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ARCHDIOCESE OF ST. LOUIS
Employer Benefits Guide
Open Enrollment May 1 – May 15, 2015
Office of Human Resources
Cardinal Rigali Center
20 Archbishop May Drive
St. Louis, MO 63119-5004
314.792.7546
314.792.7548 (fax)
benefits@archstl.org
archstl.org/hrbenefits
ARCHDIOCESE OF ST. LOUIS
Employer/Administrator Benefits Guide for
Open Enrollment 2015 - 2016
CONTENTS:
Page
Introduction to Open Enrollment
3
Your Step by Step Guide to administer Open Enrollment
4
Eligibility for Benefits
5
Accuracy of Open Enrollment Data
5
Employer Open Enrollment Meeting
6
Distribution of the Employee Envelopes
6
What does your Employee need to do
6
Wellness Choice Option
8
Health Insurance Premium Contributions
9
United Healthcare Plan (UHC) Information
10
Flexible Spending Account Open Enrollment
12
Employee Self-Service Online Process
13
Employee Open Enrollment Meeting Date
14
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2015 EMPLOYEE BENEFITS OPEN ENROLLMENT
WHAT IS THE OPEN ENROLLMENT PERIOD?
This is your administrator guide for the 2015 Employee Benefits
Open Enrollment. There are a few tasks that are requested of you to
complete during this process.
Health Insurance: The “OPEN ENROLLMENT PERIOD” is the time
period when a participant may switch from a current Archdiocesansponsored health insurance plan to a different Archdiocesan-sponsored
health insurance plan.
WHEN IS THE OPEN ENROLLMENT PERIOD?
Also, the Open Enrollment period allows “late enrollees” to enroll in the
Plan. “Late enrollees” are employees or their dependents or spouses who
did not enroll for coverage within 31 days of the time they were first
eligible and have not had a qualified special event. This is the time of the
year that late enrollees may enroll in coverage. They may elect to enroll in
either of the two plans with United Healthcare (UHC), the Standard Plan
or the Premier Plan.
The open enrollment period will begin May 1, 2015 and ends May 15,
2015.
The changes elected will become effective on July 1, 2015.
For employees who are currently participating in a health insurance plan
and do not elect to make any changes, no action is required of them.
Certain Wellness Choice Program eligibility may apply. Please see pages
7 and 8 for further details.
Flexible Spending Account (FSA): The FSA plan offers a medical
reimbursement account and a dependent care reimbursement account.
Employees may also waive the Pre-tax designation in order to make
after-tax contributions for health insurance deductions. Please note that
the payroll manager of your parish/agency/school should have all
employees in the Pre-tax plan unless an employee elects a waiver for the
After-tax plan, commencing every July 1.
Employees who want to make a health insurance change or choose to
enroll must enroll online via Employee Self-Service.
Employees who currently waived the health insurance plan and do not
want to enroll for July 1, 2015 are required to complete an Employee
Health Insurance Waiver Form.
Voluntary Life Insurance: There is no Open Enrollment with the
Hartford voluntary life insurance plan; however, an employee can enroll
within the first 31 days of hire with a guaranteed issue amount or an
employee can enroll at any time via Hartford enrollment form and a
Personal Health Application with the approval by Hartford.
Employees electing to participate in the Flexible Spending Accounts (the
Medical Reimbursement Account, the Dependent Care Reimbursement
Account, and/or to waive the Pre-Tax Health Insurance Premium Plan),
must enroll or re-enroll online via Employee Self-Service by May 15,
2015.
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AN EMPLOYER STEP BY STEP GUIDE FOR YOUR OPEN ENROLLMENT PROCESS
Step 1: Please read this Administrator’s guide thoroughly to understand the Open Enrollment process and the benefit changes this year.
Step 2: You are invited to attend a voluntary administrator’s Open Enrollment meeting on March 19th at the Cardinal Rigali Center.
