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Open Enrollment 2020 May 1 15, 2020 Teresa Lyons Benefits - PowerPoint PPT Presentation

Open Enrollment 2020 May 1 15, 2020 Teresa Lyons Benefits Administrator Leigh Ann Flinchum Insurance Specialist 1 1 Open Enrollment Open enrollment is May 1 15, 2020 Annual period for making decisions on health plans and


  1. Open Enrollment 2020 May 1 – 15, 2020 Teresa Lyons – Benefits Administrator Leigh Ann Flinchum – Insurance Specialist 1 1

  2. Open Enrollment Open enrollment is May 1 – 15, 2020  Annual period for making decisions on health plans and flexible  spending accounts (FSA) Changes are effective July 1, 2020  Nothing is required if you are:  Not changing your health plan or membership,  Not enrolling in an FSA, and  Not participating in Premium Rewards  2

  3. Health Plans Enroll in or change your health plan  Elect or remove optional buy-ups for COVA  Care, COVA HDHP, and COVA HealthAware Waive coverage  Add or remove family members  3

  4. Flexible Spending Accounts (FSAs) Enroll in a Health or Dependent Care FSA or  both You must re-enroll each year you wish to have an  FSA 4

  5. How to submit your election EmployeeDirect and select Health Benefits Direct.  Preferred submission  Employee ID is the 7 digit number on your insurance card.  Submit an Enrollment Form  Fillable form can be found on our HR Open Enrollment site  Department of Human Resource Management mailed paper copy  to employee’s address on record The deadline for submission is May 15, 2020  5

  6. How to submit your election EmployeeDirect – preferred submission  https://edirect.Virginia.gov/EDL/Start.aspx or www.hr.vt.edu  Review your current health benefits record  Update your personal information  Enroll or make changes to your health plan and/or membership  Enroll in one or both FSAs  Submit your elections early and no later than 11:59pm on May 15, 2020 Your employee ID is your 7-digit health insurance ID 6

  7. How to submit your election Submit an Enrollment Form  Complete the fillable form located on our HR Open Enrollment site: www.hr.vt.edu  Print, sign, and submit your completed forms to:  Secure E-Drop Box  Fax: 540-231-6479  Mail: 300 Turner Street, Suite 2300, Blacksburg, VA 24061  Form must be received by 11:59pm or post-marked by May 15, 2020. 7

  8. If You Do Nothing You will remain in the same health insurance plan and  membership status, including your current buy-up options You will NOT have a Health and/or Dependent Care  Flexible Spending Account beginning July 1, 2020 8

  9. Spotlight on Your Benefits Highlights Open Enrollment  Changes A printed copy has been mailed to  employees’ home addresses by the state; will arrive on or before May 1 A PDF version is also available on  the HR Open Enrollment site at www.hr.vt.edu 9

  10.  Health Plan Options Plan Year 2020-21  Statewide Plans – Available to all employees  COVA HealthAware  COVA Care  COVA HDHP  Tricare Supplement  Regional Plans - HMO  Kaiser Permanente – Northern Virginia  Optima Health Vantage – Hampton Roads  Review your health plan options with ALEX  www.myalex.com/cova/2020  Alex will use your input and recommend a plan for you 10 10

  11.  Open Enrollment Highlights Plan Year 2020-21  Employee premiums have changed  COVA Care and COVA HealthAware  Complete your health assessment on your plan website between May 1 and May 15 to earn your premium reward  Flexible Spending Accounts (FSAs)  Health FSA maximum contribution limit $2,750; increased by $50  All Health Plans  Age limits removed for autism spectrum disorder and related treatments and services  COVA Care and COVA HDHP  Age limits removed for Behavioral Health Intensive In-Home Services.  The Sydney Health App makes it easier to manage your medical and pharmacy benefits 11 11

  12.  Open Enrollment Highlights Plan Year 2020-21  COVA HealthAware  Informed Rewards Program – Earn an incentive when you select certain provider locations for medical services or lab tests  Teledoc Virtual Visits – No member costs for using this service  ID Cards – All plan participants will receive a new ID card in June  COVA HDHP  LiveHealth Online visit increase from $49 to $59 before the deductible is met  Kaiser Permanente HMO  Coverage area expands to Fauquier County 12 12

