2021 Benefits Open Enrollment - Enrollment Dates: October, 26th - November, 6th Changes Effective: January 1, 2021 - Scripps Research

 
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2021 Benefits Open Enrollment - Enrollment Dates: October, 26th - November, 6th Changes Effective: January 1, 2021 - Scripps Research
2021 Benefits
Open Enrollment
Enrollment Dates: October, 26th – November, 6th
            Changes Effective: January 1, 2021
2021 Benefits Open Enrollment - Enrollment Dates: October, 26th - November, 6th Changes Effective: January 1, 2021 - Scripps Research
Open Enrollment

                                   What are my Responsibilities During Open Enrollment
                                    • To add, change or remove dependents from your coverage
                                    • To enroll, change or waive coverage
                                    • To elect / increase voluntary life insurance
                                    • To update beneficiary information (allowed any time)
                                    • Enroll in the Flexible Spending Accounts

                                  Enrollment will be completed in bSwift and elections must be made no later than:
                                  November 6, 2020 at 5pm PST
                                  All benefit changes become effective: January 1, 2021

Scripps Research 2021 Benefits Open Enrollment                                                                  2.
2021 Benefits Open Enrollment - Enrollment Dates: October, 26th - November, 6th Changes Effective: January 1, 2021 - Scripps Research
Who is Eligible to Enroll?

      • Employees: Staff who are regularly scheduled to work at least 20 hours a week
      • New Employees: Benefit eligibility begins date of hire
      • Eligible Dependents:
             – Spouse
             – California Registered domestic Partner (1)
             – Dependent children and step-children:
                        Medical / vision: to age 26
                        Dental: up to age 19; up to age 25 if full-time student
                        Children of any age who are incapable of self-support due to a physical or mental disability may
                         potentially be covered

(1)    Premiums for state registered / unregistered domestic partners who do not meet the tax dependent definition of IRC section 152 for the employee, may be considered taxable
       income (unregistered domestic partners will not meet the relationship test under IRC section 152). Premiums for children / registered Domestic Partners step-children under
       age 26 are not taxable. Premiums for children / stepchildren over age 26 are taxable if not an IRC section 152 tax dependent.

Scripps Research 2021 Benefits Open Enrollment                                                                                                                                  3.
2021 Benefits Open Enrollment - Enrollment Dates: October, 26th - November, 6th Changes Effective: January 1, 2021 - Scripps Research
Can I Make Changes During the Year?

• Your healthcare elections will be effective from January 1, 2021, to December 31, 2021, and changes can only
  be made mid-year if you have a Change in Status

• Some examples of a Change in Status:
        – Marriage / divorce
        – Birth / adoption
        – Death of a dependent
        – Loss or gain of benefits
        – Loss or gain of dependent eligibility
        – Change in residence affecting eligibility or access

• Changes must be made within 31 days of the qualifying event

• Please contact Benefits Administration immediately if you have a Change in Status. You will be required to
  provide documentation of your change in status.

Scripps Research 2021 Benefits Open Enrollment                                                                   4.
2021 Benefits Open Enrollment - Enrollment Dates: October, 26th - November, 6th Changes Effective: January 1, 2021 - Scripps Research
Benefit Plan Review

                                     Medical                  Medical                      Medical                      Medical

                 New
                Carrier               Aetna                     Aetna                       Aetna                        Aetna

                                                            Comprehensive          HDHP Choice POS II             Graduate Student
                                 Value Network HMO
                                                             Choice POS II            HSA/HRA                       Choice POS II

                                                                        Life / AD&D /                Additional
                      Dental                     Vision                                                                               FSA
                                                                           Disability                 Benefits

                   Delta Dental                MES Vision                 Prudential                    MetLife                      PayFlex

                                                                          Life / AD&D                Critical Illness               Health Care
                          DPPO                       PPO                Vol. Life / AD&D                Hospital                  Dependent Care
                                                                           STD / LTD                    Accident

Scripps Research 2021 Benefits Open Enrollment                                                                                                     5.
2021 Benefits Open Enrollment - Enrollment Dates: October, 26th - November, 6th Changes Effective: January 1, 2021 - Scripps Research
What’s New Effective Jan 1, 2021?

                           •    HMO Plan Change:

                                        •    The Anthem Blue Cross Select HMO plan will be replaced by the Aetna
                                             Value Network HMO plan for California employees. Current Anthem
                                             Blue Cross Select HMO members will automatically be placed in the
                                             Aetna HMO, or you can choose to opt into another offered Aetna plan
                                             during the enrollment period. If enrolling in the Aetna Value Network
                                             HMO plan, you need to log into your bSwift account and re-elect a
                                             primary care provider (PCP).

                           •    Long Term Care Plan:

                                        •    UNUM will be increasing their Long Term Care Insurance premiums as
                                             of January 1, 2021. There are plan changes available to reduce the
                                             increase. Employees interested in discussing their premium should call
                                             UNUM directly. If you’d like to enroll in LTC coverage, please consult
                                             the LTC rate sheet available in bSwift for additional information.

Scripps Research 2021 Benefits Open Enrollment                                                                        6.
2021 Benefits Open Enrollment - Enrollment Dates: October, 26th - November, 6th Changes Effective: January 1, 2021 - Scripps Research
Open Enrollment Timeline

    Action                                                                     Date(s)
                                                                           Tuesday, October 27th
    Open Enrollment Virtual Zoom Meeting
                                                                          10:00am – 11:00am PST

                                                                           Monday, November 2nd
    Open Enrollment Virtual Zoom Meeting
                                                                           2:00pm – 3:00pm PST

    Review/make changes/enroll in benefits through bSwift at:
                                                                 Monday, October 26th – Friday, November 6th
    http://scripps.bswift.com

    Online Enrollment System closes                                    Friday, November 6 at 5pm PST

    Benefits become effective                                                 January 1, 2021

    Any changes to payroll deductions will be seen in paycheck            Friday, January 15, 2021

Scripps Research 2021 Benefits Open Enrollment                                                                 7.
2021 Benefits Open Enrollment - Enrollment Dates: October, 26th - November, 6th Changes Effective: January 1, 2021 - Scripps Research
Medical Coverage
Scripps Research 2021 Benefits Open Enrollment   8.
2021 Benefits Open Enrollment - Enrollment Dates: October, 26th - November, 6th Changes Effective: January 1, 2021 - Scripps Research
Aetna Value Network Health Maintenance
Organization (HMO)
                                                                    USING
                                                                   AN HMO

                                                                In-Network

                                                 Primary Care
                                                  Physician        Referral   Specialist

                  • Each family member must select their own Primary Care Physician (PCP)
      TIP         • If you do not select a PCP, Aetna will select one for you

                  • Are you new to the HMO? Make sure your desired PCP is accepting new patients!

