Medical Insurance

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Medical Insurance

• Regence Blue Cross/Blue Shield of Utah, 2 Options
• Option 1
• 500 DEDUCTIBLE plan/3 individuals
• Individual Out of pocket max 4,000
• Family Out of pocket max 8,000
• NO Annual Maximum
• Option 2
• HDHP/HSA Combination
• 1,500 DEDUCTIBLE single coverage
• Out of pocket max 4,000 (Inc. DED)
• 3,000 DEDUCTIBLE 2-party or family coverage
• Out of pocket max 8,000 (Inc. DED)
• NO Annual Maximum

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2013 Plan Changes500 Deductible
ITEM 2012 2013
Annual Out of Pocket Maximum Individual/Family 1,500/4,500 4,000/8,000
Emergency Room Copay 100 250
Prescriptions (Rx) Generic Formulary Non-Formulary 7.00 20 35 15.00 25 45
EMPLOYEE PREMIUM CONTRIBUTION CHANGES Individual 2-Party Family 30.90 55.15 73.00 33.00 59.55 79.00
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Examples of 500 vs. HDHP
Examples 500 Coverage HDHP Coverage
1 - Month Two Dr. Visits Dr. visit 130 x 2 260 125.70 difference!!! 20 copay (after tax ) 20 copay (after tax ) 95.70 premium difference (135.70) Total spent for the month for healthcare 260 Dr. Visit (250)HSA County contribution 10.00 Total Spending for the month (No Tax paid)!
2 - Month 1 Dr. Visit 130 300 Rx (Formulary) 10.70 difference!!! 20 copay (after tax ) 75 for Rx (after tax ) 95.70 premium difference (190.70) Total spent for the month for healthcare 0 applied to deductible 130 Dr. Visit 300 for Rx (250)HSA County contribution (180.00) Total 450 applied to deductible!
3 - Annual 5,000 Broken Arm 600 5 Office Visits 4,400 Surgery 10,000 Annual Expense 3,428.40 difference!!! Broken Arm 500 Deductible 1,200 (250 ER copay20) Office Visits 100 (20 copay x 5) Surgery 880 (20) 1,148.40 premium difference (4,828.40) Total 3,000 deductible 1,400 co. (20 of 7,000) 4,400 (3,000) HSA UC Cont. (1,400.00) Total Family Deductible is met applied toward OOP Max.
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Why have a consumer-driven health plan?
YOU make all contributions forfeit at the end
of the year. Incentive to USE (or you will lose
it)
Flexible Spending Account (FSA)
Traditional Healthcare
Traditional Health Plan
Incentive to USE and Insurance
VS.
Part 1 Health Savings Account (HSA)
Incentive to SAVE - You your employer
contribute pre-tax dollars
Your Account rolls over year to year
HSA Concept
Part 2 High Deductible Health Plan (HDHP)
Incentive is to focus on PREVENTATIVE CARE and
have coverage for major medical expenses.
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Health Savings Account (HSA) What is it?

• Uintah County contributes money on a monthly
  basis
• MAKING IT A 0 DEDUCTIBLE PLAN!!!
• A bank account in YOUR name
• You can contribute PRE-TAX dollars through
  payroll
• Receive a Debit Card (use as a credit card, no
  fee)
• Checks (50 for 7.95)
• 2.25 monthly admin fee (waived after you have
  3,000 in account)
• Track spending online, keep records, tax forms
• Use for health, dental and vision expenses or
  supplemental income upon retirement
• Visit www.hsabank.com for more information

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www.myregence.com
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www.myregence.com
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www.myregence.com
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www.myregence.com
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Status Changes

• Marriage, Divorce, dependent marriage, etc.
• Change dependents AND beneficiaries
• 30 Days from EFFECTIVE DATE
• Materials Forms
• Open enrollment ends
• December 14, 2012

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Enrollment

• All employees MUST complete and submit new forms
  by FRIDAY DECEMBER 14, 2012
• Medical Insurance
• 500 deductible
• HDHP/HSA
• enroll online with/without assistance for no fee,
  22 processing fee otherwise
• Must have e-mail account
• Must have information, SSN, spouse SSN, DL
• Waive Insurance altogether
• Flexible Spending Account/Cafeteria Plan
• Enroll
• Waive
• Other forms
• Available upon request