Open Enrollment 2015 Plan Year July 1, 2015 – June 30, 2016

Slides:



Advertisements
Similar presentations
Health Reimbursement Account (HRA) Program. What is a HRA? A Health Reimbursement Account (HRA) is an account funded by Troy University health insurance.
Advertisements

Health Savings Accounts (HSAs) Everything You Need to Know.
1 Mary Kyle, Deputy Human Resources Director October 13, 2011.
FLEXIBLE SPENDING ACCOUNTS Open Enrollment. ENROLLMENT Open Enrollment is usually held late October and includes the first week in November with an effective.
Health Care Update Devon Hooper OPERS Jason Davis OPERS.
Open Enrollment  This is your annual opportunity to change certain benefit elections without a qualifying event.  All elections will be made online.
Glastonbury Public Schools May 6, 2013 Presenter: Josh Steffenson All sample values and calculations are according to GEA negotiated benefits. Dollar amounts.
Using tax-free dollars is the smarter way to pay medical expenses YourFlex makes it easy.
Employee Self Service Benefits Open Enrollment Revised: 10/06/2009 October 12 – 30, 2009.
Garden Grove Unified School District
Open Enrollment 2015 Arch Ford Education Service Co-op.
BENEFIT OPTIONS 2013 Retiree/Vest/Non-Vest /Defer Effective January 1 to December 31, 2013.
2006 Benefits. 2 Comprehensive Health Care Plan  Choice of POS or HMO or no coverage  Payroll deduction amounts:  Qualified change in status - report.
Employee Health Benefits Indiana State Personnel Department Benefits Division.
PRESENTED BY Schroepfer Bauer Insurance Employee Benefits Enrollment Guide ECC
Your Cafeteria Plan Benefit
BENEFITS OPEN ENROLLMENT UPDATES OPEN ENROLLMENT November 1 st through November 30th Changes to your medical, dental, life insurance Participation.
The City University of New York NYS HEALTH INSURANCE PROGRAM NYSHIP Student Employee Health Plan (SEHP) Office of Human Resources Management University.
Using tax-free dollars is the smarter way to pay medical expenses YourFlex makes it easy Offered through The Capitol Group of Companies.
Health Savings Accounts (HSAs) Everything You Need to Know.
1 Consumer Driven Health Plans. Health Plans Premiums Experiencing Double Digit Increases! Increasing Premiums Decreasing Benefits AND.
SCHOOL BOARD OF CLAY COUNTY Annual Enrollment Plan Year.
2013 New Employee Benefits Orientation – Most Employees
Balsz School District Employee Benefits Programs
Employee Benefits Open Enrollment November 7 th, 2013.
Your Flexible Spending Account (FSA). Save on health, dependent day care with your FSA Use pre-tax dollars for important expenses  Health care needs,
Changes for 2010 Premium increase for HMO - Blue Choice and CIGNA Opportunity to increase Optional Life level New Optional Life Provider Health Savings.
Employee Benefits Overview. Overview Benefits at-a-Glance Medical/Prescription Drugs Dental Vision Flexible Spending Accounts (FSAs) Life and AD&D Insurance.
1 COPRA Meeting May 19, What is Open Enrollment When is Open Enrollment Premiums Medical Co-Pays Covering Children up to Age 26 New Pharmacy Management.
Health Plan Options Informational Sessions November 2012.
2012/2013 Plan Year. 2012/2013 Benefit Year This only happens once a year! Decisions you make are generally binding for the entire year. Qualifying Event.
OPERS Health Care Jason Davis Devon Hooper OPERS Ohio University March 18, 2009.
OPEN ENROLLMENT FOR HEALTH INSURANCE AND VOLUNTARY EMPLOYEE BENEFITS Highlights for School Year.
Open Enrollment Benefits August 1 _ 31, 2014 Wylie ISD.
Busco, Inc – Arrow Stage Lines Annual Enrollment
1 University of St. Thomas 2015 Annual Enrollment Briefing.
2014 Benefits. Open Enrollment  Elections made during open enrollment will become effective on January 1,  East Central College offers you and.
OPS Open Enrollment− 1 OPS Employee Benefits ‒ Open Enrollment Who is Eligible: All full-time employees who worked, on average, 30 or more hours a week.
Welcome Open Enrollment. This Presentation will: * Inform you of all Part Time Benefits Open Enrollment.
1 National Asbestos Workers Medical Fund Benefits Comprehensive Major Medical Benefits Deductible Deductible Annual Plan Annual Plan Lifetime.
1 Chase Smith Health Insurance. 2 Health Insurance Facts 85 of 100 Americans are currently covered by a government based health insurance or private health.
BROWARD HEALTH BENEFITS The Broward Health Notice of Privacy Practice describes how medical information about you may be used and disclosed and your.
High Plains Educational Cooperative 10/1/2015 Open Enrollment August 5 th & 6 th, 2015.
Benefits Summary and Education Session
Open Enrollment October 14, 2015.
2016 Benefits open enrollment review
2015 Benefits Open Enrollment. 4 AGENDA Welcome What’s New What’s Changing Eligibility & Enrollment Review of 2015 Benefits How to Enroll Questions.
1 University of St. Thomas 2016 Annual Enrollment Briefing.
Instructions: To watch the presentation, select slide show in the menu above. Then choose “From Beginning,” hit enter and the presentation will begin.
BROWARD HEALTH BENEFITS. The Broward Health Notice of Privacy Practice describes how medical information about you may be used and disclosed and your.
BENEFITS OVERVIEW. 2 Offered through the State of Florida Administered through People First Can waive pre-tax on health and life insurance Supplemental.
Shelby County Government 2014 Benefits Annual Enrollment: 11/01/2013 – 11/15/2013.
BENEFITS WITH PRINCIPLE SOLUTIONS GROUP June 1, 2015 – May 31, 2016 Next.
OPEN ENROLLMENT 2016/17 Principle Solutions Group June 1, 2016 – May 31, 2017 Next.
Benefits Insight for All Employees ARCADIA UNIVERSITY’S ONLINE BENEFITS ENROLLMENT PLATFORM.
West Chicago Elementary School District #33 PPO Health Savings Account (HSA) Effective for Plan Year January 1, 2014 – December 31, 2014.
2017 Annual Enrollment Employee Benefits
Ajax Turner Company, Inc.
Open Enrollment Benefits August 1_31, 2014
Special Olympics southern california
Health Plan Overview & Updates
Douglas County School District
BRIEF PLAN OVERVIEW FOR JULY 1, 2018 – June 30, 2019
Human Resources presents: Summer Enrollment Changes to Benefits – FY 2019 July 9th through July 21st Changes Effective September 1, 2018.
WSU Total Rewards Benefits Representatives
2013 Open Enrollment Presentation
Open Enrollment 2019.
HEALTH REIMBURSEMENT ARRANGEMENT (HRA)
Presentation transcript:

