Annual Benefit Enrollment
Transcription
Annual Benefit Enrollment
2/01/2016 - 1/31/2017 Annual Benefit Enrollment www.mybenefitshub.com/pecos-barstow-toyahisd PBT ISD Annual Medical Enrollment Open 01/02/2016 - 01/29/2016 What’s New for February 2016: Supplemental Benefit elections will become effective 2/1/2016 (elections requiring evidence of insurability, such as life Insurance, may have a later effective date, if approved). After annual enrollment closes, benefit changes can only be made if you experience a qualifying event (and changes must be made within 30 days of event). Medical annual enrollment is done during the summer for 9/1. For mid year changes, see your benefit administrator within 31 days of status change. For complete TRS medical information, visit the medical websites at www.trsactivecareaetna.com or www.firstcare.com/trs Online Benefit Access: www.mybenefitshub.com/pecosbarstow-toyahisd You have access to benefit information 24/7 on the employee benefit website provided. Please see the next page for Group Meeting and Enroller schedules and campus locations. Reminder Health Savings Accounts for employees enrolled in ActiveCare 1HD with HSA Bank. Funds roll over every year (but are not available in advance). You are not eligible if you are also enrolled in the Medlink plan, medical flex spending or have access to medical flex funds thru spouse or rollover. NEW Guaranteed Issue Critical Illness Insurance from VOYA pays a lump sum benefit if diagnosed with a covered illness or condition like heart attack, stroke, coma, organ failure or paralysis. No limits on Pre-Existing conditions! Medicare/Medicaid insureds ineligible. NEW Family Protection-Terminal Illness Plan with Quality of Life Rider from 5Star Life is individual term life insurance protection that pays a lump sum advance benefit on terminal illness diagnosis and pays a monthly benefit if Long Term Care becomes necessary. Can be purchased for spouse, children and grandchildren thru 23. CHANGE Flexible Spending Accounts: Limit increased to $2550/yr. Current participants in Medical or Dependent Care Flex MUST reelect new contribution amount each year to continue to participate. Please KEEP your debit card! Your card will be reloaded in MidFebruary. Current participant in a Healthcare FSA (flexible spending account) must spend current funds by the deadline grace period of 4/15/16 to avoid forfeiture. Login thru the Benefit Website (CHECK FSA) or use the smart phone app to view balances and card swipes. New participants enrolling in a HealthCare FSA will receive medical flex debit card in unmarked envelope from NBS in late February. Funds are available thru electronic or paper claim mid February. Don’t Forget! Login and complete your benefit enrollment from 01/02/2016 - 01/29/2016 Enrollment assistance is available, call Financial Benefit Services at (866) 914-5202 between 8am – 5pm CST (Spanish speaking representatives will be available) Update your profile information: home address, phone numbers, email, beneficiaries REQUIRED: Provide correct dependent social security numbers Pecos-Barstow-Toyah ISD Employee Benefits HUB: www.mybenefitshub.com/pecos-barstow-toyahisd Scan this QR code with your smartphone to go directly to the benefit website 2016 Pecos-Barstow-Toyah ISD Group Meetings and Benefit Enrollment Dates, Locations and Times. Pecos-Barstow-Toyah ISD Group Meetings January 19th-(Tuesday) - Group Meetings Austin Elementary - Morning meeting 7:30 am in 30A Library Pecos Kindergarten - Morning meeting at 7:45 am in Cafeteria Transportation - 9:00 am, Transportation Facility Pecos High School - 3:45 pm, Library Administration/Special Ed/Maintenance - 4:00 pm, Tech Building January 20th - (Wednesday) - Group Meetings Crockett Middle School - after school meeting at 3:35 pm in Library Bessie Haynes Elementary - after school meeting at 3:45 pm in Library Pecos-Barstow-Toyah ISD Benefit Enrollment January 19th (Tuesday) - Campus Enrollments from 8:00a.m. to 4:00p.m. Austin Elementary - Cafeteria Pecos Kindergarten - Lab Room January 20th (Wednesday) - Campus Enrollments from 8:00a.m. to 4:00p.m. Pecos High School - Room 2 Administration/Special Ed/Maintenance/Transportation - Tech Building January 21th (Thursday) - Campus Enrollments from 8:00a.m. to 4:00p.m Crockett Middle School - Computer Lab room 126 Bessie Haynes Elementary - Library January 22h (Friday) - Campus Enrollments from 9:00a.m. to 12:00 noon Tech Building ~ Clean Up for anyone who missed enrollers on their campus. Revised 1/8/16 Online Benefit Enrollment Opens 01/01/2016 through 01/30/2016 For benefit information and to enroll go to: www.mybenefitshub.com/pecos-barstow-toyahisd 1 1 Click the Login button to begin your Online Enrollment 2 2 *If you have trouble logging in, Click on the “Login Help Video” for assistance. Passwords All passwords have been RESET to the default described below: 3 Passwords Username: The first Six (6) characters of your last name, followed by the first letter of your first name, followed by the last four (4) digits of your Social Security Number. Default Password: 4 Last Name* (lowercase, excluding punctuation) followed by the last four (4) digits of your Social Security Number. Example: George Washington 000-00-1234 Username: washing1234 Password: washington1234 Example: John Smith 000-00-4321 Username: smithj4321 Password: smith4321 Page 3 Enrollment Instructions Cl Click on “Enrollment Instructions” for more information about how to enroll . Benefit Summary www.mybenefitshub.com/pecos-barstow-toyahsisd NEW Critical Illness Insurance - VOYA Guaranteed Issue Critical Illness Insurance from VOYA pays a lump sum benefit if diagnosed with a covered illness or condition like heart attack, stroke, coma, organ failure or paralysis. No paper application or limits on