Watco Open Enrollment Guide 2020

Page 1

WATCO COMPANIES, LLC 2020 OPEN ENROLLMENT GUIDE NOVEMBER 4 - NOVEMBER 22, 2019

Enclosed are details about your benefit plan offerings for 2020. Please login to www.go.watcocompanies.com to elect coverage for 2020.

Customer First – Safety Always!


2020 BENEFIT HIGHLIGHTS Every year, we strive to provide benefit options that meet you and your family’s needs, while taking into account the consistent, steep rise in healthcare costs. As you may be aware, Watco’s Medical program is self-funded. This means that for the upcoming plan year, Watco will be paying approximately 75% of the total cost of your medical claims, with the remaining 25% being funded through your premium contributions. We are pleased to be able to offer this strong contribution share as it is well above typical industry norms. As a Team Member at Watco, you can help keep costs low by practicing consumerism. This means visiting your primary care physician annually for preventive check-ups, requesting generic prescriptions when available and only using the emergency room for life-threatening situations.

2020 TEAM MEMBER PREMIUM OVERVIEW • Medical and dental premiums are increasing by only a few dollars. • Premiums on all ancillary and vision coverages are remaining the same as last year. • Watco will continue to provide a Core Short-Term Disability (STD) plan and Basic Life & AD&D insurance coverage. • Additional STD and Long-Term Disability options are available.

OPEN ENROLLMENT TASKS

Enrollment is open from November 4 - November 22, 2019.

Log on to BenefitFocus at go.watcocompanies.com (Success Factors) to begin1

Gather spouse & dependent information (DOB & SSN)

Update your dependent & beneficiary information

• 2020 enrollment will be passive (excluding Flexible Spending Accounts); your 2020 elections will automatically roll to 2020, unless you change them. • Note: Flexible Spending and/or Health Savings Accounts do not rollover & must be re-elected. • Step-by-step instructions on how to enroll will be provided in the Open Enrollment Guide. (See inside back cover).

Changes During the Year Please note that Open Enrollment is the only time during the year that you can make changes to your benefit elections unless you have a qualifying change in family status, such as marriage, birth of a child, etc. Please contact the Benefits Team (benefits@watcocompanies.com) within 30 days of the event to make the appropriate changes. Note: It is important if you have enrolled your family members in your coverage, only your legally married spouse, child(ren), step-child(ren) or adoptive child(ren) are eligible for coverage.

2

1

If you have trouble logging in, please contact 620-308-5777or 844-859-2826. Email: benefits@watcocompanies.com or helpdesk@watcocompanies.com.


WHAT'S NEW Please take time to review this entire booklet and utilize our vendor contacts and Watco Benefits hotline to answer questions (888-408-0149).

Pharmacy: RxBenefits • New pharmacy provider, Caremark administered by RxBenefits, effective 01/01/2020 • New ID Cards will be issued to all Team Members enrolled in a Watco Medical Plan • Open prescription refills and active prior-authorizations will be transferred from MedTrak to RxBenefits • Team Members will be notified via mail if there is an applicable formulary change

Disease Management: Tria Health For all: • Access to a pharmacist for questions about prescriptions, drug interactions, and over the counter supplements • Savings opportunities to help you manage your out of pocket expenses For those with chronic conditions: • On-call pharmacist to assist with reviewing all medications, over-the-counter supplements, and drug interactions • Tria Health will reach out to Team Members enrolled in the medical plan who currently take four or more prescription medications • Eligible members who chose to enroll in the Pharmacy Advocate Program will receive ID cards to receive cost-savings on prescription medications • $0 generic medications • 50% off name brand medications

Wellness Team Members who complete preventive health services throughout the year will qualify for quarterly prizes. Self-Report at NueSynergy.com. Quarterly prizes for participation include: • Apple watch • Gym membership • Powerbeats earphones • Gift cards

Platinum Drawing: (Complete four)

Gold Drawing: (Complete three)

Silver Drawing: (Complete two)

• Annual well exam

• Annual well exam

• Annual well exam

• Get a flu shot

• Get a flu shot

• Get a flu shot

• Health screening

• Health screening

• Health screening

• Frequent exercise

• Frequent exercise

• Frequent exercise

• Dental exam

• Dental exam

• Dental exam

• Vision exam

• Vision exam

• Vision exam

3


BCBSKS MEDICAL & RXBENEFITS RX PLANS The Blue Cross Blue Shield of Kansas (BCBSKS) program provides eligible Team Members access to a national network of healthcare providers who meet stringent credential standards. With the BCBSKS option, participants are covered whether using in- or out-of-network providers.

