helping you prepare for your upcoming health insurance...
TRANSCRIPT
Helping You Prepare For Your Upcoming
Health Insurance Enrollment
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
About OneExchange
Towers Watson
over
100 years experience
Bringing 9 years of
private Medicare Exchange expertise to bear on Pre65 Healthcare
Personalized options with plans from
a nationwide network of carriers
Ongoing advocacy Enrolled Hundreds of
Thousands of Persons; 94% Customer
Satisfaction Ratings
Proprietary technology gives you safety and security
Licensed advisor provides
knowledgeable guidance
Never a fee for
our service
Over 1-million retirees served across
540+ employers
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
Our Service Centers
Salt Lake City, UT
Dallas, TX
Operating hours: Monday – Friday, 8:00 a.m. until 9:00 p.m. Eastern Time
100% Domestic Workforce
Richardson, TX
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
Your Experience
Announcement &
Education
Evaluation &
Enrollment
Ongoing
Communications
& Advocacy
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
Key Points to Remember
Select an individual or household plan from:
Public Marketplace Towers Watson’s OneExchange
The Public Marketplace is the only place
to receive:
• Premium tax credits
• Cost-sharing reductions
Failure to carry insurance will result in a penalty
OR
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
Do You Qualify For Lower Costs?
Number of people in your household
1 2 3 4 5 6
Pri
va
te M
ark
etp
lace
he
alth
pla
ns
You may qualify for lower premiums on a
Marketplace insurance plan if your yearly
income is between…
See next row if your income is at the lower end of this range.
$11,670 -
$46,680
$15,730 -
$62,920
$19,790 -
$79,160
$23,850 -
$95,400
$27,910 -
$111,640
$31,970 -
$127,880
You may qualify for lower premiums AND
lower out-of-pocket costs for Marketplace
insurance if your yearly income is between…
$11,670 -
$29,175
$15,730 -
$39,325
$19,790 -
$49,475
$23,850 -
$59,625
$27,910 -
$69,775
$31,970 -
$79,925
Me
dic
aid
co
ve
rag
e
If your state is expanding Medicaid: You may
qualify for Medicaid coverage if your yearly
income is below…
$16,105 $21,707 $27,310 $32,913 $38,516 $44,119
If your state isn’t expanding Medicaid: You
may not qualify for any Marketplace savings
programs if your yearly income is below…
$11,670 $15,730 $19,790 $23,850 $27,910 $31,970
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
Plan Levels of Coverage
Levels of
Coverage
Plan Pays
on Average
Enrollees Pay
on Average [In addition to the monthly
premium]
Bronze 60 percent 40 percent
Silver 70 percent 30 percent
Gold 80 percent 20 percent
Platinum 90 percent 10 percent
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
We’ll Help You to Explore & Consider
H
Medical
Coverage
Hospital
Coverage
Prescription
Drug Coverage
Dental
Coverage
Vision
Coverage
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
Benefit Advisors
• Licensed / Certified / Appointed
• OneExchange University™
• Objective & unbiased
• 100% domestic workforce
Benefit advisors are available:
Monday – Friday, 8:00 a.m. until 9:00 p.m. Eastern Time
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
Discuss Choices with a Benefit Advisor
Application Dispatched
to Carrier
Eligible &
APTC > Company Subsidy
(Decline Subsidy)
Ineligible or
APTC < Company Subsidy
(Use Subsidy)
Pre-65 Retiree (or Spouse)
Public
Marketplace
QHPs w/o
Federal
Subsidy
Private
Exchange
QHPs
+
Application dispatched
to Public Marketplace
Eligibility
Determination for
Federal Advance
Premium Tax
Credit
Public Marketplace QHPs
w/ Federal Subsidy
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
Annual Enrollment Period
November 1 – February 15
Enroll during the AEP Coverage is effective
November 1th - December 15th January 1st
December 16th – December 31st February 1st
Between the 1st and 15th of the month First day of the
following month
Between the 16th and the last day
of the month
First day of the second
following month
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
Special Election Periods (SEP)
For a 60 day period you may
enroll in a new plan or make a
change to their current coverage.
Certain qualifying future events may allow you to change plans outside of the Annual Enrollment Period
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
Education
• How OneExchange will help
• Introduction to the Marketplace
• Make your first contact
Call Toll Free 1+ 844-247-1604
oneexchange.com/Cabot
Health Insurance Marketplace
Guide: Schedule an appointment and
set-up your profile
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
Education
Call Toll Free
1+ 844-247-1604
oneexchange.com/Cabot
• What to expect on your
enrollment call
• FAQ’s
• Appointment confirmation
Enrollment Guide: Prepare for
Your Enrollment Consultation
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
Health Reimbursement Arrangement HRA
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
What is an HRA?
Tax-free account used to reimburse you
for eligible health care expenses — you pay first
and then get reimbursed
No Double-Dipping
If you elect to use the HRA then
you will not be able to claim tax
credits for which you may be
eligible. The Healthcare Benefit
Advisor will review this with you
when you call in to our service
centers
Your HRA funding will be available
January 1, 2015
Unused funds DO roll over
If you are eligible, Cabot Corporation will make an
annual contribution to a Health
Reimbursement Account (HRA)
You may use HRA funding to reimburse
yourself for eligible medical, prescription
drug, dental, and vision premiums, as well as
eligible out-of-pocket healthcare expenses
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
Health Reimbursement Arrangement
You may be reimbursed up to the amount available in the HRA!
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
Prepare for your call
Have your W-2s
and/or tax return ready Have your Social
Security card handy
Have your doctor and
hospital info ready
Have prescription info
ready – name, dose,
frequency
Preparing for your call with a OneExchange
benefit advisor will help you select the right
coverage for you and your family.
towerswatson.com
© 2015 Towers Watson. All rights reserved. Proprietary and Confidential. For Towers Watson and Towers Watson client use only.
Schedule your call
Contact OneExchange
: 1+ 844-247-1604
• Review the Enrollment Guide
• Gather medical and prescription info
• Call now to complete your profile and to
schedule a discussion consultation; no
cost to you!
We are Ready!