Human Resources presents: Summer Enrollment Changes to Benefits – FY 2019 July 9th through July 21st Changes Effective September 1, 2018
Aleta Spivey, ext. 1098 Senior HR Representative If you have questions about Summer Enrollment, please contact: Barbara Hunter, ext. 3978 Senior HR Representative Aleta Spivey, ext. 1098 Senior HR Representative
ERS Insurances at SFA Health Care Dental Care Vision Insurance Optional Life Insurance Dependent Life Accidental Death & Dismemberment (AD&D) Short Term Disability Income Insurance Long Term Disability Income Insurance TexFlex Health TexFlex-Dependent Day Care
What Can You Do During Summer Enrollment? Change/ Add /drop dependents from your coverage Requires Child Certification Dependent Verification Tobacco Certification Required Switch health insurance coverage Tobacco Certification / Choose to Quit Tobacco Program Add /drop dental or vision coverage Enroll, increase/decrease, or drop AD&D Enroll, change or drop TexFlex health and/or Dependent Daycare Apply, increase/decrease, or drop life insurance coverage with EOI Apply /drop dependent life insurance with EOI Apply /drop STD/LTD coverage with EOI For more information visit the Summer Enrollment Guide on the SFA HR Website: http://www.sfasu.edu/hr/documents/2018_Summer_Enrollment_Active_Employee_Guide.pdf Talk about what an EOI is.
What’s Changing? Health Insurance Premiums Total Out of Pocket Maximum Dental Choice Premiums & Coverage Vision Premiums & Co-Pays TexFlex Contribution Amount
https://www.bcbstx.com/hs Our plan is HealthSelect of Texas. Insurance plan stays the same. Small increase in rates. We are NOT in an HMO Network Provider. https://www.bcbstx.com/hs
Health Insurance Rate for 2019 Full-Time Employees (Salary paid in 12 months) FY-18 FY-19 Member only 0.00 0.00 Member/Spouse 356.32 358.00 Member/Child 238.58 239.70 Member/Family 594.90 597.70 Full-Time Employees (Salary paid in 9 months) FY-18 FY-19 Member only 0.00 0.00 Member/Spouse 475.10 477.33 Member/Child 318.10 319.60 Member/Family 793.20 796.93
Health Insurance Rate for 2019 Part-Time Employees (Salary paid in 12 months) FY-18 FY-19 Member only 310.95 312.41 Member/Spouse 845.43 849.41 Member/Child 668.82 671.96 Member/Family 1203.30 1208.96 Part-Time Employees (Salary paid in 9 months) FY-18 FY-19 Member only 414.60 416.54 Member/Spouse 1127.25 1132.54 Member/Child 891.76 895.94 Member/Family 1604.40 1611.94
Health Insurance BCBSTX Mobile App: Virtual Doctor Visits: https://www.bcbstx.com/mobile Can be found in the Apple App Store and Google Play Find a doctor, hospital or urgent care facility, access claims and estimate cost of procedures, test and treatment, etc. Ability to view and email your Insurance Card Available in Spanish Virtual Doctor Visits: Will no longer charge a copay https://www.bcbstx.com/hs/plan-information/value-added-programs-and-services.html Personal Health Assistant: Call (800)-252-8039 Designate your PCP or help finding one Assistance with referrals Total Out of Pocket Maximum Increase: $6,650 per person ($100 Increase) $13,300 per family ($200 Increase)
State of Texas Dental Choice (Salary paid in 12 months) FY-18 FY-19 Member only 27.41 28.64 Member/Spouse 54.82 57.28 Member/Child 65.78 68.74 Member/Family 93.19 97.38 (Salary paid in 9 months) FY-18 FY-19 Member only 36.54 38.18 Member/Spouse 73.09 76.37 Member/Child 87.70 91.65 Member/Family 124.25 129.84 Short Term Disability (STD): Rate Decrease to $0.26 per $100 of monthly salary TexFlex: WageWorks Annual Contribution Increase to $2600 per person.