Details for the meeting are on page 13. Please RSVP by email, if
you plan on attending the meeting: benefits@archstl.org.
This is not a mandatory meeting but will be informative for you.
It is scheduled from 1:30 – 3:30 pm in the Pope John Paul II Auditorium.
Step 3: Once you receive a package containing envelopes for your eligible employees who are not currently in the health insurance plan or the
flexible spending account, please distribute the letters to eligible employees.
Please distribute the letters no later than April 24, 2015.
Your employees currently enrolled in any one of the two benefit plans will
receive their Open Enrollment letter at their home address.
Step : Due to healthcare reform, an employee must either be enrolled in the Archdiocesan health insurance plan or waive the coverage. The
employee who is currently not covered and wants to continue to waive coverage must complete the waiver form that is enclosed in their envelope.
The employee gives you the completed form no later than May 16th.
Please collect the Employee Health Insurance Waiver Forms from
your eligible but not enrolled in the health plan employees who
waive that benefit for 2015.
Keep copies of the completed Employee Health Insurance Waiver Forms in
your employee’s medical file and submit copies to our office via fax
314.792.7548 or email Benefits@archstl.org by June 1, 2015.
Step 5: Our office may be communicating to you via email regarding an employee’s late participation in Open Enrollment. We appreciate any
assistance you can provide, if the email asks you to contact an employee.
Step 6: In mid-June, you will receive a full benefit enrollment report showing all your employee’s elections for health insurance and flexible
spending accounts.
If you know of any concerns or see errors in the full benefit report, please
contact us as soon as possible at 314.792.7546 or benefits@archstl.org.
Step 7: Please keep a copy of the benefit enrollment report for your parish/school/agency but also give the report to your payroll administrator for
any deduction changes, effective July 1, 2015.
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ACCURACY OF CURRENT EMPLOYEE BENEFITS DATA FOR
OPEN ENROLLMENT
REVIEWING FOR ELIGIBILITY FOR HEALTH INSURANCE
In order to be eligible for the Archdiocese of St. Louis health insurance
plan, an employee must fulfill one of the following criteria:
Enclosed with this letter is an Open Enrollment Participant Mailing
Report listing names, addresses, benefit status, and pay frequency of
employees at your parish/school/agency that are currently participating in
the health insurance. Open Enrollment benefit letters will be mailed to
these individuals at their home address. Any benefit eligible employees
not on this report should be given an Open Enrollment benefit letter as
instructed on page 6. Please review the report thoroughly. Please check
for the following:



1. An active employee working at least 1,000 hours annually.
Dependents of active employees are eligible if they are:
 A spouse (unless legally separated).
 A dependent child who is married or unmarried,
without respect to student or dependency status, until
the child's 26th birthday.
 A dependent child above age 26 who is mentally or
physically disabled and unable to be self-supporting.
The dependent child would have to be mainly
dependent on the participant for support (an approval
process is required).
Address revisions
Status (Full Time/ Part Time)
Pay Frequency
The accuracy of this data is important in order to provide correct
information to the employee. If the data in the report is accurate, no action
is required of you; however, if you note any errors, desire any status
changes, please fax a copy of this report with your noted corrections to
314.792.7548, by March 18, 2015.
2. A religious employee on official assignment to the Archdiocese,
excluding Archdiocesan priests.
3. A Kenrick-Glennon Seminarian, studying for the Archdiocese of
St. Louis priesthood, who is not eligible for other group coverage.
4. A teacher with a ½ time or more contract.
5. A Permanent Deacon who is:
 not an employee who is working less than 1,000 hours
annually for any Archdiocesan parish/organization
employer.
 a non-paid Permanent Deacon who is providing service to
any Archdiocesan parish/organization
The Permanent Deacon pays 100% of the premium for coverage
under the plan.
