Page 3 - 2015/2016 Benefits Guide
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2015/2016 Updates




TheBANK is committed to offering you the most competitive beneits Both Plans
package. The employee beneits programs described in this booklet are „ Starting July 1, 2016, the

designed to promote and maintain good health, help meet the cost of medical and pharmacy
illnesses and accidents, and help provide inancial security for employees limits will be combined so
and beneiciaries. all expenses accumulate
towards the same combined
Please note that this is a summary of the beneits and does not provide all out-of-pocket maximum.
details about the various beneit plans. Please contact your local Human Any medical and pharmacy
Resources representative if you have any questions or concerns. out-of-pocket expenses met

from January 1, 2016 to
Important Updates June 30, 2016 will help satisfy

TheBANK continues to evaluate our beneits to ensure we offer the best the new plan requirements.
beneits possible. We are pleased to announce we will continue to offer „ Generics over $500—$50
the same beneit plans for 2015/2016. As required by Healthcare Reform, copay at retail
TheBANK has made a few changes to the pharmacy portion of the Basic „ Generics over $1,000—$100

and Premium plans. In the past, the pharmacy out-of-pocket member cost copay at mail
has been unlimited. During the 2015/2016 plan year, pharmacy expenses
will accumulate towards a set pharmacy out-of-pocket maximum. Once „ Pharmacy specialty
the maximum is reached, all pharmacy expenses will be paid at 100% by beneit—20 percent to a
the plan. maximum of $150


Premium Plan

„ Pharmacy out-of-pocket limited to $2,475 per individual and $4,950
per family in-network from July 1, 2015 to December 31, 2015
„ Pharmacy out-of-pocket limited to a separate $2,475 per individual
and $4,950 per family in-network from January 1, 2016 to

June 30, 2016

Basic Plan

„ Pharmacy out-of-pocket limited to $2,225 per individual and $4,450
per family in-network from July 1, 2015 to December 31, 2015

„ Pharmacy out-of-pocket limited to a separate $2,225 per individual
and $4,450 per family in-network from January 1, 2016 to

June 30, 2016



Benefits Guide
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