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To add your company logo, change colors or add any information to every slide, use the Slide Master.

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... 250 PPO Rx copays are ... have been treatment-free from the pre-existing condition for ... You will receive ID cards from your medical plan carrier and ... – PowerPoint PPT presentation

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Title: To add your company logo, change colors or add any information to every slide, use the Slide Master.


1
Instructions for using the meeting presentation
  • To add your company logo, change colors or add
    any information to every slide, use the Slide
    Master.
  • Go to File menu View Master Slide master and
    add logo. This will put your logo on every slide.
    Go back to File menu View to Normal to go back to
    the presentation.
  • Ensure slides are accurate for your bank
  • Content with an asterisk indicates something
    that you may need to customize for your bank
  • Review all slides and remove asterisks when you
    are comfortable with the accuracy of the
    information
  • Add or remove slides as needed
  • Use employee meetings as an opportunity to talk
    about your complete benefit program, including
    programs outside of Banker Benefits
  • Review speaker notes and other employee
    communication material prior to meeting so you
    are familiar with the content and can answer
    potential questions
  • Delete this slide when finished

2
2008 Benefits Annual Enrollment
  • bank name
  • date

3
Enrollment starts Nov.5
  • This is your chance to make medical and other
    plan changes
  • You wont be able to change your coverage during
    the year unless you have a qualified life status
    event

4
Before you enroll
  • Read the Benefits Guide
  • Review your options online
  • See your personalized worksheet
  • Evaluate your options and costs

5
If you dont enroll
  • Your existing coverage will carryover to 2008
    unless
  • You are currently enrolled in a plan that your
    bank no longer offers.
  • Note to banks list plans that are being
    eliminated, if any

6
2008 Plan Changes
  • New 2,000 High-Deductible Health Plan from
    Kaiser Permanente (eligible for HSA). Kaiser
    Small Group is not eligible for this plan.
  • Health Net 250 PPO Rx copays are increasing
  • Costs are changing--see online or your
    personalized worksheet
  • Banks add other changes appropriate for your
    banks

7
Medical Plans
  • Plans available through Banker Benefits
  • Health Net HMO
  • Kaiser Permanente HMO
  • Health Net 250 Deductible PPO
  • Health Net 1,500 HDHP
  • Health Net 3,000 HDHP
  • Kaiser Permanente 2,000 HDHP Plan (Large Group
    banks only)
  • Health Net Indemnity Plan FlexNet

8
Health Net Options
  • HMO Highest Benefits/Lowest Cost - must reside
    in the HMO service area (most of California)
    keep all non-emergency care with the primary care
    physician (PCP) medical group.
  • PPO Good benefits with flexibility available
    nationwide - members utilizing a contracted
    provider will have lower cost. No PCP selection
    or referrals necessary.
  • HDHP PPO plan that combines with an HSA to give
    members a tax-advantaged medical savings account.

9
Kaiser Permanente Options(Large Group)
  • HMO Highest Benefits/Lowest Cost - must keep
    all non-emergency care within the Kaiser network.
  • HDHP PPO plan that combines with an HSA to give
    members a tax-advantaged medical savings account.
    You must keep all non-emergency care within the
    Kaiser network. This plan is currently only
    available for Large Group banks.

10
Health Net HMO
  • No annual deductible
  • Annual out-of-pocket maximum - 1,500 individual
    3,000 employee1
  • 4,500 family (3 or more)
  • Must select a PCP
  • Must use network providers except in emergencies

11
Health Net HMO(Continued)
  • 20 copay for routine preventative care
  • 75 copay for emergency room care
  • 35 copay for urgent care
  • 250 copay for inpatient hospitalization
  • 10 copay for chiropractic care (30 visits per
    calendar year)
  • Prescription Drugs
  • Retail (30 days)10/25/35
  • Mail order (90 days)20/50/70

