Title: To add your company logo, change colors or add any information to every slide, use the Slide Master.
1Instructions 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
22008 Benefits Annual Enrollment
3Enrollment 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
4Before you enroll
- Read the Benefits Guide
- Review your options online
- See your personalized worksheet
- Evaluate your options and costs
5If 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
62008 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
7Medical 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
8Health 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.
9Kaiser 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.
10Health 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
11Health 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
12Kaiser 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
13Kaiser 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)
14Health 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
15Health 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
16Health 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
17Kaiser 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
18Health 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
19Not 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
20High-Deductible Health Plans and Health Savings
Accounts
21Interested 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
22Other Benefits
- Dental
- Vision
- Life Insurance
- ADD
- Long-term Disability
- Employee Assistance Program
23Dental 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
24DeltaCare 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.
25Delta 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
26Delta 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
27Delta 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
28Vision Plans
- Plans available through Banker Benefits
- VSP Gold Plan (A)
- VSP Bronze Plan (B)
- VSP Platinum Plan (C)
- VSP Silver Plan (D)
29VSP 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
30VSP 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
31VSP 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
32VSP 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
33Insurance
- 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)
34Unum 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.
35Basic 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
36Basic 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.
37Basic 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
38Voluntary 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
39Voluntary 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.
40Basic 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.
41Voluntary 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.
42Employee 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
43How 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.
44After 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
45If you have questions
46Remember 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!