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Do Not Resuscitate Order For Bank of America Employees

Healthcare Provider Update: Healthcare Provider for Bank of America Bank of America offers its employees a range of healthcare plans, primarily provided through Anthem BlueCross BlueShield, commonly known as Anthem. This partnership enables Bank of America employees to access various medical, dental, and vision insurance plans, tailored to the needs of its diverse workforce. Anticipated Healthcare Cost Increases for Bank of America in 2026 As we approach 2026, healthcare costs for Bank of America employees are expected to rise significantly due to multiple factors. Notably, the expiration of enhanced federal premium subsidies under the Affordable Care Act (ACA) is projected to amplify out-of-pocket premiums by more than 75% for many employees. Further compounding this issue is the continuous rise in medical costs, which, coupled with escalating charges from insurers, could lead to double-digit rate increases. This perfect storm of factors places a significant financial burden on employees, prompting the need for strategic planning and proactive measures to mitigate rising healthcare expenses Click here to learn more

What Is It?

As a Bank of America employee, you have the right to decline medical treatment, even if you die as a result of your decision. Depending on your medical condition, your prognosis, and your views on the quality of life, you may wish to refuse lifesaving measures, such as cardiopulmonary resuscitation (CPR). Executing a do not resuscitate (DNR) order is one way of doing this. A DNR is a doctor's order that tells all other medical personnel not to perform CPR if you go into cardiac arrest. Cardiac arrest occurs when your heart stops beating, blood flow to your brain stops, and you stop breathing. If the blood flow is not quickly restored, permanent damage to the brain and other organs can occur. CPR simulates heartbeat and breathing, while attempting to restart these functions.

The term CPR actually encompasses a variety of separate procedures, including cardiac compression, endotracheal intubation, assisted ventilation, defibrillation, and cardiac medications. Most states recognize two types of DNRs. One is effective only while you are hospitalized. The other is used by people outside the hospital--for example, nursing home residents, hospice patients, and even those who are not receiving medical treatment.

Typically, terminally ill patients and elderly individuals execute DNRs to avoid prolonging their final illnesses. However, some states allow healthy adults to execute the orders, as well. Depending on the laws of your state, a DNR used outside the hospital may be called a 'pre-hospital DNR,' 'out-of-hospital DNR,' 'outpatient DNR,' 'DNR for EMS,' or 'CPR directive.' As a result of your request, your doctor generally notes an in-hospital DNR order on your chart. Out-of-hospital DNRs take various forms, depending on the laws of your state. ID bracelets, MedicAlert necklaces, and wallet cards are some methods of noting DNR status.

When Can It Be Used?

Availability of DNRs Is Determined By State Law

Not all states have DNR laws. For Bank of America employees, you may want to consider how your state's laws govern whether DNRs are permissible, who can execute a DNR, and what form the order must take. These laws may permit in-hospital DNRs, out-of-hospital DNRs, both of these, or neither of these. Some state laws allow any person of legal age to execute a DNR, while others permit DNRs only for individuals with terminally ill conditions. Some states allow children to participate in decisions regarding DNR in certain cases. Check the laws of your state and any other states where you spend a significant amount of time.

Strengths

Allows You to Exercise Choice In Medical Treatment

Cardiopulmonary resuscitation (CPR) has produced some miraculous results when used on normally healthy individuals in trauma situations. However, it can be a painful and even violent procedure. Its effectiveness is limited when used on terminally ill or hopelessly deteriorated patients. In some cases, CPR only delays the moment of death.

For example, CPR could restore your heartbeat, but if permanent brain or organ damage occurs during cardiac arrest, you may be dependent on life support machines. Executing a do not resuscitate (DNR) order allows you to choose a natural death.

Example(s): Hal is hospitalized with a terminally ill condition. He is on a respirator and knows he has only a short time to live. Hal consults his doctor and learns that the laws of his state permit in-hospital DNRs. This will allow him to forego CPR if his heart fails. Hal asks his doctor to execute a DNR as soon as possible. The following week, Hal's heart stops. Because of Hal's DNR, hospital personnel do not attempt CPR.

Specifically Intended for an Emergency Situation

If you go into cardiopulmonary arrest, your DNR lets medical personnel know that you don't want CPR. Because of the emergency nature of this situation, other types of advanced directives are usually not timely enough to accomplish this goal.

Tradeoffs

Extremely Limited Usefulness

Although a do not resuscitate (DNR) order is a very powerful instrument, it is only effective under specific conditions. Generally, a DNR comes into play only if you go into cardiac arrest, and it frequently only allows you to refuse cardiopulmonary resuscitation (CPR), although in some states it may allow you to decline other drastic medical treatment as well. A living will or durable power of attorney for health care may be needed to convey other medical treatment instructions, such as your wishes regarding life support and intravenous feeding.

