OE Starts October 15!Each year during open enrollment, employees have an opportunity to review their medical, dental and flexible spending account elections and make decisions about what might be the best option available to fit their unique situation.Open Enrollment begins on October 15 and continues through November 9. Elections made during Open Enrollment become effective January 1, 2019. We encourage you to read this Briefing thoroughly, and plan on attending a Benefits Open House if you need additional information. For additional assistance, utilize the Open Enrollment checklist on page 9 to help guide you through this year’s Open Enrollment.

2019 premiums can be found on page 5.

2019 Plans and Premium IncreasesMedicalAetna/Innovation Health + 2.0%CareFirst BlueChoice Advantage + 0%Kaiser Permanente Signature HMO + 3.7%

DentalAetna DPPO + 2.4%Aetna DNO + 4.4%

Long-Term Disability + 0%

Open Enrollment: Monday, October 15 – Friday, November 9, 2018

An Annual Newsletter About Open Enrollment for FCPS Employees Fall 2018

EmployeeBenefits Briefing

Important information about changes occurring in 2019 - please read thoroughly.

What’s New for 2019?• Health Plan Changes for 2019

New programming being introduced with CVS Caremark; changes to the Aetna/Innovation Health and Kaiser Permanente plans. See page 2.

• Introducing Optum Debit card now available to Flexible Spending Account participants! FSA plan will be administered by Optum in 2019. See page 3.

• Health Care Flexible Spending Account limits increased for 2019. See page 3.

• Continued Focus on Wellness with the $100 Wellness Incentive See page 6.

• Planning for Retirement Additional flexibility provided to current employees; re-entry rights available for Medicare retirees. See page 8.

OctoberM T W T F

15 16 17 18 19

22 23 24 25 26

29 30 31

November1 2

5 6 7 8 9

OE starts!

OE ends!

Open House:Chantilly HS

4 - 7 p.m.

Ext. Hours: Gatehouse4 - 7 p.m.

Open House:Hayfield SS4 - 7 p.m.

Open House:Annandale HS11 a.m. - 4 p.m.

Ext. Hours: Gatehouse4 - 7 p.m.

Office of Benefit Services · Fairfax County Public Schools2

New for 2019!Plan Changes for 2019Aetna/Innovation Health• Starting January 1, pre-certification will

not be required for complex radiology, such as MRI and CT scans. These services will be subject to a $75 copay when provided in-network (deductible applies).

• LabCorp will now be a participating lab provider in 2019. Laboratory services can be performed at either Quest or LabCorp and be considered in-network.

CVS/Caremark• New programs coming soon to support

individuals with diabetes as well as changes to covered glucometers and test strips.

• Check the CVS website (https://info.caremark.com/fcps) for any changes to formulary medications or prior authorization requirements.

Kaiser Permanente• Visit limits are changing for physical,

occupational and speech therapy. Currently, these services are limited to 90 consecutive days of treatment. In 2019, participants will be eligible for 60 visits (per condition) for each therapy.

Minnesota Life is Now Securian FinancialMinnesota Life, the administrator of our Group Life Insurance Program, has adopted the name of its parent company, Securian Financial. There is no change to life insurance benefits or coverage, which will continue to be underwritten by Minnesota Life.

Liberty Mutual Is Now Lincoln Financial for STD and LTD BenefitsLincoln Financial recently acquired Liberty Mutual, the third-party administrator for Short-Term Disability and Long-Term Disability ben-efits. You will soon be seeing rebranding of the Liberty Mutual name to Lincoln Financial. There will be no change to the short-term disability and long-term disability benefits or coverage.Liberty Mutual will continue to administer Workers’ Compensation claims. The claims reporting line remains the same: 1-800-524-0740.

New Diabetes Management ProgramCVS will roll-out a new diabetes management program which uses advanced technology to engage members and improve health outcomes by providing high-touch personalized support. The comprehensive program includes a free smart glucometer that uploads glucose measurements and provides member-specific educational content. The program also offers personalized health coaching by a diabetes educator and pharmacist as well as two (2) free Minute Clinic diabetes monitoring visits. Participants eligible for this new program will receive mailings this fall from CVS.

