Summary of Changes
2017 Sprint Benefits Plans
Effective Jan. 1, 2017
This document provides highlights on the following:
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Medical plan changes . . . . . . . . . . . . . . . . . pp. 2-4
Prescription drug changes . . . . . . . . . . . . . . . . . p. 4
Dental plan changes . . . . . . . . . . . . . . . . . . pp. 4-5
Health Savings Account changes . . . . . . . . . . . p. 5
Plans with no changes . . . . . . . . . . . . . . . . . . . p. 5
Reminders . . . . . . . . . . . . . . . . . . . . . . . . . . . pp. 5-6
Additional resources… . . . . . . . . . . . . . . . . . . . p. 6
Medical plan administrators by state . . . . . . . . . p. 7
For compete plan details, see i-Connect > Life & Career > Benefits
Enrollment > Annual Enrollment or www.sprint.com/benefits.
For assistance in selecting a medical/prescription drug plan, refer to
the Medical Plan Selection Tool.
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2017 SPRINT MEDICAL PLAN CHANGES
For 2017, you can choose from four national medical plans:
• Health Account Plan
• Consumer Access Plan (Note: Available for
Looking for guidance in
2017, but will not be offered starting in 2018)
choosing a medical plan?
• Basic Plan with Health Savings Account
• Core Plan with Health Savings Account (New
Visit the online
for 2017!)
Medical Plan Selection Tool.
If you waive medical coverage:
• 2017: You’ll receive an annual credit of $300.
• 2018: No credit will be available.
Compare 2016 and 2017 changes
See the tables below to compare key medical plan changes between 2016 and 2017. To view
your paycheck premiums, see i-Connect > Life & Career > Benefits Enrollment > Annual
Enrollment.
Health Account Plan
Benefit Type
2016
In-Network
Non-Network
In-Network
2017
Non-Network
Deductible
$1,900/Ind.
$3,800/Fam.
$3,800/Ind.
$7,600/Fam.
$2,100/Ind.
$4,200/Fam.
$4,200/Ind.
$8,400/Fam.
Out-of-Pocket Limit
$3,750/Ind.
$7,500/Fam.
$7,500/Ind.
$15,000/Fam.
$4,000/Ind.
$8,000/Fam.*
$8,000/Ind.
$16,000/Fam.
Consumer Access Plan
IMPORTANT:
This plan WILL be offered in 2017, but STARTING IN 2018, will no longer be offered.
Benefit Type
Deductible
Out-of-Pocket Limit
2016
Network
$1,000/Ind.
$2,000/Fam.
$3,400/Ind.
$6,800/Fam.
2017
Non-Network
$2,000/Ind.
$4,000/Fam.
$6,800/Ind.
$13,600/Fam.
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Network
$1,200/Ind.
$2,400/Fam.
$4,000/Ind.
$8,000/Fam.*
Non-Network
$2,400/Ind.
$4,800/Fam.
$8,000/Ind.
$16,000/Fam.
BASIC PLAN
Benefit Type
Deductible
(no change)
Out-of-Pocket Limit
(no change)
Network
$1,850/Ind.
$3,700/ Fam.
2016
Non-Network
$3,700/Ind
$7,400/Fam.
$4,000/Ind.
$8,000/Fam.*
$8,000/Ind.
$16,000/Fam.
2017
Network
$1,850/Ind
$3,700/ Fam.
Non-Network
$3,700/Ind
$7,400/Fam.
$4,000/Ind.
$8,000/Fam.*
$8,000/Ind.
$16,000/Fam.
New for 2017: CORE PLAN
Benefit Type
2017 Plan Highlights
Network
Deductible
$2,500/Ind.
$5,000/Fam.
Non-Network
$5,000/Ind.
$10,000/Fam.
Coinsurance
(For medical and
prescription drug
services)
Plan pays: 70%
You pay: 30%
Plan pays: 50%
You pay: 50%
Out-of-Pocket Limit
$6,000/Ind.
