The document provides information about North Memorial Health Care's 2017 benefits open enrollment period from October 31 to November 10, 2016. It outlines changes to the health plans for 2017 including a 2% increase in employee premiums, free generic preventive prescriptions at North Memorial pharmacies, and no out-of-pocket costs for visits to urgent care clinics or online care options under the PreferredHealth Copay Plan. The document also details how the wellness program is changing for 2017 to provide cash reimbursements for preventive exams at North Memorial owned clinics.

1. Oct. 31 – Nov. 10, 2016
MyBenefits
2017 Open Enrollment information can be found on
MyBenefits. The website contains all the information
you need to know about benefits for 2017, including
medical, dental, life, short-term and long term disability,
flexible spending accounts, and health savings account.
The 2017 Benefits Open Enrollment Video is available
to view as well. To access MyBenefits visit
www.mybenefitsnmhc.benergy.com
Username: northmemorial
Password: benefits
and click on the following 2017 Open Enrollment link.
PreferredHealth Network
The PreferredHealth Network includes providers from North
Memorial, Fairview and HealthEast.To avoid out-of-network
charges make sure your provider and facility are within
the PreferredHealth Network. For additional information
contact PreferredOne at 800-997-1750 or visit
www.preferredone.com/nm.
Employee Premiums 2016
In 2017 there will be a 2% increase to your portion of Health
Insurance Premiums. All 2017 rates will be published on the
MyBenefits website.
NEW FOR 2017:
No Cost Generic Preventive Prescriptions
North Memorial will provide free generic preventive
prescriptions that are filled only at the North Memorial
Outpatient Pharmacies. A list of eligible generic preventive
prescriptions can be found on MyBenefits.
Team Member Health Center
North Memorial offers a unique and valuable resource to
team members through theTeam Member Health Center.
TMHC offers free and confidential medical exams to
team members for personal injury and illness. Due to IRS
guidelines, team members covered under the HSA medical
plan are not eligible for this service.
Free Convenient Care Options
Under the PreferredHealth Copay plan you have access to
the following free convenient care options for yourself as a
team member.
• North Memorial Urgent Care & Express Care Clinics.
Free* visits for Team Members Only at the following
locations:
– Maple Grove Urgent Care
– Roseville Urgent Care
– Plymouth Urgent Care
– Brooklyn Center Urgent Care
– Elk River Urgent Care
– Eden Prairie Urgent Care
– North Memorial Express Clinics Located in Hy-Vee stores:
Oakdale, New Hope, Brooklyn Park, and Lakeville locations
• Online Care Options.These are available for you or
family members covered on your health plan for free*.
North eCare: www.northecare.com
Fairview Zipnosis: https://fairview.zipnosis.com/
* Under the PreferredHealth HSA plan you are not eligible for
these services for free. You are able to use the Online Care
options for a $25 charge.
Life Insurance
If increasing life insurance for you or your spouse you
will be sent an Evidence of Insurability form in January
to complete and return to Lincoln Financial. Your new
premiums will not begin until you have been approved.
DON’T GET
CAUGHT
WITHOUT
COVERAGE
OPEN
ENROLLMENT 2017
EVERYONE MUST ENROLL in benefits online.
If you don’t enroll, you will not have coverage.

2. EXAMPLE #1
PreferredHealth HSA Health Plan with a
Health Savings Account
PreferredHealth Copay Plan
Luan selects family coverage.
Her annual premiums are...
Annual Premiums: $188.39 x 24 paychecks = $4,521.36 Annual Premiums: $195.93 x 24 paychecks = $4,702.32
Luan has 3 regular office visits, lab tests, a visit
to a podiatrist, a diabetic eye exam and a visit to
a nutritionist. The total cost of care is $790.
Out of Pocket Cost: The total cost of her care is $790 Out of Pocket Cost: $150 in copays for her 6 office visits.