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contain a cover letter directing eligible employees to the Archdiocesan
Website for the Benefits Guide, an Employee Health Insurance Waiver
Form and an Employee User Name Form (only used for eligible
employees not currently in the Lawson payroll data base). The online
Open Enrollment Benefits Guide explains the health insurance with its
premium costs, the plan options with United Healthcare, the Flexible
Spending Account information and the process for online enrollment.
A MEETING FOR YOU ON EMPLOYEE SELF-SERVICE OPEN
ENROLLMENT AND BENEFIT PLANS
You are invited to the voluntary Benefits Open Enrollment meeting to
further understand the Open Enrollment process, the benefit changes and
the Flexible Spending Account. We will explain this process and train you
to assist employees in using Employee Self-Service for Open Enrollment,
the Wellness prerequisite, and the process for the waiver forms.
Date
Time
Place
Thurs, March 19th
1:30 – 3:30pm
Cardinal Rigali Center
John Paul II Auditorium
20 Archbishop May Dr.
Shrewsbury, MO 63119
314.792.7544
DISTRIBUTION
INFORMATION
OF
EMPLOYEE
OPEN
WHAT DO YOUR EMPLOYEES NEED TO DO FOR OPEN
ENROLLMENT?


ENROLLMENT

You do not need to communicate the information in this administrative
guide to your employees now. They will receive their Open Enrollment
letter the fourth week of April at either their home address or work. This
Open Enrollment year we be directing the employees to view their
Benefits Guide online instead of receiving the Benefits Guide in the mail.
If employees do not have access to the internet, we will be glad to send
them a printed Benefits Guide, as stated in their Open Enrollment cover
letter. See below for the distribution:


Current participants in the health insurance and/or the FSA plan(s):
After mid April, the current participants will receive an Open Enrollment
packet at their home address. The packet will contain a cover letter and
information to direct them to the Archdiocesan website for their Benefits
Guide. The Benefits Guide explains the health insurance with its premium
costs, the plan choices with United Healthcare, the Flexible Spending
Account information, and the process for online enrollment.



Eligible employees not currently enrolled in the health insurance and/or
the FSA plan(s):

Your parish/agency/school will be receiving a shipment of Open
Enrollment benefit letters for non-enrolled employees by second week of
April. These letters should be distributed to each eligible employee no
later than April 24, 2015. The Open Enrollment benefit packet will
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If they are currently enrolled in the UHC Standard health
insurance Plan and want to continue in their current UHC
Standard Plan, no action is required of them.
If they are currently enrolled in the UHC Premier Plan and want
to continue their UHC Premier Plan, no action is required of
them, if they completed a physician exam notification or wellness
screening by April 30, 2015.
If they are currently enrolled in the UHC Standard Plan and want
to enroll in the UHC Premier Plan, and they completed a
physician exam notification or wellness screening, they must go
online to make the change.
If they are currently enrolled in the UHC Premier Plan and want
to enroll in the Standard Plan, they must go online to make the
change.
If they are currently enrolled in the UHC Premier Plan and did
not complete the physician exam notification or wellness
screening by April 30, 2015, their coverage will automatically
default to the UHC Standard Plan. No action is required of them.
If they want to add, delete or change dependents to the medical
plan, they must go online to make the change.
If they are currently enrolled in the UHC health insurance plan
and do not want coverage in the plan, they must go online to
cancel their coverage.
If they are not currently covered by health insurance and do
not want coverage, they must complete the Employee Health
Insurance Waiver Form and give a copy to you by May 16th.
If an employee wants to participate in the FSA, they must enroll
or reenroll online for the flexible spending account for plan year
2015. The FSA dollar amounts do not automatically roll over year
to year.
WELLNESS CHOICE OPTION - Plan Year Beginning July 1, 2015
BENEFIT CHANGES, Effective July 1, 2015
1. Both the UnitedHealthcare Premier and Standard Plans will have
a Certificate of Coverage change that updates the UHC medical
benefit coverage to national standards.
