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2011 Employee Benefits Open Enrollment

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NEW FOR <strong>2011</strong><br />

Children can be covered to age 26 under the TVA Medical Plan.<br />

See previous page for more information.<br />

There will be four enhancements to each of the medical plan<br />

options.<br />

1 Children under age 19 no longer have to provide proof of previous health coverage<br />

in order to eliminate a waiting period for pre-existing conditions. If you have<br />

a child under age 19 who is still in a pre-existing condition waiting period on Jan. 1,<br />

<strong>2011</strong>, the child’s waiting period will automatically end at midnight Dec. 31, 2010. This<br />

change is part of the Patient Protection and Affordable Care Act.<br />

2<br />

The number of routine checkups paid at 100 percent for children up to<br />

age 6 will increase. The new schedule is:<br />

Birth to age 1 - five exams (in addition to the physician exam in the hospital)<br />

Age 1 up to 2 - three exams<br />

Age 2 up to 3 - two exams<br />

Age 3 up to 6 - one exam per year<br />

There will no longer be a limit (or maximum) as to the amount paid by the<br />

3<br />

medical plan for the following major organ transplant procedures: heart,<br />

heart and lung, liver, pancreas, lung (single or double), small bowel, small bowel/<br />

liver. This change is part of the Patient Protection and Affordable Care Act.<br />

Inpatient and outpatient mental health and substance abuse services will<br />

4<br />

be covered the same as other conditions. There will no longer be any day<br />

or visit limits.<br />

Another medical plan enhancement became effective in 2010 to cover flu shots —<br />

seasonal and H1N1 (swine flu) — at 100 percent. This change was retroactive to<br />

Jan. 1, 2010. The shots will be paid in full regardless of whether or not you have<br />

used all of your $500 preventive care benefit.<br />

The Flexible Spending Accounts will have two changes.<br />

1<br />

The Health Savings Account will have two changes.<br />

The following changes will be effective Jan. 1, <strong>2011</strong>.<br />

The Limited Purpose Health Care Flexible Spending Account will no longer<br />

be offered due to low enrollment.<br />

Over-the-counter medication, unless prescribed by a doctor, will no longer<br />

2<br />

be reimbursable from a Flexible Spending Account. This change is part of<br />

the Patient Protection and Affordable Care Act.<br />

Over-the-counter medication, unless prescribed by a doctor, will no longer<br />

1<br />

be reimbursable from a Health Savings Account. This change is part of the<br />

Patient Protection and Affordable Care Act.<br />

2 The tax penalty for withdrawing money from a Health Savings Account for<br />

non-qualified medical expenses will increase from 10 percent to 20 percent.<br />

This change is part of the Patient Protection and Affordable Care Act.<br />

There will be a new life insurance plan<br />

administrator.<br />

The administrator of the life insurance plan will<br />

change to Aetna. There will be no changes to life<br />

insurance benefits or options.<br />

A HealthCheck3 credit earned in<br />

FY2010 will be automatically applied<br />

during enrollment.<br />

You will not have to take any action during<br />

enrollment. The premiums for your <strong>2011</strong> benefit<br />

elections will be automatically offset by the<br />

HealthCheck3 credit you earned.<br />

Congratulations to the more than 4,000<br />

employees who reduced their benefit costs and<br />

learned more about their health by participating in<br />

HealthCheck3!<br />

SAVE THE DATE!<br />

NOW – Review your benefit needs for <strong>2011</strong>. Learn<br />

details of your benefit choices on e<strong>Benefits</strong> on<br />

InsideNet under Self Service Solutions by clicking on<br />

the plan name.<br />

WEEK OF OCT. 11 – Try different scenarios using<br />

the Health Plan Comparison Tool available at<br />

www.bcbst.com.<br />

Read the <strong>Open</strong> <strong>Enrollment</strong> newsletter with<br />

information on how to enroll online. It will be mailed<br />

to employees’ homes.<br />

OCT. 21 – Review your personalized fact sheet<br />

available through e<strong>Benefits</strong>.<br />

OCT. 21 - NOV. 19 – <strong>Open</strong> <strong>Enrollment</strong> for <strong>2011</strong> —<br />

Elect your benefits online by midnight Eastern time.<br />

IT’S IMPORTANT TO ENROLL<br />

• To have a Health Care Spending Account or<br />

Dependent Care Spending Account in <strong>2011</strong>,<br />

you must enroll during open enrollment.<br />

• If you don’t elect medical or dental coverage<br />

during open enrollment, you will be<br />

automatically enrolled in the same medical or<br />

dental plan with the same level of coverage —<br />

individual or family — you had in 2010.

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