Title: EMPLOYEE HEALTH PLAN
1EMPLOYEE HEALTH PLAN
- Effective January 1, 2009
2Agenda
- Choice of 2 Cigna Health Plans
- Vision Benefit
- Choice Care Card
- Dental Plan
- Life Insurance Disability Plans
- Voluntary Benefits
- Carroll Concrete Web Portal
- myCigna.com
- Wellness Assessment
3- Choice of 2 CIGNA Health Plans
- New CIGNA Plan
- Current Plan B
4Personal Care Account
Your employer is providing you with a
Personal Care Account (HRA)
- Use these funds to pay for
- Co-pays
- Amounts that go toward deductible
- Prescriptions (Plan C)
Both Plans 1,000 Single 2,000 Couple 2,000
Family
50 of funds roll over into next year
5(No Transcript)
6(No Transcript)
7Plan C Highlights
- One deductible for Medical Rx
- Deductible is aggregate
- Once you meet your deductible,
- medical and Rx is paid at 100
- 100 preventive benefits
- Same Cigna Provider Network
- Same myCigna.com login
8Payroll Deductions
9Vision Benefit
- Eye Exam every 12 months 60 allowance per exam
Covered in-network only - Reimbursement toward purchase of a pair of lenses
or contact lenses every 12 months - Reimbursement toward purchase of frames every 24
months - Maximum Reimbursement Allowance
- Single Vision Lenses 78
- Bifocal Lenses 160
- Trifocal Lenses 190
- Lenticular Lenses 215
- Progressive Lenses Not covered
- Contact Lenses -
- Elective 125
- Therapeutic 131
- Frames 82
10Dental Plan
11Disability and Life Insurance
- Premiums paid by Carroll Concrete no cost to
you! - For all full-time employees
12Voluntary Benefits
-
-
- You buy if you decide they are right for you.
- Enrollment yearly next chance is May 2009
13Lets Review
- A Choice of 2 CIGNA Health Plans
- OPTION 1 PLAN B
- Current Plan Design and Current Personal Care
Account - Use up to 300 towards dental expenses
- Use up to 200 towards vision expenses
- Higher Payroll Deductions
- OPTION 2 PLAN C
- High Deductible Health Plan
- Use Choice Care Card for medical, prescription,
dental vision expenses - One deductible for medical and prescription
expenses - After deductible, all medical and
prescriptions paid at 100 - Lower Payroll Deductions
- Remember 50 of unused funds on Choice Care
Card rollover - Same Dental Plan for 2009
14Your Benefit Web Portal
15On the home page of www.carrollconcrete.com
Click Here
16This web portal is your Single Benefit Source
17This web portal is your Single Benefit Source
Click Here to see an Overview.
18This web portal is your Single Benefit Source
CIGNA Health Plan Information
19This web portal is your Single Benefit Source
Choice Care Card Information
20This web portal is your Single Benefit Source
Dental Plan Information
21This web portal is your Single Benefit Source
Plus Contact Info 401k Link
22This web portal is your Single Benefit Source
Click Here or go to www.mycigna.com
23myCigna.com
24Award Winning Member Website Decision Support
Information - Claims
Log-on! Explore Learn. This website will be
available
25Medical Pharmacy Plan Information
Locate Providers
Print ID Cards
Mail Order Pharmacy
26Health Resource Information
Research Quality
Gather Information
Manage Your Health
2724-Hour Health Information Line
Speak directly to a Nurse. Number is on your ID
Card.
28CIGNA Well-Aware Care Management Programs
- Asthma
- Diabetes
- Heart Disease
- Low Back Pain
- Depression
- Weight Complications
If you are identified with a chronic care
condition you may be contacted by CIGNA
Healthcare to participate in one of these
programs
29Enhanced Prescription Drug Price Quote Tool
STEP 1 Find a Drug
30Improving the experience for Members to Compare
Drug Prices
STEP 2 Select a Dosage/Quantity
31Improving the experience for Members to Compare
Drug Prices
STEP 3 Select a Pharmacy
32Improving the experience for Members to Compare
Drug Prices
STEP 4 Compare Prices
33Award Winning Member Website Decision Support
Information - Claims
Log-on! Explore Learn.
