Date post: | 28-Mar-2015 |
Category: |
Documents |
Upload: | ansley-frances |
View: | 252 times |
Download: | 0 times |
Our Beliefs
RespectCollaborationExcellenceIntegrityCommunity
Destination: 2011 Enrollment
The Road to Enrollment
Healthcare Environment is Changing How Our New Medical Plans Stack Up Cost Sharing Turbo Charge Your Health:
The Value of Your Health & Wellness Resources
Roadmap for What’s New for 2011 Your Options for 2011 Navigating Open Enrollment Questions?
2
Staying on Track
Improve the health of our employees
Control costs Educate/communicate Provide a competitive
benefit program
3
Global Health Care Strategy
Healthcare Environment is Changing
Health Care Reform has become law Called Patient Protection and Affordable Care Act (PPACA)
Health care cost increases are higher than normal Our goal was to comply with the law, while minimizing
financial impact on employees Our approach: redesign the medical plans into two new
HRA-based plans Enables BorgWarner to continue to offer a $0 contribution plan (when
both premium discounts are applied) No changes to price tags for other benefits – RX and Dental/Vision Provides employees with competitive benefits; lower employee
contributions than national average
Will walk through new medical plans shortly
How Our New Medical Plans Stack Up
Our new medical designs provide great value and are priced below market when compared to competitor plans Changes help offset additional costs of Health Care
Reform; keeping with 80/20 cost sharing goal
5*2011 Hewitt national average vs. BW Buy-Up family contribution
23% of annual premium 14%
Copay, Coinsurance, & Deductible Sharing
Average cost share based upon medical and Rx spend for 2010, trended for 2011 – Does NOT include contributions (slide 5)
BorgWarner share appx 80%Employee share appx 20%
Although the Health Care cost pie is larger, your slice of the pie will be the same
National Average
Partnering for a Healthier Workforce
BorgWarner continues to strengthen its investment in employee health by: Rewarding you for leading a healthier lifestyle
Giving free access to wellness resources and programs to promote healthy living
Providing valued cost comparison tools that give you more control in how your HRA dollars are used
7
Turbo Charge Your Health
Value of Your Health and Wellness Resources Available to you and your family members who are
involved in CIGNA medical or dental program No cost to you Your privacy is protected
Managed through third-party No individual data or results are shared with BorgWarner All information protected in accordance with state and federal
privacy laws No negative consequences; benefits won’t be cancelled and
rates will not increase because of your participation or results
Voluntary participation
8
Your CIGNA Wellness Programs
9
My Health & Wellness Center
Your own private portal Password protected Confidential
Centralized tools in convenient, easy-to-navigate web page
Relevant and trustworthy health and medical information
www.mycigna.com
Recap
Health Assessment I Nutrition I Stress I Physical Activity I Sleep
10
Tobacco Cessation I Weight Management I Stress Management
Program Overview Evidence-based, using behavior modification CIGNA HRQ outreach phone call or self-enrollment Telephonic support through dedicated wellness
coaches, or on-line behavior change programs Long-term follow-up Coordination with other programs/services 24/7/365 access
CIGNA Lifestyle Management Programs
GET STARTED!
Call 1-866-417-7848 or visit www.mycigna.com > My Health tab> Health Resources tab> Lifestyle Mgmt Programs
Recap
11
CIGNA Health Advisor
Program Overview Team of professional coaches
Registered nurses/Behavioral Health Clinicians/Health Educators/Nutritionists
Reach out to members “at risk” for significant health issues (based on HRQ results)
Offer coaching/resources to prevent chronic conditions
Your HRQ report may include suggestions on certain 8-week programs that would be helpful for you.
GET STARTED!
Call 1-800-244-6224
Recap
Health Assessment I Nutrition I Stress I Physical Activity I Sleep
12
CIGNA Well Aware
Program Overview Helps you manage a chronic condition 24/7 telephone access to nurses who specialize in your
condition Work together to design a personalized action plan
under your doctor’s guidance Provide educational materials, reminders of important
tests/exams, self-care info and more
Asthma I Diabetes I Heart Disease I Low Back Pain I COPD I Other
Recap
GET STARTED!
