annual benefits review - 2014 - bendix · annual benefits review - 2014 ... •regardless of...

A member of the Knorr-Bremse Group ©Bendix Commercial Vehicle Systems LLC • All Rights Reserved • Bendix Confidential

Annual Benefits Review - 2014

October 2013

PHYSICAL ACTIVITY WEIGHT MANAGEMENT

LIFE MANAGEMENT

TOBACCO CESSATION

EARLY DETECTION AND PREVENTION

A member of the Knorr-Bremse Group ©Bendix Commercial Vehicle Systems LLC • All Rights Reserved • Bendix Confidential │2

AGENDA

> INTRODUCTION

> 2014 BENEFIT OFFERINGS

> GENERAL UPDATES

> NEXT STEPS

Early morning boot camp workout in Elyria.


STRATEGY:

1. Use aggregate bloodwork and biometric data to drive Bendix Health and Productivity initiative to develop wellness programs.

2. Continue to support the development of a strong, healthy workforce and family members through a “Culture of Health” goal.

3. Manage healthcare benefits offerings within a challenging economic and legislative environment.

Our goal is to help employees and families live and perform at the top of their game at work, at home, and into retirement.

Bendix Health Center ribbon-cutting ceremony in Huntington.


Health Care Review – August 2013

2011 - $8301 2012 - $8602 2013 -$5644 YTD

2011 - $8,791k 2012 - $10,005k 2013 - $6,388k YTD

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Bendix Spending Trends

In 2013 we’re experiencing fewer catastrophic claims (over $50k) but those individual claim costs are higher than past years. If you take out claims > 50k and calculate the projected medical cost per employee, 2013 is $5886 or $131 per employee more than 2012. We need continued emphasis on prevention and early detection to help our overall population from getting worse.

Bendix All - August

Year Total claims pd / ee

$ Cat Claims pd / ee

Cat Claims as % of All Claims

$ Non-Cat Claims pd / ee

Non-Cat Claims as % of All Claims

# Cat claims

2008 $ 7,163 $ 1,379 19% $ 5,784 81% 14 2009 $ 7,883 $ 2,032 26% $ 5,851 74% 22 2010 $ 9,788 $ 3,122 32% $ 6,666 68% 31 2011 $ 8,254 $ 1,876 23% $ 6,378 77% 20 2012 $ 8,589 $ 2,833 33% $ 5,755 67% 29

YTD 2013 $ 5,617 $ 1,693 30% $ 3,924 70% 16 2013 FC 8,425 2,549 5,886

Year # Enrolled Employees

# total Members

Total Claims Paid

Total Cat Claims Paid

% Cat Claims

2008 1080 2761 $ 7,736,149 $ 1,489,023 19% 2009 1058 2731 $ 8,340,152 $ 2,149,784 26% 2010 966 2524 $ 9,454,757 $ 3,015,693 32% 2011 1070 2776 $ 8,831,776 $ 2,007,620 23% 2012 1165 2852 $ 10,005,631 $ 3,300,883 33%

YTD 2013 1132 2767 $ 6,358,399 $ 1,916,339 30%


GREAT NEWS!

There will be no increases to your Medical, Dental,

and Vision premiums in

2014!


2014 BENEFIT ADMINISTRATORS

Medical and Prescription Drug

Dental Vision Life / Disability

Bowling Green employees participating in Foam Fest ‘13.


HRA / HSA COMPANY FUNDING Employee $1,000 Employee + Spouse $1,500 Employee + Children $1,500 Family $2,000

TOTAL DEDUCTIBLE in-network

Employee $ 2,000 Employee + Spouse $ 3,000 Employee + Children $ 3,000 Family $ 4,000

MEDICAL - HEALTH AWARE RATES

COINSURANCE 20% in-network COINSURANCE MAXIMUM

$1,500 - Employee Only $2,500 – E+S, E+C, Family PREVENTIVE CARE EXPENSES

100% company paid

> CONTRIBUTIONS / HEALTH AWARE 2014 (Biweekly) (Weekly) Employee $ 41.21 $ 20.60 Employee + Spouse $ 86.53 $ 43.27 Employee + Children $ 76.23 $ 38.12 Family $113.32 $ 56.66

•Regardless of student, marital, tax dependency, living arrangement or employment status.