Luan’s lab tests are covered 100%
At the end of the year, Luan’s total cost is... Total Annual Cost: $4,521.36 (Premiums) + $790 = $5311.36 Total Annual Cost: $4,702.32 (Premiums) + $150 (Copays)
= $4,852.32
AND she has money available for next year’s
health care expenses in her HSA
North Memorial’s HSA Contribution: $1,400 Because Luan
participated in the HSA plan she was able to pay for her expenses
with her HSA. Leaving her with $610 in her HSA for future health
care costs.
Not Applicable
EXAMPLE #2
PreferredHealth HSA Health Plan with a
Health Savings Account
PreferredHealth Copay Plan
Karen selects single + 1 coverage.
Her annual premiums are...
Annual Premiums: $103.94 x 24 paychecks = $2,494.56 Annual Premiums: $108.10 x 24 paychecks = $2,594.40
Karen’s husband has a heart attack and requires
surgery and hospitalization. The total cost of his
services is $60,000. Karen pays...
Out of Pocket Cost: The total cost of her care is $3,000 (deductible) Out of Pocket Cost: $1,300 to satisfy the deductible.
After that, her care is covered at 100%.
At the end of the year, Karen's total cost is... Total Annual Cost: $2,494.56 (Premiums) + $3,000 = $5,494.56 Total Annual Cost: $2,594.40 (Premiums) + $1,300 =
$3,894.40
AND she has money available for next year’s
health care expenses in her HSA
North Memorial’s HSA Contribution: $1,275
Team Member’s HSA Contribution: $2,000
Total Contributions: $3,275
Because Karen participated in the HSA plan she was able to pay for
her husbands expenses with her HSA. Leaving her with $275 in her
HSA for future health care costs.
Not Applicable
EXAMPLE #3
PreferredHealth HSA Health Plan with a
Health Savings Account
PreferredHealth Copay Plan
Paula selects family coverage.
Her annual premiums are...
Annual Premiums: $188.39 x 24 paychecks = $4,521.36 Annual Premiums: $195.93 x 24 paychecks = $4,702.32
Paula delivers her baby at a North Memorial
facility with no complications . The total cost of
her care is $8,500. She pays…
Out of Pocket Cost: The total cost of her care is $3,000 (deductible) Out of Pocket Cost: $1,300 to satisfy her deductible.
After that, her care is covered at 100%.
At the end of the year, Paula’s total cost is... Total Annual Cost: $4,521.36 (Premiums) + $3,000 = $7,521.36 Total Annual Cost: $4,702.32 (Premiums) + $1,300 =
$6,002.32
AND she has money available for next year’s
health care expenses in her HSA
North Memorial’s HSA Contribution: $1,400
Team Member’s HSA Contribution: $2,500
Total Contributions: $3,900
Because Paula participated in the HSA plan she was able to pay for
her expenses with her HSA. Leaving her with $900 in her HSA for
future health care costs.
Not Applicable
For questions access the Support Services portal.
• Go to https://northmemorial.service-now.com
• Login using your IT identity (user name) and password (same as your network password)
• From the Support Services Main Menu, click the box that says Human Resources
• Click on NMMC & Clinics Benefits/Payroll Questions
• Complete the Human Resources Request form.
– To add an attachment, click the paper clip icon on top right of the request form.
• Click Submit: You will receive a confirmation email verifying that your request has been received.
* Please note these are example premiums and HSA Contributions.
Health Plan Options and Coverage Scenarios It’s up to you to choose a plan that fits your needs and the needs of your
family. With two options to choose from, you can decide what works best for you. Both plan options are offered through
the PreferredHealth Network which includes providers from North Memorial, Fairview and HealthEast. The following
scenarios compare both plans and how they would pay based on certain medical situations. Review the following
scenarios to see which plan would work best for you.
*The coverage levels for the current 2016 MNA plans will not change; premium changes are located on MyBenefits.

3. NEED HELP ENROLLING?
Attend one of our Benefits Open Enrollment Lab Sessions.
Visit MyBenefits to view the Open Enrollment Video that highlights 2017 Benefits.