1-866-797-5833 or visit www.mycigna.com13
Your Aetna Wellness Programs
14
Aetna Navigator® Member Web Site
Health Assessment I HRA Activity I Cost I Quality I Claims
Your own private portal Password protected Confidential
Centralized tools in convenient, easy-to-navigate web page
Helps you manage your benefits
GET STARTED!
www.aetna.com
Recap
15
Simple Steps to a Healthier Life®
Program Overview Online lifestyle management to help you improve your
health or fine-tune daily habits Starts with online health assessment Based on results, select from numerous online wellness
programs to fit your goals Access to interactive tools
Nutrition I Physical Activity I Stress I And More
Recap
GET STARTED!
www.aetna.com16
Tobacco Cessation I Weight Mgmt I Stress Mgmt I Nutrition I Exercise
Program Overview Evidence-based, using behavior modification Contacted by Aetna HRQ outreach phone call Telephonic support through dedicated wellness coaches
with on-line behavior modification programs Long-term follow-up Coordination with other programs/services Convenient hours offered day or evening, Mon-Sat
Aetna Healthy Lifestyle Coaching Programs
GET STARTED!
Call 1-800-650-2747 or visit the Aetna Navigator web site:
www.aetna.com
Recap
17
Aetna Disease Management
Asthma I Diabetes I Heart Disease I Low Back Pain I COPD I Other
Program Overview Helps you manage a chronic condition 24/7 telephone access to nurses and clinicians who
specialize in your condition Work together to design a personalized action plan
under your doctor’s guidance Provide educational materials, reminders of important
tests/exams, self-care info and more Nurse case management if you are high risk
GET STARTED!Call 1-800-650-2747 or visit the Aetna Navigator web site:www.aetna.com
Recap
18
The Value of Taking the HRQ
It protects you It’s confidential Put’s you in the driver’s
seat Gives you invaluable
insight to act on No negative
consequences You earn $50 off your
monthly premium
And it could save your life…
www.mycigna.com
19
Connecting You to the Right Resources
To help ensure members gain access to the most relevant resources and programs, HRQ results are shared by CIGNA/Aetna with nurse practitioner
If “at risk for” or already diagnosed with chronic condition, members may receive a call from a nurse inviting them to participate in select programs
You decide whether or not to participate
20
Your Roadmap to What’s New for
2011
21
Extended Dependent Eligibility
Currently Can cover unmarried
children under age 19 Or under age 25 if:
he/she is a full-time student OR
permanently and totally disabled
For 2011 Can cover children up
to age 26
Regardless of: If the child lives at home Is listed as a dependent
on your tax return Is a student Is married
22
Special enrollment period that runs 30 days from date you received your enrollment packet (or end of annual enrollment, whichever is later) Enroll your children who lost eligibility because of their
full-time student status or their age changed. Enroll any of your children under age 26 who were
previously denied enrollment or who were ineligible to enroll because of age.
Coverage begins January 1, 2011
Extended Dependent Eligibility continued
What This Means to You/Action to Take
Adding a dependent? Complete the “Eligibility” section of your form and provide birth certificate as proof of dependency.
23
Extended Dependent Eligibility continued
Eligible dependents* will now include: Your spouse—defined as your lawful spouse
Co-habitants, common-law marriages, legally separated individuals, life partners or divorced spouses are not eligible.
Your children up to age 26, regardless of whether the child is living at home, is listed as a dependent on your tax return, is a student or is married.
A child is defined as: Biological child; Legally adopted child or a child who has been placed with you
for adoption; Stepchild who lives with you. (Restrictions may apply). Court-appointed child for whom you have full (not limited) legal
guardianship; or A child for whom you are required to provide health care support
under a Qualified Medical Child Support Order (QMCSO).
