Confidential Paulding County Board of Commissioners 2020 Open Enrollment
Employees’ Responsibility • Review Open Enrollment Materials • Review your personal information and update if necessary • Assign beneficiaries • Complete your enrollment by using the on- line enrollment system, by scheduling an appointment to receive enrollment assistance virtually or telephonically at a pre-determined time, or by calling the NFP service center, no later than 5:00pm on June 8, 2020 • Check your July payroll deductions 3
Qualifying Life Event • Marriage • Divorce • Birth of Child • Loss of other coverage • Loss of dependent status You have 31 days from the date of the Qualifying Life Event to notify the NFP Service Center of the change and provide them with appropriate documentation. 4
Changes for 2020 • Out of pocket maximum increases on the HRA Option 2 and POS plans • Addition of a Tier 4 on all Rx plans • Dental is changing from Guardian to Anthem BCBS • Vision is changing from Guardian to Anthem BCBS • Basic Life is changing from Guardian to Anthem BCBS • Basic Dependent Life is changing from Guardian to Anthem BCBS • Voluntary Life is changing from Guardian to Anthem BCBS • Short Term Disability is changing from Guardian to Anthem BCBS • Long Term Disability is changing from Guardian to Anthem BCBS 2
Benefit Resource Center • Visit www.nfpsebenefits.net/pauldingcounty to access the Benefit Resource Center • This site contains benefit information, informative details on value adds, links to important documents and forms, and contact information. 2
Enrollment Portal How to Enroll: • www.paulding.bswift.com • Disable pop-up blocker • Username – first letter of your first name, last name and the last four digits of your social • Password - last four digits of your social security number • Passwords are reset every year 7
Enrollment Portal 7
Completing Enrollment 7
Completing Enrollment 7
Enrollment Complete
Medical – Anthem BCBS Benefit HRA 2 HRA 1 POS You have a first dollar Health Reimbursement Account (HRA) and receive funds based on the following plan entry dates: Health Reimbursement Arrangement 1/1 to 3/31 $1,000 for individual or $2,000 for family. (HRA) 4/1 to 6/30 $750 for individual or $1,500 for family. 7/1 to 9/30 $500 for individual or $1,000 for family. 10/1 to 12/31 $250 for individual or $500 for family. Calendar Year Deductible • Single $3,000 $2,000 $1,500 • Family $6,000 $4,000 $3,000 Out Of Pocket Maximum • Single $7,000 $5,000 $4,000 • Family $14,000 $10,000 $8,000 Coinsurance 90% 90% 80% Preventive Care 100% 100% 100% Office Visit Copay • PCP Deductible + 10% Deductible + 10% $25 • Specialist Deductible + 10% Deductible + 10% $50 Hospital/Inpatient Services Deductible + 10% Deductible + 10% Deductible + 20% Emergency Room Deductible + 10% Deductible + 10% $300 Urgent Care Deductible + 10% Deductible + 10% $75 Pharmacy • Tier 1 $15 $15 $15 • Tier 2 $40 $40 $40 • Tier 3 $60 $60 $60 • Tier 4 20% to $150 20% to $150 20% to $150 19
Dental – Anthem BCBS Benefit Dental Plan Deductible $50/Calendar Year (maximum of three per family) Type A – Diagnostics & Preventive 100% Type B - Basic 80% after plan deductible Type C - Major 60% after plan deductible 60%; $1,000 lifetime benefit Type D - Orthodontia maximum Annual Benefit Maximum $1,000 (per covered member) Annual Rollover $250 (maximum of $1,000) (per covered member) 19
Medical/Dental Payroll Deductions Tier HRA 2 / Dental HRA 1 / Dental POS / Dental Employee $0.00 $10.00 $50.00 Family $60.61 $85.61 $150.61 Employees enrolled in family coverage for medical and dental also receive a Basic Dependent Life policy in the amount of $5,000 for spouses and $2,500 for each eligible child. Cost of coverage is included in the deduction above. Log on to www,anthem.com/find-care/ to locate an in-network provider for medical and dental. 20
Vision – Anthem BCBS Vision In-Network Out-of-network Benefit Frequency Member Cost Reimbursement Once every Exam with Dilation as Necessary $10 Copay Up to $50 calendar year $0 Copay; $130 Once every other Frames Up to $48 Allowance calendar year Standard Plastic Lenses Single Vision $25 Copay Up to $48 Once every Bifocal $25 Copay Up to $67 calendar year Trifocal $25 Copay Up to $86 Lens Options (paid by the member and added to the base price of the lens) UV Treatment $10 N/A Tint (Solid and Gradient) $12 N/A Standard Plastic Scratch Coating N/A $0 Standard Polycarbonate N/A $40 Contact Lens Conventional $130 allowance Up to $105 Once every Disposable $130 allowance Up to $105 calendar year Medically Necessary Paid in Full Up to $210 Laser Vision Correction Save $800 on LASIK when you choose any Premier LASIK Network Lasik or PRK from U.S. Laser Network N/A Once per lifetime provider. Save 15% when you choose any other in-network provider. 21
Vision Payroll Deductions Tier Vision Employee $3.20 Family $6.87 Log on to www,anthem.com/find-care/ to locate an in-network provider for vision. 20
Sydney App Anthem BCBS Sydney App: • Find care and check costs • Check benefits • View claims • View and use your digital ID card • Use chatbot to get questions answered quickly • Access wellness resources • Get doctor suggestions • And more….. 23
Health Advocate Health Advocate is provided to you, at no cost, by Paulding County Board of Commissioners. Call Health Advocate at 866-695-8622 if you have any of these needs: • Help understanding your Medical/RX plan options • Help finding an In-Network doctor, specialist, dentist, or vision provider • Questions about a health condition • Help with eldercare issues for a parent or parent-in-law such Medicare or healthcare-related issues • Help transferring medical records • Help with a billing or claims payment issue • Questions about a medical test or recommended treatments Visit Health Advocate at www.HealthAdvocate.com/Paulding to: • Learn about services Health Advocate can provide • Watch a video about your Health Advocate benefit • Print the HIPAA Authorization form that allows Health Advocate to work on your behalf with providers and insurance companies * Register for the site by clicking “Register” and then entering your first name, last name, date of birth and home zip code. 23
Health Advocate Continued… Medical Bill Saver is a money-saving MedChoice Support is an online, self- benefit from Health Advocate. directed, resource that providers you access • Medical Bill Saver will work with your to independently developed and widely providers to lower the balance on any accepted medical information to help you uncovered medical or dental bill of share in the decision-making process with $400 or more. your healthcare provider. Over 150 topics • Works with doctors/other are currently available, examples include: • Heart Disease – should I have an providers on your behalf • Has high success rates with angiogram? • significant savings When should I start having • Can lower out-of-pocket costs mammograms? • • Helps you become a more savvy Should I have knee replacement healthcare consumer surgery? • • Negotiate a payment plan with Should my child be treated for fluid your provider buildup in the middle ear? • • Medical Bill Saver will provider you Should my child take medicine for with a personal Savings Result ADHD? • Breast Cancer – should I have Statement • You, your spouse, dependent children, chemotherapy for early-stage breast parents, and parents-in-law can all cancer? • use the service. Access MedChoice Support by visiting • To access Medical Bill Saver, simply www.HealthAdvocate.com/Paulding call Health Advocate at 866-695-8622 23
Basic Life & AD&D Insurance – Anthem Life Basic Life & Accidental Death and Dismemberment Elected Officials = $50,000 Full Time Eligible Employees = 1 x annual salary to a maximum of $100,000 Paulding County Board of Commissioners provides this benefit at no cost to you. 24
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