No Increase to Premiums in 2014!


MEDICAL – REGULAR RATES

HRA / HSA COMPANY FUNDING Employee $ 500 Employee + Spouse $ 750 Employee + Children $ 750 Family $1,000

TOTAL DEDUCTIBLE in-network

Employee $ 2,000 Employee + Spouse $ 3,000 Employee + Children $ 3,000 Family $ 4,000

COINSURANCE 20% in-network COINSURANCE MAXIMUM

$1,500 - Employee Only $2,500 – E+S, E+C, Family PREVENTIVE CARE EXPENSES

100% company paid

> CONTRIBUTIONS / REGULAR 2014 (Biweekly) (Weekly) Employee $ 61.11 $ 30.55 Employee + Spouse $127.18 $ 63.59 Employee + Children $103.25 $ 51.62 Family $159.40 $ 79.70

•Regardless of student, marital, tax dependency, living arrangement or employment status.

No Increase to Premiums in 2014!


PLAN COMPONENTS

Preventive Care (100%)

Aetna Out-of-Network Co-Insurance

(40% to out-of pocket maximum)

Aetna In-Network Co-Insurance

(20% to out of pocket maximum)

3rd funds

Preventive Care (Covered by Plan at 100%)

2nd funds

Employee Expense Account (Employee Funded portion of Deductible)

Medical and Rx Expenses Covered at 100%

1st funds

Health Reimbursement Account (HRA)/ Health Savings Account (HSA)*

(Employer Funded portion of Deductible plus employee pre-tax savings deposits for HSA plan participants)

* Rollover of funds from one year to next

100% of Negotiated Rx Rates Apply

except where listed on

Preventive and/or Chronic Drug

Formulary

Rx Co-Pay Applies

Total Deductible

The more you grow your Fund, the less out-of-pocket expenses you will have to cover.


COMPARING PLANS

HRA HSA Bendix contributes to Account Bendix contributes to Account

Account doesn’t earn interest Account earns tax-free interest

Account funds available January 1st Bendix funds deposited monthly

Funds are forfeited when you leave the plan or leave Bendix

Fully portable – take it with you when you leave the plan or leave Bendix

You may not add your own money to the reimbursement account

You can add to savings account tax-free through payroll deduction

Account can be used for non-medical reasons but fully taxable

Account not available for other expenses

Account rolls over to next year Account rolls over to next year

Health-related expenses reimbursed tax-free

Health-related expenses reimbursed tax-free

No other healthcare coverage allowed Other healthcare coverage allowed Same plan coverage, same premium rates, same network of providers.


HSA – A WORD ABOUT YOUR ACCOUNT

• JP Morgan Institutional Investments, Inc. provides our services for Aetna HSA account holders.

• Savings accounts will receive earnings based on an interest-bearing FDIC insured cash account.

• Accounts > $2000 can be set-up in an investment account with multiple investment options. All funds are available with no front or back-end load investment fees. There is a $2.50 monthly account maintenance fee. o Balances in these funds may fluctuate, however, they do provide

the potential to earn higher returns than may be available in the cash account.

• Penalty for using funds for non-medical expenses is 20% plus

applicable taxes.


Useful Forms: ERC > Forms/Templates


Annual IRS maximum HSA limits

2013 Limits: $3,250 for single coverage $6,450 for single+1 & family coverage The catch up limit is $1,000 for those 55

and older by end of plan year.

2014 Limits: $3,300 for single coverage $6,550 for single+1 & family coverage The catch up limit is $1,000 for those 55

and older by end of plan year.

Contribution limits are a combination of Bendix contributions as well as the amount you wish to contribute on an annual basis.

Reaching the HSA Limit If you set up your payroll deductions that exceed the IRS maximum limit, the bank will reject the deposit(s) that push you above the limit. The contribution will be returned to Bendix, and then Bendix will reimburse you, after-tax. There is NO minimum contribution per year


HSA Payroll Deduction Form

ERC > Forms / Templates > Benefits > HSA Payroll Deduction Form 2014 You may Start, Change, or Stop payroll deductions to your HSA bank account any time through the year. NOTE: HSA Payroll deductions are NOT set-up in the benefits enrollment system. Only FSA elections can be set-up during open enrollment at www.genuinebendixbenefits.com.