An eligible employee during Open Enrollment may enroll, switch to, or
continue to maintain coverage with the United Healthcare (UHC)
Standard Plan.
In regards to participating in the UHC Premier Plan, there is a wellness
prerequisite for the 2015 Open Enrollment, effective July 1, 2015.
Please refer to the table on page 8 for eligibility for the UHC Premier
Plan, effective July 1, 2015.
Please Note the Premium Percentage Rate Changes:
Archdiocesan Self-Funded Plan by UnitedHealthcare (UHC)
WELLNESS CHOICE OPTION - Plan Year Beginning July 1, 2016
Standard UHC Plan
Employee Only:
Employee + 1 dependent:
Employee + Family:
Effective July 1, 2016, an employee (not spouse or dependent children)
can choose to do one of the following in order to be a participant in the
United Healthcare (UHC) Premier Plan:
2 % increase
2 % increase
2 % increase
a. Receive an annual wellness exam with a physician of choice by
April 30, 2016 and submit an Employee Wellness Form by May
7, 2016
Premier UHC Plan
Employee Only:
Employee + 1 dependent:
Employee + Family:
2 % increase
2 % increase
2 % increase
AND/OR
b. Participate in the Archdiocesan paid, confidential H & H Health
Associates health screening by April 30, 2016.
Important Note on the Wellness Screening Choices:
HEALTH INSURANCE WELLNESS CHOICE OPTIONS
If the employee completes the annual wellness exam with the physician,
the Employee Wellness Form must be completed and sent to H&H
Health Associates via mail, fax or email in order to participate in the
UHC Premier plan. If the employee has an H&H Health Associates
health screening, he/she does not need to submit the form. Without the
health screening or the wellness exam, the employee will only be
allowed to participate in the UHC Standard Plan, effective July 1, 2016.
An Archdiocesan goal is to integrate more wellness in the life of our
employees. The Employee Benefit Plan continues to promote the
importance of having an annual physical/wellness check up. Every Open
Enrollment health insurance plan year will have the Wellness Choice
Option.
The employee will have complete online access to information and an
Employee Wellness Form regarding the wellness screening choices in
the Open Enrollment Benefit Guide.
-7-
Wellness Choice Option
Scenario
7/1/2015 –6/30/2016
UHC
Standard
Plan
UHC
Premier
Plan
7/1/2016 – 6/30/2017
Wellness Action Required
As of July 1, 2014, I have been
enrolled in the health insurance plan
and did participate in the Wellness
Program by completing either my
physician exam or a health screening
by April 30, 2015. I will have a choice
of which plan(s):
Will I need to participate in the
Wellness plan and complete my
health exam or screening by April 30,
2016 in order to enroll in the
UnitedHealthcare Premier Plan next
year’s Open Enrollment?
As of July 1, 2014, I have been
enrolled in the health insurance plan
and did not participate in the
Wellness Program by completing
either my physician exam or a health
screening by April 30, 2015. I will
have a choice of which plan(s):
Will I need to participate in the
Wellness plan and complete my
health exam or screening by April 30,
2016 in order to enroll in the
UnitedHealthcare Premier Plan next
year's Open Enrollment?
I was hired as a new employee after
July 1, 2014. I am currently enrolled in
the health insurance plan. The
Wellness Program is not a
requirement to complete for the
Open Enrollment effective July 1,
2015. I will have a choice of which
plan(s):
Will I need to participate in the
Wellness plan and complete my
health exam or screening by April 30,
2016 in order to enroll in the
UnitedHealthcare Premier Plan next
year's Open Enrollment?
I was enrolled in the health insurance
plan due to a qualifying event after
July 1, 2014. I am currently enrolled in
the health insurance plan. The
Wellness Program is not a
requirement to complete for the
Open Enrollment effective July 1,
2015. I will have a choice of which
plan(s):
Will I need to participate in the
Wellness plan and complete my
health exam or screening by April 30,
2016 in order to enroll in the
UnitedHealthcare Premier Plan next
year's Open Enrollment?