* Dependent eligibility varies for life insurance.
24
Extended Dependent Eligibility continued
Working Spouse Rule If spouse is offered a plan through their employer they must
enroll in their employer’s plan in order to be eligible as a dependent under BorgWarner coverage Self-employed spouses with no medical plan available do not apply
Coordination of Benefits If you and spouse are BOTH eligible for employer-provided
medical coverage you may be able to enroll in both, but carefully consider this option
May have to pay premiums for each; to BorgWarner and spouse’s employer
Our policy is total reimbursement from both plans cannot be more than allowable benefit under the BorgWarner plan
25
OTCs & FSA Reimbursements
Currently Over-the-Counter
(OTC) medicines and medical items can be paid for using FSA $$
For 2011 OTC medicines
cannot be paid for using FSA $$ UNLESS you have a prescription for them
Can still use FSA dollars WITHOUT prescription for: Medical equipment Medical supplies Diagnostic devices
For complete and up-to-date list of eligible expenses, visit: www.mycigna.com
26
OTCs & FSA Reimbursements
EXAMPLES ofOTC Items that
Are Still Reimbursable
Adhesive bandages Braces and supports Contact lens solution/supplies Diagnostic tests and monitors Insulin and diabetic supplies Reading glasses And more…
EXAMPLES of
OTC Medicines No Longer Reimbursable (unless with a prescription)
Allergy and sinus Cough, cold and flu Pain relief Respiratory treatments And more…
What This Means to You/Actions to Take • After Jan 1, 2011 you can still be reimbursed for these items purchased in
2010, using 2010 funds, by submitting an FSA Claim along with the 2010 dated receipts by March 31, 2011
• Eligible expenses are subject to change. Contact CIGNA for most recent and most comprehensive list: www.mycigna.com
27
Plan Limit Changes
HRA fund rollovers will be limited to: Employee: $3,000 Family: $6,000 (Note: This cap aligns with the medical plan out-of-pocket maximum so no one is “losing” money due to this cap)
HRA funds remaining at end of 2010 will rollover and follow you into your new medical plan
To comply with Health Care Reform, chiropractic benefit limits changing from a dollar limit (cap) to maximum of 12 visits per calendar year
Medical plans will now consider bariatric surgery an eligible expense if meeting specific criteria.Contact CIGNA or Aetna directly for details
28
Medical Plan Redesign
Currently You have 3 options
Choice Health Fund 1 Choice Health Fund 2 POS Plan
For 2011 You have 2 options:
Basic Plan ($0 plan) Buy-Up Plan
What This Means to You/Action to Take• All employees must make new medical election for 2011
• Still have opportunity for $0 contribution (Basic Plan)
• Carefully evaluate which plan is right for you using online tools
29
A Look at the New Medical Plans
Both of the new plans: Provide free preventive care coverage Have a BorgWarner-paid Health Reimbursement
Account (HRA) as your first source of payment for medical costs
Comprehensive financial coverage to protect from serious illness/injury
Same comprehensive prescription drug coverage as last year
They differ in the way you pay your portion of the costs
30
How the Plans Work
31
Comparing the Plans
32
In-Network Benefits
Basic Plan Buy-Up Plan
Employee Family Employee Family
Preventive 100% 100%
Plan Deductible $1,500 / $3,000 $1,500 / $3,000
BW-Funded HRA $500 / $1,000 $750 / $1,500
Member Deductible Gap $1,000 / $2,000 $750 / $1,500
Coinsurance 20% 10%
Copay No copays No copays
NET Out-of-Pocket Max $3,000 / $6,000 $3,000 / $6,000
* Out of Network is 2x In-Network level
Comparing the Plans: Family Coverage
33
You pay $0 in annual payroll contribution
(assumes both premium discounts met)
You pay $1,440 in annual payroll contribution
(assumes both premium discounts met)
Comparing the Plans continued
Basic Plan $0 in payroll
contribution Lower HRA Higher deductible
gap Higher coinsurance
requirement (20%)
Buy-Up Plan Higher payroll
contribution Higher HRA Lower deductible
gap Lower coinsurance
requirement (10%)
Your Bottom line…
34
Trouble Choosing a Medical Plan?
