EMPLOYEE BENEFITS Brevard County Board of County Commissioners

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EMPLOYEE BENEFITS Brevard County Board of County Commissioners

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Title: EMPLOYEE BENEFITS Brevard County Board of County Commissioners


1
EMPLOYEE BENEFITSBrevard CountyBoard of County
Commissioners
  • Effective January 1, 2008

2
Your Employee Benefits Staff
  • Insurance Director
  • Jerry Visco
  • Employee Benefits Manager
  • Cathy Jaskiewicz
  • Benefits Specialists
  • Rita Chrzaszcz, Employee Benefits
  • Sam Bailes, Employee Benefits
  • Kathy Patterson, HR Benefits
  • Health Wellness Officer
  • Glory Bennette, RN

321-633-2103
3
2008 ANNUAL ENROLLMENT
On-line Enrollment Starts 10/15 and Ends
10/26 www.enrollment.com
October 2007
4
2008 PLAN HIGHLIGHTS
  • 9.5 Rate Increase for Medical no plan design
    changes
  • Tricare Supplement No Longer Offered
  • Delta Dental New Dental Provider
  • Pre-Paid Debit Card for Flexible Spending
    Accounts
  • Supplemental Life Guarantee Issue

5
CAMPUS ON-LINE ENROLLMENT
  • How Does The Process Work?
  • If you wish to make changes to your current
    benefits, you must use the CAMPUS on-line
    enrollment system before October 26, 2007
  • www.enrollment.com
  • User ID brevard followed by your social
    security number
  • Example brevard987654321
  • Password Your password will be the first letter
    of the first name the first letter of your last
    name (your initials) your date of birth
    (mmddyy)
  • Example Jane Doe, January 1, 1957 would be
    jd010157
  • Dont Have a Computer?
  • Computers with Internet access are in all County
    libraries and in the Employee Benefits/HR Office
    at the Viera Government Center (Bldg B, 2nd
    Floor).
  • Not Up On The Latest Technology?
  • Department Staff and/or Employee Benefits will be
    available to assist you in the enrollment process
    Monday through Friday from 8am to 5pm.

6
WWW.ENROLLMENT.COM
  • NOTE Immediately after you log on for the first
    time, you will be required to create a new
    password.
  • It must be four or more characters (letters
    and/or numbers only, no spaces)

7
WWW.ENROLLMENT.COM
Click here to learn more about your benefits.
Click here when you are ready to begin.
8
WWW.ENROLLMENT.COM
9
BENEFITS OVERVIEW
OPEN ACCESS PLANS no referrals required for
specialist visits (in-network)
10
SCHEDULE OF BENEFITS
Out of Network is paid at the percentage of
reasonable and customary charges. Requires
prior authorization This is a summary of
benefits only refer to the Summary Plan
Description for details, limitations and
exclusions.
11
HOW TO CHOOSE A PLAN
  • Review Monthly Premium
  • Review Plan Design
  • BlueCare, CIGNA Basic EPO Plans are In-Network
    Only
  • BlueChoice and PPO Plans have Out-of-Network
    Option
  • Office Visit Co-pays
  • Co-insurance
  • Deductibles
  • Maximum Out-of-Pocket Cost
  • Extra Services (Healthy Rewards / Blue
    Compliments)
  • Review Networks
  • Parrish Hospital not in BCBSFL
  • Indian River Memorial Hospital not in BCBSFL HMO
    Plan
  • Find Your Physician(s) in the Network

12
FINDING YOUR PHYSICIAN
  • Access On-line Provider Directories
  • www.bcbsfl.com
  • BlueCare HMO
  • BlueChoice PPO
  • www.cigna.com
  • EPO PPO Plans all use the PPO
  • Directory
  • Contact Your Physicians Office
  • Contact BCBSFL or CIGNA

13
2008 PHARMACY HIGHLIGHTS
  • WALGREENS FORMULARY
  • NO CHANGE IN CO-PAYS
  • RETAIL (30 DAY SUPPLY)
  • 10.00 GENERIC
  • 20.00 NAME BRAND
  • 35.00 NON-PREFERRED
  • MAIL ORDER/ADVANTAGE 90 (90 DAY SUPPLY)
  • 20.00 GENERIC
  • 40.00 NAME BRAND
  • 70.00 NON-PREFERRED

14
2008 DENTAL PLANS
  • New Dental Carrier - Delta Dental

15
HOW DO YOU CHOOSE A PLAN?
16
DELTACARE USA DHMO PLANS
  • DeltaCare USA Plans are Pre-Paid (DHMO Type)
    Plans
  • Member MUST Select a Dental Facility
  • Benefit Schedule Shows Exact Co-pay Provider Will
    Charge For Each Procedure Code
  • No Annual Maximum Benefit Limit
  • No Out-Of-Network Benefits

17
DELTACARE USA PLAN COMPARISONS
18
DELTA DENTAL LOW PPO PLAN
  • Maximum Allowable Charge (MAC) Plan
  • In-Network PPO Dentist Cannot Charge More Than
    Scheduled Amount
  • Members Are Not Required to Select a Dental
    Facility
  • You Receive the Best Benefit When You Use a
    Network Dentist
  • Limited Out-Of-Network Benefit w/ Delta Premiere
    and Out-of-Network Dentists
  • Annual Maximum is 1,000 per calendar year