FLEXIBLE SPENDING ACCOUNTS (FSA)

Health Care FSA Overview: ANNUAL HEALTH CARE FSA LIMIT EFF 1/1/14 IS $2500 + Pre-tax savings opportunity for HRA plan participants Available for payment of medical expenses after HRA fund is exhausted. Vision and Dental expenses still allowed with FSA benefits.

+ Substantiation process user-friendly Will be requested within 24 hours of debit card transaction if auto-substantiation not

available Simply return the request form with receipt attached – mail or fax

+ Substantiation forms for non-debit card purchases easier to complete Health care paid out-of-pocket Dependent Care expenses Purchases made at retailers or offices that don’t have products coded as eligible

expenses + “Limited FSA” available to HSA plan participants: FSA funds can be used for medical expenses after you meet your plan deductible Vision and Dental expenses still allowed for FSA benefits No Debit Card available


FLEXIBLE SPENDING ACCOUNTS (FSA)

Points of Interest: > Submit 2013 receipts by March 31, 2014

to receive reimbursements from your FSA accounts.

> Current participants who re-enroll in 2014 should KEEP their cards. They will be “re-loaded” with your election amount.

> Aetna Welcome Kit with 2 new debit cards

will be mailed to new enrollees in late December / early January to all participants. A 3rd card will be provided upon request.

> EFFECTIVE 2011: No Over-The-Counter purchases allowed

except insulin, diabetic supplies, or OTC with a prescription. May not use debit card for OTC purchases.

National Kidney Foundation at the Elyria Health Fair


NEW

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Specialty Pharmacy medicine

> Specialty Rx program Specialty drugs are for complex conditions like multiple sclerosis, rheumatoid arthritis or cancer. They’re different from other drugs:

• Many need to be stored and shipped under special conditions • Many need to be injected or infused • Many have a risk of side effects so you may need help to manage these

drugs

Aetna Specialty Pharmacy offers unique services • Fast, free deliver in secure, private packaging • Personal instruction • Ongoing follow-up from nurses and pharmacists • Free injection supplies

Once one of these medications is filled at a retail pharmacy after 1/1/14, the member will receive outreach from Aetna Specialty Rx, advising them that their subsequent fills must be made through Aetna Specialty. For everyone who is new to using Aetna Specialty Pharmacy, a welcome kit is automatically included along with his or her first Aetna Specialty Pharmacy medicine delivery.


PRESCRIPTION DRUG COVERAGE

RETAIL (up to a 30-day supply) Generic $10 co-pay Brand Formulary $30 co-pay Non-formulary $90 co-pay Specialty Rx $200 co-pay MAIL ORDER (up to a 90-day supply) Generic $20 co-pay Brand Formulary $60 co-pay Non-formulary $180 co-pay Specialty Rx Not Available

> 4 TIERS

All medications at 100% cost until deductible is met. Once annual Out-of-Pocket maximum is met, prescriptions are covered at no cost. Separate HRA and HSA drug formularies cover specific Chronic and/or Preventive medications at co-pay levels, rather than 100% rate.

NEW

Warming up for the Elyria Golf Outing.


PRESCRIPTION DRUG COVERAGE

HRA / HSA Preventive and Chronic RX As of 1/1/09, HRA and HSA members were eligible for co-pay coverage on select Preventive or Chronic drug prescriptions.

The IRS allows individuals covered by an HRA or HSA to waive the required deductible for both Preventive and Chronic medications in an HRA plan, and Preventive medications in an HSA plan.

Co-pays paid will not be credited towards meeting your annual deductible in both the HRA and HSA.

Preventive and/or chronic co-pays may available at the first 3 tiers of our RX formulary ($10, $30, $90 – not applicable to Specialty Rx).

A brochure of eligible drugs in the Preventive and/or Chronic categories will be available on BCVS Intranet under ERC / myHealth when provided by Aetna.

