Making Good Choices for Physical and Financial
Transcription
Making Good Choices for Physical and Financial
Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Tools and Resources Making Benefit Changes During the Year Enrolling What’s New Medical Coverage A New Approach to Health Care Home Page Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Contact Information In 2013, we’re taking the first steps in a new approach to health care with changes to our medical plan options. At the heart of this approach is a One Team partnership: SunTrust provides comprehensive benefits and invest in programs to help you improve your health and financial well-being, and you choose your medical plan wisely and take steps to be healthy throughout the year. The new approach focuses on medical choices featuring accounts for healthcare expenses. You can earn rewards in your account if you enroll in one of the account-based plans for 2013 (the HDHP or the PPO). The HMO option is only available for one more year and only to those who are currently enrolled in an HMO. Updated Medical Choices Your choice of medical plans for 2013 are: •The High Deductible Health Plan (HDHP) with a Personal Health Savings Account (HSA) •A streamlined PPO plan with an Incentive Health Reimbursement Account (HRA) — and no longer including buy-up options for the deductible, coinsurance/out-of-pocket maximum or additional prescription coverage. •HMO option only for those who are currently enrolled in an HMO — and no longer including the buy-up option for additional prescription coverage for the Open Access HMO. The HDHP and PPO options feature accounts you can use to pay eligible healthcare expenses. The HMO doesn’t have an account tied to it. Learn more about your options and the accounts in the medical section. Learn More This guide is only an overview of SunTrust benefits as of January 1, 2013. The information provided in this guide is subject to the official plan documents, which will control in the event of any conflict, difference, or error. The Company reserves the right to amend or terminate any of its benefit plans in the future. October 2012 NOTE: If you (and/or your dependents) have Medicare or will become eligible for Medicare in the next 12 months, a federal law gives you more choices about your prescription drug coverage. Click here for more information. 2013 Annual Enrollment is October 25th — November 9th Annual Enrollment for 2013 benefits begins Thursday, October 25th, and ends Friday, November 9th. You can enroll through my HR online 24/7. If you enroll by phone, representatives are available from 8:30 a.m. to 6:30 p.m. (ET). For step-bystep instructions, see How to Enroll. Enrollment Required It’s important for you to carefully consider the medical options this year and make an active election. With the premium savings for enrolling in the HDHP or PPO, it pays to consider moving to one of these plans for 2013. And, SunTrust is offering special rewards for enrolling in the HDHP or PPO for 2013. Next page 1 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Tools and Resources Making Benefit Changes During the Year What’s New Continued Availability of Summary of Benefits and Coverage (SBC) SunTrust offers a series of health coverage options. To help you make an informed choice, your plan makes available a Summary of Benefits and Coverage (SBC), which summarizes important information about any health coverage option in a standard format, to help you compare across options. The SBC is available at my HR online. A paper copy is also available, free of charge, by calling my HR at 800.818.2363. Note: Rewards for Making a Move This Year SunTrust is rewarding teammates who make less than $90,000 in base salary if they choose the HDHP or PPO plan for 2013. You can earn additional rewards, regardless of pay, for completing Exercise Your Choice: A Health Plan Workout that helps you compare plans and make a smart choice. The rewards go into the accounts tied to the plans, and you can use rewards to pay for health care costs (medical, prescriptions, dental and vision) during the year. Think of these rewards as a reduction in your deductible. How rewards work If you make less than $90,000 Enroll in the HDHP and earn IMPORTANT Contact Information OR 500 $ Enroll in the PPO and earn 250 $ + For all teammates regardless of pay Complete Exercise Your Choice: A Health Plan Workout and earn $ 100 if you enroll in the HDHP or PPO These plan choice rewards are available for 2013. In future years, we anticipate continuing to use health accounts to provide rewards for taking actions that help you get healthier — like we do today with the Virgin HealthMiles program or participation in chronic condition nurse coaching. The incentives and actions needed to obtain them are expected to be re-evaluated annually. All teammates continue to be eligible for up to $500 in rewards for Virgin HealthMiles and rewards for nurse coaching for chronic conditions. Paying for Your Benefits When you make your medical plan choice, it’s important to compare coverage costs carefully. The HDHP continues to have the lowest premiums — more than 75% lower than the HMOs. The HMOs have the highest premiums, and HMO premiums are increasing significantly. While the HMO offers a lower deductible, when you factor in the premiums, the HMO may cost more over the course of a year. You may save more overall with the HDHP or PPO. Check out Exercise Your Choice: A Health Plan Workout to see how costs add up. To view your premiums for 2013, go to my HR online and choose “View My Benefit Options” under Manage This Event. Learn More Previous page Next page 2 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage Dental Coverage Tools and Resources Making Benefit Changes During the Year Contact Information What’s New Continued Other Changes •The prescription drug benefit for the Open Access HMO and PPO will now have a reduced individual out-of-pocket maximum of $2,000 (from the current $3,000 amount). Vision Coverage •There will no longer be a lifetime maximum on smoking cessation prescriptions. Flexible Spending Accounts (FSAs) •If you enroll in medical coverage, you will have enhanced coverage for women’s preventive care services — including generic contraceptives and in-network breastfeeding supplies for 2013. Disability Coverage Employee Assistance Program Legal Notices •There will be a lower maximum for contributions to a Health Care Flexible Spending Account — from the current $5,000 to $2,500 for 2013 — due to provisions under the Patient Protection and Affordable Care Act. •We will not offer a Limited Flexible Spending Account for those enrolled in the HDHP. Teammates enrolled in the HDHP can set up a Personal Health Saving Account (HSA) to set aside pre-tax dollars for health expenses — and any money not used during the year rolls over for the future. Previous page Next page 3 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Tools and Resources Making Benefit Changes During the Year Contact Information Enrolling What You Need to Do Now Medical Coverage During enrollment, October 25 — November 9: Dental Coverage •Use your resources to make good plan choices Home Page Vision Coverage Read this guide Flexible Spending Accounts (FSAs) Complete the Exercise Your Choice: A Health Plan Workout, for some quick coaching on Disability Coverage your health plan choices and a chance to test your knowledge against an expert. When you do, you earn $100 in your health plan account (if you enroll in the HDHP or PPO). Employee Assistance Program Check out tools and resources on my HR online Legal Notices Call my HR with questions •Decide how you will budget for anticipated medical care SunTrust rewards can get you started With the HDHP, contribute pre-tax dollars to a Personal Health Savings Account (HSA). The money is there if you need it in 2013, and it rolls over if you don’t use it. In fact, you are never taxed on the amounts contributed to this account as long as the funds are used for eligible health care expenses. With the PPO, consider contributing pre-tax dollars to a Health Care Flexible Spending Account. You forfeit any money you don’t use by March 15, 2014, so plan carefully. •Make an active election and enroll by November 9th. With the medical plan changes, all teammates must enroll. Budgeting and Saving for Health Care