Keller ISD Open Enrollment Benefits Overview

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1 Keller ISD Open Enrollment Benefits Overview 1

2 Benefit Updates What s New for 2019: Benefit elections will become effective 1/1/2019 (elections requiring evidence of insurability, such as life Insurance, may have a later effective date, if approved). After annual enrollment closes, benefit changes can only be made if you experience a qualifying event (and changes must be made within 30 days of event). 2

3 Benefit Updates What s New for 2019: Medical UnitedHealthcare Nexus Narrow Network (utilizing Tier 1 doctors) Tailored Prescription Drug Network (Target/CVS removed) Changes to Deductibles on all plans Imaging will change to Deductible/Coinsurance on the Essential Plan District will offer three medical plans: High Deductible, Major Medical Essential Plan District will offer four tiers: Employee Only Employee + Spouse Employee + Child(ren) Employee + Family Please review the plan summaries for more details. Flexible Spending Accounts: If you currently participate in a Health Care or Dependent Care FSA, you MUST re-elect a new contribution amount every year to continue to participate. Cannot elect HSA and FSA. Cards are good for 3 years! 3

4 Section 125 Cafeteria Plan Amendments There are special rules & requirements to receive the pre-tax benefit election plan privileges: Keller ISD must set a plan year. The plan year is: January 1 December 31 of each year. Although coverage is voluntary, every employee is required to review their current elections & make changes as desired by completing the Keller ISD online enrollment. Any pre-tax elections will remain in effect unless you have a qualified event change in family status. Qualifying event benefit changes must be made within 30 days of the event & changes must be consistent with the event. Qualifying Event Examples: Marriage, Divorce, Birth or Adoption, Death, Change in Dependent Eligibility Status, etc. 4

5 Online Benefit Access 24/7 This is the site you visit for Benefit Questions. This is the site you visit to login & complete your new hire benefits enrollment. Plan Information, Claim Forms, Rates, Temporary ID Cards, Carrier info. etc. is available for you on this site. 5

6 Online Benefit Enrollment How Do I Login to Complete My Enrollment? Please visit (your benefit website) & click Login: Even if you are waiving the offered benefits you still need to complete your new hire enrollment! 6

7 Online Benefit Enrollment What is My Username & Password? Default Username: the first six (6) characters of your last name followed by the first letter of your first name, followed by the last four (4) digits of your Social Security Number. Default Password: your full last name (lowercase, excluding punctuation) followed by the last four (4) digits of your Social Security Number. Example: My name is Tom Jefferson & my social is : Username: jeffert1234 Password: jefferson1234 READ THE LOGIN INSTRUCTIONS CAREFULLY!! 7

8 Online Benefit Enrollment I m Having Problems Logging In: Make sure you are reading the instructions located on the left side of your login window. If you still have trouble logging in, click on the Login Help Video for assistance. If you continue to experience problems, or are locked out please call:

9 You ve Logged in, Now What? Change Password: 9

10 You ve Logged in, Now What? Have your dependents social security numbers with you to enter into the HUB! This pop up is a reminder to have your dependents social security numbers on hand so you may enter them into THEbenefitsHUB when you get to the dependent page. 10

11 You ve Logged in, Now What? Double check your Personal Information: IF YOU NEED TO CHANGE ANYTHING ON THE PERSONAL INFO PAGE CLICK THIS LINK! Having a Keller address doesn t mean you re a Keller resident. If your water bill comes from the City of Keller you are a resident! 11

12 You ve Logged in, Now What? Add Your Dependents Information: View or Edit Dependent Information Click on the Pencil & Paper icon to view or edit dependent information. Due to the ACA, you must enter your dependents Social Security # s! To add/edit dependents information simply click the add link Just because your dependent(s) is/are listed above doesn t mean they re enrolled in any coverage. You are responsible for electing or waiving the coverage on your dependents! 12

13 Pick your plan & Sign & Continue! Basic Life & AD&D: Employer Paid $15,000 of coverage paid to your beneficiary! Available Elections Current Election Your running cost total 13

14 UnitedHealthcare Medical UnitedHealthcare: Please refer to the UnitedHealthcare website: for more info. If you waive the medical plan you receive Keller s Hospital Indemnity plan for free. You have 3 medical options: Major Medical, Essential & High Deductible Plan. Several Out of Pocket Maximums ER visits subject to deductible and coinsurance Virtual Visits - $50 copay The District contributes $275 towards the medical plan. If you want to add coverage, simply click the box by the member you want to cover. 14

15 Medical Rx Page RX Page: Enrollment in the prescription (Rx) plan is included free with your medical plan. If you waive the medical plan you receive Keller s Hospital Indemnity plan for free. Check that your pharmacy is in-network. Rx Copays for: - Essential - Major Medical High Deductible Plan Rx is: deductible & coinsurance If you want to add coverage, simply click the box by the member you want to cover. 15

16 Medical Declination Page Declination: If you decline coverage for you or your family you must select why.. You must elect or decline medical coverage to meet ACA requirements! 16

