New Update: Healthcare Costs Increasing by Over 60% in Some States. Will you be impacted?

Do Not Resuscitate Order For Resolute Forest Products Employees

Healthcare Provider Update: Resolute Forest Products offers health insurance benefits that include enhanced dental and vision coverage, life insurance, and long-term disability. Recent union agreements have increased benefit amounts and added vacation time. Employees also have access to a benefits portal for managing coverage and making changes during open enrollment 8. Healthcare costs in the United States are projected to continue rising through 2026, with insurers proposing significant premium increases for Affordable Care Act (ACA) plans. A recent analysis found that ACA insurers are seeking a median premium increase of 15% for 2026, marking the largest hike since 2018. This surge is attributed to factors such as the anticipated expiration of enhanced premium tax credits, rising medical costsincluding expensive medications and increased hospital staysand a shift in the risk pool towards higher-cost enrollees. Without the renewal of enhanced subsidies, out-of-pocket premiums for ACA marketplace enrollees could increase by more than 75% on average. Click here to learn more

What Is It?

As a Resolute Forest Products 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 Resolute Forest Products 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 Resolute Forest Products 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 Resolute Forest Products 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 Resolute Forest Products 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 Resolute Forest Products 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 Resolute Forest Products 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 Resolute Forest Products Employees

Income Tax

None

Gift And Estate Tax

None

Questions & Answers for Resolute Forest Products 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 Resolute Forest Products 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.

How does the Pulp and Paper Industry Pension Plan interact with other retirement savings options that employees may have? Employees at the Pulp and Paper Industry are encouraged to understand the implications of their pension benefits when considering their overall retirement strategy. Given the complexity of retirement planning, how should one factor in the Pulp and Paper Industry Pension Plan alongside personal savings, employer-matched contributions, and other investment accounts?

Pension Plan Interaction with Other Retirement Savings: Employees in the Pulp and Paper Industry should consider the Pension Plan as a foundational part of their overall retirement strategy. When planning for retirement, it's crucial to balance the pension benefits alongside personal savings, employer-matched contributions, and other investment accounts such as RRSPs or TFSAs. The Pension Plan, contributing a stable retirement income, can complement more flexible savings vehicles that provide additional liquidity and growth potential, especially considering tax implications and withdrawal strategies for an efficient retirement portfolio.

What are the key factors that determine the monthly pension payment upon retirement for employees in the Pulp and Paper Industry? Understanding the formula that calculates the pension benefits based on earnings, years of service, and the applicable rates is crucial for employees planning their retirement. Can you elaborate on how these elements work together to produce an individual's retirement income?

Key Factors Determining Pension Payments: The monthly pension payment for employees in the Pulp and Paper Industry is primarily calculated based on credited service, eligible earnings, and the applicable pension benefit rate. The formula integrates years of service with the employee's average earnings and the benefit accrual rate of 1.55%. This means the longer the employee's service and the higher their eligible earnings, the larger the pension payout. The calculation is also influenced by early retirement reductions or post-65 service, ensuring that employees' retirement income reflects their contribution history(Pulp_and_Paper_Industry…).

In what circumstances can employees of the Pulp and Paper Industry expect a reduction in their pension benefits, and what specific actions can be taken to mitigate this reduction? An in-depth examination of early retirement options, the choices available at different ages, and the financial implications is vital for long-term planning. What steps should an employee take before deciding to retire early?

Circumstances Affecting Pension Reductions: Employees of the Pulp and Paper Industry may face pension reductions if they retire before the age of 65. Early retirement between 55 and 65 incurs a reduction in pension benefits, ranging from 3% to 18%, depending on the age of retirement. To mitigate this reduction, employees can consider working longer or maximizing other retirement savings before electing early retirement. It's essential to review the pension reduction tables and consult the Plan Administrator to understand the financial implications of early retirement(Pulp_and_Paper_Industry…).

How are employee contributions structured under the Pulp and Paper Industry Pension Plan, and what is the impact of these contributions on overall retirement savings? Employees need to understand how their contributions, along with the employer's match, affect their future pension benefits. Could you detail the contribution rates and how they relate to the final pension payout?

