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Your Personal Fact Sheet (PFS) (provided at the front of this booklet) lists all of the benefit options available to you and eligible family members. The costs (or credits) associated with each benefit option are also listed. If you elect a no coverage option for Accidental Death and Dismemberment, or a low option for Employee Life Insurance, or Long-Term Disability (LTD), you will receive a credit. You are eligible for benefits as of your date of hire or the date you transfer to an eligible group, whichever is later. You will receive the default coverage shown on the PFS unless you make other elections by the enrollment deadline shown on the PFS. Enrollment in medical, dental and vision can be made separately. For example, you can enroll yourself only in a medical plan, yourself and one eligible dependent in dental, and waive participation in vision coverage.
Pre-Tax Contributions
Your contributions will be deducted from your paycheck before taxes are calculated, except for participation in Spouse/Domestic Partner or Child Life Insurance, which is paid for with after-tax money. However, if your domestic partner is not your IRS dependent then:
your contributions for your partner's coverage will be deducted from your paycheck on an after-tax basis the company's contribution to your partner's coverage will be taxable income to you.
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To Your Health!
Having ActiveHealth as an Eaton health plan partner reflects our commitment to a culture of wellness. A leader in health management services, ActiveHealth serves more than 19 million people nationwide. As we all learn more about preventing chronic health conditions and becoming informed health care consumers, Eatons ActiveHealth Team will be there to support us. They are devoted to the belief that everyone does better when they have the right information at the right time to work with their doctors to make the best treatment decisions. And ActiveHealth offers many ways to improve or maintain your overall health, as well. To help you and your family stay on track with your health, ActiveHealth offers: INFORMED CARE MANAGEMENT: A nurse works with you if you have a long-term health condition such as heart disease or diabetes. You can get a better understanding of your condition, answers to medication questions, explanations of test results and support for making healthy lifestyle changes. COMPLEX CASE MANAGEMENT: A nurse provides extra support if you are hospitalized frequently or for a long time, or you need extended home health care or specialized services.
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CANCER MANAGEMENT: An oncology nurse supports you in recognizing the early signs of complications, managing side effects and understanding your treatment optionswhether youve just been diagnosed with cancer or are in treatment. PATIENT DECISION SUPPORT: An ActiveHealth Team member works with you and your doctor if you face tough treatment decisions for conditions like arthritis, chronic back pain, prostate cancer, obesity and coronary artery disease. The goal is to reach better informed decisions in collaboration with your physician. MATERNITY MANAGEMENT: A specially trained nurse guides you through your pregnancy and helps you understand your babys needs. ACTIVE LIFESTYLE COACHING: Make positive changes to your health with phone support from your personal ActiveHealth Team member. Quit tobacco, lose weight, get moving, manage stress, eat healthier or make other healthy lifestyle changes important to you. NURSE LINE: You can get answers 24/7 to troubleshoot medical problems and identify next steps by calling 1-877-489-9391.
Also, be sure to take the online Health Assessment (HA) to learn more about your health and potential health risks. ActiveHealth Managements software analyzes your data and provides a confidential personal health report and a plan to help you understand and manage your own health. If your report shows you may have risk factors for certain diseases, a member of Eatons ActiveHealth team will contact you and ask if your are interested in participating in the Active Lifestyle Coaching program. But you dont have to wait for the ActiveHealth team to contact you! To get started with any of these programs, contact ActiveHealth at 1-877-489-9391 or go to EatonBenefits.com and click MyActiveHealth. Its a free telephone coaching programthe choice to participate is yours. ActiveHealth Management member services representatives are available at 1-877-489-9391, Monday-Friday between the hours of 8:30 a.m. to 11:00 p.m. Eastern time to answer your questions about logging in, completing the online Health Assessment (HA), or the tools and resources on MyActiveHealth. Take some time to familiarize yourself with EatonBenefits.com, MyActiveHealth and Fidelity NetBenefits. Refer to the tear-out guide located before the Health & Insurance section of this booklet to access the benefit resources and tools you need.
