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1. Open enrollment for 2021 benefits begins October 30 and ends November 14. 2. There are new medical plan options for 2021. 3. Current medical and dental elections will NOT roll over to 2021. This means that if you want medical or dental for 2021, you must login to UltiPro and choose what you want for medical and dental for 2021. If you do not make an election for medical or dental for 2021, you will not have 2021 coverage. 2021 BENEFITS OPEN ENROLLMENT IMPORTANT DATES AND CHANGES FOR 2021 Goodwill Industries of Northwest NC NEW FOR 2021 - GET REWARDED FOR HEALTHY CHOICES Regardless of the medical plan you choose, if you get your annual physical exam anytime between November 1, 2020 and October 31, 2021, you will be rewarded with a VISA $50 healthy choices gift card! If you get your annual physical exam and one or more of the routine preventative services listed below, your name will be entered into a drawing to receive a VISA $100 healthy choices gift card (1 entry per employee). - Flu Shot - Colonoscopy - Mammogram - PSA Screening (Prostrate-Specific Antigen Test) - PAP Test For 2021, you have the option to elect one of two medical plans: Plan “A” or Plan “B”. - If you choose PLAN A: your payroll deduction will be lower, but your deductible, co-pays, and out of pocket maximum will be higher - If you choose PLAN B: your payroll deduction will be higher, but your deductible, co-pays, and out of pocket maximum will be lower TWO MEDICAL PLAN OPTIONS Following is important information about the new 2021 medical plans, including information on how you will receive detailed information on all benefit offerings for 2021. PLAN SUMMARY / COMPARISON Services (in-network) Deductible - Individual / Family Out of Pocket Max - Individual / Family Primary Care Specialist Inpatient and Outpatient Hospital Services Outpatient CT, MRI, and PET Scans (requires prior approval) Prescription Drugs - Generic Preferred Brand Non-preferred Brand Generic Maintenance Rx PLAN B $1250 / $1500 $3000 / $5000 $20 copay $40 copay 20% after deductible 20% after deductible $10 copay $15 + 15% coinsurance $25 + 25% coinsurance $0 PLAN A $2500 / $3000 $5500 / $10000 $40 copay $80 copay 30% after deductible 30% after deductible $20 copay $50 + 20% coinsurance $50 + 20% coinsurance $0 Page 1 of 6

Goodwill Industries of Northwest NC 2021 BENEFITS OPEN ... · 2020/09/16  · 2021 BENEFITS OPEN ENROLLMENT 2021 MEDICAL PLAN RATES Goodwill Industries of Northwest NC Plan A $67.41

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Page 1: Goodwill Industries of Northwest NC 2021 BENEFITS OPEN ... · 2020/09/16  · 2021 BENEFITS OPEN ENROLLMENT 2021 MEDICAL PLAN RATES Goodwill Industries of Northwest NC Plan A $67.41

1. Open enrollment for 2021 benefits begins October 30 and ends November 14.

2. There are new medical plan options for 2021.

3. Current medical and dental elections will NOT roll over to 2021. This means that if you want medical or dental for 2021, you must login to UltiPro and choose what you want for medical and dental for 2021. If you do not make an election for medical or dental for 2021, you will not have 2021 coverage.

2021 BENEFITS OPEN ENROLLMENT

IMPORTANT DATES AND CHANGES FOR 2021

Goodwill Industries of Northwest NC

NEW FOR 2021 - GET REWARDED FOR HEALTHY CHOICES

Regardless of the medical plan you choose, if you get your annual physical exam anytime between November 1, 2020 and October 31, 2021, you will be rewarded with a VISA $50 healthy choices gift card!

If you get your annual physical exam and one or more of the routine preventative services listed below, your name will be entered into a drawing to receive a VISA $100 healthy choices gift card (1 entry per employee).

- Flu Shot- Colonoscopy- Mammogram- PSA Screening (Prostrate-Specific Antigen Test)- PAP Test

For 2021, you have the option to elect one of two medical plans: Plan “A” or Plan “B”.

