Employee Benefits Program 2016 The Winter Construction Company.

Employee Benefits Program 2016

The Winter Construction Company

National Healthcare Trends

Healthcare spending will continue to increase. Spousal surcharges are increasing. Employer plans may change substantially to avoid the

“Cadillac Plan” tax in 2018 that is meant to discourage employers from offering health plans that are over generous.

Obesity and chronic disease are on the rise. 35% of adults are obese as of 2015. By 2025, the number of obese adults is expected to grow to 45%.

Chronic disease accounts for 75% of healthcare spending.

National 401(k) Trends

30% of employees ages 30-49 have not started saving for retirement.

New guidelines recommend employees save 10 to 15 percent of income for retirement.

Fewer than 20% of employees presently contribute 10 percent or more to their 401(k).

2015 Winter Benefit Highlights 100% of our employees and eligible family members

participated in Biometrics.

100% of our employees and eligible family members reached Silver Status.

Winter was awarded Atlanta’s Healthiest Employer.

Winter returned medical plan savings to employees with an increase in 401(k) match.

2016 Winter Benefit Highlights Increase in Healthcare Costs of 16% = $200,000

How did Wellness impact this increase?• Rates would have increased by 25%• Savings of approximately $75,000

What does this mean for you?

Winter is going to absorb the increase so your rates will remain unchanged.

New 401(k) Match – Effective 1/1/2016

Winter will now match 50 cents for every

dollar contributed up to 6% of base salary!

**You will need to update your salary deferral online**

Additional 401(k) changes for 2016

Automatic enrollment is set at 3% for 2016.All employees deferring less than 3%, who do not want to contribute, must re-opt out at www.netbenefits.com.

Open Enrollment

By phone: November 30th – Dec. 6th Online: November 30th- Dec. 13th

The Open Enrollment period is your chance each year to make changes to your benefits such as:

Adding/removing dependents Enrolling or cancelling coverage Changing plans

Open Enrollment for 2016 plan year:

Re-enrollment

This year’s enrollment is PASSIVE. If you do not actively call or go online and make changes to your

benefits, your coverage will remain EXACTLY the same as last year.

However, if you have an FSA and would like to continue to have one in 2016, you MUST re-enroll in it. It is

recommended that you use the call-in option if this is the case.

If you have an HSA, please check your enrollment confirmation to ensure the amounts are correct.

Changing benefits during the year There are only a few “family status” changes you can make after Open Enrollment. Qualified events include but are not limited to: Marriage or divorce Birth/adoption of a child Death of a spouse or dependent Loss of spouse’s coverage with employer

To make qualified status changes to benefits, you must contact the Enrollment Center at 866-688-9727.

They will instruct you to any forms that will need to be given to HR.

Changes must be made within 30 days of the qualifying event or you will have to wait until the next annual Open Enrollment period.

Medical Plans

Humana Medical Summary of Benefits

HMO OA Plan

In-Network

POS Plan**

In-Network Out-of-Network Deductible

Individual

Family

$500

$1,000

$1,000

$2,000

$3,000

$6,000

Total Plan Maximum Out-of-Pocket Limit

Individual

Family

$6,250

$12,500

$6,250

$12,500

$9,000

$18,000

Emergency Room (waived if admitted)

$150 copay per visit



Coinsurance 80% 80% 60%

Preventive Care No Charge No Charge 70% after deductible

Office Visits

PCP

Specialist

$40

$55

$40

$55

70% after deductible


Inpatient Services 80% after deductible 80% after deductible 60% after deductible

Prescription Drugs (30-day supply)

***Rx Maximum Out-of-Pocket Limit

Tier 1

Tier 2

Tier 3

Tier 4

Mail Order (90 day supply) Lifetime Maximum

$3,500 Individual / $7,000 Family

You pay $15

You pay $30

You pay $50

25% coinsurance

$30/$60/$100/25%

Unlimited

$5,000 Individual / $10,000 Family

You pay $15

You pay $30

You pay $50

N/A

$30/$60/$100

Unlimited

HMO OA Plan

Hourly Salary (weekly) (bi-weekly)

POS Plan**

Hourly (weekly) Salary (bi-weekly)

Employee Only $38.87 $77.73 $38.87 $77.73

Employee + Spouse $140.40 $280.79 $140.40 $280.79

Employee + Child(ren) $102.63 $205.25 $102.63 $205.25

Family $185.32 $370.63 $185.32 $370.63

Please refer to the Summary of Benefits regarding Out-of-Network benefits. * HDHP/HSA: Winter will match your contributions into your HSA to help pay for medical expenses up to: Employee = $500 or Family = $750 ** POS: For employees with an out of state home address. ***Rx Maximum Out-of-Pocket limits apply to in-network services only.