                  • With the exception of an OB/GYN, mental health, or chiropractic specialist, your PCP must
                    refer you to specialists

                  • Contact Aetna to change your PCP. PCP changes made before the 15th of the month are
                    effective the 15th of that month. If the member requests the change on the 15th through
                    the 31st, then the change is effective the 1st of the subsequent month.

Scripps Research 2021 Benefits Open Enrollment                                                                  9.
2021 Benefits Open Enrollment - Enrollment Dates: October, 26th - November, 6th Changes Effective: January 1, 2021 - Scripps Research
Aetna Value Network HMO
                         Plan Highlights                                                           Aetna Value Network HMO
                                                                                                                   In-Network Only
                         Annual Calendar Year Deductible
                           Individual                                                                                $100 per person
                           Family                                                                                     $200 per family
                         Maximum Calendar Year Out-of-pocket
     New
                           Individual                                                                               $2,500 per person
     Carrier
                           Family                                                                                   $5,000 per family
                         Physician Services
                           Primary Care Physician (PCP)                                                                 $30 Copay
                           Specialist                                                                                   $40 Copay
                           Routine Preventive Care & Well Child Care                                                    No charge
                           Diagnostic Lab                                                                               No charge
                           Diagnostic X-ray                                                                             $40 Copay
                           Complex Diagnostics (MRI/CT Scan)                                                           $150 Copay
                         Hospital Services
                           Inpatient                                                                               10% after deductible
                           Outpatient                                                                              10% after deductible
                           Emergency Room (copay waived if admitted)                                            $100 Copay after deductible
                           Urgent Care                                                                                  $50 Copay
                         Mental Health & Substance Abuse
                           Inpatient                                                                               10% after deductible
                           Outpatient                                                                                   $30 Copay
                         Prescription Drugs Calendar Year Deductible – Applies to Preferred Brand Name Drugs and Non-Preferred Generic/Brand Name Drugs
                           Individual                                                                                $100 per person
                           Family                                                                                     $200 per family
                         Retail Prescription Drugs (up to 30-day supply)
                           Preferred Generic                                                                            $10 Copay
                           Preferred Brand-Name                                                                $35 Copay after Rx Deductible
                           Non- Preferred Generic and Brand-Name                                               $60 Copay after Rx Deductible
                         Mail Order Prescription Drugs (up to 90-day supply)
                           Preferred Generic                                                                            $20 Copay
                           Preferred Brand-Name                                                                $70 Copay after Rx Deductible
                           Non- Preferred Generic and Brand-Name                                              $120 Copay after Rx Deductible

Scripps Research 2021 Benefits Open Enrollment                                                                                                      10.
Aetna Preferred Provider Organization (PPO)
Comprehensive Choice POS II Plan
                                                              USING
                                                              A PPO

                                                 In-Network or Out-of-Network

                                                                  or
                                                   Primary Care
                                                    Physician          Specialist

         TIP
                      • You obtain a higher level of benefit by receiving your services from participating or in-
                        network doctors, specialists, and facilities

                      • With the PPO, you have freedom of choice and referrals are not required to see a
                        specialist

                      • Before the insurance company pays certain medical expenses, you are required to pay
                        the deductible

                      • You are responsible for remaining cost up to the out-of-pocket maximum

Scripps Research 2021 Benefits Open Enrollment                                                                      11.
Aetna Comprehensive Choice POS II Plan
                                 Plan Highlights                                    Aetna Comprehensive Choice POS II (PPO)
                                                                                               In-network                                 Out-of-network
                                 Annual Calendar Year Deductible
                                   Individual                                                    $900                                          $1,800
                                   Family                                                       $2,700                                         $5,400
                                 Maximum Calendar Year Out-of-Pocket (1)
                                   Individual                                                   $2,250                                         $4,500
                                   Family                                                       $4,500                                         $9,000
                                 Professional Services
                                   Primary Care Physician (PCP)                        20% after deductible                            40% after deductible
                                   Specialist                                          20% after deductible                            40% after deductible
                                   Preventive Care Exam                                    No charge                                  Cancer screenings only
                                   Diagnostic X-ray and Lab                            20% after deductible                            40% after deductible
                                   Complex Diagnostics (MRI/CT Scan)                   20% after deductible                            40% after deductible
                                 Hospital Services
                                                                                                                                      40% after deductible
                                   Inpatient                                           20% after deductible                   Additional $200 Copay applies if not
                                                                                                                                         pre-authorized
                                  Outpatient Surgery                                   20% after deductible                           40% after deductible
                                  Emergency Room                                       20% after deductible                           20% after deductible
                                  Urgent Care                                          20% after deductible                           40% after deductible
                                 Maternity Care
                                  Physician Office Visits                                      No Charge                     40% after deductible
                                                                                                                             40% after deductible
                                   Hospital Services                                   20% after deductible          Additional $200 Copay applies if not
                                                                                                                                pre-authorized
                                 Prescription Drugs                                             Prescription Coverage through OptumRx
                                                                                                              $100/person
                                 Prescription Drug Calendar Year Deductible
                                                                                                              $200/family
                                                                                                            $2,000/person
                                 Prescription Calendar Year Out-of-Pocket Maximum
                                                                                                             $4,000/family
                                Retail Prescription Drugs (up to 30-day supply)
                                  Generic                                                                         $10 Copay
                                  Formulary Brand                                                         $35 Copay after Rx deductible
                                  Non-Formulary Brand                                                     $60 Copay after Rx deductible
 Scripps Research 2021 Benefits Open Enrollment                                          (1)   All percentages paid after deductible has been met          12.
High Deductible Health Plan (HDHP)
  Health Savings Account (HSA)
Scripps Research 2021 Benefits Open Enrollment   13.
What is the High Deductible Health Plan
(HDHP) + Health Savings Account (HSA)
Option?
                 USING                                      What to Know About Your Health Savings Account
                AN HDHP

