CDSD Benefits Open Enrollment 2018 1 Open Enrollment is for - - PowerPoint PPT Presentation

CDSD Benefits Open Enrollment 2018

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Open Enrollment is for…

Changes and Enrollments Medical and Waiver 403(b) beneficiaries Flexible Spending Account Spousal Surcharge verification Life beneficiaries Vision and Dental

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Benefits Eligibility

When are you eligible to enroll or make changes to current elections?

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Forms to Comple lete Durin ing Open Enroll llment

Forms submitted during Open Enrollment are subject to the terms of your collective bargaining agreement. Please refer to the benefits booklet sent to you via email and to your school or other district location. Within the booklet, you will see a benefits forms grid. The grid is a clear outline of what forms are applicable to your job classification and when each form need to be completed.

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Qualifying Life Events

If you experience a qualifying event and desire to make changes to your benefits enrollment, you have 31-days from qualifying event date to do so.

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Employee and Dependent Benefits Eligibility

• Employees working at least 30 hours per week who

have met District requirements and the obligations

• f their Collective Bargaining Agreement
• Legally married spouses
• Medical- Children up to age 26 and children who

are over 26 but are permanently disabled

• Dental & Vision- Children up to age 19 or up to age

23 if full-time student

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Medical Insurance

Highmark Information and Medical Plan Provisions

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Hig ighmark Websit ite- Medical Consumer Friendly

Provider Search Simplified

• PCP’s, Specialists, Hospitals, Imaging,

Urgent Care, pharmacies and more!

Compare Provider Profiles

• Patient ratings, Blue Distinction

Centers, board certs, accreditations, etc.

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Hig ighmark Websit ite- Care Cost Estimator

Did you know…

Common healthcare services, like x-rays and lab tests, can cost from 30 to 50 percent more depending on where you go. The Care Cost Estimator helps you search almost all of these services to find the best price. Sample search…

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Hig ighmark Websit ite- Care Cost Estimator

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Medical Plan Deductible and Coinsurance

How do they work for my medical plan?

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UNDERSTANDING YOUR DEDUCTIBLE

DEDUCTIBLES APPLY TO:

• Inpatient and Outpatient

hospital procedures

• Outpatient Medical/Surgical
• Diagnostic Services

(Diagnostic medical, lab/pathology, allergy testing, Basic & Advanced imaging: x-rays, MRI, CAT, PET scans)

• Durable Medical Equipment (DME),

Orthotics and Prosthetics

• As well as other services listed on benefit summary

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Deductibles run

• n a contract year

You pay the bill until you hit your deductible

UNDERSTANDING COINSURANCE

*Coinsurance only applies to your Out-of-Network benefit

• Coinsurance is the percent of the bill

you pay after you hit your deductible

• Coinsurance payments apply to:
• Inpatient and Outpatient hospital procedures
• Outpatient Medical/Surgical
• Diagnostic Services (Diagnostic medical,

lab/pathology, allergy testing, Basic & Advanced imaging: x-rays, MRI, CAT, PET scans)

• Durable Medical Equipment (DME), Orthotics and Prosthetics
• As well as other services listed on benefit summary

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Pay your deductible first, then your coinsurance begins

You Pay Nothing For Preventive Care!

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Benefit In-Network Preventive Visits (adult & pediatric) 100% no deductible Pediatric Immunizations 100% no deductible

Routine Gynecological Exams including Pap Test

100% no deductible Mammograms (annual routine) 100% no deductible Preventive Diagnostic Screening 100% no deductible

Flexible Spending Account

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Flexible Spending Account (FSA)

The District offers both a Health Care and Dependent Care FSA.

• 2018 FSA maximum/minimum contribution limits:
• Health Care- $2,650/$120
• Dependent Care- $5,000/no minimum
• Carryover provision
• Allows you to carryover amounts from $60 to $500 of unused

funds from your health care FSA at the end of each plan year. The carryover does NOT apply to the Dependent Care FSA.

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Flexible Spending Account (FSA)

Qualified Healthcare Expense Examples:

Healthcare Dependent Care

Contraceptives Care for child under age 13 Copays, coinsurance and deductibles Care for spouse or other tax dependent Dental and eye exams Elder care for spouse or other tax dependent Durable medical equipment Nursing home care (restrictions apply)

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Dental & Vision

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Delta Dental

• Majority of preventative and restorative services

covered at 100%

• Annual Delta Dependent verification

Please reference the dental page on the District website and your Collective Bargaining Agreement for specific plan design information

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Delta Dental

Cost Example

Example PPO Participating Dentist Premier Participating Dentist Non-Delta Dentist Dentist’s Charge $200 $200 $200 Delta Max Plan Allowance $120 $150 $120 % of Allowance Paid by Delta 50% 50% 50% Delta Pays $60 $75 $60 Patient Pays $60 ($120-$60) $75 ($150-$75) $140 ($200-$60)

 Note that the PPO Network of dentists offers the deepest discount.  When looking for a dentist on Delta’s website, the dentist search will automatically default to providers in the PPO Network.

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Delta provides you with access to two networks:

PPO Premier

Delta Dental- Dual Coverage Coordination of Benefits

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Delta Dental- Dual Coverage Coordination of Benefits (con’t)

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Davis is Vis isio ion Vision Plan Design:

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Visit the district website or contact Davis Vision for additional vision plan details!