Bowling Green gals’ mobile mammography limo-style


LEARN MORE ABOUT HRA / HSA

ERC > myHealth page


PLAN FEATURES

IN- NETWORK

OUT-OF- NETWORK

Exam $15 co-pay

$50 allowance

Lenses or Frames $40 co-pay ---

Lenses Single Vision Bifocal Trifocal Lenticular

--- --- --- ---

$50 allowance $75 allowance

$100 allowance $125 allowance

Frames $130 allowance up to $70

Contact Lenses

$130 allowance (elective)

$105 allowance (elective)

$210 allowance (necessary)

VISION PLAN COVERAGE

> No changes to coverage

All members are eligible for an annual eye exam – materials covered every 24 months.

Relay for Life in Del Rio, Texas


VISION PLAN COVERAGE

> “VISION ONLY” OPTION

> CONTRIBUTIONS 2014 (Biweekly) (Weekly) Employee $ .92 $ .46 Employee + Spouse $ 1.38 $ .69 Employee + Children $ 1.38 $ .69 Family $ 2.31 $ 1.15

>Available to employees who want a vision plan but do not carry Bendix medical coverage.

>Same plan for all participants.

> “VISION” OPTION

>“Unbundled” from the Medical option now. Must elect Vision and which dependents to cover.

>Still a no-cost benefit.

Wearing blue in Bowling Green for Colon Awareness day


> COVERAGE (In-Net) (Out-of-Net) Preventive 100% 100% Basic Restore 80% 80% Major Restore 50% 50% Orthodontia 50% 50% > ANNUAL MAXIMUM $1,500 per person for In- and Out-of-network No deductible

> COVERAGE (In-Net) (Out-of-Net) Preventive 100% 80% Basic Restore 80% 60% Major Restore 50% 30% Orthodontia 50% 40% > ANNUAL MAXIMUM $1,000 per person for In- and Out-of-network No deductible

PREFERRED (not available to TX residents)

PREFERRED PLUS

DENTAL PLAN OPTIONS

2014

(Biweekly) (Weekly) Employee $ 4.05 $ 2.03 Employee + Spouse $ 8.10 $ 4.05 Employee + Children $ 8.32 $ 4.16 Family $13.52 $ 6.76

Dr. Gupta, a dentist, at the Elyria Health Fair.


HEALTH AWARE DISCOUNT REQUIREMENTS

Blood work, biometric measurements, health coaching (ee only), 10 or 15 point credits will all be required to receive discount for both employees and covered spouses in 2014.

Health Aware rate can be selected during benefit enrollment, and

tracking records will be audited to match election. In addition, all covered family members must be Tobacco Free

for at least 12 months as of 1/1/14. NOTE: The Aetna PHA is not a requirement this year.


Optional PHA Reward program www.aetna.com

PHA Tool


Click on “Update Current” or “Create

New” to complete your PHA

Click on “My Profile” to update your email

address

Optional PHA Reward program www.aetna.com

Choose a Health Program, complete Step 1 “Consultation” and earn a $50 gift card. Deadline

12/31/13 (Enrolled Spouses eligible, too!)


> Take advantage of tools available

to help you quit tobacco: Cigna Behavioral Health and Aetna RX coverage.

TOBACCO FREE PROGRAM

> Cigna Behavioral Health offers free Nicotine Replacement Therapy

(NRT gums and patches) when enrolled in a coaching program. Not limited to 1x per year any longer.

> Aetna includes prescriptions through co-pay coverage (generics like bupropion, or brand name drugs like Wellbutrin or Chantix).

> If you (and covered spouse) currently use tobacco you will have to pay the Regular premium rate. If you (and covered spouse) quit before the end of the year, and remain tobacco free for 12 months, the extra premium you paid in 2014 will be reimbursed to you at the 12-month mark. Just let your HR rep know. [Blood work, PHA and other requirements still apply.]


CIGNA Behavioral Health

1-888-371-1125 available 24/7


HEALTH AWARE DISCOUNT PROGRAM – 2014 / 2015

There will be a wide variety of mandatory and voluntary program options for you to complete the Health Aware discount requirement over the next year – for 2015 benefit plan year! The basic required components include:

• blood work for employee and spouse (if covered on the Bendix medical plan)

• one (1) health coaching session per employee

• tobacco-free status for all family members for at least 12 months prior to start of the plan year.