     In-Network or Out-of-Network

                               or
                                                 You own         Your money            You choose           Paired with a    You receive
                Primary Care                     your HSA       rolls over year   how much to contribute   high-deductible   a triple tax
HSA Funds                           Specialist
                 Physician                                        after year        (max. amounts apply)     health plan     advantage

                • You are financially responsible for all eligible expenses, such as doctor’s visits, non-preventive prescription
    TIP           drugs and lab charges, until the deductible has been met

                • If you are enrolled under Employee + 1 or more Dependents, the Family Deductible must be met before the
                  coinsurance applies

                • Similar to traditional PPO plan, you may use the provider of your choice, but the plan will pay more if you
                  utilize in-network physicians or facilities

                • This medical plan can be paired with a Health Savings Account (HSA) to help pay for qualified health care
                  expenses

                • Contribute towards your HSA through convenient payroll deductions by enrolling in an HSA through PayFlex

Scripps Research 2021 Benefits Open Enrollment                                                                                      14.
Aetna HDHP Choice POS II Plan
                                                                                      HDHP Aetna Choice POS II
                             Plan Highlights
                                                                                            (HSA/HRA)
                                                                                       In-network                             Out-of-network
                             Annual Calendar Year Deductible                                 Family Deductible applies to all members
                               Employee Only                                              $2,000                                 $2,000
                               Employee & Dependent(s)                                    $6,000                                 $6,000
                             Maximum Calendar Year Out-of-Pocket (1)                           Family OOP applies to all members
                               Employee Only                                              $4,500                                 $6,750
                               Employee & Dependent(s)                                    $6,750                                 $10,125
                             Professional Services
                               Primary Care Physician (PCP)                        20% after deductible                    40% after deductible
                               Specialist                                          20% after deductible                    40% after deductible
                                                                                                                      Routine cancer screenings only
                               Routine Preventive Care                                  No charge
                                                                                                                           40% after deductible
                               Routine Well-Child Exams                                No charge                              Not Covered
                               Diagnostic X-ray and Lab                            20% after deductible                    40% after deductible
                               Complex Diagnostics (MRI/CT Scan)                   20% after deductible                    40% after deductible
                             Hospital Services
                                                                                                                            40% after deductible
                               Inpatient                                           20% after deductible             Additional $200 Copay applies if not
                                                                                                                               pre-authorized
                               Outpatient Surgery                                  20% after deductible                   40% after deductible
                               Emergency Room                                      20% after deductible                   20% after deductible
                               Urgent Care                                         20% after deductible                   40% after deductible
                             Prescription Drugs                                              Prescription Coverage through OptumRx
                             Retail Prescription Drugs (up to 30-day supply)
                                                                                                           $10 Copay
                               Generic
                                                                               Subject to Medical Plan Deductible (except for Preventive Medications)
                                Formulary Brand                                                     $35 Copay after deductible
 Scripps Research 2021 Benefits Open Enrollment                                                                                                   15.
                                Non-Formulary Brand                                                 $60 Copay after deductible
HDHP vs. Traditional PPO Plan

  Similarities                                          Differences
      • Plans use the same network of doctors,         • The deductible amount for the HDHP will be
        specialists and hospitals                        significantly higher than a traditional PPO

      • Once the plan deductible has been met, you     • Monthly premiums are usually higher on a
        will receive a higher level of benefit by        Traditional PPO
        receiving services from in-network providers
                                                       • Only the HDHP allows you to use HSA funds to pay
                                                         for current and future qualified health care
                                                         expenses

                                                       • The deductible for a HDHP applies to all services
                                                         except Preventive Services and Preventive Generic
                                                         Rx

                                                       • The family deductible for a HDHP is cumulative,
                                                         meaning if you cover a spouse or child(ren), you
                                                         must meet the family deductible before your plan
                                                         benefits kick in

Scripps Research 2021 Benefits Open Enrollment                                                              16.
How do they Compare? HSA vs. HRA
                                       Health Savings                               Health Reimbursement
 Feature
                                       Account (HSA)                                Account (HRA)
 Account Ownership                     Employee Owned                               Employer

 Contributions                         Employer and/or Employee                     Employer Only

 Account Funding                       May be funded by Employer and/or             Notional arrangement; Fund reimburses
                                       Employee contributions                       employees for approved medical care expenses
                                                                                    as they are incurred

 Useable for Non-Qualified             Yes, but taxable and 20% penalty applies     No
 Expenses
 Account accrual of Interest or        Yes, accrues interest and investment         No, the account does not accrue interest or have
 Investment Earnings                   earnings, which are not federally taxable,   investment earnings
                                       but are taxable for State purposes in some
                                       states
 Useable for Non-Medical               Yes, as long as qualified and comply with    No, only Medical expenses are paid or
 expenses (Dental & Vision)            Section 213                                  reimbursed by the HRA

 Balances for Terminated               Remains with the Employee                    Remains with the Employer
 Employees

Scripps Research 2021 Benefits Open Enrollment                                                                                         17.
Alight Services
                            Alight is a patient advocacy firm providing personal concierge available
                            to Aetna HDHP plan members at no cost. Services include:
                              • Unlimited access to a health care expert

                              • Researching generic or clinical alternative prescription options

                              • Unbiased doctor recommendations based on quality and cost

                              • Coordinating transfer of medical records

                              • Reviewing bills and charges

                              • Resolving billing issues with Aetna, hospitals, and provider billing offices

                              • Explanation of insurance processes and Scripps Research benefit plans

                              • Comparing service costs, cost estimates
                            You can get in touch with Scripps Research’s Health Pro
                 TIP        via:
                              • Phone: 800.513.1667

                              • Email: answers@alight.com

                              • Website: https://member.compassphs.com

Scripps Research 2021 Benefits Open Enrollment                                                                 18.
HSA Eligibility Rules

      For you, the employee, to be eligible to contribute to an HSA, you must:
        • Be enrolled in a qualified high deductible health plan (HDHP)
        • NOT be enrolled in a non-HDHP including a spouse’s plan, Medicare, Tricare or prescription
          drug only plan
        • NOT be claimed as a dependent on another individual’s tax return, other than your spouse’s
        • NOT have received any hospital care or medical services from the Veterans Administration,
          in the last three months (unless these services were related to a service-connected
          disability)
        • NOT be enrolled in a Health Care Flexible Spending Account (FSA) or a Health
          Reimbursement Account
      In order to have deductions from your paycheck, you must be earning a taxable paycheck from
      Scripps Research

Scripps Research 2021 Benefits Open Enrollment                                                         19.
HSA Contribution Limits
 Eligible Individuals and the Employer can make Financial Contributions to an HSA.