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Yes
No
HEALTH INSURANCE INFORMATION
HEALTH INSURANCE PREMIUMS - 7/1/2015
Full-Time
Monthly Premiums
Effective July 1, 2015
through June 30, 2016
Health Insurance Premiums for Full Time Employees and Educators
Employee Only
Employee + One
Dependent
Employee + Family
$ 66.60 (15%)
$377.40 (85%)
$444.00
$ 244.50 (25%)
$ 733.50 (75%)
$ 978.00
$ 331.00 (25%)
$ 993.00 (75%)
$1,324.00
$ 97.50 (15%)
$552.50 (85%)
$650.00
$ 326.00 (25%)
$ 978.00 (75%)
$ 1,304.00
$ 411.00 (25%)
$1,233.00 (75%)
$1,644.00
Standard Plan - United Healthcare
Employee Contributions
Employer Contributions
Total Monthly Premium
Premier Plan - United Healthcare
Employee Contributions
Employer Contributions
Total Monthly Premium
Part-Time
Monthly Premiums
Effective July 1, 2015
through June 30, 2016
Health Insurance Premiums for Part Time Employees (work 1000
hours or more per year) and Less than full Time Educators
(work Half Time or more and less than Full Time)
Employee Only
Employee + One
Dependent
Employee + Family
$177.60 (40%)
$266.40 (60%)
$444.00
$ 489.00 (50%)
$ 489.00 (50%)
$ 978.00
$ 662.00 (50%)
$ 662.00 (50%)
$1,324.00
$260.00 (40%)
$390.00 (60%)
$650.00
$ 652.00 (50%)
$ 652.00 (50%)
$1,304.00
$ 822.00 (50%)
$ 822.00 (50%)
$1,644.00
Standard Plan - United Healthcare
Employee Contributions
Employer Contributions
Total Monthly Premium
Premier Plan - United Healthcare
Employee Contributions
Employer Contributions
Total Monthly Premium
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ARCHDIOCESE OF ST. LOUIS EMPLOYEE BENEFITS
MAJOR PROVISIONS OF THE HEALTH INSURANCE PLAN JULY 1, 2015 – JUNE 30, 2016
PLAN FEATURES
UNITED HEALTHCARE MEDICAL PLAN – Group #703597
Employees must choose one of the following two
medical plans: United Healthcare Standard Plan or
United Healthcare Premier Plan
STANDARD PLAN
PREMIER PLAN
In-Network
Out-of-Network
In-Network
Out-of-Network
Calendar Year Deductible (Individual / Family)
Out-of-Pocket Maximum (Individual / Family)
$1,000 / $2,000
$2,000 / $4,000
$400 / $800
$600 / $1,200
Out-of-Pocket maximum includes the deductible and
copayment.
$4,000 / $8,000
$8,000 / $16,000
$1,650 / $3,300
$2,100 / $4,200
Lifetime Maximum
Coinsurance paid by member
Unlimited
20%
Unlimited
40%
Unlimited
20%
Unlimited
40%
Office Visits
$30 copay
40%
$20 copay
40%
Hospital Inpatient Stay
Outpatient Surgery
Outpatient Diagnostic (lab, x-ray, mammography)
20%
20%
$0 copay
40%
40%
40%
20%
20%
$0 copay
40%
40%
40%
Emergency Room
$150 copay
$150 copay
$150 copay
$150 copay
Urgent Care
Mental Health and Substance Abuse - Inpatient
Mental Health and Substance Abuse - Outpatient
$50 copay
20%
$30 copay
40%
40%
40%
$50 copay
20%
$20 copay
$50 copay
40%
40%
20%
40%
20%
40%
Home Health Care (limit to 100 visits/ calendar year)
STANDARD PLAN
Prescription Benefits
Copays: Tier 1 / Tier 2 / Tier 3
Maximum Supply
PREMIER PLAN
Pharmacy Retail
Mail Order
Pharmacy Retail
Mail Order
$10 / $35 / $50
$20 / $70 / $100
$10 / $35 / $50
$20 / $70 / $100
30 Days
90 Days
30 Days
90 Days
All covered active employees in either the United Healthcare Standard or Premier Plan automatically receive a Delta Dental Plan and the Unum Basic Life and AD&D Plan.