Try CIGNA’s/Aetna’s plan selector and cost estimator tools Estimate how much you will use covered services,
such as doctors’ visits, specialty care, Rx, etc. Calculate the approximate cost of care Compare medical plans based on estimated out-of-
pocket costs, payroll deductions and BorgWarner contributions
GET STARTED!
Visit www.borgwarner.com/benefits Click on “Medical Plan Selector” link on left of page 35
Premium Discounts
HRQ Pledge Complete pledge by
Nov. 12, 2010 Take HRQ online or
through onsite health clinic by November 30
$50 monthly premium applied January 2011
If completed after deadline, applied within 30 days
Tobacco Cessation Pledge Complete pledge by
Nov. 12, 2010 If required, complete
program by February 28, 2011 Otherwise premium will return to
regular rate as of April 1, 2011
Must use CIGNA Quit Today program or other HR-approved program
$50 monthly premium applied Jan. 1, 2011
The premium discount program will continue for 2011
36
Impact of Discount on Costs
2011 Medical Contributions
37
Your 2011 Benefit Options
38
Your Benefit Options
Medical Dental/Vision Flexible Spending Accounts (FSAs) Life and Disability Insurance
39
Medical Plan Options
40
Prescription Drug Plan
In-Network BenefitRetail
(30-day supply)Mail Order
(90-day supply)
Generic
Diabetes Generic Medications
$8 copay
$0 copay
$16 copay
$0 copay
Brand Formulary $8 + 30% 30% to $150 max.
Brand Non-Formulary $8 + 50% 50% no max.
Specialty Pharmacy
Brand Formulary 30% to $50 max. 30% to $150 max.
Brand Non-Formulary 50% to $100 max. 50% to $300 max.
For both medical plans:
Same as last year!
41
Dental/Vision – Combined Benefit
Dental Checkups Fillings Braces
Vision Eye exams Glasses or contacts Go to www.mycigna.com
then click on CIGNA Vision for vision directory
2011 Monthly Cost Share
Dental/ Vision
Employee Only $15
Employee +1 $30
Family $45
Choose pre-tax or after-tax contributions
Same as last year!
42
Flexible Spending Accounts
Health Care FSA (HCFSA)or Dependent Care FSA (DCFSA)
Employee-funded with pre-tax dollars You make tax-free contributions You get tax-free reimbursements Full amount available Jan 1 (HCFSA) Use HCFSA fund for your member deductible gap You must enroll every year Federal rule says year-end balance
forfeited if not used by next March 15 for HCFSA, December 31 for DCFSA
Have until March 31 to submit claims
43
Flexible Spending Accounts continued
How claims are paid Health care services received January, 2011-March 15, 2012 Have until March 31, 2012 to file 2011 claims Regardless of FSA auto-forwarding selection, order of
reimbursement for deductibles, coinsurance, and co-pays for will be:
1st - Remaining FSA balance from prior year
2nd - HRA fund
3rd - FSA current year
Reimbursement options Direct deposit – go on-line to enroll at www.mycigna.com, or call
customer service at 1-800-244-6224 Check – default method
44
45
Long-Term Disability
Design LTD 60% Option LTD 70% Option
Benefit Level 60% of annual earnings 70% of annual earnings
(including average of past three years of bonus pay)
Taxation of LTD Benefit
100% taxable Only the portion of the benefit BW pays for is taxable
MINIMIZES YOUR TAX BURDEN
Income Replacement
Lower Higher
Premium BW Paid Employee Paid
Long-Term Disability Options
Use online LTD calculator to calculate your contribution for each option and decide which option is right for you: www.borgwarner.com/benefits