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Medical Plan
Eatons health care strategy is to offer managed care medical options, and to offer a range of coverage options so you can select the coverage that works best for you. General descriptions follow of the types of medical coverage available to you. Your PFS lists the specific medical options available to you and their costs. The Plan Compare tool on Fidelity NetBenefits provides information about the benefits available under these options. This guide will help you choose among three medical options that are available to you: Healthcare 80 Consumer Health 90 Consumer Health 80
Healthcare 80 Option
This is a traditional option that offers predictability with set copays for some services, a lower deductible and the opportunity to participate in a Health Care Reimbursement Account (HCRA). But your monthly contributions will be higher and the money in your HCRA doesnt roll over from year to year. For some non-preventive services, like visits to an in-network doctors office, you pay a copay and then Eaton pays the rest. For other types of non-preventive care, this option pays a percentage of covered expenses after you meet your annual deductible. The amount the option pays depends on whether you use an in-network provider or go outside the network. A Health Savings Account (HSA) is not available with the Healthcare 80 option. Healthcare 80 Points to Consider: Requires the highest monthly employee contribution of the three options. Health Savings Account (HSA) is not available. Health Care Reimbursement Account (HCRA) is a flexible spending account that can be used for annual medical, dental and vision outof-pocket expenses.
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With both the Consumer Health options, you may open a Health Savings Account (HSA). Eaton contributes pre-tax money to your HSA. (You have the option of making pre-tax contributions, too.) You decide when to use the HSA or you can invest your account for future growth. The account is yours to keep, even if you leave Eaton. With the Consumer Health options, Eaton pays 100% (with no deductible) for in-network preventive care and select preventive medications. You pay 100% for other services until you meet your annual deductible. Then, Eaton pays a percentage of covered expenses. The percentage depends on which option you enroll in and whether you use an in-network or out-ofnetwork provider. Consumer Health: Points to Consider: Offers the chance to establish an HSA and receive a pre-tax Eaton contribution. Requires lower monthly employee contributions. Offers an additional tax-savings opportunity: the ability to open a Dental/Vision Reimbursement Account. Consumer Health 90 has a lower deductible and out-of-pocket maximum than Consumer Health 80. Consumer Health 90 pays 90% of eligible in-network medical expenses after the deductible is met, while Consumer Health 80 pays 80%.
Please refer to your medical plan Summary Plan Description (SPD) for important detailed information regarding medical benefits.
Important!
When establishing the Health Savings Account (HSA), make sure you take the next step and click Open Your Health Savings Account in the Congratulations box on the confirmation page.
You choose how to invest the money in your HSA. Through Fidelity, you will have access to over 4,000 mutual funds and other investments including stocks, bonds, and CDs. (Please consult with Fidelity because some of the mutual funds require a minimum balance.) You own the account, including the contributions Eaton makes. There is no use it or lose it provision, unlike with a Health Care Reimbursement Account (HCRA). All unused funds roll over from year to year. And if you retire or leave Eaton, you take your HSA money with you. While you remain an active employee, Eaton pays the monthly fees associated with maintaining the HSA account. Qualified medical expenses for anyone you claim or could claim on your tax return are eligible to be paid from the HSA, even if you dont cover them under Eaton medical plan. You dont need to submit receipts every time you withdraw money. However, you will need to reflect HSA expenses on your tax return, so save your receipts. You may NOT establish an HSA if: o You participate in a non-consumer medical plan (like Healthcare 80 or Medicare), even as a dependent. Your spouse or qualified domestic partner participates in a Health Care Reimbursement Account (also known as a flexible spending account). You fail to meet other eligibility requirements outlined in IRS publication 969. Please check IRS publications 969 and 502 for a complete list of eligibility rules and details about limits and eligible expenses.
