OPEN ENROLLMENT BEGINS JULY 14TH
Independent’s Medical Plan is nearing its eleventh (11th) year as a fully insured medical plan; and,
the sixth year where we have provided two
EPO options (Low premium/Base Option and High premium/Buy-Up Option). The
plan continues to be fully compliant under the Affordable Care Act (ACA).
Industry standards have continued to show double digits for health care
costs. Last year, Independent’s Plan had a 6.11%
increase with a couple of changes to the High
Premium Option. This year, Highmark presented a renewal increase of 5.43%; but
offered a customer loyalty credit that resulted in no changes to active
employee premiums.
Independent’s medical plan expenses are expected to be $1246,595 for July 2020
year end. For the 2020-2021 Plan
Year, Independent will continue subsidizing the employee only premium at a 70%
level. The dependent premium will be paid entirely by the employee. The smoker
surcharge will continue and remains at 30%.
These plans offer In-Network coverage only. There are no
Out-of-Network benefits. EPO members can access In-Network PPO providers
anywhere in the nation. Both options carry the ACA total
out of pocket maximum of $8,150
(individual) and $16,300 (family).
The Blue Cross and Blue Shield Association's website https://www.bcbs.com/ provides online
access to the most current listing of providers. EPO members can also find
network providers by calling a BlueCard customer service representative at
800-810-BLUE (2583).
Medical Premium :
1. Base Plan
(Low premium/High Deductible Option) is an EPO plan with a $3,000 employee
only deductible and a $6,000 family deductible. This plan’s design is to
foster better understanding of medical costs and the value of discounts prior
to making our health care choices. Preventive care will continue to be covered
at 100%, the deductible will not apply. The costs are:
*Regular per pay period premium for medical &
prescription coverage will be $94 for Employee only: $430 for Employee +
Child(ren); $766 for Employee + Spouse; and, $1,006 for Family.
*There is a 30% discount for non-tobacco users. Those per
pay period premiums will be $72 for Employee only; $331 for Employee +
Child(ren), $589 for Employee Spouse; and, $774 for Family.
2 Buy-Up Plan (High Premium/Low Deductible) : The Buy-Up Plan
is also an EPO which has a deductible of $750 for employee only coverage
and $2,250 for employees covering their dependents as well . Preventive care
will continue to be covered at 100%, the deductible will not apply. The costs
are:
*The regular per pay premium will be: $156 for Employee
only, $472 for Employee + Child (ren), $840 for Employee +spouse; $1,103 for
Family.
*There is a 30% discount for non-tobacco users.
Those per pay period will be: $120 for Employee only, $363 for Employee +
Child(ren), $646 for Employee + spouse, $849 for Family.
To help control your out-of-pocket costs, we encourage
employees and dependents to take advantage of the Plan’s preventive benefits.
Your annual physical, for example, is 100% covered --- with no co-pay or
deductible cost to you. Schedule your annual physical and follow the plan’s
guidelines for staying healthy. Please also note that if you purchase Voluntary
Accident Insurance, you will receive a reimbursement of $50 for seeing your
Physician for an Annual Physical!
Ancillary Benefits
Dental: The Blue Edge Dental Plan’s carrier is
United Concordia, a subsidiary of Highmark DE. This plan includes a
wellness benefit but also allows you to receive care from any licensed dentist
without being balanced billed. There are no changes to the bi-weekly
premiums.
$13 - Employee only
$25 - Employee child (ren)
$30 - Employee spouse
$40 - Family
Reliance Plans:
There are no premium rate changes for Life Insurance (based upon age),
Long Term Disability and Voluntary Accident. If you wish to sign up for
these benefits, please complete the Statement of Health. The form is
located on the 2020 Open Enrollment site
or can be found under the Benefit Information
on ADP's Home page
****** Benefit Resources
***
USI Benefit Resource
Center is your one-call benefits information hotline. The personal
benefit advocates will assist you and your family with benefit questions and
claims issues. Contact Information:
Hours: Monday –
Friday 8 am to 5 pm EST
Phone: 855-874-6699
(toll free)
Email: BRCEast@usi.com
*******
REMINDER --- You only need to
re-enroll if you wish to make a change to your current selections. If you
do not make changes during Open Enrollment, the only other time you may do so
is if you experience a Qualifying Life Event (QLE). A QLE includes:
Birth or Adoption of a child, Death, Divorce, Court ordered coverage, or
Marriage.
You will receive an email from donotreply@adp.com explaining the
enrollment site. The open enrollment period runs from July 14 through
July 27, 2020.
