Post on 05-Jul-2020
transcript
CDSD Benefits Open Enrollment 2018
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Open Enrollment is for…
Changes and Enrollments
Medical and Waiver
403(b) beneficiaries
Flexible Spending Account
Spousal Surcharge
verification
Life beneficiaries
Vision and Dental
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Benefits EligibilityWhen are you eligible to enroll or make changes to current elections?
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Forms to Complete During Open Enrollment
Forms submitted during Open Enrollment are subject to the terms of your collective bargaining agreement.
Please refer to the benefits booklet sent to you via email and to your school or other district location. Within the booklet, you will see a benefits forms grid. The grid is a clear outline of what forms are applicable to your job classification and when each form need to be completed.
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Qualifying Life Events
If you experience a qualifying event and desire to make changes to your benefits enrollment, you have 31-days from qualifying event date to do so.
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Employee and Dependent Benefits Eligibility
• Employees working at least 30 hours per week who have met District requirements and the obligations of their Collective Bargaining Agreement
• Legally married spouses
• Medical- Children up to age 26 and children who are over 26 but are permanently disabled
• Dental & Vision- Children up to age 19 or up to age 23 if full-time student
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Medical InsuranceHighmark Information and Medical Plan Provisions
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Highmark Website- Medical Consumer Friendly
Provider Search Simplified
• PCP’s, Specialists, Hospitals, Imaging,
Urgent Care, pharmacies and more!
Compare Provider Profiles
• Patient ratings, Blue Distinction
Centers, board certs, accreditations, etc.
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Highmark Website- Care Cost Estimator
Did you know…Common healthcare services, like x-rays and lab tests, can cost from 30 to 50 percent more depending on where you go. The Care Cost Estimator helps you search almost all of these services to find the best price.
Sample search…
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Highmark Website- Care Cost Estimator
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Medical Plan Deductible and CoinsuranceHow do they work for my medical plan?
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UNDERSTANDING YOUR DEDUCTIBLE
DEDUCTIBLES APPLY TO:
• Inpatient and Outpatient
hospital procedures
• Outpatient Medical/Surgical
• Diagnostic Services
(Diagnostic medical,
lab/pathology, allergy testing,
Basic & Advanced imaging:
x-rays, MRI, CAT, PET scans)
• Durable Medical Equipment (DME),
Orthotics and Prosthetics
• As well as other services listed on benefit summary
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Deductibles run on a contract year
You pay the bill until you hit your deductible
UNDERSTANDING COINSURANCE*Coinsurance only applies to your Out-of-Network benefit
• Coinsurance is the percent of the bill you pay after you hit your deductible
• Coinsurance payments apply to:
• Inpatient and Outpatient hospital procedures
• Outpatient Medical/Surgical
• Diagnostic Services (Diagnostic medical,
lab/pathology, allergy testing,
Basic & Advanced imaging: x-rays, MRI, CAT, PET scans)
• Durable Medical Equipment (DME), Orthotics and Prosthetics
• As well as other services listed on benefit summary
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Pay your deductible first, then your coinsurance begins
You Pay Nothing For Preventive Care!
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Benefit In-Network
Preventive Visits (adult & pediatric)100%
no deductible
Pediatric Immunizations100%
no deductible
Routine Gynecological Exams including Pap Test100%
no deductible
Mammograms (annual routine)100%
no deductible
Preventive Diagnostic Screening100%
no deductible
Flexible Spending Account
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Flexible Spending Account (FSA)
The District offers both a Health Care and Dependent Care FSA.
• 2018 FSA maximum/minimum contribution limits:• Health Care- $2,650/$120• Dependent Care- $5,000/no minimum
• Carryover provision• Allows you to carryover amounts from $60 to $500 of unused
funds from your health care FSA at the end of each plan year. The carryover does NOT apply to the Dependent Care FSA.
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Flexible Spending Account (FSA)
Qualified Healthcare Expense Examples:
Healthcare Dependent Care
Contraceptives Care for child under age 13
Copays, coinsurance and deductibles Care for spouse or other tax dependent
Dental and eye exams Elder care for spouse or other tax dependent
Durable medical equipment Nursing home care (restrictions apply)
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Dental & Vision
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Delta Dental
• Majority of preventative and restorative services covered at 100%
• Annual Delta Dependent verification
Please reference the dental page on the District website and your Collective Bargaining Agreement for specific plan design information
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Delta DentalCost Example
Example PPO ParticipatingDentist
Premier Participating
Dentist
Non-Delta Dentist
Dentist’s Charge $200 $200 $200
Delta Max Plan Allowance
$120 $150 $120
% of Allowance Paid by Delta
50% 50% 50%
Delta Pays $60 $75 $60
Patient Pays $60($120-$60)
$75($150-$75)
$140($200-$60)
Note that the PPO Network of dentists offers the deepest discount.
When looking for a dentist on Delta’s website, the dentist search will automatically default to providers in the PPO Network.
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Delta provides you with access to two networks:PPOPremier
Delta Dental- Dual Coverage Coordination of Benefits
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Delta Dental- Dual Coverage Coordination of Benefits (con’t)
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Davis Vision Vision Plan Design:
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Visit the district website or contact Davis Vision for additional vision plan details!
