Page 2 - Cognize - OE Action Guide

SUMMARY OF PLAN CHANGES

ONLINE RESOURCES Below is a brief overview of the plan design changes effective January 1, 2020. Please
review this information before making your benefit elections for the 2020 plan year. Full
All important healthcare
notifications such as plan details are available on Ease, cognize.ease.com .
CHIPRA, Medicare Part D,
Summary of Benefits and Current Benefit Effective 1/1/2020
Coverage (SBCs) and
Summary Plan
Descriptions (SPDs) will
be posted online in the MEDICAL HMO
Ease system for review • Plan Name Platinum PPO 15/250 Gold PPO 20 / 30%
and download. This site is • Deductible (individual/family) $250 / $750 None
easy to use and available • Out-Of-Pocket Maximum $3,800 / $7,600 $7,000 / $14,000
24/7. • PCP / Specialist Copay $15 / $30 $20 / $50
• Coinsurance 90% / 50% 70% / 50%
•
Ease: Pharmacy $5 / $15 / $35 / $70 $15 / $40 / $80
cognize.ease.com
You will receive an email
with login instructions. DENTAL PPO

SBCs: Please refer to
Summary of Benefits and VISION
Coverage (SBC), plan
Coverage will remain with Anthem Blue Cross.
summaries and carrier
addendums for details. BASIC LIFE No change to plan or rates.

Medicare Part D: Our
prescription drug plan is LONG TERM DISABILITY
creditable.

HEALTH CARE REFORM AND YOU

The Affordable Care Act (ACA) penalty for not having health coverage (known as the individual mandate) has been
eliminated. However, if you are a taxpayer in California, Massachusetts, New Jersey, Vermont or the District of
Columbia, you will be required to have health coverage (unless you qualify for an exemption) or pay a penalty for the
2020 tax year – these states have an individual mandate requirement.
You may consider these options below to satisfy this requirement:
• Enroll in a medical plan offered by Cognize, Inc. or another group medical plan which meets the requirements for
minimum essential coverage;
• Purchase coverage through the health insurance marketplace;
• Enroll in coverage through a government-sponsored program if eligible.

If you choose to purchase coverage through the marketplace, because Cognize, Inc.’s medical plans are considered
affordable and meet minimum value under the Affordable Care Act, you may not be eligible for a subsidy, and you may
not see lower premiums or out-of-pocket costs through the marketplace. In addition, employer contributions to your
medical benefits will be lost, and your portion of medical premiums will no longer be paid via payroll deductions on a
pre-tax basis.

For more information on your coverage options, please visit www.healthcare.gov.

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