2018 Employee Enefit Guide - My Benefithelp...
Transcript of 2018 Employee Enefit Guide - My Benefithelp...
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2018 EMPLOYEE BENEFIT GUIDE
VERSO BENEFITS GROUP
2018 Annual Enrollment November 3-17, 2017
www.MyVersoBenefits.com
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WELCOME
Make Every Moment Count
Annual Enrollment is your once a year opportunity to review your benefits and make new
choices for the coming year. Verso is committed to offering affordable, competitive, quality
benefit options for you and your dependents.
It is no secret that health care costs continue to climb. As the health care landscape continues
to evolve, we must evolve with it. This means all of us need to take personal responsibility for
managing our benefit dollars wisely to help keep costs in check for our families. Taking an
active role in understanding, utilizing and purchasing health care services not only helps us get
the most value for our health care dollars, but also helps Verso manage overall benefit costs
more effectively and helps keep insurance premiums as low as possible.
Your benefit choices are important decisions that affect how you receive benefits and how
much you pay for them. Please take time to fully understand Verso’s benefit plans available in
2018. The elections you make during Annual Enrollment will be effective January 1, 2018, and
will remain in place for the entire year. You can only change your benefits during the year if
you have a qualified change in status, such as a marriage, birth, divorce, etc.
What’s in This Guide?
4 Benefit Changes for 2018
5 Enrollment for Plan Year 2018
6 Core Benefits
15 Other Benefits
16 Voluntary Benefits
18 Eligibility and How to Enroll
20 Important Rights and Information
28 Contacts
This guide is intended to provide a summary of benefits offered to employees. In determining actual benefit coverage and
eligibility, the official text of the legal plan document (including any insurance contracts and other coverage documents) are the
governing source. For more information about the coverage described in this guide, refer to the Summary Plan Descriptions and
other booklets.
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BENEFIT CHANGES FOR 2018
TELEMEDICINE BENEFIT
Telemedicine allows you to
visit with a doctor remotely.
No need to schedule an
appointment, travel to your
doctor’s office or wait for your
appointment. You can do it all
through a mobile application
or a phone call. Physicians
can treat common issues and
prescribe medications – all
done remotely and generally
at a lower cost than a
traditional office visit.
HSA CORE PLAN
The new HSA Core Plan has
lower premiums, the
opportunity to earn wellness
credits and a higher
deductible than the HSA
Choice Plan. This HSA Core
Plan gives you more flexibility
and accountability to decide
how to receive health care
services and how to spend
your health care dollars.
HSA PLAN RENAMED
TO HSA CHOICE PLAN
The HSA Plan will be renamed
the HSA Choice Plan. The new
name reflects our expanded
HSA medical plan offerings.
HRA PLAN ELIMINATION
Effective January 1, 2018, the
HRA Plan will no longer be
offered as a medical plan.
SURCHARGES
Verso will implement
surcharges for tobacco users
and working spouses who
have access to other health
care coverage.
STD PLANS
HARMONIZED
All non-represented
employees will move to a
common Short-Term
Disability (STD) plan
design.
TAXABILITY OF
VOLUNTARY AFLAC
BENEFITS
The deductions for all
voluntary Aflac benefits
will be from post-tax
rather than pre-tax dollars
in 2018.
TOBACCO / NON
TOBACCO RATES FOR
LIFE INSURANCE
Voluntary life insurance
rates now reflect
separate rates for
tobacco users and non-
tobacco users.
HEALTH CARE FSA
NOT OFFERED
Because Verso will only
offer HSA compatible
health care plans in 2018,
the Health Care Flexible
Spending Account (FSA)
will no longer be
available.
HSA DOLLARS
Verso will continue to
contribute to your Health
Savings Account (HSA). Part
of the reward will be in the
form of a matching
contribution and you will be
able to earn the other portion
through activities designed to
help you focus on your health.
HSA CHOICE PREMIUM
AND DEDUCTIBLE
CHANGES
Payroll deductions and
deductibles for the HSA
Choice Plan will increase.
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ENROLLMENT FOR 2018
2018 Annual Enrollment is
November 3 -17, 2017
Your Coverage Dates
January 1, 2018 through December 31, 2018
Annual Enrollment
Annual Enrollment is your opportunity to
choose the plans you and your family will have
in 2018. Changes made become effective on
January 1, 2018 and remain in effect through
December 31, 2018.
What You Need to Do During
Annual Enrollment
Review the benefits available and choose the
plans that best meet the needs of you and
your family.
Go to www.MyVersoBenefits.com to enroll.
Review and update your personal information
(address, phone, email, etc.).
Review your covered dependents to verify
that they meet Verso’s benefit eligibility
requirements. Make sure you account for
events such as divorce, guardianship changes,
etc. that occurred in 2017.
Review and update your beneficiaries.
www.MyVersoBenefits.com
During Annual Enrollment
YOU MUST ENROLL
IN BENEFITS.
If you do not enroll,
you will not have
benefits coverage in
2018.
First Deduction of 2018
Remember to review your first paycheck in 2018 to ensure that the deductions reflect your 2018 enrollment elections.
ID Cards
You will have one ID card for medical and
pharmacy, a different ID card for dental, and an ID
card for Vision. If you change plans during Annual
Enrollment, you should receive a new card in
December 2017 to use beginning January 1, 2018.
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MEDICAL PLAN
Health care is one of the most important and valuable benefits Verso
offers. You can choose between two medical plans designed to help you
and your family maintain good health. Both plans cover in-network
preventive care at 100% and both are administered by BlueCross
BlueShield of Tennessee (BCBST).
Both plans are HSA compatible high deductible health plans (sometimes
referred to as HDHPs). Refer to page 7 for more information about
Health Savings Accounts.
VERSO
Medical Plans HSA Choice Plan HSA Core Plan
Annual Deductible $2,200 Single
$4,400 Family
$3,500 Single
$7,000 Family
Out-of-Pocket Maximum $4,400 / $8,800 $6,650/ $13,300
Maximum OOP per Individual
with family coverage
Embedded $6,650
per individual
Embedded $6,650
per individual
Co-insurance after
Deductible
80% of Maximum
Allowable Charge
80% of Maximum
Allowable Charge
HSA Employer Match &
Reward
Up to
$750 / $1,500
Up to
$750 / $1,500
Office Visit 80% after deductible 80% after deductible
Specialist 80% after deductible 80% after deductible
Outpatient 80% after deductible 80% after deductible
Diagnostic Testing 80% after deductible 80% after deductible
Emergency Room Services 80% after deductible 80% after deductible
Preventive Health 100% 100%
Prescription Benefits +
Generic, Preferred Brand, Non-
Preferred Brand & Specialty Drugs
80% after deductible
Monthly Premium Rates*
HSA Choice HSA Core
Employee Only $ 130.99 $ 82.26
Employee + Spouse $ 268.53 $ 168.04
Employee + Child(ren) $ 235.78 $ 148.07
Employee + Family $ 392.97 $ 246.78
Annual Deductible
The deductible is the amount of covered medical
expenses you pay each year before the plan begins
paying co-insurance. If you cover dependents on
your medical plan, the entire amount of the family
deductible must be met first. It can be met by
one family member or a combination of
family members.