Comparing Your Health Plan Options Below is a summary only. We will provide details of the plan separately.

IN-NETWORK

HRA PLAN

HSA PLAN

Annual Deductible

$2,000 Single / $4,000 Family

$3,500 Single / $7,000 Family

Deductible Accumulation

Embedded1

Embedded1

Out-of-Pocket Maximum

$2,000 Single / $4,000 Family

$3,500 Single / $7,000 Family

Out-of-Pocket Accumulation

Embedded

Embedded

Physician’s Office Visit (including mental health) Copay/Coinsurance

$25 Copay

Deductible then 100%

Preventive Care Services

100% covered

100% covered

Urgent Care

Deductible then 100%

Deductible then 100%

Emergency Room

$100 Copay + Deductible ($100 copay waived, if admitted)

Deductible

$10 Copay $30 Copay $50 Copay $100 Copay

Deductible Deductible Deductible Deductible

Prescription Drugs (Retail) Generic Brand Non-Preferred Brand Specialty

• Watco HRA Contributions: $500 Single / $1,000 Family • Watco HSA Contributions: $300 Single / $500 Family HSA contributions are available January 1 and July 1, 2020 (50% of the contribution will be made on each date).

Medical Team Member Premiums HRA PLAN BI-WEEKLY PREMIUM

NON-TOBACCO

TOBACCO

NON-TOBACCO

TOBACCO

TEAM MEMBER

$70.06

$77.05

$33.44

$36.79

TEAM MEMBER + SPOUSE

$183.32

$201.65

$87.54

$96.29

TEAM MEMBER + CHILD(REN)

$183.32

$201.65

$87.54

$96.29

FAMILY

$211.40

$232.53

$100.92

$111.02

Eligible Dependents Include:

Documents Required for Eligibility:

• Legally married spouse

• Marriage certificate

• Child or stepchild

• Birth certificate / Affidavit

• Adopted children

• Adoption papers

• Legal guardianship

• Guardianship documents

1

4

HDHP WITH HSA PLAN

n embedded deductible and out-of-pocket maximum means that if you are enrolled in family coverage, and one single family member satisfies the A individual deductible, the plan will begin to pay at 100% for that specific member, even if the full family maximum has not been reached.


MEDICAL PLAN CHOICES Watco is pleased to offer two medical plan options to help meet your and your family’s unique needs. Below is a summary of some of the key features of each plan.

Which plan is right for me? HRA PLAN

HDHP WITH HSA PLAN

• Higher bi-weekly premiums

• Lower bi-weekly premiums

• Copays for primary care visits & Rx

• Deductible for PCP, UC, ER & Rx

• $2,000 individual deductible / $4,000 family deductible

• $3,500 individual deductible / $7,000 family deductible

• Watco contribution – $500 Single / $1,000 Family

• Watco contribution – $300 Single / $500 Family

RxBenefits Prescription Drug Benefits

Doctor on Demand

Both medical plans include (Generic, Preferred, Non-Preferred and Specialty) prescription drugs. You can visit www.RxHelp@rxbenefits.com to obtain a list of brand and generic medications, research medications and compare prescription drug prices.

• Less Expensive than Urgent Care or ER • Can be used from the privacy of your own home • No travel time to and from doctor office

Online Tools Available The www.myhealthtoolkit.com website provides you with personalized information about your medical benefits. On the site you can: • Find in-network doctors and medical services. • Manage and track claims. • See cost estimates for medical procedures. • Compare quality of care ratings for doctors and hospitals. • Access health and wellness tools, discounts, and resources.

Examples of when to call: • Cold and Flu • Low Grade Fevers • Urinary Tract Infections • Ear Infections How much? • Team Members Enrolled in Medical: $20 • Team Members Not Enrolled in Medical: $49

QUESTIONS? Contact Doctor on Demand at 800-997-6196 or support@doctorondemand.com.

HEALTH SAVINGS ACCOUNT (HSA) An HSA is a personal healthcare bank account that you can use to pay out-of-pocket medical expenses with pre-tax dollars. Your HSA account can be used for your expenses and those of your spouse and dependents. Eligible medical expenses are defined by the IRS and include such things as deductibles, coinsurance, prescription drugs, and lab tests. You can also use your HSA for dental and vision expenses. You are eligible to open and fund an HSA if: • Covered by an HSA-eligible High Deductible Health Plan. • Not covered by your spouse’s health plan, FSA or HRA. • Not eligible to be claimed as a dependent on someone else’s tax return. • Not enrolled in Medicare, TRICARE or TRICARE for Life. • Not received veterans administration benefits.