Pre-Existing conditions! Wellness Benefit included, Benefit reductions apply after age 70. Portable upon separation from service. Medicare and Medicaid participants ineligible. NEW Family Protection Plan Insurance - 5Star Life Family Protection-Terminal Illness Plan with Quality of Life Rider from 5Star Life is individual term life insurance protection to age 100 that pays a lump sum advance benefit on terminal illness diagnosis and pays a monthly benefit if Long Term Care becomes necessary. Can cover spouse, children and grandchildren issuable thru age 23. Portable upon separation from service. Reminder Health Savings Account– HSA Bank Employees & dependents enrolled in ActiveCare 1HD can use a Health Savings Account to pay for qualified medical expenses. Funds roll over every year (but are not available in advance). You are not eligible if you are also enrolled in Medlink plan, medical flex spending or have access to medical flex funds thru spouse or rollover, Medicare, Medicaid, Tricare. Annual limit $3350 employee, $6750 family, $1000 age 55+ catchup. MEDlink Insurance - American Public Life (APL) This supplemental coverage helps offset out-of-pocket costs due to deductible & coinsurance. The available plan options include $1,500 or $2,500 inpatient hospital benefit option, $200 outpatient benefit and $25 Physician Outpatient Benefit. You are not eligible for MEDlink if any of the following apply: employees (or dependents) not covered on PBTISD’s medical plan, anyone covered by TRS-Care (retiree plan), Medicare, Medicaid, or Medical Savings Accounts, employees who have an HSA that is being actively funded, nonresidents of the US, employees not actively at work on the plan effective date. Telehealth - MDLIVE This Employer Paid plan provides you and your family with around-the-clock access to U.S-based, licensed physicians for free telephone consultations. It’s easy to connect with a doctor in real-time for treatment or diagnosis of common non-emergency conditions. Dental Insurance - CIGNA PPO In-network benefits are 100% for preventive, 80% for Basic, 50% for Major services and 50% Orthodontia with a Lifetime max of $1,000 for dependent children to age 19. Out-of-Network charges are paid based on usual reasonable & customary fees and usually involve greater out of pocket expense. $50 deductible for Basic and Major services per person, to a max of $150. Calendar year plan max per insured: Year 1 -$1,250; Year 2 - $1,350; Year 3 -$1,450 and Year 4 -$1550. Participants with certain medical conditions eligible for extra free services, register in advance for CIGNA Dental Oral Health Integration Program, see registration form at PBTISD Benefit website. Vision Insurance - Superior Vision Members pay a copay for in-network benefits. Out-of-network vision services are reimbursed up to a certain dollar amount for covered expenses. The in-network exam co-pay is $10.00, the materials copay is $25.00 and the contact lenses fitting exam copay is $25.00. Exams, lenses & frames (within plan allowance) are covered in-network with a co-pay, once every 12 months. Long-Term Disability Insurance - UNUM Provides a monthly income to an employee disabled due to an accident or illness. There are different plans available with benefits available from the 1st day of disability to as late as the 180th day. Benefits can be payable to age 65 if disability occurs prior to age 65. All new or increases in coverage are subject to pre-existing condition exclusions. Cancer Insurance - Loyal American Cancer insurance is designed to be a supplement & pays in addition to your medical insurance. There are 3 plan options available, with Guaranteed Issue and no medical questions, portable. Some plan benefit are: cancer screening tests, first occurrence, chemotherapy/ radiation and surgical benefits. All new or increases in coverage are subject to pre-existing condition exclusions. Accident Insurance -American Public Life (APL) This Plan pays an ambulance, hospital and physician expense benefit benefit amount for covered accidental injuries. Coverage is issuable for ages 18-64 and is portable, you can choose to keep your benefit even if you leave the district or retire until age 70. Voluntary Group Term Life & AD&D Insurance - The Hartford Employees can enroll up to max of 5x salary not to exceed $500,000 and $250,000 for spouse and $10,000 on each eligible dependent child under 26. Employees must enroll in order to enroll dependents. One step up to Guaranteed Issue with no application required. Increases of more than of 10k for employee and 5k for spouse are subject to health questions & underwriting. New employees can enroll for up to $150,000, $50,000 spouse and $10,000 children on Guarantee Issue Basis within 31 days of hire. Employees must be actively at work and spouse/child cannot be disabled for new or increases in coverage to take effect. Universal Life with Long Term Care Insurance - Trustmark Permanent Life Insurance will be grandfathered, no new enrollees. Heart & Stroke Insurance - Allstate Heart & Stroke Insurance will be grandfathered, no new enrollees. Healthcare & Dependent Care Flexible Spending Account by National Benefit Services Tax-sheltered flexible spending accounts allow an individual to set aside dollars to pay for future healthcare & dependent care expenses. Eligible expenses must be incurred within the plan year 2/1/2016—1/31/2017 & 75 day grace period. Contributions are useit-or- lose-it. The healthcare reimbursement maximum is increasing to $2,550/plan year. The dependent care reimbursement maximum is $5,000 married or $2,500 for married individuals filing separately. Remember to keep all your receipts! Do not throw away card! This is only an outline of benefits. If the terms of this benefit summary differ from your policy, the policy will govern.