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ABT Open Enrollment, spring 2013
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An overview of the benefits offered by ABT through ADP TotalSource.

An overview of the benefits offered by ABT through ADP TotalSource.

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  • Benefits are a significant component of your total compensation package, so let’s review the unique advantages you have as a participant in the ADP TotalSource Health & Welfare plan.

ABT Open Enrollment, spring 2013 Presentation Transcript

  • 1. Advanced Battery Technologies, Inc.
  • 2. Benefit Effective Dates  ADP Total Source plan year is effective from June 1st to May 31st each year  Deductible and out-of-pocket maximums are effective from January 1st to December 1st each year
  • 3. Making Changes to your BenefitsYou can make changes to your Pre-Tax benefit elections during thefollowing times: Open Enrollment  Employee would make changes during the Spring months for an effective date of June 1st. Qualifying Event under Section 125 of IRS Code  Employee must request Qualifying Event (QE) change and complete required enrollment change forms no later than 60 days from the date of the QE.  Examples of Qualifying Events:  Change in Marital Status such as marriage, divorce, separation  Addition in Dependents such as birth, adoption, court order  Change in Employment such as hiring, termination, beginning/ending of unpaid leave
  • 4. ABT Benefits Include: ABT Employee Paid Paid Medical Insurance a Dental Insurance a Vision Insurance a Disability Insurance a Life Insurance a 401(k)/Profit Sharing a Health Savings Account (HSA) If applicable Flexible Spending Accounts (FSA) a Voluntary Benefit Programs a Employee Assistance Program (EAP) a Special Discounts a
  • 5. ABT Medical Health Plan Summary UHC-CP S1-B UHC-HDHP S4A UHC-HDHP S4B UHC-ChHMO EDGE8DP Traditional HDHP - A HDHP - B HMO Employee Pays Employee Pays Employee Pays Employee Pays $2,500 Individual $2,850 Individual $3,500 Individual $2,500 Individual Deductible $5,000 Family $5,700 Family $7,000 Family $7,500 Family Out of Pocket Max $6,000 Individual $5,000 Individual $7,000 Individual $5,000 Individual (Includes Deductible) $12,000 Family $10,000 Family $14,000 Family $10,000 Family Coinsurance 70% 80% 80% 100% PCP $25 Copay 80% after deductible 80% after deductible $30 Copay $30 Copay / 80% after Specialist Visit $50 Copay 80% after deductible 80% after deductible deductible 100% after deductible + Hospital 70% after deductible 80% after deductible 80% after deductible $500 Emergency Room $150 Copay 80% after deductible 80% after deductible $250 Copay Medications $10 Copay Deductible then $10 Deductible then $10 $15 Copay Brand Name Drug $35 Copay Deductible then $35 Deductible then $35 $45 Copay Non-Formulary $60 Copay Deductible then $60 Deductible then $60 $85 CopayEmployee’s Monthly Contribution Employee Only $0.00 $0.00 $0.00 $0.00 Employee + Spouse $433.00 $362.00 $312.00 $408.00Employee + Child(ren) $379.00 $316.00 $272.00 $356.00 Employee + Family $798.00 $667.00 $574.00 $751.00Employer Monthly HSA $0.00 $62.00 $106.00 $0.00 Contribution
  • 6. Traditional vs. High Deductible Traditional Plan can mean less out of pocket for normal office visits and emergencies. If you choose the Traditional Plan (S1-B) : 1. One person cannot pay more than the individual deductible/out of pocket 2. This plan has copays for PCP, Specialist, Urgent Care, Emergency Room and Prescription Drugs 3. Routine preventive care and the associated lab work is paid at 100% - you pay nothing out of pocket. 4. Lab work done for the purpose of a sick visit is subject to the deductible and coinsurance (unless billed by your physician, in which case it is covered by your copay). 6
  • 7. Traditional vs. High Deductible High Deductible requires you to save money for doctor visits. You need to be a disciplined saver. If you choose one of the two High Deductible Plans (S4-A and S4-B) remember: 1. The family limits apply to one person when the medical plan covers more than one person. One person pays the full family deductible and out of pocket maximum. 2. These plans do not have first dollar coverage for any services (other than preventive care), meaning you pay the full deductible before UHC begins paying a benefit. 3. Routine preventive care and the associated lab work is paid at 100% - you pay nothing out of pocket. 4. Lab work done for the purpose of a sick visit is subject to the deductible and coinsurance of the plan. 7
