Oct. 31 – Nov. 10, 2016

MyBenefits 2017 Open Enrollment information can be found on MyBenefits. The website contains all the information you need to know about benefits for 2017, including medical, dental, life, short-term and long term disability, flexible spending accounts, and health savings account. The 2017 Benefits Open Enrollment Video is available to view as well. To access MyBenefits visit www.mybenefitsnmhc.benergy.com Username: northmemorial Password: benefits and click on the following 2017 Open Enrollment link.

PreferredHealth NetworkThe PreferredHealth Network includes providers from North Memorial, Fairview and HealthEast. To avoid out-of-network charges make sure your provider and facility are within the PreferredHealth Network. For additional information contact PreferredOne at 800-997-1750 or visit www.preferredone.com/nm.

Employee Premiums 2016In 2017 there will be a 2% increase to your portion of Health Insurance Premiums. All 2017 rates will be published on the MyBenefits website.

NEW FOR 2017:No Cost Generic Preventive PrescriptionsNorth Memorial will provide free generic preventive prescriptions that are filled only at the North Memorial Outpatient Pharmacies. A list of eligible generic preventive prescriptions can be found on MyBenefits.

Team Member Health CenterNorth Memorial offers a unique and valuable resource to team members through the Team Member Health Center. TMHC offers free and confidential medical exams to team members for personal injury and illness. Due to IRS guidelines, team members covered under the HSA medical plan are not eligible for this service.

Free Convenient Care OptionsUnder the PreferredHealth Copay plan you have access to the following free convenient care options for yourself as a team member.

• North Memorial Urgent Care & Express Care Clinics. Free* visits for Team Members Only at the following locations:– Maple Grove Urgent Care– Roseville Urgent Care– Plymouth Urgent Care– Brooklyn Center Urgent Care– Elk River Urgent Care– Eden Prairie Urgent Care – North Memorial Express Clinics Located in Hy-Vee stores:

Oakdale, New Hope, Brooklyn Park, and Lakeville locations

• Online Care Options. These are available for you or family members covered on your health plan for free*.

North eCare: www.northecare.com

Fairview Zipnosis: https://fairview.zipnosis.com/

* Under the PreferredHealth HSA plan you are not eligible for these services for free. You are able to use the Online Care options for a $25 charge.

Life Insurance If increasing life insurance for you or your spouse you will be sent an Evidence of Insurability form in January to complete and return to Lincoln Financial. Your new premiums will not begin until you have been approved.

DON’T GET CAUGHT WITHOUT COVERAGE

OPEN ENROLLMENT 2017

EVERYONE MUST ENROLL in benefits online. If you don’t enroll, you will not have coverage.

EXAMPLE #1PreferredHealth HSA Health Plan with a

Health Savings AccountPreferredHealth Copay Plan

Luan selects family coverage. Her annual premiums are...

Annual Premiums: $188.39 x 24 paychecks = $4,521.36 Annual Premiums: $195.93 x 24 paychecks = $4,702.32

Luan has 3 regular office visits, lab tests, a visit to a podiatrist, a diabetic eye exam and a visit to a nutritionist. The total cost of care is $790.

Out of Pocket Cost: The total cost of her care is $790 Out of Pocket Cost: $150 in copays for her 6 office visits. Luan’s lab tests are covered 100%

At the end of the year, Luan’s total cost is... Total Annual Cost: $4,521.36 (Premiums) + $790 = $5311.36 Total Annual Cost: $4,702.32 (Premiums) + $150 (Copays) = $4,852.32

AND she has money available for next year’s health care expenses in her HSA

North Memorial’s HSA Contribution: $1,400 Because Luan participated in the HSA plan she was able to pay for her expenses with her HSA. Leaving her with $610 in her HSA for future health care costs.

Not Applicable

EXAMPLE #2PreferredHealth HSA Health Plan with a

Health Savings AccountPreferredHealth Copay Plan

Karen selects single + 1 coverage. Her annual premiums are...

Annual Premiums: $103.94 x 24 paychecks = $2,494.56 Annual Premiums: $108.10 x 24 paychecks = $2,594.40

Karen’s husband has a heart attack and requires surgery and hospitalization. The total cost of his services is $60,000. Karen pays...

Out of Pocket Cost: The total cost of her care is $3,000 (deductible) Out of Pocket Cost: $1,300 to satisfy the deductible. After that, her care is covered at 100%.

At the end of the year, Karen's total cost is... Total Annual Cost: $2,494.56 (Premiums) + $3,000 = $5,494.56 Total Annual Cost: $2,594.40 (Premiums) + $1,300 = $3,894.40

AND she has money available for next year’s health care expenses in her HSA

North Memorial’s HSA Contribution: $1,275 Team Member’s HSA Contribution: $2,000 Total Contributions: $3,275 Because Karen participated in the HSA plan she was able to pay for her husbands expenses with her HSA. Leaving her with $275 in her HSA for future health care costs.

Not Applicable

EXAMPLE #3PreferredHealth HSA Health Plan with a

Health Savings AccountPreferredHealth Copay Plan

Paula selects family coverage. Her annual premiums are...

Annual Premiums: $188.39 x 24 paychecks = $4,521.36 Annual Premiums: $195.93 x 24 paychecks = $4,702.32

Paula delivers her baby at a North Memorial facility with no complications . The total cost of her care is $8,500. She pays…

Out of Pocket Cost: The total cost of her care is $3,000 (deductible) Out of Pocket Cost: $1,300 to satisfy her deductible. After that, her care is covered at 100%.