2015 Plan Year Health Aware Discount Program - 10/1/13 - 9/30/14

15 points - Ee / Sp or Ee / Family coverage (8 pts if hired between 4/14/14 - 7/14/14)

10 points - Ee Only or Ee / Children coverage (5 pts if hired between 4/14/13 - 7/14/14)

Mandatory Requirements One Health coach session - Employee2014 Annual bloodwork - Employee 2014 Annual bloodwork - Spouse Tobacco Free Status - All Covered Family Members (self-report)

Additional Requirements: Point ValueTWO or more of these:Review 2013 or 2014 blood work with health care provider - Employee 5 Review 2013 or 2014 blood work with health care provider - Spouse 5 Preventive exam (routine physical and/or well-woman exam) - Employee 4Preventive exam (routine physical and/or well-woman exam) - Spouse 4Preventive exam (routine physical / well-baby check-up) - all covered children 3Routine dental exam - Employee 2Routine vision exam - Employee 2Routine dental exam - Spouse 2Routine vision exam - Spouse 2Flu Vaccination - Employee (onsite or offsite) 2Flu Vaccination - Spouse (onsite or offsite) 2Zoster Vaccination -Employee (age 60 or older) 2Zoster Vaccination -Spouse (age 60 or older) 2Colonoscopy - Employee (age 50 or older, allowed 1x every 10 years) 4Colonoscopy - Spouse (age 50 or older, allowed 1x every 10 years) 4Mammogram or Digital Prostate Exam - Employee 2Mammogram or Digital Prostate Exam - Spouse 2

Optional qualifying activities:Complete 2014 Personal Health Assessment (PHA) - Employee 1Complete 2014 Personal Health Assessment (PHA) - Spouse 1Health coach session - Spouse 1On-site physical activity (zumba, yoga, etc.) 2On-site physical activity (zumba, yoga, etc.) 2On-site physical activity (zumba, yoga, etc.) 2On-site physical activity (zumba, yoga, etc.) 2Tobacco Cessation program - 1st 3Tobacco Cessation program - 2nd 3Holiday Weight Challenge - November 2013-January 2014 1Health Fair attendance - Employee ** 1Health Fair attendance - Spouse 1On-site Wellness education (classroom, telephonic, recording) * October 1On-site Wellness education (classroom, telephonic, recording) * November 1On-site Wellness education (classroom, telephonic, recording) * December 1On-site Wellness education (classroom, telephonic, recording) * January 1On-site Wellness education (classroom, telephonic, recording) * February 1On-site Wellness education (classroom, telephonic, recording) * March 1On-site Wellness education (classroom, telephonic, recording) * April 1On-site Wellness education (classroom, telephonic, recording) * May 1On-site Wellness education (classroom, telephonic, recording) * June 1On-site Wellness education (classroom, telephonic, recording) * July 1On-site Wellness education (classroom, telephonic, recording) * August 1On-site Wellness education (classroom, telephonic, recording) *September 1On-site Blood Pressure reading - (Oct - Dec 2012) 1On-site Blood Pressure reading - (Jan - Mar 2013) 1On-site Blood Pressure reading - (Apr - Jun 2013) 1On-site Blood Pressure reading - (Jul - Sep 2013) 1Off-site organized event (race, walk, challenge) - Employee OR Spouse - 1st 1 Off-site organized event (race, walk, challenge) - Employee OR Spouse - 2nd 1Off-site organized event (race, walk, challenge) - Employee OR Spouse - 3rd 1Off-site organized event (race, walk, challenge) - Employee OR Spouse - 4th 1

TOTAL POINTS EARNED* Limit of 4 education points per person** Limit of 1 health fair per person

│31


In addition to the basic mandatory requirements listed above, you - or you and your covered spouse - have to earn additional points through out the year.













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Of the points you earn, you must do TWO or more of the items in this list. If you want to do enough items in this list to complete the point requirements, then you do not have to do any of the optional activities.


NEW









│33



Lastly, these are the optional activities that earn you points throughout the year to supplement the requirements.



•The program runs from 10/1/13 – 9/30/14 – a full 12 months.

• Items that earn you required points must have a certificate signed by the medical provider who performs the service.

