1. 2016-2017 Insurance Plans Review

3. Who can help me with my benefits?
Kacy Brady
Benefits Technician
Ext. 1044
What can she help with?
Open enrollment change questions
Qualifying Events (birth, marriage, etc)
Basic Benefit Questions

4. Your PayneWest Team Becky Byrne (406) 327-6423 Beth Glover
(406)

5. Open Enrollment Online November 7-21
Online at
askallegiance.com

6. What do I need to do for Open Enrollment?
Confirm or change:
Your health plan election and/or enrollment
Flex/HSA contributions *THESE ARE PRE-TAX!!!
Paper Enrollments
VSP Vision (Form available online)
UNUM (Contact Kacy (1044) for forms)

7. What’s new with our Health Plans for 2017
NO NEW TAXES…
I MEAN CHANGES!!!

8. Which plan works for you and your family?
Plan 1: the “Traditional”
Office Visit Co Pays
CostCare Co Pay $20
RX coverage for Generics prior to Deductible & Formulary & Brand coverage after $50 Deductible
Employees can contribute up to $2,550 to Flex (use it or lose it rules apply)

9. Which plan works for you and your family?
Plan 2: the High Deductible Health Plan (HDHP)
All medical services apply to Deductible. Once Deductible is met, 80% covered by MCPS and 20% by member
RX applies to Medical Deductible. Once Deductible is met, co pays apply.
No office visit co pays – you pay full (allowed amount) for services
Health Savings Account (H.S.A.) compatible. You can contribute up to $3,400 Individual or $6,750 for Family coverage in Unused contributions roll over from year to year.
Note: Spouses still are costing more in claims

10. Which rate do I use if I have Spouse Coverage
Primary: means your spouse has no other health insurance coverage. You and the MCPS Trust Fund pay the claims.
Secondary: means your spouse
does have other health insurance coverage This means that MCPS pays after your spouse’s primary plan pays.

11. 2017 Rates

12. Dental Coverage
Dental coverage is automatically included when you enroll in the health plan
If you do not wish to elect the dental plan, you must “Opt-Out”
The Affordable Care Act (ACA) requires that we provide you with an opportunity to drop dental if you wish.
Dropping dental will have no effect on your premium! It just means you will no longer have dental coverage.

13. Long Term Disability/Long Term Care
These benefits PROTECT YOU and YOUR FAMILY if you cannot work and/or take care of yourself.
Rates vary according to the benefit you elect
Spouses and family members are eligible to elect Long Term Care
Contact Beth Glover at PayneWest if you’d like to review options and cost
Over 65 or does your Spouse need coverage options?
PayneWest Insurance can help evaluate the MCPS plans vs Individual and/or Medicare supplements.
Contact PayneWest Insurance (see flier)

15. CostCare
We will continue our relationship with CostCare by continuing in-school blood draws with follow-up consults. They will also do flu shots this fall. We will also continue the $20 co-insurance payment for CostCare treatments at their three locations for those on our traditional plan.

16. Broadway Pharmacy
Broadway Pharmacy is no longer able to fill 90-day prescriptions for MCPS at the $10 co pay.
Employees may still choose to fill their prescriptions at Broadway Pharmacy, but will pay 3 - $10 co pays ($10 a month) for a 90 day fill
Valley Drug, Ridgeway Pharmacy and Cigna are available to fill 90 day for the $10 co pay.

17. REMEMBER…..
Remember to show proof to Kacy if your spouse is secondary on our plan and has other coverage.
Joint Processing Forms are online
Thinking of retiring fill out a paper flex form
If you have VSP you do not need to do anything
Even if you are making no changes, login and check your information.
If you have FLEX or do a HSA, you MUST login and re-enroll

18. Open Enrollment is November 7th to November 21st

19. QUESTIONS?
Thank you for your time!