Monday, October 31 East Hall – Jamaica 11 am -1 pm, 2-4 pm
Tuesday, November 1 Learning Lab A&B 7-9 am, 11 am -1 pm, 2-4 pm
Wednesday, November 2 Learning Lab A&B 11 am -1 pm, 2-4 pm
Thursday, November 3 Learning Lab A&B 7-9 am, 11 am -1 pm, 5-7 pm
Friday, November 4 Learning Lab A&B 11 am -1 pm
Monday, November 7 East Hall – Jamaica 7-9 am, 11 am -1 pm, 2-4 pm
Tuesday, November 8 East Hall – Jamaica 7-9 am, 11 am -1 pm, 2-4 pm
Wednesday, November 9 Learning Lab A&B 7-9 am, 11 am -1 pm, 2-4 pm, 5-7 pm
Thursday, November 10 East Hall – Jamaica 7-9 am, 11 am -1 pm, 2-4 pm
2017WELLNESS
PROGRAM CHANGES
Wellness Dollars
• To be eligible for the wellness dollars, you and your
enrolled family members will be required to receive a
preventive exam at a North Memorial owned clinic.
• You will receive your wellness reimbursement on your
paycheck once we are notified by PreferredOne that the
preventive exam has been completed.
• For the 2017 plan year wellness dollars will now be paid
as “cash” (subject to applicable payroll taxes).
• Each enrolled member on your health plan will be
eligible for an annual $400 cash reimbursement
(maximum of $2,000 paid per family).
• You may use your wellness reimbursement dollars for
any type of purchase. No receipts or forms required.
You are only eligible for one preventive exam per year
through your insurance. If you see a provider outside
of a North Memorial owned clinic for your preventive
exam, you will not be eligible for the wellness dollars.
Team Member Health Center no longer administers
the wellness program. For questions submit a Human
Resources request form through Service Now.
Visit a
North Memorial
owned clinic for
a preventive
exam.
2.
1.
3.
4.
North Memorial Clinic
will notify PreferredOne
of completion of visit
and PreferredOne
will process
the claim.
PreferredOne
will notify
North Memorial
HR that you have
completed a
preventive exam.
(no information will be
shared from your
preventive exam)
North Memorial
will reimburse your
wellness dollars on
your payroll check.
(subject to applicable
payroll taxes)
How to AccessYour
Wellness Dollars
Note: No forms are required

4. North Memorial Health Care
3300 Oakdale Ave. N.
Robbinsdale, MN 55422
Open Enrollment 2017
Oct. 31 – Nov. 10, 2016
2017 OPEN ENROLLMENT
EVERYONE must enroll in benefits online. Even if you aren’t changing your coverage, you must re-enroll to continue your benefits.
If you do not enroll in benefits for 2017, you will not have coverage.
GET STARTED
It is important to log in to MyHr before Open Enrollment begins to make sure you know your password and to confirm your address, email,
phone number and contact/dependent information is accurate.
To access MyHR
From a home computer (https://myhrnorthmemorial.ultipro.com) or from a North Memorial Health Care computer:
• Log in to the North Memorial Health Care portal > click on the MyHR folder > click on the MyHR icon
• Enter your user name (e + team member number, for example: E01234)
• Enter your network password (password used to log on to network computers)
If you forgot your password or don’t have one, or have trouble accessing the MyHR, call IT at (763) 581-2580.
MyHr requires Internet Explorer version 11.0 or Firefox version 44 or Chrome version 48.
Other browsers may work, but some features may not be available.
To review and update your contact information
• In the upper left corner of the screen, hover your mouse over Myself and click on Personal > Name,
Address, and Telephone
• To make changes, click Edit, make your changes, and click Save when you are finished
• Hover your mouse over Myself and click on Personal > Contacts
• To make changes, click Edit to make changes or Add to add a new contact or dependent.
Click Save when you are finished
QUESTIONS? Contact HR by submitting a request through the ServiceNow Support Services portal at
northmemorial.service-now.com or call (763) 581-2963 option 1.
IMPORTANT: EVERYONE MUST ENROLL in benefits for 2017 or your benefits will end Dec. 31, 2016.
DON’T GET
CAUGHT
WITHOUT
COVERAGE