3Office of Benefit Services · Fairfax County Public Schools

Introducing OptumNew Flexible Spending Account Vendor for 2019We are excited to announce that Optum Bank® will be the new plan administrator for the Flexible Spending Account (FSA) plan, effective January 1, 2019. This change will provide FSA participants with enhanced servicing, including the added convenience of a debit card that can be used for eligible health care and dependent day care expenses. The debit card permits immediate payment of eligible FSA expenses, however, participants may also continue to submit electronic claims. Reimbursements will continue to process daily.Also for 2019, the maximum annual contribution for the Health Care FSA will increase from $2,600 to $2,650; the Dependent Care FSA maximum continues at $5,000. The minimum annual contribution for both accounts will increase from $120 to $250. Participants in the Health Care Flexible Spending Account (FSA) will continue to be able to carryover $500 in unused funds to the following plan year.

For Current FSA Participants:If you currently participate in the Health Care FSA or Dependent Care FSA with WageWorks in 2018, please read the following important information:• To allow for transition of claims processing from WageWorks to Optum, there will be a

blackout period in early January, when 2018 claims cannot be processed. We encourage you to submit your 2018 claims to WageWorks no later than January 6 to avoid the blackout window. Look for additional communications about submitting 2018 claims for processing later this fall.

• Unused 2018 health care FSA funds will be rolled to Optum after the blackout window. You will be notified when the rollover processing is complete, and your funds are available.

• Remember you must re-enroll to participate in 2019! Current participants are not automatically re-enrolled for next year.

Consider Enrolling in an FSA for 2019!If you aren’t currently participating in an FSA, you may want to consider enrolling in 2019 as a way to reduce your out-of-pocket expenses. Depending on your tax bracket, you can save 20-30% by paying for these expenses with pretax dollars.

Learn More!Look for more communications later this fall on how to begin accessing your benefits under Optum Bank. For more information, you can visit the Optum website www.optumbank.com/FCPS or call 1-844-875-5714 to speak with a representative.

For more information, go to www.fcps.edu and search keyword “FSA”.

With the Optum Bank debit Mastercard®, it’s easy to pay for eligible expenses! Use it at the pharmacy, pay at the doctor’s office, or write your card number on your provider bill.

Office of Benefit Services · Fairfax County Public Schools4

Resources Available During Open EnrollmentMany factors impact the decision of which health plan is best for you. FCPS encourages you to utilize the many available resources to aid you in making this important decision. These resources include the FCPS and vendor websites, member service centers, and on-site support from FCPS staff and benefits vendors during Open Houses.

Expectant Parents Mini-WorkshopsThe Office of Benefit Services will offer mini-workshops during this year’s Open Houses, providing information on how to prepare and plan for maternity/paternity-related leaves. Workshop attendees will learn about the FCPS leave benefits, maternity programs available through their health plan, and receive information about other resources.The workshop is open to all employees who would like more information on these benefits provided by FCPS. You must register through MyPLT; use the search term “parent” to find the workshop.

Workshop Schedule:• Tuesday, October 16

Chantilly H.S. Cafeteria5:00 p.m.

• Wednesday, October 24 Hayfield Secondary Cafeteria

5:00 p.m.

• Tuesday, November 6 Annandale H.S. Cafeteria (two sessions available)

11:00 a.m.

2:00 p.m.

FCPS ResourcesVisit our website https://www.fcps.edu (Search keyword “Benefits”)

Send us an email HRConnection@fcps.edu

Speak with a representative Benefit Services: 571-423-3200Hours: 8 a.m. - 4:30 p.m., Mon. - Fri.