12
Kaiser Permanente HMO(Large Group)
  • No annual deductible
  • 1,500 individual 3,000 family annual
    out-of-pocket maximum
  • Must select a PCP
  • Must use Kaiser providers hospitals within the
    service area, except in emergencies

13
Kaiser Permanente HMO (Large Group continued)
  • 20 copay for routine preventive care
  • 75 or 100 copay for emergency room care
    (waived if admitted)
  • 20 copay for outpatient surgery
  • 100 coverage for most other medical expenses,
    hospital stays included
  • Prescription drugs
  • Retail copays of 10 (generic) 20 (brand)
  • MOI of 20 (generic) 40 (brand)

14
Health Net 250 PPO
  • 250 individual 500 family annual deductible
  • 2,000 individual 4,000 family annual
    out-of-pocket maximum (in-network)
  • Lower costs better benefits when you use a
    contracted provider
  • 15 copay for office visits, deductible waived
  • After the deductible, you pay 20 of the
    negotiated in-network rates for most services
  • Prescription Drugs New copays!
  • Retail (30 days)15/30/50
  • Mail order (90 days)30/60/50

15
Health Net 1,500 High-Deductible Health Plan
  • 1,500 individual 3,000 family annual
    deductible
  • 3,500 individual 7,000 family (aggregate)
    annual out-of-pocket maximum
  • Lower costs better benefits when you use a
    contracted provider
  • After the deductible, you pay 20 of the
    negotiated in-network rate for most services
  • After the deductible, you pay set copays for
    prescriptions

16
Health Net 3,000 High-Deductible Health Plan
  • 3,000 individual 6,000 family annual
    deductible
  • 5,000 individual 10,000 family (aggregate)
    annual out-of-pocket maximum
  • Lower costs better benefits when you use a
    contracted provider
  • After the deductible, you pay 30 of the
    negotiated in-network rate for most services
  • After the deductible, you pay 30 of the cost
    for prescriptions

17
Kaiser 2,000 High-Deductible Health Plan
  • 2,000 individual 4,000 family annual
    deductible
  • 3,000 individual 6,000 family annual
    out-of-pocket maximum
  • Must use Kaiser providers hospitals within the
    service area, except in emergencies
  • 30 copay (10 copay children under 2) for
    preventive care, deductible waived
  • After the deductible, you pay a set copay for
    most services
  • After the deductible, you pay copays of 10 or
    30 for retail prescriptions (MOI available)
  • Currently only available for Large Group banks

18
Health Net Indemnity Plan - FlexNet
  • 250 individual 750 family annual deductible
  • Able to see any licensed doctor anywhere
  • After the deductible, you pay 20 of the
    negotiated in-network rate for most services
  • After the deductible, you pay 10 for
    prescriptions

19
Not sure what plan is best for you?
  • Visit the medical plan carriers web sites and
    use the comparison tools provided
  • Health Net www.healthnet.com
  • Kaiser Permanente www.kp.org

20
High-Deductible Health Plans and Health Savings
Accounts
21
Interested in the HDHP and HSA?
  • Keep in mind
  • With the exception of preventive care, you must
    pay the full deductible up front, before the plan
    pays for any services (including Rx)
  • For family coverage, you must first pay the full
    family deductible
  • You cant have other medical coverage or medical
    flexible spending account coverage with an HSA
  • Employer contributions are monthly Note to
    bank be sure to change if this is not accurate
    for your bank
  • You own your HSA. The account--and the tax
    implications--are fully your responsibility

22
Other Benefits
  • Dental
  • Vision
  • Life Insurance
  • ADD
  • Long-term Disability
  • Employee Assistance Program

23
Dental Plans
  • Plans available through Banker Benefits
  • Delta Dental DHMO Plan known as DeltaCare USA
  • Delta Dental PPO Plan
  • Delta Dental PPO with Ortho Plan
  • Delta Dental Premier Indemnity Plan

24
DeltaCare USA Plan
  • No annual deductible
  • No maximum benefit amount
  • Must use in-network provider or no coverage
  • Accident Rider 100 coverage with separate 1,600
    maximum benefit
  • 0-90 copay for basic services
  • 0-250 copay for major services
  • You pay 350 in start-up fees, then 1,600-1,800
    for orthodontic services
  • Complete list available in the plan EOC, upon
    request.

