Transcript of Open Enrollment 2015 Plan Year July 1, 2015 – June 30, 2016 Fauquier County Government Fauquier...
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- Open Enrollment 2015 Plan Year July 1, 2015 June 30, 2016
Fauquier County Government Fauquier County Public Schools Human
Resources Department 540-422-8300
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- Important Dates to Remember Online process begins April 20th
ALL employees must complete process by May 8 th Benefit changes
effective: July 1, 2015 - June 30, 2016 *Please note that since we
pay our health insurance premiums 1 month in advance, the new
premiums will come from Junes paycheck.
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- What is Open Enrollment? Open Enrollment is a once-a-year
opportunity to make health insurance election changes Change plans
Add or drop coverage for yourself Add or drop coverage for your
dependents
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- MID-YEAR QUALIFYING EVENTS What changes can I make outside Open
Enrollment? Eligible qualifying event as defined by IRS guidelines
Common examples include: Marriage Divorce Birth or adoption Gain or
loss of coverage
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- WHATS NEW FOR BENEFITS? Dental Plans Anthem named as new
provider Lower premiums Coverage for composite fillings Medical
Plans NO Premium increase to employees! No change in coverage
Telemedicine July 1, 2015 June 30, 2016
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- Dental Plans Effective July 1, 2015 dental coverage through
Anthem Standard and High Option plan choices Decrease in dental
premiums Coverage added for composite (white) fillings for both
plans Coordination in care Studies show direct causes of gum
disease with specific medical conditions Using same provider for
medical and dental allow for easier Condition Care enrollment
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- BI-WEEKLY Premiums Standard Option Current Premiums Effective
June 1, 2015 Employee Only$3.00$2.80 Employee & Child$5.75$5.37
Employee & Spouse$17.25$16.10 Employee & Family$27.50$25.67
Dental Plans High Option Current Premiums Effective June 1, 2015
Employee Only$5.50$5.14 Employee & Child$9.75$9.14 Employee
& Spouse$22.75$21.24 Employee & Family$34.00$31.74
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- Medical Plans All plans will remain with the same coverage No
increase to employees premiums County employees hired prior to July
1, 2014 will now have access to the Lumenos plan If employees elect
this coverage, they will no longer be considered grandfathered
Introduction of Telemedicine
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- BI-WEEKLY Premiums KeyCare 10 PPO Cost Effective June 1, 2015
Employee Only$ 18.78 Employee & Child$ 59.33 Employee &
Spouse$151.91 Employee & Family$194.42 KeyCare 15 PPO Cost
Effective June 1, 2015 Employee Only$ 10.91 Employee & Child$
48.86 Employee & Spouse$136.19 Employee & Family$173.51
Medical Plans HealthKeepers 10 HMO Cost Effective June 1, 2015
Employee Only$ 7.03 Employee & Child$ 35.78 Employee &
Spouse$115.30 Employee & Family$148.47 HealthKeepers 20 HMO
Cost Effective June 1, 2015 Employee Only$ 3.00 Employee &
Child$ 9.27 Employee & Spouse$ 57.82 Employee & Family$
82.71 County employees hired prior to July 1, 2014 Lumenos Cost
Effective June 1, 2015 Employee Only$ 0.00 Employee & Child$
10.00 Employee & Spouse$ 37.50 Employee & Family$
62.50
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- BI-WEEKLY Premiums KeyCare 15 PPO Cost Effective June 1, 2015
Employee Only$ 25.00 Employee & Child$ 75.00 Employee &
Spouse$182.50 Employee & Family$237.50 Medical Plans
HealthKeepers 20 HMO Cost Effective June 1, 2015 Employee Only$
10.00 Employee & Child$ 25.00 Employee & Spouse$ 82.50
Employee & Family$ 122.50 School employees and County employees
hired after to July 1, 2014 Lumenos Cost Effective June 1, 2015
Employee Only$ 0.00 Employee & Child$ 10.00 Employee &
Spouse$ 37.50 Employee & Family$ 62.50
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- Grandfathered (Hired prior to July 1, 2014) Non Grandfathered
(Hired after July 1, 2014) KeyCare 10 PPOHealthKeepers 10KeyCare 15
PPOHealthKeepers 20Lumenos CY DeductibleNone $2,000/$4,000 CY
Out-of-Pocket Maximum $1,000/$2,000$1,500/$3,000$2,000/$4,000
