NEW EMPLOYEE ORIENTATION RISK MANAGEMENT & INSURANCE BENEFlex - PowerPoint PPT Presentation

NEW EMPLOYEE ORIENTATION RISK MANAGEMENT & INSURANCE

BENEFlex 2020 IMPORTANT INFORMATION FOR NEW HIRES! BENEFIT FORMS ARE DUE WITHIN 31 DAYS OF YOUR DATE OF HIRE PAYROLL DEDUCTIONS BEGIN ONE MONTH IN ADVANCE SOME BENEFITS OFFER “GUARANTEED ISSUE” DEPENDENTS REQUIRE DOCUMENTATION

PAYROLL DEDUCTIONS 20 Payroll Deductions per year. • You pay for 12 months of coverage during the 10 month school year. • You pay one month in advance. • Deductions include a portion for summer coverage. • Summer premium may be owed upon your initial enrollment or if you change benefits during the year. • If your deductions change during the year, you may owe premium or you may be due a refund.

2020 Enrollment & Change Form – Required!

Form Required if Enrolling in Coverage Life Insurance Online Application to Enroll in Coverage GUARANTEED ISSUE FOR NEW HIRES Employee coverage up to $100,000 elected on Enrollment & Change Form Employee coverage over $100,000 and spouse coverage require online Medical History Statement

All three medical plans offer: • Preventive care covered 100%  Annual physical  Well woman care  Well baby visits  Flu shot  Skin cancer screening  Mammogram  Colonoscopy • No Primary Care Physician required • No referrals required • National provider networks • Out of Pocket Maximum  $4500 Individual/$9000 Family Which Health Plan is Right for You?

Which Health Plan is Right for You? CDHP DHP + HRA Choice ce POS S II Select Open Access Must stay in Network In Network & Out of Network Must stay in Network National Network: Open Access Aetna Select National Network: National Network: Choice POS II Open Access Aetna Select Must meet a deductible: $1500 individual/$3000 Family You pay 20% after deductible Must meet a deductible: No deductible Co-pays for all services $500 individual/$1000 Family Health Reimbursement Account You pay 20% after deductible provided $500 individual/$1000 Family (MasterCard debit card mailed separately from ID cards)

Aetna Prescription Drug Program Generic • The least expensive prescription, same effectiveness as a brand name drug $20 co-pay • NO DEDUCTIBLE • Preferred brand, higher cost prescription, brand name medications that Preferred Brand have proven to be most effective in their class $50 co-pay • NO DEDUCTIBLE • Higher cost, brand name medications, typically lower cost alternatives Non-Preferred Brand available as Generic and Preferred Brand $90 co-pay • DEDUCTIBLE $250 Individual/$500 Family • Higher cost drugs, often injectable or infused Specialty • Used to treat complex or rare, chronic conditions $120 co-pay • DEDUCTIBLE $250 Individual/$500 Family Deductible on Non-Preferred Brand and Specialty medications All major retail pharmacies in network must be met before copays will apply. Certain drugs will require step therapy, quantity limits & Mandatory Maintenance Choice Program authorizations.

Save money by paying two co-pays for a 90 day supply of maintenance medications when obtaining those prescriptions through Aetna Mail Order or CVS Pharmacy Example: $20 for a 30 day supply ($60 for 3 month supply) $40 for one 90 day supply* *at home delivery, mail order pharmacy or CVS pharmacy You must call Aetna in order to opt-out and fill maintenance medications at any other pharmacy in the Aetna network (30 day fill option only)

Wellness Program Aetna Health Promise Employees can earn $250 or $350 dollars by participating in various wellness programs throughout the year. Employee + Spouse Employee Only Plan Employee + Family Employee + Children 2 Board Family Plan Number of Credits 5 8 Incentive $250 $350 Full list of approved Aetna Health Promise activities can be found on pcsb.org/wellness. Check your Credits in the Future! Go to www.aetna.com to see how many credits you have. If you are missing credits that you have completed, reach out to Gina DeOrsey (pcs.deorseyg@pcsb.org ) or Jessica O’Connell (pcs.deorseyg@pcsb.org).

