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6 Things To Remember For Open Enrollment 2018
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What is Open Enrollment?
1 What is Open Enrollment? Time to review coverage options and make changes that are best for you, such as: Change medical plans Enroll in a new plan Add a dependent to your plan Drop a dependent from your plan Re-enroll in the FSA
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What dates do I need to remember?
2 What dates do I need to remember? 10/2/17 – 10/20/17 October 2nd through October 20th Open Enrollment Period 10/20/17 October 20, 2017 Deadline for making changes 1/1/18 January 1, 2018 Your benefit changes take effect Don’t forget! Add these date reminders to your calendar.
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2017 2018 If you miss the deadline this year,
you will have to wait until OUR open enrollment for the 2019 plan year to make changes — unless you have a qualifying life event.
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3 What plans do we offer?
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All health plans include free in-network preventive care
Medical Plan Overview EPO Plans Anthem Blue Cross Core and Buy-Up Features of an EPO: Low or No deductible Low office visit copays Gives you access to the EPO network of health care providers Does not require you to select a PCP Allows you access to many types of services without receiving a referral All services must be in network Access to LiveHealth Online and other programs to help you maintain your health All health plans include free in-network preventive care Exclusive network of providers Does not require a PCP or referrals Lower premiums EPO Don’t Forget! Deductibles and copays can be reimbursed via the City’s Flexible Spending Account through BCC
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Medical Plans Overview
Anthem Core Anthem Buy-Up Calendar year deductible Individual Family $100 (per individual) $300 (per family) None None Your maximum expense $1,600 (per individual) $3,300 (per family) $1,000 (per individual) $2,000 (per family) Preventive care Plan pays 100% Office visits $20 copay $10 copay Inpatient Hospitalization $100/Day (up to 3 days) No Charge Outpatient Surgery $100/ Admit Prescription drugs (Retail/Mail Order) Generic Preferred brand Supply limit $7 copay/$14 copay $25 copay/$60 copay 30 days/90 days $10 copay/$20 copay $20 copay/$50 copay 30 days/90 days Benefits are In-Network Only
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Dental Plans Overview Coverage Provided by Delta Dental The Perks
Two options to choose from: Delta Dental of CA PPO Core Plan Delta Dental of CA PPO Buy-Up Plan Delta Dental PPO allows the flexibility to choose from an in-network or out-of-network provider Covers a percentage of basic and major expenses Greater discounts are applied when using a contracted in-network Delta Dental provider The Perks Pre-Treatment Estimate - Determine your cost ahead of time to make informed decisions. Delta Dental Customer Service - Searching for Delta Dental provider is easy and convenient - Log in to deltadentalins.com for a complete list of providers in your area - Call (800) to speak with a Member Services representative Monday through Friday from 5:00 am to 5:00 pm (PST)
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Save money by using in-network providers.
Dental Plans Overview Coverage provided by Delta Dental Delta Dental PPO Core PPO Premier Non-PPO Diagnostic and Preventive 100% Basic Crowns & Cast Restorations Prosthodontics Adult & Child Orthodontics Deductible Calendar Year Max N/A $25/$75 Exempt from Deductible Yes Maximums Per Patient Calendar Year $1,000 Orthodontics Lifetime Maximum Delta Dental PPO Buy-Up PPO Premier Non-PPO 100% N/A $25/$75 Yes $1,500 Save money by using in-network providers.
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Vision Service Plan (VSP)
You’ll love being a VSP member The Perks WellVision Exam® - the most thorough eye exam designed to detect eye and health conditions Exclusive Member Extras - Special savings and offers, like rebates - $20 to spend on featured frame brands like bebe®, ck Calvin Klein, Lacoste Michael Kors, Nine West, Cole Haan and more Eyeconic® - Easy to use online optical store to shop for the latest designer eyewear - Shop online at VSP’s Eyeconic.com VSP Customer Service - Searching for VSP provider is easy and convenient - Log in to VSP.com for a complete list of VSP providers in your area - Call (800) to speak with a VSP Member Services representative Monday through Friday from 5:00 am to 8:00 pm (PST) Saturday from 7:00 am to 8:00 pm (PST) Sunday from 7:00 am to 7:00 pm (PST)
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Save money by using in-network providers.
Vision Plan Overview Coverage provided by Vision Service Plan (VSP) VSP Core Plan Copay Plan Pays up to: Exam & Prescription Glasses $25 $45 Contact Lenses 15% off $105 Lenses $30-$50 Frames $120 allowance $70 Frequency of Services Eye Exam 12 Months 24 Months VSP Buy-Up Plan Copay Plan Pays up to: $25 $45 15% off $105 Included $30-$50 $120 allowance $70 12 Months Save money by using in-network providers.
