2020 Health Benefit Changes For State Employees 2020

2020 Health Benefit Changes For State Employees 2020 Health Benefits Changes (Rev. 9/20/2019) 1

Topics Covered • • Health Plans Medical Benefits Pharmacy Benefits Uniform Dental Supplemental Benefits Pre-Tax Savings Accounts New Videos & Resources 2020 Health Benefits Changes (Rev. 9/20/2019) 2

Medical & Pharmacy • Premiums: Employee Contribution Rates • Plans No Longer Available • Service Area Changes • New Benefits 2020 Health Benefits Changes (Rev. 9/20/2019) 3

Slight Increase in Premiums Most employees will see an increase between $2 - $12 /month IYC Health Plan High Deductible Health Plan (HDHP) Access Plan Access HDHP 2020 $93 / $231 $35 / $87 $273 / $679 $215 / $535 2019 $88 / $219 $33 / $82 $266 / $664 $211 / $527 Individual / Family Rates include uniform dental 2020 Health Benefits Changes (Rev. 9/20/2019) 4

Health Plan No Longer Available Coverage ends Dec. 31, 2019 If currently enrolled, find & enroll in a new health plan for 2020 Service Areas: • Security Health Plan – Central • Security Health Plan – Valley 97% 2020 Health Benefits Changes (Rev. 9/20/2019) Of providers are available through another health plan 5

New Counties Covered Dean Health Plan – Prevea 360 2020 Health Benefits Changes (Rev. 9/20/2019) 6

New Counties Covered WEA Trust – East 2020 Health Benefits Changes (Rev. 9/20/2019) 7

New County Covered Network Health 2020 Health Benefits Changes (Rev. 9/20/2019) 8

State Maintenance Plan (SMP) Still offered in Forest County Less providers available Confirm your providers are still in-network with the provider directory If your providers aren’t in -network, choose a new plan 2020 Health Benefits Changes (Rev. 9/20/2019) 9

Vaccines at In-Network Pharmacies Available Vaccines Cost: $0, it’s free! Bring your Navitus card Find an in-network pharmacy 2020 Health Benefits Changes (Rev. 9/20/2019) • • • Influenza Pneumonia Tetanus Hepatitis Shingles Measles • Mumps • Human Papillomavirus (HPV) • Pertussis • Varicella • Meningitis 10

New Medical Benefit • Bariatric surgery & weight loss services will be provided for: • Participants with a body mass index (BMI) of 35 or greater • Participants whose health plan determines it’s needed • Contact health plan for prior authorization criteria 2020 Health Benefits Changes (Rev. 9/20/2019) 11

Uniform Dental & Supplemental Benefits • New Dental Plan • New Accident Plan • Plans No Longer Available 2020 Health Benefits Changes (Rev. 9/20/2019) 12

New Benefits for Uniform Dental Now covered: • No-cost periodontal maintenance • Special cleaning procedure for those with periodontal disease • Helps maintain gum & bone health • Pulp vitality test • Helps a dentist determine a treatment plan • Caries assessments • Helps predict future dental health 2020 Health Benefits Changes (Rev. 9/20/2019) 13

New Dental Plan Delta Dental PPO Plus Premier™ – Preventive Plan • Available if you are not enrolled in health insurance through the Group Health Insurance Program • Has the same basic coverage as Uniform Dental, such as: • Cleanings • Fluoride treatment • Fillings • Children’s orthodontia 2020 Health Benefits Changes (Rev. 9/20/2019) 14

Build a Dental Package that Works for You Step 1: Sign up for basic coverage Step 2: Add more coverage if needed Get covered for basic procedures such as cleanings, fluoride treatment, fillings and orthodontia Get covered for items such as crowns, bridges, dentures, implants and root canals Delta Dental PPO™ Select Plan Uniform Dental For those enrolled in health insurance or Delta Dental PPO Plus Premier™ – Preventive Plan For those not enrolled in health insurance + or Delta Dental PPO Plus Premier™ Select Plus Plan View detailed comparison table 2020 Health Benefits Changes (Rev. 9/20/2019) 15