Co-Insurance
The percentage of covered medical costs paid
by your health care plan after you have met
your deductible.
Out-of-Pocket (OOP) Maximum
The out-of-pocket maximum limits your annual
exposure such as co-insurance and deductible
amounts. Both plans have an embedded OOP
maximum, meaning they contain two parts, an
individual out-of-pocket maximum and a family out-
of-pocket maximum. This allows for your coverage
to pay 100% of your medical bills once you exceed
your individual out-of-pocket prior to the family out
-of-pocket being met.
Surcharges
Working Spouse Surcharge
If you have a spouse who works and has other
coverage available through work and you enroll that
spouse in the Verso plan, you will be required to
pay an additional $100/month working spouse
surcharge.
Tobacco User Surcharge
To discourage use of tobacco products and cover
additional health care costs associated with such
use, Verso is implementing a tobacco surcharge of
$100/month. Health care costs for tobacco users
are significantly higher and they are growing at a
faster rate versus the national average. If you are a
tobacco user, you can avoid the surcharge by
completing the tobacco cessation program at no
charge to you. Information on this program can be
found by visiting the BCBST website at BCBST.com.
* Does not include surcharges
+ Generic and formulary brand medications determined to be value based (cholesterol,
diabetes and hypertension) will result in no cost when obtained from an in-network provider.
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HEALTH SAVINGS ACCOUNT (HSA)
A Health Savings Account (HSA) is a tax-advantaged savings account
you can use to pay for qualified medical expenses, including eligible
dental and vision costs. An HSA puts you in control of your health
care spending, letting you decide how much to save and allowing you
to pay for qualified medical expenses with tax-advantaged dollars.
If you choose to open an HSA, you will receive a debit card that you
can use to access the money in your HSA. You can use your debit card
to pay for qualified medical expenses directly or you can pay qualified
expenses out of your own pocket and reimburse yourself from the
HSA at a later date. That later date can be whenever you choose and
can be withdrawn tax-free as long as you can prove you had eligible
medical expenses to support the withdrawal.
Taking a Long Term View of an HSA
You can also think of your HSA as a long-term investment. Since the
funds roll over from year to year you have the ability to contribute up
to the limit, even if you won’t use that much in a given year.
Every year you get the opportunity to contribute more and your
account will continue to grow tax-free, including interest and/or
investment earnings, for future use. There is no limit to how much
your account can accumulate.
Advantages of an HSA Triple tax savings:
Contributions made through payroll deductions
are made with pre-tax dollars, meaning they are
not subject to federal income tax. Employer
contributions from Verso are also excluded from
gross income.
Interest earned on your HSA balance is not
subject to federal income tax.
Withdrawals for qualified medical expenses
are not subject to federal income tax.
There’s no “use it or lose it” rule.
An HSA has no “use it or lose it” feature like the
Health Care Flexible Spending Account, so your
account balance rolls over each year. It’s your choice
to save for future health expenses or pay for current
health care costs.
The money is yours to keep—forever. The HSA is
completely portable. Any unused funds in your
account are yours to keep, even if you leave Verso
or retire.
2018 HSA contribution limit (employer + employee): Self-only: $3,450, Family: $6,900 * If age 55 or over by 12/31/2018, an additional $1,000 contribution is allowed in 2018 (catch-up contribution).
By performing these activities you could earn up
to $375 if you have single coverage or $750 if
you have family coverage.
Take a Personal Health
Assessment
Get an annual check-up
with your doctor
Participate in the Virgin
Pulse Program
Do These Simple Activities
Verso HSA Contributions In 2018 Verso will contribute to your Health Savings Account in two different ways up to a total contribution of $750 for those with coverage for just themselves and up to $1500 for those with coverage for their family.
There are two ways you can earn these HSA contributions from Verso Corporation.
Verso Match The first is an employer match. If you elect to contribute to your HSA account, Verso will match $1 for $1 up to the following amounts:
Single Coverage - $375; Family Coverage - $750.
Activity Rewards The second is a rewards-based contribution earned when you do one or all of the activities listed to the right under “Do These Simple Activi-ties.”
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Special Tax Rules for HSA Withdrawals
You can withdraw funds from your HSA account at any
time; however, those withdrawals are taxable and subject
to a penalty if the money is used for anything other than
qualified medical expenses before you reach age 65. If you
use the money for other expenses when you’re older than
65 there is no penalty, but the money will be taxed upon
withdrawal.
Note: You cannot participate in the HSA if you are covered
by health insurance or other health plan coverage that is
not a qualified high deductible health plan or if you are
enrolled in Medicare. Once your Medicare coverage
begins, you can no longer contribute to an HSA. However,
you can still use your existing account balance to pay your
health expenses tax-free, including Medicare premiums
and other plan costs.
HEALTH SAVINGS ACCOUNT (HSA)
TELEMEDICINE
Important:
The IRS prevents you from having a Health Care FSA
and a Health Savings Account in the same year. If you
participated in the Health Care FSA in 2017 you must
exhaust all your funds by December 31, 2017. If you
do not you will not be able to make any HSA
contribution (or receive any Verso HSA contribution)
until the 2017 Health Care FSA grace period expires on
March 15, 2018 (that is, you may not make any HSA
contributions until April 1, 2018).
Refer to IRS Publications 969 and 502 for help in
determining HSA eligible expenses. The IRS limits how
much you can contribute to an HSA each year but it
does not limit how much your account can accumulate.
No Appointments Needed
No need to schedule an appointment, travel to your doctor’s office or wait for your appointment. You can do it all through the mobile application, which is available online for both iPhone or Android devices. You have access to doctors all day, every day via video consultation, secure messaging or telephone.
Welcome to Health Care Made Simple MDLive is a market leader in telemedicine which allows you to visit with board-certified doctors and pediatricians remotely, 24/7/365, to treat common issues and prescribe medications, all at a lower cost than a traditional office visit.
Common Adult and Pediatric Conditions Treated
Cold and flu Constipation Ear aches Diarrhea Nausea and vomiting Pinkeye Respiratory issues Skin conditions Sore throat Urinary tract infections Allergies Fever Sinus infections * Children under the age of 36 months with a fever will be referred to their primary care pediatrician.
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PRESCRIPTION DRUGS
Because of the cost savings associated with generic medications, our plan requires the use of a generic drug unless your physician specifies on the prescription that you must take the brand-name product.
If your prescribing physician does not specify the need to take the brand-name drug, the plan will only cover the cost of the generic equivalent. The cost difference will be considered an ineligible expense and will not apply toward your deductible or out-of-pocket maximum, and will not be reimbursable under the co-insurance portion of the plan.
Specialty Drugs
Specialty drugs are typically designed and used to treat complex and chronic conditions such as multiple sclerosis or rheumatoid arthritis. These drugs can be difficult to administer and often need to be administered by a physician and require special handling.
Specialty drugs are the most expensive class of medication. The average monthly cost of a specialty drug is $3,000, which is 10 times the cost for non-specialty medications.
To help control these costs, the plan puts limits on specialty drugs. First, specialty drugs are dispensed in a maximum 30 day supply. Second, specialty drugs will only be covered if they are obtained through select specialty pharmacies. This applies even if your physician orders and administers the specialty drug.
