Michelin 2018 Annual Enrollment Guide

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Michelin 2018 Annual Enrollment Guide Michelin asked Conduent to create a new look and feel for its annual enrollment guide, utilizing the company’s new brand guidelines (imagery, colors, fonts). The result was an engaging format with eye-catching imagery, more concise copy and a handy resource magnet that employees could detach. At the end of the enrollment window, more than 93 percent of the eligible population enrolled, with nearly 75 percent of total enrollments using the online benefits portal— an increase of nearly 4 percent from the previous year.

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2018 Annual Enrollment Guide

ANNUAL lin’s ENROLLMENT WINDOW: iche ent off mSEPTEMBER llm 20 – OCTOBER 6, 2017 kick nro Let’s nnual E A 2018

› Before you enroll CONSIDER THESE ITEMS WHEN MAKING YOUR BENEFIT ELECTIONS FOR 2018. 1. If you want your spouse or domestic partner to have access to all Choose Well-Live Well programs, including (but not limited to) the Michelin Family Health Center (MFHC), Condition Management and Integrated Mechanical Care (IMC), he or she must be enrolled in a Healthy Options medical plan.



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OPEN FLAP FOR MORE INFORMATION

Find all your benefit and Choose Well-Live Well resources here: PERSONNEL SERVICE CENTER (PSC) PERSONNEL SERVICE CENTER (PSC) Learn about your benefits and enroll online! Learn about your benefits and enroll online! (877) 435-7868 - www.personnelservicecenter.com (XXX) XXX-XXXX - www.xxxxxxxxxxxxxxx.com CHOOSE WELL-LIVE WELL (CWLW) Website CHOOSE WELL-LIVE WELL (CWLW) Website Verify 2018 2018premium premiumadjustment adjustment Verify magnet for details. status and andSee incentives earned. status incentives earned. www.choosewell-livewell.com www.xxxxxxxxxxxxxxxx.com

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WELLNESSWEB WELLNESSWEB Getinformation information about Get about all allof ofthe theCWLW CWLWprograms. programs. Visit the the PSC PSC or CWLW Visit CWLW websites websitesand andclick clickononthe the WellnessWeb banner. banner. WellnessWeb

s are 60 days l record is the birth certificate e hospital record mes, the child’s ll list of accepthe Summary Plan

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How to you Enroll › Before enroll ENROLL IN YOUR BENEFITS BETWEEN SEPTEMBER 20 AND OCTOBER 6, 2017. REMEMBER: Services performed at a MFHC typically are provided at a lower cost than at a community ¨ Review this guide, your enclosed benefit ¨ Review your Confirmation Statement provider, and lab services processed through Labelection worksheets and the materials and make necessary corrections during Corp will be provided at no cost to eligible Michelin inside the supplemental benefits envelope November 15-21, 2017. medical plan members. to see your options for 2018.Members may speak with a Benefits Advocate to fully understand the programs After Annual Enrollment, you’ll receive a Confir¨ Log on to www.PersonnelServiceCenter.com. and services that are not available when you opt outStatement showing all of the elections you mation • In order Michelin obtainmedical accurateplan. inof to thehelp Healthy Options made for 2018. Carefully review your Confirmation

If you believe there is an error related to your premium adjustment or incentives, contact your Benefits Advocate by November 21, 2017, to make possible corrections before the premium adjustment is applied to your paycheck and incentives are deposited in your Health Reimbursement Account on January 1, 2018.

