Open Enrollment Template
Open Enrollment 2022
Agenda Welcome to Open Enrollment 01 Welcome to Open 06 Account Team 02 Enrollment Benefits Overview 07 Questions & Answers 03 Medical 04 Financial 05 Perks at Work
Welcome to Open Enrollment
Eligibility. All full time employees working 30 hours or more per week are eligible to enroll in the benefit programs. You can cover: § Spouse Eligibility & § Domestic Partner § Dependent Children Qualifying Qualifying Events The elections you make during open enrollment will remain in place for the entire year, unless you Events have a qualifying event. Qualifying events include: § Marriage § Divorce § Legal Separation § Birth of a Child § Adoption § Loss of other coverage
Open Enrollment Period How & When to Enroll Open Plan Enrollment Enrollment Effective Portal Dates November 22 –December 10 Jan 1, 2022 – Dec 31, 2022
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Benefits Overview
Benefits Overview Coverage Carrier Contact Number Website Medical Empire BCBS 800-626-3643 www.empireblue.com Dental Delta Dental 630-574-6001 www.deltadental.com Vision EyeMed 866-939-3633 www.eyemed.com Life Insurance Empire BCBS 800-626-3643 www.empireblue.com Short & Long-Term Disability Mutual of Omaha 800-775-6000 www.mutualofomaha.com HSA, FSA & Commuter Benefits WageWorks 877-924-3967 www.wageworks.com 401K Retirement Fidelity 800-343-3548 www.fidelity.com Perks at Work Perks at Work N/A www.perksatwork.com
Key Terms Annual Out-of-Pocket Copay / Deductible Maximum Coinsurance Embedded Embedded Copay Aggregate Aggregate Coinsurance
Medical Overview
Examples of Preventative Services: Preventative § Routine Physicals § Well Baby & Child Care Visits Care § Well Women Visits § Immunizations What is Covered? § Routine Bone Density Test § Routine Breast Exam You are eligible to receive certain preventative § Routine Gynecological Exam and wellness services at no cost. § Obesity Screening & Counseling No cost means: § Routine Digital Rectal Exam § Routine Colonoscopy § No Deductibles § Routine Colorectal Cancer Screening § No Copays § Routine Prostate Test § No Coinsurance § Routine Mammograms § Routine Pap Smear § Health Counseling for STD’s & HIV § Testing for HPV & HIV § Screening & Counseling for Domestic Abuse
Empire Total Blue HSA Services In-Network Benefits Network Deductible Individual - $3,000 (A) § Empire BlueCard EPO Family - $6,000 (A) Out-of-Pocket Maximum Individual - $4,275 (A) Family - $8,550 (A) Plan Primary Care / Specialist 30% after Deductible § 1/1/2022 – 12/31/2022 Urgent Care / Walk In Clinic 30% after Deductible Emergency Room 30% after Deductible Provider Search Labs 30% after Deductible Radiology 30% after Deductible www.empireblue.com High-Cost Diagnostics 30% after Deductible In-Patient Hospitalization 30% after Deductible Additional Information Out-Patient Surgery 30% after Deductible § Benefits Summary Durable Medical Equipment 30% after Deductible Prescription Drugs Deductible Included in Medical § Sydney Flyer Tier 1 $15 Tier 2 $35 § Be Active Flyer Tier 3 $75 Mail Order 2x
Telemedicine Medical Services: § Cold What is Telemedicine? § Sinus Infection § Ear Infection You can visit board certified physicians 24/7 365 § Pink Eye days a year from your phone, tablet or computer Psychology Counseling Services: § Stress § Anxiety § Depression Cost § PCP Copay or $49
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Additional Empire Benefits Life Vision Employee Insurance Insurance Assistance If you are enrolled in the If you are enrolled in the If you are enrolled in the Empire medical benefits you Empire medical benefits you Empire medical benefits you are provided with: are provided with: are provided with an Life Insurance - $25,000 1 eye exam every 24 months Employee Assistance Program AD&D Insurance - $25,000 $15 Copay Highlights include: Please make sure to keep Counseling your beneficiary designation Financial Planning up to date Legal Support ID Theft Recovery Beneficiary Support
Financial Overview
Health Savings More Information Account The HSA Account You own the account, so it is portable if you change jobs or retire You are ONLYeligible to enroll or contribute to an Funds can only be used as they are accrued HSA if you are enrolled in the Empire Total Blue Plan Funds rollover from year-to-year You can fund into the account on a pre-tax basis to pay for eligible medical, dental, vision and prescription drug expenses Triple Tax Advantaged The maximum contribution for 2022 is: You can fund money in pre-tax Individual - $3,650 Your money grows pre-tax Family - $7,300 Your money is distributed pre-tax If you are aged 55+ you can contribute an additional $1,000 annually as a ‘catch-up’ contribution What Else? Upon retirement you can roll the funds into your 401k or withdraw them as cash with no penalty If you are enrolled in Medicare you CANNOT contribute to an HSA account
Perks at Work Overview
Perks at Work All employees are eligible to participate in ‘Perks at Work’ You can register up to 5 friends and family!
Account Team Overview
Account Team Name Name Title Title 123-456-7890 123-456-7890 Email Address 1 Email Address 2
Questions & Answers Review Your Benefits When? You can visit the Paycom You must make your portal to review your benefit elections by current benefit elections th December 10 , 2022 Review Your Choices Enroll in Your Benefits Plan Effective Date Open enrollment is the time You must visit the Paycom The new plans become to review your options and portal to enroll or waive effective Jan 1, 2022 make the best selection for out of the 2022 benefit and end on Dec 31, you and your family programs 2022
Thank you! Feel free to reach out to us if you have any questions. Phone Number Email Address Website 123-456-7890
