Open Enrollment 2022
October 25 – November 8, 2021
2022 Overview
• New enrollment portal
• New cost sharing strategy for medical premiums
• No major changes to medical and Rx plan deign
• No change to dental and vision premiums or plan design
• No Increase in the FSA limits for 2022
• Increase to the HSA limit for 2022 with a College
contribution
Self Service Portal
Medical and Rx
• No major plan design changes to medical and Rx
• Spousal waivers completed again if covering a spouse
• Anthem LiveHealth Online Price Reduction
• Value based prescription list offers many maintenance medications at low to no cost to the participate
• Try mail-order (via Ingenio RX) over retail (CVS)
• In general, Wal-Mart and Kroger are less expensive then CVS
Medical Insurance
• 8% increase in premiums for 2022
• Consortium average is 5%
• COVID-19 expenditures Jan – June 2021 total $935,000 for all
covered VPCBC lives
• Worked with VPCBC advisors to analyze plan statistics to
determine how the college might slow the large increases for our community yet still provide
quality benefits
• Change in contribution strategy
0 5 10 15 20 25 30 35 40 45
2018 2019 2020 2021 2022
Five Year Rate History
Consortium Roanoke College Not in VPCBC
Funding Change Details
PERCENT CONTRIBUTION
• What we have now – 70% / 30%
• The College contributes a fixed percentage of the premium for all plans, regardless of total plan premiums
FLAT DOLLAR CONTRIBUTION
• Employer pays a fixed amount for each tier of coverage
• That established dollar value is subtracted from each plan’s total premiums, and the employee
pays the remaining portion
• Employees electing more
expensive plans will receive the
same amount from the employer
as those electing less expensive
plans
High Deductible Health Plan 7
$3,000 / $6,000
• No charge for wellness (annual physical/mammogram, etc.)
• One deductible to track for medical and Rx
• Once you hit your deductible,
eligible expenses are covered at 100%
• This is a PPO: Same doctors, same network as Plan 4
https://healthsavings.com/calculators/traditional-calculator/
Health Savings Accounts
• Save now:
• Earn ‘free’ money from the College
• HSA deposits aren’t taxed or are tax deductible
• Typically lowers income tax liability
• Save for the future:
• The average retired couple will need $300,000 to cover medical expenses not covered by Medicare in retirement*
• HSA funds roll over from year to year
• Tax-free interest earned
• You keep the money even if you change jobs or insurance plans
• Comprehensive and easy investment options
https://healthsavings.com/calculators/traditional-calculator/
HDHP Plan 7 Premiums
Plan 7 PPO (HDHP)
Coverage Level Rates Employee Contribution Employer Premium Contribution
Employer HSA Contribution
EE Only $565.00 $137.00 $428.00 $500
EE+ Children $1,017.00 $253.23 $763.77 $1,000
EE + Spouse $1,134.00 $282.37 $851.63 $1,000
Family $1,759.00 $437.99 $1,321.01 $1,000
PPO Plan 4 Premiums
Plan 4 PPO
Coverage Level Rates Employee
Contribution
Employer Premium Contribution
Employer HSA Contribution
EE Only $704.00 $211.20 $492.80 $0.00
EE+ Children $1,267.00 $380.10 $886.90 $0.00
EE + Spouse $1,408.00 $422.40 $985.60 $0.00
Family $2,210.00 $663.00 $1,547.00 $0.00
PPO Plan 4 Example
MEDICAL
2022 Premiums
Rate Employee College College Total
Contribution Contribution HSA Cont. College Cont.
Plan 4 PPO - 70/30 Cost Share
Employee Only 704.00 211.20 492.80 N/A 492.80
Employee + Children 1,267.00 380.10 886.90 N/A 886.90
Employee + Spouse 1,408.00 422.40 985.60 N/A 985.60
Employee + Family 2,210.00 663.00 1,547.00 N/A 1,547.00
If Plan 4 Received Flat Amount Contribution in 2022 (FOR INFORMATION ONLY; NOT THE PREMIUMS FOR 2022)
MEDICAL
2022 Projected Premiums
Rate Employee College College Total
Contribution Contribution HSA Cont. College Cont.