- If you choose PLAN A: your payroll deduction will be lower, but your deductible, co-pays, and out of pocket maximum will be higher

- If you choose PLAN B: your payroll deduction will be higher, but your deductible, co-pays, and out of pocket maximum will be lower

TWO MEDICAL PLAN OPTIONS

Following is important information about the new 2021 medical plans, including information on how you will receive detailed information on all benefit offerings for 2021.

PLAN SUMMARY / COMPARISON

Services (in-network)

Deductible - Individual / Family

Out of Pocket Max - Individual / Family

Primary Care

Specialist

Inpatient and Outpatient Hospital Services

Outpatient CT, MRI, and PET Scans (requires prior approval)

Prescription Drugs - Generic Preferred Brand Non-preferred Brand Generic Maintenance Rx

PLAN B

$1250 / $1500

$3000 / $5000

$20 copay

$40 copay

20% after deductible

20% after deductible

$10 copay$15 + 15% coinsurance$25 + 25% coinsurance$0

PLAN A

$2500 / $3000

$5500 / $10000

$40 copay

$80 copay

30% after deductible

30% after deductible

$20 copay$50 + 20% coinsurance$50 + 20% coinsurance$0

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Page 2: Goodwill Industries of Northwest NC 2021 BENEFITS OPEN ... · 2020/09/16  · 2021 BENEFITS OPEN ENROLLMENT 2021 MEDICAL PLAN RATES Goodwill Industries of Northwest NC Plan A $67.41

1. La inscripción abierta para beneficios 2021 comienza el 30 de octubre y termina el 14 de noviembre.

2. Hay nuevas opciones de planes médicos.

3. Las elecciones médicas y dentales actuales NO se traspasarán al 2021. Esto significa que, si desea servicios médicos o dentales para 2021, DEBE INICIAR SESION en UltiPro y elegir lo que desea para servicios médicos y dentales para 2021. Si no elige o dental para 2021, no tendrá cobertura para 2021.

INSCRIPCION ABIERTA DE BENEFICIOS 2021

¡AVISO IMPORTANTE - INSCRIPCION ABIERTA DE BENEFICIOS 2021!

Goodwill Industries of Northwest NC

¡NUEVO PARA 2021! ¡OBTENGA RECOMPENSAS POR ELECCIONES SALUDABLES!

¡Independientemente del plan médico que elija, si realiza su examen físico anual en cualquier momento entre el 1 de noviembre de 2020 y el 31 de octubre de 2021, será recompensado con una tarjeta de regalo VISA de $50 opciones saludables!

¡Si obtiene su examen físico anual Y uno o más de los siguientes servicios preventivos de rutina, su nombre se ingresará en un sorteo para recibir una tarjeta de regalo VISA de $100 opciones saludables!

- Vacuna contra la gripe- Colonoscopia- Mamografia- PSA- Citologia vaginal

Para el 2021, tiene la opción de elegir uno de DOS PLANES MEDICOS, ya sea el Plan “A” o el Plan “B”.- Si elige el Plan A, su deducción de nómina será menor, pero sus deducible, copagos y desembolso

máximo serán más altos.- Si elige el Plan B, su deducción de nómina será más altos, pero su deducible, copagos y desembolso

máximo serán más menor.Aquí hay un resumen rápido de cada plan médico:

DOS PLANES MEDICOS

Aquí hay información importante sobre los nuevos planes médicos para 2021 (lea a continuación para obtener información sobre como recibirá información detallada sobre TODAS las ofertas de beneficios para 2021):

Servicios (in-network)

Deducibles – Individual / Familia

Máximo du su bolsillo – Individual / Familia

Atencion Primaria

EspecialistaServicios hospitalarios para pacientes hospitalizados y ambulatorios

Servicios Ambulatorios para CT, MRI, PET Scans (Requieren Aprobación del Plan)

Medicamentos con Receta - Genéricos Marca Preferida Marca No Preferida Genéricos de Mantenimiento

PLAN B

$1250 / $1500

$3000 / $5000

$20 copago

$40 copago

20% despues del deducible

20% despues del deducible

$10 copago$15 y 15% coseguro$25 y 25% coseguro$0

PLAN A

$2500 / $3000

$5500 / $10000

$40 copago

$80 copago

30% despues del deducible

30% despues del deducible

$20 copago$50 y 20% coseguro$50 y 20% coseguro$0

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Page 3: Goodwill Industries of Northwest NC 2021 BENEFITS OPEN ... · 2020/09/16  · 2021 BENEFITS OPEN ENROLLMENT 2021 MEDICAL PLAN RATES Goodwill Industries of Northwest NC Plan A $67.41

Note: Dental rates did not change, ALL rates will be in the soon to be mailed Open Enrollment Guide.