PLAN FEATURES – Group #1873-1000
DELTA DENTAL PLAN
Annual Deductible - (Individual / Family)
$50 / $100
PPO Network
Premier and Non-Network
Preventative Care - (Covered in Full – Deductible Waived)
Basic Care
Major Care
100%
90%
60%
100%
80%
50%
Orthodontia - (Children to Age 19 - $1,500 Lifetime Maximum)
Calendar Year Maximum - (Individual / Family)
50%
PLAN FEATURES
UNUM BASIC LIFE AND AD&D PLAN
50%
$1,500 / $3,000
Life Benefit
AD&D Benefit
$10,000
$10,000
The above exhibit attempts to highlight the major provisions of the Employee Benefit Plans. Additional benefits will be found in the prospective plan brochure. In all cases, the Plan Document
or Policy will serve as the legal basis for the terms and provisions of coverage. This document is for illustration purposes only.
- 10 -
Employees can enroll or switch between the two health plans with United
Healthcare Choice Plus Plan (UHC) – The Standard Plan and the Premier
Plan.
 If employees are currently enrolled in the United Healthcare Plan and
employees want to continue their current medical insurance,
employees do not need to do anything. Please refer to page 8 for UHC
Premier Plan eligibility and the Wellness Choice Program.

EMPLOYEE’S 2015 CALENDAR YEAR DEDUCTIBLES AND
MAXIMUM OUT-OF-POCKET COSTS TRANSFER TO THE NEW
PLAN
If employees elect to switch between Premier and the Standard United
Healthcare (UHC), UHC will be transferring any amounts your employees
have paid toward their 2015 deductibles and maximum out-of-pockets to the
new plan effective July 1, 2015. These credits will be applied to the new
deductibles and maximum out-of-pockets with UHC.
If employees are currently enrolled in one of the UHC Premier or
Standard Plans, employees can switch to the other UHC Plans during
Open Enrollment. Please refer to page 8 for UHC Premier Plan
eligibility and the Wellness Choice Program.

If employees want to add or cancel health plan coverage for
themselves, their eligible dependent(s), or their spouse, employees
must go online to enroll or cancel their medical coverage during the
Open Enrollment period.

If employees are currently not enrolled in one of the UHC medical
plans and do not want to have health insurance, employees must
complete the Employee Health Insurance Waiver Form. They should
submit the signed form to you, their benefits administrator.
FINDING A UNITED HEALTHCARE PROVIDER/PHYSICIAN
Any employee who wants to enroll in one of the UHC plans or any current
UHC participant can quickly find a United Healthcare physician,
specialist or hospital by using the internet:
1. Simply go to www.myuhc.com.
2. Click on “Find a Doctor” located on the right hand side of the
screen. Click on “Find a Provider”. You can search by physician
specialty.
3. Under “Select a Plan”, choose “United Healthcare Choice Plus”
as this is the health insurance plan for the Archdiocese of St.
Louis.
Employees who are in the health insurance plan may elect out of the Pre-tax
health insurance contributions if they want to pay for the health insurance with
after tax dollars. Employees need to access Employee Self-Service to decline
the Pre-tax contribution for the July 1, 2015 through June 30, 2016 plan year.
4. Click on the small tab that says, “Change Address” at the top
under SEARCH: ANYWHERE. This narrows your search to your
city, state, and zip code.
