Benefits Open Enrollment November 5 – November 21, 2012 Self Enrollment
What’s New in 2013 Overview of Changes
Changes for 2013 Full Self Enrollment Prospective (future) only effective dates for mid-year changes Tentative Rates New UHC Customer Service phone number ◦New Medical I.D. Cards New Rx provider ◦OptumRx Wellness Rewards ◦Health & Wellness I AM, I DO, I GET ◦New Preventive Choices ◦New Deadlines Full Credit – 7/31/13 Partial Credit -12/31/13 FSA Health Account ◦Annual Max $2,500 Eyemed– Is Green! ◦Explanation of Benefits online only
Online Open Enrollment November 5 – November 21, 2012 Total Self Enrollment ◦Self Enroll online by 11/21/12 Step by Step Enrollment Instructions Dependent Verification deadline 11/28/12 Documentation for newly added dependents Original documents only USPS delivery or hand deliver by deadline Benefits Technicians – A-103
Wellness Rewards Choice and Flexibility in 2013 Full Credit – July 31, 2013 Partial Credit – December 31, 2013
Wellness Rewards
Earn Wellness Rewards Points Preventative Services (100 pts) *(typically 5 week programs) Preventative Physical Mammogram Prostate/PSA Colonoscopy Well Women Exam ◦Cervical Cancer/PAP Online Health or Telephonic Programs* ◦Pregnancy ◦Weight Loss ◦Heart Healthy Lifestyle ◦Blood Pressure ◦Stress Management ◦Asthma ◦Diabetes
Wellness Reward – Did I Get It
Employee Contributions Compare Plan Choices
High Option HMO Costs More 2013 Monthly Contributions (Tentative Agreement ) High Option HMO * Part-time Rates Even Higher Employee Increase District Paid Employee Only$ 62.50$ 90.00$ 27.50$ EE & Child(ren)$240.00$270.00$ 30.00$ EE & Spouse$291.00$320.00$ 29.00$ EE & Family$400.00$460.00$ 60.00$ ** Flat rates without consideration of Wellness or Tobacco NO INCREASE Low Option HMO Employee Only$ $0.00$ EE & Child(ren)$ $0.00$ EE & Spouse$ $0.00$ EE & Family$ $0.00$931.00
Compare Contribution Costs 2013 Per Pay Contributions (Tentative Agreement ) Pay FrequencyF26F22P26P22 High Option HMO Part Time has higher cost for High Option HMO Plan Employee Only$ 45.00$ 49.09$ 95.00$ EE & Child(ren)$135.00$147.26$ $ EE & Spouse$160.00$174.53$ $ EE & Family$230.00$250.88$ $ ** Flat rates without consideration of Wellness or Tobacco Low Option HMONO INCREASE Employee Only$ 25.00$ 27.27$25.00$27.27 EE & Child(ren)$ 68.00$ 74.17$ 83.00$90.54 EE & Spouse$ 89.00$ 97.08$104.00$ EE & Family$151.00$164.71$166.00$181.07
Plan Comparison- EE & Child(ren)
2013 Monthly Rates Automatic Contract Provisions Tentative Agreement Rates Non-Ratified by Dec High Option HMO EE Rate Increase EE RateIncrease Employee Only$90.00$27.50$142.50$80.00 Employee +Child(ren)$270.00$30.00$290.00$50.00 Employee + Spouse$320.00$29.00$365.00$74.00 Employee + Family$460.00$60.00$460.00$60.00 Low Option HMO Employee Only$50.00$0.00$140.00$90.00 Employee +Child(ren) $ $0.00 $ $70.00 Employee + Spouse$178.00$0.00$259.00$81.00 Employee + Family$302.00$0.00$383.00$81.00
When all is not “Right” Appeal Procedures & Deadlines
Separate Appeals Procedures Open Enrollment Appeal Deadline Wellness Rewards Appeal Deadline Enrollment Appeals Deadline 12/14/2012 Enrollment & FSA Appeals: FBMC Benefits Management Attn: Appeals Committee P.O. Box 1878 Tallahassee, FL Fax: Wellness Rewards Appeal Deadline 11/30/12 Wellness Rewards Appeals Attn: Onsite UHC Representatives CONFIDENTIAL 3370 Forest Hill Blvd.,A103 West Palm Beach, FL 33406
Final Enrollment November 21,2012 5:00 p.m. Check List Enroll by 11/21 Dependent Doc’s 11/28/12 Confirm Elections 12/01/12 Check Wellness Rewards Know Appeal Deadlines Follow Appeal Procedures if needed Read O/E Material 11/1 Compare plan costs Check deductions in Jan. Start Wellness Actions
Thank You ! Questions & Discussion