and Dependent Care Expenses If you have out-of-pocket costs for health care expenses and for day care for dependents who are under age 13 — or for an elderly parent — the Health Care and Dependent Care (Day Care) Flexible Spending Accounts let you set aside pre-tax dollars to pay for these expenses. The Health Care FSA is available if you enroll in the PPO or HMO. For example, if you set aside $2,000 in an FSA and use it during the year, you will save $300 if you are in the 15% income tax bracket. During Annual Enrollment, you can use Aetna’s FSA calculator to see how much you could save in taxes based on your anticipated health care and day care expenses. Previous page Next page 4 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling • Who Must Enroll • How to Enroll • Who You Can Enroll Tools and Resources Making Benefit Changes During the Year Contact Information Who Must Enroll Medical Coverage With the changes to your medical options, it’s important that everyone consider their personal needs and make an active choice during Annual Enrollment — October 25 through November 9, 2012. Use the tools available during Annual Enrollment to find the plan that offers you the best value — and think about how you want to pay and budget for care. Dental Coverage During Annual Enrollment you can: Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices •Enroll in, change, or drop medical, dental, and/or vision coverage •Add or drop covered dependents and change your coverage level •Enroll in one or both Flexible Spending Accounts (FSAs) for 2013 — if you don’t enroll, you won’t participate in an FSA for 2013 even if you participate this year, unless you have a qualified life event Please remember that elections you make during Annual Enrollment cannot be changed during the year unless you experience a qualified life event that allows a change to your current coverage. •Change your deduction amount for your Personal Health Savings Account (HSA) if you are currently enrolled in one. •Set up a SunTrust HSA for payroll deductions and reward dollars if you enroll in the HDHP and don’t have an account. There is one exception: If you enroll in the HDHP and set up a Personal Health Savings Account (HSA), you can change your contribution at any time during the year, subject to the annual maximum contribution. You can also open an HSA at any time during the year. Expenses eligible for reimbursement have to be incurred on or after the date the account was opened. Previous page Next page 5 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Tools and Resources Making Benefit Changes During the Year How to Enroll • Who Must Enroll • How to Enroll • Who You Can Enroll To enroll via my HR online From work: my HR online Medical Coverage From a non-work computer: my HR online at https://www.myhrsuntrust.com Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Contact Information To enroll by phone Representatives are available weekdays from 8:30 a.m. to 6:30 p.m. (ET) during Annual Enrollment. Dial 800.818.2363.to speak to a representative. You can access my HR with the following information: From work: no additional information is necessary, the system uses single sign-on From a non-work computer: the first time you access my HR online, you will need to enter your Social Security number and PIN (4 digits) and will then be asked to generate your own unique user ID and password which will be used for future access You will enter your six digit employee ID number and 4 digit PIN (if your EE ID is less than 6 digits, you will need to use leading zeros – for example, if your EE ID is 1234, you would enter 001234) Need a PIN or Employee ID Reminder? If you are logging into my HR for the first time from home and have forgotten your PIN, you can do one of the following items: •Online — From the my HR online sign-on page, select “Forgot Your PIN?” then you can either: — Enter your Social Security number and “Answer Challenge Questions” if you have previously registered for this feature, or — Enter your Social Security number and then click “Request your PIN” if you have not set up challenge questions •By phone – Call my HR, then enter your Employee ID number and wait to be prompted for a PIN reminder. If you are calling my HR and do not know your Employee ID number, you can: •Check the directory on the SunTrust intranet to obtain this information (it is the first item under the phone number section), or •Call my HR and request one If you have to request a PIN or EE ID reminder to be sent to you, this will be mailed to your home address within two business days of your request. Previous page Next page 6 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling • Who Must Enroll • How to Enroll • Who You Can Enroll Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Tools and Resources Making Benefit Changes During the Year Contact Information Who You Can Enroll As a full-time or regular part-time teammate, you can enroll yourself and your eligible dependents. Your eligible dependents include: •Your spouse •Your domestic partner* •Your children and stepchildren, up to the end of the year they turn 26 (must be no older than age 25 on December 31, 2012) •Your children age 26 or older who are permanently and totally disabled and who were disabled prior to age 26, or who became disabled while covered under a SunTrust plan as your eligible dependent * To cover your domestic partner, you can now provide certification of your domestic partner’s eligibility via my HR online with electronic signature. You can also find more information on the criteria and tax implications for domestic partner coverage. If you do not certify online, you and your domestic partner must complete an Affidavit, which my HR must then approve. Enrolling Ineligible Dependents Enrolling ineligible dependents is a violation of the SunTrust Code of Business Conduct and Ethics. Any teammate found to have enrolled ineligible dependents may be dropped from coverage and permanently ineligible from enrolling in the SunTrust benefits plans. The teammate may also be subject to disciplinary action, up to and including termination. Extended Coverage for a Child on Medical Leave from School Effective January 1, 2010, the Plan added a special provision to comply with Michelle’s Law. This provision applies only to a dependent child who is enrolled in the Plan because of full-time student status. If the dependent child has a serious illness or injury resulting in a medically necessary leave of absence or change in enrollment (such as reduction in hours) that causes a loss of student status, the Plan will extend coverage to the child for up to a year. Beginning January 1, 2011, the Plan does not require full-time student status as a condition of coverage for eligible dependents. Previous page Next page 7 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Tools and Resources Making Benefit Changes During the Year Contact Information Enrolling Tools and Resources Medical Coverage To Help You Make Good Decisions during Annual Enrollment Dental Coverage Exercise Your Choice: A Health Plan Workout Complete Exercise Your Choice: A Health Plan Workout for some quick coaching on your health plan choices and a chance to test your knowledge against an expert. You can pick up some important tips on comparing the medical plans — and, when you watch, you’ll earn $100 in your health plan account (if you enroll in the HDHP or PPO). Home Page Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Compare Health Plans Go to my HR online and hover over “my Benefits,” then select “my Health & Other Benefits.” Under “Tools,” select “Compare Health Plans.” This tool lets you compare plan features side-by-side and estimate how much each plan would cost in 2013 based on premiums plus your out-of-pocket cost for the medical care you anticipate. HSA Cost Calculator HSA Cost Calculator can help you estimate your annual tax savings based on your contribution and tax bracket if you enroll in the HDHP and set up a Personal Health Savings Account (HSA). Remember, any reward dollars you receive from SunTrust will be deposited into this account and will count toward your maximum allowable amount. Express Preview Express Preview helps you research drug costs and estimate your annual prescription drug expenses. It can help you estimate how much you may want