Open HousesTuesday, October 16 4:00 – 7:00 p.m.Chantilly High School Cafeteria4201 Stringfellow Road, Chantilly

Wednesday, October 24 4:00 – 7:00 p.m.Hayfield Secondary School Cafeteria 7630 Telegraph Road, Alexandria

Tuesday, November 6 11:00 a.m. – 4:00 p.m. Annandale High School Cafeteria 4700 Medford Drive, Annandale

Open Houses will include:• Flu shot clinics (see page 7)• Benefit vendors and DHR staff• Mini-workshops for expectant parents

Extended HoursWednesday, November 7 Thursday, November 8 4:00 – 7:00 p.m. 8115 Gatehouse Road, Falls Church• Human Resources staff will be present to

answer questions and provide assistance with UConnect

Note: Flu shots are unavailable during extended hours. Due to space constraints, benefit vendors will not be present for extended hours.

5Office of Benefit Services · Fairfax County Public Schools

ME

DIC

AL

Monthly Paid Employee (deductions over 10 pay periods)1

Coverage Aetna/ Innovation Health CareFirst BlueChoice Advantage

Kaiser Permanente

YOU PAY FCPS PAYS

Total Cost YOU PAY FCPS PAYS

Total Cost YOU PAY FCPS PAYS

Total Cost

Individual $140.27 $794.85 $935.12 $107.61 $609.79 $717.40 $115.65 $655.35 $771.00

Minifamily $467.56 $1,402.68 $1,870.24 $358.70 $1.076.10 $1,434.80 $385.50 $1,156.51 $1,542.01

Family $584.35 $1,753.43 $2,337.78 $448.38 $1,345.14 $1,793.52 $481.88 $1,445.64 $1,927.52

2 Employee: Family2 $467.56 $1,870.22 $2,337.78 $358.70 $1,434.82 $1,793.52 $385.50 $1,542.02 $1,927.52

Biweekly Paid Employee (deductions over 20 pay periods)1

Coverage Aetna/ Innovation Health CareFirst BlueChoice Advantage

Kaiser Permanente

YOU PAY FCPS PAYS

Total Cost YOU PAY FCPS PAYS

Total Cost YOU PAY FCPS PAYS

Total Cost

Individual $70.14 $397.43 $467.57 $53.81 $304.90 $358.71 $57.83 $327.68 $385.51

Minifamily $233.78 $701.34 $935.12 $179.35 $538.05 $717.40 $192.75 $578.26 $771.01

Family $292.18 $876.72 $1,168.90 $224.19 $672.57 $896.76 $240.94 $722.82 $963.76

2 Employee: Family2 $233.78 $935.11 $1,168.89 $179.35 $717.41 $896.76 $192.75 $771.01 $963.76

2019 Premiums

1 All benefits-eligible employees in active status pay the same rates, regardless if part-time or full-time. Employees have deductions taken September through June. 2 Employees and their spouses who both work for FCPS in benefits-eligible positions are eligible for a spousal discount on their health and dental insurance. The FCPS Spousal Rates reflect an employee contribution of 20% of total premium for medical and dental coverage. If you are eligible but not currently receiving this discount, complete the FCPS Spouse Health Plan Deduction form (HR Form 134) and submit during Open Enrollment. As a reminder, employees are required to notify the Office of Benefit Services within 30 calendar days of any event that would cause an employee to qualify for (or cease to be eligible for) the discounted rate; including marriage, divorce, termination of employment, or commencement/termination of a leave of absence.3 COBRA premiums apply to employees/dependents who are eligible and have elected COBRA continuation coverage. Premiums are paid monthly (over 12 months) on a direct bill basis.*You can estimate the impact of changes you make to health or dental coverage by using the paycheck modeling tool (available on UConnect or at www.fcps.edu search keyword “Paycheck Modeling”).

