Welcome to Open Enrollment for the 2017 benefit plan yearposted by Denny Darrow Director, Indiana State Personnel Dept. on October 4, 2016
It is hard to fathom, but in just a few weeks we will begin the annual open enrollment for health benefits in 2017. This is your annual opportunity to explore the many well-being options the State of Indiana has to offer you and your eligible family members. I hope this open enrollment period raises your awareness of the programs and opportunities you have at your disposal to improve your overall health and well-being. We are so pleased and encouraged by this participation and the engagement in our Invest in Your Health sponsored programs during 2016! Your enthusiasm and feedback in HumanaVitality and improving overall well-being continues to motivate us to deliver comprehensive benefits that help you meet your personal health goals.
In 2017, our healthcare costs are expected to increase $15 million. More significantly, new specialty drugs that offer real solutions to some of our members come with much higher costs for 2017. The good news — overall health improvement trends are starting to make a difference. This will allow us to pass along a smaller increase than in previous years. Thankfully, the hard work that our employees are putting in to improve their health and seek the most efficient care possible has helped to slow the rate at which our costs are increasing. We continue to gain momentum by making smarter choices, as more employees engage in our wellness initiatives and commit to making healthy changes in the lives of their families. This is extremely encouraging!
HumanaVitality is now in its second year with the state. This wellness portal allows employees to improve their overall wellbeing by understanding their current wellbeing level, set goals and track their progress on those goals. More than 7,750 employees, a marked improvement over 2015, have taken advantage of this wellness tool and attained Silver Status in HumanaVitality by August 31, which qualifies them to enroll in the Wellness CDHP. While the savings in both bi-weekly premiums and additional HSA contributions are meaningful, even more so are the participants’ positive changes in lifestyle that have made them feel better and more aware of their health risks.
The Wellness CDHP upgrade offers participants meaningful savings over the CDHP 1 and 2 plans and also offers higher HSA contributions. Wellness CDHP qualifiers have earned $1,048 in premium savings and an additional $500 in HSA contributions for those with family coverage. All Silver Status achievers are being notified by letter next week about their ability to select the Wellness CDHP Plan.
Another valuable Invest in Your Health program is Castlight. This cost and quality transparency tool enables our members to be better consumers. Making good consumer choices means better health outcomes and lower costs for you.
Understanding all of your open enrollment options can be overwhelming. To ease understanding, here are three simple steps you can take now to evaluate the best options for you and your family in 2017:
- Visit www.in.gov/spd/openenrollment to review your plan options.
- Visit www.InvestInYourHealthIndiana.com to see all of the resources the State of Indiana offers you to be proactive in managing your health. This includes a “Checklist as You Go” template to guide you through a successful 2017 Open Enrollment.
- Ensure you are getting all the information SPD provides to make your open enrollment successful. Ensure your personal information is updated in PeopleSoft and follow our @INSPDBenefits Twitter feed to obtain the latest and greatest health plan updates.
Open enrollment begins Wednesday, October 19 and ends at 4 p.m. (EST), Wednesday, November 9, 2016.
First and foremost — stay informed. Carefully read the Open Enrollment communication, study the options, discuss the decisions with your spouse if you carry family coverage and take advantage of the resources available to you. The decisions you make during Open Enrollment impact you and your family for the next year.
The highlights of the 2017 benefits include:
- Four healthcare plans (three CDHPs and one Traditional PPO)
- Out-of-Pocket-Limits (OOPM) are now $7,150 in the CDHP1 and Wellness CDHP Plans for individual limits
- Non-tobacco use incentive remains at $35 per pay period
- The Medical Flexible Spending Account contribution limit remains at $2,500
- Those who qualify for the Wellness CDHP, the state will contribute approximately 50 percent of the deductible into an HSA on an annual basis.
HSA — $1,251.12 (single); $2,502.24 (family)
- For CDHP 1 and CDHP 2 participants with an HSA, the state will contribute nearly 40 percent of the deductible on an annual basis.
HSA1 — $1,001.52 (single); $2,003.04 (family)
HSA2 — $599.04 (single); $1,198.08 (family)
Maximum Exposure Calculations
|Single Coverage||Wellness||CDHP 1||CDHP 2||Traditional PPO|
|Annual Employee Premium||$397.80||$756.60||$2,954.64||$8,484.84|
|Maximum Out of Pocket||$4,000.00||$4,000.00||$3,000.00||$3,000.00|
|State's HSA Contribution||($1,251.12)||($1,001.52)||($599.04)||not applicable|
|Family Coverage||Wellness||CDHP 1||CDHP 2||Traditional PPO|
|Annual Employee Premium||$1,269.84||$2,318.16||$8,565.96||$24,161.28|
|Maximum Out of Pocket||$8,000.00||$8,000.00||$6,000.00||$6,000.00|
|State's HSA Contribution||($2,502.24)||($2,003.04)||($1,198.08)||not applicable|
A.) Example assumes employee takes advantage of the Non-Tobacco Use Incentive
B.) Example assumes costs are incurred within the Anthem provider network
C.) Example assumes employee has an open HSA account
What is next?
Start now, before open enrollment launches, to learn all you can about the options and your needs.
- Review your health expenses from this year and begin projecting next year’s expenses. Log onto www.anthem.com and review your up-to-date medical claims. If you have not registered with Anthem online, you will need to do that before you have access. Participants can also log on to Castlight to view a summary of year-to-date spending.
- Log onto Express Script’s website and look at your pharmaceutical claims (www.expressscripts.com). From there, you will have a fairly good idea of what your expenses have been and should be able to make an estimate for 2017.
- Read and analyze all the information available to you and attend webinars, carrier fairs, and information sessions – in order to become a well-informed healthcare consumer. If you plan to take advantage of the meetings or webinars, make sure you first get your supervisor’s approval. These events are usually allowed on state time.
- Ask questions if you don’t understand. Call or email the Benefits Hotline to talk with a benefits specialist.