to set aside for prescription costs. Aetna FSA Calculator Aetna’s FSA Calculator can help you determine an annual contribution amount based on your anticipated health care and dependent care (day care) needs and see how using a Flexible Spending Account (FSA) can help save you money in taxes. The Health Care FSA is available if you enroll in the PPO or an HMO. Previous page Next page 8 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage •C omparing How the Plans Pay Benefits • How the Accounts Work • Prescription Drug Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Tools and Resources Making Benefit Changes During the Year Contact Information Medical Coverage SunTrust will transition to account-based plans over the next two years, while phasing out the HMOs. We plan to use the accounts to encourage healthy steps — with rewards tied to specific actions you take to get healthier. Choices for 2013 High Deductible Health Plan (HDHP) with Personal Health Savings Account (HSA) Choices for 2014 HDHP with Personal HSA Streamlined PPO plan with Incentive Health Reimbursement Account (HRA) PPO plan with Incentive HRA HMOs available only for those currently enrolled: •Open Access HMO •Kaiser Permanente HMO (Atlanta and DC/Baltimore areas only) HMOs no longer offered What’s Not Changing It’s important to carefully consider your options this year. Premiums are changing and you can earn rewards for moving to the HDHP or PPO option. It pays to complete Exercise Your Choice: A Health Plan Workout to help you decide what’s best for you and your family. Click here for information on finding an in-network provider. With all SunTrust medical plans: •In-network preventive care is free •You’ll have coverage for a wide range of services — from routine office visits and prescriptions to more complex care for an illness or injury •Through Virgin HealthMiles, you can earn up to $500 in Health Cash each year by completing healthy activities •You or a covered family member can get support for chronic conditions and lifestyle improvements through ActiveHealth, offering personalized counseling and lifestyle coaching Preventive Care Covered by All Plans All plans cover in-network preventive care at 100% with no deductible. Eligible tests and screenings are considered preventive care if performed as part of a routine examination and considered appropriate based on evidence qualified protocols. Any test or screenings to diagnose disease based on symptoms will be covered as treatment if eligible. For a list of recommended immunizations and screenings based on your age, go to my HR online. Previous page Next page 9 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Tools and Resources Making Benefit Changes During the Year Comparing How the Plans Pay Benefits Medical Coverage •C omparing How the Plans Pay Benefits • How the Accounts Work • Prescription Drug Coverage HDHP In-network annual deductible Dental Coverage In-network annual out-ofpocket maximum Disability Coverage $600/individual $1,200/family HMO (available for 2013 only if you are currently enrolled) $150/individual $300/family $5,500 — teammate-only $11,000 — teammate and any dependents $4,000/individual $8,000/family $2,000/individual $4,000/family The maximum for out-of-network care is two times the in-network maximum Employee Assistance Program What the plan pays (use any provider — but the plan pays more when you use in-network providers) Legal Notices In-network preventive care Office visits • PCP/Physician • Specialist Hospital care • Inpatient services • Outpatient surgery Emergency care Click here for more information on prescription drug coverage. $1,500 — teammate-only $3,000 — teammate and any dependents PPO The deductible for out-of-network care is two times the in-network deductible Vision Coverage Flexible Spending Accounts (FSAs) Contact Information In-network: Plan pays 100%, no deductible Out-of-Network: Plan pays 70% of R&C allowance after deductible In-network: Plan pay 90% after deductible In-network: Plan pay 80% after deductible Out-of-network: Plan pays 70% of R&C allowance after deductible (out-of-network emergency care covered at in-network benefit level) Out-of-network: Plan pays 60% of R&C allowance after deductible (out-of-network emergency care covered at in-network benefit level) What the Plan pays (can use in-network providers only) Plan pays 100% 100% after: • $25 copay • $35 copay 90% after deductible 100% after $125 copay (waived if admitted)* Urgent care 100% after $50 copay Lab and X-ray 100%, no deductible Mental health/substance abuse • Inpatient • Outpatient • 90% after deductible • 100% after $25/copay * Emergency care is covered at the in-network benefit level for a life- or limb-threatening emergency. Previous page Next page 10 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Tools and Resources Making Benefit Changes During the Year Contact Information Enrolling How the Accounts Work Medical Coverage If you enroll in the HDHP, the Personal Health Savings Account (HSA) works like this: Home Page •C omparing How the Plans Pay Benefits • How the Accounts Work • Prescription Drug Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Money goes in Money comes out Have money left? It rolls over. SunTrust rewards — $500 (if you make less than $90,000 a year), plus $100 if you complete Exercise Your Choice: A Health Plan Workout (regardless of pay) plus Any pre-tax contributions you make from your pay up to: •a total of $3,250 for single coverage •a total of $6,450 if you enroll your spouse/ domestic partner and/or children •An extra $1,000 if you are age 55 or older (Any SunTrust rewards you earn count toward these maximums) plus You pay the full cost of non-preventive care, including prescription drugs, until you meet the deductible. You receive discounted rates in-network. By budgeting now, you can set aside enough money each pay period to cover your deductible if you need it. Any money left in your account is yours to pay for health care in the future. If you leave SunTrust, you can take it with you. Any Health Cash you earn for participating in Virgin HealthMiles (counts toward the contribution maximum above). When you have an eligible expense, you can pay it with your HSA debit card, request direct payment from your account to your provider, or reimburse yourself from the account if you pay the expense out of pocket. You can be reimbursed up to your account balance at the time. If there is not enough money in your account to cover the expense, you can pay it and reimburse yourself later. If you enroll in the PPO with Incentive Health Reimbursement Account: What’s different? •You can receive up to $350 in reward dollars — $250 for enrolling in the plan (if you make less than $90,000 a year) plus $100 for completing Exercise Your Choice: A Health Plan Workout (regardless of pay). •Your unused reward dollars roll over from year to year. If you leave SunTrust or move to the HDHP, however, you lose the money in your account. •Only reward dollars from SunTrust go into your Incentive Health Reimbursement Account. You can save pre-tax in a Health Care Flexible Spending Account (FSA) to pay eligible expenses you have through March 15, 2014. Money in your FSA doesn’t roll over to the next plan year, so you need to plan carefully. Setting up a Personal Health Savings Account (HSA) Go to the my HR online or call 866.442.1313. Health Savings Accounts and Dependent Expenses While the Patient Protection and Affordable Care Act (PPACA) allows parents to add adult children (up to age 26) to their medical plans, the IRS has not changed its definition of a dependent for HSAs. This means that a teammate with a child age 24 or older (19 or older if not a full-time student) covered under the SunTrust HDHP cannot use HSA funds to pay for medical expenses for that child. Previous page Next page 11 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage •C omparing How the Plans Pay Benefits • How the Accounts Work • Prescription Drug Coverage Tools and Resources Making Benefit Changes During the Year Contact Information Prescription Drug Coverage Prescription drug benefits for the Open Access HMO, PPO and HDHP are provided through Express Scripts. •Your cost is lowest when you use generic medications. Vision Coverage •If you are unable to switch to generic, your cost for brand-name