What’s New for 2024?

Plan change highlights for 2024 include (eligibility rules may apply):

• New health care navigation, advocacy and care coordination through Quantum Health. If you have any specific inquiries about your health care benefits, Quantum Health can provide you with more effective assistance. Quantum Health will serve as the ‘front door’ to our medical benefits, providing medical care coordination, helping you with pre-certification and assisting you in finding in-network providers and other services. All associates who enroll in the Nemours Children’s medical plan will receive a new ID card with the Quantum Health logo. It’s important to note that your Aetna network of providers will remain unchanged.
• New administration of health savings and flexible spending accounts. Starting in 2024, HealthEquity will take over from PayFlex as the administrator for health savings accounts (HSAs) and flexible spending accounts (FSAs). This change means that enrolling in the Green Plan will be more convenient with HealthEquity’s HSA administration. If you opt for either of these accounts for 2024, HealthEquity will provide you with a new debit card.
• New long-term disability plan option maximum. Nemours is raising the maximum monthly benefit for one of its long-term disability plan options from $12,000 to $15,000. 
• New medical claims administrator. Although they’re considered more ‘behind the scenes,’ we want to ensure you’re aware that Meritain Health, an Aetna subsidiary, will now be responsible for paying your medical claims.

Health Plan Costs

Annual enrollment offers an opportunity to share updated information about the cost of the Nemours health plans. The average annual cost per associate has increased from $15,270 in July 2022 to $17,134 in July 2023, representing an increase of 12.2 percent. Consistent with other U.S. employers, Nemours is also facing the challenges of high inflation, increasing costs of pharmaceuticals and medical services, and ongoing labor shortages, which have resulted in rising prices of health care and other benefits. 

Remember, taking an active role in your own health care can help keep costs down:

• Ask about the price of services and talk with your doctor about treatment options.
• Consider using programs like 2nd.MD for second opinions, Carrum Health for surgical centers of excellence, and condition management programs for Type 2 diabetes (Twin Health) and exercise therapy (Hinge Health). You should also take advantage of our maternity and parenting planning support program (Cleo).
• Use generics, compare pharmacy pricing, and check eligibility for co-pay assistance under the SaveOn program with Express Scripts.
• Use urgent care or telemedicine instead of the emergency room.
• Take advantage of wellness resources to stay healthy and participate in the Wellness Incentive Program to earn points for healthy activities to enjoy a discount for your medical premiums.
• If you are comfortable with a high deductible, consider the Green Plan, where you have lower premiums and get the triple tax advantages of a health savings account (HSA).
• If you are eligible, consider the SAVI plan, where all your out-of-pocket expenses up to the ACA maximums are paid at 100 percent.

Payroll Contributions

For full-time associates, your payroll contributions for the medical/pharmacy plans will increase by 8 percent ranging from a $3 to $25 increase per paycheck. Dental is increasing by an average of 2.2% and vision plan contributions will remain unchanged. Please see rate sheets for specific details.

• Full-Time Rate Sheet
• Part-Time Rate Sheet
• COBRA Rate Sheet

Premium costs for all supplemental life plans (associate, spouse and child) and voluntary AD&D, and most of the rates for voluntary supplemental health benefits such as critical illness, accident and hospital will remain unchanged.

Read on to learn more about 2024 benefits:

PTO Buyback

We are offering a PTO buyback option again this year. This allows you to sell up to 100 hours of PTO if eligibility requirements are met. PTO buyback is paid at 80 percent of its value.

Income-based Health Reimbursement Arrangement

For lower income associates who qualify based on household income, there is an opportunity to apply for the income-based health reimbursement arrangement (HRA). This would provide for assistance with your copays, deductible and coinsurance. This benefit is available with our Red, Blue and White plans. You have to complete a one-page application and submit it with your prior year’s tax returns. If you are currently using the benefit, you will have to reapply for 2024. For additional information on eligibility, contact our Nemours bswift Benefits Center via Live Chat, or call 855.373.6012 or call the HR Solutions Call Center at 877.458.9699.