  • 8. HMO PlanAn HMO plan offers health care services that are provided by a Health Maintenance Organization.An HMO is a network of doctors, hospitals, health care providers and pharmacies that offersmedical treatment at a reduced cost to members.As a member of an Aetna HMO plan, you’ll be required to choose a primary care physician (PCP)from a listing of doctors who are a part of the HMO network.One important thing to remember about HMOs: you only have coverage with in-networkproviders.To find out if your provider is in-network, visit www.myuhc.com, select Find a Physician orFacility, select UnitedHealthcare Select HMO and type in your providers name. Make sure thePhysician or Facility has a Two-Star Designation. See below for an example. 8
  • 9. Dental Options – Aetna PPO Max $1,000Calendar Year Benefit Maximum $1,000Preventive & Diagnostic Services 90% (deductible waived)Basic / Restorative Services 60%Major Services 50% $1,000 (Maximum for childrenOrthodontic Lifetime Maximum under age 20. Adult Ortho not covered)Calendar Year Individual Deductible $50Calendar Year Familly Deductible $150 Per Pay Period Dental Premium (Voluntary Benefit)► PremiumEmployee $11.95Employee + Spouse $23.91Employee + Child(ren) $25.62Employee + Family $38.94
  • 10. Vision OptionsBenefit Copay FrequencyIn-NetworkWell Vision Examination $5 Once every 12 monthsSingle Vision, Lined Bifocal and $10 Once every 12 monthsLined TrifocalRetail Allowance for Frames $180Contact Lenses (instead of None Once every 12 months with anglasses) allowance of $150Lasik None $150 allowance for both eyes, 5-15% discountOut-of NetworkAll Services N/A Services are reimbursed up to a maximum amount depending on service.
  • 11. Per Pay Period Deductions Vision – VSP Employee $2.88 Employee + Spouse $5.76 Employee + Children $6.17 Employee + Family $9.85
  • 12. Life, Accidental Death & PL Provided by Aetna
  • 13. Short-Term Disability (STD) Provided by Aetna
  • 14. Long-Term Disability (LTD) Provided by Aetna
  • 15. What are Flexible Spending Accounts (FSA)• FSA’s are accounts that allow you to pay for certain medical and dependent care expenses with pretax dollars.• Employee contributions are deducted from each paycheck before Federal Income and Social Security taxes are calculated.• You will not pay taxes on eligible reimbursements.• Contributions up to a $3,500 maximum in FSA Medical (thru 2012 enrollment). Refer to your Summary Plan Description
  • 16. Health Care FSA• Allows you to pay for certain medically necessary expenses with pre-tax dollars.• You may use the full plan year goal/pledge amount in your account. You are not limited to your contributions to-date.• Direct Deposit Reimbursements
  • 17. Dependent Care FSA
  • 18. Dependent Care FSAExamples of eligible Dependent Care expenses are: • Dependent Care costs for dependent under the age of 13 • Regardless of age if they are physically/mentally incapable of self careExpenses for Dependent Care while at work include: • Care provided in your home (not by another dependent) • Qualified child care centers and after school programs • Certified ‘away from home’ facilities (provided not more than 12 hours/day) Note: Dependent Care FSA does NOT reimburse medical expenses
  • 19. Employee Assistance Program (EAP) NEW! 24-hour toll free number dedicated to ADP TotalSource worksite employees: 1-888-231-7015• All worksite employees and their dependents are eligible• Initial assessment by an EAP counselor• Referral to a provider best suited to deal with issue• Up to 3 face-to-face visits annually with licensed, certified counselor at no cost to individual• Extensive Nationwide Network• Voluntary and Confidential Service• Assistance with Stress, Anxiety, Depression, Grief, ADD/ADHD, Eating Disorders, Financial issues, Family Issues, Alcohol and Substance Abuse Issues, Relationship Issues, Financial or Legal Counseling
  • 20. Employee Personal Discounts• Program offers discounts from brand name retailers• Employees leverage ADP’s buying power to save money and time• Discounts also available for your business needs• Real Estate & Financial Services• Sign up for premium-level savings on luxury brands** ** Available at a modest monthly fee
  • 21. About MyTotalSource.com ▪ Secure Access 24/7 ▪ View your paycheck ▪ View your benefits ▪ View & change direct deposit, tax withholdings & update your personal profile ▪ Link to the personal discount programs