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Health and Welfare Open Enrollment

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Presentation on theme: "Health and Welfare Open Enrollment"— Presentation transcript:

1 Health and Welfare Open Enrollment 2017-2018
Presented April 18, 2017 Jeanette Prickett, Fiscal Services Supervisor And Teri Sutton, Benefit Technician

2 What’s New? eBenefits New Provider – Blue Shield
24/7 Convenient Access New Provider – Blue Shield TRIO/ACO (Accountable Care Organization) Concierge Chiropractor/Acupuncture

3 Timing Mandatory Open Enrollment for ALL contract employees 6.0 hours or more via eBenefits April 25th through May 17th, even if opting out Site Enrollments in conjunction with American Fidelity May 1st through May 19th Mandatory Meeting with American Fidelity if opting for supplemental insurance Additional American Fidelity days at the District Office if needed May 25th, 26th, 30th & 31st

4 Timing (cont’d) American Fidelity 7:30 – 3:30
North Shore & I.T.- May 1st, 2nd, & 3rd Middle School - May 4th, 5th Big Bear Elementary - May 8th & 9th Big Bear High School - May 10th, 11th & 12th Baldwin Lane - May 15th, 17th & 19th Transportation & Chautauqua - May 16th M&O & Fallsvale - May 18th District Office – May 25th, 26th, 30th & 31st

5 eBenefits Mandatory for ALL Contract Employees 6.0 hours or more
www…. Coming Soon! 24/7 Convenience Plan/coverage information Rate/cost displayed & calculated as you go Flexible plan changes until final cutoff date Electronic signature Make sure you have names, DOB & SSN info for all dependents & beneficiaries Technical Customer Support at , between 7:00 a.m. – 7:00 p.m. EST

6 Blue Shield For more information about Blue Shield Plans include: NurseHelp 24/7 - secure access to an RN, day or night, telephone or on-line chat Concierge customer service Teladoc physician appointments via phone or computer Integrated pharmacy benefits – combined deductible Access to urgent and emergency care across the country and around the world Blue Card – Coverage outside of state and worldwide

7 Away from home care – Blue Shield
Coverage for HMO members outside of California Students Families living apart Long term travelers Available in 33 states plus District of Columbia Call Concierge for more information about coverage

8 TRIO ACO HMO – Blue Shield
Lowest premium Self-referral for specialty consultation within your medical group Participating Doctors blueshieldca.com/cseba Wellvolution & Walkadoo program and free fitness tracker

9 Access+ HMO – Blue Shield
Higher Premium than TRIO ACO HMO Larger network of doctors Self-referral for specialty consultation within your medical group Must choose a PCP when enrolling

10 PPO Plans – Blue Shield Highest premium
Members can see any specialist in the PPO network without a referral from their primary care doctor

11 Concierge - Blue Shield
Available to assist you with: Continuity of care Prescriptions Away from home care Deductible accumulations transfers PCP selection Concierge customer service representatives are available 7 a.m. to 7 p.m. PST, Monday through Friday Telephone: (855)

12 Kaiser Permanente Multiple locations
California Colorado Georgia Hawaii Maryland/Virginia/Washington DC Oregon/Washington Coordinated services – physicians, pharmacy and labs in one location Broad coverage and choice of primary care physicians at any Kaiser Permanente facility Online tools and services Worldwide coverage

13 Mes Vision & Delta Dental
No changes to plans for either vision or dental No change in vision premium Approximately 1% decrease to dental premiums

14 Rates **Rates include current Fund 17 and Cap amounts that are subject to change depending on final negotiations and approval by BVEA and CSEA bargaining units.

15 Rates (cont’d) **Rates include current Fund 17 and Cap amounts that are subject to change depending on final negotiations and approval by BVEA and CSEA bargaining units.

16 Rates (cont’d) **Rates include current Fund 17 and Cap amounts that are subject to change depending on final negotiations and approval by BVEA and CSEA bargaining units.

17 Questions? Teri Sutton x1234 Jeanette Prickett (JP) x1223
Francisco, Benefits Account Manager, CSEBA Julie Ellis, Blue Shield Moises Ortiz, American Fidelity Carrier Websites Kaiser Permanente: kp.org Blue Shield: blueshieldca.com/ Delta Dental: deltadentalins.com Medical Eye Services: mesvision.com Bear Valley USD Benefits Resource page:

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