Open Enrollment 2024 Administration Employees
WHAT OPEN NROLLMENT
Open enrollment is the time of year that your benefit plans renew. During this period, you may add or drop an eligible dependent, enroll in a plan for the first time or switch your plan. If you would like to make any changes, now is your opportunity. The next time to make changes will be next year during Open Enrollment unless you experience an IRS qualifying life event during the year.
All enrollments must be completed online using Benefit Advisor by October 21, 2023.
No changes to carriers or benefit plan designs for 2024! Open Enrollment 10/9 10/21
Medical Coverage
*Additional $30 per month will be added for any employee and/or covered spouse who are not verified as nicotine-free.
1 Reimbursement may be requested after initial deductible of $700 Single / $1,200 Family is met Reimbursement forms can be found on the MetroNet.
2 Annual amount is divided and deposited quarterly into your HSA Annual contribution, including Metro’s contribution, cannot exceed the 2024 IRS annual allowed maximum of $4,150 Single / $8,300 Family If age 55+, an additional $1,000 may be contributed
3 If enrolled in the Family PPO plan, no one family member will pay more than the single deductible or single out-of-pocket maximum (less any HRA reimbursements). Collectively, the family unit will not pay more than the family deductible or family out-of-pocket maximum.
4 If enrolled in the Family HDHP plan, the family deductible must be met before benefits begin (individually or collectively). Once the family out-ofpocket maximum is met (individually or collectively), eligible claims will be paid in full for all family members for the remainder of the plan year
Medical Benefit “Opt-Out” Program
METRO will continue our relationship with Enrollment Management Services (EMS) EMS is a healthcare consulting firm with the goal of helping our employees and their families understand all of the healthcare options that are available to them. Employees/dependents who waive medical coverage because of coverage elsewhere (i.e. Spouse’s plan, Medicare, Military, etc.) can enroll in the Opt-Out Benefit Program. You must show the dependent as “waived” for medical coverage in Benefit Advisor Documentation is required to show proof of other insurance before the Opt-Out Credit can begin You must contact Jevon Brown with EMS at 513-878-1261 or jbrown@enrollmentmanagementservices.com to enroll.
Note:
Benefits PPO HDHP Annual Metro Contribution HRA Reimbursements1 Up to $2,300 Single / $4,600 Family HSA Deposit2 $750 Single/ $1,500 Family Deductible $3,000 Single / $6,000 Family (Embedded3) $2,000 Single, $4,000 Family (Non-Embedded4) Coinsurance 100% Employer / 0% Employee 90% Employer / 10% Employee Medical Out-of-Pocket Annual Max $4,000 Single / $8,000 Family $3,000 Single / $6,000 Family Office Visit * PCP Sick Visit $30 Copay Deductible, then 10% * Specialist Visit $45 Copay Deductible, then 10% * Wellness @ PCP Covered in Full Covered in Full Inpatient Hospital Deductible Only Deductible, then 10% Outpatient Hospital $30 Copay Deductible, then 10% Emergency Room $250 Copay Deductible, then 10% Urgent Care facility $50 Copay Deductible, then 10% Prescription Drugs (30-day supply) $10/$35/$60 Deductible, then $10/$35/$60 Mail Order (90-day supply) $25/$87.50/$150 Deductible, then $25/$87.50/$150 Monthly Medical Premiums* Non-Wellness Wellness Non-Wellness Wellness Single $139.12 $81.84 $139.81 $82.24 Family $386.14 $227.15 $388.03 $228.25
Opt-out monies are recognized as taxable income.
Eligible Members Waiving Coverage Monthly OptOut Payment Annual Opt-Out Payment Single Member $150.00 $1,800.00 Multiple Members $350.00 $4,200.00
Tax Advantaged Accounts
Health Savings Account (HSA)
• You must be enrolled in a qualified HDHP to contribute into an HSA or receive the Metro’s contribution.
• The HSA must be used for qualified expenses or may be subjectto a 20% penalty.