Unless the employee has a qualified status change, their Health Insurance Plan
and Flexible Spending Plan elections made between May 1 and May 15, 2015
will be effective from July 1, 2015, until June 30, 2016, if the employee has
continued with the Pre-tax election.
5. Next, you may type in the name of the provider that you are
seeking. If you want a general list, you may do a search under
Physician, Hospital or Other Facility.
6. A list of providers will then be generated.
If anyone encounters problems on How to Find a Physician, they can contact a
United Healthcare Customer Service Representative at 1- 888-332-8885.
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FLEXIBLE SPENDING ACCOUNT INFORMATION
Terminating Health Insurance Coverage Outside of Open Enrollment
The FSA plan offers a medical reimbursement account and a dependent care
reimbursement account. The FSA also allows a change for the Pre-tax
withholding for health insurance contributions to an After-tax election. For
An advantage to the After-tax election is that this election offers participants
the freedom to terminate their health insurance coverage and/or their
dependent’s coverage anytime throughout the year. If participants retain the
automatic Pre-tax election, the IRS rules state that they cannot terminate health
insurance coverage throughout the year, unless they have a qualifying event.
Tristar Flexible Spending Account Information, go to the Archdiocesan
HRBenefits website.


QUALIFYING EVENTS FOR MAKING CHANGES
Benefit elections will stay in place until 7/1/2016, unless there is a
“qualified status change” as defined by the IRS. Examples of
qualified status changes are:
√
√
√
√
√
√
√
√
Marriage
Legal separation
Divorce
Birth or adoption of a child
Change in eligibility of a child
Death of a dependent
Change in employee/spouse’s employment status
Employee/spouse attains age 65 and are covered by Medicare.
Health Care Account: $2,550 maximum per plan year
Dependent Care Account:
 If married filing jointly, Head of Household, or Single
$5,000 max per plan year
 If married filing separately
$2,500 maximum per plan year
If employees want to take advantage of the Tristar Flexible Spending Account,
then Open Enrollment is the time to enroll or re-enroll in the Tristar Flexible
Spending Account. If employees participated in the reimbursement accounts
last year, they need to re-enroll to participate this year.
Claims: Any unused contributions at the end of the plan year are forfeited.
Employees have until September 15, 2016 to incur claims for the 7/1/2015 to
06/30/2016 plan year. Employees will have until December 15, 2016 to file
those claims for the Health Care Account.
Employees must notify their Benefits Administrator within 31 days
of the qualifying event to change a benefit election.
The Dependent Care Account claims must be incurred 7/1/2015 to 6/30/2016.
Employees will have until September 30, 2016 to file those claims Please note
that Tristar Benefits Administrators claims mailing address, telephone
number, and fax number is below:
LIFE INSURANCE INCLUDED WITH THE HEALTH INSURANCE
PLAN AND BENEFICIARY DESIGNATION
Tristar Benefits Administrators
P.O. Box 155887
West Des Moines, IA 502155-0887
The Health Insurance Plan automatically includes a Unum Term Life
Insurance and Accidental Death and Dismemberment Plan. The Life Insurance
Plan covers $10,000 for health plan participants under the age of 70 years old,
and $5,000 for those above 70 years old. Employee Self-Service has the tool to
designate or update the primary or contingent beneficiary. A Health Insurance
Form to designate or update beneficiaries is no longer necessary, but can still
be used by the employee.
Phone: 1-800-456-4584
Fax:
1-515-453-2354
.
- 12 -
EMPLOYEE SELF-SERVICE ONLINE PROCESS
Forgotten Password? If employees forget their Employee Self-Service
Password, there is an on-line tool that will allow them to register and to assign
a new password. The tool is the PASSWORD ASSISTANCE feature.
Instructions on how to use this feature are on the website.
Employees will receive their Open Enrollment benefit letters at their home
address or through you, depending upon their current participation or
eligibility in the health insurance plans. They will be directed to the
Archdiocesan Human Resources benefits website to access their Open
Enrollment Benefits Guide.
