Presentation on theme: "Open Enrollment 2013-2014 For Full Time Employees and Families of J.O. Combs Unified School District."— Presentation transcript:
1 Open EnrollmentFor Full Time Employees and Families of J.O. Combs Unified School District
2 Which plans are affected by Open Enrollment? Medical PlanDental PlanVision PlanShort Term DisabilityVoluntary Benefits
3 Medical BenefitsMedical/pharmacy benefits will be offered by Blue Cross Blue Shield of ArizonaNew ID cards will be mailed to all members for a October 1 effective date or 60 days following the first of the month when you are hiredThe provider network – BSBSAZ Preferred PPO networkWill be referred to as the High PlanWill be referred to as the Low Plan
4 District will pay 100% premium for Low Plan for all eligible employees. There is the option to by up to the High Plan coverage which includes out-of-network benefits. There is a 3.5% increase to this plan.The Plan/PPO Network does not require the selection of a Primary Care Physician (PCP) nor are referrals required to receive medical services.
5 Accident CoverageCoverage is available for you, your spouse, and child(ren)Coverage lasts your life for any accidents that occurs outside of workPortableHelps with out of pocket expenses to your medical providerSome benefits under this plan include:Ambulance- you get $90.00Dislocate a finger $90.00Tear a tendon or ligament $465.00Torn Knee Cartilage $185.00Fracture a hand/ foot/ or wrists $465.00Up to $100 back each year just for visiting your doctorNew - Must schedule appointment with the call center5
6 Critical Illness With Cancer Coverage Coverage is available for you, your spouse, and child(ren)Coverage lasts your lifePortableHelps with major out of pocket expenses to your medical providerCovered conditions upon diagnosis:Heart attack, stroke, renal kidney failure, blindness, Lou Gehrig’s Disease, major organ transplant, paralysis of two or more limbs, and invasive cancerPartial benefit for coronary bypass surgery and carcinoma in situ$100 back each year just for visiting your doctorNew - Must schedule appointment with the call center
7 Delta Dental of Arizona Voluntary Plan Basic & Preventive services provided at no chargeNo more wait periods for Basic, Major, and Ortho ServicesPays 70% of restorative & extractionsPays 50% for Major servicesAnnual Deductible: $50/Person, $150/FamilyAnnual Maximum Benefit $1,000 per covered personOrthodontic Benefit pays 50% with a $1,000 maximum (separate from Annual Maximum Benefit)
8 Delta Vision-Voluntary Plan Features of EyeMed Benefits An Increase of 7.5% this year rates are in your packetExams - $10 Co-pay In-NetworkMaterials (Frames and Lenses) - $10 Co-pay In-NetworkStandard Spectacle Lenses - $75 Co-pay – Premium lenses - 80% of charge less $120 allowance, plus $ Co-payFrames – Up to $120 allowance plus 20% discountContacts – once every 12 months; $80 allowanceExam & Lenses or Contacts – once every 12 monthsPlease read enclosed benefit document for more details
9 Union Security – Short Term Disability Type of Coverage Non-Occupational, Employee paid, includes maternity benefitMax Benefit Percent Up to 66 2/3% of base pay up to $5,000/mo.Elimination Period Accident/Sickness /14 DayBenefit Period 6 MonthsCost for this year has increased 5% see new rates in your packet
10 Section 125 – Pre-tax Deductions Your Medical and Dental premiums are taken on a pre-tax basisLowers your taxable incomeMay lower your taxesElections cannot be changed during the plan year, unless you experience a “qualified change”.
11 Flexible Benefit Plan Medical & Dependent Care Reimbursement Set money aside for qualified expenses pre-taxElections are made for the entire year and cannot be changed, except with a “qualifying event”Benefits must be used during the plan yearMay lower your taxesThis is the plan that allows you to pay certain expenses with pre-tax dollars.You save taxes - more take home income left for you.The Diocese pay expenses of administering this for you.
