Healthcare Provider Update: Healthcare Provider for Duke Energy Duke Energy utilizes a range of health benefits and insurance plans provided through major healthcare organizations, with Aetna being one of the primary providers offering their employee health insurance coverage. Potential Healthcare Cost Increases for Duke Energy in 2026 As 2026 approaches, Duke Energy employees may face significant healthcare cost increases due to a combination of factors impacting the broader health insurance market. Record premium hikes for Affordable Care Act (ACA) marketplace plans, with some states eyeing increases exceeding 60%, could manifest in employer-sponsored plans as well. The potential expiration of enhanced federal premium subsidies, alongside rising medical costs and aggressive rate hikes from insurers, may significantly elevate out-of-pocket expenses for beneficiaries. This perfect storm of factors indicates that employees might need to prepare for substantial healthcare financial burdens in the upcoming year, as many individuals could see their premiums rise by more than 75%. Click here to learn more
What Is It?
As an employee of Duke Energy, Your homeowners insurance policy is most likely written on a standard form identical to homeowners policies purchased by millions of others. Even if it's not identical, your policy is probably very similar to a standard form of homeowners policy, because insurance companies do not usually create policy forms. Instead, they adopt policy forms created by national organizations or legislative committees. In some cases, insurance companies are required by law to use a standard form for their policies. Most of your homeowners policy consists of preprinted pages that are not tailored to your situation. The information specific to your situation is shown on your policy's Declarations Page. Duke Energy employees should use this resource as a learning tool, but always read your policy carefully to familiarize yourself with the details of your coverage.
Overview
There are six different types of policy forms for homeowners insurance. The forms offer identical liability coverage but differ with respect to property coverage (basic named perils, broad named perils, or open perils) and dwelling type (house, apartment, condominium, or cooperative). It's easy to determine which policy form you purchased, because each type is identified by a number:
- HO-1 Basic named perils
- HO-2 Broad named perils
- HO-3 Open perils
- HO-4 Apartments
- HO-6 Condominiums or cooperatives
- HO-8 Older homes
Tip: We recommend that our Duke Energy employees check their policy. The HO designation should appear on every page of the policy, usually near the bottom right corner.
Although it's not apparent from the above list, HO-1, HO-2, HO-3, and HO-8 all apply to houses, not apartment, condo, or co-op units. HO-4 and HO-6--which do apply to apartment, condo, and co-op units--are based on broad named perils coverage (see Table of Information). Tenants, as well as condo and co-op owners, need different forms because they do not own their residences and therefore cannot purchase dwelling coverage.
Caution: Duke Energy employees should note that, a s you will see, open perils coverage is the most extensive type of coverage you can purchase for your house. It is available through Form HO-3, but there's a catch. As written, Form HO-3 offers open perils coverage only for your dwelling and related structures. Personal property is covered for broad named perils (a more restrictive type of coverage) under HO-3, unless you add a Special Personal Property Coverage endorsement to cover your personal property on an open perils basis.
Basic Named Perils Coverage
This coverage is also commonly referred to as 'basic coverage.' The 11 conditions, actions, and events that are included in basic coverage are considered to be 'perils' because they cause financial loss. We'd like our clients from Duke Energy to note that the 11 perils are:
- Fire or lightning
- Windstorm or hail
- Explosion
- Riot or civil disturbance
- Aircraft
- Vehicles (as long as they're operated by nonresidents)
- Smoke (not including smoke from fireplaces)
- Vandalism or malicious mischief
- Theft
- Broken glass (up to a $100 limit)
- Volcanic eruption
None of the six policy forms offers less than basic coverage. That's because broad named perils coverage and open perils coverage provide protection for the 11 basic named perils and more. Your policy is most likely not written to provide basic coverage. Basic coverage is provided by Form HO-1, which is rarely used, and Form HO-8, which applies only to special situations.
Tip: Both basic named perils coverage and broad named perils coverage are called 'named' coverages because perils are specifically listed in the policy. Open perils coverage is considered 'open,' in part, because specific perils are not listed in the policy.