$4,000/$8,000 Hospital Benefits Inpatient$200 copay; then 10%$200
copay$300 copay; then 20%$200 copay/day to $1000 max20%, after CY
Deductible Outpatient Surgery$100 copay; then 10%$150 Copay$100
copay; then 20%$200 Copay20%, after CY Deductible Emergency Room
Visit$100 copay; then 10%$100 copay$100 copay; then 20%$100
copay20%, after CY Deductible Physician PCP Office Visit$10 Copay
$15 Copay$20 Copay20%, after CY Deductible Specialist$20 Copay $30
Copay$40 Copay20%, after CY Deductible Preventive Care Well
Baby/Well AdultCovered @100% MammographyCovered @100% Prescription
DrugsOptum Rx Anthem Retail$10/$20/$35 or 20% 20%, after CY
Deductible Medical Plan Features In network Benefits Additional
plan features can be found on the Open Enrollment website:
http://www.fauquiercounty.gov/government/departments/HR/
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- Telemedicine Anthem BlueCross BlueShield presents LiveHealth
Online. With LiveHealth Online, you get: Immediate doctor visits
through live video Your choice of board certified doctors with an
average of 15-years of practice Mostly Primary Care Physicians
Private, secure and convenient on-line visits How do I get this
service? Enroll for free at livehealthonline.com Free on mobile app
available How much does it cost? For KeyCare PPO and HealthKeepers
HMO members the copay will be $0 For Lumenos plan members the copay
will be the same as an office visit and subject to the deductible.
If you are not on the medical plan, you may use this service as
well. The cost per session is $49.00 New Benefit
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- Section 125 Flexible Spending Ability to set money aside
Pre-Tax Medical Expense Dependent Day Care Flex Debit Cards
Available for Medical Flexible Spending Accounts For existing
participants, your current Debit Card will be reloaded with your
new election amount Reminder, IRS regulations allow up to a $500.00
roll over into next plan year Maximum Annual Contributions Medical
- $2,500.00 Dependent Care - $5,000.00 MUST ENROLL OR RE-ENROLL
EACH YEAR To enroll: Meet with a representative Or Go to
http://americanfidelity.com
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- Voluntary Benefits American Fidelity Adam Ashby Contact:
434-996-4719 Adam.Ashby@americanfidelity.com Cancer Insurance Long
and short term disability Insurance Accident Life Insurance AFLAC
Jim Edmonds Contact: 540-349-7701 James_Edmonds@us.Aflac.com Cancer
Insurance Long and short term disability Insurance Accident
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- VALIC Retirement Services Bob Wells 540-878-6696
bob.wells@valic.com bob.wells@valic.com www.valic.com www.valic.com
Pre-tax contributions Tax-deferred growth County employees are
eligible to participate in a 457(b) School employees are eligible
to participate in a 457(b) and/or 403(b) It is never too late to
start
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- Open Enrollment Options Fauquier ePortal Confirm or change your
medical and dental plans Add or drop dependents based on
eligibility No Changes? Confirm current elections online and
submit
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- What You Will Need For The Online Process! Your ePortal
username and password Social security number(s) & date(s) of
birth for all dependents(s)participating in the benefit plans PCP
Code if participating in HMO plan. Click on link to visit
anthem.com and Find a Doctor.
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- How to Access Open Enrollment through ePortal From your web
browser type eportal.fauquiercounty.gov Once you are logged in
Click on Employee Self Service Click Benefits After reviewing your
current plans, select the Open Enrollment link
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- Dependent Eligibility Certification What Do You Need to Do?
During Open Enrollment: Review your dependents health care covered
by the health plans and make any necessary changes. 2015: If you
have not previously submitted proof of eligibility, or if you are
adding dependents during Open Enrollment, you will be required to
provide proof of eligibility Failure to complete the verification
and provide the required documentation will result in the
termination of dependents coverage.
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