25
Delta Dental PPO Plan
  • 50 per patient 150 per family annual deductible
  • 2,000 maximum annual benefit per patient
  • Better rates and higher coverage for in-network
    providers
  • Accident Rider 100 coverage with separate 1000
    maximum benefit
  • You pay 20 for basic services
  • You pay 50 for major services
  • No coverage for orthodontic services

26
Delta Dental PPO with Ortho Plan
  • 50 per patient 150 per family annual deductible
  • 2,000 maximum annual benefit per patient
  • Better rates and higher coverage for in-network
    providers
  • Accident Rider 100 coverage with separate 1000
    maximum benefit
  • You pay 20 for basic services
  • You pay 50 for major services
  • You pay 50 for orthodontic services
  • 2,000 maximum orthodontic care lifetime benefit

27
Delta Dental Premier Indemnity Plan
  • 50 per patient 150 per family annual deductible
  • 1,200 maximum annual benefit per patient
  • Able to see any provider
  • Accident Rider 100 coverage with separate 1000
    maximum benefit
  • You pay 20 for basic services
  • You pay 50 for major services
  • No coverage for orthodontic services

28
Vision Plans
  • Plans available through Banker Benefits
  • VSP Gold Plan (A)
  • VSP Bronze Plan (B)
  • VSP Platinum Plan (C)
  • VSP Silver Plan (D)

29
VSP Gold Plan
  • Better rates and higher coverage for in-network
    providers
  • In-network exam - every 12 months
  • In-network lenses - every 24 months
  • 10 total copay for exam, lens frame
  • 120 allowance for in-network frames - every 24
    months
  • 120 allowance for in-network contact lenses -
    every 24 months

30
VSP Bronze Plan
  • Better rates and higher coverage for in-network
    providers
  • 10 copay for in-network exam - every 12 months
  • 25 copay for in-network lenses - every 24 months
  • 120 allowance for in-network frames - every 24
    months
  • 120 allowance for in-network contact lenses -
    every 24 months

31
VSP Platinum Plan
  • Better rates and higher coverage for in-network
    providers
  • In-network exam - every 12 months
  • In-network lenses - every 12 months
  • 10 total copay for exam, lens frame
  • 120 allowance for in-network frames - every 12
    months
  • 120 allowance for in-network contact lenses -
    every 12 months

32
VSP Silver Plan
  • Better rates and higher coverage for in-network
    providers
  • 10 copay for in-network exam - every 12 months
  • 25 copay for in-network lenses - every 12 months
  • 120 allowance for in-network frames - every 24
    months
  • 120 allowance for in-network contact lenses -
    every 12 months

33
Insurance
  • With Banker Benefits the following insurance
    plans are available
  • Basic Group Life and ADD
  • Voluntary Group life and ADD (Employee Paid)
  • Basic Group Long Term Disability
  • Voluntary Group Long Term Disability (Employee
    paid)

34
Unum Group Insurance Products
  • The policy or its provisions may vary or be
    unavailable in some states. The policy has
    exclusions and limitations which may affect any
    benefits payable. See the actual policy or your
    Unum representative for specific provisions and
    details of availability.
  • Coverage underwritten by
  • Unum Life Insurance Company of America,
  • 2211 Congress Street, Portland, ME 04122.
  • Unum is a registered trademark and marketing
    brand of Unum Group and its insuring
    subsidiaries.