DE

NTA

L

Monthly Paid Employee1 Biweekly Paid Employee1Coverage Aetna DNO Aetna PPO Aetna DNO Aetna PPO

YOU PAY

FCPS PAYS

Total Cost

YOU PAY

FCPS PAYS

Total Cost

YOU PAY

FCPS PAYS

Total Cost

YOU PAY

FCPS PAYS

Total Cost

Individual $7.65 $17.85 $25.50 $17.69 $41.29 $58.98 $3.83 $8.93 $12.76 $8.85 $20.65 $29.50

Minifamily $13.01 $30.36 $43.37 $30.08 $70.18 $100.26 $6.51 $15.18 $21.69 $15.04 $35.09 $50.13

Family $18.41 $42.96 $61.37 $42.65 $99.51 $142.16 $9.21 $21.48 $30.69 $21.33 $49.76 $71.09

2 Employee: Minifamily2 $8.68 $34.70 $43.38 $20.05 $80.21 $100.26 $4.34 $17.35 $21.69 $10.03 $40.11 $50.14

2 Employee: Family2 $12.27 $49.10 $61.37 $28.43 $113.73 $142.16 $6.14 $24.55 $30.69 $14.22 $56.87 $71.09

COBRA Rates3

CoverageMedical Dental

Aetna/ Innovation Health

CareFirst Kaiser Permanente

Aetna DNO Aetna PPO

Individual $794.86 $609.79 $655.35 $21.68 $50.13Minifamily $1,589.70 $1,219.57 $1,310.71 $36.87 $85.22Family $1,987.12 $1,524.49 $1,638.40 $52.16 $120.84

Office of Benefit Services · Fairfax County Public Schools6

Continuing Programs for 2019Employee Assistance Program (EAP)Work-life Balance Support Did you know that your Employee Assistance Program (EAP), Guidance Resources, can help you with your to-do list and give you back some time? In addition to providing confidential counseling as well as legal and financial resources, Guidance Resources also has work/life specialists who can act as your “personal assistant”. They will research your needs on topics, such as eldercare, childcare, pet care, vacation/event planning, college tuition, moving, and much more. Whether your request is small or large, they can help save you time and effort! Guidance Resources can also help you jump-start your personal wellness plan. Their telephonic health coaches are available to help you manage stress, start a fitness program, eat healthier, lose weight, and/or sleep better. The EAP services are free, confidential and available 24/7 for you and your household members by calling the FCPS dedicated line at 855.355.9097. The Guidance resources website has more work/life resources at www.guidanceresources.com (Web ID: FCPS) or check out their App: Guidance Resources Now. For more information, visit www.fcps.edu and search keyword “EAP”.

Health Fair at Annandale!The Annandale Open House (held on November 6) will include:• free biometric health screenings by

fingerstick; results available onsite• a virtual reality stress booth• strategies to promote back health

and ways to stay fit at work• information on diabetes risk,

prevention, and education• EAP resources

Don’t Forget to Take Your Health Assessment and Earn a $100 Wellness Incentive!Help manage your health risks and save money! Employees participating in an FCPS health plan will continue to have an opportunity to earn a $100 wellness incentive for completing their health vendor’s online health assessment (HA). For 2019, you now have the entire year to complete the assessment. If you took the HA in 2018, you can still take it again in 2019 to qualify for the wellness incentive and compare how your health status has changed.The HA is a questionnaire related to different aspects of your general health and well-being that is easy to complete in about 15-20 minutes. It provides a snapshot of your current health status and includes a wellness score, so you can become familiar with any potential health risks and strategies to help reduce them. Your individualized health report may also include information on how to obtain health coaching and/or receive other health or wellness programs that are offered through your health plan.The HA is confidential! Only you and your health plan receive the individual information. Your health-related information is not shared with FCPS in compliance with state and federal privacy laws.For more information, visit the Employee Wellness website on the FCPS intranet, search keywords “health assessment”.

7Office of Benefit Services · Fairfax County Public Schools

Staying HealthyFree Flu ImmunizationsAll FCPS employees can obtain a free flu immunization this fall. This includes full-time and part-time employees, as well as hourly/temporary or substitute employees currently on assignment. In addition to most schools holding their own flu clinics, Employee Wellness will sponsor several large clinics throughout the season during Open Enrollment events and at the large Administrative Centers. Appointment registration is required for these clinics. Schedule an appointment by visiting the Open Enrollment website and clicking on the flu shot scheduling link. You must present your employee ID when you receive your immunization. Family members of employees (18 and older) may also receive a seasonal flu immunization at any FCPS clinic. The cost is $27, payable to INOVA by cash or check at the time of the immunization. Contact flushots@fcps.edu for questions.