  13. Earn Premium Rewards for Plan Year 2020-21 For employee and/or spouse enrolled in;  COVA Care or  COVA HealthAware  Enrolled spouse must complete separate assessments  Monthly savings through payroll deduction  Employee or Spouse $17/month  Together $34/month  Complete or update your online health assessment between  May 1 and May 15 for your reward to start on July 1 Complete health assessment by the 15 th of any month to  receive a reward in six to eight weeks 13 13

  14. How Do I Submit My Health Assessment? Log in to your COVA Care or COVA Health Aware plan website  or app COVA Care  www.anthem.com or use the Sydney Health App  COVA HealthAware  www.covahealthaware.com or use the Aetna Health App  See Spotlight for step by step instructions  Health Assessments submitted before May 1, 2020 will not  count for the new plan year 14 14

  15. Shared Savings Programs Informed Rewards  COVA HealthAware  www.aetna.com  Smart Shopper  COVA Care and COVA HDHP  http://cova.vitalssmartshopper.com  Incentive programs to reduce healthcare costs and reward you  for making informed, cost-effective decisions about your health care Voluntary and available to you and your enrolled dependents  15 15

  16. Health and Wellness Programs COVA Care and COVA HealthAware administers free and  confidential health and wellness programs Disease management – Support to manage certain conditions  Medication and health coaching incentives  Maternity Management – earn $300  Health Assessment (Premium Rewards)  Kaiser and Optima – contact plan for details  Visit our Open Enrollment webpage for a summary of health  benefits for each plan, www.hr.vt.edu – Click on Open Enrollment 16 16

  17.  Testimony from a Hokie Mom! “Insulin and other diabetic supplies are expensive! A friend told me about a program through Anthem called ConditionCare which provides a free health and wellness program to support type 1 and type 2 diabetics. They also support other conditions. I made the call and was connected with a nurse care manager who guided me through the process. Now my son speaks with ConditionCare once a month and his diabetic supplies and endocrinologist checkup costs are covered by the program. It was easy and the money we are saving can go towards other things for him!” 17 17

  18. Employee Assistance Program (EAP) COVA Care, COVA HDHP, and COVA HealthAware  Up to 4 visits per issue each plan year at no cost to member  Confidential resource for personal and workplace challenges  Legal and financial guidance  Kaiser Permanente HMO and Optima Health Vantage  my.kp.org/commonwealthofvirginia or www.optimahealth.com/cova  Contact Hokie Wellness at hokiewellness@vt.edu for assistance  18 18

  19. Monthly Premiums for Plan Year 2020-21 19 19

  20. Monthly Premiums for Plan Year 2020-21 20 20

  21. Flexible Spending Accounts (FSA) Administered by PayFlex for all employees eligible for health  benefits Governed by the IRS  Minimum $10/per pay period pre-tax contribution  Monthly $2.10 administrative fee  Health Care FSA  Set aside up to $2,750 per year  Use for eligible health care expenses (co-pays, deductibles,  coinsurance, prescriptions, etc.) Dependent Care FSA  Set aside up to $5,000 per year, per household  Use for the care of your dependent(s)  Your must enroll each plan year to participate  “Use it or lose it” or you will forfeit any remaining FSA funds  21 21

  22.  Flexible Spending Accounts (FSA)  PayFlex Health Mastercard  Instant access to funds to Health FSA  If you already have a PayFlex Mastercard, please continue to use the same card  New enrollees will receive a new card  Keep all invoices and receipts - some card transactions require verification  Resolve all card transactions by the end of the runout period 22 22

  23. End of Plan Year FSA Reminders Current Health FSA or Dependent Care FSA  participants: Claims must be incurred by June 30, 2020  Reimbursement for claims must be filed and outstanding  card transactions must be resolved by September 30, 2020. Reimbursement for claims must be filed with PayFlex at  www.payflex.com or call (855) 516-8595 23 23

  24.  Flexible Spending Accounts (FSA) and COVID-19 24 24

  25.  Flexible Spending Accounts (FSA) and COVID-19 25 25

  26.  Other Important Reminders  Keep your address up-to-date!  Changing your address in Hokie Spa updates your BANNER and Health Insurance records  Take time to review your beneficiaries and update as needed  Life insurance & VRS retirement contact Securian Financial at 1-800-441-2258  Optional Retirement Plan – Contact vendor directly 26 26

  27. Questions? Department of Human Resources North End Center, Suite 2300 (0318) 300 Turner St. NW Blacksburg, Va. 24061 www.hr.vt.edu HR Service Center Phone: 540-231-9331 Fax: 540-231-6479 hrservicecenter@vt.edu 27 27

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