$12,000/Fam.*
$12,000/Ind.
$24,000/Fam.
About the Core Plan (new for 2017):
Similar to the Sprint Basic Plan, the Core Plan is a high-deductible health plan that offers a
lower per- paycheck premium. Prescription drug coverage is included and is administered by
CVS Caremark. This plan is also eligible for a Health Savings Account.
Notes:
*The Basic Plan, Core Plan, Consumer Access Plan and Health Account Plan each include an embedded individual
out-of-pocket limit within the network family out-of-pocket limit.
This means that if one family member incurs network out-of-pockets costs that exceed $7,150, then the Plan will pay
100 percent of that family member’s remaining network expenses for the calendar year. This limit applies even if the
aggregate network out-of-pocket expenses of all family members have not reached the cost-sharing limit for family
coverage. Please refer to summary benefit coverage on the Annual Enrollment page.
In addition, for the Basic, Core and Health Account plans, maximum limits for gender-identity surgery identity have
been removed in compliance with the Affordable Care Act.
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ADDITIONAL MEDICAL PLAN CHANGES
Aetna Select℠ Aetna Whole Health Plan – No longer offered for 2017
Action required: If you are currently enrolled in the Aetna Whole Health Plan, you need
to actively select and enroll in a different medical plan for 2017.
Kaiser HMOs (in select regions)
• Kaiser Colorado - no longer be offered in 2017.
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Action required: If you are currently enrolled in the Kaiser Colorado Plan, you need to
actively select and enroll in a different medical plan for 2017.
Note: Other Kaiser regions will have increased deductibles and plan changes. For details, see
Connect > Life & Career > Benefits Enrollment > Annual Enrollment.
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PRESCRIPTION DRUG CHANGES
FOR ALL MEDICAL PLANS
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CVS/Caremark continually reviews medicines, products and prices for Sprint. This
review includes evaluating costly medications that have clinically effective lower-cost
alternatives, which may help you and Sprint obtain cost savings. As part of this effort,
there are changes to your prescription drug list (PDL) that could affect your current
medicines.
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Effective Jan. 1, 2017, the Plan will adopt CVS Caremark’s Value Formulary list. Note:
Some medications will be excluded from coverage, while others may become nonpreferred.
Watch your mail: If you are currently on a medication that will not be covered, you will
receive a letter at your home address from CVS Caremark. This letter will list the
covered or formulary alternatives for you to discuss with your physician.
A list (not all-inclusive) of covered drugs is available here for your review. You can also
find more information about the prescription drug program by contacting CVS Caremark
customer service at 855-848-9165.
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2017 DENTAL PLAN CHANGES
If Premium Dental Plan members have services performed by a Premier or out-of-network
provider, co-insurance costs will increase, as shown below:
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Diagnostic and preventive care: Plan co-insurance reduced to 70%
General dental care: Plan co-insurance reduced to 50%
Major and restorative care: Plan co-insurance reduced to 40%
Note: There are NO CHANGES to the Dental Plan co-insurance for members who
receive services from a Delta Dental PPO provider.
Reminder – implemented last year:
If a member enrolled in the Sprint Premium Dental Plan for more than 12 months has not had a
routine cleaning or exam in the preceding 12 months, all general dental services and major and
restorative care services are reduced to a lower Plan coinsurance. (Newly enrolled members
will have 12 months to satisfy this requirement.)
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HEALTH SAVINGS ACCOUNT:
PLAN ADMINISTRATOR CHANGE
If you currently have a Health Savings Account (HSA), the plan administrator will transition to
HealthEquity from Benefit WalletTM effective Jan. 1, 2017.
Here’s how this transition will work:
• You must actively re-enroll during 2017 Annual Benefits Enrollment and select your HSA contribution.