How Do I Put Money Into My HSA? You can elect to participate in the NueSynergy HSA and have deductions taken from your paycheck on a pre-tax basis and deposited into your account or make after-tax deposits directly to the account. Watco Companies, LLC, will contribute to the active Team Members’ HSA accounts. Watco Companies, LLC, will contribute up to $300 for an individual and $500 for a family per year. Contributions are made twice a year on January 1 and July 1.

2020 HSA CONTRIBUTION LIMITS

Individually Owned Account You own and administer this health savings account. You determine how much you will contribute to your account, when to use your money, and when to reimburse yourself. An HSA allows you to save and “roll over” money if you do not spend it in the calendar year. You must have money in the account before you can spend it. The money is always yours even if you change health plans or jobs.

1

SINGLE

$3,550

FAMILY

$7,100

CATCH-UP1

$1,000

Age 55 or older.

5


FLEXIBLE SPENDING ACCOUNT (FSA) Flexible Spending Accounts are a great way to set aside a portion of your salary on a pre-tax basis to pay for eligible healthcare and/or dependent care expenses. Note: You must renroll for flexible spending every year. There are three ways to maximize your pre-tax savings:

Full Purpose FSA • Can be used with the HRA Plan • Pre-tax fund for qualified medical, RX, dental & vision expenses • $500 maximum rollover per year; Use-it-or-Lose it rule applies • 2020 medical limit is $2,700

Limited Purpose FSA • Can be used with HSA • Pre-tax fund for qualified dental and vision expenses only • $500 maximum rollover per year; Use-it-or-Lose it rule applies • 2020 medical limit is $2,700

Dependent Care FSA – expenses incurred while you work • Can be used for Child Care or care of a disabled dependent • Eligible dependents •C hildren under age 13 •D ependents of any age who are incapable of self-support and whom you claim as a dependent on your income tax return • 2020 dependent care limit is • $5,000, if married filing jointly • $2,500, if single or married filing separately

Use it or Lose it It is important that you carefully estimate your out-of-pocket expenses in determining your pre-tax contribution in the FSA. Team Members can roll over up to $500 in unused funds to 2020, and funds over $500 will be forfeited.

HEALTH REIMBURSEMENT ARRANGEMENT (HRA) Effective January 1, 2020, Watco is partnering with NueSynergy for HRA administration. Team members enrolled in the plan will receive a debit card that can be used for ANY medical expenses, excluding prescriptions and over-the-counter items. Be sure to look for your card in the mail prior to the new year.

Tools for HSA , FSA and HRA

NueSynergy Mobile • File a claim and submit documentation • Check balances and transaction history • View plan communications NueSynergy Benefits Debit Card ­• Online and mobile account access to conveniently manage transactions ­• Ability to access multiple benefit accounts with one card

6

NueSynergy Participant Website Convenient and secure access 24/7 to: ­• Benefit account details ­• File a claim ­• View communications ­• Access educational videos and planning calculators Questions? Contact NueSynergy at www.nuesynergy.com or 855-890-7239.


DENTAL PPO PLAN Watco Companies, LLC, will continue to offer dental insurance through MetLife. The MetLife dental program provides eligible Team Members easy access to a national network of dental providers consisting of general and specialty dentists who meet well-established credentialing standards. Benefits are based on negotiated fees, and participating dentists agree to accept negotiated fees. You also have the option of going out of network and utilizing any licensed provider, though you will incur more cost out of your own pocket. To view a listing of providers, go to www.metlife.com. Information regarding your dental plan and access to ID cards can be found at www.metlife.com/mybenefits or call 800.942.0854.

DEDUCTIBLE Individual Family

IN-NETWORK

OUT-OF-NETWORK1

$50 $150

$50 $150

COINSURANCE Preventive Services

100%

100%

Basic Services

80%

80%

Major Services

50%

50%

Orthodontia

50%

50%

Plan Year Max

$2,000

Ortho Lifetime Max (children to age 26)

$2,000

BI-WEEKLY PREMIUM

ENROLLED IN MEDICAL

NOT ENROLLED IN MEDICAL

TEAM MEMBER

$2.51

$13.45

TEAM MEMBER + SPOUSE

$6.28

$26.90

TEAM MEMBER + CHILD(REN)

$6.28

$25.97

FAMILY

$6.28

$41.83

Out of Network is paid based on Usual and Customary rates. Your provider may bill you for any amounts billed to the insurance that are billed over the U&C rates.

1

7


VOLUNTARY VISION PLAN MetLife administers our vision benefits and uses the MetLife Vision PPO Network of eye care providers. A brief summary of the vision benefits is listed below.