35
Basic Life Insurance
  • Can pay a death benefit to your named beneficiary
  • Coverage amounts are based on annual earnings or
    a flat amount (varies by bank)
  • Includes a provision that reduces the amount of
    coverage when reaching a certain age

36
Basic Dependent Life Insurance
  • Can pay a death benefit to your beneficiary
  • Must be registered as dependents or
    spouse/domestic partner during enrollment to be
    eligible
  • Includes a provision that reduces the amount of
    coverage when reaching a certain age
  • If an employees spouse/domestic partner is also
    an employee of the bank, they cannot have
    insurance coverage both as an employee and as a
    dependent.

37
Basic Group Accidental Death Dismemberment
Insurance
  • Can pay a death benefit to your beneficiary as a
    result of an accidental death or dismemberment
  • Partial benefit paid in case of certain injuries
  • Subject to Age-Related Coverage Reductions

38
Voluntary Group Life Insurance
  • Additional employee paid group life insurance
    purchased by employee
  • Can pay a death benefit to your beneficiary due
    to accidental death or dismemberment
  • Includes a provision that reduces the amount of
    coverage when reaching a certain age

39
Voluntary Group ADD Insurance
  • Additional employee paid group life insurance
    purchased by employee
  • Can pay a death benefit to your beneficiary due
    to accidental death or dismemberment.
  • Includes a provision that reduces the amount of
    coverage when reaching a certain age.
  • Spouse/domestic partner coverage of 50 and
    dependents coverage of 10
  • Includes a provision that reaches the amount of
    coverage when reaching a certain age.

40
Basic Group Long-Term Disability Insurance
  • Can provide income protection if you are unable
    to work due to a covered disability
  • Waiting period must be met before benefits are
    payable
  • Policy includes a pre-existing condition
    limitation
  • Pre existing condition
  • You have a pre-existing condition if
  • you received medical treatment,
    consultation, care or services including
    diagnostic measures, or
  • took prescribed drugs or medicines in the 12
    months just prior to your effective date of
    coverage and
  • the disability begins in the first 24 months
    after your effective date of coverage unless you
  • have been treatment-free from the pre-existing
    condition for 12 consecutive months after your
    effective date.

41
Voluntary Group Long-Term Disability Insurance
  • Additional employee paid disability coverage
  • Can help protect more earnings if you are unable
    to work due to a covered disability
  • Waiting period must be met before benefits are
    payable
  • Benefit based on percentage of earnings
  • Policy includes a pre-existing condition
    limitation
  • Pre existing condition
  • You have a pre-existing condition if
  • you received medical treatment, consultation,
    care or services including diagnostic measures,
    or
  • took prescribed drugs or medicines in the 12
    months just prior to your effective date of
    coverage and
  • the disability begins in the first 24 months
    after your effective date of coverage unless you
  • have been treatment-free from the pre-existing
    condition for 12 consecutive months after your
    effective date.

42
Employee Assistance Programs
  • Services provided by VMC Behavioral Healthcare
    Services
  • Paid for by your bank
  • Short-term counseling services
  • Available to employee, spouse/domestic partner
    and eligible dependents
  • Additional services at expense of employee
  • Specific information on which program your bank
    provides at www.vmceap.com

43
How to enroll
  • Before you enroll you will need
  • Your user ID (1349last 6 digits of your SSN) and
    password (the password you have created or your
    birthday in MMDD format for first time users)
  • Dependent information, including SSN and birth
    dates
  • Go to www.benefitenroll.com or call
  • 1-866-856-0670 and follow the prompts
  • Note this is a new phone number and must be used
    starting Dec. 1, 2007. Until that time, either
    number will work.

44
After you enroll
  • You will receive ID cards from your medical plan
    carrier and Delta Dental (if you made changes to
    your dental plan)
  • Check ID cards for accuracy
  • Report any incorrect information to plan carriers
    immediately

45
If you have questions
46
Remember to enroll!
  • Open enrollment begins November 5 and ends
    November 19
  • Dont miss your chance to choose your benefits
    and ensure you have the best coverage for you and
    your family!
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