12 Arizona State Retirement System The employee contributes 11.54% of income to the plan.District matches employee contribution.You must contribute 5 yrs. to become vested.Plan includes Long Term Disability benefits after 6 months of disability.The average employee saved $300 last year and every year going forward.
13 403(B)/457 Retirement/Savings Five vendors to choose fromINGSecurity BenefitsHartfordMetLifeValicTax deferred annuityEmployee contributions onlyAs an employee in a "not for profit" organization you have a real advantage over those of us in the corporate world - make sure you understand and take advantage of this benefit.
14 Legal CoverageCoverage is available for you, your spouse, child(ren), your parents, and your spouse’s parentsPortable3 types of service categories:Free - initial consultations with a plan attorney, document reviews, simple wills, and moreFlat rate - name change, traffic ticket, will with a minor trust, plus much moreDiscounted - anything that is not free or at a flat rate is discounted 25%New - Must schedule appointment with the call center
15 Basic Life and AD&D Insurance 100% paid by the School District1 ½ times salary to $50,000AD & D doubles death benefit
16 Universal Life Insurance Coverage is available for you, your spouse, and child(ren)Policy lasts to age 100Cash value account- guaranteed at 4%PortableLong term care is built into your policyCan use long term care for nursing home, home health care, and adult day careWill provide a long term care benefit to you for 50 months and it will not deduct from your life insurance amount that you have assigned to your beneficiaryNew - Must schedule appointment with the call center
17 Benefit Election Form Employee Model WAIVE ABC Elementary Teacher Last NameFirst NameWaive All InsuranceDepartmentPosition21 Pay Periods Effective July 1, 2012BCBS of AZAnnual CostPer Pay PeriodDENTAL PLANC $30 PlanLow OptionEmployee Only391.218.63Employee + 1$4,229.52$201.41Employee + Spouse$657.60$31.31Employee + Family$7,053.12$316.57Employee + Child(ren)$853.20$40.63B $15 Plan$1,267.68$60.37$1,105.44$52.64$6,440.40$306.69$10,008.96$476.62DELTA EYEMED$62.28$2.97Employee+ Spouse$126.48$6.02$121.44$5.78$189.96$9.0518 Pay periods beginning with the first pay in September and an October 1st effective date** Effective July 1, 2012Voluntary InsuranceShort Term Disability**Transamerica AccidentCritical IllnessUniversal LifeTerm LifeLegal Access InsuranceMedical Reimbursement Plan ($2,500 annual maximum)Dependent Care Reimbursement Plan ($5,000 annual maximum or $2,500 if married and filing separately)TOTAL EMPLOYEE PAID INSURANCE PREMIUMI understand that I may not change my election until the beginning of the next plan year - July 1, 2012, unless I have a qualified life changing event.Employee Signature authorizing the electionsDateEmployeeModelWAIVEABC ElementaryTeacher√√√√PLS CANCEL√Model Employee5/17/2013Benefit Election Form
18 Next Step Determine which Health Insurance Plans fits your needs. Low Plan at no cost to the employeeHigh Plan at a cost to the employee (please review insurance rate in your packet).
19 Representatives are available Next StepDo you want to participate in any of the following voluntarybenefits products?Accident CoverageCritical Illness with Cancer CoverageLegal CoverageUniversal Life InsuranceYou must schedule an appointment with a benefits counselor at the call center for the above productsRepresentatives are availableMonday – Friday7:00 am to 4:00 pm PDT
20 Wednesday July 31st - NO EXCEPTIONS!! Final StepReview your personal optionsTURN IN BENEFIT ELECTION FORMQuestions contact Human Resources atContact the Call Center for additional voluntary benefitsPlease Remember, every employee is ACCOUNTABLE to complete their paperwork; otherwise, you run the risk of not securing insurance for the new school year ( ). All paperwork must be turned in byWednesday July 31st - NO EXCEPTIONS!!