formation, before you begin the annual enStatement and ask yourself the following questions: rollment process, you will need to submit your 2. If you have a dependent who will turn 26 most current email number and years oldaddress, in planmobile year 2018, coverage will3 endDid you enroll yourself and your eligible mailing address. helpmonth ensureinthat you the dependent dependents? the last This day will of the which receive benefits-related information in the most 3 Did you verify the premium adjustment status turns 26. timely manner, as well as valuable resources to for you and your covered spouse or domestic support health andamount well-being. will useResults partner for 2018? 3. your Review the of We Healthy the email and phone number you provide for the incentives you have earned for 2018 on 3 Did you indicate whether you (and/or your covsole purpose of communicating benefits-related the Rewards Page at www.xxxxxx.com. ered spouse or domestic partner) are eligible to messages. Incentives will be deposited into your Health receive the Non-Tobacco User Credit for 2018? • To get help from ALEX, your Virtual Benefits Reimbursement Account (HRA) on January31, Did you indicate whether your spouse or doCounselor, click the ALEX banner on the 2018. When considering whether to open andmestic partner has access to medical coverage PSC Home page or on the Home page of fund a health care Flexible Spending Account through another employer? the WellnessWeb. (FSA), keep in mind that dollars in an HRA 3 areDid you verify your contributions to a health • When you are ready to enroll, click the Ready applied to medical expenses before dollars in care FSA and/or dependent care FSA? for 2018 Annual Enrollment link and make your

Employee Only MONTHLY PAYROLL DEDUCTION (BY COVERAGE LEVEL)

$XX

PREVENTIVE CARE1

BASIC RESTORATIVE SERVICES

MAJOR RESTORATIVE SERVICES

MAJOR SERVICES

$XX

Employee + Spouse or Domestic Partner

$XX

$XX

Employee + Child(ren)

$XX

$XX

Family

$XX

$XX

Individual: $XX Family: $XX

Annual Deductible1 DEDUCTIBLES AND MAXIMUMS

EXPANDED DENTAL

Individual: $XX Family: $XXX

Annual Limit2

$X,XXX

$X,XXX (excluding orthodontia)

Lifetime Maximum

Unlimited

Unlimited (excluding orthodontia)

Cleaning3

You pay $X (two per year)

You pay $X (two per year)

Bitewing X-Rays

You pay $X (two per year)

You pay $X (two per year)

Non-Gold Filling

You pay XX% after deductible

You pay a $XX co-pay per tooth

Root Canal

You pay XX% after deductible

You pay a $XX co-pay per tooth

Simple Extractions

You pay XX% after deductible

You pay a $XX co-pay per tooth

Not covered

You pay a $XX co-pay per tooth

Crowns

Not covered You pay a $XX co-pay congratulations to you!

Dentures and/or Bridges Oral Surgery

You pay XX% after deductible

You pay XX% after deductible

If you submitted your certified biometrics and completed the PHR by September 15, 2017, you will

Dental implants Not covered You pay a $XXX co-pay (per tooth) ›avoid paying the monthly $XX premium adjustment in 2018. In addition, you and your covered

spouse or domestic partner each will be eligible to earn up to $XXX in 2018 Healthy Results incentives. ORTHODONTIA Lifetime Maximum Not covered Plan pays $XXX To confirm that you have avoided paying the monthly $XX premium adjustment in 2018, log in to NOTE: All dental plan provisions are subject to reasonable and customary. For complete plan details, please refer to the 2018 Summary Plan Description, available the Choose Well-Live Well website (www.xxxxx.com) and look for the “Congratulations” message on through the PSC at 1-877-435-7868 or at www.xxxxxx.com. the Rewards page. Deductibles do not apply to preventive care or orthodontia. Per enrolled member plan reimbursement limit. Exam, fluoride treatment, x-rays and sealants on permanent teeth 1

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for covered participants under the age of 19.

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2018 Annual Enrollment Guide

To verify the Healthy Results incentives you’ve earned for 2018, look for the “Congratulations” message for each biometric value. Click “View Details” to see the value submitted and whether or not you earned the incentive. If you have questions, contact your Benefits Advocate.

Take Advantage of Condition Management for Chronic Conditions and Save on Expenses. Call 1-XXX-XXX-XXXX to talk to a Condition Management nurse, who can help educate you about your condition and assist with lifestyle changes. If you or your eligible dependents are enrolled in a Michelin medical plan and are diagnosed with one of five covered conditions, a Condition Management nurse can help you understand and receive the Basic Care Requirements (BCRs) for your condition at no cost to you. Covered conditions include: asthma, chronic obstructive pulmonary disease, congestive heart failure, coronary artery disease and diabetes. (Eligibility rules apply.) A Condition Management nurse also can assist you or your covered spouse or domestic partner with lifestyle changes if you have Metabolic Syndrome. Visit the Condition Management page on the WellnessWeb, accessible from the Personnel Service Center (www.xxxxxxx.com) or Choose Well-Live Well (www.xxxxx.com) websites, to learn more.