                                Calendar Year Maximum
                                                                                                                              2021
                                Contribution
                                Employee Only                                                                                 $3,600

                                Employee + dependents                                                                         $7,200

                                Additional “catch-up” if 55 or older                                                           $1,000

   • Maximum contribution is reduced pro-rata for partial year enrollment (i.e. 1/12 for each month of HDHP
     Coverage)

   • The plan / calendar deductible is not pro-rated from the enrollment date like the fund is

   • Scripps Research contributes towards your HSA account with an annual amount of $1,000 for Employee
     Only and $3,000 for Employee & Dependent(s). Employer contributions will be made on a quarterly basis.

   • Your and your Scripps Research’s contributions count toward the annual contribution maximum

      Any statements concerning actuarial, tax, accounting, investment or legal matters are based solely on our experience as insurance brokers and are not to be relied upon
      as actuarial, accounting, tax, investment or legal advice, for which you should consult your own professional advisors.

Scripps Research 2021 Benefits Open Enrollment                                                                                                                                  20.
Using HSA Funds
Your HSA Funds can be used for Qualified Healthcare Expenses
   • Examples:
           – Unreimbursed qualified medical, dental and vision expenses
           – LASIK
           – Orthodontia
           – Prescriptions
           – Medical premiums for COBRA, or health coverage while receiving unemployment compensation,
           – Medicare Parts B & D
           – Certain Long Term Care premiums
           – Medical Supplies

   • The HSA must be established and an initial deposit must be made before you can be reimbursed for eligible
     expenses or use funds
   • Because you own the HSA, funds can be used towards eligible expenses even after you are no longer
     covered by an HSA-qualified plan
   • If you use an HSA for non-IRS approved medical expenses, you will be subject to pay earned income taxes
     on the misused funds as well as a 20% excise tax

Scripps Research 2021 Benefits Open Enrollment                                                                   21.
Where are my HSA Funds?
                                      Scripps Research has selected PayFlex as the preferred bank to
                                      handle Health Savings Accounts. Money is deposited at PayFlex into
                                      an interest-bearing account.
                                           • Like a Medical IRA

                                                 • Owned by Employee; Portable

                                           • Tax-advantaged personal savings account

                                                 • Employee contributions are tax-free and reduce taxable income*

                                           • Use today or save for future and retirement health expenses

                                                 • Unused money rolls over year to year

                                           • PayFlex will administer your HSA account through convenient payroll
                                             deductions

                                           • If you leave Scripps Research or change medical plans, the HSA
                                             account still belongs to you

                                        * Taxable for California income tax

Scripps Research 2021 Benefits Open Enrollment                                                                      22.
Advantages of an HSA

                                  You Own the                     Build
 Cost                                                                                             Invest                 Tax Savings
                                  HSA                             Savings
 In most instances,               When you leave the              Because you and                 [Vendor / bank]        Contributions are tax
 an HSA plan                      company or retire,              your employer can               offers a wide array    deductible at the
 premium is a less                you can take the                contribute to your              of investment          federal level and
 costly option for you            money with you                  HSA, you have the               options for you to     earnings grow tax
 and your family                                                  ability to grow a               invest and grow your   free (1)
                                                                  sizeable account                savings tax-free (1)
                                                                  over time

(1)   Contributions and earnings to an HSA are taxable income in CA, AL & NJ and earnings are only taxable in NH & TN

Scripps Research 2021 Benefits Open Enrollment                                                                                               23.
Healthcare Cost Comparison

Scripps Research 2021 Benefits Open Enrollment   24.
Health Reimbursement Account (HRA)
Scripps Research 2021 Benefits Open Enrollment   25.
What is a Health Reimbursement
Account (HRA)?

                                             How to Use Your Health Reimbursement Account

                           Your employer          Visit In-Network     Use HRA debit         HRA funds will be
                          makes tax-free              provider         card or turn in       used for payment
                          contributions to                           receipts for eligible   or reimbursement
                             your HRA                                     expenses

              Employee who are ineligible for Health Savings Account (HSA) contributions enroll in the Aetna HDHP
    TIP       Choice POS II Health Fund (HRA) plan and will be set up with a Health Reimbursement Arrangement
              (HRA) through PayFlex.

Scripps Research 2021 Benefits Open Enrollment                                                                      26.
HRA Contributions

Scripps Research makes Financial Contributions to your HRA

                                                                                           Annual Contribution
                       Individual (Employee Only)                                                                   $1,000

                       Family (Employee + Dependents(s))                                                            $3,000

                    • If you were hired in the middle of the plan year, contributions will be pro-rated
                      based on the number of quarters you are enrolled in the HRA Plan

                    • Employer HRA Fund contributions are tax free

                   Any statements concerning actuarial, tax, accounting, investment or legal matters are based solely on our experience as insurance brokers and
                   are not to be relied upon as actuarial, accounting, tax, investment or legal advice, for which you should consult your own professional advisors.

Scripps Research 2021 Benefits Open Enrollment                                                                                                                         27.
How Will I Receive HRA Funds?