Plan 4 PPO - Flat Amount Contribution
Employee Only 704.00 234.33 469.67 N/A 469.67
Employee + Children 1,267.00 419.90 847.10 N/A 847.10
Employee + Spouse 1,408.00 473.03 934.97 N/A 934.97
Employee + Family 2,210.00 805.66 1,404.34 N/A 1,404.34
HMO Open Access Plan 9 Premiums
Plan 9 HMO
Coverage Level Rates Employee Contribution Employer Premium Contribution
Employer HSA Contribution
EE Only $638.00 $168.33 $469.67 $0.00
EE+ Children $1,147.00 $299.90 $847.10 $0.00
EE + Spouse $1,279.00 $344.03 $934.97 $0.00
Family $1,984.00 $579.66 $1,404.34 $0.00
Rx – Plan 4 and 9
Retail Copay Mail Order Copay
Generic $10 $10
Brand Name 30% coinsurance
$40 min to $80 max
30% coinsurance
$80 min to $160 max Non-Preferred Brand 40% coinsurance
$60 min to $120 max
40% coinsurance
$120 min to $240 max
Specialty 50% coinsurance
Up to $200
50% coinsurance up to $400
Deductible $150/$300
Max OOP $3,600/$7,200 Plan 4 $4,100/$8,200 Plan 9
Flexible Spending Accounts (FSA)
Health Care FSA
• Funded by employee’s payroll deductions on a pre-tax basis
• Not linked to any insurance plans
• Used to pay for qualified, out of pocket medical, prescription, dental, & vision expenses for employee and eligible
dependents regardless of insurance coverage
Dependent Care FSA
• Funded by employee’s payroll deductions on a pre-tax basis
• Used to pay for eligible expenses such as daycare, preschool,
before/after care, and summer programs for dependent children under the age of 13 or daycare for adult dependents
• Provider must provide SSN or
Federal Tax ID
Flexible Spending Accounts (FSA)
Health Care FSA
• Your entire election is
available January 1, 2022.
• Enter your ANNUAL
contribution in Self Service
• $2,750 Maximum
Dependent Care FSA
• Funds must accrue (no advance)
• Enter your ANNUAL contribution in Self Service
• $5,000 Annual Maximum
Plan year runs from January 1 – December 31, 2022
*All dates of service must be incurred during plan year*
Rollover of up to $550 for Health Care HSA
New Doctor Text Visit!
• $0 Plan 4 and 9
• $19 Plan 7
Anthem Benefits
Medical Visits via Text
NEW!
Health Guide (enhanced
customer service)
Future Moms Condition Care
24/7 Nurseline
$5Anthem “Hidden” Benefits
Surgery Plus
Living Kidney Donor
(Coming soon!)
My Strength
Save $ on Insurance
•Stay in network
•Urgent Care over ER
•Minute Clinic
•LiveHealth for medical and psychological
•Sam’s Club Plus Membership for Rx
•Good Rx and other similar programs
•Have diagnostic tests performed at specialty centers, instead of a hospital
•Lewis Gale Imaging on Brambleton, Insight on Franklin Road, Endoscopy Center near Kabuki
•Eat right, maintain a healthy weight, get your physicals, and exercise
Other Benefits
• Dental
• Low Plan and High Plan
• No changes in benefits or premiums
• Dental Rewards – get at least one cleaning per year
• $500 per year / $250 Carryover / $1,000 maximum bank
• If you have max rewards, that makes your annual maximum coverage $2,000 instead of $1,000!
• Vision-No changes in benefits or premiums
• Employee Assistance Program
Health Advocate
• Provide support for you and your family with a wide range of health and insurance-related issues 24/7
• Finding the right doctor
• Clarify benefit coverage
• Help schedule appointment and second opinions
• Resolve billing and insurance claim issues
• Assist in transfer of medical records
• Explain conditions
• Help arrange eldercare services
• Contact HealthAdvocate by phone at 866.695.8622 by email at [email protected] or
online at www.HealthAdvocate.com/VPCBC.