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2018 Annual Enrollment Guide

• Annual out-of-pocket (OOP) maximum, Healthy Options High-Deductible plan: In Network - Individual: $XXXX (increase of $XXX from 2017)

ANNUAL ENROLLMENT WINDOW: SEPTEMBER 20 – OCTOBER 6, 2017

- Family: $XXXX (increase of $XXX from 2017) w Out of Network - Individual: $XXXX (increase of $XXX from 2017)

- Family: $XXXX (increase of $XXX from 2017) • Dependent Coverage (age 26 attainment) If you cover a dependent who will turn 26 years old in 2018, coverage will end on the last day of the month in which your dependent turns 26. Be sure to review dependent coverage during 2018 Annual Enrollment. • Health Care Flexible Spending Account (FSA) Limit In 2018, you will be able to contribute up to $XXX (increase of $XX from 2017) to a health care FSA. Keep this in mind when reviewing your benefit choices for 2018.

*For purposes of this plan, newborns are 60 days old or younger. The official hospital record is the one filed with state for an official birth certificate (not the commemorative card). The hospital record must have both of the parents’ names, the child’s name and the date of birth. The full list of acceptable documents can be found in the Summary Plan Description (SPD).

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Your Guide to Choose Well-Live Well (CWLW) Programs and Resources. Michelin offers many programs and resources to help you achieve total well-being. To explore programs that can help you achieve your personal goals, watch CWLW testimonial videos to get inspired or catch up on newsletters you might have missed, the WellnessWeb is your primary source of information! You also can find an interactive CWLW Contacts page containing all the phone numbers and websites for CWLW programs. The WellnessWeb is accessible from the Personnel Service Center (www.xxxxx.com) and Choose Well-Live Well (www.xxxx.com) websites. Simply click the WellnessWeb banner and explore all of the CWLW programs and resources available. Need to look up something on the go? No worries! Like the Personnel Service Center, and Choose Well-Live Well websites, the WellnessWeb is viewable from your tablet or mobile device (see System Requirements on the PSC Home page).

New Prescription Provider Gives You More Convenient Options!

In the event that less invasive procedures for relieving spine and joint pain are not effective and surgery is needed, members are required to enroll in the Spine and Joint program to receive critically important information and guidance regarding surgery and for surgery to be approved. If you choose to receive covered services at a designated Center of Excellence, your coinsurance will be paid at XX percent (no charge for covered services after you meet your deductible).

4. Do you have one of the five con or Metabolic Syndrome, that are co the Condition Management progra

• Asthma • Chronic obstructive pulmonary • Congestive heart failure • Coronary artery disease • Diabetes 2018 Annual Enrollment Guide

IN NETWORK Individual: XXXX Family: $XXXX

Individual: $XXXX Family: $XXXX

Healthy Options High Deductible

Individual: $XXXX Family: $XXXX

Individual: $XXXX Family: $XXXX

Medical Coverage

“Talking” with ALEX is easy. He’ll ask some basic questions about your personal situation (your answers remain anonymous), crunch some numbers and explain your available options.

Based on the deductible option you choose and the family member(s) you cover, find your monthly premium rate below.

OUT OF NETWORK

Healthy Options Low Deductible

IN NETWORK

LOW DEDUCTIBLE HEALTHY OPTIONS PLAN

OUT OF NETWORK 2

Eligible Medical and Behavioral Health Services (including physician, inpatient and outpatient hospital, surgery and counseling services)

You pay X% after deductible

You pay XX% after deductible 2

Routine Preventive Services

You pay $X1

You pay XX% after deductible 2

6 7

$XXX

Employee + Spouse or Domestic Partner

$XXX

$XXX

Employee + Child(ren)6

$XXX

$XXX

Family7

$XXX

$XXX

(Rates shown are non-discounted rates.)