Davis Vision

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Life Insurance & 403(b) Plan

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Life & Long-Term Disability Insurance

Term Life insurance is offered to eligible employees as a flat dollar amount based on collective bargaining agreement.

Remember to update your life insurance beneficiaries as you have the need!

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403(b) Plan

Don’t delay, plan for retirement today!

• Enrollment is optional and employees can enroll at anytime
• 403(b) plan contributions are payroll deducted and tax-deferred
• 2017 IRS maximum contribution- $18,000. Age 50 and over can contribute an

additional $6,000 for a max of $24,000.

• Provides extra retirement savings in addition to your PSERS pension

contribution

• Nationwide Online enrollment:

http://www.nationwide.com/403b-retirement-plans.jsp Use case number: 782-80039

• Contact Polaris Retirement Plan Advisors:

Kimberly Wenger 775-8061 ext. 36

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Your 403(b) Plan & Saving for Retirement

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Information provided by Polaris Advisors

Plan Early for Retirement

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Information provided by Polaris Advisors

403(b) Contributions

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Information provided by Polaris Advisors

Other District Offered Benefits

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Connect Care 3 (CC3)

CC3 is a free voluntary benefit to you as a an employee enrolled in District medical benefits.

What CC3 can do for you:

• Educate you on your injury or illness
• Research and share a list of doctors and medical facilities
• Prepare a list of questions that you should ask your doctor at your next

appointment

• Accompany you to your doctor’s appointment, if desired
• Help you find access to social services
• Resolve certain insurance issues

Contact: (877) 223-2350, www.connectcare3.com, info@connectcare3.com

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Employee Assistance Program (EAP)

The EAP is a free, voluntary, completely confidential service that is provided to you by the District through Mazzitti & Sullivan. Counseling sessions provided for:

– Marital and family issues – Issues with children and adolescents – Emotional distress – Personal issues – Anger, stress, and time management – Grieving – Alcohol, drug, or other addictions – Health-related issues – Job stress – Child or spousal abuse

Available to you and your family members- No enrollment necessary!

Contact: 1-800-543-5080 info@mseap.com www.mseap.com,

Click ‘Member Login’ and use ‘CD’ in the Sign In box under ‘Access Code’

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Access Your Benefits From Anywhere

Websites & Mobile Apps

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davisvision.com highmarkblueshield.com

Your access to more information

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Vir irtual Medicin ine

Telemedicine

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Virtual Medicine (Telemedicine)

• What is it?
• A “virtual” doctor’s visit from the convenience
• f your computer, smartphone or tablet
• When should you consider

virtual medicine?

• Acute care: Bad cold, child with

an earache on vacation

• When you can’t wait to see

a dermatologist

• Follow-up visits with a PCP or specialist

when available

Virtual Medicine (Telemedicine)

• Minor illnesses
• Behavioral health
• Skin, hair and

nail issues

• Minor illnesses
• Behavioral health

Find out more now – so you’re ready when you need care

• Go to the website and register:

– doctorondemand.com – amwell.com – dermatologist.com

• Or download the free app
• Ask your PCP or specialist if

he or she offers virtual medicine

What do I do now? Next Steps

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Review Your Benefits Booklet

Booklets by bargaining unit will be sent to you home school or other district location. You will also receive the same booklet via email copy prior to Open Enrollment beginning on April 3rd. Booklets will contain specific information applicable to your employee classification for the 2018-19 benefits Open Enrollment period. BE SURE TO READ AND REVIEW FOR IMPORTANT INFORMATION!

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What Can I Find on the Benefits Pages of the District Site?

Visit: http://www.cdschools.org

Log in: with your district computer access user name and password Go to: Administration>Human Resources>Open Enrollment 2018-19 and click

• n your employee group page.

Administration>Human Resources>Benefits>Click on the page you wish to view:

• 403(b)
• ConnectCare3
• Davis Vision
• Delta Dental
• Employee Assistance Program (EAP)
• FSA
• Medical
• Life and LTD
• New Hire Benefits Information
• Medical Summaries of Benefits and Coverage
• Vendor Contact Information

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Vendor Contacts Vendor Phone Website

Assurant Life & Long Term Disability Insurance 1-866-403-7700 www.assurant.com ConnectCare3 1-877-223-2350 www.connectcare3.com Conexis Flexible Spending Plan 1-866-279-8385 www.conexis.com Davis Vision 1-800-999-5431 www.davisvision.com Delta Dental Insurance 1-800-471-7068 www.deltadental.com Highmark Blue Shield Insurance 1-800-345-3806 www.highmarkblueshield.com Mazzitti & Sullivan Employee Assistance Program 1-800-543-5080 www.mseap.com Medco Prescription Drug Member Service 1-800-903-6228 www.medcohealth.com Nationwide 403b 1-888-867-5175 www.nationwide.com PSERS (Public School Employees’ Retirement System) 1-888-773-7748 www.psers.state.pa.us Polaris Advisors – Retirement Plan Services (717) 775-8061 x36 Kimberly Wenger www.polarisadvisors.net

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Questions?

Please refer to your BENEFITS BOOKLET sent to you via email and to your school. If you have any questions, contact your benefits team:

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Benefits Health Wellbeing To You From us!

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