Date and Location Time• Wednesday, September 19

Gatehouse Administrative Center, Room 1180

8:30 a.m. – 6:00 p.m.

• Wednesday, October 3 Willow Oaks Administrative Center Room 1002 A/B

2:30 – 5:30 p.m.

• Tuesday, October 16 Chantilly HS, Cafeteria (Benefits Open House)

4:00 – 7:00 p.m.

• Wednesday, October 24 Hayfield Secondary, Senior Cafeteria (Benefits Open House)

4:00 – 7:00 p.m.

• Tuesday, November 6 Annandale High School, Lecture Hall (Benefits Open House)

11:00 a.m. – 4:00 p.m.

• Thursday, December 13 Gatehouse Administrative Center Cafe

2:30 – 5:30 p.m.

Know Before You GoWhen you need medical care, you have choices! If your family doctor’s office is closed and you need care for a non-life-threatening illness or injury, consider using a participating walk-in clinic or urgent care center. You are typically seen more quickly, and it can cost you less money than an Emergency Room (ER) visit.

Call Your Doctor or Visit a Walk-in ClinicWhen you have:• A cold• A muscle spasm• An ear infection• A sore throat

Your Primary Care Physician (PCP) is usually your best option. However, if you cannot see your doctor, walk-in clinics provide convenient, low-cost treat-ment for minor illnesses or injuries.

Urgent Care Center

When you:• Cannot reach your doctor• Need care after hours or on a weekend• Need medical care today but feel safe to wait a

few hours• Received instructions from a medical profession-

al to go to an Urgent Care

Urgent Care Centers cost more than walk-in clinics, but much less than the ER. These facilities are overseen by doctors, with nurse practitioners or physician assistants on site.

Emergency Room or Call 911When you have:• Trouble breathing• Chest pain• Uncontrolled bleeding• Severe pain or have suffered a serious injury

If you’re experiencing something that could be life-threatening, don’t wait! Call 911 or go straight to the nearest ER.

Office of Benefit Services · Fairfax County Public Schools8

Changes to Retiree Health Eligibility Provide Additional Flexibility for CoverageEmployees planning on retaining FCPS health coverage into retirement will want to review upcoming changes to retiree health eligibility. These updates will make it easier for current employees to meet eligibility criteria to retain coverage into retirement. The changes also allow retirees to cancel coverage and potentially re-enroll in the plan at a later date (under certain conditions) and require longer employment tenure for employees hired in the future. This provides flexibility to retirees who may wish to explore plans available through another employer or the marketplace, while responsibly addressing the growing cost of health insurance and impact on FCPS’ financial liability.Under current rules, employees who wish to retain health coverage at retirement must be covered for sixty (60) consecutive months immediately prior to retirement. If FCPS coverage is dropped in retirement, coverage cannot be reinstated.Starting January 1, 2019, current employees are eligible to retain FCPS coverage as a retiree if:

• You are covered under an FCPS health/dental plan for sixty (60) consecutive months immediately prior to retirement; or

• You have 15 or more years of FCPS service.In all cases, you must have coverage at time of retirement in order to maintain coverage as a retiree.Additionally, starting next year, a retiree covered under the FCPS plan may choose to drop FCPS coverage and re-enter the plan at a later date if Medicare-eligible. A retiree who wishes to re-enter the plan must also show proof of other health coverage for 12 or more consecutive months. A retiree may only re-enter the plan one (1) time. The Deferred Health Option plan will be eliminated and replaced with the re-entry rights.

Retiree Health Eligibility Criteria as of January 1, 2019Current employees (employed as of 12/31/18)

Future Employees (hired on or after 1/1/19)

Requirement to retain health coverage in retirement

• Covered by the FCPS health/dental plan(s) at time of retirement, and– Have 15 or more years of FCPS

serviceor

– Covered under an FCPS plan for 60 or more months coverage immediately prior to retirement

• 15 or more years of FCPS service. FCPS coverage must be in effect at time of retirement.