Includes eligible child(ren) of domestic partner. Includes eligible domestic partner and/or eligible child(ren) of domestic partner.

Basic Care Requirements (BCRs)

You pay $X1

You pay XX% after deductible 2

Step 3:

ALEX is stepping up ways he can help:

Durable Medical Equipment (DME)

You pay $X1

You pay XX% after deductible 2

See the difference in your rate based on tobacco use, the premium adjustment and the spouse or domestic partner surcharge.

• Clear and concise explanations to more quickly help you understand your benefit choices, leading to faster decision-making

Emergency Room Co-Pay (co-pay does not apply if admitted)

You pay a $XXX co-pay,3 which does not apply to your deductible, then you pay your deductible, and you pay XX% coinsurance after you meet your deductible.

You pay a $XXX co-pay,3 which does not apply to your deductible, then you pay your deductible, and you pay XX% coinsurance after you meet your deductible.2

Musculoskeletal Imaging Co-Pay (co-pay does not apply if imaging is precertified through Integrated Mechanical Care)

You pay a $XXX co-pay,3 which does not apply to your deductible, then you pay your deductible, and you pay XX% coinsurance after you meet your deductible.

You pay a $XXX co-pay,3 which does not apply to your deductible, then you pay your deductible, and you pay XX% coinsurance after you meet your deductible.2

• Stronger focus on financial savings opportunities, including Flexible Spending Accounts (FSA) and 401(k) accounts

Michelin’s HEALTHY OPTIONS Maximum Benefit per Eligible Expense Not applicable MEDICAL PLAN Will Provide Autism Support. Annual Out-of-Pocket Maximum

Low Deductible Individual: $XXXX Healthy Options Family: $XXXX

›

High Deductible Individual: $XXXX plan include Family:will $XXXX

Plan pays up to XXX% of what Medicare would cover. You are responsible for amounts over that limit, and they will not apply to your deductible or out-of-pocket maximum. Low Deductible Individual: $XXXX 2 Family: $XXXXX 2

Beginning in 2018, Michelin’s medical Applied Behavioral Analysis coverage for autism that will help with Employee Only: up to $XXXX Employee Child(ren): up to $XXXX Development of a Treatment Plan +and Caregiver Employee + Spouse or Domestic Partner: up to $XXXX Support and Guidelines. Family: up to $XXXX

›

High Deductible Individual: $XXXX 2 Family: $XXXX 2

If you and your covered spouse or domestic partner each submitted all five of your certified biometrics and completed your PHR by Sept.15, 2017,

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2

5

Not subject to deductible.

2

Maximum Benefit per Expense applies.

3

Not to exceed cost of the service; see Summary Plan Description for details.

• Review of all medical records • Externally validated functional assessment tools • Functional Behavioral Assessment • Evaluation of Individualized Education Program (IEP)

2018 Annual Enrollment Guide

Centers of Excellence facilities, call (XXX) XXXXXXX, Monday through Friday, 8 a.m. to 5 p.m. EST.

In addition to the assessment, the program will help with the development of a treatment plan through the evaluation of goals, ongoing measurement and care coordination (between parents, caregivers, school, state disability programs and others). To further assist caregivers, the program will offer caregiver training, developmentally appropriate goals, behavior analytic support and additional resources (e.g. community resources, IEP guidance, etc.) Watch for more information coming soon!

› YOUR COINSURANCE WILL BE PAID AT 100 PERCENT FOR COVERED SERVICES AT A DESIGNATED CENTER OF EXCELLENCE, AND YOU MAY BE ELIGIBLE FOR TRAVEL AND LODGING REIMBURSEMENT UP TO $XXXX.

