Page 9 - 2015 CBRY Enrollment Guide
P. 9
ASARCO
How Your HRA Works
Complete When you have Once your HRA is
wellness activities a healthcare depleted
expense
Earn credits for each activity completed. Any deductible and coinsurance You are responsible for paying the
An employee can earn up to $750 and expenses are automatically taken out of remaining deductible and coinsurance
an employee and spouse can earn up to the HRA (if funds have been earned). expenses until you meet the out-of-
$1,500 maximum. You are responsible for medical and pocket maximum. Once you meet the
prescription copays. out-of-pocket maximum the plan pays
100% of your eligible medical expenses.
Any leftover funds in your HRA at the end
of the year automatically rolls over to the
next year
100% Coverage for In-Network Preventive Care Services
2015 Medical Rates
Deduction Per Pay Period
HRA Plan PPO Plan
Employee only $23.08 $44.77
Employee and Spouse $48.46 $94.15
Employee and Child/Children $41.54 $80.77
Employee, Spouse, and Child/Children $71.54 $149.54
Medical premiums are deducted on a pre-tax basis. Coverage elections can only be changed during Annual Enrollment unless you experience a
qualiied status change.
If you waive coverage for another Medical Plan, you will be reimbursed $12.50 per pay period. Not applicable if both husband and wife are employed
by ASARCO. ASARCO salaried employees married to ASARCO hourly employees are only eligible to elect beneits under the Salaried Beneit Plan.
Important Change for 2015
Employees elect medical and vision separately. If you are currently enrolled in the medical plan you will be
automatically enrolled in the vision plan. See page 15 for the vision plan per pay period deduction. If you want
to waive vision coverage as of 1/1/2015, you will need to change your vision election in ADP ESS during annual
enrollment.
9
How Your HRA Works
Complete When you have Once your HRA is
wellness activities a healthcare depleted
expense
Earn credits for each activity completed. Any deductible and coinsurance You are responsible for paying the
An employee can earn up to $750 and expenses are automatically taken out of remaining deductible and coinsurance
an employee and spouse can earn up to the HRA (if funds have been earned). expenses until you meet the out-of-
$1,500 maximum. You are responsible for medical and pocket maximum. Once you meet the
prescription copays. out-of-pocket maximum the plan pays
100% of your eligible medical expenses.
Any leftover funds in your HRA at the end
of the year automatically rolls over to the
next year
100% Coverage for In-Network Preventive Care Services
2015 Medical Rates
Deduction Per Pay Period
HRA Plan PPO Plan
Employee only $23.08 $44.77
Employee and Spouse $48.46 $94.15
Employee and Child/Children $41.54 $80.77
Employee, Spouse, and Child/Children $71.54 $149.54
Medical premiums are deducted on a pre-tax basis. Coverage elections can only be changed during Annual Enrollment unless you experience a
qualiied status change.
If you waive coverage for another Medical Plan, you will be reimbursed $12.50 per pay period. Not applicable if both husband and wife are employed
by ASARCO. ASARCO salaried employees married to ASARCO hourly employees are only eligible to elect beneits under the Salaried Beneit Plan.
Important Change for 2015
Employees elect medical and vision separately. If you are currently enrolled in the medical plan you will be
automatically enrolled in the vision plan. See page 15 for the vision plan per pay period deduction. If you want
to waive vision coverage as of 1/1/2015, you will need to change your vision election in ADP ESS during annual
enrollment.
9