*With respect to federal taxation only. Contributions, investment earnings, and distributions may or may not be subject to state taxation. See your tax advisor for more information on the state tax implications of HSAs.
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If You Need Health Care Before Receiving Your ID Card. . . Call the customer service number of the Health Plan Partners (see your PFS). If the representative confirms you or your family member is covered, do the following: MedicalHave your health care provider contact Anthem BCBS customer service number to verify coverage, or you can print a temporary ID card from the Anthem Web site, accessible through EatonBenefits.com. Prescription drugYour Anthem Medical ID card applies to both medical and prescription drug coverage if you participate in a Consumer Health option. You can print a temporary ID card from the Anthem Web site, accessible through EatonBenefits.com or you can provide the pharmacy with the following information. RxBin#: 610014 Group#: EATONRX Processor: Express Scripts/Medco If you choose the Health Care 80 option, you will have a separate Express Scripts/Medco ID card for your prescription drug coverage. You can print a temporary ID card from the Express Scripts/Medco Web site, accessible through EatonBenefits.com or you can provide the pharmacy with the following information. RxBin#: 610014 Group#: EATONRX Processor: Express Scripts/Medco Dental or visionHave your health care provider contact Delta Dental or EyeMed Vision customer service number to verify coverage. You can also print a temporary ID card from the Delta Dental Web site, accessible through Eaton Benefits.com.
If the health plan partner does not show that you or your eligible family member is covered, contact the Eaton Service Center at Fidelity. Explain that you or your family member needs immediate health care and that the claims administrator does not show the coverage.
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Dental Plan
Eaton offers a dental plan administered by Delta Dental. Delta Dental has two networks of contracted dentists who offer negotiated fees and will file your claims for you. You may also see any dentist or orthodontist who is not in one of the networks with no difference in the plans benefit level. However, you will not receive a discount and may have to file your own claims. For information about the difference in the two networks, see Using Your Delta Dental Coverage in the Reference Library, under the Health & Insurance tab on Fidelity NetBenefits. The chart below provides a high level summary of the dental plan benefits. Plan Feature
Annual Deductible Individual Family Preventive Care (e.g., exam or cleaning) Basic Services (e.g., X-rays or fillings) Major Services (e.g., oral surgery or crowns) Orthodontics (under age 19) Annual Benefit Maximum
Benefit
$50 $100 100%, no deductible 80%, after deductible 50%, after deductible 50%, after deductible $1,500 lifetime maximum per person $1,500
Vision Plan
EyeMed Vision Care administers the vision plan offered to Eaton employees and eligible dependents. The plan is designed to help you with the cost of routine eye exams and eyewear. (Your medical plan may provide additional vision benefits. Refer to your SPD for details.) You must access service through a network of participating providers to receive the highest level of benefits. Fees for services outside the network are generally higher and the level of benefits is lower.
Out-of-network benefits are available at a lower benefit level. Refer to your SPD for more details.