To find a list of specialty pharmacies, visit your HelpSite at MyVersoBenefits.com or login to BlueAccess website at bcbst.com
Prescription Drugs Covered in the HSA Choice and
HSA Core Plans
What you pay for your prescriptions will depend on what
type of prescriptions you need and the class of drug you
choose to take.
The plan classifies drugs by four levels: generic, formulary
brand, non-formulary brand and specialty. Each level of drug
is a different cost. Generic medications are the lowest cost
options. Formulary brand, non-formulary brand and
specialty are higher priced medications. Your doctor may be
able to prescribe a similar drug from another level with a
lower cost.
In both the HSA Choice and the HSA Core plans you pay the
full discounted price of the drug until the deductible is met.
After the deductible is met, you pay the 20% co-insurance
until you reach your out-of-pocket maximum. You can use
your HSA account to cover these expenses.
To locate an in-network pharmacy, use the resources
available on MyVersoBenefits.com or go to the BlueAccess
website at bcbst.com.
Mail Order and 90-Day Supply
If you take certain medications on a regular basis you can
save time and money using mail order or the 90-day
program. With the mail order program you can get up to a
90-day supply with the convenience of home delivery.
With the 90-day Rx program you can get a 90-day supply of
your medication through many popular retail pharmacies.
Find the pharmacies that participate in the 90-day program
by visiting MyVersoBenefits.com or go to the BlueAccess
website at bcbst.com.
Should I Use a Brand-Name or Generic Drug?
Many brand-name drugs have a generic equivalent.
Generic drugs are equivalent to brand-name drugs in dosage,
strength, route of administration, quality, performance and
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DENTAL PLAN
Cigna Dental PPO Plan (DPPO)
The Cigna DPPO plan offers you the
choice of using network or non-
network dentists. You’ll save the most
money when you use a Cigna DPPO
network dentist.
How to Find a Cigna DPPO
Network Dentist
Go to Cigna.com, click on “Find a
Doctor” at the top of the screen.
Then, choose a Directory by
clicking on the “If Your Insurance
Plan is Offered through Work
or School” option.
SELECT A PLAN by clicking on the
drop down icon and selecting
“Cigna Dental PPO or EPO” under
the Dental Plans section.
VERSO
Dental Plans
Base
Plan
Buy-Up
Plan
Preventive & Diagnostic Services
Oral exams, X-Ray, Cleanings, Brush
biopsy, Topical fluoride, Space
maintainers, Sealants
100% covered
No Deductible
100% covered
No Deductible
Basic Services
Restorative services using amalgam,
synthetic porcelain, and plastic filling
material, Periodontics, Endodontic,
Oral surgery, Nitrous Oxide
80% covered
No Deductible
80% covered
No Deductible
Major Services
Prosthetics: Bridges and Dentures,
Crowns, Jackets, Labial Veneers,
Implants, Inlays and Onlays
50% covered
No Deductible
50% covered
No Deductible
Orthodontia Services
Adults & Dependent Child(ren)
Not
Covered
50% covered
No Deductible
Plan Deductibles and Maximums
(waived for preventive services)
$50 Single /
$100 Family
$50 Single /
$100 Family
Calendar Year Maximum
(per covered member) $1,500 $1,500
Orthodontic Lifetime Maximum
(per eligible member)
Not Applicable $1,500
Monthly Premium Rates
Base
Plan
Buy-Up
Plan
Employee Only $12.54 $13.14
Employee + Spouse $25.09 $26.27
Employee + Child(ren) $30.11 $37.92
Employee + Family $46.42 $58.18
There’s no better way to protect your smile than with regular
dental care. Verso offers dental coverage to help with the cost
of many dental services, including orthodontia.
The comparison below gives a side-by-side view of covered
services and plan features for in-network coverage.
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VISION PLAN
Besides helping you see better, regular vision checkups can
detect serious conditions such as glaucoma, cataracts, diabetes
and even tumors.
Vision Care
With the Humana VisionCare Plan (VCP)
you have access to more than 35,000
optometrists, ophthalmologists,
and national retail providers, such
as LensCrafters®, Pearle Vision®,
Sears® Optical, Target® Optical and
JC Penney® Optical.
Finding A Provider
Go to HumanaVisionCare.com
anytime and select the Humana
VCP provider locator.
You may also call a
Humana Customer Care
representative at
1-866-537-0229.
Services
See a
participating
Provider
See a
non-participating
Provider
Exam with Dilation
(as necessary) 100% after $15 copay $50 allowance
Lenses
• Single
• Bifocal
• Trifocal
100% after $15 copay
100% after $15 copay
100% after $15 copay
$50 allowance
$75 allowance
$100 allowance
Frames $50 wholesale
allowance
$70 retail
allowance
Contact Lenses
• Elective (conventional
and disposable)
• Medically necessary
(limit one pair)
$130 allowance
100%
$105 allowance
$210 allowance
Frequency (based on date of service)
• Examination
• Lenses or contact
lenses
• Frame
Once every 12 months
Once every 12 months
Once every 12 months
Once every 12 months
Once every 12 months
Once every 12 months
Monthly Premium Rates
Employee Only $ 9.66
Employee + Spouse $15.19
Employee + Child(ren) $15.51
Employee + Family $25.00
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DISABILITY COVERAGE
Long-Term Disability
Long-term disability insurance helps
provide financial security if you are
unable to work for an extended
period of time due to a covered
injury or illness. If approved, long-
term disability benefits begin after you have been disabled
and out of work for 180 days.
Once you’re approved and for as long as you meet the plan’s
definition of a covered disability, the long-term disability
plan will pay a monthly benefit of 60% of your base income
(up to a maximum of $10,000 monthly) until you are able to
return to work or you reach the Social Security Normal
Retirement Age (SSNRA), whichever occurs first.
Disability benefits provide income when you cannot work
due to an illness or injury. All full-time employees are
automatically covered by short-term and long-term disability
plans. You do not need to enroll and Verso pays the full cost
of your coverage.
Short-Term Disability
Short-term disability coverage
provides income protection when
you are unable to work due to a
non-work-related illness or injury.
Once approved, you are eligible to
receive 100% of your base pay for a period of up to eight
weeks under this benefit. If you need to remain off work
longer, you are eligible to receive 67% of your base pay for
up to an additional 18 weeks, provided that you remain
disabled and your illness is certified by your doctor and
approved by the administrator.
Your short-term disability covers a maximum benefit
eligibility period of up to 26 weeks of income protection.
To Qualify for Short-Term
Disability Benefits
You must be unable to work
and be receiving treatment for
or recovering from a qualifying
medical condition, as certified by
your doctor.
You May Qualify for Long-Term
Disability Benefits
If you are unable to return to work at
the end of the short-term disability
coverage period, you may be eligible
for long-term disability benefits if
you are unable to work because of a
covered disability.
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COMPANY PAID LIFE INSURANCE AND AD&D
Financial and Survivor Benefits
To protect those who rely on your income for their support,
Verso pays the full cost of basic life and accidental death &
dismemberment (AD&D) insurance. Coverage is equal to 1
times your base salary.
This coverage is provided even if you are not enrolled in
other benefits.
