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