Out-of-Hospital DNR May Not Be Effective In Other States

As a Bank of America employee, it is beneficial to understand how an out-of-hospital DNR that is valid in your state may not be valid in other states. Therefore, if you spend a significant amount of time in another state, you should find out whether that state's laws recognize DNRs, whether you are eligible to have a DNR in that state, and what restrictions are placed on the form of the DNR.

Doctors May Be Hesitant to Broach This Topic or Reluctant to Write a DNR

If you are hospitalized with a serious illness, your doctor may not bring up the option of executing a DNR. If you don't want to be resuscitated, you should initiate this discussion with your doctor. Also, studies indicate that many doctors are slow to write DNRs, even when they are aware of their patients' preferences, although the reasons for this vary. If you are a Bank of America employee and want to ensure your wishes are followed, you should touch base with your doctor to make sure the DNR is placed on your chart.

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How to Do It

Research Your State's Laws Regarding Dnrs

Not all states provide for these orders. Each state has its own eligibility requirements, particularly for out-of-hospital DNRs.

Discuss Your Wishes With Your Doctor

Your doctor should be able to provide information on your prognosis and counsel you on your options. If you are a Bank of America employee, your doctor's signature will most likely be required on any DNR you execute.

Execute Your Out-of-Hospital DNR Properly And Keep It With You

If you are a Bank of America employee interested in DNR, you must consider how if your state allows out-of-hospital DNRs, there is probably a required format for the order. Examples of state-required DNR formats include ID bracelets, necklaces, wallet cards, and letter-size forms. If your DNR is not in the required form, it may not be honored. If medical personnel can't find your DNR order, they are obligated to give full and immediate care. Thus, it is extremely important to execute your DNR order properly and keep it with you (or in an appropriate place) at all times.

Example(s): Hal is a resident of an assisted-living facility. Hal is 89 years old and feels he has lived a good life. He does not want to die in a hospital or be dependent on machines for his survival. Hal discusses his feelings with his doctor. Hal's doctor suggests executing an out-of-hospital DNR, which will instruct medical personnel not to perform cardiopulmonary resuscitation (CPR) if Hal goes into cardiac or respiratory arrest. Hal agrees and receives an ID bracelet noting his DNR status. Hal wears his bracelet faithfully. Six years later, Hal's heart fails as he jogs in the park. Medical personnel arrive on the scene, but immediately notice Hal's DNR ID bracelet. CPR is not attempted.

Tell People About Your Decision

In general, other people cannot reverse your decision once you execute a DNR. As a Bank of America employee however, if your DNR is misplaced or for some reason is not followed, it would be important for your family and friends to understand your wishes. Although this topic may be difficult to discuss, those close to you are more likely to support and uphold your decision if they understand how you feel and why you feel that way. If you have appointed a representative in a durable power of attorney for health care (DPAHC) , it is especially important that this person be aware of your decision.

Coordinate All Advanced Directives

Since a DNR is so limited in scope, you may wish to establish a living will and/or DPAHC as well. If you do so, make sure your wishes are stated consistently throughout these documents. In some states, the most recent document will govern if there is a conflict, so you must make sure your wishes are clear.

Tax Considerations for Bank of America Employees

Income Tax

None

Gift And Estate Tax

None

Questions & Answers for Bank of America Employees

What If You Go Into a Coma Before Executing Your DNR, And You Can't Express Your Wishes?

Your healthcare representative, if you have appointed one, may be able to have a DNR executed on your behalf. As a Bank of America employee, there must be evidence that this is what you would want. You might include these instructions in your durable power of attorney for health care , especially if the laws of your state do not allow out-of-hospital DNRs. Be aware, however, that this method of instruction is useless in an emergency if your representative is not present. In some states, with your family's consent, your doctor may be able to execute a DNR on your behalf. Again, it would be unwise to rely on this course of action in an emergency.

Can You Change Your Mind?

Yes, it is possible to revoke a DNR order. If you have an out-of-hospital DNR, you may be able to revoke it by simply removing the bracelet or the wallet card. However, some states also have a database of DNR patients. If this is true in your state, you may need to take additional steps to revoke your DNR. When your doctor writes the DNR, ask what steps are necessary to revoke the order.

Additionally, medical personnel must give emergency care to anyone who requests it. For example, Emergency Medical Service guidelines in Wisconsin instruct personnel to perform cardiopulmonary resuscitation (CPR) if a person rips off his or her DNR bracelet or asks for CPR during cardiac arrest.