SUPPLEMENTAL LIFE INSURANCE AND AD&D
You have the opportunity to purchase additional term life and AD&D coverage for yourself and your eligible
dependents. This coverage is paid for by the employee with after-tax dollars.
How Much Coverage Can You Buy?
You can elect supplemental life and AD&D
insurance in amounts equal to 1 to 7 times your
base pay. However, your total life insurance
amount cannot exceed $1,500,000 (company
provided basic life and voluntary life combined).
Spouse: You can purchase voluntary life and AD&D
insurance for your spouse in increments of
$10,000 up to $100,000.
Child/Children: Voluntary life and AD&D insurance
in the amounts of $10,000 or $25,000 is available
for your children (up to age 26).
Tobacco User Rates
If you are a tobacco user (including e-cigarettes)
you will be asked to self-identify during the
enrollment process. As a tobacco user, your rates
will be higher to reflect the insurer’s additional risk
of providing life insurance coverage.
Increasing Your Supplemental Life
Insurance
If you want to increase your life insurance
coverage, you will be required to provide evidence
of good health to Cigna. Your evidence of good
health must be satisfactory to Cigna before an
increase in coverage will take effect.
Reductions in Insurance
Coverage amounts for employee and spouse life
insurance (both basic and supplemental) are
reduced by 11% a year starting at age 65.
Spouse coverage is not available after age 70.
Child life insurance amounts are limited as follows:
Birth to 14 days: $500
15 days to 6 months: $2,000
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DEPENDENT CARE FLEXIBLE SPENDING ACCOUNT
A Dependent Care Flexible Spending Account (FSA) pro-
vides a tax advantaged way to pay for eligible dependent
care (including elder care) expenses.
Dependent Care FSA
The Dependent Care FSA enables you to set aside
pre-tax dollars to pay for qualified dependent care
expenses. Funds can be used to pay for eligible day care,
preschool, elder care or other dependent care.
The IRS requires that the dependent care is necessary
for you and your spouse to work, look for work or
attend school full time, along with other requirements.
Remember…
You must file claims for eligible expenses
you incur while you are participating in 2018 or
during the 2018 grace period (January 1, 2019-
March 15, 2019) or the unused amount in your
Dependent Care FSA will be forfeited.
For more information, visit HealthEquity online
at http://learn.healthequity.com/verso/fsa/
or by calling 1-866-375-1323.
Refer to IRS Publication 503 and/or visit HealthEquity online at Healthequity.com for information on eligible
dependent care expenses.
2018
Dependent Care Flexible Spending Account
Eligible Expenses
Out-of-pocket expenses for dependent care for a child
up to 13 years old or eldercare to enable you (and your
spouse, if applicable) to work (or to attend school or class).
Contribution Maximum $5,000 per year
($2,500 if married and filing separate tax return)
Access to Contributions You can be reimbursed for expenses only up to
the amount currently in your account.
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EMPLOYEE ASSISTANCE PROGRAM
Verso’s Employee Assistance Program (EAP) is provided to all Verso employees at no charge regardless of whether the employee is enrolled in a Verso medical plan. The EAP, provided by Freckman & Associates, is a confidential service for you and your family and covers a wide-range of issues (emotional, social, financial, family, substance abuse, job performance, stress, etc.)
Benefits Include:
Face-to-face counseling sessions. Four visits per issue at no cost. If additional visits are needed, they may be coordinated under your medical plan, though you do not need to use your EAP before accessing counseling benefits under the Verso medical plans.
Legal consultation. Receive a 30-minute free consultation and up to a 25% discount on select fees.
Debt counseling. Receive 30-minute free telephonic consultation with a credit counselor.
Parenting. Guidance on child development, sibling rivalry, separation anxiety and much more.
Senior care. Learn about challenges and solutions associated with caring for an aging loved one.
Child care. Whether you need care all day or just after school, find a place that is right for your family.
Pet care. From grooming to boarding to veterinary services, find what you need to care for your pet.
To speak with an EAP counselor 24/7 call toll free 1-800-331-3226 or go online at www.freckmanandassociates.com, select Work Life Services, then enter your password: Verso
You can find an array of helpful resources in your community and receive advice on topics such as:
Family issues
Work problems
Anger management
Retirement
And much more.
RETIREMENT
While you are considering your health and welfare choices
for 2018, it is a good time to consider how much you are
saving in the 401(k) Plan. Verso matches the first 3% you
save at a rate of 100% and matches the second 3% you save
at a rate of 50%.
If you are enrolled, you should review your savings level,
your investments and beneficiary designations, and decide
if any changes are needed.
Please visit www.trsretire.com or call
Transamerica at 1-800-422-6103, Option 4 for
more information. There you can find tools and
calculators to help you determine how much
you should be saving to meet your retirement
goals.
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VOLUNTARY BENEFITS
With Critical Illness insurance, benefits are paid directly to you to help cover:
Deductibles, co-pays and co-insurance of your health insurance
Home health care needs and household modifications
Travel expenses to and from treatment centers
Lost income
Rehabilitation
Child care expenses and more...
With Accident Insurance, benefits are paid
directly to you to help with the costs
associated with out-of-pocket expenses and
bills such as:
Emergency room visits
Surgery and anesthesia
Bandages, stitches and casts
Ambulance rides
Wheelchairs, crutches and other medical appliances
This information is provided for convenience. These coverages are not a part of the Verso Corporation Health and Welfare Benefit Plan.
Verso makes convenient premium payments (on a post-tax basis)
available to you if you elect the following Aflac coverage(s).
If you have any questions about these products, contact Aflac
at 1-800-992-3522.
Critical Illness Insurance
Aflac Critical Illness insurance is designed to help offset the
financial effects of a catastrophic illness. With this coverage, you
receive a lump sum benefit in the event that you are diagnosed
with and/or receive treatment for a covered critical illness.
Critical Illness: How Does It Work? No medical questions. Plans are guaranteed issue
during Annual Enrollment.
You can elect benefit amounts of $5,000, $10,000 or $20,000.
Pays a lump-sum benefit at the diagnosis of a
covered illness.
Coverage is available for you, your spouse and
dependent children.
Coverage is portable - you can take it with you if
you change jobs or retire.
Accident Insurance Accidents happen when you least expect them and can include
motor vehicle accidents, sports injuries, slips, falls or just every
day mishaps. An accident policy from Aflac may pay cash to help
you offset the expenses associated with accidents or injuries.
Accident Insurance: How Does It Work?
No medical questions. Plans are guaranteed issue during
Annual Enrollment.
Pays a lump-sum tax-free benefit based on type of
injury sustained and treatment needed.
Covered injuries include broken bones, cuts, burns,
eye injuries, ruptured discs, etc.
Coverage is available for you, your spouse and
dependent children.
Coverage is portable - you can take it with you if you
change jobs or retire.
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VOLUNTARY BENEFITS
MetLife® Auto & Home Insurance
MetLife’s voluntary Auto & Home group insurance
program is available to all Verso employees. As part of
the program, you have access to special group
discounts on auto and home insurance*, as well as a
variety of other insurance policies.
Get a Price Quote
To get a price quote for Auto and Home insurance,
call 800-GET-MET8 (1-800-438-6388).
