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Insurance Retirement Wellness ANNUAL ENROLLMENT JULY 15 – JULY 31 For Retired Employees September 1, 2012 – August 31, 2013 During Annual Enrollment (July 15th – 31st) Declare Tobacco User Status Enroll or change current insurance coverage Add or remove dependents Complete Evidence of Insurability (EOI) if required Effective September 1, 2012 What’s New This Year? Plan Year 2012 – 2013 New UT Southwestern medical network Tobacco premium program Slight premium rate increase for UT SELECT New Dental HMO plan and New UT SELECT Dental Plus plan • New Vision Plus plan • • • • …effective September 1st Basic Coverage Package Retired Employee • UT SELECT Medical • Prescription Drug Coverage • $6,000 Basic Term Life Insurance Plan Year 2012 – 2013 No changes to • Annual Deductible • Coinsurance • Copayments …provided at no out-of-pocket cost Basic Coverage Package Provided by: Retired Employee • UT SELECT Medical • Prescription Drug Coverage • $6,000 Basic Term Life Insurance …provided at no out-of-pocket cost Preventive Screenings In-network provider $0 Preventive Care and Services Examples: Routine Physical exams Well-woman exams Well-child exams Immunizations – all ages Osteoporosis screenings Prostate Screening Cancer screenings Important: Please be aware that you may incur some cost if the preventive service is not the primary purpose of the visit or if your doctor bills for services that are not preventive. UT SELECT Medical New! UTSW Network (Pilot program) UTSW Physicians & Facilities Out-of-pocket cost reduced or eliminated Effective September 1, 2012 $10 Co-payments No deductible No coinsurance UT SELECT Medical Premiums Retiree Only $0 (no change) Retiree and Spouse $207.98 (increasing $8.96) Retiree and Child(ren) $217.52 (increasing $9.37) Retiree and Family $409.57 (increasing $17.64) Tobacco Premium Program Applies only to: Make Tobacco Declaration My UT Benefits or Your Benefits Office UT SELECT Medical participants Age 16 and over Used tobacco products within the past 60 days …effective September 1st Tobacco Premium Program Premiums are based on tobacco declaration… Retiree Spouse Child(ren) $30 per month $30 per month $30 per month Family maximum $90 per month …effective September 1st Tobacco Premium Program Tobacco Products Cigarettes, Cigars, Pipes, Clove cigarettes All forms of smokeless tobacco (chewing tobacco, snuff, dip, or any other product containing tobacco) Any other smoking devices that use tobacco (such as hookahs) E-cigarettes (which contain nicotine) UT SELECT Medical Prescription Drug Coverage Dental Vision Long Term Care Voluntary Group Term Life Optional Coverage Benefit Plan Changes UT SELECT Dental Any licensed dentist $25 annual deductible $1,250 annual benefit maximum $1,250 lifetime orthodontic benefit maximum New! Added night guard benefit (at 50%) Diagnostic & Preventive Services are covered at 100% Basic Services are covered at 80% Major Services and Orthodontic Services are covered at 50% New! UT SELECT Dental Plus Any licensed dentist No annual $25 deductible $3,000 $1,250 annual benefit maximum Pays a greater percentage than the standard plan: • Basic Services at 80% 100% • Major and Orthodontic Services at 50% 80% $3,000 $1,250 lifetime orthodontic benefit maximum Added night guard benefit (at 80%) New! DeltaCare Dental HMO Lower monthly premiums Set Copayments No Annual Deductibles No Plan Limit Maximums for covered benefits New! Expanded Service Area (adding Tyler and parts of the Rio Grande Valley) More Allowable visits for some services Lab fees included in copayment schedule Transitional coverage for orthodontic treatment in progress Effective September 1, 2012 You may be able to retain your current Dentist or Select a new dentist in My UT Benefits Review your coverage option letter for details Dental HMO Transition Vision Options New! Superior Vision Plus Allowances: $150 frame (up from $140) $150 contact lens (up from $125) $120 progressive lens Covered lens options: Polycarbonates Scratch coat Ultraviolet coat Voluntary Group Term Life No Changes Group Long-Term Care Insurance Making Elections Benefits Resources http://www.utsystem.edu/benefits/ Steps to a Successful Annual Enrollment Review OEB newsletters, handbooks, and video presentations Review “Your UT Benefits Enrollment Options” Letter Attend your institution benefits meetings and fairs Make your declaration as a tobacco user or non-tobacco user Make elections no later than July 31, 2012 Review My UT Benefits Summary of Benefits before logging off Review or elect your designated beneficiaries for life insurance Complete and submit any required EOI forms by August 15, 2012 Complete and submit any required EOE documentation by August 15, 2012 Living Well Free to UT SELECT Members Get Active Quality of Life Programs Worksite Wellness Offerings Tobacco Cessation Programs Pregnancy and Parenting www.livingwell.utsystem.edu www.livingwell.utsystem.edu/tobacco.htm Insurance Retirement Wellness Make it a priority… To live well and build a unique benefits package that cares for you today, tomorrow and beyond. Thank you