19
DELTA DENTAL LOW PPO EXAMPLE
Utilizing an In-Network Dentist
Utilizing an Out-of-Network Dentist
20
DELTACARE USA/PPO COMPARISON
21
DELTA DENTAL HIGH PPO PLAN
  • Three Provider Options In-Network, Premiere,
    Out-of-Network
  • In-Network PPO Providers Agree Not to Charge More
    Than Discounted Amount No Balance Billing
    dentists under contract
  • Premiere Network dentists not in PPO network but
    have agreed to a higher fee schedule
  • Out-of-Network Providers Charge Normal Fee and
    Balance Bill Member. Out-of-Network Provider
    Charges are Paid to 90th Percentile 9 Out of
    Every 10 Dentists Wont Charge More
  • Annual Maximum is 1,500 per calendar year

22
PPO PLAN COMPARISON
23
2008 DENTAL RATES
24
HOW DO I CHOOSE A PLAN?
25
2008 FLEXIBLE SPENDING PLANS
  • Contribute money on a pre-tax basis every pay
    period
  • 2 Type of Accounts Medical and Dependent Care
  • Use the Medical Flexible Spending Account to pay
    for out-of-pocket medical, dental vision
    expenses
  • Use the Dependent Care Account to pay for child
    or adult day care necessary while you and your
    spouse work or attend school

26
FSA TAX EXAMPLE
Annual Salary 40,000

27
2008 Flexible Spending Accounts
  • How Much Can I Put Into The Account?
  • Maximum Contribution 3,000 Med / 5,000 Dep
  • Minimum Contribution 10.00/Pay Period
  • How Much Should I Put Into The Account and what
    if I dont use it all?
  • How Long Do I Have to Use My Money?
  • Account funds must be used by March 15, 2009
  • When is My Money Available?
  • Medical - January 1, 2008 / Dep Care up to
    prefunded amount

28
MEDICAL FSA
  • What kinds of expenses can be reimbursed through
    a Medical FSA?
  • Co-payments, co-insurance for medical, dental
    vision
  • Counseling, therapy, mental health, substance
    abuse
  • Medical equipment
  • Glasses, contact lenses, laser eye surgery
  • Prescription drugs
  • Hearing aids
  • Certain over-the-counter medications supplies
  • Acupuncture, chiropractic

29
DEPENDENT CARE FSA
  • What kinds of expenses can be reimbursed through
    a
  • Dependent Care FSA?
  • Daycare expenses, including pre-school
  • Before/After school programs
  • Summer day camps (no overnight) for children up
    to age 13
  • Adult daycare for a tax dependent
  • Account is NOT pre-funded
  • Tuition is not an allowable expense

30
FSA DEBIT CARD
  • NEW this year!
  • Can be used at doctors office, pharmacy, dentist
    and eye doctors
  • No waiting for reimbursement check to come
  • First card free, additional card 5.00
  • Direct deposit or check also available if you
    dont use the debit card
  • Some receipts may still be required remember
  • The Card Is Neat, But Save Your Receipt

31
LIFE INSURANCE
  • Basic and Supplement Life Now with The Standard
  • True Open Enrollment if you have been
    previously denied coverage, now is the time to
    enroll!
  • The guaranteed issue amount for an employee is 3
    times annual salary (for spouse 20,000)
  • If the employee or spouse elects additional life
    insurance ABOVE the guaranteed issue, an EOI must
    be completed (a.k.a. medical questionnaire)
  • ADD/Double Indemnity Coverage Included in both
    basic and supplemental life

32
VOLUNTARY BENEFITS
  • Vision Care Plan CompBenefits
  • Long Term Disability (The Standard)
  • Optional Voluntary Benefits cancer, hospital
    intensive care, accident, disability protection,
    hospital indemnity and long term care policies
    (Aflac, Allstate)

33
POINTS TO REMEMBER
  • Pre-Paid Debit Card Now Offered With Your FSA
  • New Dental Plans
  • 9.5 Increase In Medical Premiums
  • Tricare Supplement No Longer Available
  • Open Enrollment for Supplemental Employee Life
    Insurance
  • Open Enrollment Ends at midnight (1159 p.m.) on
    October 26th.
  • ENROLL
    EARLY!!!!

34
HEALTH WELLNESS
  • WINBrevard website
  • www.winbrevard.com
  • Provider links
  • Wellness Events Health fairs, education series,
    weight management, flu shots, biometric
    screenings, fitness discounts
  • Wellness Learning Center
  • Health Risk Assessment
  • Annual Senior Health Expo
  • First Annual Senior Health Fair November 9th!

35
Who Knew Eating Right Was So Easy!
  • REMEMBER Eating right doesn't have to be
    complicated, just think in colors... fill your
    plate with bright greens, yellows, reds, etc.
    Youll feel better immediately.
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