Open Enrollment 2015 Plan Year July 1, 2015 – June 30, 2016 Fauquier County Government Fauquier County Public Schools Human Resources Department 540-422-8300

Important Dates to Remember Online process begins April 20th ALL employees must complete process by May 8th Benefit changes effective: July 1, 2015 - June 30, 2016 *Please note that since we pay our health insurance premiums 1 month in advance, the new premiums will come from June’s paycheck.

What is Open Enrollment? Open Enrollment is a once-a-year opportunity to make health insurance election changes Change plans Add or drop coverage for yourself Add or drop coverage for your dependents

MID-YEAR QUALIFYING EVENTS What changes can I make outside Open Enrollment? Eligible qualifying event as defined by IRS guidelines Common examples include: Marriage Divorce Birth or adoption Gain or loss of coverage

WHAT’S NEW FOR BENEFITS? July 1, 2015 – June 30, 2016 Dental Plans Anthem named as new provider Lower premiums Coverage for composite fillings Medical Plans NO Premium increase to employees! No change in coverage Telemedicine

Dental Plans Effective July 1, 2015 dental coverage through Anthem Standard and High Option plan choices Decrease in dental premiums Coverage added for composite (white) fillings for both plans Coordination in care Studies show direct causes of gum disease with specific medical conditions Using same provider for medical and dental allow for easier Condition Care enrollment

Dental Plans BI-WEEKLY Premiums Standard Option High Option Current Premiums Effective June 1, 2015 Employee Only $3.00 $2.80 Employee & Child $5.75 $5.37 Employee & Spouse $17.25 $16.10 Employee & Family $27.50 $25.67 High Option Current Premiums Effective June 1, 2015 Employee Only $5.50 $5.14 Employee & Child $9.75 $9.14 Employee & Spouse $22.75 $21.24 Employee & Family $34.00 $31.74

Medical Plans All plans will remain with the same coverage No increase to employee’s premiums County employees hired prior to July 1, 2014 will now have access to the Lumenos plan If employees elect this coverage, they will no longer be considered grandfathered Introduction of Telemedicine

County employees hired prior to July 1, 2014 Medical Plans County employees hired prior to July 1, 2014 BI-WEEKLY Premiums KeyCare 10 PPO Cost Effective June 1, 2015 Employee Only $ 18.78 Employee & Child $ 59.33 Employee & Spouse $151.91 Employee & Family $194.42 HealthKeepers 10 HMO Cost Effective June 1, 2015 Employee Only $ 7.03 Employee & Child $ 35.78 Employee & Spouse $115.30 Employee & Family $148.47 Lumenos Cost Effective June 1, 2015 Employee Only $ 0.00 Employee & Child $ 10.00 Employee & Spouse $ 37.50 Employee & Family $ 62.50 KeyCare 15 PPO Cost Effective June 1, 2015 Employee Only $ 10.91 Employee & Child $ 48.86 Employee & Spouse $136.19 Employee & Family $173.51 HealthKeepers 20 HMO Cost Effective June 1, 2015 Employee Only $ 3.00 Employee & Child $ 9.27 Employee & Spouse $ 57.82 Employee & Family $ 82.71

