Employee Benefits Open Enrollment Kick-Off Meeting Energized for Excellence Academy, Inc. Energized for STEM Academy, Inc. Inspired for Excellence Academy, Inc. Memorial Hermann Hospital 7737 Southwest Freeway-Wilson Turner Auditorium Friday, November 7, 2014 4:30 P.M. until 7:00 P.M. Employee Meeting Energizing, Happy, Healthy, Productive and Inspired Employees! AGENDA 4:30 P.M. - 7:00 P.M. I. Check-in & Flu Shots II. Welcome & Opening Remarks III. Employee Milestone Anniversary Acknowledgements IV. Employee Quarterly Birthday Acknowledgements V. Benefit Presentations VI. Small Group Presentations & Enrollment Opportunities VII. Flu Shots & Refreshments Employee Benefits Planning Team Ms. Argentina M. James, Human Capital Dept., Director Mr. Monday Anigboro, Accountant Ms. Jessica Roca, Payroll Dept., Manager Ms. Vanessa Vidaurri, Human Capital Dept. Administrative Assistant Employee Benefits Team Captains Ms. Claudette Davis EEA Early Learning Center Campus 350 Ms. Beverly Cage EEA Elementary School Campus 364 Ms. Sandra Brandyberg EEA Elementary School Campus 364 Ms. Elaine Vieira EEA Elementary School Campus 364 Ms. Cynthia Pope EEA Middle School Campus 342 Mr. George Pope E-STEM Middle School Campuses 321/455 Mr. Joe Nelson E-STEM High School Campuses 390/459 Ms. Elva Geward-Moore Inspired Middle School Campus 300 Ms. Cristina Opico EEA/E-STEM Campuses Custodial Staff Ms. Jessica Roca EEA/E-STEM Non-Instructional Support Staff Ms. Vanessa Vidaurri Administrative Support at Jutland Campus Employee Benefits Partners AXA Advisors: Agent of Record & Retirement Program Rogers Benefit Group: onboarding & benefits administration services Memorial Hermann Insurance: Medical Insurance MetLife Plans: Dental, Vision, Life Insurance AD&D Bay Bridge Administrators: Critical Illness, Cancer, Hospital Indemnity, & Disability TASE: 125 Plan (Pre-Tax) & Employer Compliance LegalShield: Identity Theft Protection & Legal Insurance Insurance Agent of Record Global Fortune 500 Company 16th Largest Corporation Operate in 60+ Countries Leader in Retirement Funds in K-12 Markets $1.38 Trillion in Assets Under Management $1.2 Million in Scholarships Community Partner Hermann Memorial Accolades 15 Top Health Systems; Top 5 Large Health Systems (2012 & John M. Eisenberg National Patient 2013) Safety & Quality Award (2012) America‘s #1 Quality Hospital for Overall Care (2011 & 2012) HealthGrades® America’s 50 Best Hospitals (2010, 2011, 2012 & 2013) National Quality Forum National Quality Healthcare Award (2009) Texas Hospital TIRR Memorial Hermann -- No. 3 in Association rehabilitation Bill Aston Quality hospitals Award (2011) The Joint Commission Top Performer (2012), Heart Attack, Heart 2011 Texas Failure, Healthcare Pneumonia, Foundation Quality Surgical Care Improvement Awards (9 Memorial Hermann Campuses) Memorial Hermann Insurance Medical Plan Highlights 5 health plan options 5,500 physicians, 12 hospitals and growing MD Anderson is within network* 33 Network Clinics* including: CVS Minute Clinics, RediClinics and Walgreens Takes Care Clinics Free generic prescription drugs* (no co-pay or deductible) Free on-site flu shots upon request Teledoc*-No cost co-pay per phone consultation with board certified MD (get prescriptions fast, if required) * Services Not included on Option I Care Delivery Network MH Select PPO Care Delivery: Indispensable market leader in health delivery 212 Total Sites MD Anderson* is now in our network. *not included in Option 1 The Market Leader-MH Select PPO $4.7B Total Assets $4B Net Operating Revenue Over $1.7B in Balance Sheet Liquidity Over 21,000 Employees; Over 5,500 Medical Staff 212 Locations Market Share Ranking Inpatient Market Share 1st: Aggregate Market Share 1st: Burns 1st: Cardiology 1st: ENT 1st: General Medicine 1st: General Surgery 1st: Neurology 1st: Neurosurgery 1st: Ophthalmology 1st: Orthopedics 1st: Rehab 1st: Thoracic Surgery 1st: Urology 1st: Vascular 2nd: Gynecology 2nd: Obstetrics 2nd: Neonatology 2nd: Spine 2nd: Oncology Greater Houston MSA 6.36 million population, projected to 6.9 million (2018) Option #1 Select 6450-100 HSA HMO Network: Memorial Hermann Select HMO Preventive $0 $6,450 deductible, then 100% RX + medical = $6450 Out-of-Pocket maximum Must choose PCP; no referral needed for specialist Summary for Illustrative purposes. Please refer to SBC for official details Option #2 Select 6600-100 Standard Network: Memorial Hermann Select PPO Preventive $0 PCP = $35 Outpatient Lab/x-ray=$35 MRI/Scans = $35 ER = $500 Chiro/PT/OT/Mental/ UC = $50 Substance Abuse /Acupuncture = $35 Other: $6600 deductible, then 100% RX= $0 generic/ $40 preferred/ $75 nonpreferred Specialist = $70 Hearing/Speech = $20 Summary for Illustrative purposes. Please refer to SBC for official details Option #3 Select Standard Copay Network: Memorial Hermann Select PPO MRI/Scans= $700 