                                    Scripps Research has selected PayFlex as the preferred
                                    administrator to handle Health Reimbursement Arrangements.
                                        • If you leave Scripps Research or you have a change in your
                                          eligibility, any remaining HRA funds will stay with the company
                                          unless you elect COBRA
                                        • Claims are paid from the HRA for you and your covered dependents
                                          only once the incurred expense is approved
                                        • Unused funds rollover each year
                                        • Register at www.PayFlex.com to monitor your fund

Scripps Research 2021 Benefits Open Enrollment                                                               28.
Prescription Drug Plans
Aetna AVN HMO Plan                                                                   Comprehensive PPO Plan - Optum Rx
Prescription Drugs Calendar Year Deductible                                          Prescription Drugs Calendar Year Deductible
(Preferred Brand Name and Non-Preferred Generic/Brand Name Drugs)                    (Formulary and Non-Formulary Brand Name Drugs)
  Individual                                       $100 per person                                                                             $100/person
  Family                                            $200 per family                  Prescription Drug Calendar Year Deductible
                                                                                                                                               $200/family
Retail Prescription Drugs (up to 30-day supply)
                                                                                                                                              $2,000/person
  Preferred Generic                                   $10 Copay                      Prescription Calendar Year Out-of-Pocket Max
                                                                                                                                              $4,000/family
 Preferred Brand-Name                           $35 Copay after Rx Deductible        Retail Prescription Drugs (up to 30-day supply)
                                                                                      Generic                                                    $10 Copay
 Non- Preferred Generic and Brand-Name          $60 Copay after Rx Deductible
                                                                                      Formulary Brand                                    $35 Copay after Rx deductible
Mail Order Prescription Drugs (up to 90-day supply)                                   Non-Formulary Brand                                $60 Copay after Rx deductible
 Preferred Generic                                       $20 Copay                   Mail Order Prescription Drugs (up to 90-day supply)
 Preferred Brand-Name                           $70 Copay after Rx Deductible         Generic                                                    $20 Copay
                                                                                      Formulary Brand                                    $70 Copay after Rx deductible
 Non- Preferred Generic and Brand-Name          $120 Copay after Rx Deductible        Non-Formulary Brand                               $120 Copay after Rx deductible

                                                             High Deductible Health Plan - Optum Rx

                                                             Calendar Year Deductible (Does Not Apply to Preventive Medications as Defined by Aetna)

                                                                                                                                    $2,000/person
                                                             Medical/Rx Deductible
                                                                                                                                    $6,000/family
                                                             Retail Prescription Drugs (up to 30-day supply)
                                                              Generic                                                        $10 Copay after deductible
                                                              Formulary Brand                                                $35 Copay after deductible
                                                              Non-Formulary Brand                                            $60 Copay after deductible
                                                             Mail Order Prescription Drugs (up to 90-day supply)
                                                              Generic                                                        $20 Copay after deductible
                                                              Formulary Brand                                                $70 Copay after deductible
     Scripps Research 2021 Benefits Open Enrollment           Non-Formulary Brand                                           $120 Copay after deductible
                                                                                                                                                                   29.
Health Care Reform
Not all Employees are Entitled to a Premium Tax Subsidy in the Health
Marketplace: If an employer offers its full-time employees Minimum Value and
Affordable coverage, those employees may not be entitled to a premium tax credit
in the Health Marketplace/Exchange.

Proof of Coverage: You will receive proof of coverage from your insurance company
and employer describing the coverage made available to you. These forms are
called the 1095-B (from the insurance company) and 1095-C (from your employer).
Expect to receive this in time to file your taxes. (Non-Applicable Large Employers
(Non-ALEs) who have less than 50 FT/FTE employees are not required to provide
Form 1095-C to full-time employees)

Scripps Research 2021 Benefits Open Enrollment                                       30.
Forms Forms Forms

You will receive the following forms next year to use when you file your taxes.

1095 B: Provided by your insurance carrier
   • Provides proof that you and your dependents have at least Minimum Essential Coverage

1095 C: Provided by your employer
   • Describes what kind of coverage was
     made available to you

You will get both around the same
time as your W2 and need to use
them when filing your taxes. For
more information, contact your CPA.

Scripps Research 2021 Benefits Open Enrollment                                              31.
Tools, Resources, and Discount Programs
Scripps Research 2021 Benefits Open Enrollment   32.
iBenefits: Mobile Benefits App

                                                 With iBenefits, you can take your Employee
                                                 Benefits information on the go!
                                                  • View company benefit plans, 24/7

                                                  • Access group numbers and review detailed plan
                                                    information when you need it most

                                                  • Quickly contact an insurance company using the
                                                    “tap to call” feature

                                                  • Keep up with important benefit plan
                                                    announcements via “push notifications” such as
                                                    Open Enrollment dates, deadlines and more

                                                  • Store ID card images

                                                         Company Code:          scripps2021

Scripps Research 2021 Benefits Open Enrollment                                                       33.
Aetna: Online or On-the-go!

   • Secure 24/7 Access

   • Look up a claim status

   • Check account balances

   • Find costs of test and doctor visits

   • View tools and educational materials

   • Download a temporary ID Card

  Plus, Discounts Available!

Scripps Research 2021 Benefits Open Enrollment   34.
Aetna’s Discount Programs & Resources

                                             Discounts Available to You!
                                             Aetna provides you and your family discounts on a range of health
                                             and wellness-related services and products, such as:

                                                 • Acupuncture, Chiropractic, &    • Vision, Hearing & Dental Care
                                                   Massage Therapy
                                                                                   • Vitamins & Supplements
                                                 • Books & DVDs with Tips on
                                                   Health Living                   • Weight-loss programs such as
                                                                                     Jenny Craig, NutriSystem &
                                                 • Fitness Club Memberships          eDiets

                                                 • Online Provider Consultations

Scripps Research 2021 Benefits Open Enrollment                                                                       35.
Telehealth

                                             TelaDoc allows employees and their eligible dependents enrolled in an
                                             Aetna medical plan to access medical care through a board certified
                                             physician conveniently via internet connection or by phone.
                                             Treatable illnesses include:

                                                     • Allergies / asthma      • Bronchitis / cough     • Pink eye
                                                     • Colds and flu           • Rash / sunburn         • Strep throat
                                                     • Diarrhea /              • Sprains / strains      • Urinary Tract
                                                       constipation            • Sports injuries          Infections
                                                 Cost:
                                                 •   Medical:
                                                         •   Aetna Select EPO: Same Copay/Coinsurance as a Specialist visit
                                                         •   Aetna Comprehensive Choice POS II Plan: Same Copay/Coinsurance as a Primary
                                                             Care Physician (PCP) visit
                                                 •    Behavioral Health: Same Copay/Coinsurance as a Specialist Physician visit
                                                 To get started:
                                                 •   Download the app from the Apple App Store or Google Play
                                                 •   Call 1-855-TELADOC (835-2362)
                                                 •   Visit www.TelaDoc.com/Aetna

Scripps Research 2021 Benefits Open Enrollment                                                                                      36.
OptumRx
      With the OptumRx app, you can easily:

  •     Refill or renew a home delivery prescription
  •     Transfer a retail prescription to home delivery
  •     Find drug prices and lower-cost options
  •     View your prescription claim history or order status
  •     Locate a pharmacy
  •     Set up refill reminders
  •     Track your order
  •     Download the OptumRx App now from the Apple App
        Store or Google Play.