School employees and County employees hired after to July 1, 2014 Medical Plans School employees and County employees hired after to July 1, 2014 BI-WEEKLY Premiums KeyCare 15 PPO Cost Effective June 1, 2015 Employee Only $ 25.00 Employee & Child $ 75.00 Employee & Spouse $182.50 Employee & Family $237.50 HealthKeepers 20 HMO Cost Effective June 1, 2015 Employee Only $ 10.00 Employee & Child $ 25.00 Employee & Spouse $ 82.50 Employee & Family $ 122.50 Lumenos Cost Effective June 1, 2015 Employee Only $ 0.00 Employee & Child $ 10.00 Employee & Spouse $ 37.50 Employee & Family $ 62.50

Medical Plan Features In network Benefits Grandfathered (Hired prior to July 1, 2014) Non Grandfathered (Hired after July 1, 2014) KeyCare 10 PPO HealthKeepers 10 KeyCare 15 PPO HealthKeepers 20 Lumenos CY Deductible None $2,000/$4,000 CY Out-of-Pocket Maximum $1,000/$2,000 $1,500/$3,000 $4,000/$8,000 Hospital Benefits Inpatient $200 copay; then 10% $200 copay $300 copay; then 20% $200 copay/day to $1000 max 20%, after CY Deductible Outpatient Surgery $100 copay; then 10% $150 Copay $100 copay; then 20% $200 Copay Emergency Room Visit $100 copay Physician PCP Office Visit $10 Copay $15 Copay $20 Copay Specialist $30 Copay $40 Copay Preventive Care Well Baby/Well Adult Covered @100% Mammography Prescription Drugs Optum Rx Anthem Retail $10/$20/$35 or 20% Additional plan features can be found on the Open Enrollment website: http://www.fauquiercounty.gov/government/departments/HR/

Anthem BlueCross BlueShield presents ”LiveHealth Online”. Telemedicine New Benefit Anthem BlueCross BlueShield presents ”LiveHealth Online”.  With LiveHealth Online, you get: Immediate doctor visits through live video Your choice of board certified doctors with an average of 15-years of practice Mostly Primary Care Physicians Private, secure and convenient on-line visits How do I get this service? Enroll for free at livehealthonline.com Free on mobile app available How much does it cost? For KeyCare PPO and HealthKeepers HMO members – the copay will be $0 For Lumenos plan members – the copay will be the same as an office visit and subject to the deductible. If you are not on the medical plan, you may use this service as well. The cost per session is $49.00

Section 125 – Flexible Spending Ability to set money aside Pre-Tax Medical Expense Dependent Day Care Flex Debit Cards Available for Medical Flexible Spending Accounts For existing participants, your current Debit Card will be reloaded with your new election amount Reminder, IRS regulations allow up to a $500.00 roll over into next plan year Maximum Annual Contributions Medical - $2,500.00 Dependent Care - $5,000.00 To enroll: Meet with a representative Or Go to http://americanfidelity.com MUST ENROLL OR RE-ENROLL EACH YEAR

Voluntary Benefits American Fidelity AFLAC Adam Ashby Jim Edmonds Contact: 434-996-4719 Adam.Ashby@americanfidelity.com Cancer Insurance Long and short term disability Insurance Accident Life Insurance AFLAC Jim Edmonds Contact: 540-349-7701 James_Edmonds@us.Aflac.com Cancer Insurance Long and short term disability Insurance Accident

VALIC Retirement Services Bob Wells 540-878-6696 bob.wells@valic.com www.valic.com Pre-tax contributions Tax-deferred growth County employees are eligible to participate in a 457(b) School employees are eligible to participate in a 457(b) and/or 403(b) It is never too late to start

Online Enrollment Process

Open Enrollment Options Fauquier ePortal Confirm or change your medical and dental plans Add or drop dependents based on eligibility No Changes? Confirm current elections online and submit

What You Will Need For The Online Process! Your ePortal username and password Social security number(s) & date(s) of birth for all dependents(s)participating in the benefit plans PCP Code if participating in HMO plan. Click on link to visit anthem.com and “Find a Doctor”.

How to Access Open Enrollment through ePortal From your web browser type eportal.fauquiercounty.gov Once you are logged in Click on Employee Self Service Click Benefits After reviewing your current plans, select the Open Enrollment link

Dependent Eligibility Certification What Do You Need to Do? During Open Enrollment: Review your dependents health care covered by the health plans and make any necessary changes. 2015: If you have not previously submitted proof of eligibility, or if you are adding dependents during Open Enrollment, you will be required to provide proof of eligibility Failure to complete the verification and provide the required documentation will result in the termination of dependent’s coverage.

REMEMBER MAY 8th DEADLINE!