*Specific coverage offerings and discounts depend on state insurance rules.
MetLife representatives can describe details about coverage available in
your area.
Convenient Home Billing
This benefit will not be payroll
deducted. You will be billed at home
at the discounted rates.
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ELIGIBILITY and COVERAGE
Employee Eligibility
If you are reasonably expected to average 20 or
more hours of service per week you will be deemed
eligible for medical and dental benefits.
All other benefit eligibility is based upon working 36+ hours per week.
The EAP is available to all employees.
When Coverage Begins
For Salaried, Non-Represented Hourly Employees:
There is no waiting period.
When Coverage Ends
Dependent Care Flexible Spending Account, Life
Insurance and Disability Coverages:
Coverage ends on the last day of employment.
Other Benefits: Coverage ends on the last day of the
month in which you terminate employment or
become ineligible for benefits.
Qualified Change in Status Events
You can change your benefit elections outside of Annual
Enrollment only if you have a Qualified Event or Family
Status Change, which include:
Change in marital status
Gain/loss of other coverage
Employment change that affects your benefits
You or a dependent becomes eligible for Medicare or Medicaid
If you experience one of these events and want to
change your benefits coverage, you must do so within
31 days of the event (60 days in the case of Medicaid or
CHIP related events) (or in the event of a birth, adoption
or placement for adoption).
To change your benefits you must complete the
status change request available through the Enroll
button on MyVersoBenefits.com.
Dependents
Dependents added after Annual Enrollment cannot
be enrolled for coverage during the 2018 plan year
unless you experience a Qualified Event or Family
Status Change.
Required Verification Documents
To add dependents to your benefit plans for the
first time during this annual enrollment you must
provide the following documentation no later than
November 30, 2017:
Spouse: Marriage License
Natural Children: Birth Certificate
Step Children: Birth Certificate and Marriage
License showing both parents’ names
Dependent Child(ren), Legal Guardian,
Adopted or Foster: Birth Certificate, Final
Court Order of legal guardianship with judge’s
signature and/or final adoption decree with
judge’s signature
Beneficiary Information
Please make sure you keep your life insurance
beneficiaries updated if you have a life change.
Changes can be made online by visiting
MyVersoBenefits.com
Gain/loss of
dependent
Disability or death
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HOW TO ENROLL
Step 1: Log in to:
MyVersoBenefits.com and click “ENROLL”
First Time Login
Username: Up to the first six characters of your last name,
first character of your first name, and the last four digits of
your Social Security number (SSN)
Password: Your full (nine-digit) SSN without dashes
If you have already registered, you can login in by entering
the username and password that you previously created
during registration.
Step 2: Welcome Page
Navigate to the Welcome page. The displayed telephone
number connects you to a Verso benefits counselor who
can assist you with benefit questions and technical
support.
Progress to the next step by selecting the “Get Started”
button at the bottom of the page.
Step 3: Personal Information
Complete your personal information by adding your name,
address, telephone number and email address as
indicated. Don’t forget to read and answer the last two
“additional questions” regarding tobacco use and work
status before progressing to the next page.
Step 4: Emergency Contact Information
Add an emergency contact by completing the name,
telephone number, relationship and email address in the
appropriate sections, and click “Save”.
Step 5: Dependent and Beneficiary
Information
Select the appropriate blue button to add both dependent
and beneficiary information to your account.
1-800-422-6103
8 a.m. – 5 p.m. CST (during Annual En-rollment)
After making your selections, be sure
to thoroughly review your dependent
elections and then click “Submit” to
enroll in benefits.
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You may not need to take action on these notices.
We are required by law to provide the enclosed notices about your benefits.
Included on page 27, you’ll find the Medicare Part D notice that explains prescription options for Medicare-eligible individuals. The
information can help you decide whether to enroll in coverage. Open enrollment for Medicare Part D coverage runs October 15
through December 7. If you and your family members are not eligible for Medicare, you may disregard the notice.
Availability of Summary of Benefits and Coverage (SBC)
Provides information about receiving a standard summary of your health coverage so you can compare your options.
As an employee, the health benefits available to you represent a significant component of your compensation package. They also
provide important protection for you and your family in the case of illness or injury.
You have available to you a series of health coverage options. Choosing a health coverage option is an important decision. To help
you make an informed choice, your plan makes available a Summary of Benefits and Coverage (SBC), which summarizes important
information about any health coverage option in a standard format, to help you compare across options.
You can view the applicable SBCs on our website at MyVersoBenefits.com. A paper copy is also available, free of charge, by calling
the Verso Benefits Group at 1-937-528-3608.
Health Insurance Portability and Accountability Act of 1996 (HIPAA)
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) provides for protection of personal health information and
stipulates who may have access to the information. Protected health information includes identifiable information about you and your
covered dependents, and your patient records.
Protected health information can only be used or disclosed in certain instances as permitted by HIPAA or with the consent or authori-
zation of the individual. The Plan administrator may grant access to protected health information only as necessary to fulfill its obliga-
tions to the Plan. In no way may protected health information be disclosed for employment purposes. In addition, you have the right to
request a copy of your health information, and may make changes to correct errors. You may also request an accounting of all disclo-
sures of your protected health information.
Notice of Privacy Practices is available on MyVersoBenefits.com under the Legal Notices tab, a paper copy is also available free of
charge by calling the Verso Benefits Group at 937-528-3608.
Women’s Health and Cancer Rights Act of 1998
If you ever need a benefit-covered mastectomy, your Verso health benefits comply with the Women’s Health and Cancer Rights Act of
1998, which provides for:
• All stages of reconstruction of the breast(s) that underwent a covered mastectomy.
• Surgery and reconstruction of the other breast to produce a symmetrical appearance.
• Prostheses and treatment of physical complications related to all stages of a covered mastectomy, including
lymphedema.
All applicable benefit provisions will apply, including existing deductibles, copayments and coinsurance.
IMPORTANT RIGHTS AND INFORMATION
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Premium Assistance Under Medicaid and the
Children’s Health Insurance Program (CHIP)
If you or your children are eligible for Medicaid or CHIP and you’re eligible for health coverage from your employer, your state may
have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs. If you or your
children aren’t eligible for Medicaid or CHIP, you won’t be eligible for these premium assistance programs but you may be able to buy
individual insurance coverage through the Health Insurance Marketplace. For more information, visit www.healthcare.gov.
If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed below, contact your State Medicaid or
CHIP office to find out if premium assistance is available.
If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligi-
ble for either of these programs, contact your State Medicaid or CHIP office or dial 1-877-KIDS NOW or www.insurekidsnow.gov to find
out how to apply. If you qualify, ask your state if it has a program that might help you pay the premiums for an employer-sponsored
plan.
If you or your dependents are eligible for premium assistance under Medicaid or CHIP, as well as eligible under your employer plan,
your employer must allow you to enroll in your employer plan if you aren’t already enrolled. This is called a “special enrollment” oppor-
tunity, and you must request coverage within 60 days of being determined eligible for premium assistance. If you have questions
about enrolling in your employer plan, contact the Department of Labor at www.askebsa.dol.gov or call 1-866-444-EBSA (3272).
_________________________________________________________________________________________________________
If you live in one of the following states, you may be eligible for assistance paying your employer health plan premiums.