Broad Named Perils Coverage
Another type of coverage we'd like to introduce to our Duke Energy clients is known as 'Broad Named Perils Coverage' and is also commonly referred to as 'named perils coverage.' It is similar to basic coverage in that certain perils are specifically named or listed in the policy, but it is more expansive. Named perils coverage includes the 11 perils covered by basic coverage and adds 6 more perils:
- Falling objects
- Weight of ice, snow, or sleet
- Accidental discharge or overflow of water
- Sudden and accidental tearing apart
- Freezing
- Artificially generated electrical damage
Named perils coverage also expands coverage for:
- Smoke (to include smoke from fireplaces)
- Vehicles (to include damage caused by resident-operated vehicles)
- Broken glass (to remove the $100 limit on coverage)
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Named perils coverage is the coverage type most frequently featured in the six policy forms. Because the named perils are described in detail, this type of coverage features just a few, straightforward exclusions. If your policy features named perils coverage, you are not covered by property insurance for damage or destruction caused by:
- Enforcement of building codes and similar laws
- Earthquakes
- Flooding
- Power failures
- Neglect (meaning your failure to take reasonable steps to protect your property)
- War
- Nuclear hazard
- Intentional acts
Open Perils Coverage
The next type of coverage we'll be going over with Duke Energy employees is one also known as 'all-risk' coverage. That's because Form HO-3 broadly states that it covers you 'against [all] risk of direct loss to property described in Coverages A [dwelling] and B [other structures].' Instead of naming the perils covered by the policy, the question of what perils are covered is left unanswered or 'open.' But don't let the label fool you. Form HO-3 (the only form to feature open perils coverage) comes complete with a lengthy list of exclusions from coverage to ensure that your insurance company is not liable for every peril under the sun. The starting point for the exclusions from open perils coverage is the eight exclusions most frequently associated with named perils coverage (meaning losses arising from building code enforcement, earthquakes, flooding, etc.). Then there are additional exclusions:
- Freezing pipes and systems in vacant dwellings
- Damage to foundations or pavements from ice and water weight
- Theft from a dwelling under construction
- Vandalism to vacant dwellings
- Latent defects, corrosion, industrial smoke, pollution
- Settling, wear, and tear
- Pets, other animals, and pests
- Weather conditions that aggravate other excluded causes of loss
- Government and association actions
- Defective construction, design, and maintenance
Tip: HO-3 does not cover you for the preceding exclusions, but does cover you for ensuing losses that result from excluded events (as long as the ensuing loss is not itself excluded from coverage). This means, for example, that if your fireplace is defectively designed so that flames are blown out into your living room, you're not covered for the fireplace, but you are covered for the fire that destroys your house the first time you use the fireplace.
Choosing Between Coverage Types
As noted, it is unlikely that you will have the option to choose basic coverage. Form HO-1 is not available in most states (which is unfortunate as far as your wallet is concerned, because it's the least expensive policy form), and HO-8 applies only in special situations. Renters, as well as condo and co-op owners, must use Forms HO-4 and HO-6 in all cases.
As an employee of Duke Energy and homeowner, your real choice is between named perils coverage (HO-2) and open perils coverage (HO-3). Choosing named perils coverage has an advantage, because your premium will be generally 5 percent less than that for open perils coverage. The disadvantage of named perils coverage is that it's less comprehensive than open perils coverage, so there are situations when HO-3 covers you but HO-2 does not. Duke Energy employees should keep in mind, however, that HO-2 does cover you for many of the most common perils that are out there. It's a tough choice. For Duke Energy employees looking to save money while obtaining solid coverage, consider purchasing a named perils policy. However, if you're looking for the most protective policy money can buy, consider an open perils policy. Raise the question with your insurance agent when you are shopping around for homeowners insurance, and listen carefully to the answer.
Loss Settlement
Your policy contains a paragraph describing the amount you can expect to receive from your insurance company if a covered loss occurs. There are three options for calculating payment:
- Actual cash value, meaning the amount necessary to replace or rebuild the property less depreciation
- Replacement cost, meaning the amount necessary to replace or rebuild the property using similar materials
- Market value, meaning the value of the property in the real estate market at the time of loss
Payments for Coverages A and B (Dwelling and Other Structures) are typically calculated using a different method than payment for Coverage C (Personal Property). The calculation method also differs depending on the policy form.
Loss Settlement Calculation Methods |
||
Form |
Dwelling and Other Structures |
Personal Property |
HO-2 |
Replacement cost if coverage amount is at least 80% of replacement cost; otherwise a lesser amount |
Personal Property |
HO-3 |
Replacement cost if coverage amount is at least 80% of replacement cost; otherwise a lesser amount |
Actual cash value |
HO-4 |
Not applicable |
Actual cash value |
HO-6 |
Replacement or repair cost if damage replaced or repaired within a reasonable time; otherwise actual cash value (dwelling only) |
Actual cash value |
HO-8 |
Replacement or repair cost if damage replaced or repaired within 180 days; otherwise lesser of actual market value or actual cash value |
Actual cash value |
Loss Settlement Calculation Methods |
How does the Duke Employees' Retirement Plan calculate benefits at normal retirement age, specifically for employees who reach the age of 65? In what circumstances might an employee consider retiring before reaching this age, and how would the benefits differ if they choose this option?
