2017 Annual Benefits Enrollment Changes

2017 BENEFITS

2017 Annual Benefits Enrollment November 1 - 18, 2016

2017 ANNUAL BENEFITS ENROLLMENT NOVEMBER 1 - NOVEMBER 18, 2016 The 2017 Annual Benefits Enrollment period for OSU and the A&M Colleges will be from Tuesday, November 1, through Friday, November 18, 2016, at midnight. During this time, all benefits-eligible employees can make changes to important benefit elections using Self-Service Banner, my.okstate.edu. Selections and changes made during the 2017 Annual Benefits Enrollment will be effective January 1, 2017.

Changes for next year are outlined below. Employees will need to make elections during the enrollment period.

BENEFIT

CHANGE

PHARMACY (Rx)

FORMULARY TIER CHANGES •

“Dispense as Written” for brand

•

Proton inhibitors (ex. Nexium,

name drugs.

Prilosec, Prevacid) removed from

•

Member pays name brand

the plan as they are readily

copay plus difference in cost

available as over-the-counter

if member requests brand

(OTC). These OTC drugs are

name.

eligible for FSA reimbursement

Member will never pay more

with a prescription.

•

than brand prescription cost.

VISION

Formulary Tier

CoPay (30-days supply)

Preferred Generic

$10

Non-Preferred Generic

$25

Preferred Brand

$50

Non-Preferred Brand

$100

Specialty Preferred and Non-Preferred Brand

$150

NEW CARRIER - EYEMED •

$150 frame allowance.

•

20% discount off frame balance

and low price guarantee on

over $150.

discounted hearing aids.

•

•

15% discount off contact lenses balance over $120.

•

Contact wearers can obtain contacts and glasses in the same year.

•

DENTAL

Retinal scan included.

NEW CARRIER - CIGNA DENTAL •

Low Plan - No orthodontist

2017 Vision Rates Employee Only

$6.48

Employee + Spouse

$10.80

Employee + Child(ren)

$10.64

Employee + Family

$20.14

Orthodontic Care lifetime maximum.

coverage. Annual benefit •

40% discount off hearing exams

level $1,500.

2017 Dental Rates

Low Plan

High Plan

High Plan - Orthodontist

Employee Only

$27.30

$31.68

Employee + Spouse

$54.60

$63.34

Employee + Child(ren)

$74.46

$86.38

Employee + Family

$100.46

$116.56

coverage for dependents up to age 19. Annual benefit level $2,000. $2,000

Oklahoma State University

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2017 Annual Benefits Enrollment

BENEFIT

CHANGE

LIFE INSURANCE

NEW CARRIER - LIBERTY MUTUAL •

Employee Supplemental

Guaranteed Issue - 2 x salary

•

•

increments.

Spouse Supplemental with

up to $300,000 in $10,000

Evidence of Insurability not to

increments.

exceed $380,000.

Spouse Supplemental

•

Guaranteed Issue - 1 x employee salary up to

No rate changes to the Supplemental Life plans.

•

Ability to file claims online.

$130,000 in $10,000

LONG-TERM DISABILITY

NEW! FREE LIVONGO DIABETES MANAGMENT PROGRAM

NEW CARRIER - LIBERTY MUTUAL •

One plan, 60% of monthly

Enrollment, all employees can

income up to $10,000.

enroll without Evidence of

•

$0.27/$100.

•

During Annual Benefits

Insurability.

•

Ability to file claims online.

PROGRAM DESIGNED TO MAKE DIABETES MANAGEMENT EASIER, COMBINING THE LATEST TECHNOLOGY WITH COACHING; FREE TEST STRIPS •

The free Livongo connected meter uses cellular

glucose results.

•

Educators 24 hours a day, 365

upload test results and provide

days a year, to help participants

real-time tips based on blood

make better decisions about

glucose data. Makes log books a thing of the past!

•

•

diabetes management.

•

Choose to notify loved ones by text or email when blood

•

Support from Certified Diabetes

technology to automatically

Monitored 24 hours, 365 days a year.

•

Livongo will make direct contact

glucose readings are out of

in the event results are too high

target range.

or low for guidance.

Provides personalized support

•

Unlimited strips and lancets at no

through the meter and mobile

cost to the member are included.

app.

When you are about to run out,

Secure website with trends

supplies are shipped to your door.

and graphs about your blood

Oklahoma State University

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2017 Annual Benefits Enrollment

BENEFIT

CHANGE

FLEXIBLE SPENDING ACCOUNTS • Health Flexible Spending Account (FSA) • Dependent Care Account (DCA)

2017 LIMITS

HEALTH SAVINGS ACCOUNTS (HSA)

NEW MAXIMUM CONTRIBUTION LIMITS

•

The 2017 health Flexible Spending Account limit is $2,600.

•

The 2017 maximum contribution to a Dependent Care Account is $5,000.

•

For 2017 tax years, the maximum contribution is $3,400 for individuals and $6,750 for family.

You may also have an opportunity to make a $1,000 catch-up contribution if you are age 55 or older.

2017 HEALTH PREMIUMS PPO

Total Premium

Institution

Employee*

Employee Cost with Both Premium Credits

Employee Only

$498.76

$408.76

$90.00

$50.00

Employee & Children

$897.78

$647.48

$250.30

$210.30

Employee & Spouse

$1,047.40

$701.76

$345.64

$305.64

Family

$1,596.04

$1,171.00

$425.04

$385.04

Employee Only

$503.02

$433.02

$70.00

$30.00

Employee & Children

$880.86

$745.48

$135.38

$95.38

Employee & Spouse

$1,007.20

$814.96

$192.24

$152.24

Family

$1,470.42

$1,257.48

$212.94

$172.94

HDHP

*Employees will receive a $20 monthly premium credit when they complete a biometric screening with Catapult Health. *Employees will receive a $20 monthly premium credit when they affirm they are not tobacco users.

2017 ANNUAL BENEFITS ENROLLMENT CHECKLIST 1. Enroll in new Dental plan.

2. Enroll in new Vision plan.

3. Enroll in new Long-Term Disability/Life Insurance Plans.

4. Re-affirm Tobacco Free.

5. Waive health; two-part process.

OSU Benefits - 106J Whitehurst, Stillwater, OK 74078 - (405) 744-5449 http://hr.okstate.edu - osu-benefits@okstate.edu Oklahoma State University

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2017 Annual Benefits Enrollment