Retiree re-entry rules

Note: May only re-enter type of coverage in effect (i.e., medical and/or dental) when coverage was dropped.

Employees may drop coverage at retirement (or retirees may drop coverage after the date of retirement) and re-enter the FCPS health/dental plans at a later date if: • Meets the definition of retiree (begins drawing a retirement benefit from one of

the FCPS retirement systems immediately upon termination of employment), and

• Meets the requirements above to retain coverage, and• Is eligible (and any covered dependents are eligible) for Medicare when request-

ing to re-enter the plan, and• The retiree (and any covered dependents) provides proof of other coverage for

the preceding 12 consecutive months

For more information, search keywords “Preparing for Retirement” on the FCPS website.

Planning for Retirement

9Office of Benefit Services · Fairfax County Public Schools

Your Open Enrollment ChecklistBefore Open Enrollment: Log into UConnect to verify your personal information is correct, such as:

– Your mailing address and phone number – Your dependent(s) SSN(s)

Go to www.fcps.edu and search “UConnect”. Your log-in information is your FCPS user ID and password. Note: you can update your personal information in UConnect at any time of year.

Review your health care claims to help estimate your out-of-pocket expenses for 2019. Think about enrolling in a Flexible Spending Account (Health Care and/or Dependent Day Care) to help reduce your out-of-pocket costs by saving money on taxes in 2019.

Become familiar with each vendor’s tools and resources, which will help you determine what plan might best fit you and your family’s needs.

If you will be requesting coverage for your spouse and/or dependent children who are not currently covered under an FCPS plan, begin gathering legal documentation needed to add them to your coverage.

During Open Enrollment: Review this Benefits Briefing carefully as you consider your plan choices. Take

advantage of the many open enrollment resources available to you, including information on the FCPS and benefits vendor websites, attend a Benefits Open House, or visit the Gatehouse Administration Center.

Log into UConnect and review your elections for calendar year 2019. Make changes if needed. Remember, Open Enrollment ends at 4:30 p.m. on Friday, November 9.

If you participated in the Flexible Spending Account program in 2018, you must re-enroll to continue participating in 2019.

After Open Enrollment: Review carefully the benefits confirmation statement that will be sent to your

FCPS email account in mid-November.

If you changed plans during Open Enrollment, look for new ID cards in late December.

If you enrolled in an FSA, look for your Optum Bank debit Mastercard in late December.

Employees covering spouse/dependent children, please note –FCPS must collect your spouse/dependent child(ren)'s SSN for reporting health plan enrollment to the IRS. Please review these SSN’s to ensure they are accurate. If you are requesting coverage for your spouse and/or dependent children, you must supply the appropriate legal documents to support eligibility for coverage under the plan. Go to www.fcps.edu and search “dependent eligibility” for a list of required documents. You may scan and email your documents to HRBenefitsDocumentation@fcps.edu or fax your documents to 571-423-5000.Your dependent’s coverage cannot be made effective until the Office of Benefit Services receives appropriate legal documentation.

Office of Benefit Services · Fairfax County Public Schools10

Your Benefits and the LawMedicare Prescription Drug (Medicare D) Plan Information for covered employees/dependents age 65 or older. All FCPS medical plans include prescription drug coverage that is currently more comprehensive than the Medicare prescription drug plan. As an active employee, your FCPS medical coverage is primary to Medicare and you do not need to enroll in a Medicare Rx (Medicare D plan). For more information, see “Important Notice from Fairfax County Public Schools about Your Prescription Drug Coverage and Medicare” in the Employee Benefits Handbook.

Summary of Benefits and Coverage An updated Summary of Benefits and Coverage for each medical plan is available on the FCPS website. Go to www.fcps.edu and search "SBC" for more information. These documents are also available on each medical vendor’s website.

