1. 2014 Open Enrollment

2. 2014 Open Enrollment
Enrollment Dates and Actions
► Enroll for benefits between
November 4th and November
15th
o Your current medical election has
defaulted to the Healthy Approach
cost/month. You will need to select
the appropriate cost/month based
on your participation in the Health
Approach Wellness Program.
o You do not need to re-enroll if you
are not making any changes (with
the exception of re-enrolling in
FSA)
o In order to participate in the Health
Care and/or Dependent Care
Flexible Spending Account, you
must enroll each year.
2
en
!
Op ent
llm
ro
En

3. 2014 Open Enrollment
Benefits Changes
► Medical
o The deductibles for PPO 1 and PPO 2 are changing in 2014
o Two sets of medical rates based on Healthy Approach participation
► Pharmacy
o Express Scripts will remain as the pharmacy vendor and you will now have a
separate ID card for prescriptions
► Behavioral Health
o This will now be administered by Blue Cross Blue Shield of Massachusetts
► Wellness
o New wellness program will be offered through Interactive Health Solutions
► Employee Assistance Program
o New addition to the benefits package through ComPsych
► Long Term Care
o Will no longer be offered
► 401(K) Match
o Xerium match changing to 100% of the first 3% of eligible compensation, and
50% of the next 2% of eligible compensation
3

4. Health Care Reform Update
4

5. 2014 Open Enrollment
Health Reform Update
► ACA/”Obamacare” Individual Mandate requires you to have insurance or
pay a penalty
o Your choices to meet the individual mandate are:
• Maintain coverage through Xerium or other qualified medical coverage
• Purchase coverage through the marketplace at full post tax cost (no subsidy available)
https://www.healthcare.gov/marketplace/individual/
• No coverage subject to the following IRS penalties*:
Tax Year
% of Income
Flat Dollar Amount
Per Adult
2014
Per Minor
Family
Maximum
$95
$47.50
$285
1%
*Penalty is greater of “flat dollar amount” or “1% of income”
5

6. Medical, Wellness and
Your Wellbeing
6

7. 2014 Medical Plan
Important Information
► All medical plan participants will be receiving new ID
cards. Please use your current ID card until you receive
your new one.
► The pharmacy benefit will remain with Express Scripts
however you will have a separate ID card for Express
Scripts in 2014. Please use your BCBS ID card until you
receive your new Express Scripts ID card.
► Behavioral Health coverage will be administered by
Blue Cross Blue Shield of Massachusetts beginning
on January 1, 2014. Please continue to use Value
Options for any behavioral health needs until then.
7

8. Only changes from last
year!
2014 Medical Plan
PPO 1
Calen d ar Year Ded u ct ib le
I n d ivid u al
Family
Ou t -o f -Po cket Maximu m
(in clu d in g d ed u ct ib le)
I n d ivid u al
Family
Co in su ran ce
Ph ysician Of f ice Visit s
Primary Care
Sp ecialist
Ho sp it al Services
I n p at ien t
Ou t p at ien t
Emerg en cy Ro o m
Lab t est s, X-rays, and Ot h er Test s
Mat ern it y Services
Ad d it io n al Services
Mu scle Man ip u lat io n Services
Sp eech , Hearin g an d Lan g u ag e
Treat men t
Prescrip t io n Dru g s
Ret ail - Su p p ly Limit
Tier 1
Tier 2
Tier 3
Mail Ord er - Su p p ly Limit
Tier 1
Tier 2
Tier 3
PPO 2
I n -Net w o rk
$450
$ 1 ,1 2 5
Ou t o f Net w o rk
$ 1 ,1 2 5
$ 2 ,2 5 0
I n -Net w o rk
$ 1 ,0 0 0
$ 2 ,5 0 0
Ou t o f Net w o rk
$ 2 ,5 0 0
$ 6 ,2 5 0
$1,200
$2,400
20%
$3,600
$7,200
40%
$2,400
$4,800
20%
$7,200
$14,400
40%
$20
$35
40% aft er ded.
40% aft er ded.
$25
$40
40% aft er ded.
40% aft er ded.
20% coinsurance aft er
ded.
40% aft er ded.
20% coinsurance aft er
ded.
40% aft er ded.
$125 copay; 20% aft er ded.
20% coinsurance aft er
ded.
40% aft er ded.
20% coinsurance aft er
ded.
40% aft er ded.
$150 copay; 20% aft er ded.
100% covered
20% coinsurance aft er
ded.
40% aft er ded.
40% aft er ded.
40% aft er ded.
100% covered
20% coinsurance aft er
ded.
$35 copay
Not Covered
$40 copay
Not Covered
$35 copay
40% aft er ded.
$40 copay
40% aft er ded.
$10
$30
$50
$20
$60
$100
30 day supply
Not Covered
$10
$30
$50
Not Covered
$20
$60
$100
90 day supply
8
40% aft er ded.
30 day supply
Not Covered
90 day supply
Not Covered