Employee Contributions and Pension Benefits: Employees contribute 8% of their earnings to the Plan, while employers contribute 10%. These contributions directly impact the pension benefits, with higher contributions resulting in more substantial retirement payouts. Contributions stop once 2080 hours are paid within a plan year. Understanding how both employee and employer contributions accumulate is crucial for estimating future benefits and integrating them into overall retirement savings(Pulp_and_Paper_Industry…).

What is the process for employees of the Pulp and Paper Industry who experience a significant life event, such as marriage breakdown or disability, to adjust their pension plan? Employees need to be aware of the rights and options available to adjust their benefits in light of personal circumstances. What documentation is needed, and how does the process work?

Adjusting Pension Plan for Life Events: Significant life events such as marriage breakdown or disability allow employees to adjust their pension benefits. In the event of a marriage breakdown, 50% of the pension earned during the marriage may be split with the spouse, and specific forms and legal agreements are required for this process. Disability provisions may allow the employee to continue earning credited service without contributing. Employees should submit medical evidence or legal documents as necessary to the Plan Administrator to process adjustments(Pulp_and_Paper_Industry…).

How can employees in the Pulp and Paper Industry ensure that their personal information remains secure while accessing their pension benefits? Given the sensitive nature of financial information, it is crucial for employees to understand the privacy measures in place. What steps are taken to protect personal data, and what should employees do if they have concerns regarding their privacy?

Securing Personal Information: The Pulp and Paper Industry Pension Plan takes employee privacy seriously by using appropriate safeguards to protect personal information. Data is only shared with pension professionals for plan administration purposes. Employees can access their personal information and correct inaccuracies by contacting the Plan Administrator. If employees have concerns about data security, they should report them immediately to ensure their privacy is maintained(Pulp_and_Paper_Industry…).

What resources are available for employees of the Pulp and Paper Industry to access more detailed information about their pension benefit calculations and options? Seeking information through the right channels is essential for making informed decisions about retirement planning. Can you provide an overview of the tools and resources available to employees for understanding their benefit entitlements?

Resources for Pension Information: Employees have access to a variety of resources to help them understand their pension benefits. These include the Plan’s official web portal, personalized pension statements, and direct assistance from the Plan Administrator. For more detailed information, employees can consult their collective agreement and Plan documents, or they may contact the Administrator for personalized pension projections and guidance(Pulp_and_Paper_Industry…).

In terms of the Pulp and Paper Industry's collective agreements with the Public and Private Workers of Canada (PPWC) or Unifor, how do those agreements affect pension benefits? Understanding these agreements is critical for employees as they directly influence the terms of the pension plan. Can you explain how these agreements shape the benefits structure and payout options?

Impact of Collective Agreements: Collective agreements between the Pulp and Paper Industry and unions like PPWC or Unifor directly influence pension plan provisions. These agreements determine contribution rates, eligibility, and benefit structures. Changes in collective agreements may lead to adjustments in pension benefits, so employees should stay informed about any updates to their collective agreement terms(Pulp_and_Paper_Industry…).

What implications does the Pulp and Paper Industry Pension Plan have for employeesâ€™ beneficiaries, and what should employees know about designating a beneficiary? It is imperative for individuals to understand the importance of beneficiary designations. What processes should employees follow to ensure that their beneficiaries are appropriately designated and informed?

Pension Plan for Beneficiaries: Employees must ensure they appropriately designate a beneficiary for their pension benefits. In the event of death before retirement, the spouse or designated beneficiary will receive the pension benefits. If no beneficiary is designated, benefits are paid to the estate. Employees should complete and update their beneficiary designation form regularly to reflect their wishes and avoid legal complications(Pulp_and_Paper_Industry…).

How can an employee in the Pulp and Paper Industry contact the Plan Administrator for assistance regarding their pension benefits? Knowing the proper contact information and support channels is essential for employees navigating their retirement benefits. What are the best ways to reach out for help, and what types of inquiries can the Plan Administrator assist with?

Contacting the Plan Administrator: Employees can contact the Plan Administrator, LifeWorks, for assistance with their pension benefits. They can reach out by phone, email, or mail for inquiries about retirement estimates, pension adjustments, or general benefit calculations. The Administrator provides essential support for processing retirement, termination, and death benefits(Pulp_and_Paper_Industry…).