Scripps Research 2021 Benefits Open Enrollment                 37.
PayFlex

With the free PayFlex mobile app, it’s easier than ever to:
•   Access to your account information and important dates
•   Make payments
•   You can use the app on iPhone and iPad mobile digital devices, as well as
    Android smartphones.
•   To download, search for “PayFlex Mobile” in your app store.
•   Once you create your username and password on the PayFlex member
    website, you can log in to the app.

Scripps Research 2021 Benefits Open Enrollment                                  38.
DENTAL COVERAGE

   Dental
Scripps Research 2021 Benefits Open Enrollment   39.
Delta Dental PPO Plan

                                            Overview:
                                                 • Freedom to see a wider network of dentists
                                                 • You don’t need to select a Primary Care Dentist and a referral is not
                                                   necessary to receive specialty services
                                                 • You will pay a higher amount for services from an out-of-network dentist

       NOTE: If you’re planning to have extensive dental work, a Predetermination of Benefits is suggested so you
       can fully understand your out-of-pocket cost before receiving services.

Scripps Research 2021 Benefits Open Enrollment                                                                                40.
Delta Dental PPO Plan
                                PLAN HIGHLIGHTS                                                           DELTA DENTAL PPO
                                                                           PPO Dentist                         Delta Premier                            All Other Providers
                                                                                                                 Provider
                                Calendar Year Deductible
                                  Individual
                                                                                                ----------------------$50 / person*----------------------
                                  Family
                                Annual Maximum
                                  Individual                                                    ---------------$2,000 / Calendar Year---------------
                                Dental Services
                                  Preventive                                   100%                                      80%                                   80%
                                                                          Deductible waived
                                   Basic Services                               90%                                      80%                                   80%
                                   Major Services                               60%                                      50%                                   50%
                                Orthodontia Services
                                Child up to age 19                                 50%                                 50%                                     50%
                                Adult                                              50%                                 50%                                     50%
                                Lifetime Maximum                                              ---------------$1,500 / Person / Lifetime---------------

                                  *Deductible does not apply to Orthodontia services.

Scripps Research 2021 Benefits Open Enrollment                                                                                                                                41.
Vision

Scripps Research 2021 Benefits Open Enrollment   42.
MES Vision PPO

                            PLAN HIGHLIGHTS                                                                 MES VISION PPO
                                                                                              In-Network                      Out-of-Network
                            Copay                                                          $10 Copay / Person                 $10 Copay / Person
                            Exam – Every 12 months                                          Plan pays 100%                    Up to $40 allowance
                            Lenses – Every 12 months
                              Single                                                        Plan pays 100%                          Up to $30
                              Bifocal                                                       Plan pays 100%                          Up to $50
                              Trifocal                                                      Plan pays 100%                          Up to $65
                                                                                      Plan pays 100% up to a $150
                            Frames – Every 24 months                                                                                Up to $75
                                                                                            frame allowance
                            Contacts – Every 12 months, in lieu of lenses & frames
                              Medically Necessary                                            Plan pays 100%                        Up to $250
                                                                                       Plan pays 100% up to $150,        Up to $150 allowance, plus up
                               Cosmetic                                              plus up to $40 for a contact lens   to $40 for a contact lens fitting
                                                                                                 fitting fee                           fee

Scripps Research 2021 Benefits Open Enrollment                                                                                                               43.
2021 Monthly Medical/Vision Premiums
                                                                  Scripps
                                                  Employee                     Total Monthly
  Coverage Level                                                 Research
                                                 Contribution                    Premium
                                                                Contribution
  Comprehensive Choice POS II Plan
  Employee Only                                     $82.50         $676.50         $759
  Employee and Spouse / DP                           $286          $1,232          $1,518
  Employee and Child(ren)                            $220          $1,048          $1,268
  Employee and Family                                $429          $1,598          $2,027
  Aetna Value Network HMO Plan
  Employee Only                                      $50            $384           $434
  Employee and Spouse / DP                           $250           $703           $953
  Employee and Child(ren)                            $180           $600           $780
  Employee and Family                                $390           $953           $1,343
  HDHP Aetna Choice POS II Plan
  Employee Only                                       $0            $624           $624
  Employee and Spouse / DP                            $0           $1,326          $1,326
  Employee and Child(ren)                             $0           $1,149          $1,149
  Employee and Family                                $20           $1,665          $1,685

Scripps Research 2021 Benefits Open Enrollment                                                 44.
2021 Monthly Dental Premiums

                                                                  Scripps
                                                  Employee                     Total Monthly
 Coverage Level                                                  Research
                                                 Contribution                    Premium
                                                                Contribution
 Delta Dental PPO Plan
 Employee Only                                       $0             $48            $48
 Employee and Spouse / DP                            $20            $75            $95
 Employee and Child(ren)                             $15            $64            $79
 Employee and Family                                 $35            $92            $127

Scripps Research 2021 Benefits Open Enrollment                                                 45.
Scripps Research 2021 Benefits Open Enrollment
                                                 Life Insurance and AD&D
                                                                      46.
Basic Term Life and AD&D*

          underwritten by
                                                 Scripps Research offers choice of:
                                                     • $50,000 flat benefit amount, OR
                                                     • 2x your annual salary up to $1,500,000, OR
                                                     • 3x your annual salary (on age-rated basis) up to $1,500,000

                                                 You may elect 3x annual salary during this open enrollment
                                                 Proof of good health is required if your total basic life coverage
                                                 exceeds $1,000,000

                        Required! Update your beneficiary information in bSwift.
            TIP
                        Scripps Research encourages you to enter your beneficiary information in the bSwift system
                        for ease of tracking.

       * Postdoctoral Fellows/Associates eligible for $50,000 Basic Life benefit.

         Trainees and Graduate Students are not eligible for the basic life plan.