17 Health Savings Account HSA: Annual max: $3,500 individual $7,000 Family - Tax-sheltered Account - Elect with High Deductible Health Plan - Contributions accumulate month by month & roll from one year to another - $2.75 monthly fee - Employees can not participate in the FSA if they have an HSA account Enter your monthly contribution deduction. 17

18 Voya Hospital Indemnity Voya Hospital Indemnity: Guaranteed Issue: No medical questions or tests. Portable Coverage Hospital benefit options are ($100, $200 or $300), up to 30 days per confinement. Critical care unit - 2x the daily benefit amount ($200, $400 or $600), up to 15 days per confinement. Rehabilitation facility - The benefit is half of the daily benefit amount ($50, $100 or $150), up to 30 days per confinement. Select the coverage amount you want to purchase. 18

19 Spouse Voya Hospital Indemnity Voya Spouse Hospital Indemnity Coverage on your spouse is available. Coverage is available only if employee coverage is elected. 19

20 Child(ren) Voya Hospital Indemnity Voya Child(ren) Hospital Indemnity: Your child(ren) unmarried, natural, adopted or step, to age 26. Also, unmarried grandchild who is your dependent for federal tax purposes. Coverage is available only if employee coverage is elected. The child(ren) premium will display on the Election Summary. 20

21 Voya Critical Illness Voya Critical Illness Guaranteed Issue Coverage for: Heart attack Major organ failure Stroke Permanent paralysis Coronary artery bypass (25%) End stage renal (kidney) failure Coma Benign brain tumor Occupational HIV Deafness Blindness Cancer Carcinoma in situ (25%) Skin cancer (10%) You have the opportunity to purchase a Critical Illness Benefit of $5,000-$20,000 in $5,000 increments. 21

22 Dependent Critical Illness Voya Dependent Critical Illness Your spouse - If employee coverage is elected. You have the opportunity to purchase a Critical Illness Benefit of $5,000- $10,000 in $5,000 increments. If you elect Critical Illness coverage on yourself, you can elect coverage on your eligible dependents! Your child(ren) - to age 26. If employee coverage is elected. You have the opportunity to purchase a Critical Illness Benefit of $1,000, $2,500, $5,000 or $10,000 for each covered child. 22

23 Voya Accident Voya Accident Accident coverage covers child accidental injuries while participating in organized sports. Accident Hospital Care, Follow-up Care, Burns, Concussion, Dislocations, Fractures etc. Accidents that occur at work are not covered. Spouses can be covered if the employee elects coverage. Coverage is portable for EE & SP. 23

24 Cigna Dental Cigna Dental Per Person Benefit Max: 1st Yr - $1,000 2nd Yr - $1,150 3rd Yr - $1,300 4th Yr - $1,450 Annual Deductible: $50 per person $150 per family High Plan: No Rate Change Class I - Preventive & Diagnostic Care 100% Class II - Basic Restorative Care 80/20 Class III - Major Restorative Care 50/50 Class IV Orthodontia 50/50 $1,000 max Dependent Children to age 19. Class V TMJ 50/50 Class IX Implants 50/50 Low Plan: Class I - Preventive & Diagnostic Care 90/10 Class II - Basic Restorative Care 60/40 Class III - Major Restorative Care 50/50 Class IV Orthodontia is not covered. Class V TMJ 50/50 Class IX Implants 50/50 24

25 Cigna Dental HMO DHMO Dental Participants pay co-pay amounts for covered services. There are no plan maximums, waiting periods or deductibles. You must designate a dentist in the HUB with the dentist office s ID number. Designating a DHMO Dentist: You have the capability of picking your dentist during open enrollment in THEbenefitsHUB by completing the following 3 steps: If you do not want to designate a dentist during open enrollment Cigna will automatically designate a dentist for you. You can change your dentist at any time by calling Cigna at CIGNA24 ( ) DHMO Plan Rates Employee Only $17.44 Employee + Spouse $34.02 Employee + Child(ren) $41.69 Employee + Family $

26 Superior Vision Superior Vision Rate increase for 2018 In-Network Benefits Co-Pays: Exams $10 / Materials $0 / Contacts Fitting $25 Services Frequency Exam, Frames, Contacts fitting, Lenses every 12 months. Contact Lenses 1 allowance per year. Exam (Ophthalmologist or Optometrist) Covered in full Frames $130 retail allowance Lenses (standard) per pair, Single Vision, Bifocal, Trifocal Covered in full New for 2018 * Progressive lenses Covered in full at lined trifocal level * UV, Polycarbonate and Tint Anit- Reflective Coating are all covered in full OR Contact Lenses $130 retail allowance Contact Lens Fitting (standard) Covered in full Contact Lens Fitting (specialty2) $50 retail allowance Dependents: Unmarried child(ren) covered to 26. To look at plan information click on View Plan Outline of Benefits 26

27 QCD of America Discount Dental & Vision QCD of America Discount Dental & Vision This is NOT an insurance plan; it only provides discounted fees! This pop up is a FYI that this is a discount program, not insurance. A root canal and crown could cost you as much as $2000 with no coverage. This program allows you to save up to 60% on the total cost - that could be as much as $1200 in savings. Need more information? Contact QCD s Membership Services Department or Visit their website at If you do not want a benefit, you select I waive enrollment 27

