Open Enrollment for July 1, 2020 benefits Delta Dental Delta - - PowerPoint PPT Presentation
Open Enrollment for July 1, 2020 benefits Delta Dental Delta - - PowerPoint PPT Presentation
Open Enrollment for July 1, 2020 benefits Delta Dental Delta Vision Mutual of Omaha Voluntary Life Insurance DELTA DENTAL Delta Dental Concord School District Dental Plan Design: 100% (Diagnostic & Preventive) 100% (Basic
DELTA DENTAL
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Concord School District Dental Plan Design:
100% (Diagnostic & Preventive) 100% (Basic Restorative) 50% (Major Restorative) Max $1000 (resets July 1)
White composite fillings on all teeth (anterior front teeth and posterior back teeth)
Delta Dental
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What is ?
Patient-Centered Oral Health
HOW allows you to qualify for additional dental preventive services.* Qualification for the additional services is determined by the results of a clinical survey performed by your dental provider. *Any additional services are subject to your annual maximum.
Take the Risk Assessment
- Answer the questions
- Print your report
- Take to your next visit
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Share with your Dentist
- Your dentist can do a clinical version of the risk assessment.
- Based on your risk, you may be eligible for additional
preventive benefits.
- Your dentist will tell you if you qualify and what the additional
services are.
- You can call NEDD or check Benefit Look Up to see if you qualify.
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- Enrollment forms can be accessed on the CSD website.
- Please email completed forms to Melissa Witherspoon at central office.
mwitherspoon@sau8.org.
- All applications must be submitted to HR by May 29, 2020.
- Forms only needed if you are electing coverage for the first time or
making changes to coverage for yourself or your dependents.
Delta Dental
DELTA VISION
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The vision product is so simple
$130 frame allowance every 24 months $130 Contact lens allowance every 12 months in lieu of spectacle lenses $25 lens copay every 12 months
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DeltaVision Brief Overview
Benefit Frequency Network Benefit Frames Every 24 months $130 Allowance then 20% off balance Standard Plastic Lenses Every 12 months Member pays $25 Lens Options Average a 30% discount Contact Lenses in lieu of
spectacle lenses
Every 12 months
- Conventional
$130 Allowance then 15% off balance
- Disposable
$130 Allowance, member pays balance
- Medically
Necessary Paid in full
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Member savings … for example
With Benefit Without Insurance Frame $200
- $130 allowance
$70
- $14 (20% off balance)
$56 $200 Lens $25 Copay $15 UV Treatment $15 Scratch Coating $55 $78 Copay $23 UV Treatment $25 Scratch Coating $126 Annual DeltaVision Premium $51.60 (single coverage) Total $162.60 $326
Sample transaction for a pair of glasses vs. what you’d pay without vision coverage:
50% savings
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DeltaVision Customer Service
Access 7 days a week, 102 Hours per week 7:30 AM to 11:00 PM EST Monday - Saturday
11:00 AM to 8:00 PM EST - Sunday
1-866-723-0513
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Voluntary Vision Benefit
- Enrollment forms can be accessed on the CSD website.
- Please email completed forms to Melissa Witherspoon at
central office. mwitherspoon@sau8.org.
- Rates will remain the same as last year.
- All applications must be submitted to HR by May 29, 2020.
- Forms only needed if you are electing coverage for yourself
- r a dependent for the first time.
Vision Rates
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Monthly Rates Employee $ 4.30 Employee + One $ 7.37 Family $13.19
Mutual of Omaha
Voluntary Life and AD&D Insurance
Voluntary Life and AD&D Insurance
- Concord School District will continue to offer Voluntary Life
Insurance through Mutual of Omaha.
- You will be able to take this Voluntary Life Insurance with
you even after you leave CSD’s employment.
- Available to employees who currently have District paid
Life.
Open Enrollment
- Open enrollment runs through May 29, 2019.
- If you are interested Voluntary Life Insurance, please
download the forms from the CSD website.
- You can email Melissa Witherspoon in HR with completed
forms or questions: mwitherspoon@sau8.org.
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Enrolled Employees & Spouses
Current Employees who have elected voluntary life
coverage when first eligible can buy 2 increments of $10,000 each with guarantee issue at open enrollment.
Current Spouses who have elected voluntary life
coverage when first eligible can buy 2 increments of $5,000 each with guarantee issue at open enrollment (not to exceed 50% of the employee election).
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Voluntary Life and AD&D Insurance
Voluntary Life and AD&D Insurance New Hires
- Coverage for new hires is available in $10,000 increments up
to 5 x annual salary (rounded to the next higher $10,000).
- Minimum coverage is $10,000.
- Maximum coverage is $300,000. (For new hires, guarantee
issue is $200,000).
- Coverage reduces 35% upon the Person's attainment of age 65,
an additional 25% of the original amount at age 70, an additional 15% of the original amount at age 75, an additional 15% of the original amount at age 80, and will terminate upon retirement.
- Existing employees can purchase this same amount subject to
Evidence of Insurability.
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Voluntary Life and AD&D Insurance
Spouses of New Hires
- Coverage is available in $5,000 increments up to 100% of the
employee’s benefit up to $150,000.
- Minimum coverage is $5,000.
- Maximum coverage is $150,000.
- Coverage reduces 35% upon the employee's attainment of age 65, and
will terminate upon the employee's attainment of age 70 or retirement, whichever occurs first.
- Spouse coverage is only available if the employee is insured for
voluntary coverage.
- Spouses of newly hired employees will be able to purchase up to
$30,000 guaranteed issue with no medical questions asked, up to 100%
- f the employee’s benefit.
- Spouses of existing employees can purchase this same amount subject
to Evidence of Insurability.
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Voluntary Life and AD&D Insurance Details of Coverage
DEPENDENT CHILDREN
Dependent Coverage is only available if the employee is insured for
voluntary coverage.
This benefit provides coverage for all dependent children in the
following amounts:
$10,000 Child: 14 days to age 19
(to age 26 if full-time student)
Newborn children to age 14 days are not eligible for a benefit
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Voluntary Life and AD&D Insurance
Evidence of Insurability is required for:
Employees electing more than the $200,000 Guaranteed Issue amount
- f Voluntary Life Insurance when newly hired.
Spouses of Newly Hired Employees electing more than the $30,000
Guaranteed Issue amount of Voluntary Life Insurance.
Employee and/or spouse, currently enrolled, is purchasing more than 2
additional increments at open enrollment.
Employee and/or spouse, not currently enrolled, is newly electing any
amount of Voluntary Life Insurance at open enrollment.
The E of I form can be downloaded from the CSD website.
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Voluntary Life and AD&D Insurance Update Your Beneficiary Information
This is particularly important if you have had a major
change of life such as a marriage, separation or divorce.
This form is available on the CSD website.
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THANK YOU !
Please email Melissa Witherspoon in HR with completed forms by
May 29st mwitherspoon@sau8.org.
Questions Welcome! Please send questions to:
mwitherspoon@sau8.org.