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Single-life vs. Joint-life Annuity Options: The single-life annuity option provides monthly payments only for the retiree's life, making it potentially higher as it is based solely on one life expectancy. Conversely, the joint-life annuity option extends payments to cover the life of a spouse or another beneficiary after the retiree's death, typically resulting in lower monthly payments due to the extended payout period. Employees should consider their marital status, life expectancy, and whether they need to provide for a spouse or other dependents in deciding which option suits their personal circumstances best.

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Vesting Schedule Impact: Bank of America's pension plan offers two types of vesting schedules: cliff and graded. Cliff vesting allows employees to be fully vested after a set number of years, while graded vesting gradually increases the vested percentage over time. Employees should factor in their career plans, like how long they intend to stay with the company, as reaching full vesting can significantly affect their pension entitlement.

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Utilizing Pension Benefits: With pension plans becoming less common, employees of Bank of America should maximize this benefit by understanding how it complements other retirement resources such as 401(k)s or IRAs. Employees can benefit from the security a pension provides by integrating it into a broader retirement strategy, considering factors like inflation and other income sources.

In what ways can Bank of America Corporation employees access information about the specifics of their pension plans, including eligibility criteria and benefit calculations? Employees should familiarize themselves with their Summary Plan Description (SPD) and the Annual Funding Notice they receive to stay informed about their benefits.

Accessing Pension Plan Information: Bank of America employees can access details of their pension plans through the Summary Plan Description (SPD) and Annual Funding Notices. These documents provide essential information about eligibility, benefit calculations, and rights under the plan, helping employees make informed decisions about their retirement.

What considerations should Bank of America Corporation employees take into account when opting for a lump-sum distribution versus an annuity payment, and how might these choices impact their long-term financial security? Employees need to evaluate their comfort with investment risks and their plans for retirement fund distribution, keeping in mind the potential for inflation.

Choosing Between Lump-Sum and Annuity Payments: The choice between receiving a lump-sum or annuity payments impacts long-term financial security. A lump-sum offers flexibility and control over investments, suitable for those comfortable with managing large sums. An annuity provides a steady income stream, preferable for those seeking stability and less investment risk. Factors like health, life expectancy, and other income sources should influence this decision.

How can employees at Bank of America Corporation estimate their monthly retirement income from the pension plan, and what resources are available to help them with this calculation? Utilizing employer-provided tools, financial calculators, or consulting with a financial planner could significantly aid employees in understanding their expected retirement income.

Estimating Monthly Retirement Income: Bank of America employees can estimate their pension income using tools provided by the employer, such as financial calculators, or by consulting with a financial planner. These resources help employees project their income based on their salary and years of service.

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Funding Structure and Benefit Reliability: The sustainability of pension benefits at Bank of America depends on the company's commitment to adequately fund the plan and pay required insurance premiums to the PBGC. Employees should be aware of the funding status through the Annual Funding Notice to assess the plan's health.

What role does the Pension Benefits Guaranty Corporation (PBGC) play in protecting the pension benefits of Bank of America Corporation employees, and how should employees understand this protection when planning for their future? Familiarizing themselves with the limits of the PBGC can help employees gauge the security of their pension benefits.

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How can Bank of America Corporation employees reach out to learn more about their pension plan and any specific benefits applicable to them? Employees should seek guidance from the plan administrator or utilize the communication channels provided within the company to obtain personalized assistance regarding their retirement planning needs.

Learning More About Pension Benefits: Bank of America employees looking for more detailed information about their specific pension benefits should consult their plan administrator or utilize company-provided communication channels. This direct engagement helps ensure employees receive personalized and up-to-date information regarding their retirement planning.

With the current political climate we are in it is important to keep up with current news and remain knowledgeable about your benefits.

Bank of America offers both a traditional defined benefit pension plan and a defined contribution 401(k) plan. The defined benefit plan provides retirement income based on years of service and final average pay. The 401(k) plan features company matching contributions and various investment options, including target-date funds and mutual funds. Bank of America provides financial education and planning resources to help employees manage their retirement savings.

Bank of America has faced layoffs as part of its ongoing restructuring efforts in 2024. Despite the layoffs, the company continues to offer extensive retirement benefits, including 401(k) plans, pension plans, and various health and wellness programs for retirees. Staying updated on these benefits is essential in the current political environment.

Bank of America grants RSUs that vest over a specific period, providing shares upon vesting. They also offer stock options, allowing employees to purchase shares at a set price.

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For more information you can reach the plan administrator for Bank of America at 100 N Tryon St Charlotte, NC 28255; or by calling them at +1 800-432-1000.