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

2. Important Dates to Remember
Online process begins April 20th
ALL employees must complete process by May 8th
Benefit changes effective:
July 1, 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.

3. 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

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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 $
Employee & Child $
Employee & Spouse
$136.19
Employee & Family
$173.51
HealthKeepers 20 HMO
Cost Effective
June 1, 2015
Employee Only $
Employee & Child $
Employee & Spouse
$ 57.82
Employee & Family
$ 82.71

10. 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 $
Employee & Child $
Employee & Spouse
$182.50
Employee & Family
$237.50
HealthKeepers 20 HMO
Cost Effective
June 1, 2015
Employee Only $
Employee & Child $
Employee & Spouse $
Employee & Family $
Lumenos
Cost Effective
June 1, 2015
Employee Only
$ 0.00
Employee & Child
$ 10.00
Employee & Spouse
$ 37.50
Employee & Family
$ 62.50

11. 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
Mammography
Prescription Drugs
Optum Rx
Anthem
Retail
$10/$20/$35 or 20%
Additional plan features can be found on the Open Enrollment website:

12. 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

13. 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 $ 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
MUST ENROLL OR RE-ENROLL EACH YEAR

14. Voluntary Benefits American Fidelity AFLAC Adam Ashby Jim Edmonds
Contact:
Cancer Insurance
Long and short term disability Insurance
Accident
Life Insurance
AFLAC
Jim Edmonds
Contact:
Cancer Insurance
Long and short term disability Insurance
Accident

15. VALIC Retirement Services
Bob Wells
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

16. Online Enrollment Process

17. 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

18. 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”.

19. 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

20. 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.

21. REMEMBER
MAY 8th DEADLINE!