Page 6 - 2015 Reznor Salary Enrollment Guide
P. 6
Open
Enrollment
Glossary
Premium: The amount you contribute
each month from your paycheck for Let’s take a look at the key features of each plan.
insurance coverage.
Health Reimbursement Health Savings Account
Deductible: A set dollar amount Arrangement
Out-of-
Out-of-
you have to pay for your healthcare In-Network Network In-Network Network
expenses before the company starts to Calendar Year Deductible
share costs with you. Deductibles vary Individual $1,750 $3,500 $3,000 $6,000
by plan and by coverage levels. Family $3,500 $7,000 $6,000 $12,000
Coinsurance 80% 60% 80% 60%
Coinsurance: Once you’ve satisied Out-of-Pocket Includes Deductible Includes Deductible
the deductible, this is a set percentage Maximum
of the remaining costs which are your Individual $3,500 $7,000 $6,000 $12,000
responsibility, until you reach your out- Family $7,000 $14,000 $12,000 $24,000
of-pocket max. Preventive Care 100% Not Available 100% Not Available
Ofice Visit Copay
Copay: A set dollar amount you pay Primary Care $30 copay Ded/60% Ded/80% Ded/60%
for services every time you use them. Physician
Specialist $60 copay Ded/60% Ded/80% Ded/60%
Out of pocket max: Generally, the Emergency $200 copay; $200 copay; Ded/80% Ded/80%
most you can spend on healthcare for Room Ded/80% Ded/80%
the year, not including your monthly Urgent Care $60 copay Ded/60% Ded/80% Ded/60%
premiums. Prescription Drugs
Pharmacy Out-of-Pocket Maximum
HRA: A Health Reimbursement
Pharmacy expenses are
Arrangement includes an account that Individual $3,100 N/A included in your medical out
the company establishes for you. HRAs Family $6,200 N/A of pocket maximum
do not accept employee contributions.
Retail
HSA: A Health Savings Account is a Tier 1 $10 copay $10 copay Ded/80% Ded/60%
personal bank account you own and Tier 2 $30 copay $30 copay Ded/80% Ded/60%
is used to pay for qualiied medical Tier 3 $60 copay $60 copay Ded/80% Ded/60%
expenses. Whatever money you Tier 4 $90 copay $90 copay Ded/80% Ded/60%
contribute or accumulate is yours for Mail Order
life. Employees can make contributions Tier 1 $20 copay Ded/80%
to the account up to the allowed Tier 2 $60 copay Not Available Ded/80% Not Available
maximum contribution limits. The IRS Tier 3 $120 copay Ded/80%
contribution limits for 2015 are $3,350 Tier 4 Not Available Not Available
for individuals and $6,650 for families.
These funds can be withdrawn at any Please refer to your Summary Plan Description (SPD) for complete details of plan beneits,
time to cover qualiied medical limitations, and exclusions. In the event of a conlict between the SPD and this description,
the terms of the SPD will prevail.
expenses as deined by the
IRS.
6
Enrollment
Glossary
Premium: The amount you contribute
each month from your paycheck for Let’s take a look at the key features of each plan.
insurance coverage.
Health Reimbursement Health Savings Account
Deductible: A set dollar amount Arrangement
Out-of-
Out-of-
you have to pay for your healthcare In-Network Network In-Network Network
expenses before the company starts to Calendar Year Deductible
share costs with you. Deductibles vary Individual $1,750 $3,500 $3,000 $6,000
by plan and by coverage levels. Family $3,500 $7,000 $6,000 $12,000
Coinsurance 80% 60% 80% 60%
Coinsurance: Once you’ve satisied Out-of-Pocket Includes Deductible Includes Deductible
the deductible, this is a set percentage Maximum
of the remaining costs which are your Individual $3,500 $7,000 $6,000 $12,000
responsibility, until you reach your out- Family $7,000 $14,000 $12,000 $24,000
of-pocket max. Preventive Care 100% Not Available 100% Not Available
Ofice Visit Copay
Copay: A set dollar amount you pay Primary Care $30 copay Ded/60% Ded/80% Ded/60%
for services every time you use them. Physician
Specialist $60 copay Ded/60% Ded/80% Ded/60%
Out of pocket max: Generally, the Emergency $200 copay; $200 copay; Ded/80% Ded/80%
most you can spend on healthcare for Room Ded/80% Ded/80%
the year, not including your monthly Urgent Care $60 copay Ded/60% Ded/80% Ded/60%
premiums. Prescription Drugs
Pharmacy Out-of-Pocket Maximum
HRA: A Health Reimbursement
Pharmacy expenses are
Arrangement includes an account that Individual $3,100 N/A included in your medical out
the company establishes for you. HRAs Family $6,200 N/A of pocket maximum
do not accept employee contributions.
Retail
HSA: A Health Savings Account is a Tier 1 $10 copay $10 copay Ded/80% Ded/60%
personal bank account you own and Tier 2 $30 copay $30 copay Ded/80% Ded/60%
is used to pay for qualiied medical Tier 3 $60 copay $60 copay Ded/80% Ded/60%
expenses. Whatever money you Tier 4 $90 copay $90 copay Ded/80% Ded/60%
contribute or accumulate is yours for Mail Order
life. Employees can make contributions Tier 1 $20 copay Ded/80%
to the account up to the allowed Tier 2 $60 copay Not Available Ded/80% Not Available
maximum contribution limits. The IRS Tier 3 $120 copay Ded/80%
contribution limits for 2015 are $3,350 Tier 4 Not Available Not Available
for individuals and $6,650 for families.
These funds can be withdrawn at any Please refer to your Summary Plan Description (SPD) for complete details of plan beneits,
time to cover qualiied medical limitations, and exclusions. In the event of a conlict between the SPD and this description,
the terms of the SPD will prevail.
expenses as deined by the
IRS.
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