When you elect to make a contribution of at least $24 or more per plan year, Sprint will make
contributions for each paycheck that you have a payroll contribution to your HSA, up to $500 (for
employee-only coverage) or $1,000 (for family coverage tiers) over the course of the year. The IRS
allows a maximum annual contribution of $3,400 (employee-only coverage) or $6,750 (family
coverage tiers) in 2017; these totals include Sprint’s contribution. An additional $1,000 is permitted for
those age 55 or older in 2017.
o Your HealthEquity account will automatically be opened and effective Jan. 1, 2017.
What happens to your current HSA balance?
Watch for information in late December. You’ll receive instructions on how to roll over any
available account balances to your new HealthEquity account from BenefitWallet, if interested.
With HealthEquity, the monthly account fee will be $1.50.
More information on HSA accounts:
Visit www.healthequity.com/sprint or call 844-396-0220.
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NO CHANGES TO THE FOLLOWING PLANS:
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Vision Plan
Life insurance
Disability coverage
Accidental Death & Dismemberment (AD&D)
Legal coverage
Flexible Spending Accounts (FSA)
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REMINDERS
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Verify your medical surcharge status for a covered spouse/domestic partner
If you cover a spouse/domestic partner on your Sprint medical plan, and if group medical
coverage is available through your spouse/domestic partner’s employer, then a $75
semi-monthly medical surcharge will apply.
o Action required: During Annual Benefits Enrollment, you’ll need to actively enroll
and certify whether or not your covered spouse/domestic partner has other coverage
available. Otherwise, you will automatically be assigned the medical surcharge.
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Action required: If you are enrolled in a Health Savings Account or Flexible
Spending Account (Health Care and/or Dependent Care), you’ll need to actively
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enroll during Annual Benefits Enrollment and select the amount you wish to contribute
(Prior-year elections will not carry forward.)
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Benefits confirmation statement: Once you’ve enrolled, you’ll receive a confirmation
statement via email within one business day. Be sure to review your statement carefully.
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ADDITIONAL RESOURCES:
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www.sprint.com/benefits
i-Connect > Life & Career > Benefits > Benefits Enrollment
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Medical Plan Selection Tool
Medical Plan administrators (See coverage table, according to state, on next
page.)
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MEDICAL-PLAN ADMINISTRATORS
See next page.
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Who is your medical-plan administrator?
Note: It’s based on your home state (not the plan you select)
Medical administrator,
plans covered and contact info
States covered
by this administrator
Aetna
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Core Plan
Basic Plan
Health Account Plan
Consumer Access Plan
Arizona
New Jersey
Ohio
Pennsylvania
California
New York
Oklahoma
Washington
Connecticut
Website:
www.aetnaresource.com/13068/sprint
Phone:
(800) 798-0083
BlueCross BlueShield of IL (BCBSIL)
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Core Plan
Basic Plan
Health Account Plan
Consumer Access Plan
Alabama
Louisiana
Delaware Michigan
Minnesota
Idaho
Kansas
Missouri
Alaska
Iowa
New
Mexico
North
Carolina
Tennessee
Virginia
Wash., D.C.
West
Virginia
Nebraska
New
Hampshire
Oregon
Texas
Rhode
Island
Utah
Website: www.bcbsil.com/sprint
Phone: (877) 284-1571
United HealthCare (UHC)
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Core Plan
Basic Plan
Health Account Plan
Consumer Access Plan
Arkansas Kentucky
Colorado
Florida
Georgia
Illinois
Maine
Massachusetts Nevada
Maryland
North
Mississippi
Dakota
Montana
Website:
www.welcometouhc.com/sprinthealth
Phone:
(800) 228-0194
Indiana
Kaiser
(Offered in select regions)
Website: http://my.kp.org/sprint
Northern California
Southern California
TRICARE
Phone:
(800) 638-2610, ext. 255
Offered nationally for eligible military
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South
Carolina
South
Dakota
Georgia
Hawaii
Mid-Atlantic Virginia
Vermont
Wisconsin
Wyoming