1. Human Resources presents: Summer Enrollment Changes to Benefits – FY 2019 July 9th through July 21st Changes Effective September 1, 2018

2. Aleta Spivey, ext. 1098 Senior HR Representative
If you have questions about Summer Enrollment, please contact:
Barbara Hunter, ext Senior HR Representative
Aleta Spivey, ext Senior HR Representative

3. 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

4. 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:
Talk about what an EOI is.

5. What’s Changing? Health Insurance Premiums Total Out of Pocket Maximum
Dental Choice Premiums & Coverage
Vision Premiums & Co-Pays
TexFlex Contribution Amount

6. 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.

7. Health Insurance Rate for 2019
Full-Time Employees
(Salary paid in 12 months)
FY FY-19
Member only
Member/Spouse
Member/Child
Member/Family
Full-Time Employees
(Salary paid in 9 months)
FY FY-19
Member only
Member/Spouse
Member/Child
Member/Family

8. Health Insurance Rate for 2019
Part-Time Employees
(Salary paid in 12 months)
FY FY-19
Member only
Member/Spouse
Member/Child
Member/Family
Part-Time Employees
(Salary paid in 9 months)
FY FY-19
Member only
Member/Spouse
Member/Child
Member/Family

9. Health Insurance BCBSTX Mobile App: Virtual Doctor Visits:
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 your Insurance Card
Available in Spanish
Virtual Doctor Visits:
Will no longer charge a copay
Personal Health Assistant:
Call (800)
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)

10. State of Texas Dental Choice
(Salary paid in 12 months)
FY FY-19
Member only
Member/Spouse
Member/Child
Member/Family
(Salary paid in 9 months)
FY FY-19
Member only
Member/Spouse
Member/Child
Member/Family
Short Term Disability (STD):
Rate Decrease to $0.26 per $100 of monthly salary
TexFlex: WageWorks
Annual Contribution Increase to $2600 per person.

11. 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

12. State of Texas Vision (Salary paid in 12 months)
FY-18 FY-19
Member only
Member/Spouse
Member/Child
Member/Family
(Salary paid in 9 months)
FY-18 FY-19
Member only
Member/Spouse
Member/Child
Member/Family

13. 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.

14. 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

15. Making Changes Online at ERS www.ers.texas.gov

17. Sign in if you already have an existing ERS account. OR…
Register to create an account.

18. Once you have logged into ERS…
Check that your address, , and phone number are correct and up to date.

19. ERS Personal Benefits Enrollment Statement (PBES)

20. Making Changes Online at ERS
ERS Website:

21. Sign in if you already have an existing ERS account. OR…
Register to create an account.

22. Summer Enrollments Changes….
You will need to click on Benefits Enrollment to make changes to your insurance elections.

23. 09/01/2018

24. New Plan Year 2019 Options
2018
2018

26. Adding or Dropping Dependent

27. Dropping Dependent

28. Adding Dependent

29. 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

30. Dependent Child Certification

33. $
$220.00

34. $
$220.00

39. $2640.0
$220.00

41. Lumberjack, Sally Ann

42. 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 confirmation from ERS.
Review the for accuracy.
Keep the as backup documentation.

43. 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 and/or hard copy in the mail to your current address listed at ERS (update your mailing address and at ERS.
YOU MUST SEND ALL DOCUMENTATION WITHIN THE ALLOTTED TIMEFRAME LISTED IN THE LETTER/ . 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 the forms to ERS, so you have a receipt of sending the document(s).
Verify with Alight Solutions that they received the documents.

44. 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

45. Questions?

46. HR Benefits Staff is here for you!
Any questions that you have just call, 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:
ERS Enrollment Hotline:
ERS Main Line:
ERS Online:
ERS Enrollment Hotline:
ERS Main Line: