Important Dates To Remember

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Presentation transcript:

2016-17 Benefit Presentation

Important Dates To Remember Enrollment Window: ALL benefit eligible employees must complete their enrollment by November 30, 2016 Effective Date of Coverage: All coverage changes are effective January 1, 2017 Payroll Dates: Remember to double check your January paycheck(s) to confirm deductions

Self-Enrollment Instructions Benefits Enrollment Website: www.in-roll.com Login Credentials: first initial, last name, last 4 of social Ex. John Smith 123-45-6789 = jsmith6789 Initial password “eisd” You will be prompted to change password for security reasons Once logged in click to follow specific enrollment track Make enrollment selections and beneficiary designations Review your confirmation statement when complete Email or print the confirmation statement for you records

Enrollment Guide: Page(s) 7-9 Medical Plan Edgewood ISD plan is transitioning the district’s health insurance program to Aetna effective 1/1/2017 Choice of 3 medical plans with varying deductibles, premiums, and networks To search for providers visit www.aetna.com/docfind or by calling 855-824-4112 More information and premium rates for all group insurance plans offered through EISD can be found in your benefits packet or online at www.EISD.net under Directory/Employee Benefits

Medical Plan EPO Plan PPO Low Plan PPO High Plan Enrollment Guide: Page(s) 7-9 Medical Plan EPO Plan PPO Low Plan PPO High Plan Deductible $2,000 Individual $4,000 Family Coinsurance 20% Out of Pocket Maximum $4,500 Individual $9,000 Family Prescription Drugs Generic - $10 Formulary - $35 Non-Formulary - $60 *Must stay within the Baptist Health System in San Antonio Deductible $3,500 Individual $7,000 Family Coinsurance 30% Out of Pocket Maximum $6,600 Individual $13,200 Family Prescription Drugs Generic - $10 Formulary - $35 Non-Formulary - $60 *Members have access to Aetna’s Managed Choice National network Deductible $1,000 Individual $2,000 Family Coinsurance 10% Out of Pocket Maximum $3,500 Individual $7,000 Family Prescription Drugs Generic - $10 Formulary - $35 Non-Formulary - $60 *Members have access to Aetna’s Managed Choice National network

Dental DHMO Enrollment Guide: Page 10 Payment for services are based on the schedule of benefits Participants will need to choose a primary dentist by calling 800-880-1800 You will need to contact MetLife if you would like to change your dentist No waiting periods ID cards will NOT be mailed, generic cards available on EISD website Preventative, basic, major, and orthodontic services No claims forms Children covered up to age 26 Your plan costs: Employee only $10.40 per month Employee and Spouse $19.74 per month Employee and Children $20.78 per month Employee and Family $32.20 per month

Dental PPO Enrollment Guide: Page(s) 11-13 You may choose any dentist, but your benefit dollars will go farther if you use network dentists. Visit www.metlife.com/mybenefits for a list of providers. No waiting periods ID cards will NOT be mailed, generic cards available on EISD website Preventative, basic, major, and orthodontic services See summary sheet for deductibles and calendar year maximums Children covered up to age 26 Your plan costs: Employee only $21.28 per month Employee and Spouse $43.04 per month Employee and Children $55.38 per month Employee and Family $75.52 per month

Vision Insurance Enrollment Guide: Page(s) 14-15 In-Network and Out-of-Network Provider benefits For a provider listing visit www.davisvision.com (client code is 7730) Includes Eye Exam and Frames/Lenses or Contact Lenses every 12 months No Waiting Periods ID cards will be mailed Children covered to age 26 See summary sheet for details 2013-2014 Benefits Guide Your Plan Costs: Employee $ 5.48 per month Employee + Spouse $10.94 per month Employee + Child(ren) $10.40 per month Employee + Family $16.34 per month  

Enrollment Guide: Page(s) 16-23 Group Life Insurance All employees are eligible for guarantee issue (no health questions) coverage if enrolled during open enrollment Group Insurance in force only while employed with Edgewood ISD Minimum and maximum coverage limitations apply Spouse and dependents are eligible All benefit eligible employees receive $15,000 of basic life insurance (provided by Edgewood ISD at no cost to employee) Ask employees to correct Hours on page. 17 Your plan costs: InRoll will calculate your cost based on current age

Portable Life Insurance Enrollment Guide Page(s) 24-28 Portable Life Insurance Express Issue: Limited health questionnaire Permanent, Portable Life Insurance Guaranteed death benefit to age 121 Accelerated Death Benefit Included Coverage for Spouse and Children Minimum and maximum coverage limitations apply Ask employees to correct Hours on page. 17 Your plan costs: InRoll will calculate your cost based on current age

Long Term Disability Insurance Enrollment Guide: Page(s) 29-36 Long Term Disability Insurance Long term disability insurance helps protect your income if you are unable to work due to illness or injury Benefit Amount Monthly benefit amount is 66 2/3 percent of your gross monthly earnings Benefit Waiting Period and Maximum Benefit Period (page 12) Must be continuously disabled before benefits become payable Benefits are not payable during the benefit waiting period Waiting period options of 0/3,14, 30, 60, 90, and 180 calendar days The maximum benefit period is the period for which benefits are payable Pre-existing condition limitations apply for new enrollments 2013-2014 Benefits Guide Your Plan Costs: InRoll will automatically calculate your cost based on your eligible income with Edgewood ISD.

Enrollment Guide: Page(s) 37-40 Cancer Insurance Cancer coverage provides cash directly to you to help offset out of pocket costs Pays in addition to medical insurance Treatments determine benefits Screening benefits for annual check-ups No health questions during open enrollment (pre-ex limitation) Portable Ask employees to correct Hours on page. 19 Plan Costs: Low Plan High Plan Employee Only $15.60 $24.36 Employee & Spouse $24.90 $38.06 Employee & Child(ren) $21.46 $34.10 Employee & Family $30.72   $47.78

Critical Illness Insurance Enrollment Guide– Pages 41-47 Critical Illness Insurance Critical Illness coverage provides cash directly to you to help offset out of pocket costs Covered illnesses include invasive cancer, heart attack, stroke, and major organ transplants Lump sum benefit options of $10,000 or $20,000 No health questions during open enrollment (pre-ex limitation) Portable if you leave or retire from EISD Your plan costs: InRoll will calculate your cost based on current age

Flexible Spending Account: Healthcare Enrollment Guide– Pages 48-49 Flexible Spending Account: Healthcare Contribute on a pre-tax basis Pay for eligible medical, dental, or vision expenses Over the counter not eligible medication (in most cases) Annual Contribution Limit of $2,600 Plan year ends December 31 Debit cards (mailed to address on file) Track your account online at www.tasconline.com Keep your receipts!

Flexible Spending Account: Dependent Care Enrollment Guide– Pages 48-49 Flexible Spending Account: Dependent Care Contribute on a pre-tax basis Pay for eligible dependent care expenses Use-it-or-Lose-it by December 31 Annual Contribution Limits of $5,000 Consult with your tax advisor (potential impact on other available dependent care tax benefits) Debit cards (mailed to address on file) Track your account online at www.tasconline.com Keep your receipts!

Questions. Contact Gina Padilla with U. S. Employee Benefits at 830 Enrollment Guide– Page 23 - 27 Summary All employees must meet with a representative or login to www.in-roll.com to complete enrollment Open enrollment ends November 30, 2016 Plans changes are effective January 1, 2017 VERY IMPORTANT - Review first paycheck to confirm all deductions are accurate.

Thank you for being part of the Edgewood ISD family! Please feel free to contact Human Resources/Risk Management if you have any questions.