Women’s Health and Cancer Rights Act If you have had or are going to have a mastectomy, you may be entitled to certain benefits under the Women’s Health and Cancer Rights Act of 1998 (WHCRA). For individuals receiving mastectomy-related benefits, coverage will be provided (in a manner determined in consultation with the attending physician and the patient) for:• All stages of reconstruction of the breast on which

the mastectomy was performed• Surgery and reconstruction of the other breast to

produce a symmetrical appearance• Prostheses• Treatment of physical complications of the

mastectomy, including lymphedemaThese benefits are subject to the same deductible and coinsurance applicable to other medical and surgical benefits provided under the plan. Refer to the summary plan documents available on each vendor's website for more information.

Medicaid & the Children’s Health Insurance Program (CHIP) Offer Premium Assistance for Health Coverage for Children and FamiliesIf you or your children are eligible for Medicaid or CHIP and you are eligible for health coverage from your employer, your state may have a premium assistance program that can help pay for coverage, using funds from their Medicaid or CHIP programs. If you or your children are not eligible for Medicaid or CHIP, you will not be eligible for these premium assistance programs but you may be able to buy individual insurance coverage through the Health Insurance Marketplace. For more information, visit www.healthcare.gov.

If you or your dependents are already enrolled in Medicaid or CHIP and you live in a state offering premium assistance, contact your State Medicaid or CHIP office to find out if premium assistance is available.If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any of your dependents might be eligible for either of these programs, contact your State Medicaid or CHIP office at 1-877-KIDS NOW or visit www.insurekidsnow.gov to find out how to apply. If you qualify, ask your state if it has a program that might help you pay the premiums for an employer-sponsored plan. If you or your dependents are eligible for premium assistance under Medicaid or CHIP, as well as eligible under your employer plan, your employer must allow you to enroll in your employer plan if you are not already enrolled. This is called a “special enrollment” opportunity, and you must request coverage within 60 days of being determined eligible for premium assistance.If you have questions about enrolling in your employer plan, contact:• Department of Labor:

www.askebsa.dol.gov or call 1-866-444-EBSA (3272)

• Medicaid: www.coverva.org/programs_premium_assistance.cfm or call 800-432-5924

• CHIP: www.coverva.org/programs_premium_assistance.cfm or call 855-242-8282

Financial Benefit Notices

Fairfax County Public Schools 403(b) Universal Availability Notice All Fairfax County Public Schools employees (contracted and temporary hourly) are eligible to participate in the FCPS 403(b) plan. It is a tax-deferred retirement savings plan available to employees of public educational institutions and certain tax-exempt organizations. Go to www.fcps.edu and search keyword “403b” for more information.

Fairfax County Public Schools 403(b) Plan Notice The FCPS 403(b) Plan has been revised to permit participants to obtain up to five loans and to allow participants who may be former employees to make rollover contributions. Go to www.fcps.edu and search keyword “403b” for more information.

11Office of Benefit Services · Fairfax County Public Schools

FCPS health plans comply with applicable Federal civil rights laws, including Section 1557 of the Affordable Care Act (Nondiscrimination in Health Programs and Activities). In compliance with the Act, FCPS health plans do not exclude people or treat them differently because of race, color, national origin, age, disability, or sex. FCPS health plans also prohibit denial of health care or health coverage based on an individual’s sex, including discrimination based on pregnancy, gender identity, and sex stereotyping.The Plan also provides important protections for individuals with disabilities and enhances language assistance for people with limited English proficiency. Each tagline listed below reads, "If you speak [native language], language assistance services, free of charge, are available to you. Call 571-423-3200."

FCPS Plans Comply with Non-Discrimination Provisions of the Affordable Care Act

Language Assistance ServicesENGLISH

ATTENTION: If you speak English, language assistance services, free of charge, are available to you. Call 571-423-3200.

AMHARIC (አማርኛ)አዳምጥ : አማርኛ, ከክፍያ ነፃ የቋንቋ እርዳታ አገልግሎቶች , የሚናገሩ ከሆነ , ለእርስዎ የሚገኙ ናቸው . 571-423-3200 ይደውሉ .