9. 2014 Medical Plan
► What will my paycheck contributions be for the Blue Cross Blue Shield
Medical Plans
9

10. 2014 Medical Plan
New Wellness Vendor
We are excited to announce that Xerium is partnering with Interactive Health
Solutions as our wellness vendor! The Healthy Approach Wellness program
promises to be a great way for all employees to live healthier lives!
►Your health and wellbeing is important to Xerium so we want to encourage all
members to live a healthy lifestyle with several incentives for participating in the
program.
►Interactive Health will be hosting health evaluations that are convenient,
comprehensive and always confidential.
o These evaluations will test many variables including cardiovascular disease
risks, diabetes, and much more!
10

11. 2014 Medical Plan
Interactive Health Solutions
These onsite health evaluations will take place the week of November 4th.
►Your participation gives you access to:
o www.myinteractivehealth.com- a members only medical website
o Medical Drug Database including information on symptoms, diseases,
treatments, online health consultations and more!
o Current Health Newsletters and Monthly Health Webinars
o Personal Health Report
o HealthFocus Courses with topics including:
•
•
•
•
•
•
Diabetes Prevention and Control
Lifestyles for Successful Weight Loss
Managing High Blood Pressure
Better Nutrition
Managing Stress
And many more!
For additional information, contact the Human Resources Department.
11

12. 2014 Medical Plan
Bonus Benefits
► Because Xerium cares about your
health, below are several benefits that
encourage members to get and remain
healthy:
o Both medical plans cover preventive
care at 100% In-Network
• Includes immunizations, adult exams
and tests, well child care and much
more! See your summary plan
description for a full list of services.
o Weight Loss Participation Programs
• WeightWatchers (traditional meetings,
WeightWatchers at work, and hospitalbased weight loss programs)
• Earn up to $150 per year in program
fees!
o Fitness Participation Program
• Earn up to $150 per year in health club
fees by just belonging to a health club
and being a BCBS member for 4 full
months!
12

13. NEW Employee Assistance Program
Xerium is pleased to announce the addition of an Employee Assistance
Program (EAP) to our benefits offering!
►EAP is a confidential counseling service offered through our new vendor,
ComPsych, that is available to all employees and their immediate family
►Several of the benefits of our new EAP include:
o Financial Connect
o Legal Connect
o ComPsych’s Family Source Guidance
► ComPsych offers up to 6 counseling sessions, free of charge, per issue in
any plan year (January 1 to December 31)
► Steps to obtaining EAP benefits:
► Call ComPsych or go online to www.guidanceresources.com
13

14. Dental
14

15. 2014 Dental Plan
► Xerium is pleased to continue to offer two comprehensive dental plans.
► The dental plan you elect will remain in effect for two years
Hig h Plan
Lo w Plan
I n d iv id u al
$25
$50
Family
$75
$150
$1,500
$750
100%
100%
80%
50%
50%
50%
50%
Not Covered
$1,500
N/ A
Hig h Plan
Lo w Plan
$29.00
$52.75
$75.00
$8.50
$16.00
$23.50
A n n u al Ded u ct ib le
A n n u al Maxiu mu m
Preven t ive Care
(t eet h clean in g , f lu o rid e, sealan t s)
Basic Treat m en t
(f illin g s, simp le ext ract io n s, ro o t can al, b r id g e)
M aj o r Tr eat men t
(Den t u res, f ixed b rid g es, cro w n s, im p lan t s)
Ort h o d o n t ia
Lif et ime Or t h o Max
Emp lo yee
Emp lo yee + 1
Family
15

16. Vision
16

17. 2014 Vision Plan
Vision care is provided through EyeMed. Below is a brief summary of benefits
and rates:
Ben ef it
I n Net w o rk
Ou t o f Net w o rk
$10 copay
Up t o $30
Sin g le visio n
$25 copay
Up t o $25
Bif o cal
$25 copay
Up t o $40
Trif o cal
$25 copay
Up t o $60
Len t icu lar
$25 copay
Up t o $60
$0 copay, up t o $130
ret ail allow ance
Up t o $65
Exams (every 1 2 mo n t h s)
Mat erials (every 1 2 mo n t h s)
Frames
Co n t act len ses
$0 copay, up t o $130
ret ail allow ance
$0 copay, up t o $130
ret ail allow ance
Co n ven t io n al
Disp o sab le
Med ically n ecessary
Paid in full
Visio n Rat es
Emp lo yee
Emp lo yee + 1
Family
$5.47
$10.39
$15.26
17
Up t o $104
Up t o $104
Up t o $200