34Assessment Wellness
35Biometric Screenings will take place again March
2009
36IHS Programs
-
-
- Register on website
- Log on the website, www.interactivehs.com
- Click on Register Now
- Enter Patient or Sponsor Code, ____
- Key your name and date of birth
- Go to MY RECORDS, then TEST RESULTS
- Look up
- Look up your score
- Forward results to your physician
- Check out the health coaching courses available
- Register with a health coach
37 Wellness and
Both Plans B C Earn more money on your
card Get reimbursed
100 after completing a wellness program under
IHS or Cigna (400 Family max/yr)
150 towards Fitness Club Membership
Employee Spouse (300 max/yr) 100 towards
Weight-loss Program Employee Spouse
(200 max/yr)
38How to Submit for Fitness Club Benefit
Weight-Loss Benefit (Both B C)
Fitness Benefit 150 per employee spouse per
calendar year (300 max/year)
- Fitness Club Benefit
- Choose a qualified heath club
- Complete a Fitness Club Benefit Form and Choice
Care manual claim form - Fax completed forms to Choice Care
- You will receive a check mailed to your home
Weight Loss Benefit 100 per employee
spouse per calendar year (200 max/year)
- Weight Loss Benefit
- Choose a qualified nationally-recognized weight
loss program - Complete a Weight Loss Benefit Form and Choice
Care manual claim form - Fax completed forms to Choice Care
- You will receive a check mailed to your home
39Weight Management Program
Weight Management Program
- 66 of US adults are overweight or obese1
- Obesity is responsible for at least 60 billion
in direct US health care costs annually2 - Obese individuals spend 36 more on health care
and 77 more on prescription drugs3 - Between 2000 and 2005, the prevalence of a BMI
over 40 (indicating clinically severe obesity)
increased by 50 percent4
Employees
- Telephone Coaching
- Member self enrolls
- Dedicated wellness coach assesses motivation
readiness to change - Stratification into five levels based on
BMI/health status and co-morbidities - Self-paced program including 11 coaching sessions
over a 12 to 24-week period - Personal healthy living plan
- Barriers, triggers and support system
- Physical activity, sleep nutrition
- Workbook tool kit
- 24/7 support line
- Spanish program available
- Program Overview
- Evidence-based program using behavior
modification techniques - Self enrollment
- Confidential and secure support
- Telephone-based program
- Dedicated wellness coaches
- Coaches trained in intrinsic coaching,
motivational interviewing, and behavior
modification - Online Behavioral Change Program
- 12-module program
- Interactive tools and resources
- Participant satisfaction survey
- Post-graduation outcomes survey
- Quarterly and semi-annual reporting
- Online Behavior Change Program
- Modular program
- Personal health assessment and healthy living
plan - Targeted, educational emails
- Key learning themes and tips
- 24/7 access
- Option to contact coach via telephone
- Goal oriented
Available 1/1/2008
Earn 100 on your Choice Care Card for completion
of this program
Available 1/1/2008
40Tobacco Cessation Program
- Tobacco use is the leading preventable cause of
death in the US, resulting in approximately
440,000 deaths each year1 - More than 8.6 million people in the US have at
least one serious illness caused by smoking1 - In 2005, US employers lost 92 billion in
productivity costs attributable to
smoking-related deaths and incurred 75 billion
in direct medical costs1
1 CDC, 2004
- Telephone Coaching
- Member self enrolls
- Wellness coach assesses
- - Motivation confidence
- - Readiness to change
- - Health status, risk factors and co-morbidities
- Personal quit plan development
- - Barriers, triggers and
- support system
- - Restratification at each
- coaching call
- - Workbook toolkit
- 24/7 support line
- Spanish program available
- Online Behavior
- Change Program
- Modular 8-week program
- Access to over the counter nicotine replacement
therapy at no cost to the member - Targeted, educational emails
- related online content
- Key learning themes tips
- 24/7 access
- Option to contact a coach via
- telephone
- Motivational information and tools
- Program Overview
- Evidence-based program
- Self enrollment
- Support for all stages of quitting
- 8-week patch or 12-week gum
- included at no cost to participant
- Convenient secure support
- Telephone-based program
- Dedicated wellness coaches trained in
motivational interviewing and behavioral
modification - Online Behavior Change Program
- 8-week self-paced program
- Participant satisfaction survey
- Post-graduation outcomes survey
- Quarterly and semi-annual reporting
Earn 100 on your Choice Care Card for completion
of this program
41Do you want to make a change to your plan?
Open enrollment is NOW for January 1st
- Open enrollment for our plan is in January
- Contact Vickie or Jane if you wish to
- Enroll in the plan
- Add/drop a dependent
- Switch from Plan B to C
- Or make other plan changes
- All changes MUST be made prior to 12/31
All changes MUST be made prior to 12/31