ARABIC (ةيبرعلا).3200-423-571ةملاكمتنبیھ: إذا كنت تتكلم العربیة ، وخدمات المساعدة اللغویة ، مجانا ، تتوفر لك .

BENGALI (বাংলা)

দিৃ� আকষর্ণ: আপিন বাংলা , ভাষা সহায়তা েসবা, িনখরচা কথা বলেত পােরন, আপনার জনয্ উপল� . 571-423-3200 কল .

CHINESE (繁體中文)注意：如果你说中国话，语言协助服务，免费的，都可以给你。拨打571-423-3200 。

FRENCH (Français)ATTENTION : Si vous parlez français , les services d'assistance de langues, gratuitement , sont à votre disposition. Appelez 571-423-3200 .

GERMAN (Deutsch)ACHTUNG: Wenn Sie Deutsch sprechen , Sprachassistenzdienste sind kostenlos, zur Verfügung. Rufen Sie 571-423-3200 .

HINDI (�हदं�)

ध्यान द�: आप �हदं� , भाषा सहायता सेवाओ,ं �न: शुल्क बोलते ह�, तो आप के �लए उपलब्ध ह� । 571-423-3200 बुलाओ।

IBO (Igbo asusu)Ntị : Ọ bụrụ na ị na-ekwu okwu n'ala Igbo , asụsụ aka ọrụ , n'efu , dị ka gị. Akpọ 571-423-3200 .

KOREAN (한국어)주의 :당신이한국어,무료언어지원서비스를말하는경우사용할수있습니다. 571-423-3200를호출합니다.

KRU (Ɓàsɔ́ɔ̀-wùɖù-po-nyɔ̀)Dè ɖɛ nìà kɛ dyéɖé gbo: Ɔ jǔ ké m̀ Ɓàsɔ́ɔ̀-wùɖù-po-nyɔ̀ jǔ ní, nìí, à wuɖu kà kò ɖò po-poɔ̀ ɓɛ́ìn m̀ gbo kpáa. Ɖá 571-423-3200.

PERSIAN FARSI (یسراف).3200-423-571توجھ: اگر شما فارسی صحبت می کنند ، خدمات کمک زبان رایگان در دسترس شما ھستند . پاسخ

RUSSIAN (Русский)ВНИМАНИЕ : Если вы говорите России , переводческие услуги , бесплатно , доступны для вас . Звоните 571-423-3200 .

SPANISH (Español)ATENCIÓN : Si usted habla español, servicios de asistencia lingüística, de forma gratuita, están disponibles para usted. Llame a 571-423-3200.

TAGALOG (Tagalog)PAUNAWA: Kung nagsasalita ka ng Tagalog, maaari kang gumamit ng mga serbisyo ng tulong sa wika nang walang bayad. Tumawag sa 571-423-3200.

URDU (اُرُدو)پر کال کریں .3200-423-571توجہ: اگر آپ اردو بولتے ہیں تو ، مفت زبان کی مدد کی خدمات آپ کو دستیاب ہیں .

VIETNAMESE (Tiếng Việt)Chú ý : Nếu bạn nói tiếng Việt , các dịch vụ hỗ trợ ngôn ngữ , miễn phí, có sẵn cho bạn . Gọi 571-423-3200 .

YORUBA (èdè Yorùbá)AKIYESI: Bi o ba nsọ èdè Yorùbú ọfé ni iranlọwọ lori èdè wa fun yin o. Ẹ pe ẹrọ-ibanisọrọ yi 571-423-3200.

Department of Human ResourcesOffice of Benefit ServicesGatehouse Administration Center, Suite 27008115 Gatehouse Road, Falls Church, Virginia, 22042-1203

Open Enrollment: October 15 - November 9

Please read thoroughly to learn more about:

Benefit plan updates for 2019;

2019 medical and dental premiums; and

Ways to stay healthy in the new year

Visit www.fcps.edu and search “Open Enrollment” for more details.