Outpatient surgery= $1,500 facility; Physician= $0 Hospitalization= $1,500/day for 1st 3 days; then 100% Preventive: $0 PCP= $50 Specialist= $100 Emergency Room= $700 Chiro/PT/OT/Acupuncture = $100 Urgent Care= $100 Durable Medical Equipment= no charge Hospice= no charge RX= $0 generic/$65 preferred/ $130 non-preferred Mental/Substance abuse = $50 Outpatient Lab = $50 Outpatient X-Ray= $100 Summary for Illustrative purposes. Please refer to SBC for official details Option #4 Select Standard Copay – “Buy Up” Network: PHCS MRI/Scans= $700 Preventive: $0 PCP= $50 Outpatient surgery= $1500 facility; Physician= $0 Specialist= $100 Hospitalization= $1500/day for 1st 3 days; then 100% Chiro/PT/OT/Acupuncture = $100 Emergency Room= $700 Urgent Care= $100 Mental/Substance abuse = $50 Durable Medical Equipment= no charge Outpatient Lab = $50 Hospice= no charge Outpatient X-Ray= $100 RX= $0 generic/$65 preferred/ $130 non-preferred Summary for Illustrative purposes. Please refer to SBC for official details Option #5 Select 500-85 PPO Network: Memorial Hermann Select PPO Preventive $0 PCP = $15 PT/OT/Mental/Substance abuse = $30 Specialist = $30 Hearing/Speech = $15 Outpatient Lab/x-ray=$15 MRI/Scans = 15% After Deductible ER = $500, then 15% UC = $50 Other: $500 deductible, then 85% RX= $0 generic/ $40 preferred/ $80 nonpreferred Summary for Illustrative purposes. Please refer to SBC for official details Disclaimer This is only a summary for illustrative purposes. Please refer to the official Summary of Benefits and Coverage for complete details. How to look up a provider: www.healthplan.memorialhermann.org PPO: “Select” 1-888-594-0671 HMO: “HMO” Buy-up: “PHCS” Federal Non-Compliance Individual Penalty For 2015, $325 per uninsured person or 2 percent of household income over the filing threshold, whichever is greater. For 2016 and beyond, $695 per uninsured person or 2.5 percent of household income over the filing threshold, whichever is greater. There is a family cap on the flat dollar amount (but not the percentage of income) of 300 percent, and the overall penalty is capped at the national average premium of a bronze level plan purchased through an exchange. For individuals under 18 years old, the applicable per person penalty is half of the amounts listed above. Beginning in 2017, the penalties will be increased by the cost-ofliving adjustment. If qualified plan is offered by employer, individuals may not be eligible for government subsidies through the Marketplace Exchange. DPPO Preventive – 100% Basic Restorative – 80% DHMO Select a Primary Dentist from the Network Major Restorative – 50% Office Visit Co-Pay - $5 Child Ortho – 50% Deductible - $50 (Basic & Major) All services subject to corresponding Co-Pay No Annual Maximums Annual Max - $1,250 Ortho Max - $1,000 Ortho available for Child & Adult Vision Benefits Eye Exam - $10 once per 12 months Lenses or Contacts - $25 once per 12 months Frames - $25 once per 24 months Laser Surgery Discounts available Employer Sponsored Supplemental Term Life $50,000 Life & AD&D 1 or 2 x’s Salary Guaranteed Issue Employee Guaranteed Issue Amount - $100,000 Spouse Guaranteed Issue Amount - $25,000 Child Guaranteed Issue Amount - $10,000 Premium Only Plan (P.O.P. 125) Dependent Care (Flex) Eligible Expenses (must be employment related) • FICA/FUTA taxes of dependent care provider. • Nanny expenses attributed to dependent care. • Nursery school (preschool). • Late pick up fees. • Day care when one parent is working and the other is sleeping during daytime hours. Web-based Benefits Enrollment Accident Insurance Including Disability Riders Critical Illness Cancer & Specified Disease Insurance Legal Services Identity Theft Protection Creation of Wills Credit Report Power of Attorney Personal Credit Score Divorce, Child Support, Custody Continuous Monitoring Identity Consultation Safeguard For Minors Restoration Services All Forms of Identity Purchases/Foreclosure Moving Violation/ Accidents IRS Audits Representation Employee Responsibility Employee selects a health plan Effective January 1, 2015 Employees are not required to use company insurance for their spouse or dependents on the employee offered plan Employees with qualifying income and have dependent children can still receive CHIP coverage. Employee declines health coverage Must decline in writing and will be subject to a $325 per uninsured person or 2 percent of household income over the filing threshold, whichever is greater. Show proof of insurance coverage other than public market exchange coverage with subsidies OR Employee Benefits Open Enrollment Kick-Off Meeting Energized for Excellence Academy, Inc. Energized for STEM Academy, Inc. Inspired for Excellence Academy, Inc. Memorial Hermann Hospital 7737 Southwest Freeway-Wilson Turner Auditorium Friday, November 7, 2014 4:30 P.M. until 7:00 P.M.