Major Changes in Health Plans Will Impact Employees this Benefits Enrollment Season; Hewitt Shares Tips To Help Consumers Get Greatest Value for Benefits Dollars.Business Editors LINCOLNSHIRE, Ill.--(BUSINESS WIRE)--Sept. 17, 2003 As health care costs continue to rise by double digits Double Digits was a pricing game on the American television game show, The Price Is Right. Played from April 20, 1973 through May 18, 1973's show, it was played for a car and used small prizes. , consumers can expect to see major changes in health plans and benefits coverage when they enroll in their plans this season. To help them prepare for these changes and to understand their benefits' coverage, Hewitt Associates Some of the information in this article may not be verified by . It should be checked for inaccuracies and modified to cite reliable sources. Hewitt Associates , a global HR outsourcing and consulting firm Noun 1. consulting firm - a firm of experts providing professional advice to an organization for a fee consulting company business firm, firm, house - the members of a business organization that owns or operates one or more establishments; "he worked for a (NYSE NYSE See: New York Stock Exchange : HEW) which will manage enrollment for more than 5 million employees and retirees this year, offers the following tips: Don't wait until the last minute to enroll. Once your enrollment period opens, take action right away. By taking time to consider your enrollment choices and needs, you will be better able to get the most out of your benefit plans. Review your choices each year, so that you're aware of any changes made to your current plans. Take advantage of new online tools. Enrollment doesn't have to be overwhelming, especially if you use the new decision support tools employers are making available. They can help you consider coverage options, available providers, provider quality, and estimate potential out-of-pocket costs out-of-pocket costs Managed care Health care costs that a covered person must pay out of pocket–eg, coinsurance, deductibles, etc. See Copayment. . And if you enroll via the Internet, you'll have the benefit of speed, convenience and flexibility when comparing health plans. Evaluate your health plan choices. Even if you're happy with your current plan, don't assume that it's still the best choice for you in the coming year, or that coverage options haven't changed. Use the tools and information currently available to evaluate whether your current health plan still fits your health care and financial needs. Involve your family in coverage decisions. Check your benefits plan for any changes to coverage of family members. Some employers are revising coverage for employees whose family members receive health care benefits from another employer. Reap the tax advantages of spending accounts. Consider enrolling in a health care or dependent care spending account. By contributing a portion of your before-tax income to a spending account during annual enrollment, you'll pay predictable health care and dependent day care expenses tax free throughout the year. (See the attached fact sheets for additional information on health care and dependent care spending accounts). Assess your insurance needs. Most employers automatically provide life insurance benefits to their employees. The enrollment period is a good time to assess whether your circumstances call for additional life insurance, either through your employer's plan or another carrier. Maximize participation in your 401(k) plan. The earlier you start contributing to your 401(k), the better off you'll be. If you haven't already started contributing, start now! Remember, your employer may "match" your savings with additional dollars. Also, make sure that your investment portfolio in the 401(k) plan is appropriate for your risk tolerance Risk Tolerance The degree of uncertainty that an investor can handle in regards to a negative change in the value of their portfolio. Notes: An investor's risk tolerance varies according to age, income requirements, financial goals, etc. and age, and in line with your retirement goals. "Major changes in health plans can be expected this year," said Wendy Rhodes, HR outsourcing communication practice leader at Hewitt Associates. "That's why thinking through your choices is more important than ever. Use this annual enrollment period to reassess reassess Verb to reconsider the value or importance of reassessment n Verb 1. reassess - revise or renew one's assessment reevaluate your options and ensure that you're making fully-informed decisions. And, take advantage of the new online tools and other resources employers have available so you can make the best decisions for your situation." Hewitt Associates (www.hewitt.com) is a global human resources The fancy word for "people." The human resources department within an organization, years ago known as the "personnel department," manages the administrative aspects of the employees. outsourcing and consulting firm. It provides services from offices in 38 countries. Health Care Flexible Spending Accounts flexible spending account, n an employee reimbursement account primarily funded with employee-designated salary reductions. Funds are reimbursed to the employee for health care (medical and/or dental), dependent care, and/or legal expenses and are Fact How Do They Work? -- In these voluntary plans, money is deducted de·duct v. de·duct·ed, de·duct·ing, de·ducts v.tr. 1. To take away (a quantity) from another; subtract. 2. To derive by deduction; deduce. v.intr. from your paycheck on a pre-tax basis for out-of-pocket health care expenses. The amount that you decide to contribute for the entire year is deposited into the account at the beginning of the year, and you must submit receipts for reimbursement Reimbursement Payment made to someone for out-of-pocket expenses has incurred. . The spending account dollars must be used in the year you contribute them or they will be forfeited for·feit n. 1. Something surrendered or subject to surrender as punishment for a crime, an offense, an error, or a breach of contract. 