drugs is lower when you use a drug on the preferred drug list. The preferred drug list, which is available at my HR online, is compiled by an independent group of doctors and pharmacists and includes medications for most medical conditions. Flexible Spending Accounts (FSAs) •You are required to use home delivery for regular maintenance medications after the third retail order or contact Express Scripts to opt out of mail order. Dental Coverage Disability Coverage Employee Assistance Program HDHP PPO Open Access HMO Annual Deductible HDHP deductible applies None None Annual Out-of-Pocket Maximum HDHP out-of-pocket maximum applies $2,000 per person $2,000 per person Generic 10%, no maximum* $10 copay $10 copay Preferred brand-name 10%, no maximum* 40%, max. $115 40%, max. $115 Non-Preferred brand-name 20%, no maximum* 50%, max. $135 50%, max. $135 Generic 10%, no maximum* $20 copay $20 copay Preferred brand-name 10%, no maximum* 40%, max. $230 40%, max. $230 Non-Preferred brand-name 20%, no maximum* 50%, max. $270 40%, max. $270 Legal Notices Note: •You must meet the HDHP deductible before the plan begins paying for prescriptions. •There will no longer be a lifetime maximum on smoking cessation drugs in 2013. •Walgreens now participates in the Express Scripts network. Retail (30-day supply) Home Delivery (90-day supply) * Subject to medical/prescription drug out-of-pocket maximum. For the Kaiser Permanente HMO, prescription drug coverage is provided through Kaiser. See the Kaiser web site for details. Previous page Next page 12 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Tools and Resources Making Benefit Changes During the Year Contact Information Enrolling Dental Coverage Medical Coverage Depending on your home zip code, you have a choice of either two or three dental plans for 2013: Dental Coverage •The Cigna Basic option Home Page Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices •The Cigna Plus option •The Cigna Dental HMO (if you live in a Cigna Dental HMO network area) You may use any dentist you choose under the Basic and Plus options. However, you may pay less if you visit a dentist who participates in Cigna’s Radius dental network. The Cigna Dental HMO is available only if you live in a Cigna Dental HMO network area. When you enroll in the Dental HMO, you select an in-network general dentist who provides routine, basic care and refers you to specialty dentists when necessary. Payment for services is based on a predetermined patient charge schedule, available on my HR online. Cigna Basic* Cigna Plus* Cigna Dental HMO Annual Deductible $50 per person $150 per family $50 per person $150 per family None Annual Out-of-Pocket Maximum $500 per person $1,500 per person Unlimited Preventive care (cleanings, diagnostic X-rays) 100% 100% Basic care (fillings, periodontal care, root canals) 80% after deductible 80% after deductible Major care (crowns, bridges) Not covered 50% after deductible Orthodontia Not covered 50%, no deductible $1,500 lifetime maximum What the Plan Pays Costs based on patient charge schedule** * All claims are subject to R&C allowances unless you visit a dentist who participates in Cigna’s Radius network. Using a preferred provider could result in lower out-of-pocket expenses. ** The updated schedule is available at my HR online. Previous page Next page 13 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Tools and Resources Contact Information Vision Coverage The vision care benefit, offered through UnitedHealthcare Vision, helps you and your family save money on exams, eyeglasses, contacts, and laser eye surgery. UnitedHealthcare Vision has a national network of participating independent doctors and retail chain providers. Whenever you need vision care, you can use any doctor you want. However, you receive a higher level of benefits when you choose a UnitedHealthcare Vision in-network provider. Service In-Network Out-of-Network How Often Covered Routine eye exam 100% after $10 copay Up to $40 allowance Lenses 100% after $25 copay Allowance: Once every calendar • Single vision: Up to $40 year • Bifocal: Up to $60 • Trifocal: Up to $80 • Lenticular: Up to $80 Frames* Allowance: • Up to $50 wholesale from private practice • Up to $130 from retail chain Up to $45 allowance Once every two calendar years Contact lenses** 100% after $25 copay Allowance: • Elective: Up to $105 • Medically necessary: Up to $210 Once every calendar year Optional Items Not Covered Certain optional items, such as scratchguard coating and progressive lenses, are not covered under the plan and are your responsibility to pay. Making Benefit Changes During the Year Once every calendar year Contact Lens Selection Expanded The Contact Lens Formulary was updated effective June 1, 2012. Many of the most popular disposable contact lenses on the market are now covered. Learn more. * When you use UnitedHealthcare Vision network providers, UnitedHealthcare Vision covers a wide selection of frames, but not all frames are covered in full. ** Contact lenses are covered in lieu of eyeglass lenses and frames. Up to four boxes of disposable contact lenses may be covered, depending on the prescription. Laser eye surgery is also available at discounted rates from any Laser Vision Network of America (LVNA) provider location nationwide. Previous page Next page 14 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Tools and Resources Making Benefit Changes During the Year Contact Information Flexible Spending Accounts (FSAs) Dental Coverage The Health Care and Dependent Care (Day Care) Flexible Spending Accounts (FSAs), administered by Aetna, let you save on taxes while paying for eligible health care and dependent care expenses. Vision Coverage How the FSAs Work Flexible Spending Accounts (FSAs) When you enroll in either FSA, you decide how much to contribute to each account by estimating your eligible expenses for the upcoming year. Your contributions are taken from your pay before federal income and Social Security taxes are deducted from your paycheck. In many cases, you also avoid state and local income taxes. Pre-tax deductions lower your taxable income and reduce the amount you pay in taxes each year. When you have an eligible expense, you can use your taxfree dollars from your account to cover the expense. Medical Coverage • The Health Care FSA • The Dependent Care (Day Care) FSA Disability Coverage Employee Assistance Program Legal Notices Keep in mind that these are two separate accounts. You cannot transfer funds from one account to the other. Health Care FSA Dependent Care (Day Care) FSA Eligible Expenses Expenses that are not paid for by other medical, prescription, dental, or vision plans and are considered tax deductible by the IRS. Includes: •Copayments, coinsurance, and deductibles you pay outof-pocket for the medical, prescription drug, dental and vision plans •Eye examinations, contact lenses, eye glasses, and frames •Over-the-counter medications with a prescription and insulin Expenses for the care of eligible dependents — those who you claim as dependents on your federal tax return — only. Includes: •Children under age 13 •Dependents who are mentally or physically disabled, normally spend at least eight hours in your home each day, and need supervised care while you work Contributions Up to $2,500 Up to $5,000 (or $2,500 if you are married and file separate tax returns) Incur expenses by: March 15, 2014 (if you are contributing as of December 31, 2013) December 31, 2013 Submit claims by: May 31, 2014 for either account More Previous page Next page 15 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Tools and Resources Making Benefit Changes During the Year Contact Information Flexible Spending Accounts (FSAs) Continued Medical Coverage Plan Carefully — IRS Rules Apply Dental Coverage Keep these facts in mind as you decide how much to contribute to either or both FSAs: Vision Coverage Flexible Spending Accounts (FSAs) • The Health Care FSA • The Dependent Care (Day Care) FSA Disability Coverage Employee Assistance Program Legal Notices •You must use all of the money in your FSA for expenses you have while you are contributing to your FSA. You forfeit any money left in your account at the deadline. You have until May 31, 2014 to submit eligible 2013 expenses. •You cannot change your FSA contribution amounts during the year