28 The Hartford Disability The Hartford Disability Two plans to choose from, with six elimination periods to choose from. Plan A: Payment period prior to age 63 is to normal retirement age, for disabilities resulting from sickness or injury. Plan B: Payment period prior to age 63 is to normal retirement age, for disabilities resulting from injury. Prior to age 65 is 5 years, for disabilities resulting from sickness. Elimination Period Options: Choose 0/7, 14/14, 30/30 and if you are confined to the hospital for more than 24 hours your elimination period is waived (not for these elimination periods: 60/60, 90/90 & 180/180). These # s are the elimination period meaning - the days you must be disabled before you can receive your benefit. Employee only coverage. See benefits guide or district website for more details. 28

29 The Hartford Voluntary Term Life Voluntary Term Life: Maximum of $500K or the lesser of 7 times your annual salary rounded down to the nearest $10,000. New or increases in coverage require an evidence of insurability (EOI) for existing EE s. The Hartford will you the EOI application after enrollment. New EE s may buy up to $100K (not to exceed 7 times salary) with no medical questions required! Conversion, portability rights & accelerated benefit riders. Premiums are age-banded. Exclusions & limitations may apply. If you go over the listed guarantee issued amount an application will be required for you to complete & return to the benefits department. 29

30 The Hartford Spouse Voluntary Term Life Spouse Voluntary Term Life: Spouse Max: $350K (coverage can t exceed EE coverage amount). Employees must enroll in order to enroll in spouse life. New or increases in coverage require an evidence of insurability (EOI) for existing EE s. The Hartford will you the EOI application after enrollment. New EE s - You can buy up to $20K (not to exceed EE s coverage) with no medical questions required! Conversion rights & accelerated benefit riders. A person cannot be double covered under this plan. This could occur if both employees work at the district. Premiums are age-banded. Exclusions & limitations may apply. If you elect coverage on yourself, you can elect coverage on your dependents. 30

31 The Hartford Child(ren) Voluntary Term Life Child(ren) Voluntary Term Life: Up to $10,000 for your unmarried child(ren) under the age of 26. Employees must enroll in order to enroll child(ren) life. No EOI required for child(ren). You child(ren) cannot be double covered under this plan. This could occur if both employees work at the district. 1 cost for any # of Children. Exclusions & limitations may apply. 31

32 The Hartford Voluntary AD&D Voluntary AD&D: Accidental Death & Dismemberment (AD&D). Employee only coverage or employee + family coverage. Spouse & Child(ren) are covered at a % of the elected family amount. Family coverage automatically includes your eligible spouse & child(ren). 32

33 National Benefit Services (NBS) Healthcare FSA HealthCare FSA: Annual max: $2,400 Up-fronted funds Use it or lose it. You must reelect your FSA every year. Enter your monthly contribution deduction. 33

34 National Benefit Services (NBS) Dependent Care FSA Dependent Care Reimbursement: Annual Max. is $5,000 ($2,500 for married individuals filing separately). Contributions are use-itor-lose-it. You will not receive a card on this plan! You must file a paper claim. You can receive your reimbursement via check or direct deposit (please complete the direct deposit form). 34

35 FSA Administration Fee Admin Fee: If you select the HealthCare Reimbursement and/or the Dependent Care Reimbursement, there is a $2.85 administration fee. 35

36 Keller Pointe Fitness Program Keller Pointe Fitness Program The City of Keller and KISD have an agreement to provide KISD employees annual passes to The Keller Pointe and pay through payroll deduction. Because KISD has agreed to an annual registration and withdrawal, the rates are discounted from the published monthly rates. Also, the $60.00 service fee has been waived for KISD employees. 36

37 Sick Leave Bank Sick Leave Bank: Joining the Sick Leave Bank is voluntary. In order to use the Sick Leave Bank an employee must be a member. These two (2) days, once donated to the Bank to become a member, will be subtracted from your accrued, or to be accrued local sick leave days available. All donations to the Bank become the property of the Bank and cannot be returned even upon cancellation of employee's membership. Once you ve donated your 2 days you will not be required to donate anymore days, unless the bank reaches below a certain level. This pop up is a FYI that if you ve already donated 2 days you won t donate more. 37

38 Beneficiary Information Add Beneficiary List your beneficiaries on this page! This is where you add additional beneficiaries. You can select from your dependents. These are the beneficiaries you will see on the next page. Click ADD after you enter each beneficiary, then sign & continue when done. 38

39 Beneficiary Information Designate an amount per beneficiary. Make sure % equals

40 Consolidated Enrollment Form Congratulations, You ve Completed Your Enrollment! After you ve completed your enrollment you will see a consolidated enrollment form summarizing your benefits, please review and confirm everything is correct. You can print and/or your consolidated enrollment form. 40

41 Don t Forget to Logout!! 41

42 Thank you for taking the time to learn about your benefits! Keller ISD Benefits Website 42

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