Benefits Paid by BorgWarner
Basic Life Provided directly through MetLife: www.Metlife.com/mybenefits Provides financial protection for your survivors in event of your death
while employed at BorgWarner Benefit is equal to the amount of your annual base pay Minimum of $25,000 to maximum of $500,000
AD&D Accidental death or dismemberment benefit: 1 times annual base pay
up to $500,000
Business Travel Accident & Medical Insurance Only applies to company-approved travel for BorgWarner Provided through CIGNA this coverage combines global accident
coverage with international medical protection Refer to online Benefits Reference Guide for details
46
Optional Life Insurance
Employee pays cost Offered directly through MetLife
www.Metlife.com/mybenefits
Coverage options include: Employee Life:
1 times annual base pay up to 8 times base pay Spouse Optional Life:
$5,000/$10,000/$25,000/$50,000/$150,000/$250,000 Child Dependent Life:
$5,000/$10,000/$15,000/$20,000
No “guaranteed coverage” during open enrollment Subject to Evidence of Insurability (EOI)
47
Additional Points of Interest
Navigating Enrollment
48
49
Roadside Assistance
Check out inside cover of your Enrollment Guide
Roadside Assistance
www.BorgWarner.com/benefits
2011 Benefits Enrollment
50
Mandatory enrollment by November 12 Make sure to fully complete the Premium Discount
section of your enrollment form Choose a new medical plan: Basic Plan or Buy-Up Plan
or Opt Out Contact MetLife directly to make changes to life
insurance at www.metlife.com/mybenefits or 1-888-622-6616
New medical ID cards issued in late December Benefits take effect January 1, 2011
Key Items to Remember
51
Your Destination: 2011 Enrollment
Enroll by November 12
52
Optional Slides
CIGNA Quit Today
CIGNA Quit Today®
Two 8-week program options: Telephonic Coaching Online Web-based Program
Coach credentials – minimum BS in psychology, nursing, counseling, health education
Support lines available in English and Spanish Program includes:
Toolkits Free Nicotine replacements – OTC patch/gum
Participate as many times as necessary to obtain success
85% of
participants QUIT
after 6 months
85% of
participants QUIT
after 6 months
Recap
CIGNA Quit Today
Convenient and secure online registration at www.CIGNAbehavioral.com
A 2-week “Planning to Quit” and 6-week “Quit for Good” module
E-mails and online articles Key learning themes, motivational
information, and tips Ability to contact a wellness coach
via telephone Outcome surveys at 30 days,
6 months, and 12 months post-completion
Web-based ProgramRecap
CIGNA Quit Today continued
Telephonic Coaching Toll free one-on-one coaching sessions with
a dedicated wellness coach at:
1-866-417-7848 Based on readiness to change, motivation,
confidence, tobacco usage, support system Available evenings and weekends Reviews health status, risk factors, and co-
morbidities Develops a personalized quit plan
Support line 7 days a week, 24 hours a day Follow-up and long term support post-
graduation
Recap
CIGNA Quit Today continued
Tobacco Cessation Drug Aids via CIGNA Pharmacy and Aetna Pharmacy
Through the Quit Today® program certain drugs can be covered under the CIGNA or Aetna Pharmacy: Nicotine inhibitor and certain anti-depressants $0 copay, limited to 1x per year If a second attempt is needed, you can still receive refills
under your normal co-insurance share.