Let’s kick off michelin’s 2018 Annual Enrollment

Subtract $XXX

-

If your covered spouse or domestic partner is tobacco free8

Subtract $XXX

-

If you did not submit all five certified biometrics and PHR between February 1 and September 15, 20179

Add $XX

+

If your covered spouse or domestic partner did not submit all five certified biometrics and PHR between February 1 and September 15, 2017 9

Add $XX

+

If your spouse or domestic partner has coverage available from another employer, but you choose to cover him or her under your Michelin medical plan

Total HRA Dollars from Michelin (earned through Healthy Results/Healthy Progress) Proper Assessment,

The program uses a number of methods to help ensure a proper assessment you’ll each be eligible to earn up to $XXXX in Healthy Results incentives. Visit www.xxxxxxx.com and click on Rewards to view the incentives you’ve earned. is provided:

Prescription Drug Coverage1— At the Pharmacy and through the Mail–Order Program Annual Deductible

Enter your monthly rate from Step 2 g $ If you are tobacco free8

u Generic Medications u Brand Name Medications

u At the Pharmacy

Add $XXX

+

g

$

TOTAL: This is your monthly rate for medical coverage 8

To receive the non-tobacco user’s credit, you must certify during enrollment that you and/or your covered spouse or domestic partner either have not used tobacco in any form (including electronic cigarettes) during the past six months, or are enrolled in a certified tobacco cessation program.

9

Log into your account at www.xxxxxxx.com and click on Rewards to view your premium adjustment status.

For complete plan details, please refer to the 2018 Summary Plan Description, available through the PSC at 1-XXX-XXX-XXXX or at www.xxxxxxx.com.

All costs are subject to your Healthy Options medical plan deductible

WELLNESSWEB Get information about all of the CWLW programs. Visit the PSC or CWLW websites and click on the WellnessWeb banner.

You pay XX% after deductible You pay XX% after deductible (if generic available, you pay XX% of cost of generic drug, plus cost difference between brand and generic)

As a normal part of administering the prescription drug coverage, our Pharmacy Vendor reviews and modifies its Approved Drug List annually to manage clinical outcomes and drug costs.

2

A member has the option after three fills at a retail pharmacy to move to CVS locations ONLY or mail order for maintenance medications. If you fill a prescription for certain maintenance medications beyond three times at a retail drugstore (excluding CVS), you’ll pay XX% of the cost (and what you spend does not count toward satisfying the deductible or the annual out-of-pocket maximum). Certain exclusions apply.

Note: For both Pharmacy and Mail-Order, certain exclusions and Utilization Management rules may apply. Our Pharmacy Vendor reviews the medical conditions for which a prescription is prescribed, as well as dosage quantities, and may recommend lower-cost, clinical alternatives.

2018 Annual Enrollment Guide

› Before you enroll ...CONTINUED

Retail Refill Allowance (RRA)2 applies

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REMEMBER: Services performed at a MFHC typically are provided at a lower cost than at a community provider, and lab services processed through LabCorp will be provided at no cost to eligible Michelin medical plan members. Members may speak with a Benefits Advocate to fully understand the programs and services that are not available when you opt out of the Healthy Options medical plan. 2. If you have a dependent who will turn 26 years old in plan year 2018, coverage will end the last day of the month in which the dependent turns 26. 3. Review the amount of Healthy Results incentives you have earned for 2018 on the Rewards Page at www.choosewell-livewell.com. Incentives will be deposited into your Health Reimbursement Account (HRA) on January 1, 2018. When considering whether to open and fund a health care Flexible Spending Account (FSA), keep in mind that dollars in an HRA are applied to medical expenses before dollars in an FSA can be used. Dollars in an FSA do not roll over to the next year. For questions, contact your Benefits Advocate. 4. Do you have one of the five conditions, or Metabolic Syndrome, that are covered by the Condition Management program?: • Asthma • Chronic obstructive pulmonary disease • Congestive heart failure • Coronary artery disease • Diabetes

2018 Annual Enrollment Guide

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2018 Annual Enrollment Guide

...Con

CHOOSE WELL-LIVE WELL (CWLW) Website Verify 2018 premium adjustment status and incentives earned. www.xxxxxxxxxxxxxxxx.com

HIGH DEDUCTIBLE HEALTHY OPTIONS PLAN

$XXX

Employee Only

1

PERSONNEL SERVICE CENTER (PSC) Learn about your benefits and enroll online! (XXX) XXX-XXXX - www.xxxxxxxxxxxxxxx.com

Step 2:

› = NEW for 2018

Select one of the Healthy Options deductibles: Low Deductible or High Deductible. Annual Deductible Options

3. Review the amount of Healthy R incentives you have earned for Rewards Page at www.choosewel Incentives will be deposited into yo Reimbursement Account (HRA) on Ja When considering whether to open a health care Flexible Spending Acc keep in mind that dollars in an HRA to medical expenses before dollars be used. Dollars in an FSA do not r next year. For questions, contact yo Advocate.

