Presentation is loading. Please wait.

Presentation is loading. Please wait.

Open Enrollment Benefits 2014-2015 August 1 _ 31, 2014 Wylie ISD.

Similar presentations


Presentation on theme: "Open Enrollment Benefits 2014-2015 August 1 _ 31, 2014 Wylie ISD."— Presentation transcript:

1 Open Enrollment Benefits August 1 _ 31, 2014 Wylie ISD

2 PPO Dental Plan Lincoln Benefit- High Option 100/80/50 Plan design option with $1000 maximum annual benefit Benefits for oral surgery, surgical extractions, and anesthesia will move from Type 2 coverage, covered at 80%, to type 3 coverage, covered at 50% Claims paid at 90 th percentile of usual & customary fees Coverage for dependent children up to age 26 Orthodontia included for children Premiums Employee Only$35.34 per month Employee & Spouse$76.44 per month Employee & Child$70.28 per month Employee & Family$ per month

3 PPO Dental Plan Lincoln Benefit- Low Option Provides a lower more basic level of coverage. 100/70/40 Plan design option with $750 maximum annual benefit Benefits for oral surgery, surgical extractions, and anesthesia will be covered as Type 3 coverage, covered at 50% Claims paid at 90 th percentile of usual & customary fees Coverage for dependent children up to age 26 No Orthodontia coverage Premium are guaranteed for 2 years Employee Only$25.18 per month Employee & Spouse$54.02 per month Employee & Child$48.50per month Employee & Family$85.22 per month

4 DHMO Dental Plan Lincoln Benefit- DHMO No co-pay on office visit; many other deeply discounted services No annual maximum benefits or deductibles Members must choose a provider from the network to receive benefits Employee Only$14.69 per month Employee & Spouse$28.62 per month Employee & Child$30.97 per month Employee & Family$44.76 per month

5 Cancer Plan Colonial Cancer Single plan option including Cancer coverage, ICU rider, Specified Disease Coverage, and 1 st Occurrence Benefit Hospital Confinement Benefit Radiation/Chemo Surgery Schedule Benefit Initial Diagnosis Screening Rebate $300 per day $300 per day with $10,000 per year Up to $4,500 max $5,000 $100 Open Enrollment, Guarantee issue coverage. Employee Only$29.85 per month Employee & Family$49.55 per month

6 Vision Plan Block Vision Exam and eyewear co-pay of $15 Elective Contact lens allowance of $150; Paid in full if medically necessary Frame allowance up to $125 retail value $200 allowance on Lasik Employee Only$7.40 per month Employee & Spouse$12.58 per month Employee & Child$13.30 per month Employee & Family$19.98 per month

7 Basic & Voluntary Group Term Life Plan Lincoln Benefit $15,000 Life Insurance Coverage for all Employees- Provided at no cost by Wylie ISD Additional voluntary coverage available at group rates. ex: $50,000 Coverage Age 25- $4.75 Age 35- $6.25 Age 45- $13.00 Age 55- $30.00 Age 65- $65.50 Spouse Coverage also available, Child Life up to age 26 Guaranteed Issue Coverage to $200,000 employee, $50,000 Spouse Annual increases of $20,000 up to the guaranteed issue limit on voluntary life each year at open enrollment. Coverage good while employed with Wylie ISD.

8 Disability Insurance Standard Insurance Open enrollment, guaranteed issue opportunity in 2014 Protects against a loss of income due to sickness or accident 1 st Day hospital confinement benefit- Waives elimination period on 0/7, 14/14, 30/30 elimination period plans. Insure up to 66.67% of annual salary- $8000 maximum monthly benefit. Elimination PeriodRate Per $1000 0/7$ /14$ /30$ /60$ /90$15.80

9 Permanent Life Plan Fidelity Life Permanent, Guaranteed Issue, Life Time Protection, Term Life Insurance Policy. Plus- Long Term Care Rider equal to 4% of death benefit, payable for 75 months. Ex: $25,000 death benefit or $1000 monthly LTC benefit payable for 75 Months. 75 month LTC benefit is new for 2013, current policies include a 25 month LTC benefit Portable upon termination of employment- Premium remains the same. Insure yourself, spouse, and children. Guaranteed issue for all employees up to $100,000. Rates Based on age at issue, guaranteed for life ex: $25,000 Non-Smoker Benefit, monthly premium: Age 35- $15.77 Age 45- $26.27 Age 55- $47.50

10 Medical Gap Plan Specialty Insurance Services Bridges the gap between Active Care 1HD and Active Care 2 benefits by: Paying $1,500 per year for each covered person for hospital confinement Paying $4,500 ($1,500 per occurrence) max per year for 3 occurrences of outpatient services – includes ER visit, MRI, x-ray, lab, outpatient surgery (excludes doctor office visit cost) Guaranteed issue No pre-existing condition if not subject to pre-existing condition on medical plan Also bridges the gap between Active Care 2 and Active Care 3 benefits Employee Only Employee Spouse >40 $25.98 $ $34.21 $ $71.85 $ Employee Children Employee Family $62.45 $83.64 $67.22 $95.11 $ $182.41

11 Flexible Spending Account TASC Medical Expense Reimbursement and Dependent Care Reimbursement Debt Card Smart Phone and Tablet Apps MyCash Account Medical Expense ReimbursementDependent Care Expense Reimbursement Dr. Visit Co-paysDay Care Expenses Deductible expensesElderly Care Expenses Rx Co-pays Uninsured Dental/Vision Expenses

12 DateTimeLocation August 4 th 11a.m. – 6p.m.ESC Building August 5 th – August 7 th 8a.m. – 5p.m.ESC Building August 8 th 11a.m. – 6p.m.ESC Building August 11 th – August 15 th 8a.m. – 5p.m.ESC Building Open Enrollment - Enrollers Onsite Third Party Administrator, US Employee Benefits


Download ppt "Open Enrollment Benefits 2014-2015 August 1 _ 31, 2014 Wylie ISD."

Similar presentations


Ads by Google