State of Texas Dental Choice Changes Individual annual plan limit will increase from $1,500 to $2,000 Lifetime plan limit for orthodontia will increase from $1,500 to $2,000 Orthodontic benefits for adults will be added The exclusion for missing tooth replacement (no coverage for tooth extracted before enrollment in this plan) will be eliminated The extended benefit for out-of-network services after the annual benefit maximum is reached will be eliminated The extended benefit for in-network services remains
State of Texas Vision (Salary paid in 12 months) FY-18 FY-19 Member only 6.69 6.02 Member/Spouse 13.38 12.04 Member/Child 14.38 12.94 Member/Family 21.07 18.96 (Salary paid in 9 months) FY-18 FY-19 Member only 8.92 8.02 Member/Spouse 17.84 16.05 Member/Child 19.17 17.25 Member/Family 28.09 25.28
State of Texas Vision Changes The member copay for an annual eye exam will decrease from $25 to $15 Member will be able to get their annual eye exam once each plan year, without waiting a full 12 months after their previous eye exam.
TexFlex Changes TexFlex – Health Care We will continue to not be a charge for an administrative fee for the PY 2019. The annual amount is going from $2,600 to $2,650. 12 month maximum of $220 and minimum of $15 9 month maximum of $294 and minimum of $20
Making Changes Online at ERS www.ers.texas.gov
Sign in if you already have an existing ERS account. OR… Register to create an account.
Once you have logged into ERS… Check that your address, email, and phone number are correct and up to date.
ERS Personal Benefits Enrollment Statement (PBES)
Making Changes Online at ERS ERS Website: http://www.ers.texas.gov
Sign in if you already have an existing ERS account. OR… Register to create an account.
Summer Enrollments Changes…. You will need to click on Benefits Enrollment to make changes to your insurance elections.
09/01/2018
New Plan Year 2019 Options 2018 2018
Adding or Dropping Dependent
Dropping Dependent
Adding Dependent
Be sure and list the name of your dependent exactly the way it is on the Social Security Card to meet 1095B requirements for Income Tax purposes
Dependent Child Certification
2650.00
$2640.00 $220.00
$2640.00 $220.00
$2640.0 $220.00
Lumberjack, Sally Ann 01234567890
Once you have submitted your change(s) online with ERS you need to print and maintain: A copy of the changes that were made. You will receive an email confirmation from ERS. Review the email for accuracy. Keep the email as backup documentation.
Alight Solutions Dependent Verification Validation of legal dependents added to: Health, Dental, Vision, Dependent life You will receive a request to provide documentation on your dependent(s) by email and/or hard copy in the mail to your current address listed at ERS (update your mailing address and email at ERS. YOU MUST SEND ALL DOCUMENTATION WITHIN THE ALLOTTED TIMEFRAME LISTED IN THE LETTER/EMAIL. Failure to provide this information within the timeframe your dependent(s) will be removed from ALL coverages. DO NOT SEND ORIGINAL DOCUMENTS. SEND COPIES ONLY. We recommend you FAX or EMAIL the forms to ERS, so you have a receipt of sending the document(s). Verify with Alight Solutions that they received the documents.
Qualifying Life Event changes cannot be made online during summer enrollment. You must come to the HR Department for these changes starting June 22nd through Sept. 1st, 2018. Qualifying Life Events: Marriage Divorce Birth of a Child Job Status Change
Questions?
HR Benefits Staff is here for you! Any questions that you have just call, email or if you want to just stop by to discuss any options that you may have with your insurances. SFA HR Contact Information: Barbara Hunter, ext. 3978 Aleta Spivey, ext. 1098 ERS Contact Information: ERS Online: www.ers.state.tx.us ERS Enrollment Hotline: 866-399-6908 ERS Main Line: 877-275-4377 ERS Online: www.ers.state.tx.us ERS Enrollment Hotline: 866-399-6908 ERS Main Line: 877-275-4377