Exam

IN-NETWORK

OUT-OF-NETWORK

$10 Copay

$45 Allowance

LENSES Single

$0 Copay

$30 Allowance

Bifocal

$0 Copay

$50 Allowance

Trifocal

$0 Copay

$65 Allowance

Lenticular

$0 Copay

$100 Allowance

FRAMES

$150 Allowance

$70 Allowance

CONTACTS

$150 Allowance

$105 Allowance

(IN LIEU OF GLASSES)

Safety Glasses $65 Frame Allowance1; Lenses covered in full

BI-WEEKLY PREMIUM

1

8

TEAM MEMBER

$3.37

TEAM MEMBER + SPOUSE

$6.74

TEAM MEMBER + CHILD(REN)

$7.21

FAMILY

$11.40

Safety Eyecare Plan IN-NETWORK

OUT-OF-NETWORK

EXAM

Prior to exam, you will need to provide your doctor with a completed Safety questionnaire located at www.metlife.com/mybenefits

$8 Allowance

LENSES

Covered in full after materials

$35 to $90 Allowance

FRAMES

$65 Allowance + 20% off

$25 Allowance


BASIC LIFE, AD&D & STD Watco offers Basic Life/Accidental Death and Dismemberment Insurance and Short-Term Disability through MetLife at no cost to you! Eligible Team Members will be automatically enrolled. Watco will provide Short Term Disability coverage at no charge to you. The plan covers you starting on the 15th day of disability and will pay 50% of your weekly salary up to $1,500 per week. Team Members will also have the option to purchase a buy-up disability plan.

VOLUNTARY BENEFITS

Long Term Disability

Voluntary Life Insurance through MetLife is available to Team Members and their dependents. Team Members have an opportunity to elect Voluntary Life in addition to the Basic Life and AD&D coverage.

Accident Insurance

(100% Team Member-Paid Benefits) Voluntary Life Insurance

Team Member Coverage • Increments of $10,000 up to 5 X Annual Income or $500,000 • Guarantee Issue - $250,000 Spouse Coverage • Increments of $5,000 up to 50% of team member Voluntary Life election or $100,000 • Guarantee Issue - $25,000 Child/Children Coverage • $10,000 per child (qualifying child(ren) are ages 25 and under) During this years' annual enrollment, you will have the opportunity to increase your coverage by $10,000 and your Spouses coverage by $5,000 without having to supply Medical Evidence if you are currently enrolled in the Supplemental plan. If you choose to enroll for coverages over the increment, you will need to complete Medical Evidence. Life Coverages are convertible and portable.

Voluntary Buy-Up Short Term Disability Benefits Watco also provides Team Members the opportunity to purchase a Buy-Up STD plan that would pay 60% of your weekly salary up to $2,500 per week on the 8th day of disability.

Watco is continuing to offer a Voluntary Long Term Disability plan that pays 40%, 50% or 60% of your monthly salary, up to a maximum of $15,000 per month. Designed to supplement employer-sponsored health coverage, Accident Insurance pays specific benefit amounts for expenses resulting from non work-related injuries or accidents. Hospitalization, physical therapy, intensive care, transportation and lodging are some of the out-of-pocket expenses that this Accident Insurance could cover. Coverage is available for you, your spouse and your children.

Critical Illness Critical Illness Insurance can supplement major medical coverage by helping you pay the direct and indirect costs associated with a critical illness or event. Conditions covered under this program can include heart attack, stroke, kidney failure, ALS, lupus and Alzheimer’s. The coverage also includes an annual health screening benefit. Coverage is available for you, your spouse and your children.

Hospital Indemnity Hospital Indemnity Insurance helps offset the costs associated with an eligible hospitalization for you, your spouse and your children. This benefit plan covers hospital stays, critical care and rehabilitation facilities up to a daily amount.

9


401(K) BENEFITS Welcome to the Watco Companies, LLC 401(k) Plan. The plan we offer is a valuable benefit to you as a Team Member and will help you save for the future. Contributing now will help you accumulate the income you will need at retirement. Participating in the plan is easy. Each pay period, a portion of your income (that you elect) will be contributed to your plan account through payroll deduction. • For any amount you elect to contribute, Watco matches $0.50 for every $1 up to 10% of your compensation. • As a Team Member you can begin contributing and receiving the company match day one of your employment with Watco. • You can contribute up to 100% of your compensation, not to exceed IRS plan limits. • You can allocate a percentage of your compensation or a flat dollar amount per pay period. • Contributions can be designated as Pre-Tax (Traditional) or Post-Tax (Roth).