Going Away: Long-Term Care No new enrollments after Dec. 31, 2019 Current participants can keep their plan, no action required 2020 Health Benefits Changes (Rev. 9/20/2019) 16

No Longer Available: AD&D Policies end Dec. 31, 2019 Sign up for the new Accident Plan if you want this type of coverage in 2020 UW System and UW Hospital & Clinics employees: You will still have your current Zurich plan available 2020 Health Benefits Changes (Rev. 9/20/2019) 17

New: Accident Plan • Cash payment to help cover out-of-pocket expenses • Coverage includes: • Concussions • X-rays • Follow-up care • Dislocations • Emergency care • Support care • Lacerations • Hospitalization • Fractures • Surgeries • Accidental death & dismemberment (up to $25, 000) • Also offers identity theft protection and travel assistance UW Hospital & Clinics employees: You are not eligible for this plan 2020 Health Benefits Changes (Rev. 9/20/2019) 18

Pre-Tax Savings Accounts • New Administrator • Key Differences • Steps to Take • Timeline for Changes 2020 Health Benefits Changes (Rev. 9/20/2019) 19

New Administrator • Health Care Flexible Spending Account (FSA) • Health Savings Account (HSA) • Limited Purpose Flexible Spending Account (LPFSA) • Parking Account 2020 Health Benefits Changes (Rev. 9/20/2019) • Dependent Day Care Account • Transit Account 20

Key Differences No cards for: • Dependent Day Care Account • Transit Account You’ll submit claims & get reimbursed 2020 Health Benefits Changes (Rev. 9/20/2019) Start investing sooner with your HSA • Start as soon as your balance reaches $1, 000 • Previously: $2, 000 21

Steps to Take As usual, you will need to re-enroll for 2020 Elections do not carry forward from year-to-year Paying off an expense with reoccurring payments? Before the new year, set up payments through Connect. Your. Care Money left in your FSA? Consider using it before end of year Carryover balances won’t be available until May 1, 2020 Health Benefits Changes (Rev. 9/20/2019) 22

Steps to Take If you have an HSA you can: Transfer your account to Connect. Your. Care through an online portal Portal Open: Sept. 30 – Dec. 31, 2019 2020 Health Benefits Changes (Rev. 9/20/2019) Or Keep your account with TASC You will pay a $3/month admin fee starting Feb. 2020 23

No Action Required If you have one of the accounts below & it has a carryover balance, it will automatically transition to Connect. Your. Care: • • Parking Account Transit Account Limited Purpose Flexible Spending Account (LPFSA) Health Care Flexible Spending Account (FSA) 2020 Health Benefits Changes (Rev. 9/20/2019) 24

Transition Timeline 2020 elections available. Jan. 1 • Health Care FSA and LPFSA: Full balance • Other accounts: As deposited TASC card deactivated. New payment card activated. 2020 Health Benefits Changes (Rev. 9/20/2019) Feb. 3 -29 HSA balance transferred to Connect. Your. Care. 25

Transition Timeline Mar. 31 Documentation must be submitted for any outstanding 2019 claims. Remaining balances: • FSA or LPFSA: Over $500 forfeited • Dependent Day Care Account: Any balance forfeited 2020 Health Benefits Changes (Rev. 9/20/2019) May 1 2019 carryover balances available. 26

Questions About Pre-Tax Savings Accounts? Contact your benefits specialist for question on: • eligibility • paycheck deductions 2020 Health Benefits Changes (Rev. 9/20/2019) Available 24/7 for program-specific questions https: //www. connectyourcare. com/etf 1 -833 -881 -8158 27

Videos & Resources • Get Medical Care When You Need it Fast • Choosing a Plan Design • ALEX® 2020 Health Benefits Changes (Rev. 9/20/2019) 28

Get Medical Care When you Need it Fast Have you ever needed medical care and didn’t know where to turn? In this video you'll learn about: • Your care options • The advantages of each option 2020 Health Benefits Changes (Rev. 9/20/2019) 29

Get Help Choosing a Plan Design Interact with ALEX® Your virtual health benefits counselor 2020 Health Benefits Changes (Rev. 9/20/2019) Watch Choosing a Plan Design 30