Scripps Research 2021 Benefits Open Enrollment                                                                        47.
Voluntary Term Life
                                                                         100% Employee Paid

                                                 Coverage            Description
                                                 Level
      underwritten by                                                •   Increments of $10,000 up to $500,000
                                                                     •   Premium based on Employee Age
                                                                     •   All enrollment (except new hires) require
                                                 Employee
                                                                         Evidence of Insurability (EOI)
                                                                     •   Guarantee Issue up to $100,000 coverage for 1st
                                                                         time eligible
                                                                     •   Increments of $10,000 up to $500,000
                                                                     •   Guarantee Issue up to $50,000 coverage for 1st
                                                 Spouse                  time eligible
                                                                     •   Spouse may be enrolled regardless if you enroll
                                                                         yourself
                                                 Child               •   Increments of $2,500 up to $10,000

                           Enroll , make changes, or update your beneficiary information in bSwift.
                 TIP
                           Scripps Research encourages you to enter your beneficiary information in the bSwift system for
                           ease of tracking.

Scripps Research 2021 Benefits Open Enrollment                                                                        48.
Voluntary AD&D Insurance
                                                                          100% Employee Paid
                                                 Coverage             Description
                                                 Level
      underwritten by                            Employee             •   Increments of $50,000 up to $500,000
                                                                      •   Coverage amount equal to 50% of employee
                                                 Spouse
                                                                          amount
                                                                      •   Coverage amount equal to 15% of employee
                                                 Child(ren)
                                                                          amount
                                                                      •   Coverage amount for your spouse equal to 40%
                                                 Family                   of employee amount. Coverage amount for
                                                                          child(ren) equal to 10% of employee amount

                            Enroll, make changes, or update your beneficiary information in bSwift.
                  TIP
                            Scripps Research encourages you to enter your beneficiary information in the bSwift system for
                            ease of tracking.

Scripps Research 2021 Benefits Open Enrollment                                                                        49.
Voluntary Long Term Care
                                    • Available to Staff, spouses, children (age 18+), parents and
                                      grandparents
                                    • Guarantee Issue Coverage equals:
                                            • Up to $4,000 Nursing Facility Benefit Amount
                                            • And a Facility Benefit Duration of 3 or 6 years
                                    • To elect higher levels of coverage or longer benefit durations, or
                                      to enroll in the plan after your initial eligibility period, you must
                                      provide Evidence of Insurability
                                    • To enroll, you must complete the Benefit Election Form available
                                      through bSwift or by contacting Benefits Administration at
                                      858.784.8487 or benefits@scripps.edu. Forms are also available
                                      through the Benefits website.

     * Postdoctoral Fellows/Associates. Trainees and Graduate Students are not eligible

Scripps Research 2021 Benefits Open Enrollment                                                                50.
Flexible Spending
   Account (FSA)

Scripps Research 2021 Benefits Open Enrollment   51.
What is a Flexible Spending Account (FSA)?
      An FSA is a pre-tax benefit allowed under IRS Code Section 125, which allows you to set aside a
      specific pretax dollar amount for unreimbursed medical, dental, vision and dependent care expenses.

                                           • Pre-tax benefits

                                           • FSA Plan Year: January 1, 2021 through December 31, 2021

                                           • It is not required that you be enrolled in your company’s health plans

                                           • Depending on the type of FSA you have (Health Care FSA or
                                             Dependent Care FSA), you can contribute up to an annual maximum
                                             level per plan year

                                           • You are not permitted to enroll in the Health Care FSA if you enroll in a
                                             HSA eligible plan
                                             Any statements concerning actuarial, tax, accounting, investment or legal matters are based solely on our experience as
                                             insurance brokers and are not to be relied upon as actuarial, accounting, tax, investment or legal advice, for which you
                                             should consult your own professional advisors.

                                                                                  Contribution Limits

                                                     $2,750                                                          $5,000
                                                          Health Care                                                Dependent Care

Scripps Research 2021 Benefits Open Enrollment                                                                                                                          52.
What is a Flexible Spending Account (FSA)?
[continued]
                                                 Health Care Spending Accounts*

                                                 • $2,750 Annual Maximum Contribution (minimum is $120)

                                                 • Out of pocket expenses for you, your spouse, and your
                                                   dependents

                                                 • Does not include domestic partner

                                                 Dependent Care Spending Account**

                                                 • $5,000 maximum per calendar year

                                                 • $2,500 if married, filing separately

                                                 • $5,000 maximum if married, filing jointly

          *Research Associates. Trainees and Graduate Students are not eligible for Health Care Spending Account

          ** Research Associates, Trainees, & Graduate Students may be eligible for Dependent Care Spending
          Account based on status. Please see Human Resources for eligibility

Scripps Research 2021 Benefits Open Enrollment                                                                     53.
Using the Flexible Spending Account (FSA)

Scripps Research 2021 Benefits Open Enrollment   54.
FSA Eligible Expenses
    Health Care FSA                                                    •    Physician prescription not required (continued)
                                                                               –   Sunscreen, SPF 30+
       •   Applicable for you and any eligible dependent                       –   Contact lens supplies
                                                                               –   Denture adhesives
       •   Medical                                                             –   First aid supplies
               –    Copays                                                     –   Diabetic supplies
               –    Deductibles                                                –   Diagnostic tests & monitors
               –    Prescriptions                                              –   Reading glasses
               –    Hospital costs                                             –   Wheelchair, walker, cane
               –    Smoking cessation                                          –   Other durable medical equipment
               –    Fertility / family planning
               –    Acupuncture
               –    Chiropractic                                      Dependent Care FSA
               –    OTC medications with physician prescription
                                                                        •   Daycare centers
       •   Dental
               –    Deductible                                          •   In-home day care / Nanny / Au Pair
               –    Copays                                              •   Before or after school programs for children under age
               –    Orthodontia                                             13
       •   Vision                                                       •   Summer day camp
               –    Prescription glasses and sunglasses (frames and
                    lenses)                                             •   Nursery school and Pre-school programs
               –    Contact lenses and products
                                                                        •   Elder care or dependents not capable of self-care
               –    LASIK, PRK, etc.
       •   Physician prescription not required
               –    Band Aids
               –    Bandages and wraps
               –    Braces and supports

Scripps Research 2021 Benefits Open Enrollment                                                                                       55.
Claim Reimbursement

                                                 • Claims for expenses to PayFlex

                                                      • Online (www.payflex.com)

                                                      • Mail

                                                      • Debit Card

                                                 • Request for reimbursement includes:

                                                      • Request form

                                                      • Proper documentation

                                                      • PPO Services – Explanation of Benefits (EOB)

                                                      • Other Services – itemized bill or receipt showing name of
                                                        provider, name of patient, date of service, details of the service
                                                        or product, cost of service or product.