Three Ways to Enroll: Register at www.startright.bokf.com. Username: Your SSN (no dashes) Password: Last four digits of SSN followed by last two digits of birth year

Call a Start Right Participant Services Representative at 800-876-9557.

Complete the Quick Enrollment Form included with these forms and send the completed form to benefits@watcocompanies.com.

Once logged into Start Right you will have access to the following: • Change your contribution amount

Change your investment options

• Summary plan description

Plan provisions & features

• Review investment options

Participant fee disclosure

• Qualified default investment notice

Update your beneficiary

Vesting Schedule: (Applies to match contribution only and starts on date of hire). LESS THAN 2 YEARS

2 YEARS

3 YEARS

4 YEARS

5 YEARS

6 YEARS

0%

20%

40%

60%

80%

100%

For More Information on your 401(k) Retirement Plan, please visit the Watco Health Portal through Success Factors.

10


TEAM MEMBER COMMUNICATIONS WEBSITE The Benefits Portal can be used to answer a variety of questions that you may have concerning your benefits. You can access this through Success Factors at www.go.watcocompanies.com. On the Benefits Portal, you will also find links to all provider websites including BCBSKS, NueSynergy, StartRight, MetLife, etc.

IMPORTANT CONTACTS BCBS of KS

Nurseline

Call BCBSKS with questions on benefits or claims. They can also assist you in finding in-network providers or care coordination.

Call the Nurseline for free, consultative advice and suggestions on where to go for care whether it be Doctor on Demand, Primary Care Dr, Urgent Care or Emergency Room.

BOK Financial

NueSynergy

Call BOK Financial with 401(k) questions and online access issues.

Quit for Life

www.MyHealthToolkitKS.com Customer Service: 855-263-0677

www.startrightbokf.com 800-876-9557

Doctor on Demand

Telemedicine Partner www.doctorondemand.com 800-997-6196

RxBenefits / Caremark

www.RxHelp@rxbenefits.com 800-334-8134 Mail Order: 855-383-9422 www.caremark.com Call RxBenefits with questions or issues related to prescription drugs, mail order pharmacy and in-network pharmacies.

866-323-0664

HSA/FSA/HRA www.nuesynergy.com 855-890-7239 Smoking-Cessation Program 866-784-8454

Watco Benefits

Enrollment Questions www.go.watcocompanies.com benefits@watcocompanies.com 888-408-0149 844-859-2826

IT Help Desk

(assistance with password reset or connection questions) 620-308-5777

Tria Health

Pharmacy Advocate Program www.triahealth.com 888-799-8742

MetLife

www.metlife.com/mybenefits Dental: 800-942-0854 Vision: 855-638-3931 Life: 800-638-6420 Disability: 866-729-9200 All Other Benefits: 866-626-3705

New Directions www.ndbh.com 800-624-5544

Call New Directions for counseling services or legal and financial advice. These services are strictly confidential and are available to help you and your family deal with a wide range of personal or job-related problems that may cause stress and disrupt lives.

11


HOW TO ENROLL STEP 1:

Go to https://go.watcocompanies.com and enter username and password.1

STEP 2: Click on the Success Factors icon.

STEP 3: Click My Profile and validate all information (address, phone number, email etc.).

STEP 4: Find and click on your My Benefits title on your Success Factors home page.

STEP 5: Click Enroll Now – 2020 Benefit Enrollment inside the Watco health benefits portal.

STEP 6: Click Get Started to begin the 2020 election process.

STEP 7: Review all benefit options. Click Start. Please elect or decline your coverage for 2020. Mark the I have reviewed the information above box after ALL coverages have been elected or declined. Click Complete Enrollment.

Benefit Enrollment Support: Contact your People Services Manager Call the Benefits Team at: 1-888-408-0149 Email the Benefits Team at: benefits@watcocompanies.com

When Can I Enroll? If you experience a qualifying event during the year you must notify a People Service Manager within 30 days of the event in order to make changes to your benefit plan. Qualifying Benefits include: Remember: If you waive coverage for you or your dependents, you will not be able to join the • Marriage • Change in employment status of a spouse • Divorce • Loss of coverage • Death of a spouse or child • Birth or adoption of a child plan without a qualifying event.

12

1

Refer to the password reset instructions if you experience issues with your username or password.


NOTES:

13


NOTES:

14


NOTES:

15


Customer First – Safety Always!


Issuu converts static files into: digital portfolios, online yearbooks, online catalogs, digital photo albums and more. Sign up and create your flipbook.