Medical PlansHumana Medical Summary of Benefits

HDHP 2500 Plan*

In-Network Out-of-Network HDHP 4000 Plan*

In-Network Out-of-Network

Non-embedded: Family deductible must be satisfied before individual co-insurance benefits are available to everyone on the plan.

Deductible

$2,500

$7,500

$4,000

$12,000 Individual

Family $5,000 $15,000 $8,000 $24,000

Total Plan Maximum

$3,000

$9,000

$5,000

$15,000

Out-of-Pocket Limit

Individual

Family $6,000 $18,000 $10,000 $30,000

Emergency Room (waived if admitted)

$150 copay per visit after deductible is met

$150 copay per visit after deductible is met



Coinsurance 100% 70% 80% 60%

Preventive Care No Charge 70% after deductible No Charge 70% after deductible

Office Visits $30 after deductible is met



60% after deductible PCP

Specialist $45 after deductible is met

70% after deductible 90% after deductible 60% after deductible

Inpatient Services 100% after deductible 70% after deductible 90% after deductible 60% after deductible

Prescription Drugs (30-day supply)

N/A

N/A ***Rx Maximum Out-of-Pocket Limit

Tier 1 You pay $10 Subject to deductible and coinsurance



Tier 4 25% coinsurance

Subject to deductible and coinsurance

Mail Order (90 day supply) $25/$75/$125/25% Subject to deductible and coinsurance

Lifetime Maximum Unlimited Unlimited

HDHP 2500 Plan*


HDHP 4000 Plan


Employee Only $27.54 $55.07 $17.54 $35.07

Employee + Spouse $107.79 $215.57 $83.18 $166.35

Employee + Child(ren) $79.66 $159.32 $59.68 $119.35

Family $137.49 $274.97 $104.63 $209.26

Please refer to the Summary of Benefits regarding Out-of-Network benefits. * HDHP/HSA: Winter will match your contributions into your HSA to help pay for medical expenses up to: Employee = $500 or Family = $750 ** POS: For employees with an out of state home address. ***Rx Maximum Out-of-Pocket limits apply to in-network services only.

Pharmacies At www.myhumana.com tools are available to assist you with

determining the price you pay for covered prescriptions.

The 2016 pharmacy formularies can be found online on the WinterWire and Winter Intranet.

You can access the Mail Order Pharmacy at www.myhumana.com and have prescriptions delivered to you.

The OneRx mobile app helps you determine the lowest-priced prescriptions at pharmacies in your area and also provides you with coupons for valuable savings.

Health Savings Account (HSA)Humana/UMB* Winter will match employee contributions dollar for dollar up to $500 for employee only ($750 for all other plans) annually Contributions matched by Winter in January and July

What is a Health Savings Account (HSA)? It is a tax-free account that helps you budget for health care expenses

both for the current year and for the future You can use this fund to cover your qualified healthcare costs

Are you eligible for an HSA? In order to contribute to an HSA, you must have only HDHP medical

coverage Your spouse may not have a Flexible Spending Account if on your plan You may not be receiving Medicare benefits You may not be claimed as a dependent on another person’s tax return

(doesn’t include your spouse’s)*Employees who are currently enrolled in HealthyEquity HSA are eligible to stay in HealthEquity HSA or may roll

their accounts during Open Enrollment into Humana HSA.

HSA 2016 Contribution Limits IRS Contribution Limit

(employer + employee)Individual Family

$3,350 $6,750

HSA catch up contribution: For ages 55-65 an additional $1,000 contribution is allowed.

Employee Coverage Type

Annual Winter Contribution

Employee Only Match up to $500

Employee and Spouse

Match up to $750

Employee and Child(ren)

Match up to $750

Family Match up to $750

Winter’s Annual Contribution

Flexible Spending Account (FSA) An FSA allows you to set aside funds on a pre-tax basis for predictable out-of-pocket

expenses not covered under a medical plan.

You can elect an FSA without electing a medical plan.

REMEMBER – You may roll over up to $500 of unused funds remaining at the end of the 2015 plan year.

