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Benefits Open Enrollment November 5 – November 21, 2012 Self Enrollment.

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Presentation on theme: "Benefits Open Enrollment November 5 – November 21, 2012 Self Enrollment."— Presentation transcript:

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2 Benefits Open Enrollment November 5 – November 21, 2012 Self Enrollment

3 What’s New in 2013 Overview of Changes

4 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

5 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

6 Wellness Rewards Choice and Flexibility in 2013 Full Credit – July 31, 2013 Partial Credit – December 31, 2013

7 Wellness Rewards - 2013

8 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

9 Wellness Reward – Did I Get It

10 Employee Contributions Compare Plan Choices

11 High Option HMO Costs More 2013 Monthly Contributions (Tentative Agreement ) 20122013 High Option HMO * Part-time Rates Even Higher Employee Increase District Paid Employee Only$ 62.50$ 90.00$ 27.50$475.00 EE & Child(ren)$240.00$270.00$ 30.00$760.00 EE & Spouse$291.00$320.00$ 29.00$780.00 EE & Family$400.00$460.00$ 60.00$1080.00 ** Flat rates without consideration of Wellness or Tobacco NO INCREASE Low Option HMO Employee Only$ 50.00 $0.00$430.00 EE & Child(ren)$136.00 $0.00$730.00 EE & Spouse$178.00 $0.00$763.00 EE & Family$302.00 $0.00$931.00

12 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$103.63 EE & Child(ren)$135.00$147.26$ 200.00$218.16 EE & Spouse$160.00$174.53$ 225.00$245.43 EE & Family$230.00$250.88$ 295.00$321.79 ** Flat rates without consideration of Wellness or Tobacco Low Option HMONO INCREASE Employee Only$ 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$113.44 EE & Family$151.00$164.71$166.00$181.07

13 Plan Comparison- EE & Child(ren)

14 2013 Monthly Rates Automatic Contract Provisions Tentative Agreement Rates Non-Ratified by Dec. 2012 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) $136.00 $0.00 $206.00 $70.00 Employee + Spouse$178.00$0.00$259.00$81.00 Employee + Family$302.00$0.00$383.00$81.00

15 When all is not “Right” Appeal Procedures & Deadlines

16 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 32302-1878 Fax: 850.514.5805 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

17 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 www.palmbeachschools.org 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

18 Thank You ! Questions & Discussion


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