unless you have a qualified life event. •You may not transfer money between FSAs. Money in your Health Care FSA cannot be used to reimburse dependent care expenses, and vice versa. For the Health Care FSA, you must be contributing to the account at the time you receive services for related charges to be eligible for reimbursement. Put Your Money Where You Need It! It’s important to understand what expenses are eligible under each FSA so that you can make sure you’re contributing the right amounts to the right FSAs. For instance, if you want to use an FSA to reimburse yourself for dependent health care expenses, you’d need to know that those expenses can be reimbursed only through the Health Care FSA — not the Dependent Care (Day Care) FSA. Previous page Next page 16 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) • The Health Care FSA • The Dependent Care (Day Care) FSA Disability Coverage Employee Assistance Program Legal Notices Tools and Resources Making Benefit Changes During the Year Contact Information The Health Care FSA You can contribute up to $2,500 per year to your Health Care FSA to pay for eligible outof-pocket medical, prescription, dental, and vision care expenses for you and your eligible dependents. Eligible dependents are your legal spouse and anyone you can claim as a legal dependent on your federal tax return. New maximum contribution for 2013: $2,500 The Health Care FSA and the HSA If you enroll in the HDHP and contribute to a Personal Health Savings Account (HSA), you cannot enroll in the Health Care FSA. The Health Care FSA can be used to pay for: The Health Care FSA CANNOT be used to pay for: •Acupuncture •Chiropractic services •Crutches and wheel chairs •Dentures •Eye examinations, contact lenses and solution, eyeglasses and frames •Hearing aids •Lamaze classes •Laser eye surgery •Mental health and substance abuse treatment •Orthodontia •Copayments, coinsurance, and deductibles you pay out of your pocket for the medical, prescription drug, dental, and vision plans •Over-the-counter (OTC) medications with a prescription or insulin •Elective cosmetic surgery •OTC medications without a prescription •Exercise equipment •Expenses claimed as a deduction or credit for federal or state income tax purposes •Funeral or burial expenses •Health club dues •Premiums for medical, dental, or vision plans For PPO participants: Aetna will use the money in your Health Care FSA before using any reward dollars (Incentive HRA) you earn. This is due to the fact that your FSA money cannot be rolled over from year to year if you don’t use it, while rewards (Incentive HRA) can be rolled over, as long as you remain employed by SunTrust and do not move to the HDHP. A more detailed list of eligible and non-eligible expenses is on my HR online. Use Aetna’s FSA Calculator to help determine an annual contribution amount based on your anticipated health care needs and see how using an FSA can help save you money in taxes. Previous page Next page 17 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) • The Health Care FSA • The Dependent Care (Day Care) FSA Disability Coverage Employee Assistance Program Legal Notices Tools and Resources Making Benefit Changes During the Year Contact Information The Dependent Care (Day Care) FSA You may contribute up to $5,000 (or up to $2,500 if you are married and you and your spouse file separate tax returns) to the Dependent Care (Day Care) FSA to reimburse yourself for dependent care expenses you have so that you — or, if you are married, you and your spouse — can work. You may also use the account if your spouse is disabled or a full-time student for at least five months of the year. The Dependent Care (Day Care) FSA can only be used to reimburse expenses for the care of eligible dependents. Eligible dependents include your children under age 13 whom you claim as dependents on your federal tax return and any other dependents you claim on your federal tax return who are mentally or physically disabled, normally spend at least eight hours in your home each day, and need supervised care. Any expenses paid through the Dependent Care (Day Care) FSA reduce the amount you are eligible to receive under the federal childcare tax credit. If you are considering enrolling in the Dependent Care (Day Care) FSA for 2013, take the time to compare the tax benefits of the FSA and the federal childcare tax credit to determine which works best for you. The Dependent Care (Day Care) FSA can be used to pay for: The Dependent Care (Day Care)FSA CANNOT be used to pay for: •Services provided by babysitters or caregivers, including your relatives whom you do not claim as exemptions on your federal tax return •Expenses for a housekeeper whose services include care of an eligible dependent •Services provided by a licensed elder care center, childcare center, or nursery school •Social Security and other taxes you pay a caregiver •Health care expenses for a dependent child or adult •Child support payments •Food, clothing, and entertainment •Overnight camps •Extracurricular activities •Private school Bright Horizons provides a back-up when your regular care arrangements are not available — whether you have a sick child or adult dependent, there’s a school closing, you need to travel on business, or your stayat-home spouse has an appointment. Find out more on the Bright Horizons site. A more detailed list of eligible and non-eligible expenses is available on my HR online. Use Aetna’s FSA Calculator to help determine an annual contribution amount based on your anticipated dependent care (day care) needs and see how using an FSA can help save you money in taxes. Previous page Next page 18 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Tools and Resources Making Benefit Changes During the Year Contact Information Disability Coverage SunTrust offers you several ways to help provide financial security for you and your loved ones in the case of unforeseen events. SunTrust provides short-term disability (STD) which pays benefits of 100% or 60% of pay based on length of service for eligible teammates, for up to 180 days. In addition, for full-time teammates who have completed at least six months of service, SunTrust provides basic long-term disability (LTD) coverage which pays benefits after STD coverage ends. Basic LTD provides a benefit of 50% of base pay or benefits base at no cost to you. During Annual Enrollment, full-time teammates who started work with SunTrust on or before June 30, 2012 can increase LTD benefits by choosing supplemental long-term disability (LTD) coverage. You pay for supplemental LTD with after-tax dollars. Long-Term Disability (LTD) Basic LTD Benefit Supplemental LTD •Provided by SunTrust at no cost •Optional coverage you can choose to you to purchase to increase your LTD •Pays a benefit of 50% of base benefit pay or benefits base •Choose: – 60% of base pay or benefits base – 70% of base pay or benefits base ...when combined with basic LTD Other Income Protection Benefits •Basic Life and Accidental Death & Dismemberment (AD&D) Insurance at no cost to you •Business Travel Accident Insurance at no cost to you •Group Universal Life (GUL) and Voluntary AD&D Insurance (you pay the cost at group rates and can apply at any time; may be subject to underwriting) The maximum monthly amount benefit for basic and supplemental LTD: Annual salary (up to federal limit, which is $245,000 for 2012) times percentage elected (50%, 60% or 70%) divided by 12 When Benefits Begin After 180 days of disability — if approved (Note: You must be receiving short-term disability benefits the day before your LTD effective date.) How Long Benefits Continue Generally, until you are no longer disabled or age 65, whichever is earlier More Previous page Next page 19 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Tools and Resources Making Benefit Changes During the Year Contact Information Home Page Long-Term Disability (LTD) continued Enrolling Your Cost for Supplemental Coverage Your 2013 cost for coverage is based on your pay as of August 31, 2012, and the level of supplemental coverage you choose — 60% or 70%. You can go to my HR online to see your per pay period premium. Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Your premium will not change during the calendar year, even if your base pay or benefits base changes. Premium deductions will stop if your status changes to make you ineligible for LTD coverage. If you are disabled, your LTD benefit will be based on the greater of your pay right before disability begins or pay used to determine your premium. Supplemental coverage cannot be added, changed or stopped during the year, even if you have a qualified life event. If you enroll in supplemental LTD coverage, you pay your share of the cost with after-tax dollars. Pre-Existing Conditions and LTD Coverage You are not required to provide evidence of good health to enroll in LTD coverage and there is no pre-existing condition limitation for basic LTD. There is a pre-existing condition limitation, however, for supplemental LTD. LTD benefits aren’t payable for a disability caused by a preexisting condition until you have been covered 12 months or you’ve been without treatment (including prescription drugs) for the pre-existing condition for three months. If you are on leave, you must participate in Annual Enrollment if you want to purchase supplemental coverage. However, if you are on leave January 1, 2013, your election will not go into effect until you return from leave. Previous page Next page 20 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Tools and Resources Making Benefit Changes During the Year Contact Information Employee Assistance Program (EAP) The Employee Assistance Program (EAP) is provided free of charge to all SunTrust teammates. The EAP offers free, confidential, short-term counseling, as well as resource information on a variety of life issues such as elder care, child care, and general living support. ComPsych® GuidanceResources® provides professional and personal assistance for you and your family members for any type of problem. Counseling is given by experienced, licensed counselors and is available 24 hours a day, seven days a week. You can receive five visits per issue in any 12-month period at no cost to you. If you need additional care, services may be covered by your medical plan. It’s important to check your medical plan coverage, including provider networks, before you continue care. You can also use ComPsych® to find appropriate child care as well as resources to meet the needs of aging parents. This resource and referral service helps you explore options, find background information, and identify resources for choosing day care and/or finding elder care providers. The EAP also offers a resource for getting expert information on a variety of life tasks. Provided through FamilySource®, this service can save you time and help minimize the headaches related to: •Buying homes, cars, or computers •Planning a vacation or obtaining a passport •Relocating to a new city •Having repairs or construction done on your home •Entertaining family and friends The EAP also provides financial and legal resources: •Legal support for issues ranging from divorce and family law to criminal and civil actions •Financial help with anything from resolving debt issues to retirement planning Go to www.guidanceresources.com (ID “SunTrustCares”) or call 877.369.1785. Previous page Next page 21 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Tools and Resources Making Benefit Changes During the Year Contact Information Making Benefit Changes During the Year In general, the benefits you choose during Annual Enrollment will stay in effect through December 31. Because you pay for coverage with pre-tax dollars, the SunTrust Health and Welfare Plan is bound by IRS restrictions on changes to your medical, dental, or vision coverage, or your FSA selections during the year. If you have a qualified life event, such as those listed below, you can make benefit changes provided that the change is consistent with the event. For example, if you get married, you can add your spouse to your health coverage. You can also make a change if you have a HIPAA Special Enrollment event, such as gaining a new dependent as the result of marriage, birth, adoption or placement for adoption, or you decline SunTrust coverage because of other group coverage and you lose eligibility for that coverage. Any changes to your benefits choices must be made within 31 days of the date of the event. Qualified life events include: •An addition to your family — through marriage, birth, or adoption •A change in dependent status — through divorce, death, or loss of eligibility for benefits •A change in your spouse’s benefits — because of a new job, job loss, significant change in cost or coverage, or discontinuation of benefits You can change or stop your pre-tax Personal Health Savings Account contributions at any time, for any reason. Your supplemental LTD election cannot be changed during the year. The only exception is if you change to a status other than full-time. To notify SunTrust of any qualifying events and to make changes during the year, contact my HR at 800.818.2363 and follow the prompts to speak with a representative between 8:30 a.m. and 5:30 p.m. (ET) Monday through Friday. Teammates and dependents who are eligible for but not enrolled in the SunTrust plan may enroll if they lose Medicaid or CHIP coverage because they are no longer eligible, or they become eligible for a state’s premium assistance program. You have 60 days from the date of the Medicaid/CHIP event to request enrollment under the plan. If you request this change, coverage will be effective the first of the month following your request for enrollment. Specific restrictions may apply, depending on federal and state law. See Legal Notices for more about Medicaid and CHIP coverage. Previous page Next page 22 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Tools and Resources Making Benefit Changes During the Year Contact Information Medicaid and the Children’s Health Insurance Program (CHIP) Offer Free or Low-Cost Health Coverage to Children and Families If you or your children are eligible for Medicaid or CHIP and you are eligible for health coverage from your employer, your State may have a premium assistance program that can help pay for coverage. These States use funds from their Medicaid or CHIP programs to help people who are eligible for these programs, but also have access to health insurance through their employer. If you or your children are not eligible for Medicaid or CHIP, you will not be eligible for these premium assistance programs. If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed below, you can contact your State Medicaid or CHIP office to find out if premium assistance is available. If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligible for either of these programs, you can contact your State Medicaid or CHIP office or dial 1-877-KIDS NOW or www. insurekidsnow.gov to find out how to apply. If you qualify, you can ask the State if it has a program that might help you pay the premiums for an employer-sponsored plan. Once it is determined that you or your dependents are eligible for premium assistance under Medicaid or CHIP, as well as eligible under your employer plan, your employer must permit you to enroll in your employer plan if you are not already enrolled. This is called a “special enrollment” opportunity, and you must request coverage within 60 days of being determined eligible for premium assistance. If you have questions about enrolling in your employer plan, you can contact the Department of Labor electronically at www.askebsa.dol.gov or by calling toll-free 1-866-444-EBSA (3272). If you live in one of the following States, you may be eligible for assistance paying your employer health plan premiums. The following list of States is current as of July 31, 2012. You should contact your State for further information on eligibility. ALABAMA — Medicaid Website: http://www.medicaid.alabama.gov Phone: 1-800-362-1504 ALASKA — Medicaid Website: http://health.hss.state.ak.us/dpa/programs/ medicaid/ Phone (Outside of Anchorage): 1-888-318-8890 Phone (Anchorage): 907-269-6529 ARIZONA — CHIP Website: http://www.azahcccs.gov/applicants Phone (Outside of Maricopa County): 1-877-764-5437 Phone (Maricopa County): 602-417-5437 COLORADO — Medicaid and CHIP Medicaid Website: http://www.colorado.gov/ Medicaid Phone (In state): 1-800-866-3513 Medicaid Phone (Out of state): 1-800-221-3943 More Previous page Next page 23 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage Tools and Resources Making