Employees County of Fresno Open Enrollment Plan Year 2019

Transcription

1 Employees County of Fresno Open Enrollment Plan Year 2019

2 OPEN ENROLLMENT O 15 - N 9 Open Enrollment is the one me during the year that you may make changes to your health insurance coverage, enroll, opt out, remove dependents without a qualifying event, and enroll in the health and/or dependent care flexible spending account(s) for the 2019 plan year. There are no health plan changes for the 2019 plan year. If you do not wish to enroll or make any changes to the health insurance plans you are currently enrolled in, no acon is required on your part. To review the 2019 rates, please see page 3. The new rates, along with any plan changes you make, are effecve December 17, QUESTIONS? IN THIS ISSUE I R 03 B P 04 D C 04 V C 05 M C 05 P C Please contact Employee Benefits by phone at (559) or by to HRBenefits@fresnocountyca.gov. Addionally, you can visit the Open Enrollment website at The site includes rates, forms, detailed summaries, and much more!

3 IMPORTANT REMINDERS HOW TO ENROLL/MAKE CHANGES Opon 1: Login to PeopleSo (Oracle) on a County computer and use the Self Service feature. Tutorials are available online at Opon 2: Complete the applicable form(s) and submit to Employee Benefits, along with any required supporng documentaon. Ways to submit are located on the back cover of this booklet. SUBMISSION All forms and supporng documents must be received by Employee Benefits no later than 5:00 pm on Friday, November 9, Once Open Enrollment closes, plan changes will only be permied if you experience a qualifying event as defined by the IRS and detailed in our cafeteria plan document. For more informaon on qualifying events, please contact Employee Benefits. IMPORTANT DATES 2019 OPT OUTS All employees who wish to opt out during the 2019 plan year (including those that are currently opted out), must submit a completed 2019 Opt Out Form and provide current, wrien proof of other employer-sponsored group health coverage. Proof submied must include the employee s name and is subject to approval of Employee Benefits staff. NEW this year: other qualifying medical coverage now includes Fresno Deputy Sheriff s Associaon (FDSA) insurance. FLEXIBLE SPENDING ACCOUNTS (FSA) Navia Benefit Soluons will connue to administer the FSAs for the 2019 plan year. FSAs allow you to set aside pretax monies to pay for medical and dependent care, as well as transit and parking expenses. IRS limits for 2019 are as follows: Health $2,650 Dependent care $5,000 per household Transit $130 per month Parking $250 per month. Please note: You must re-enroll in health and/or depdendent care FSA every year if you wish to connue parcipaon in the program. You are not automacally re-enrolled.

4 ELIGIBLE DEPENDENTS Below is a list of eligible dependents and the supporng documents required to enroll them onto your health insurance plan. Dependent children are eligible unl they reach 26 years of age. ELIGIBLE DEPENDENTS REQUIRED DOCUMENT(S) BIWEEKLY PREMIUMS The rates below apply to Bargaining Units 3, 4, 12, 22, 36, 43, as well as Management, Senior Management, and Unrepresented employees. 1 These rates include the following employer contribuon: Employee Only: $318 Plus Spouse: $428 Plus Children: $428 Plus Family: $433 Employee premium costs for plan year : 3 1 These rates do not apply to any other Bargaining Units. Please contact your bargaining unit representave for addional informaon. 2 These rates do not apply to part-me employees who are eligible for health insurance. For a copy of part-me rates, please visit the Open Enrollment website at or call Employee Benefits at (559)

5 DENTAL/ORTHODONTIC COVERAGE Good oral hygiene is important to your overall health. The County of Fresno offers two (2) choices in dental plans: Delta Dental DPPO, which is a fee-for-service plan with the best discounts provided within the Delta Dental DPPO network; and DeltaCare USA DHMO which has set copays for services when provided by your primary care denst. VISION COVERAGE Eye exams support eye and overall health. It is important to have an exam once a year to ensure that your eyes are healthy. If you are in an Anthem health plan, your vision insurance is through Vision Service Plan (VSP). Kaiser Permanente members have vision coverage through Kaiser directly. Members must access services at a Kaiser facility, unless otherwise approved by Kaiser. 4

6 MEDICAL & PRESCRIPTION COVERAGE Choosing a medical plan that is right for you and your family is an important decision. The County of Fresno offers six (6) different plans to allow you to select the coverage that best meets your needs. 5 1 One member may be responsible for up to $2,700 of the family deducble before plan starts contribung for that member. Subsequent members are responsible for remaining $300 before plan starts contribung. 2 Deducble Waived. 3 Does not apply towards the deducble; applies to the out-of-pocket maximum.

7 This chart is only a summary of benefits. Please see the Evidence of Coverage (EOC) for a full descripon of benefits. If there are any discrepancies between this summary and the EOC, the EOC will prevail. 6

8 HUMAN RESOURCES Employee Benefits Division Phone Address (559) Fax Stop Mail 2220 Tulare Street, 14th Floor Fresno, CA (559) Stop #188 MEDICAL Anthem Blue Cross Phone (800) PRESCRIPTION EmpiRx Phone (877) VISION Vision Service Plan (VSP) Phone (800) Kaiser Permanente Phone (800) DENTAL Delta Dental DPPO Phone (800) FLEXIBLE SPENDING ACCOUNTS FLEXIBLE SPENDING ACCOUNTS Navia Benefit Soluons Phone (800) DeltaCare USA DHMO Phone (800)