limited to, marriage, divorce, birth of a child or loss of
coverage.
This communication is intended to provide highlights of certain benefits. All benefits are governed by the
terms of formal plan documents. Axeon Specialty Products reserves the right to amend all of its employee
benefits plans, in whole or in part, from time to time. Benefit programs for employees in collective bargaining
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units are separately negotiated with the applicable collective bargaining representative, and not all of the
features and programs described in the communication apply to such employees.
All services are subject to the plan provisions in effect at the time of service. All covered services are subject
to usual and customary limits.