Benefit Changes During the Year Contact Information FLORIDA — Medicaid Website: https://www.flmedicaidtplrecovery.com/ Phone: 1-877-357-3268 Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices GEORGIA — Medicaid Website: http://dch.georgia.gov/ Click on Programs, then Medicaid, then Health Insurance Premium Payment (HIPP) Phone: 1-800-869-1150 IDAHO — Medicaid and CHIP Medicaid Website: www.accesstohealthinsurance.idaho.gov Medicaid Phone: 1-800-926-2588 CHIP Website: www.medicaid.idaho.gov CHIP Phone: 1-800-926-2588 INDIANA — Medicaid Website: http://www.in.gov/fssa Phone: 1-800-889-9949 IOWA — Medicaid Website: www.dhs.state.ia.us/hipp/ Phone: 1-888-346-9562 MAINE — Medicaid Website: http://www.maine.gov/dhhs/ofi/public-assistance/ index.html Phone: 1-800-977-6740 TTY 1-800-977-6741 MASSACHUSETTS — Medicaid and CHIP Website: http://www.mass.gov/MassHealth Phone: 1-800-462-1120 MINNESOTA — Medicaid Website: http://www.dhs.state.mn.us/ Click on Health Care, then Medical Assistance Phone: 1-800-657-3629 MISSOURI — Medicaid Website: http://www.dss.mo.gov/mhd/participants/pages/hipp. htm Phone: 573-751-2005 MONTANA — Medicaid Website: http://medicaidprovider.hhs.mt.gov/clientpages/ clientindex.shtml Phone: 1-800-694-3084 KANSAS — Medicaid Website: http://www.kdheks.gov/hcf/ Phone: 1-800-792-4884 NEBRASKA — Medicaid Website: www.ACCESSNebraska.ne.gov Phone: 1-800-383-4278 KENTUCKY — Medicaid Website: http://chfs.ky.gov/dms/default.htm Phone: 1-800-635-2570 NEVADA — Medicaid Medicaid Website: http://dwss.nv.gov/ Medicaid Phone: 1-800-992-0900 LOUISIANA — Medicaid Website: http://www.lahipp.dhh.louisiana.gov Phone: 1-888-695-2447 NEW HAMPSHIRE — Medicaid Website: http://www.dhhs.nh.gov/oii/documents/hippapp.pdf Phone: 603-271-5218 More Previous page Next page 24 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Tools and Resources Making Benefit Changes During the Year Contact Information NEW JERSEY — Medicaid and CHIP Medicaid Website: http://www.state.nj.us/humanservices/ dmahs/clients/medicaid/ Medicaid Phone: 1-800-356-1561 RHODE ISLAND — Medicaid Website: www.ohhs.ri.gov Phone: 401-462-5300 CHIP Website: http://www.njfamilycare.org/index.html CHIP Phone: 1-800-701-0710 NEW YORK — Medicaid Website: http://www.nyhealth.gov/health_care/medicaid/ Phone: 1-800-541-2831 SOUTH CAROLINA — Medicaid Website: http://www.scdhhs.gov Phone: 1-888-549-0820 NORTH CAROLINA — Medicaid SOUTH DAKOTA - Medicaid Website: http://www.ncdhhs.gov/dma Phone: 919-855-4100 Website: http://dss.sd.gov Phone: 1-888-828-0059 NORTH DAKOTA — Medicaid TEXAS — Medicaid Website: http://www.nd.gov/dhs/services/medicalserv/ medicaid/ Phone: 1-800-755-2604 Website: https://www.gethipptexas.com/ Phone: 1-800-440-0493 OKLAHOMA — Medicaid and CHIP UTAH — Medicaid and CHIP Website: http://www.insureoklahoma.org Phone: 1-888-365-3742 Website: http://health.utah.gov/upp Phone: 1-866-435-7414 OREGON — Medicaid and CHIP VERMONT– Medicaid Website: http://www.oregonhealthykids.gov http://www.hijossaludablesoregon.gov Phone: 1-877-314-5678 Website: http://www.greenmountaincare.org/ Phone: 1-800-250-8427 PENNSYLVANIA — Medicaid Website: http://www.dpw.state.pa.us/hipp Phone: 1-800-692-7462 VIRGINIA — Medicaid and CHIP Medicaid Website: http://www.dmas.virginia.gov/rcp-HIPP.htm Medicaid Phone: 1-800-432-5924 CHIP Website: http://www.famis.org/ CHIP Phone: 1-866-873-2647 More Previous page Next page 25 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Tools and Resources Making Benefit Changes During the Year Contact Information WASHINGTON — Medicaid Website: http://hrsa.dshs.wa.gov/premiumpymt/Apply.shtm Phone: 1-800-562-3022 ext. 15473 WISCONSIN — Medicaid Website: http://www.badgercareplus.org/pubs/p-10095.htm Phone: 1-800-362-3002 WEST VIRGINIA — Medicaid Website: www.dhhr.wv.gov/bms/ Phone: 1-877-598-5820, HMS Third Party Liability WYOMING — Medicaid Website: http://health.wyo.gov/healthcarefin/equalitycare Phone: 307-777-7531 To see if any more States have added a premium assistance program since July 31, 2012, or for more information on special enrollment rights, you can contact either: U.S. Department of Labor Employee Benefits Security Administration www.dol.gov/ebsa 1-866-444-EBSA (3272) U.S. Department of Health and Human Services Centers for Medicare & Medicaid Services www.cms.hhs.gov 1-877-267-2323, Ext. 61565 Previous page Next page 26 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Tools and Resources Making Benefit Changes During the Year Contact Information Notice About Prescription Drugs and Medicare SunTrust Banks, Inc. Retiree Health Plan and SunTrust Banks, Inc. Employee Benefit Plan — All Medical Options Revised September 2012 for 2013 Plan Year Your Prescription Drug Coverage and Medicare Important Notice from SunTrust Banks, Inc. If you or one of your covered dependents is eligible for Medicare benefits, please read this notice carefully and keep it where you can find it. At the end of this notice is information about where you can get help to make decisions about your prescription drug coverage. 1.Medicare prescription drug coverage became available in 2006 to everyone with Medicare through Medicare prescription drug plans and Medicare Advantage Plans that offer prescription drug coverage. All Medicare prescription drug plans provide at least a standard level of coverage set by Medicare. Some plans may also offer more coverage for a higher monthly premium. 2.SunTrust has determined that the prescription drug coverage included as part of medical coverage under either the Retiree Health Plan or the Employee Benefit Plan is, on average for each plan’s participants, expected to pay out at least as much as the standard Medicare prescription drug coverage will pay. Therefore, the SunTrust prescription drug benefits under all medical options are considered Creditable Coverage. Because the prescription drug coverage through all SunTrust medical plans in 2012 and in 2013 is on average at least as good as standard Medicare prescription drug coverage, you can keep this coverage and not pay extra if you later decide to enroll in Medicare prescription drug coverage. Individuals can enroll in a Medicare prescription drug plan when they first become eligible for Medicare and each year from October 15 through December 31. Beneficiaries leaving employer/union coverage may be eligible for a Special Enrollment Period to sign up for a Medicare prescription drug plan. More Previous page Next page 27 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Tools and Resources Making Benefit Changes During the Year Contact Information Home Page Enrolling Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Notice About Prescription Drugs and Medicare Continued You should compare your current coverage, including which drugs are covered, with the coverage and cost of the plans offering Medicare prescription drug coverage in your area. A description of SunTrust’s prescription drug coverage is included in the SunTrust Retiree Summary Plan Descriptions and the SunTrust Benefits Summary Plan Descriptions. It is also described in this SunTrust Annual Enrollment Guide and the New Hire Orientation Guide. The SunTrust Benefits Service Center (my HR) can tell you how to get a copy. SunTrust’s coverage pays for other health expenses, in addition to prescription drugs. Unless you are in active SunTrust employment, if you choose to enroll in a Medicare prescription drug plan, prescription drug benefits generally will not be paid under the SunTrust coverage, but other covered health expenses will be paid according to the plan document. Even if the SunTrust coverage does not pay for prescription drug benefits because you have Medicare prescription coverage, your SunTrust premium will not be reduced. You should also know that, once Medicare-eligible, if you drop or lose your SunTrust medical coverage (because of failure to pay premiums) and don’t enroll in Medicare prescription drug coverage soon after your SunTrust coverage ends, you may pay more (a penalty) to enroll in Medicare prescription drug coverage later. Specifically, if you go 63 days or longer without prescription drug coverage that’s at least as good as Medicare’s prescription drug coverage, your Medicare Part D monthly premium will go up at least 1% per month for every month that you were eligible but did not have that coverage. For