› Look for more details on all of your supplemental benefit options in the 2018 Supplemental Benefits envelope INCLUDED in your 2018 Benefits Enrollment packet.

*To receive BCRs, you must be covered by a Healthy Options medical plan, comply with the care plan established with a Condition Management nurse and be diagnosed with one of the five 2018 Annual Enrollment Guide covered conditions.

2018 Healthy Options Medical Plan Benefits Comparison Chart Step 1:

Visit ALEX, your Virtual Benefits counselor on the Personnel Service Center (PSC) website to learn about your 2018 benefit plan options. “ALEX” can help you decide which deductible option might be best for you and your family based on information you provide during an interactive, online “conversation.”

2018 Annual Enrollment Guide

• New Spine and Joint Solution (SJS) Through your Healthy Options medical plan, you will have access in 2018 to surgeons and facilities that qualify as part of UnitedHealthcare’s Centers of Excellence network. This network provides the highest quality and best outcomes – often at a lower cost. For details, see page 7.

2. If you have a dependent who w years old in plan year 2018, cover the last day of the month in which t turns 26.

• New Supplemental Benefit You will have the option to enroll in Aflac Group Accident Insurance. In the event of a covered accident, the plan pays cash benefits to help with the costs associated with out-ofpocket expenses, such as deductibles and coinsurance.

Enrolling in the Healthy Options medical plan gives you access to Basic Care Requirements (BCRs), including medications at no cost if you meet the requirements of the program*. BCRs are basic medical services, tests, supplies and prescription drugs that are important for managing the covered conditions.

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Effective January 1, 2018, MedImpact Healthcare Systems, Inc. will manage your pharmacy benefits. • Valuable information on tax savings and how As your Pharmacy Benefits Manager (PBM),and MedImpact Joint will administer your retail, mail order and(SJS) specialty New Spine Solution Benefit FSAs and 401(k) accounts can play a role pharmacy benefits and is dedicated to providing the same high quality of care you currently receive, You Get the Best Treatment Available while helping Helps manage the increasing costs of prescription drugs. • Complete mobile-ready content and audio, available on supported tablets and phones As an added benefit, members will nowOptions be able to fill a 90-day at any CVS pharmacy as Through your Healthy medical plan,prescriptionThe plan includes benefit incentives for travel To meet ALEX, visit the PSC website at: well as through MedImpact’s mail order program. You will receive aboutup the you will have access in 2018 to surgeons and more information and lodging totransition $X if you have to travel to a www.xxxxx.com and and click the ALEX toward the end of the year. facilities that qualify as part of UnitedHealthdesignated facility. banner. At the end of the conversation, ALEX Centers of your Excellence Before Januarycare’s 1, 2018, you and covered network. dependents will receive new Michelin plan identification will provide you with a Personal Benefits Covered procedures include: Thisidentification network provides the highest cards. These new cards will contain the quality necessary information for the pharmacy to process page that displays suggestions based on the andclaims. best outcomes – often atnot a lower cost.interruption •inDisc your prescription To ensure that you do experience receiving yourand prescriptions, repairs decompressions answers you provided. You can use this inforplease presentThe yournetwork new identification your pharmacy beginning January 1, 2018, so they can mation as a guide when you enroll in benefits includes card Bon to Secours St. Francis • Spinal fusions update their claims system. through the PSC. Health Center in Upstate, South Carolina. • Total hip replacements

and several other markets. If Integrated Mechanical Care (IMC) clinicians are available at your site, schedule a diagnostic assessment with IMC to learn more about how non-invasive procedures may help eliminate your pain. IMC clinicians also can help you understand the Spine and Joint Solution.

