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Annual Enrollment for Plan Year 2011. February 2010 2 APRIL 2010 Topics to Discuss What’s New for Plan Year 2011? Annual Enrollment Communications Information.

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Presentation on theme: "Annual Enrollment for Plan Year 2011. February 2010 2 APRIL 2010 Topics to Discuss What’s New for Plan Year 2011? Annual Enrollment Communications Information."— Presentation transcript:

1 Annual Enrollment for Plan Year 2011

2 February APRIL 2010 Topics to Discuss What’s New for Plan Year 2011? Annual Enrollment Communications Information regarding Dependents QSC Review Additional Reminders

3 February APRIL 2010 What’s New for Plan Year 2011?

4 February APRIL 2010 What’s New for Plan Year 2011? Dates for Annual Enrollment: – Starts: 4:00 a.m., October 12 th – Concludes: 4:30 p.m. November 10 th Employees will have two options to make their benefit selections and/or update dependent information for Plan Year 2011: – Accessing the GaBreeze web site: > Link to GaBreeze via the Team Georgia web site: – Contacting the GaBreeze Benefits Call Center: Employees will be allowed to have multiple confirmations online during the Annual Enrollment period

5 February APRIL 2010 What’s New for Plan Year 2011? Accidental Death & Dismemberment AD&D will increase coverage levels to 8x and 9x Benefit Salary No Evidence of Insurability will be required to enroll or increase coverage

6 February APRIL 2010 What’s New for Plan Year 2011? Child Life Insurance Evidence of Insurability (EOI) is no longer required for current employees enrolling in coverage

7 February APRIL 2010 What’s New for Plan Year 2011? Vision $50 Wholesale allowance for Private Practice providers will be replaced with $130 Retail allowance – Participants will know how much they are required to spend – Participants will have more freedom of choice between Retail providers and Private Practice providers Online ID cards will be provided for Participants – Participants log in to web site: – ID cards can be printed for employee or family members – Log in with the employee’s identification number, enter the dependent’s last name and Date of Birth – No limit to the number of cards which can be printed

8 February APRIL 2010 What’s New for Plan Year 2011? Specified Illness (For this Plan Year Only) Evidence of Insurability requirements for Specified Illness: – Employees can select up to $30k of coverage without EOI – Employees can select up to $10k of coverage for Spouse Specified Illness without EOI

9 February APRIL 2010 What’s New for Plan Year 2011? Spending Accounts For Plan Year 2011, IRS regulations will prohibit over the counter medications as an eligible expense under the Health Care Spending Account For Plan Year 2011 employees will have a 2 ½ month grace period to submit claims for their Health Care Spending Account – March 15, 2012 Employees will have until April 30, 2012 to send their claim forms to SHPS for reimbursement. All mailed claims must be postmarked by April 30 th

10 February APRIL 2010 What’s New for Plan Year 2011? Legal Hyatt Legal Plans acquired Allstate’s group legal plans business, known as "Signature LegalCare” effective July 1, 2010 Plan design will remain the same for Plan Year 2011 No rate changes to the coverage levels

11 February APRIL 2010 What’s New for Plan Year 2011? Legal Contact information ( by phone ) Monday thru Friday 8 a.m. to 7 p.m. (E.T.) Contact information ( by ) – – Select Plan Passwords: & – Select Plus Plan Passwords: &

12 February APRIL 2010 Information regarding Dependents

13 February APRIL 2010 Information regarding Dependents Dependent Information on File During Plan Year 2010, current employees must contact the GaBreeze Benefits Center to update dependent data – Dental and/or Vision carriers will not accept dependent information All employees will be required to verify and/or update their dependent information during Annual Enrollment for Plan Year 2011

14 February APRIL 2010 Information regarding Dependents Dependent Eligibility (Age Limit Increase) Effective January 1, 2011, the Patient Protection and Affordable Care Act extends the age limit of eligible dependents from 19 to 26 regardless of full-time status for all plans which cover dependents During the month of October, student status letters will cease

15 February APRIL 2010 Information regarding Dependents Dependent Eligibility (Annual Enrollment) During Annual Enrollment, employees adding dependents, including dependent up to age 26, will receive a letter from the Flexible Benefits Program in the mail requesting proof of eligibility Employees will have a 30-day period from the date of the letter to submit the requested documentation If documentation is not submitted within the specified timeframe, the dependent(s) will be dropped and their coverage terminated

16 February APRIL 2010 QSC (Qualifying Status Changes) Review

17 February APRIL th of the Month Rule (Status or Coverage Changes) Employee actions: The employee reports the Qualifying Status Change (QSC) event on the GaBreeze web site OR by contacting the GaBreeze Benefits Call Center – No paper forms are used Supporting documentation issued to SPA Hewitt issues a paper confirmation by mail for employee review

18 February APRIL th of the Month Rule (Status or Coverage Changes) Status changes are driven by employment data – Leaves, Terminations, Retirement, etc. For Status Changes Before the 16 th of the Month – Coverage change/end effective the first day of the next month > (Example: Change on June 1st; Effective July 1st) On or after the 16 th of the Month – Coverage change/end effective the first day of the following month > (Example: Change on June 16th; Effective August 1st)

19 February APRIL th of the Month Rule (Status or Coverage Changes) For Qualified Status Changes Qualified Status Changes are initiated by employees – Birth, Adoption, Marriage, Divorce, etc. Effective the first of the month following the date the change is reported (regardless of actual QSC date) Birth and adoption are effective on the actual date of the event Employees report a QSC to GaBreeze – Within 30 days of the event to request changes

20 February APRIL 2010 Dates for Annual Enrollment: Starts: 4:00 a.m., October 12th Concludes: 4:30 p.m. November 10 th Employees will have the following options to make their benefit selections and/or update dependent information for Plan Year 2011: GaBreeze web site: Team Georgia web site: Call the GaBreeze Benefits Call Center: Reminders

21 February APRIL 2010 Final Questions and Follow-ups


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