example, if you go 19 months without coverage, your premium will always be at least 19% higher than what most other people pay. You’ll have to pay this higher premium as long as you have Medicare prescription drug coverage. In addition, you may have to wait until the next October to enroll. More Previous page Next page 28 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Tools and Resources Making Benefit Changes During the Year Contact Information Home Page Enrolling Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Notice About Prescription Drugs and Medicare Continued More detailed information about Medicare plans that offer prescription drug coverage is in the Medicare & You handbook. A new version of this handbook is mailed every year to Medicare beneficiaries directly from Medicare. You may also be contacted directly by Medicare prescription drug plans. For more information about Medicare prescription drug plans: •Visit www.medicare.gov •Call your State Health Insurance Assistance Program (see your copy of the Medicare & You handbook for their telephone number) for personalized help •Call 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048. For people with limited income and resources, extra help paying for Medicare prescription drug coverage is available. Information about this extra help is available from the Social Security Administration (SSA) online at www.socialsecurity.gov, or you may call them at 1-800-772-1213 (TTY 1-800-325-0778). Remember: Keep this notice if you are eligible for Medicare or will become eligible within the next 12 months. If you enroll in one of the plans approved by Medicare which offer prescription drug coverage, you may be required to provide a copy of this notice when you join to show that you are not required to pay a higher premium amount. For more information about this notice or your current prescription drug coverage… Contact my HR online (https://myhr.suntrust.com) or call 800.818.2363. NOTE: You may receive this notice at other times in the future such as before the next period you can enroll in Medicare prescription drug coverage, and if this coverage changes. You also may request a copy of this notice at any time. More Previous page Next page 29 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Tools and Resources Making Benefit Changes During the Year Contact Information Home Page Enrolling Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Privacy Notice SunTrust protects the privacy of your protected health information. SunTrust Human Resources complies with all HIPAA privacy rules. The SunTrust and ComPsych (EAP) Privacy Policies are available at my HR online in the Library. Take a moment to read how these privacy rules restrict how and when protected health information can be used and disclosed. You can also call my HR and request that a copy be sent to you. Breast Reconstruction Following a Mastectomy If you have to have a mastectomy, all SunTrust medical plans provide the following benefits: •Reconstruction of the breast on which the mastectomy has been performed •Surgery and reconstruction of the other breast to produce a symmetrical appearance •Prostheses and treatment of physical complications at all stages of mastectomy, including lymphedemas Previous page Next page 30 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Tools and Resources Making Benefit Changes During the Year Contact Information Contact Information This enrollment guide provides highlights of your 2013 SunTrust Benefit Plans. If you have questions that are not answered in this guide, use these online resources and telephone numbers to get answers. For questions about… Go online to… Or call… Aetna — Medical www.aetna.com (member information) 800.835.6167 Aetna Flexible Spending Accounts/ Health Reimbursement Accounts www.aetnanavigator.com 888.238.6226, fax 888.238.3539 Anthem BlueCross BlueShield — Medical www.anthem.com 800.628.3988 my HR — Enrolling for benefits https://myhr.suntrust.com 800.818.2363 (TDD: 800.811.8565) Bright Horizons www.brighthorizons.com/advantage (user name “SunTrust”; password “BrightHorizons”) 877.BH.CARES (877.242.2737) CIGNA — Dental www.mycigna.com 800.769.2116 CIGNA — Medical www.mycignaplans.com Open Enrollment ID: SunTrust2013 Open Enrollment Password: cigna 800.769.2116 Employee Assistance Program (EAP) www.guidanceresources.com (use ID “SunTrustCares”) 877.369.1785 Express Scripts prescription drug benefits (all plans except Kaiser Permanente HMO) www.express-scripts.com or https://member.express-scripts.com/preview/ suntrust2013 (Express Preview) 877.242.1128 (general information) 800.824.0898 (pharmacy help desk) 866.848.9870 (CuraScript) Health Savings Account www.connectyourcare.com/suntrustpf/ 866.442-1313 Kaiser Permanente Atlanta HMO Kaiser Permanente DC/Baltimore HMO For both locations: http://my.kp.org/SunTrust 404.365.4110 (Atlanta) 877.218.7739 (DC/Baltimore) Sparkfly Available from my HR online or via the SunTrust intranet SunPerks site 800.687.2359 SunTrust’s Medicare supplement plans https://member-fhs.umr.com 800.430.4308 UnitedHealthcare — Medical Pre-enrollment website: www.myuhc.com/groups/suntrustbank 877.885.8454 UnitedHealthcare Vision plan www.myuhcspecialtybenefits.com 800.638.3120 (member services) 800.839.3242 (for in-network providers) Previous page Next page 31 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage Dental Coverage Vision Coverage Tools and Resources Making Benefit Changes During the Year Finding In-Network Providers Any medical, dental, or vision plan my HR online at https://myhr.suntrust.com Provider lookup is under “my Benefits” in the “Tools” section of “my Health and Other Benefits” Aetna medical plans www.aetna.com/docfind Search for provider by zip code, city, or county, and then choose the applicable state. 1. Complete the appropriate geographic information, and select the type of provider. 2. Select one of the two combinations: • For HMO: choose Aetna Standard Plans and Open Access Aetna SelectSM • For PPO: Choose Aetna Open Access Plans and Aetna Choice® POS II as the plan Anthem BlueCross BlueShield medical plans www.anthem.com Select “Find a Doctor” and hit “Go” Select “Search the National BlueCard Network” and hit “Next” Until you get your ID card, select “PPO” under “Guests” and hit “Next” CIGNA medical plans www.mycignaplans.com Open Enrollment ID: SunTrust2013 Open Enrollment Password: cigna Complete the geographic information Enter your search criteria in the Provider Directory For all plans (HDHP, PPO, and HMO): Select the Open Access Plus network Kaiser Permanente HMO medical plans www.kp.org/medicalstaff Select your region and click “Continue” For Georgia (Atlanta), click “medical staff directories” link, in the “Signature HMO Plans” section. Click “Signature HMO” for plan type. Click “ Kaiser Permanente medical center practitioners (The Southeast Permanente Medical Group, Inc.)” as your provider. For Maryland/Virginia/Washington DC (DC/Baltimore), select “Search for a specialist, hospital, or affiliated provider.” Then scroll down and click the “Kaiser Permanente Signature HMO” link. UnitedHealthcare medical plans www.myuhc.com/groups/suntrustbank Select “Find Physician and Facilities” Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Contact Information More Previous page Next page 32 Making Good Choices for Physical and Financial Well-Being What You Need to Do Now Home Page Enrolling Medical Coverage Tools and Resources Making Benefit Changes During the Year Finding In-Network Providers CIGNA dental plans www.cigna.com Select “Provider Directory” at the top Click “Dentist,” enter search criteria (city or zip code), then “Next” For the Dental HMO, choose “CIGNA Dental Care (HMO)” For the Basic or Plus plans, choose “CIGNA Dental PPO” and the Radius Network For the Dental Network Savings Program (available for CIGNA Basic and Plus plans): Select “Out-of-network savings program” (secondary network and can be used if you are unable to locate a provider in the Radius Network) UnitedHealthcare Vision plan https://www.myuhcvision.com/members/index.jsp Select “Provider Locator” Select current or future member and enter the requested information Dental Coverage Vision Coverage Flexible Spending Accounts (FSAs) Disability Coverage Employee Assistance Program Legal Notices Contact Information Previous page 33