The following list of states is current as of August 10, 2017. Contact your State for more information on eligibility –
ALABAMA – Medicaid FLORIDA – Medicaid
Website: http://myalhipp.com/
Phone: 1-855-692-5447 Website: http://flmedicaidtplrecovery.com/hipp/
Phone: 1-877-357-3268
ALASKA – Medicaid GEORGIA – Medicaid
The AK Health Insurance Premium Payment Program Website: http://myakhipp.com/
Phone: 1-866-251-4861 Email: [email protected]
Medicaid Eligibility: http://dhss.alaska.gov/dpa/Pages/medicaid/
default.aspx
Website: http://dch.georgia.gov/medicaid
- Click on Health Insurance Premium Payment (HIPP) Phone: 404-656-4507
ARKANSAS – Medicaid INDIANA – Medicaid
Website: http://myarhipp.com/
Phone: 1-855-MyARHIPP (855-692-7447) Healthy Indiana Plan for low-income adults 19-64 Website: http://www.in.gov/fssa/hip/
Phone: 1-877-438-4479 All other Medicaid Website: http://www.indianamedicaid.com
Phone 1-800-403-0864
COLORADO – Health First Colorado (Colorado’s Medicaid
Program) & Child Health Plan Plus (CHP+) IOWA – Medicaid
Health First Colorado Website:
https://www.healthfirstcolorado.com/
Health First Colorado Member Contact Center: 1-800-221-3943/ State Relay 711 CHP+: Colorado.gov/HCPF/Child-Health-Plan-Plus CHP+ Customer Service: 1-800-359-1991/ State Relay 711
Website: http://dhs.iowa.gov/ime/members/medicaid-a-to-z/
hipp
Phone: 1-888-346-9562
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KANSAS – Medicaid NEW HAMPSHIRE – Medicaid
Website: http://www.kdheks.gov/hcf/
Phone: 1-785-296-3512 Website: http://www.dhhs.nh.gov/oii/documents/hippapp.pdf
Phone: 603-271-5218
KENTUCKY – Medicaid NEW JERSEY – Medicaid and CHIP
Website: http://chfs.ky.gov/dms/default.htm
Phone: 1-800-635-2570 Medicaid Website: http://www.state.nj.us/humanservices/
dmahs/clients/medicaid/
Medicaid Phone: 609-631-2392 CHIP Website: http://www.njfamilycare.org/index.html
CHIP Phone: 1-800-701-0710
LOUISIANA – Medicaid NEW YORK – Medicaid
Website: http://dhh.louisiana.gov/index.cfm/subhome/1/n/331
Phone: 1-888-695-2447 Website: https://www.health.ny.gov/health_care/medicaid/
Phone: 1-800-541-2831
MAINE – Medicaid NORTH CAROLINA – Medicaid
Website: http://www.maine.gov/dhhs/ofi/public-assistance/
index.html
Phone: 1-800-442-6003 TTY: Maine relay 711
Website: https://dma.ncdhhs.gov/
Phone: 919-855-4100
MASSACHUSETTS – Medicaid and CHIP NORTH DAKOTA – Medicaid
Website: http://www.mass.gov/eohhs/gov/departments/
masshealth/
Phone: 1-800-862-4840
Website: http://www.nd.gov/dhs/services/medicalserv/
medicaid/
Phone: 1-844-854-4825
MINNESOTA – Medicaid OKLAHOMA – Medicaid and CHIP
Website: http://mn.gov/dhs/people-we-serve/seniors/health-care/
health-care-programs/programs-and-services/medical-
assistance.jsp
Phone: 1-800-657-3739
Website: http://www.insureoklahoma.org
Phone: 1-888-365-3742
MISSOURI – Medicaid OREGON – Medicaid
Website: http://www.dss.mo.gov/mhd/participants/pages/hipp.htm
Phone: 573-751-2005 Website: http://healthcare.oregon.gov/Pages/index.aspx
http://www.oregonhealthcare.gov/index-es.html
Phone: 1-800-699-9075
MONTANA – Medicaid PENNSYLVANIA – Medicaid
Website: http://dphhs.mt.gov/MontanaHealthcarePrograms/HIPP
Phone: 1-800-694-3084 Website: http://www.dhs.pa.gov/provider/medicalassistance/
healthinsurancepremiumpaymenthippprogram/index.htm
Phone: 1-800-692-7462
NEBRASKA – Medicaid RHODE ISLAND – Medicaid
Website: http://www.ACCESSNebraska.ne.gov Phone: (855) 632-7633 Lincoln: (402) 473-7000 Omaha: (402) 595-1178
Website: http://www.eohhs.ri.gov/
Phone: 855-697-4347
NEVADA – Medicaid SOUTH CAROLINA – Medicaid
Medicaid Website: https://dwss.nv.gov/
Medicaid Phone: 1-800-992-0900 Website: https://www.scdhhs.gov
Phone: 1-888-549-0820
SOUTH DAKOTA– Medicaid WASHINGTON– Medicaid
Website: http://dss.sd.gov
Phone: 1-888-828-0059 Website: http://www.hca.wa.gov/free-or-low-cost-health-care/
program-administration/premium-payment-program
Phone: 1-800-562-3022 ext. 15473
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TEXAS – Medicaid WEST VIRGINIA – Medicaid
Website: http://gethipptexas.com/
Phone: 1-800-440-0493 Website: http://mywvhipp.com/ Toll-free phone: 1-855-MyWVHIPP (1-855-699-8447)
UTAH – Medicaid and CHIP WISCONSIN – Medicaid and CHIP
Medicaid Website: https://medicaid.utah.gov/
CHIP Website: http://health.utah.gov/chip
Phone: 1-877-543-7669
Website: https://www.dhs.wisconsin.gov/publications/p1/
p10095.pdf
Phone: 1-800-362-3002
VERMONT– Medicaid WYOMING – Medicaid
Website: http://www.greenmountaincare.org/
Phone: 1-800-250-8427 Website: https://wyequalitycare.acs-inc.com/
Phone: 307-777-7531
VIRGINIA – Medicaid and CHIP
Medicaid Website: http://www.coverva.org/programs_premium_assistance.cfm
Medicaid Phone: 1-800-432-5924 CHIP Website: http://www.coverva.org/programs_premium_assistance.cfm
CHIP Phone: 1-855-242-8282
To see if any other states have added a premium assistance program since August 10, 2017, or for more information on special enrollment rights, contact either:
U.S. Department of Labor U.S. Department of Health and Human Services
Employee Benefits Security Administration Centers for Medicare & Medicaid Services
www.dol.gov/agencies/ebsa www.cms.hhs.gov
1-866-444-EBSA (3272) 1-877-267-2323, Menu Option 4, Ext. 61565
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Continuation of Coverage (COBRA) Introduction You are receiving this notice because you may have recently become covered under a group health plan (the Plan). This notice contains important information about your right to COBRA continuation coverage, which is a temporary extension of coverage under the Plan. This notice generally explains COBRA continuation coverage, when it may become available to you and your family, and what you need to do to protect the right to receive it. The right to COBRA continuation coverage was created by a federal law, the Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA). COBRA continuation coverage can become available to you when you would otherwise lose your group health coverage. It can also become available to other members of your family who are covered under the Plan when they would otherwise lose their group health coverage. For additional information about your rights and obligations under the Plan and under federal law, you should review the Plan’s Summary Plan Description or contact the Plan Administrator.