Free Nicotine Replacements – OTC patch or gum –
Available only through Quit Today®Not available through CIGNA or Aetna Pharmacy
Recap
HRQ
Two methods: Online: www.mycigna.com Or go to your onsite clinic
and participate in their health screening process
Accessing The HRQ: Log onto
www.mycigna.com and go to ‘My Health’ tab
New users register by following prompts
Return users – login
Recap
HRQ continued
My Health and Wellness Center Centralizes tools in convenient, easy-to-navigate page on
www.mycigna.com
The member’s journey begins when they take my health assessment questionnaire (HRQ)
Recap
HRQ continued
Brief, easy-to-understand survey 65 questions, averaging 10-15 minutes Identifies health risk across biometric,
psychological and behavior measures
my health assessment
•Alcohol
•Blood pressure
•Body weight/Body mass index
•Cholesterol
•Existing medical conditions
•Health age index
•Illness days
•Job satisfaction
•Life satisfaction
•Medication for relaxation
•Perceived health
•Physical activity
•Safety belt usage
•Smoking
•Stress
Call-outs help define questions, helping to ensure accurate responses
Productivity question set utilizes WHO Health and Work Performance Questionnaire (HPQ) developed by R.C. Kessler at the Harvard Medical School
Recap
HRQ continued
Recap
Tobacco Cessation Premium Discount
Earn $50/month tobacco cessation discount Encourages healthy living and rewards positive behavior
How it works Complete the Tobacco Cessation Pledge on your enrollment
form and submit it by Nov 12, 2010; effective Jan 1st If you pledge to complete the Tobacco Cessation Program,
you must do so by Feb 28, 2011; if not you forfeit the discount starting April 1, 2011
Eligible tobacco cessation program includes: The CIGNA Quit Today® Program Program pre-approved by your HR Department
Recap
Tobacco Cessation Program Offers resources and tools to help tobacco users quit
tobacco before they develop chronic conditions Available to all employees and dependents age 18 or
older who are CIGNA or Aetna members Provide assistance to quit through:
Quit Today® - tobacco cessation drugs (with annual cap) and free counseling services
$150 annual reimbursement on acupuncture and hypnosis
Excellent resource to help those interested in earning one of the medical premium discounts
Recap
Tobacco Cessation Premium Discount
Which Plan May be Right for You?
64
If you expect total claims between $12k-$34k, Buy Up plan beneficial Contribution Gap
Family Options
Basic Plan
Buy Up Plan
HR Slide
Which Plan May be Right for You?
65
If you expect total claims between $4k-$19k, Buy Up plan beneficial
Contribution Gap
Employee Only Options
Basic Plan
Buy Up Plan
HR Slide
Building Your HRA
• Your HRA and member deductible gap combine to make the plan deductible
• If you have money remaining in HRA at year end it rolls over for next year’s use
• That means you have the BW annual HRA contribution + rollover dollars; growing your total HRA balance
• The higher your HRA balance the lower your member deductible gap
Rollover dollars from current plans will follow you to new plans
Comparison of 2010 to 2011 Plans - Contribution
67
Choice Health Fund 1
Basic Plan
Employee Family Employee Family
Mthly Contribution $0 $0 $0 $0
Deductible $1500 $3000 $1500 $3000
HRA $750 $1500 $500 $1000
Net Deductible $750 $1500 $1000 $2000
Coinsurance 80% 80% 80% 80%
Choice Health Fund 2
Buy Up Plan
Employee Family Employee Family
Mthly Contribution $35 $95 $40 $120
Deductible $1000 $2000 $1500 $3000
HRA $500 $1000 $750 $1500
Net Deductible $500 $1000 $750 $1500
Coinsurance 80% 80% 90% 90%
2011 plans
have same net out of
pocket max and
preventive benefit
as 2010
Comparison of 2010 to 2011 Plans - HRA
68
Choice Health Fund 1
Buy Up Plan
Employee Family Employee Family
Mthly Contribution $0 $0 $40 $120
Deductible $1500 $3000 $1500 $3000
HRA $750 $1500 $750 $1500
Net Deductible $750 $1500 $750 $1500
Coinsurance 80% 80% 90% 90%
Choice Health Fund 2
Basic Plan
Employee Family Employee Family
Mthly Contribution $35 $95 $0 $0
Deductible $1000 $2000 $1500 $3000
HRA $500 $1000 $500 $1000
Net Deductible $500 $1000 $1000 $2000
Coinsurance 80% 80% 80% 80%
2011 plans
have same net out of
pocket max and
preventive benefit
as 2010
Comparing the Plans: Employee Only Coverage
69