Vision Service/Supply
Eyeglass examination (includes contact lens examination, if desired)
Eyeglasses
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Reimbursement Accounts
Eaton offers employees the option to put aside money in order to save for certain health and dependent care expenses that arise throughout the year. There are three types of Reimbursement Accounts available, both administered by Acclaris: The Health Care Reimbursement Account (HCRA) is available for those who participate in the Healthcare 80 medical option. It allows you to set aside money up to $2,496 per yearto pay for deductibles, coinsurance amounts, vision expenses (including contacts and glasses), hearing care, orthodontia and other eligible expenses (including certain over-the-counter medications) not covered by your health care benefit plans. The Dental/Vision Reimbursement Account (DVRA) is available for those who participate in Consumer Health Options. It allows you to set aside moneyup to $2,496 per year to pay for qualified dental and vision expenses. You cannot use this account for reimbursement of medical expenses. You must be enrolled in a Consumer Health option to open a DVRA. Most employees would choose this account only after contributing the maximum annual allowed amount to a Health Savings Account (HSA). You can receive reimbursements using your Health Care Reimbursement or Dental/Vision Reimbursement Debit Card. The Debit Card is a convenient payment option which deducts directly from your Health Care or Dental/Vision Reimbursement Account. Be sure to keep your receipts because in most cases you will be required to submit receipts for expenses paid with your Debit Card. The Dependent Care Reimbursement Account (DCRA) allows you to set aside moneyup to $4,992 per yearto pay for day care (non-medical) expenses for your children or other eligible dependents so that youor if you are married, you and your spouseare able to work. If you are married, generally your spouse must be working or attending school fulltime in order for your day care expenses to be eligible for reimbursement. The Internal Revenue Service (IRS) determines which health and dependent care expenses qualify for reimbursement. For a list of eligible expenses, visit the Reference Library on NetBenefits. From EatonBenefits.com, select the Eaton Service Center at Fidelity link. Then select the Health & Insurance tab and scroll to the bottom of the page to view the Reference Library. Please refer to your reimbursement plan Summary Plan Description (SPD) for important detailed information regarding reimbursement accounts.
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amount less than 2 your annual base pay and receive a taxable pay credit for the cost savings. Refer to your PFS for cost and coverage details.
Disability Benefits
Eaton also provides other benefits to help you achieve financial health and protect your income in the event that you are unable to work due to a disability.
LTD benefits continue a portion of your monthly base pay if you are unable to work because of a long term illness or injury. LTD benefits generally begin following the expiration of the six-month STD period during which you have been absent from work for a covered illness or injury. Eaton provides a basic level of benefit at no cost to you. You can also purchase additional levels of coverage to ensure a larger percentage of your pay is protected. Your PFS shows the percentage of income replacement provided by your company-paid benefit, as well as the additional levels of benefit available to you and their costs. You cannot waive participation in LTD. Note: Your monthly STD and LTD benefit is reduced by any other disability benefits you receive, such as Social Security or Workers Compensation.
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Work/Life Programs
Balancing the demands of a busy lifestyle at work and at home is never easy. Eaton provides these additional benefits to help employees meet those demands.
Adoption Assistance
You may have access to adoption assistance benefits. If you are an hourly employee represented by a collective bargaining agreement, eligibility for this benefit depends on the terms of your bargaining agreement. Refer to your PFS to determine if the adoption assistance program is available to you. If you are eligible, you do not need to enroll in this program, and it is provided at no cost to you. The adoption assistance benefit provides reimbursement for eligible adoption expenses up to a maximum of $10,000 for each adopted child under the age of 18. Refer to your SPD for details on eligible expenses. The program also provides up to four weeks of paid leave time to help you make adoption arrangements and care for your new family member (subject to local management approval). This time is in addition to any unpaid leave you choose to take under the Family and Medical Leave Act.
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Remember
Your Enrollment Deadline is listed on your PFS. If you dont enroll by this deadline, you will receive the default coverage listed on page 1 of your PFS. Note: Domestic Partners and Handicapped must be enrolled by a service representative.
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Keep in mind that investing involves risk. The value of your investment will fluctuate over time, and you may gain or lose money.
The information provided in this brochure is general in nature. It is not intended, nor should it be construed, as legal or tax advice. Since the administration of an HSA is a taxpayer responsibility, you are strongly encouraged to consult your tax advisor before opening an HSA. You are also encouraged to review information available from the Internal Revenue Service (IRS) for taxpayers, which can be found on the IRS Web site at www.irs.gov. You can find IRS Publication 969, Health Savings Accounts and Other Tax-Favored Health Plans, and IRS Publication 502, Medical and Dental Expenses (including the Health Coverage Tax Credit), online, or you can call the IRS to request a copy of each at 800.829.3676. Fidelity Brokerage Services LLC, Member NYSE, SIPC 900 Salem Street, Smithfield, RI 02917
601752.2.2
11/30/12
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