Davis Vision
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Life Insurance & 403(b) Plan
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Life & Long-Term Disability Insurance
Term Life insurance is offered to eligible employees as a flat dollar amount based on collective bargaining agreement.
Remember to update your life insurance beneficiaries as you have the need!
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403(b) PlanDon’t delay, plan for retirement today!
• Enrollment is optional and employees can enroll at anytime
• 403(b) plan contributions are payroll deducted and tax-deferred
• 2017 IRS maximum contribution- $18,000. Age 50 and over can contribute an additional $6,000 for a max of $24,000.
• Provides extra retirement savings in addition to your PSERS pension contribution
• Nationwide Online enrollment:
http://www.nationwide.com/403b-retirement-plans.jsp
Use case number: 782-80039
• Contact Polaris Retirement Plan Advisors:
Kimberly Wenger 775-8061 ext. 36
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Your 403(b) Plan & Saving for Retirement
28Information provided by Polaris Advisors
Plan Early for Retirement
29Information provided by Polaris Advisors
403(b) Contributions
30Information provided by Polaris Advisors
Other District Offered Benefits
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Connect Care 3 (CC3)CC3 is a free voluntary benefit to you as a
an employee enrolled in District medical benefits.
What CC3 can do for you:
• Educate you on your injury or illness
• Research and share a list of doctors and medical facilities
• Prepare a list of questions that you should ask your doctor at your next appointment
• Accompany you to your doctor’s appointment, if desired
• Help you find access to social services
• Resolve certain insurance issuesContact: (877) 223-2350, www.connectcare3.com, info@connectcare3.com
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Employee Assistance Program (EAP)
The EAP is a free, voluntary, completely confidential service that is provided to you by the District through Mazzitti & Sullivan.
Counseling sessions provided for:– Marital and family issues
– Issues with children and adolescents– Emotional distress
– Personal issues– Anger, stress, and time management
– Grieving– Alcohol, drug, or other addictions
– Health-related issues– Job stress
– Child or spousal abuse
Available to you and your family members- No enrollment necessary!Contact: 1-800-543-5080
info@mseap.com
www.mseap.com,
Click ‘Member Login’ and use ‘CD’ in the Sign In box under ‘Access Code’33
Access Your Benefits From Anywhere
Websites & Mobile Apps
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davisvision.com
highmarkblueshield.com
Your access to more information
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Virtual MedicineTelemedicine
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Virtual Medicine (Telemedicine)• What is it?
- A “virtual” doctor’s visit from the convenience
of your computer, smartphone or tablet
• When should you consider
virtual medicine?
- Acute care: Bad cold, child with
an earache on vacation
- When you can’t wait to see
a dermatologist
- Follow-up visits with a PCP or specialist
when available
Virtual Medicine (Telemedicine)
• Minor illnesses
• Behavioral health
• Skin, hair and
nail issues
• Minor illnesses
• Behavioral health
Find out more now – so you’re ready when you need care• Go to the website and register:
– doctorondemand.com
– amwell.com
– dermatologist.com
• Or download the free app
• Ask your PCP or specialist if
he or she offers virtual medicine
What do I do now?
Next Steps
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Review Your Benefits BookletBooklets by bargaining unit will be sent to you home school or other district location. You will also receive the same booklet via email copy prior to Open Enrollment beginning on April 3rd.
Booklets will contain specific information applicable to your employee classification for the 2018-19 benefits Open Enrollment period.
BE SURE TO READ AND REVIEW FOR IMPORTANT INFORMATION!
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What Can I Find on the Benefits Pages of the District Site?
Visit: http://www.cdschools.org
Log in: with your district computer access user name and password
Go to: Administration>Human Resources>Open Enrollment 2018-19 and click on your employee group page.
Administration>Human Resources>Benefits>Click on the page you wish to view:• 403(b)
• ConnectCare3
• Davis Vision
• Delta Dental
• Employee Assistance Program (EAP)
• FSA
• Medical
• Life and LTD
• New Hire Benefits Information
• Medical Summaries of Benefits and Coverage
• Vendor Contact Information
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Vendor ContactsVendor Phone Website
Assurant Life & Long Term Disability Insurance
1-866-403-7700 www.assurant.com
ConnectCare3 1-877-223-2350 www.connectcare3.comConexis Flexible Spending Plan 1-866-279-8385 www.conexis.comDavis Vision 1-800-999-5431 www.davisvision.comDelta Dental Insurance 1-800-471-7068 www.deltadental.comHighmark Blue Shield Insurance 1-800-345-3806 www.highmarkblueshield.comMazzitti & Sullivan Employee Assistance Program
1-800-543-5080 www.mseap.com
Medco Prescription Drug Member Service
1-800-903-6228 www.medcohealth.com
Nationwide 403b 1-888-867-5175 www.nationwide.comPSERS (Public School Employees’ Retirement System)
1-888-773-7748 www.psers.state.pa.us
Polaris Advisors – Retirement Plan Services
(717) 775-8061x36Kimberly Wenger
www.polarisadvisors.net
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Questions?
Please refer to your BENEFITS BOOKLET sent to you via email and to your school.
If you have any questions, contact your benefits team:
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Benefits Health Wellbeing
To You From us!
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