2024 YOURHealth Wellness Program

Nemours wants to reward you for engaging in healthy activities. That’s why you can earn 20 percent off your medical insurance premiums with the Wellness Incentive Program! Save hundreds of dollars on your medical insurance premiums by completing the requirements. Complete the activities by Nov. 30, 2023, to earn the discounted insurance premium rate for the 2024 plan year. Please visit the YOURHealth Wellness Program portal for more information.

ARGs are a benefit for all associates. Please consider joining one or more of the ARGs at Nemours.

Other Important Benefits Plan Reminders

As you go through annual enrollment, please keep the following in mind:

• The dependent care account is for daycare expenses, not for your family’s health care expenses. 
• If you are highly compensated (as defined by the IRS), contributions to the dependent care account will be limited to $1,700 in 2024 because of federally required non-discrimination testing.
• If you enroll in the legal plan, you are required to stay in the plan for the entire calendar year unless you terminate or have a status change to a non-benefits-eligible position.
• You may enroll (subject to insurance company approval) in long-term care any time during the year by contacting the insurance company directly (you cannot enroll through the online benefits system).
• Transamerica Retirement plan benefits are NOT part of annual enrollment. You may enroll or make changes to your 403(b) or 457(b) contributions at any time during the year.

Review Your Benefits Choices

Annual enrollment gives you the opportunity to review your benefits to ensure your elections are continuing to meet your needs and those of your family. This information focuses on what is changing for 2024. If you need detailed information about each of the plans, refer to the 2023 Benefits Guide and/or the benefit booklets on https://nemoursbenefits.bswift.com (see the Home Page and the Library tab; these materials will be updated soon for 2024). We also encourage you to review the Summaries of Benefits and Coverage (SBCs) intended to help you compare and understand the health plan options available to you.

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• SBC – Red
• SBC – Blue
• SBC – White
• SBC – Green
• SBC – Red HRA (special eligibility rules apply)
• SBC – Blue HRA (special eligibility rules apply)
• SBC – White HRA (special eligibility rules apply)
• SBC – SAVI (special eligibility rules apply)
• 2024 Medical Plan Comparisons:  Red, Blue & White plans or Green plan

Enrollment is Your Responsibility

Benefits are very important. Each associate is responsible for reviewing the information provided by Nemours so that you may make an informed decision about your benefits.

Please review your benefits elections carefully. Upon completion of your online enrollment, a confirmation statement will be provided for you to save or print. In addition, a copy of your confirmation statement will be sent electronically after the enrollment period ends. 

Status Changes and Qualified Life Reminders

• Don’t forget that if you have a status change or qualified life event (QLE) after your 2024 benefits go into effect, you may be able to make changes to your elections mid-year within 60 days of the QLE. Examples of a QLE include marriage, divorce, birth or adoption, and loss of coverage.
• If you have a QLE, you can now change your benefits online from the Life Event link on https://nemoursbenefits.bswift.com. For more information, refer to the Life Event Enrollment Guide posted on Nemours Net.

Don’t Forget To “Ask Emma”

Ask Emma is an interactive decision support tool — and so much more!

You’ll see Ask Emma when you start the enrollment process in the medical plan section of the bswift enrollment portal. She can help you make an informed and personalized decision across the range of Nemours benefits offerings.

• Take the guesswork out of benefits enrollment.
• Explore Emma’s FAQs and cost calculator to find the plans that best fit you and your family.
• Review personalized cost comparisons by health needs.
• Model future health scenarios for the whole family.
• Translate insurance jargon into easy-to-understand explanations.
• Emma also will host the associate-friendly Annual Enrollment video, posted on the Benefits portal home page. She will cover everything you’ll need to know in about 15 minutes

Be sure to check the bswift Annual Enrollment checklist to ensure you’ve completed all the steps for 2024!