Transcript School District of Clay County Call Center Training

CLAY COUNTY
DISTRICT SCHOOLS
Annual Enrollment
2014-2015 Plan Year
What you need to know….
• No action required if you don’t want to make changes.
• If you do nothing, your current coverage will continue in the new
year except FSA – FSA requires active election each year.
• The same plans will be offered in the year effective October 1, 2104
at rates shown in the Benefit 101 Enrollment Guide.
• You can make changes or enroll online 24/7 until August 22nd.
• Call Center is available for making changes or enrolling in Accident/Injury, Whole
Life, and Critical Illness coverage.
• Enrollment Period: July 29th – August 22nd
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Read your
Benefit Guide
Your Benefits Guide
contains details about
each plan.
Read it and have it
handy when you’re
ready to enroll.
Note the page
numbers for where to
find more information
in the Benefits Guide.
Benefit and Rate Highlights for 2014
Rate Increases
• Medical Plans with Florida Blue – Pg. 18
• HMO and PPO Plan still available
• Positive, ACA required changes only
• No increase to member out of pocket costs
• Medical Gap Options with Kemper Benefits – Pg. 29
• KeyGap 3000 and KeyGap 1500 still available
• Key Benefit Resources is now Kemper Benefits
• No changes to plan designs
• Dental Plans with Delta Dental – Pg. 37
• DPPO and DHMO still available
• No changes to plan designs
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Annual Enrollment Highlights
• Passive enrollment = July 29 – August 22
• All current elections roll over into 2014-2015, except FSA.
• Employees must re-enroll and make new FSA elections
• PCP required for NEW HMO enrollees
• Without PCP designation, one will be assigned
• If currently enrolled in the HMO, current PCP will remain on record
• Supplemental Life Insurance Increase
• Increase existing Employee Supplemental Term Life insurance by $10,000
(one increment) without EOI
• New Elections for Employee and Spouse Life insurance, and increases in
excess of $10,000 will require Evidence of Insurability (EOI)
• Changing from Plan B to Plan A
• Guaranteed approval for up to $30,000 in Supplemental Life Insurance and
Disability plans without answering any medical questions
• Update Beneficiaries for Life Insurance
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Is your Spouse a Clay County Schools employee?
Yes, but only one of us
needs medical coverage
Yes, and we both need
medical coverage
The spouse who needs medical
coverage will be Plan A.
You both will be considered Plan A.
Notify the Insurance Department so
your enrollment is processed
correctly.
You may choose which of you will
have deductions taken from your
pay
The spouse who does not need
medical coverage will be Plan B.
Don’t elect coverage for your spouse
under any plan.
 You may not elect Spouse Life Insurance because under the Life Insurance
policy, you may not be covered as an employee and a dependent.
 Only one of you may cover your dependent children.
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Dependent Child Eligibility
Dental
Vision
Life Insurance (if not
married or disabled)
Accident and Injury
Whole Life
Critical Illness
Medical
Dental
Vision
Life Insurance (If not
married or disabled)
Accident and Injury
Whole Life
Critical Illness (age 24)
Age 19-26 not a full time
student
Medical
Age 19-26 and full time
student
Under age 19
Children by birth, marriage, adoption, or legal guardianship – Pg. 6
Medical
Dental
Vision
Accident and Injury
Whole Life
Critical Illness
Florida Mandate Medical
Only for Age 26-30
• Unmarried
• Not eligible for other
coverage
• No children
• Florida resident or
Full Time Student
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Term Life Insurance
• Supplemental Life – Pg. 46-48
• Employees may increase Voluntary Life by $10,000 without
submitting Evidence of Insurability (EOI) during Annual Enrollment
• New elections and increase more than one increment require EOI
• Plan A may elect up to a total of $180,000
• Plan B may elect up to a total of $150,000
• Employee and Spouse rates are age banded based on Employee’s
age as of October 1, 2014
• Child flat rate for $5,000 or $10,000
• Children who are married and/or disabled are ineligible
• Evidence of Insurability required if electing coverage for
the first time or for Employee Life in excess of $10,000
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How to Enroll
• See page 8 in your Benefits 101 Guide
• Log On to www.benefitsgo.com/claycounty
• Enter your Social Security Number as your User ID
• Enter the last four digits of your SSN as your PIN#
• Enrollment should take 10-15 minutes
• Review your current elections
• Validate your dependents for eligibility
• Click “View Cost” to see how much a new plan selection will cost
before clicking “Continue”
• Make sure your confirm your elections
• Print your Confirmation Statement
• Make changes until August 22nd by clicking “Start a new Enrollment”.
Benefits selected on your last confirmation shown will be effective
October 1, 2014.
Key Dates
• First Day of Enrollment = July 29
• Last Day to Enroll = August 22
• First payroll deduction = September 15
• Effective Date of Coverage = October 1
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