Visit www.pcsb.org/wellness

“No Health” Board Contribution If you do not need medical insurance, you are eligible to use a $75 per pay period Board Contribution Credit to enroll in eligible supplemental benefits DENTAL - Humana Advantage EXAMPLE - Met Life Board Credit $75.00 VISION Humana Advantage Dental (2P) $13.02 Eye Med Vision (2P) $ 2.83 ACCIDENTAL DEATH & AD&D $100,000/Fam $ 2.10 DISMEMBERMENT INSURANCE Disability – up to SSNRA Disability $800/30 day $ 9.07 MetLife HIP (EE/Family) $21.00 HOSPITAL INDEMNITY PLAN Healthcare FSA $25.00 FLEXIBLE SPENDING ACCOUNTS - Healthcare FSA TOTAL USED $73.02

Dental Plans Comparison Chart *Board Contribution (Flex Credits) may be used

Eye Med Vision Plan KEY FEATURES KEY FEATURES Free coverage for employee only. Standard plastic lens co-pay May purchase coverage for $15 dependents Contact lens allowance Routine eye exam once every $110 plus 20% off calendar year - $10 co-pay balance over $110 Single vision lenses OR contact Frame allowance lenses once every calendar year $110 Frames once every two years RATES Employee Only Free National retail and private practice Employee + 1 $2.83 optometrists & ophthalmologists Employee + Family $5.92

MetLife HOSPITAL INDEMNITY (HIP) The MetLife HIP pays a cash benefit when you or a covered dependent is hospitalized due to an accident or illness. Covered Benefits: Hospital Admission - $500 Hospital Confinement - $250 per day, 30 day maximum Inpatient Rehabilitation Unit - $100 per day, 15 day maximum – Accident only Pre-existing conditions limitations apply. *Board Contribution (Flex Credits) may be used

ACCIDENTAL DEATH & DISMEMBERMENT (AD&D) • Benefits provided • If death due to an accident • Loss of eyesight, speech, hearing, paralysis or dismemberment due to an accident • $2000 coverage provided FREE to all eligible employees • Coverage amounts $50,000, $100,00, $200,000, $300,000 • Employee Only and Employee + Family coverage available • No application required Board Contribution (Flex) credits may be used

Long Term Disability Pregnancy Benefits Up to 6 weeks post partum for a normal deliver, 8 weeks post partum for a cesarean section. Lifetime Security Benefit  SSNRA Plan Option ONLY  Continue disability benefits after SSNRA if certain conditions are met. Monthly benefits are paid after the waiting/elimination period. Pre-existing Condition Limitations apply.

The Standard Life Insurance BOARD PAID LIFE – Employee Coverage: o 1 X your annual salary, rounded to the next $1000. Minimum coverage is $15,000. VOLUNTARY FAMILY TERM LIFE o Spouse and Children - $5,000 each o Premium covers all eligible dependents **GUARANTEED ISSUE FOR NEW HIRES Employee coverage up to $100,000 VOLUNTARY OPTIONAL TERM LIFE o Employee: $10,000 - $500,000** elected on Enrollment & Change Form o Spouse: $10,000 - $100,000 • Employee coverage over $100,000 and Online Medical Statement REQUIRED • May not exceed employee coverage amount spouse coverage require online Medical o Children: $2,000 - $10,000 History Statement • Mark election on Enrollment & Change Form

BENEFICIARY INFORMAITON Emplo loyees ees must t complete lete the benefici iciary ary sectio tion n for Board d Life. Primary imary and Secondar ary y benefici iciar aries es must t equal 100%: %:

Dependent Eligibility For Medical, Dental & Vision, Family Term Life, Dependent Life: • Legally married spouse • Biological children, adopted children, children for whom you have permanent legal custody or Foster Children • Dependent children may be covered through end of calendar year in which they reach age 26 DOCUMENTATION IS REQUIRED FOR DEPENDENTS enrolled in health, dental or vision coverage: marriage certificate for a spouse, birth certificates for children. Photocopies are acceptable.

FAMILY STATUS CHANGES Changes may only be made within 31 days of a change in family status to the current plans that you are enrolled in: Examples:  Marriage or Divorce  Birth or Adoption of a child  Your spouse begins or terminates employment  You begin or return from a leave of absence  Your dependent loses eligibility under the plan Changes may also be made during the Annual Enrollment period every year in the fall, effective January 1 st of the following year.

Employee Assistance Program 800-848-9392 Child care, parenting, adoption • Stress management • Summer programs for kids • Work/life balance • Summer & financial aid research • Family Issues • Care for older adults • Grief and loss • Pet Care • Depression • Home repair & improvement • Anxiety • Household services • Substance Abuse • FREE to you and members of your  household, including adult children up to age 26 (whether or not they live at home). Up to 8 counseling sessions per  incident

Voluntary Products Home & Auto Insurance Pet Insurance Group Legal Services • Convenient payroll deductions • Enroll anytime throughout the year after your eligibility begins • Group Legal Services may only enroll as a new hire or during annual enrollment

EMPLOYEE DISCOUNTS! • Banking • Cell Phones • Tickets at Work • Perk Spot • Theme Parks • Special Events • Concerts • Sporting events • Shows 28