2021 BENEFITS OPEN ENROLLMENT

2021 MEDICAL PLAN RATES

Goodwill Industries of Northwest NC

Plan A $67.41 $325.75 $258.36 $478.71

Employee Only Employee + Spouse Employee + Child Employee + Family

BI-WEEKLY

Plan B $76.96 $358.33 $284.20 $526.58

SEMI-MONTHLY

Plan A $73.03 $352.90 $279.89 $518.61

Plan B $83.38 $388.19 $307.88 $570.47

Employee Only Employee + Spouse Employee + Child Employee + Family

Q. What do I need to do right now?

A. Log in to UltiPro and make sure your home address is correct. If it is not correct, make the change ASAP. The Open Enrollment Guide will soon be mailed to your home address, so please make sure your home address is correct in UltiPro.

If you do NOT have a Goodwill email address, the Guide will also be emailed to the personal email address that is in UltiPro. Please make sure your personal email address is correct.

Q. During open enrollment, if I do nothing in UltiPro, will my current medical and dental bene-fits automatically rollover to 2021?

A. NO, your current medical and dental elections will NOT automatically rollover to 2021. If you want medical, dental, (or Flexible Spending) for 2021, you MUST log in to UltiPro and enroll. If you do not log in and choose medical or dental for 2021, you will not have those benefits for 2021.

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Page 4: Goodwill Industries of Northwest NC 2021 BENEFITS OPEN ... · 2020/09/16  · 2021 BENEFITS OPEN ENROLLMENT 2021 MEDICAL PLAN RATES Goodwill Industries of Northwest NC Plan A $67.41

2021 BENEFITS OPEN ENROLLMENTGoodwill Industries of Northwest NC

(Las tarifas dentales no cambiaron, TODAS las tarifas estarán en la Guia de Inscripción abierta que se enviara pronto por correo)

Tarifas del plan médico 2021

Plan A $67.41 $325.75 $258.36 $478.71

Empleado Solo Empleado y esposo(a) Empleado y Nino(s) Empleado y Familia

Quincenal:

Plan B $76.96 $358.33 $284.20 $526.58

Semi-Mensual:

Plan A $73.03 $352.90 $279.89 $518.61

Plan B $83.38 $388.19 $307.88 $570.47

P. ¿Qué debo hacer ahora mismo?

R. Entre a UltiPro y asegúrese de que la dirección de su casa este correcta. Si no está correcta, haga el cambio lo más pronto posible. Pronto, la Guía de Inscripción Abierta será enviada a usted por correo a su domicilio, así que por favor asegúrese de que la dirección de su domicilio este correc-to en UltiPro.

Si NO tiene una dirección de correo electrónico de Goodwill, la Guía también se enviará por correo electrónico a su correo electrónico personal que se encuentra en UltiPro. Por favor asegúrese de que su dirección de correo electrónico personal este correcta.

P. ¿Durante la Inscripción Abierta, si no hago nada en UltiPro, mis beneficios médicos y dental-es actuales se trasladarán automáticamente al 2021?

R. NO, sus elecciones médicas y dentales actuales NO se trasladarán automáticamente al 2021. Si usted desea tener seguro médico, dental (o Cuenta de Gastos Flexibles) para 2021, DEBERA entrar a UltiPro y inscribirse. Si no entra y elige seguro médico o dental para 2021, no tendrá esos beneficios para 2021.

Empleado Solo Empleado y esposo(a) Empleado y Nino(s) Empleado y Familia

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Page 5: Goodwill Industries of Northwest NC 2021 BENEFITS OPEN ... · 2020/09/16  · 2021 BENEFITS OPEN ENROLLMENT 2021 MEDICAL PLAN RATES Goodwill Industries of Northwest NC Plan A $67.41

2021 BENEFITS OPEN ENROLLMENTGoodwill Industries of Northwest NC

Q: Is this the only information I will receive about Open Enrollment and 2021 benefits?