Benefit Calculation at Normal Retirement Age: Duke Employees' Retirement Plan calculates benefits for employees who retire at age 65 by applying a formula that includes 1.25% of their average final compensation for the first 20 years of credited service and 1.66% for any additional years. If an employee retires before 65, they can do so after age 45 with 15 years of service, but their benefits will be reduced based on how early they retire, resulting in lower payments due to a longer payout period.
What considerations should an employee keep in mind regarding their unused sick leave or carry-over bank hours when calculating benefits under the Duke Employees’ Retirement Plan? How does Duke utilize these factors to enhance an employee's credited service for the purpose of benefit calculation?
Impact of Unused Sick Leave and Carry-Over Bank Hours: Unused sick leave and carry-over bank hours are converted into additional credited service, which can enhance the calculation of retirement benefits. Employees who have accumulated these hours can see their credited service extended, leading to higher pension benefits at retirement.
In what situations would an employee's benefits under the Duke Employees' Retirement Plan be automatically paid in a lump sum? How does the Plan determine the value of benefits that fall below the threshold for monthly payouts, and what implications does this have for retirement planning?
Lump-Sum Payments for Small Benefits: If the value of an employee's benefit is $5,000 or less, Duke Employees' Retirement Plan automatically pays it as a lump sum. For benefits between $5,000 and $10,000, employees can choose between a lump-sum payment or a monthly pension. This can significantly impact retirement planning, especially for employees weighing whether to take a smaller upfront amount or spread it over time.
How does the Duke Employees' Retirement Plan handle benefit adjustments for employees who continue to work beyond their normal retirement age? What factors influence how these adjustments are calculated, and what implications might this have for future financial planning for employees nearing retirement?
Benefit Adjustments for Postponed Retirement: Employees who continue working beyond their normal retirement date will see their benefits increased annually (by no less than 10%) to account for the shorter period during which they will receive payments. The plan recalculates benefits based on the employee’s continued service and compensation after age 65.
What options are available to employees of Duke University regarding payment forms when they retire, and what are the long-term implications of choosing each option? How do these choices affect both the retiree's monthly income and survivor benefits for a spouse or other beneficiary?
Payment Form Options and Implications: At retirement, employees can choose various payment options such as a single life annuity, joint and survivor annuities, or a lump-sum payment. These choices affect the amount received monthly and any survivor benefits for a spouse or beneficiary. Employees should carefully consider their long-term financial needs and the needs of their beneficiaries when selecting a payment option.
What specific protections does the Duke Employees' Retirement Plan provide for spouses in the event of an employee's death, and how does this influence the choice of payment options? What steps must an employee take to ensure that their spouse's rights are upheld under the Plan?
Spousal Protections: The Plan provides protections for spouses in the event of an employee's death. A surviving spouse can receive 50% of the employee's reduced monthly benefit through a joint and survivor annuity. Employees must take steps to ensure spousal rights are protected by selecting the appropriate payment option and ensuring the necessary documentation is completed.
How can employees of Duke University ensure that they are informed about their rights under ERISA while participating in the Employees' Retirement Plan? What resources and tools does Duke provide to help employees understand and assert these rights?
Employee Rights Under ERISA: Duke provides resources for employees to understand their rights under ERISA, including access to plan documents and assistance in filing claims. Employees are encouraged to use Duke's available tools to assert their rights and ensure they are fully informed about the benefits available to them under the Plan.
In what ways can employees at Duke University navigate the complexities of reemployment after retirement, and how does their choice of retiree status affect their benefits? What regulations govern how benefits are recalculated if they choose to return to work at Duke?
Reemployment After Retirement: Employees who return to work at Duke after retiring can continue to receive their pension if they work fewer than 1,000 hours per year. However, if they exceed 1,000 hours, their payments will be paused and recalculated based on additional service and earnings when they retire again. This provides flexibility for employees considering reemployment after retirement.
What impact do legislative changes, such as those introduced by the IRS, have on the Duke Employees' Retirement Plan’s structure and benefits? How should employees approach understanding these changes in the context of their personal retirement strategies?
Impact of Legislative Changes: Changes introduced by the IRS or other regulatory bodies can impact the structure of the Duke Employees' Retirement Plan and its benefits. Employees should stay informed about these changes and how they affect personal retirement strategies, particularly regarding tax laws and pension calculations.
How can employees at Duke University contact the Retirement Board for questions or clarifications regarding their retirement benefits? What is the best approach for reaching out to ensure that they receive timely and accurate information?
Contacting the Retirement Board: Employees can contact Duke's Retirement Board for any questions or clarifications regarding their retirement benefits. The Retirement Board is responsible for managing the Plan, and employees are encouraged to reach out directly for timely and accurate information to address any concerns about their retirement.