• More Assistance for Adoption Considering adding to your family through adoption? Michelin is increasing the amount it reimburses toward adoption, from $XXX to $XXX. If the adoption involves a child with qualifying special needs, Michelin will reimburse up to $XXX (up from $XXX previously). For details, refer to the 2018 Summary Plan Description on the Personnel Service Center (PSC) website: www.xxxxx.com.

• Autism Support Available Beginning in 2018, Michelin’s Healthy Options medical plan will include Applied Behavioral Analysis coverage for autism that will help with Proper Assessment, Development of a Treatment Plan and Caregiver Support and Guidelines. For more information, see page 8.

MIC AE GD (18)

“ALEX” Can Help You Make Sense of Your Benefits!

Centers of Excellence arepharmacy also located in Atlanta, • Total knee replacements If you have a question about your new benefit plan, please contact a MedImpact representative Charlotte, Dallas, Indianapolis, Oklahoma City at (XXX) XXX-XXXX on or after January, 1, 2018. For more information and a complete list of

• Coverage for Dental Implants For 2018, while there is a slight increase to dental plan premiums due to the rising costs of dental coverage, Michelin continues to offer two plans: Basic and Expanded. In 2018, dental implants will be covered under the Expanded plan, up to the total annual maximum of the plan. See page 4 for more details.

...CONTINUED

REMEMBER: Services performed at a are provided at a lower cost than at a provider, and lab services processed th Corp will be provided at no cost to eli medical plan members. Members may Benefits Advocate to fully understand and services that are not available wh of the Healthy Options medical plan.

REMEMBER:

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Visit the WellnessWeb –

BASIC DENTAL

2018 Annual Enrollment Guide

Let’s kick off michelin’s 2018 Annual Enrollment

an FSA can be used. Dollars in an FSA do not benefit elections. Note: If you submitted all five of your certified roll over to the next year. For questions, contact biometrics and completed your Personal Health Review (PHR) between February 1, 2017, and September 15, 2017, visit the Choose Well-Live Dodependent(s) you have one of the five conditions,Well website (www.choosewell-livewell.com) to ¨ If you4.add during Annual or Metabolic Syndrome, that are covered byconfirm that you have avoided paying the monthly Enrollment, proof of dependent eligibility MUST be received the Personnel Service Center by theby Condition Management program?: $75 premium adjustment in 2018 and to verify the November 21, 2017. If you miss the deadline, Healthy Results incentives you’ve earned for 2018. • Asthma your new dependent(s) will not be covered (See “Congratulations” article on page 6.) in 2018. • Chronic obstructive pulmonary disease

› Before you enr

As you may know, the cost of medical coverage continues to rise. However, Michelin has been able to offer its plans with only a moderate increase to premium rates for 2018. Be sure to review the updated monthly premium rates based on the deductible option you choose and the family member(s) you choose to cover. (See pages 2-3)

You may upload your dependent eligibility documents, such as marriage certificate, birth certificate, official hospital records for newborns only,* adoption certificate and copies of official court documentation. To upload a document, simply click Document Upload in the upper right corner of the PSC Home Page. If you are using a tablet or smartphone, you can take a picture of the document and upload the picture from your device. Once the document(s) are successfully submitted, you will receive a notification that the upload is in process, and you can check back in an hour to confirm completion.

• Don’t forget to complete the survey at the end your Benefits Advocate. so we can keep improving Annual Enrollment!

MIC AE GD (18)

Regular dental care is important to your health and wellness, and Michelin continues to offer you dental coverage for you and your eligible dependents. Due to the rising costs of coverage, there is a slight increase to dental plan premiums for 2018. The plan pays benefits based on the level of coverage you choose: the Basic Dental Plan or the Expanded Dental Plan.

› Changes for the 2018 Plan Year SUPPORT

Document Upload is now available on the PSC website.

• Congestive heart failure • Coronary artery disease • Diabetes

2018 Dental Plan

YOU

...CONTINUED

in 2018

re yo

› Befo

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