A. No, this is the first of several other communications you will receive about 2021 Open Enrollment. You will soon receive an Open Enrollment Guide that will have detailed information about how to enroll, rates, and important information about all 2021 benefit offerings.

Q. Will the Open Enrollment Guide also be emailed to me?

A. YES! If you have a Goodwill email address, the Guide will be emailed to your Goodwill email. If you do NOT have a Goodwill email address, the Guide will be emailed to your personal email address that is in UltiPro. Please log in to UltiPro and make sure your personal email address is correct.

Q. How do I enroll for medical and dental coverage for 2021?

A. During the Open Enrollment period, benefit eligible employees who want to have medical and/or dental coverage for 2021 MUST login to UltiPro to elect the Plan A or Plan B medical plan. If you do not login to UltiPro and choose a medical and/or dental for 2021, you will not have coverage!

Medical, Dental, and Flexible Spending Accounts do NOT rollover from 2020 to 2021!

Q. When will I get information about the other benefits for 2021 such as dental, vision, life insurance, disability, and Flexible Spending Accounts?

A. Information about ALL benefit options will be in the Open Enrollment Guide that will be mailed to your home address and also emailed to you (at Goodwill email or personal email). This announce-ment is to give you the dates for open enrollment and let you know that for 2021, medical and dental (along with Flexible Spending Accounts) will NOT rollover and you must enroll for those benefits if you want them for 2021.

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Page 6: Goodwill Industries of Northwest NC 2021 BENEFITS OPEN ... · 2020/09/16  · 2021 BENEFITS OPEN ENROLLMENT 2021 MEDICAL PLAN RATES Goodwill Industries of Northwest NC Plan A $67.41

2021 BENEFITS OPEN ENROLLMENTGoodwill Industries of Northwest NC

P: ¿Sera esta la única información que recibiré sobre la Inscripción Abierta y de los beneficios del 2021?

R. No, este es el primer de varios otros comunicaciones que recibirá sobre la Inscripción Abierta del 2021. Pronto usted recibirá una Guía de Inscripción Abierta que tendrá información detallada sobre como inscribirse, tarifas e información importante sobre todas las ofertas de beneficios del 2021.

P. ¿También se me enviará la Guía de Inscripción Abierta por correo electrónico?

R. ¡SI! Si usted tiene un correo electrónico de Goodwill, la Guía se enviará por correo electrónico a su correo electrónico de Goodwill. Si usted NO tiene un correo electrónico de Goodwill, la Guía se enviará por correo electrónico a su correo electrónico personal que se encuentra en UltiPro. Por favor entre a UltiPro y asegúrese de que su correo electrónico personal este correcto.

P. ¿Cómo me inscribo para la cobertura médica y dental para el 2021?

R. Durante el período de Inscripción Abierta, los empleados elegibles que desean tener beneficios de cobertura médica y / o dental para 2021 DEBERAN entrar a UltiPro para elegir el plan médico Plan A o Plan B. Si usted no entra a UltiPro y elige un plan médico y / o dental para 2021 ¡Usted no tendrá cobertura!

¡Las cuentas de seguro médico, dental y Cuenta de Gastos Flexibles del 2020 NO se transfie-ren al 2021!

P. ¿Cuándo recibiré información sobre los otros beneficios para 2021 como de los seguros dental, oftalmológico, seguro de vida, discapacidad y Cuenta de Gastos Flexibles?

R. La información sobre TODAS las opciones de beneficios estará en la Guía de Inscripción Abierta que se enviará por correo a su dirección de casa y también se le enviará por correo electrónico (a su correo electrónico de Goodwill o correo electrónico personal). Este anuncio es para darle las fechas de inscripción abierta y hacerle saber que para el 2021, los servicios médicos y dentales (junto con las Cuentas de Gastos Flexibles) NO se transferirán y debe inscribirse para esos benefi-cios si los desea para el 2021.

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