2. Games a. . Who Should Enroll? -- You can enroll on behalf of your family if you expect to incur out-of-pocket health care expenses during the year. What's Covered? -- Because rules vary from plan to plan, it's best to check with your employer about covered expenses. The IRS An abbreviation for the Internal Revenue Service, a federal agency charged with the responsibility of administering and enforcing internal revenue laws. recently announced that expenses for over-the-counter medications such as allergy medicine, antacids Antacids Definition Antacids are medicines that neutralize stomach acid. Purpose Antacids are used to relieve acid indigestion, upset stomach, sour stomach, and heartburn. , and cold medicines can be reimbursed from the health care account. What's Not Covered not covered Health care adjective Referring to a procedure, test or other health service to which a policy holder or insurance beneficiary is not entitled under the terms of the policy or payment system–eg, Medicare. Cf Covered. ? -- Insurance premiums, cosmetic procedures, health club dues, vitamins and counseling, for instance. Contribution Limits -- There's no federally mandated maximum contribution, however, most companies limit your contributions to approximately $3,000 per year. Calculating Your Contribution -- Gather receipts, insurance forms, credit card statements and cancelled checks from the previous year to determine how much you spent out-of-pocket this past year. Add in the cost of any major one-time expenses for next year and you should have a good estimate of what your projected total expenses might be. Requesting Reimbursement -- Once the plan year starts, you can only submit claims incurred on or after the date that you begin participating. Many employers are making debit cards debit card, card that allows the cost of goods or services that are purchased to be deducted directly from the purchaser's checking account. They can also be used at automated teller machines for withdrawing cash from the user's checking account. available to allow cash free transactions for certain health care services. Making Changes -- Check your employer's plan rules to determine the policy on midyear mid·year n. 1. The middle of the calendar or academic year. 2. a. An examination given in the middle of a school year. b. midyears A series of such examinations. election changes. Using What's Leftover -- If there's money left in your spending account by year- end, use the balance of the funds or else you'll lose the money you set aside. For example, you could make wellness appointments for yourself and all dependents covered under the plan. Schedule appointments with specialists like physical therapists, allergists and orthodontists. Get new glasses, prescription sunglasses sunglasses A tinted pair of glasses used to ↓ light arriving at the eye, which are labeled according to the amount of UV light blocked; nonprescription glasses are classified according to use and amount of UV radiation blocked Sunglasses or contacts, since most vision plans cover glasses or contacts only every other year. Consider covered elective surgery elective surgery Surgery Any operation that can be performed with advanced planning–eg, cholecystectomy, hernia repair, colonic resection, coronary artery bypass , a weight loss program prescribed by a physician or other procedure. Refill refill noun A second allotment of a prescription agent obtained from a pharmacy, which is allowed by the original prescription verb Pharmacology To obtain more of a particular drug, after the initially prescribed amount of the agent has been used or regular prescriptions. Dependent Care Flexible Spending Accounts Fact Sheet How Do They Work? You may put away money on a pre-tax basis to cover dependent day care expenses. Before the year begins, decide how much you want to contribute to the spending account for the year. Remember that if you don't use all of the funds, you'll have to forfeit To lose to another person or to the state some privilege, right, or property due to the commission of an error, an offense, or a crime, a breach of contract, or a neglect of duty; to subject property to confiscation; or to become liable for the payment of a penalty, as the result of a them. Who Should Enroll? Consider enrolling if you and your spouse both work (or attend school full time) or you're a single working parent and have dependent children under age 13, disabled children, or if you're caring for an elder dependent. Generally, families with incomes over $15,000 benefit more from the dependent care spending account than the dependent care tax credit. However, because situations vary, consult your tax advisor A tax advisor is a financial expert especially trained in tax law. Some countries require tax advisors to verify the balance sheets of companies above a certain size. Individuals usually require tax advisors to minimize taxation, to avoid learning the details of tax law in before enrolling. What's Covered? Dependent day care expenses, which enable both parents in a household or single parents to work, are covered. Expenses must be for dependents who are under age 13, disabled or elderly dependents requiring adult day care. What's Not Covered? Expenses for babysitting, overnight camp, and round-the-clock nursing home care. Also, expenses for care paid to your own child under age 19. Contribution Limits Your household may contribute up to a total of $5,000 pre-tax, regardless of the number of children, with some limits: -- Contributions are limited to the income of the lower paid spouse if his or her income doesn't exceed $5,000. Married couples filing joint tax returns can contribute up to $5,000. -- Married couples filing separate tax returns can each contribute up to $2,500. -- If you or your spouse earn more than $85,000 per year, your contribution limits may be reduced. Consider having the lesser-paid spouse enroll in his or her employer's dependent care spending account in order to maximize your contribution limit. Determining Your Contribution Multiply your weekly cost of day care by the number of weeks of day care you'll need per year to determine your yearly contribution amount. Requesting Reimbursement You can only submit claims incurred on or after the date that you begin participating. Generally, you can submit claims for reimbursement at any time during the year including a 60-90 day grace period after the plan year is over. Making Changes Once you've decided how much to contribute, you can't change your contributions during the year unless you have a qualified change in status such as the birth of another child, divorce or death. However, if the cost of day care changes or your child reaches 14, you are able to adjust your contributions. |
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