At the end of the year, Paula’s total cost is... Total Annual Cost: $4,521.36 (Premiums) + $3,000 = $7,521.36 Total Annual Cost: $4,702.32 (Premiums) + $1,300 = $6,002.32

AND she has money available for next year’s health care expenses in her HSA

North Memorial’s HSA Contribution: $1,400 Team Member’s HSA Contribution: $2,500 Total Contributions: $3,900 Because Paula participated in the HSA plan she was able to pay for her expenses with her HSA. Leaving her with $900 in her HSA for future health care costs.

Not Applicable

For questions access the Support Services portal. • Go to https://northmemorial.service-now.com

• Login using your IT identity (user name) and password (same as your network password)

• From the Support Services Main Menu, click the box that says Human Resources

• Click on NMMC & Clinics Benefits/Payroll Questions

• Complete the Human Resources Request form. – To add an attachment, click the paper clip icon on top right of the request form.

• Click Submit: You will receive a confirmation email verifying that your request has been received.

* Please note these are example premiums and HSA Contributions.

Health Plan Options and Coverage Scenarios It’s up to you to choose a plan that fits your needs and the needs of your family. With two options to choose from, you can decide what works best for you. Both plan options are offered through the PreferredHealth Network which includes providers from North Memorial, Fairview and HealthEast. The following scenarios compare both plans and how they would pay based on certain medical situations. Review the following scenarios to see which plan would work best for you.

*The coverage levels for the current 2016 MNA plans will not change; premium changes are located on MyBenefits.

NEED HELP ENROLLING?Attend one of our Benefits Open Enrollment Lab Sessions.

Visit MyBenefits to view the Open Enrollment Video that highlights 2017 Benefits.

Monday, October 31 East Hall – Jamaica 11 am -1 pm, 2-4 pm

Tuesday, November 1 Learning Lab A&B 7-9 am, 11 am -1 pm, 2-4 pm

Wednesday, November 2 Learning Lab A&B 11 am -1 pm, 2-4 pm

Thursday, November 3 Learning Lab A&B 7-9 am, 11 am -1 pm, 5-7 pm

Friday, November 4 Learning Lab A&B 11 am -1 pm

Monday, November 7 East Hall – Jamaica 7-9 am, 11 am -1 pm, 2-4 pm

Tuesday, November 8 East Hall – Jamaica 7-9 am, 11 am -1 pm, 2-4 pm

Wednesday, November 9 Learning Lab A&B 7-9 am, 11 am -1 pm, 2-4 pm, 5-7 pm

Thursday, November 10 East Hall – Jamaica 7-9 am, 11 am -1 pm, 2-4 pm

2017 WELLNESS PROGRAM CHANGESWellness Dollars

• To be eligible for the wellness dollars, you and your enrolled family members will be required to receive a preventive exam at a North Memorial owned clinic.

• You will receive your wellness reimbursement on your paycheck once we are notified by PreferredOne that the preventive exam has been completed.

• For the 2017 plan year wellness dollars will now be paid as “cash” (subject to applicable payroll taxes).

• Each enrolled member on your health plan will be eligible for an annual $400 cash reimbursement (maximum of $2,000 paid per family).

• You may use your wellness reimbursement dollars for any type of purchase. No receipts or forms required.

You are only eligible for one preventive exam per year through your insurance. If you see a provider outside of a North Memorial owned clinic for your preventive exam, you will not be eligible for the wellness dollars.

Team Member Health Center no longer administers the wellness program. For questions submit a Human Resources request form through Service Now.

Visit a North Memorial owned clinic for a preventive exam.

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North Memorial Clinic will notify PreferredOne of completion of visit and PreferredOne will process the claim.

PreferredOne will notify North Memorial HR that you have completed a preventive exam.

(no information will be shared from your preventive exam)

North Memorial will reimburse your wellness dollars on your payroll check.

(subject to applicable payroll taxes)

How to Access Your Wellness Dollars

Note: No forms are required

North Memorial Health Care3300 Oakdale Ave. N.Robbinsdale, MN 55422

Open Enrollment 2017 Oct. 31 – Nov. 10, 2016

2017 OPEN ENROLLMENTEVERYONE must enroll in benefits online. Even if you aren’t changing your coverage, you must re-enroll to continue your benefits. If you do not enroll in benefits for 2017, you will not have coverage.

GET STARTEDIt is important to log in to MyHr before Open Enrollment begins to make sure you know your password and to confirm your address, email, phone number and contact/dependent information is accurate.

To access MyHRFrom a home computer (https://myhrnorthmemorial.ultipro.com) or from a North Memorial Health Care computer:

• Log in to the North Memorial Health Care portal > click on the MyHR folder > click on the MyHR icon• Enter your user name (e + team member number, for example: E01234)• Enter your network password (password used to log on to network computers)If you forgot your password or don’t have one, or have trouble accessing the MyHR, call IT at (763) 581-2580.

MyHr requires Internet Explorer version 11.0 or Firefox version 44 or Chrome version 48. Other browsers may work, but some features may not be available.

To review and update your contact information• In the upper left corner of the screen, hover your mouse over Myself and click on Personal > Name,

Address, and Telephone• To make changes, click Edit, make your changes, and click Save when you are finished• Hover your mouse over Myself and click on Personal > Contacts• To make changes, click Edit to make changes or Add to add a new contact or dependent.

Click Save when you are finished

QUESTIONS? Contact HR by submitting a request through the ServiceNow Support Services portal at northmemorial.service-now.com or call (763) 581-2963 option 1.

IMPORTANT: EVERYONE MUST ENROLL in benefits for 2017 or your benefits will end Dec. 31, 2016.

DON’T GET CAUGHT WITHOUT COVERAGE