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Flexible Spending Accounts
Healthcare Spending Account Dependent Care Spending Account Set aside up to $2,500 before taxes for qualified healthcare expenses Expenses must be incurred between 01/01/18 and 12/31/18 and submitted for reimbursement no later than 03/31/19 Access entire amount on 1st day of plan year Use Debit Card for eligible expenses Set aside up to $5,000 per calendar year before taxes for dependent care expenses Access money only once it’s deducted from your paycheck Eligible expenses include daycare/in-home care for children under 13 years and incapacitated tax-dependent adults ! Note: Flexible Spending Accounts are funded 100% by the employee. City of Merced does not contribute to these accounts. Claims due by March 31st, Use it or lose it!
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Group Term Life Insurance
Coverage provided by Voya Basic Life 1 x covered annual earnings up to a maximum of $50,000 Call Voya at (800) for more information Beneficiary Reminder: Make sure that you have named a beneficiary for your life insurance benefits! You may change your beneficiary at any time.
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Voluntary Life Insurance
Coverage provided by Voya Voluntary Life Employee Buy-Up Life Amount 5 x covered annual earnings up to a maximum of $100,000 Election Options $10,000; $20,000; $40,000; $50,000; $60,000; $80,000;$100,000 Guarantee Issue Amount $100,000 Employees over Age 70 Maximum benefit is $50,000 Spouse Up to $50,000 $5,000; $10,000; $20,000; $30,000; $40,000; $50,000 $50,000 Children Birth to 14 Days $0 14 Days to 6 Months $250 (14 Days to 6 Months) 6 Months to 19 Years (to 25 yrs. if FT Student) $10,000 Beneficiary Reminder: Make sure that you have named a beneficiary for your life insurance benefits! You may change your beneficiary at any time.
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Income protection Disability (White Collar Employees)
Coverage provided by Voya Disability (White Collar Employees) Short Term Disability Core Benefit Buy-Up Option Weekly Benefit Amount Plan pays 60% of covered monthly earnings Plan pays 66.67% of covered monthly earnings Maximum Weekly Benefit $600/week $1,650/week Benefits Waiting Period: 30 Days of Disability Maximum Payment Period 22 Weeks Long Term Disability Monthly Benefit Amount Maximum Monthly Benefit $2,500/month $7,000/month 180 Days of Disability To age 65 or SSNRA Beneficiary Reminder: Make sure that you have named a beneficiary for your life insurance benefits! You may change your beneficiary at any time.
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Income protection Disability (All other Active Employees)
Coverage provided by Voya Disability (All other Active Employees) Short Term Disability Core Benefit Buy-Up Option Weekly Benefit Amount Plan pays 60% of covered monthly earnings Plan pays 66.67% of covered monthly earnings Maximum Weekly Benefit $600/week $1,650/week Benefits Waiting Period: 60 Days of Disability Maximum Payment Period 18 Weeks Long Term Disability Monthly Benefit Amount Maximum Monthly Benefit $2,500/month $7,000/month 180 Days of Disability To age 65 or SSNRA Beneficiary Reminder: Make sure that you have named a beneficiary for your life insurance benefits! You may change your beneficiary at any time.
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What will the plans cost this year?
4 What will the plans cost this year?
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2018 Dental, Vision, Disability & Life Allowances
2018 Costs 2018 Biweekly Premiums MEDICAL DENTAL VISION LIFE** STD/LTD** Core Buy-Up EE Only $254.08 $274.38 $20.35 $26.08 $4.90 $8.82 $2.48 $8.76 EE+1 $520.38 $560.54 $35.35 $45.32 EE+2 $765.00 $824.54 $57.37 $73.52 2018 Medical Allowances AFSCME MACE FD MPOA SGTS MC/MS MM/MX EE Only $229.50 $230.84 $217.79 $228.16 EE +1 $470.07 $472.71 $445.69 $467.10 EE +2 $690.93 $694.89 $655.22 $686.60 2018 Dental, Vision, Disability & Life Allowances $33.73 $33.28 $32.37 $47.50 $46.75 $46.02 $67.71 $66.54 $66.08
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5 What do I need to do? 1 2 3 4 5 Log on to BenXcel (BCC)
Get familiar with the City’s self-service tool Review your current plan choices Decide if you need to make a change this year Review your dependent information If adding a dependent, provide a birth or marriage certificate Make sure your dependent information is correct Confirm date of birth and social security numbers Attend one of the Q&A sessions Refer to our communications for more details 2 3 4 5
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Where can I find out more?
6 Where can I find out more?
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Need more info? Ready to Submit 2018 Changes?
Click Here to view your: Employee Benefits Overview Plan documents Ready to Submit 2018 Changes? Website:
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Don’t forget! The last day to make changes is October 20, 2017
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