What is COBRA Continuation Coverage? COBRA continuation coverage is a continuation of Plan coverage when coverage would otherwise end because of a life event known as a “qualifying event.” Specific qualifying events are listed later in this notice. After a qualifying event, COBRA continuation coverage must be offered to each person who is a “qualified beneficiary.” You, your spouse, and your dependent children could become qualified beneficiaries if coverage under the Plan is lost because of the qualifying event. Under the Plan, qualified beneficiaries who elect COBRA continuation coverage must pay for COBRA continuation coverage. If you are an employee, you will become a qualified beneficiary if you lose your coverage under the Plan because either one of the following qualifying events happens:
• Your hours of employment are reduced, or
• Your employment ends for any reason other than your gross misconduct.
If you are the spouse of an employee, you will become a qualified beneficiary if you lose your coverage under the Plan because any of the following qualifying events happens:
• Your spouse dies;
• Your spouse’s hours of employment are reduced;
• Your spouse’s employment ends for any reason other than his or her gross misconduct;
• Your spouse becomes entitled to Medicare benefits (under Part A, Part B, or both); or
• You become divorced or legally separated from your spouse.
Your dependent children will become qualified beneficiaries if they lose coverage under the Plan because any of the following qualifying events happens:
• The parent-employee dies;
• The parent-employee’s hours of employment are reduced;
• The parent-employee’s employment ends for any reason other than his or her gross misconduct;
• The parent-employee becomes entitled to Medicare benefits (Part A, Part B, or both);
• The parents become divorced or legally separated; or
• The child stops being eligible for coverage under the plan as a “dependent child.”
When is COBRA Coverage Available? The Plan will offer COBRA continuation coverage to qualified beneficiaries only after the Plan Administrator has been notified that a qualifying event has occurred. When the qualifying event is the end of employment or reduction of hours of employment, death of the employee, or the employee becoming entitled to Medicare benefits (under Part A, Part B, or both), the employer must notify the Plan Administrator of the qualifying event. You Must Give Notice of Some Qualifying Events For the other qualifying events (divorce or legal separation of the employee and spouse or a dependent child’s losing eligibility for coverage as a dependent child), you must notify the Plan Administrator within 60 days after the qualifying event occurs by visiting MyVersoBenefits.com, select “Enroll in Your Benefits” button on the home page, and then log in to the system to select changes and provide certified documentation. You may also provide certified documentation to your local HR Department.
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How is COBRA Coverage Provided? Once the Plan Administrator receives notice that a qualifying event has occurred, COBRA continuation coverage will be offered to each of the qualified beneficiaries. Each qualified beneficiary will have an independent right to elect COBRA continuation coverage. Covered employees may elect COBRA continuation coverage on behalf of their spouses, and parents may elect COBRA continuation coverage on behalf of their children. COBRA continuation coverage is a temporary continuation of coverage. When the qualifying event is the death of the employee, the employee's becoming entitled to Medicare benefits (under Part A, Part B, or both), your divorce or legal separation, or a dependent child's losing eligibility as a dependent child, COBRA continuation coverage lasts for up to a total of 36 months. When the qualifying event is the end of employment or reduction of the employee's hours of employment, and the employee became entitled to Medicare benefits less than 18 months before the qualifying event, COBRA continuation coverage for qualified beneficiaries other than the employee lasts until 36 months after the date of Medicare entitlement. For example, if a covered employee becomes entitled to Medicare 8 months before the date on which his employment terminates, COBRA continuation coverage for his spouse and children can last up to 36 months after the date of Medicare entitlement, which is equal to 28 months after the date of the qualifying event (36 months minus 8 months). Otherwise, when the qualifying event is the end of employment or reduction of the employee’s hours of employment, COBRA continua-tion coverage generally lasts for only up to a total of 18 months. There are two ways in which this 18-month period of COBRA continuation coverage can be extended. Disability extension of 18-month period of continuation coverage If you or anyone in your family covered under the Plan is determined by the Social Security Administration to be disabled and you notify the Plan Administrator in a timely fashion, you and your entire family may be entitled to receive up to an additional 11 months of COBRA continuation coverage, for a total maximum of 29 months. The disability would have to have started at some time before the 60th day of COBRA continuation coverage and must last at least until the end of the 18-month period of continuation coverage.
Second qualifying event extension of 18-month period of continuation coverage If your family experiences another qualifying event while receiving 18 months of COBRA continuation coverage, the spouse and dependent children in your family can get up to 18 additional months of COBRA continuation coverage, for a maximum of 36 months, if notice of the second qualifying event is properly given to the Plan. This extension may be available to the spouse and any dependent children receiving continuation coverage if the employee or former employee dies, becomes entitled to Medicare benefits (under Part A, Part B, or both), or gets divorced or legally separated, or if the dependent chi ld stops being eligible under the Plan as a dependent child, but only if the event would have caused the spouse or dependent child to lose coverage under the Plan had the first qualifying event not occurred. If You Have Questions about COBRA Questions concerning your Plan or your COBRA continuation coverage rights should be addressed to the contact or contacts identified below. For more information about your rights under ERISA, including COBRA, the Health Insurance Portability and Accountability Act (HIPAA), and other laws affecting group health plans, contact the nearest Regional or District Office of the U.S. Department of Labor’s Employee Benefits Security Administration (EBSA) in your area or visit the EBSA website at www.dol.gov/ebsa
Keep Your Plan Informed of Address Changes
In order to protect your family’s rights, you should keep the Plan Administrator informed of any changes in the addresses
of family members. You should also keep a copy, for your records, of any notices you send to the Plan Administrator.
Verso Corporation
Attn: Verso Benefits Group
8540 Gardner Creek Drive
Miamisburg, OH 45342
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As a result of some key parts of the health care law that took effect in 2014, there are now new ways to buy health insurance:
the Health Insurance Marketplace.
What is the Health Insurance Marketplace?
The Marketplace is designed to help you find health insurance that meets your needs and fits your budget. The Marketplace at www.healthcare.gov offers "one-stop shopping" to find and compare private health insurance options. You may also be eligible for a new kind of tax credit that lowers your monthly premium right away.
Can I Save Money on my Health Insurance Premiums
in the Marketplace?
You may qualify to save money and lower your monthly premium, but only if your employer does not offer coverage, or offers coverage that doesn't meet certain standards. The savings on your premium that you're eligible for depends on your household income.
Does Employer Health Coverage Affect Eligibility for Premium Savings though the Marketplace?