18. Flexible Spending
Accounts
18

19. Health Care Flexible Spending Accounts (HCFSA) help
you pay for health care expenses tax free!
Things To Note…
►Set aside up to $2,500
►Deducted from payroll
►Expenses paid with pre-tax dollars
►There is a 2 ½ month grace period for health care claims (i.e. you can incur
claims between 1/1/14 and 3/15/14, and submit prior to 4/30/14 to use your
2013 FSA balance)
►You must complete the appropriate section of your 2014 Employee Benefit
Enrollment Form if you wish to participate in 2014, regardless of if you were
enrolled previously
o Reminder: You cannot change your election amount until the next open
enrollment unless you experience a qualifying event
19

20. Dependent Care Flexible Spending Accounts (DCFSA)
are paid with pre-tax dollars and save you money!
Things To Note…
►Set aside up to $5,000 for child or elder care
►Dependents under age 13, or any age if incapable of self-care
►Can be used toward childcare and/or day camp
►You must complete the appropriate section of your 2014 Employee Benefit
Enrollment Form if you wish to participate in 2014, regardless of if you were
enrolled previously
o Reminder: You cannot change your election amount until the next open
enrollment unless you experience a qualifying event
20

21. Life and Disability
21

22. Life and Disability
► Xerium provides several types of life insurance to help ensure you and your
family’s financial protection. Coverage for these benefits are 100%
company paid!
o Basic Life and Basic AD&D
• Coverage is provided based on your previous year’s gross earnings (note: if you were
newly hired and haven't worked an entire calendar year, it is equal to your annualized
pay rate upon hire)
– Salaried employees- 2 times annual earnings
– Hourly employees- 1 time annual earnings
o Business Travel Accident
• Insurance protection while traveling on company business
• Coverage is 1.5 times annual earnings or $100,000 (to a max of $2,500,000)
22

23. Life and Disability
► Short Term Disability
o Provides income protection for
when you are deemed unable to
complete the essential duties of
your job
o Covers your first 26 weeks of injury
or illness as long as you remain
disabled
► Long Term Disability
o Provides income protection if you
are deemed totally disabled
23

24. Voluntary Life Insurance
24

25. Voluntary Life
► You may purchase additional life insurance through Xerium’s voluntary life
options.
o
o
o
Voluntary Life
• You can purchase 1, 2, 3 or 4 times your annual earnings
• Any amount purchased above $300,000 will require a Personal Health Application
Voluntary AD&D
• Amounts from $25,000 to $250,000 can be purchased in addition to the Xerium
AD&D plan
• These amounts must be in increments of $25,000
Dependent Life
• Employees may purchase additional life coverage for their spouse, children or both
– Spouse: $10,000
– Child: $5,000
Instructions for enrolling or changing voluntary coverage as well as
the voluntary rates can be found in the 2014 Open Enrollment Guide
25

26. Long Term Care Insurance
26

27. Long Term Care Insurance
► Effective January 1, 2014 Xerium will no longer offer
LongTerm Care Insurance.
► Contact a member of the Human Resources Team in
order to obtain a Conintuation Application
► Questions regarding the continuation of this coverage
can be directed to UNUM’s Long Term Care
Department at 1-800-227-4165
27

28. Retirement
Savings
28

29. 2014 Retirement Savings and Investment Plan- 401(K)
Xerium’s Retirement Savings and Investment Plan is one of your most valuable
benefits!
• Some of the benefits include:
– New Match: Xerium matches 100% of the first 3% of eligible compensation and 50% of
the next 2% of your eligible compensation.
– Your plan contributions from 1%-99% are deducted from your paycheck
– You are fully, 100%, vested in all contributions made to the Plan including the company match.
– You have the option of contributing on a pre-tax or post tax basis
►Who can participate?
• You are eligible to participate on the first of the month that immediately follows or is
coincident with the completion of 2 months of service
►Questions?
o Call 1-800-541-7705 Customer Service Representatives are available Monday
through Friday, from 8:00 a.m. to 9:00 p.m. Eastern time
29

30. Making Benefit Changes
Throughout the Year
30

31. Qualifying Life Events
► Birth or adoption of a child
► Marriage or divorce
► Death of a dependent
► Dependent’s loss of eligibility
► Change in spouse’s employment
► Loss of other health coverage
► Your employment status changes
Please notify a member of the Human Resources Team within 31 days of
the qualifying event.
31

32. Next Steps
32

33. Next Steps
► Additional information can be
found in your 2014 Open
Enrollment Guide.
► Steps to enroll or change your
coverage:
o Choose your plan option (i.e.
medical, dental, vision, etc.) under
the plan section of your 2014
Employee Benefit Enrollment
Form.
o Complete the BCBS, Delta Dental,
EyeMed Enrollment Form (make
sure to provide all necessary
information for the dependents
you wish to cover).
o Sign and date all forms and return
them to your local benefits contact
by the enrollment deadline of
November 15, 2013.
33

34. 2014 Open Enrollment
Thank you for your time