Important Computer and Browser Information!
If the employee’s home, school or work location uses MAC computers, they
cannot use Employee Self-Service. This system requires Windows PC
computers.
For your informational purposes or for extra copies, all Open Enrollment
forms, material and the Employee Benefits Guide will be available on the
Archdiocesan Human Resources website.
 For current UHC plan participants, participants can view the benefits
guide on Archstl.org/openenrollment within their designated Open
Enrollment website.
 For eligible employees not currently enrolled, potential enrollees can
click on their designated Open Enrollment website:
Archstl.org/openenrollment2015.
Internet access and a Windows PC with Internet Explorer are needed to use the
Employee Self-Service website (no Macintosh computers). Chrome, Firefox,
Safari, Opera, etc do not work with Employee Self-Service. The employee
should allow pop-ups from this website. If your employee has trouble logging
in, your employee can contact the Office of Human Resources at 314.792.7546
or email benefits@archstl.org.
In order for your employees to use the Employee Self-Service feature, they
will need the following:
1.
2.
3.
4.
5.
All employees that want to continue to waive their Archdiocesan health
insurance benefit as of 7/1/2015 need to give you the completed Employee
Health Insurance Waiver Form. Employees with benefit changes and
enrollments for Open Enrollment 2015 will be electronically processed. You
do not need to collect any enrollment or election forms. If the Archdiocese is
notified of benefit changes by your employee through Employee Self-Service,
we will send you a report in June stating your employee’s changes, effective
July 1, 2015. Your payroll department should be given a copy in order to be
informed of the changes.
The website address is either of the above designated websites
Their personal User Name
Their personal Password
A Windows PC computer, no Macs
Internet Explorer web browser 6.0 or higher
User Name: If an employee is currently using Employee Self-Service to
review paychecks, participated in Open Enrollment 2014 or enrolled since July
2014, the employee already has a User Name and Password. The User Name
starts with the two letters ss, then followed by a number (ex: ss654321). The ss
is a symbol for self-service. The User Name will be printed in the Open
Enrollment cover letter within the benefits packet sent to all current benefit
plan participants during April. The User Name is also on your Open
Enrollment Participant Mailing Report list.
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Although we highly recommend your employees use Employee Self-Service
for benefit changes and enrollments, we realize that some employees do not
have convenient access to the Internet.
CONTACTS FOR QUESTIONS OR COMMENTS REGARDING OPEN
ENROLLMENT
Please call Anne Hager, Michelle Konakci or Michael Puetz of the Office of
Human Resources:
If employees do not have access to the Internet, the following options exist:
Anne Hager, Benefits Specialist at 314.792.7544 or
AnneHager@archstl.org
1. You may want to assist them with Internet access at your office, or
2. Public libraries usually have Windows PC computers available for
personal use.
Michelle Konakci, Human Resources Assistant at 314-792-7545 or
MichelleKonakci@archstl.org
Michael Puetz, Director of Benefits at 314.792.7543 or
puetz@archstl.org
EMPLOYEE OPEN ENROLLMENT MEETING
All eligible employees of the Archdiocesan Health Insurance Plans are invited
to a QUESTION AND ANSWER MEETING to further understand the Open
Enrollment process, the health insurance plans and the flexible spending
accounts.
Date
Time
Place
Wednesday, May 6th
7:00 pm
Cardinal Rigali Center
Pope John Paul II Auditorium
20 Archbishop May Dr
Shrewsbury, MO 63119
314.792.7540
We highly recommend your employees use the Archdiocesan benefits website
for obtaining benefit information. The website can be accessed at
archstl.org/hrbenefits. They should click on the link “Open Enrollment
Benefits Information 2015”. For their current 2014 – 2015 plan year benefits
information, they should click on “Archdiocesan Employee Benefits”.
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