                                                      • OTC items – cash register receipt and prescription

                                                      • Orthodontia contract

Scripps Research 2021 Benefits Open Enrollment                                                                               56.
Disability Coverage
Scripps Research 2021 Benefits Open Enrollment   57.
Long Term Disability (LTD)

             underwritten by
                                                                100% Employer Paid

                                                           60% of monthly earnings
                                                           up to $20,000 per month

                                                               Eligible after 90 days

    Note:          Employees have the option to pay for this coverage and receive tax free benefits

Scripps Research 2021 Benefits Open Enrollment                                                        58.
Employee Assistance Program (EAP)

Scripps Research 2021 Benefits Open Enrollment   59.
Employee Assistance Program (EAP)

Scripps Research understands that you and your family members might experience a
variety of personal or work-related challenges. Through the EAP with onsite Counseling
and Psychological Services Department, you have access to resources, information, and
counseling that are fully confidential and no cost to you.

          – 10 Face to face consultations per member per issue per year

                                    Childcare
    Topics May Include
                                    Eldercare                                            By email: caps@scripps.edu
                                    Legal services
                                    Marital, relationship or family problems
                                    Bereavement or grief counseling
                                                                                         By Phone: 858.784.7297
                                    Substance abuse and recovery
                                    Educational materials

Scripps Research 2021 Benefits Open Enrollment                                                                  60.
Voluntary Coverage & Products

Scripps Research 2021 Benefits Open Enrollment    61.
METLIFE VOLUNTARY COVERAGE

                                                 Coverages Offered:
                                                   • Accident Coverage
                                                   • Critical Illness Coverage
                                                   • Hospital Protection

                       Contact MetLife at 800.GET.MET8 with any questions.

Scripps Research 2021 Benefits Open Enrollment                                   62.
Voluntary Group Critical Illness Coverage

                                             100% Employee Paid

                                             When you or your family is faced with a life-threatening disease or
                                             debilitating illness or injury, Critical Illness Coverage offered by
                                             MetLife will pay you cash to help with the associated expenses.
                                             Critical illness coverage pays a one-time, lump sum payment,
                                             dependent on the illness.
                                             Some of the medical conditions may include:
                                                 • Cancer
                                                 • Heart attack
                                                 • Stroke
                                                 • End stage kidney failure
                                                 • Major organ transplant

Scripps Research 2021 Benefits Open Enrollment                                                                      63.
Voluntary Group Accident Coverage

                                             100% Employee Paid

                                             Accidents happen when you least expect them including motor
                                             vehicle accidents, sports injuries, and slips and falls! MetLife’s
                                             policy will pay cash to help families offset the expenses associated
                                             with accidents or injuries.
                                             Benefits may be paid for:
                                                 • Emergency room treatment
                                                 • Intensive care unit
                                                 • Hospital admissions and confinement
                                                 • Ambulance transportation
                                                 • Travel expenses to distant treatment centers

Scripps Research 2021 Benefits Open Enrollment                                                                      64.
Voluntary Group Hospital Protection

                                            100% Employee Paid

                                            Having hospital protection through MetLife may help by paying
                                            cash to you or your family to offset both medical and non-medical
                                            bills when you’re sick, injured or on maternity leave.
                                            The cash benefit can be used towards services or expenses other
                                            medical plans might not cover, such as:
                                                 • Copayments & Deductibles
                                                 • Transportation expenses
                                                 • Child care
                                                 • Prescriptions
                                                 • Lost income

Scripps Research 2021 Benefits Open Enrollment                                                                  65.
Next Steps
Scripps Research 2021 Benefits Open Enrollment            66.
Take Action! Time to Enroll!
                                        All employees will need to log in to bSwift to:
                                            • Complete benefit elections or waive for the 2021 plan year,
                                            • New elections must be made to continue Flexible Spending Accounts and
                                              Health Savings Accounts
                                            • Enter beneficiary information for life insurance coverage
                                        To enroll, follow these simple steps:
                                        •    Go to http://scripps.bswift.com
                                        •    Username: first initial and last name (e.g. John Doe would be jdoe)
                                        •    Enter established password (last 4 digits of Social Security Number for first-
                                             time users)
                                        •    Click on “Start Your Enrollment” to begin making elections
                                        •    Click on “Complete Enrollment” once finished. You can print or email your
                                             final confirmation statement once finished.

   You will be prompted to verify your personal and family information before selecting your benefits. A
   helpful tool to walk you through the process is “Ask Emma.” Emma will guide you through your enrollment
   and help you decide which plans to enroll in if you are unsure. NOTE: An enrollment guide and
   instructions will be posted on the Benefits Administration webpages.

   bSwift will open on October 26th and will close on November 6th at 5pm PST and all changes will take effect
   starting January 1, 2021 through December 31, 2021.

Scripps Research 2021 Benefits Open Enrollment                                                                                67.
Questions?

Scripps Research 2021 Benefits Open Enrollment   68.
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All rights reserved. No part of this document may be reproduced or transmitted in any form or by any means, electronic, mechanical, photocopying, recording, or
otherwise, without prior written permission of Marsh & McLennan Insurance Agency LLC company.

This document is not intended to be taken as advice regarding any individual situation and should not be relied upon as such. Marsh & McLennan Insurance Agency LLC
shall have no obligation to update this publication and shall have no liability to you or any other party arising out of this publication or any matter contained herein. Any
statements concerning actuarial, tax, accounting or legal matters are based solely on our experience as consultants and are not to be relied upon as actuarial,
accounting, tax or legal advice, for which you should consult your own professional advisors. Any modeling analytics or projections are subject to inherent uncertainty
and the analysis could be materially affective if any underlying assumptions, conditions, information or factors are inaccurate or incomplete or should change. CA
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