• HSA funds carry over from year to year, meaning you keep any money you do not spend from the previous year.
• Use your HSA to pay for qualified expenses for your spouseor tax-dependent children (even if they are not covered by your plan).
There are certain situations in which you are not eligible to contribute into an HSA these include:
• You or your spouseareenrolled in a non-qualified high deductiblehealth plan or a healthcareFSA, including Metro’s PPO Plan.
• You are actively enrolled in Tricare(VA), CHIP, Medicare or Medicaid benefits (special rules apply for VA).
• You are claimed as a dependent on another individual’s tax return.
Flexible Spending Accounts(FSA)
Healthcare, Limited and Dependent Care FSAs are availablethrough Chard Snyder. Note, there is a $3.50 monthly fee for participating in an FSA.
1. Healthcare FSA – 2024 maximum contribution of $3,050 for eligiblemedical, dental and vision expenses Use with PPO Plan
2. Limited FSA – 2024 maximum contribution of $3,050 for eligibledental and vision expenses Use with HDHP Plan
3. Dependent Care Plan – 2024 maximum contribution of $5,000 for eligibledependent care expenses Use with either plan
Dental Coverage
Voluntary VisionCoverage
Vision Benefits In-Network Exam (Once every 12 months) $10 copay Frames / Frames Allowance (Once ever 24 months) $150 retail allowance, 20%off balanceover $150 Contact Lenses (Once ever 12 months) Conventional Disposable Medically Necessary $130 allowance, 15%off balance over $130 $130 allowance plus balance over $130 Covered in full Lasik Vision Correction 15% off standard priceor 5% off promotional price 2024 Monthly Premiums Single $5.91 Family $15.06 Dental Benefits Base Plan Ortho Plan Deductible $50/$150 $50/$150 Annual Maximum $1,250 per person $1,250 per person Preventive Services (Exams, cleanings, x-rays) Covered in full Covered in full Basic Services (Fillings, rootcanal, gum disease) Deductible, then 20% Deductible, then 20% Major Services (Crowns, bridges, dentures) Deductible, then 50% Deductible, then 50% Orthodontia (Adult and Child) Lifetime Max Benefit: $3,000 Not Covered Deductible, then 50% up to $3,000 2024 Monthly Premiums - Admin Single $13.52 $9.29 Family $37.07 $34.44
Life Insurance
Basic Life: Life insurance is important for you and your family. Should you pass away, Metro will pay a lump sum benefit to your designated beneficiary through a group term policy with Symetra. Metro provides this benefit at no costto you.
Employee Benefit: 1 x Annual Salary
Voluntary Life: Voluntary Life: Additional Life coverage is available for you and your family at an additional cost. During Open Enrollment, newly elected coverages or any increase to current elections will require Evidence of Insurability (health questions) Dependent election cannot be greater than 100% of your election
IMPORTANT CARRIER CONTACT INFORMATION
Medical Coverage #925247 www.myuhc.com (866) 414-1959 (800) Teladoc or Teladoc.com
Dental Care Plus #080449 www.dentalcareplus.com (800) 367-9466
Vision Coverage #1005272 www.eyemedvisioncare.com (866) 939-3633
Medical Benefit Opt-Out Program Jevon Brown (513) 878-1261 jbrown@enrollmentmanagementservices.com
Life and AD&D #01 017871 00 Short-term Disability Coverage #01 017871 00 www.symetra.com (800) 796-3872
Health Reimbursement Account (HRA) Flexible Spending Account (FSA) www.Chard-Snyder.com (800) 982-7715
Vickie Hickman
Sr. Manager, Benefits & Compensation vhickman@go-metro.com (513) 632-7675
Terri Barnett Sr. Benefits Specialist/DER tbarnett@go-metro.com (513) 632-7557
EngagementTeam M-F 8:30am-5pm EST Engagement@horanassoc.com (844) 694-6726
This packet is intended to provide a brief overview of your employee benefits. If there is a discrepancy between the enclosed documents and the certificate of coverage, the certificate of coverage for each plan will be the final determining document.