Contribution Maximum: $2,500 per year

Contribution amount must be chosen at Open Enrollment Eligible expenses include:

Co-pays $ deductibles

Vision care

Prescriptions & some over-the-counter drugs (Rx needed)

Chiropractic treatments

Infertility treatments

A full list can be found at http://www.irs.gov/pub/irs-pdf/p502.pdf

The cut-off to use funds from your 2015 FSA contributions is March 15, 2016.

Humana Vitality

At the beginning of the year, your Vitality status will return to Blue. You will retain 10% of your existing points, and will keep all of your Vitality Bucks.*Anyone who will be 18 or older during the 2016 plan year must

participate*

Humana Vitality App

Register on the app and customize your profile

Earn Vitality Points faster for achieving short-term milestones

Connect compatible fitness devices

Join a challenge and submit activity verification

Silver Status Savings

There is no guaranteed rate for our 2017 healthcare insurance coverage. However, if you do not reach Silver Status by 8/31/2016, then you will not qualify for the wellness rate in 2017. Depending on your type of coverage, this could cost you significant $$$$!

If exercise is an issue that you feel will hinder your ability to reach Silver Status, contact Humana to determine the best course of action for you to take.

Healthiest You 24x7 Access to Doctors

Unrestricted access to the nation’s largest network of doctors, available via phone or video

Provider Discovery Location-aware provider directory with reviews and ratings

Prescription Pricing

Insurance Connectivity Up-to-date coverage information, deductible tracking, and benefit

summaries

Price Transparency Cash vs. insurance pricing

Intelligent Alerts

GAP Insurance – Accident Coverage

Accident Insurance coverage provides expense reimbursement for charges up to $1,000.

Accidental injuries, hospital care and accidental death are covered even when they occur outside of the workplace.

Coverage is available to the insured employee as well as their spouse and dependents

Benefit AmountGround AmbulanceHospital Indemnity

Up to $1,000/accident$150$150

GAP Insurance – Critical Illness and Cancer

Voluntary Critical Illness and Cancer is a group policy that provides coverage for heart complications, strokes, cancer and critical illnesses.

Health Screening Benefit: pays annually for covered health screenings $150 per insured person

Benefit Amount EESpouseChild

$5,000$2,500$2,500

GAP Insurance – Supplemental Health

Supplemental Health coverage provides indemnity benefits for hospitalization and the intensive care unit (ICU).

Benefits are paid directly to you, and you can use the cash however you want. It’s that simple.

The maternity waiting period is 300 days

The average hospital stay is 4.8 days

Hospital Indemnity Benefit AmountFirst Hospital Occurrence (per year)

$200/day first 15 days$500/day up to 4 days

Dental

Important Dental Notes

Be sure to request a pre-treatment authorization and/or estimate before any major dental work. This way you will be aware of your out-of-pocket costs. Your provider’s office can assist you with this.

Payments toward preventive, basic and major dental services apply toward your annual calendar year maximum.

The calendar year maximum is the total amount paid each year by your insurance company for each family member enrolled in the dental plan.

Vision

Basic Term Life and AD&D Insurance Employer Paid

Life Insurance Benefit Amount:1X Annual Salary up to $250,000 maximum benefit

AD&D Benefit Amount: The Principal Sum amount is equal to the amount of life insurance benefit

Living Care/Accelerated Benefit: 50% of the amount of the life insurance benefit

Waiver of Premium

Additional AD&D Benefits: Seatbelt and Airbag

Travel Assistance

Conversion

Voluntary Term Life and AD&D Insurance

Voluntary Term Life/AD&D coverage is available without answering medical questions or physical exams up to the guaranteed issue amount for new hires only. Any other employee will be required to provide evidence of insurability.

Note: In order to purchase life coverage for your dependents, you must buy coverage for yourself.(Children include those 14 days old, up to age 21 (26 if a full-time student)). In order to enroll in AD&D insurance, you must also enroll in Voluntary Life insurance.

