Medical
What is the difference between a PPO and an HDHP?
A PPO refers to the network structure of a plan, whereas HDHP refers to its pay structure. An HDHP can be a PPO (or an HMO, POS, or EPO). A high deductible health plan (HDHP), sometimes referred to as an HSA plan, simply works differently than more traditional plans in that there are no copays. With an HDHP, you will pay everything out-of-pocket until you reach your deductible. After that, the plans coinsurance kicks-in, and the insurer picks up a percentage of the bills until you reach your out-of-pocket maximum.
How much can I contribute to my HSA?
On April 29, the IRS released the 2023 inflation-adjusted amounts for HSAs. For calendar year 2023, the annual limitation on deductions under Code Section 223(b)(2)(A) for an individual with self-only coverage under a HDHP is $3,850, up $200 from the 2022 limits. For individuals with family coverage under a HDHP, the limit is $7,750, up $450 from the 2022 limits. There is no change to the HSA catch-up contribution limit for individuals 55 and older. These amounts are set and adjusted annually by the IRS. Remember that not all health plans with a high deductible are HSA-qualified, so before you enroll in a plan, make sure this tax benefit is included.
Where do I make my 2023 benefit elections?
ADP - Open Enrollment window wizard.
What if I submitted my Open Enrollment and need to make changes?
Once your elections have been submitted, the Open Enrollment task will no longer appear as a pop up on ADP. However, you may continue to access and modify your elections until the close of Open Enrollment (November xx, 2022)
What’s the Difference Between a Deductible and an Out-of-Pocket Maximum?
Do I lose the money in my HSA if I don’t use it during the year?
No, that money is yours and rolls over from year to year. It’s different from a flex spending account, which is a “use or lose it” account.
How can I find out which benefit plans I am currently enrolled in for 2022?
ADP>Myself>Benefit Enrollments
What happens if I do nothing?
Here’s what you can expect if you do not take action during Open Enrollment:
I missed the Open Enrollment window because I was sick. Can you enroll me?
If you miss the open enrollment period, you will not be able to enroll or make changes until the next annual open enrollment period — unless you experience a qualifying life event that permits you to make benefits changes under IRS rules.
How much of my FSA money can I carry over to next year?
The 2023 Medical, Limited and Dependent Care FSA plans have a grace period of 2 ½ months and a 90-day runout period. For the 2023 plan year, claims can be filed with a date of service through 3/15/2024 and the final filing date of 3/30/2024. So what are the dates for 2022 plan year?
Will I receive new cards for 2023?
Yes for medical
Yes for dental
Yes for RX
NO for vision
How do I find out if my medical/dental/vision provider is covered by my insurance?
Call the member services number for that vendor or access the information online.
What is a Qualifying Life Event (QLE)?
Qualifying Life Events allow you to make changes to your insurance plan within a set period of time (usually 30 or 31 days), regardless of if they occur during the open enrollment window or not. Common QLEs include, but are not limited to the following:
I changed my mind about how much I want to contribute to my FSA in 2023...how do I decrease the amount?
After OE, you cannot change your contribution amount (increase or decrease). Why?
Can you do this in an HSA?
Who do I contact for assistance?
Local HR
What services are covered by my medical/dental provider?
????
How does the Open Enrollment period for my spouse or domestic partner impact my 2023 benefit elections?
If your spouse’s or domestic partner’s Open Enrollment period occurs before LH, you should compare plans and enroll in the best combination to meet your needs. You should still make your 2023 benefit elections during our Open Enrollment period.
If your spouse’s or domestic partner’s Open Enrollment period coincides with LH, you should compare plans and enroll in the best combination to meet your needs.
If your spouse’s or domestic partner’s Open Enrollment period occurs after LH, you should still make your 2023 benefit elections during our Open Enrollment period. A spouse or domestic partner going through Open Enrollment counts as a qualifying life event which enables you to change your 2023 benefit elections by declaring a life event in ADP and selecting “Spouse or Domestic Partner Gains or Loses Other Coverage”. Please note that you must report change within 30 days of losing or gaining coverage under your spouse or domestic partner.
Why do I always have to submit receipts when I use my funds!!??!! So annoying....
Because the IRS says so....no Liz cannot change the rules.
What benefits require re-election?
HSA and FSA
Why do we keep changing providers for life, short term/long term disability, dental, etc.????
Cost savings is usually the answer.