• SALARIED AND HOURLY EMPLOYEES IN Elyria, Kalamazoo, Field Sales, Santa Ana and Sparks: You must enroll in a “course” set up in the Learning Management System (LMS) to earn point credits. You can enroll any time throughout the year. You will receive instructions and any applicable paperwork in you confirmation email. When the credit is achieved (i.e., certificate signed and submitted, class roster signed, coaching session held, etc.), your LMS status will change to “Complete”. You can then monitor your point tally via the LMS.

• SALARIED AND HOURLY EMPLOYEES AT ALL OTHER LOCATIONS: Your local HR team will establish the means to track your participation. It will not be processed via the LMS.


LIFE / DISABILITY COVERAGES

Rate changes: Basic Life insurance Basic Accidental Death and

Dismemberment (ADD) Insurance Supplemental Life Insurance

(employee, spouse and children) Supplemental ADD Insurance

(employee and family) Short Term Disability Long Term Disability

Rates are adjusted annually for age and income changes (Supp Life and LTD plans) as of October 1st of the year elections are made. If you want to make changes to Supp Life or

begin LTD for the first time, Evidence of Insurability may be required.

Testing strength and balance at the Elyria Health Fair


LIFE / DISABILITY COVERAGES

Employee and Spouse Supp Life Rates per $1000 / month

Under 25 25-29 30-34 35-39 40-44 45-49 50-54 55-59 60-64 65-69 70-74

75+

2013 Prudential

Smoker Non-Smoker

0.060 0.043 0.060 0.043 0.060 0.051 0.094 0.077 0.145 0.119 0.247 0.196 0.427 0.333 0.700 0.555 0.921 0.734 1.459 1.223 2.560 2.030 4.249 3.361

2014 Prudential

Smoker Non-Smoker

0.065 0.050 0.065 0.060 0.084 0.080 0.101 0.090 0.156 0.125 0.272 0.206 0.491 0.350 0.805 0.608 1.105 0.804 1.751 1.339 3.072 2.223 5.099 3.680

Long-Term Disability Rate per $100 / month $0.38 $0.45

Rates will be pre-loaded in the system and calculate for you to determine your new premiums.


New Health Center in Huntington opened 9/25/13

Services Offered: Primary Care Disease Management Prevention Lab Services Acute Care for Occupational injuries

Open to all Bendix employees and family members. Services Fees: HRA participants – no charge for all

services and dispensed Rx. HSA participants – no charge for

routine preventive care; $25 office visit fee for non-routine care and prescriptions charged at cost (unless deductible is met, then standard co-pay).


YOUR BENEFIT DECISIONS Medical and Prescription Drug HRA, HSA

Vision Vision, Vision Only

Dental Preferred, Preferred Plus

Supplemental Life Self, Spouse, Child, AD&D

Long-Term Disability

Flexible Spending Accounts Health Care and Dependent Care

NEXT STEPS

Salad bar at the Bistro at Bendix in Elyria.


ENROLLMENT OCT 18 – NOV 15, 2013

ONLINE https://www.genuinebendixbenefits.com You will need your Employee ID (Eid) and PIN number to enroll. We’ll provide you with your Eid in case you don’t use it regularly. If you’ve enrolled previously your PIN is the password you created. It may be expired, so you will be prompted to create a new one. If you forgot your PIN, click on the “Forgot My PIN” link and answer the Security question to create a new PIN. If this is your first time enrolling, your PIN is your month and year of birth (MMYY).

AVAILABLE 24-HOURS A DAY, SEVEN DAYS A WEEK Friendship APL Day in Elyria


Next Steps

Event Timing Enrollment Packets Mailed Oct 16, 2013 Open Enrollment period Oct 18 – Nov 15, 2013 Confirmation Statements Mailed daily for elections

submitted. Mailing at end of enrollment to anyone who did not submit changes

• Enrollment required except for Supplemental Life and LTD. • All Medical, Dental and Vision options will be “No Coverage” if you do

not make your elections. • Flexible Spending Accounts will be $0.00 unless updated. • New medical cards will be mailed ONLY if you switch plans. • A Summary of Benefits and Coverage (SBC) is available for the

medical plans as required by PPACA legislation. It provides a description of the benefits and coverage under the plans. The SBCs are available on the intranet or contact your HR rep for a copy.

annual benefits review - 2014 - bendix · annual benefits review - 2014 ... •regardless of...

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