Coverage Guidelines

Employee Spouse Child(ren)

Minimum $10,000 $5,000 $2,000

Maximum 5X Annual salary, up to $500,000

100% of employee’s

benefit, up to $100,000

$10,000

Guarantee Issue Amount

5X Annual salary, up to $140,000

50% of employee’s benefit, up to

$25,000

$10,000

Voluntary Short-Term Disability Insurance 100% Voluntary and Employee Paid

Elimination Period: Benefits begin on the 15th day of your disabling injury or illness

Weekly Benefit: 60% of your pre-tax weekly earnings, not to exceed the plan’s maximum benefit amount ($1,500)

Maximum Benefit Period: Short-Term Disability benefits are available for up to 11 weeks

Features: Partial Disability Benefit, Vocational Rehabilitation Benefit, Survivor Benefit, Waiver of Premium, Portability

Pre-existing Conditions: Disabilities that occur during the first 6 months of coverage due to a pre-existing condition during the 3 months prior to coverage are excluded

Voluntary Long-Term Disability Insurance 100% Voluntary and Employee Paid

Elimination Period: Benefits begin 90 days after the onset of your disability

Weekly Benefit: 60% of your pre-tax weekly earnings, not to exceed the plan’s maximum benefit amount ($6,000), less other income sources

Maximum Benefit Period: If you are disabled prior to 62, benefits are payable until age 65 (or your Social Security Normal Retirement Age). At 62+ the benefit period will be based on a reduced duration schedule

Definition of Disability: Own Occupation is 24 months

Features: Partial Disability, Vocational Rehabilitation, Survivor, Waiver of Premium, Alcohol & Drug Abuse, Mental Disorders

Pre-existing Conditions: Disabilities that occur during the first 12 months of coverage due to a pre-existing condition during the 3 months prior to coverage are excluded

Employee Assistance Program

• 24/7 live answer by Master’s level clinician

• Online tools and resources• Preserves the employee’s behavioral

health benefit by using EAP first• Follow-up calls at 7 and 45 days to ensure

employee needs are met

Winter offers a variety of tools that are designed to help you and your family members successfully manage life’s challenges by identifying options and making informed choices.These programs are confidential and voluntary and offered at .

• Chaplains on call 24/7/365

• Regular work site visits along with hospital, home or neutral site visits when appropriate

• Employee and immediate family may contact chaplains regarding anything they need help with, whether it is work-related or personal

1-800-316-2796

1-866-440-6556

(678)634-9236

Legal Shield & Identity Theft Shield LegalShield

Unlimited advice

Letters written and calls placed on your behalf

Documents reviewed

Representation for traffic infractions

Uncontested separation, divorce, adoption

Child custody support

Mortgage documents prepared for personal residence

Online resources

Trial defense & IRS audit assistance

Wills and trusts prepared

Identity Theft Shield• Credit monitoring with activity alerts

• Credit report with score & analysis

• Credit report consultation

• Identity restoration services

• Fraud alerts

• Safeguard for minors

The new fees are for new enrollees only, if you are already enrolled, your prices will not change.

LegalShield

Identity Theft Shield

Individual (weekly)

$1.95 $2.99

Individual(bi-weekly)

$3.91 $5.98

Family (weekly)

$2.19 $3.92

Family(bi-weekly)

$4.38 $7.83

Wellness TimelinesActivity Recommended Deadline

Change 401(k) contribution amounts 1/1/2016

Go online to establish HealthiestYou accounts for you and your family

1/1/2016

Download the MyHumana App 1/8/2016

Log on to Humana.com 1/8/2016

Create a user ID and password 1/8/2016

Take your Health Assessment 1/8/2016

Set your goals 1/8/2016

Complete your Biometric Screening 1/22/2016

Earn Vitality points via activities 1/1/2016-8/31/2016

Achieve Silver Vitality Status 8/31/2016

Summary This year’s Open Enrollment is passive – you need to actively enroll if you

want to enroll for the first time, change plans, change coverage levels or renew your FSA for 2015

Cards for your medical plan and HSA will be distributed in January for new members. No new cards will be issued for existing members

Use Humana.com and Health Advocate to help you find in-network providers. Avoid paying more for out-of-network services

You will be able to register online at Humana.com starting 1/1/16 in order to start earning Vitality points and access your plan information/letters of coverage

The HealthiestYou telemedicine benefit can help reduce your medical expenditures

HSA contributions matched January and July

Vitality – Keep our employees healthy!

401(k) – Don’t leave money on the table. Take advantage of your Winter Company Match by increasing your 401(k) contribution to 6%.

Questions? Comments?

Employee Benefits Program 2016 The Winter Construction Company.

Documents

Transcript of Employee Benefits Program 2016 The Winter Construction Company.