Yes. If you have an offer of health coverage from your employer that meets certain standards, you will not be eligible for a tax credit through the Marketplace and may wish to enroll in your employer's health plan. However, you may be eligible for a tax credit that lowers your monthly premium, or a reduction in certain cost-sharing if your employer does not offer coverage to you at all or does not offer coverage that meets certain standards. If the cost of a plan from your employer that would cover you (and not any other members of your family) is more than 9.69% of your household income for the year, or if the coverage your employer provides does not meet the "minimum value" standard set by the Affordable Care Act, you may be eligible for a tax credit.1
Note: If you purchase a health plan through the Marketplace instead of accepting health coverage offered by your employer, then you may lose the employer contribution (if any) to the employer-offered coverage. Also, this employer contribution -as well as your employee contribution to employer-offered coverage- is often excluded from income for Federal and State income tax purposes. Your payments for coverage through the Marketplace are made on an after-tax basis. 1https://www.healthcare.gov/fees-exemptions/fee-for-not-being-covered/
Your Responsibility Under Health Care Reform
Individual Mandate. The law now requires that most individuals maintain health insurance coverage or otherwise pay a
penalty. If you don’t have medical coverage in 2018, you’ll pay the higher of these two amounts1:
• 2.5% of your yearly household income.
(Only the amount of income above the tax filing threshold, about $10,000 for an individual, is used to calculate the penalty.)
The maximum penalty is the national average premium for a bronze plan.
• $695 per person for the year ( $347.50 per child under 18 ).
The maximum penalty per family using this method is $2,085.
Please Note: The above was the 2016 maximum.
In 2018, the maximum may be adjusted to increase on par with the national rate of inflation.
1https://www.healthcare.gov/fees-exemptions/fee-for-not-being-covered/
NOTICE OF HEALTH INSURANCE MARKETPLACE
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Medicare Part D Prescription Drug Coverage - Notice of Creditable Prescription Drug Coverage
Explains the prescription options available to those eligible for Medicare and can help you decide whether or not to enroll in coverage.
At the end is information about where you can get help to make decisions about your prescription drug coverage.
Note: If you enroll in one of the Medicare-approved plans which offer prescription drug coverage, you may need to provide a copy of this notice to show you are not required to pay a higher premium amount.
Medicare prescription drug coverage became available in 2006 to everyone with Medicare through Medicare prescription drug plans and
Medicare Advantage Plans that offer prescription drug coverage. All Medicare prescription drug plans provide at least a standard level of
coverage set by Medicare. Some plans may offer more coverage for a higher monthly premium.
Verso Corporation has determined that the prescription drug coverage offered by the Verso medical plans is, on average for all plan
participants, expected to pay out as much as the standard Medicare prescription drug coverage will pay and is considered Creditable
Coverage.
Because your existing coverage is on average at least as good as standard Medicare prescription coverage, you can keep the Verso
coverage and not pay extra if you later decide to enroll in Medicare prescription coverage. Individuals can enroll in a Medicare
prescription drug plan when they first become eligible for Medicare and each year from October 15 through December 7. Beneficiaries leaving
employer/union coverage may be eligible for a Special Enrollment Period to sign up for a Medicare prescription drug plan. You should compare
your current coverage, including which drugs are covered, with the coverage and cost of the plans offering Medicare prescription drug coverage
in your area.
If you decide to enroll in a Medicare prescription drug plan and elect to drop your Verso combined medical and prescription drug
coverage, be aware that you and your dependents will not be able to get the Verso coverage back. Please contact us for more
information about what happens to your coverage if you enroll in a Medicare prescription drug plan. You should also know that if you
drop or lose your coverage with Verso and don’t enroll in Medicare prescription drug coverage after your current coverage ends, you may pay
more (a penalty) to enroll in Medicare prescription drug coverage later. If you go 63 days or longer without prescription drug coverage that’s at
least as good as Medicare’s prescription drug coverage, your monthly premium will go up at least one percent per month for every month that
you did not have that coverage. For example, if you go 19 months without coverage, your premium will always be at least 19 percent higher
than what many other people pay. You’ll have to pay this higher premium as long as you have Medicare prescription drug coverage. In addition,
you may have to wait until the following October to enroll.
For more information about this notice or your prescription drug coverage, contact Verso Benefit Group at 937-528-3608. You may receive
this notice at other times in the future, such as before the next period you can enroll in Medicare prescription drug coverage, and if your Verso
coverage changes. You also may request a copy.
For more information about your options under Medicare, the “Medicare & You” handbook contains more detailed information about Medicare
plans that offer prescription drug coverage. If you’re eligible for Medicare coverage, you’ll receive a copy of the handbook in the mail every year
from Medicare. You may also be contacted directly by Medicare prescription drug plans. For more information about Medicare prescription drug
plans:
Visit www.medicare.gov.
Call your State Health Insurance Assistance Program (see your copy of the Medicare & You handbook for the telephone number).
Call 1-800-MEDICARE (1-800-633-4227).
TTY users, call 1-877-486-2048.
For people with limited income and resources, extra help paying for a Medicare prescription drug plan is available. Information about extra help
is available from the Social Security Administration online at www.socialsecurity.gov or by calling
1-800-772-1213 (TTY 1-800-325-0778).
27
28 MyVersoBenefits.com
The information included in this guide is intended to summarize the benefits offered in language that is clear and easy to
understand. Every effort has been made to ensure that this information is accurate. It is not intended to replace the legal
plan document or insurance contract, which contains the complete provisions of the program. In case of any discrepancy
between this handout and the legal plan document or insurance contract, the legal plan document or (contract) will
govern in all cases. A participant or beneficiary may review the legal plan documents upon request. Verso Corporation
reserves the right to suspend, revoke or modify the benefit programs offered to employees at any time.
Medical Plans
BlueCross BlueShield of TN
1-877-420-3266
www.BCBSTN.com
Mon-Fri, 7 am - 5 pm CST
Dental Plan
Cigna
1-800-244-6224
www.Cigna.com
24 hours a day, 7 days a week
Vision Plan
Humana
1-866-537-0229
www.HumanaVisionCare.com
Mon-Sat, 6:30 am. - 10 pm CST
Sun, 10am - 7pm CST
Dependent Care FSA
Health Equity
1-866-375-1323
www.HealthEquity.com
24 hours a day, 7 days a week
Employee Benefit Advocacy
BenefitHelp™
1-800-422-6103 (option 8)
Mon-Thurs, 8.am. - 5 p.m. CST
Fri, 8 a.m. - 4 p.m. CST
www.MyVersoBenefits.com
HSA
Benefit Wallet
1-877-472-4200
www.mybenefitwallet.com
Mon-Fri, 7.am. - 10 p.m. CST
Sat-Sun 8 am. - 5 p.m. CST
Life Insurance & Disability
Cigna
1-800-362-4462
www.Cigna.com
24 hours a day, 7 days a week
Employee Assistance Program
Freckman & Associates
1-800-331-3226
www.FreckmanandAssociates.com
Mon-Fri, 8 am - 5 pm CST
General Benefit Questions
Verso One Number
1-800-422-6103 (option 5, option 3)
Mon-Thurs, 8.am. - 5 p.m. CST
Fri, 8 a.m. - 4 p.m. CST
Mon-Fri, 8 am - 5 pm CST
Voluntary Critical Illness &
Accident
AFLAC
1-800-992-3522
www.AFLAC.com
24 hours a day, 7 days a week
Group Auto & Home Insurance
MetLife®
1-877-619-5604www.MetLife.com/versocorporation
24 hours a day, 7 days a week
401(k)
TransAmerica
1-800-422-6103, option 4
www.TRSretire.com
BENEFIT CONTACTS
© BenefitHelp