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Benefits Open Enrollment November 5 – November 21, 2012
Self Enrollment
What’s New in 2013Overview of Changes
Changes for 2013
Full Self Enrollment
Prospective (future) only effective dates for mid-year changes
Tentative Rates
New UHC Customer Service phone number◦ New Medical I.D. Cards
New Rx provider◦ OptumRx
Wellness Rewards◦ Health & Wellness
I AM, I DO, I GET◦ New Preventive Choices◦ New Deadlines
Full Credit – 7/31/13 Partial Credit -12/31/13
FSA Health Account ◦ Annual Max $2,500
Eyemed– Is Green!◦ Explanation of Benefits
online only
Online Open EnrollmentNovember 5 – November 21, 2012
Total Self Enrollment◦Self Enroll online by 11/21/12
Step by Step Enrollment Instructions
Dependent Verification deadline 11/28/12 Documentation for newly added dependents Original documents only USPS delivery or hand deliver by deadline Benefits Technicians – A-103
Wellness Rewards Choice and Flexibility in
2013Full Credit – July 31, 2013
Partial Credit – December 31, 2013
Wellness Rewards - 2013
Earn Wellness Rewards PointsPreventative Services (100 pts)*(typically 5 week programs)
Preventative Physical
Mammogram
Prostate/PSA
Colonoscopy
Well Women Exam◦ Cervical Cancer/PAP
Online Health or Telephonic Programs*◦Pregnancy◦Weight Loss◦Heart Healthy
Lifestyle◦Blood Pressure◦Stress Management◦Asthma◦Diabetes
Wellness Reward – Did I Get It
Employee Contributions
Compare Plan Choices
High Option HMO Costs More
2013 Monthly Contributions (Tentative Agreement )
2012 2013 2013 2013
High Option HMO * Part-time Rates Even Higher
EmployeeIncrease
District Paid
Employee Only $ 62.50 $ 90.00 $ 27.50 $475.00
EE & Child(ren) $240.00 $270.00 $ 30.00 $760.00
EE & Spouse $291.00 $320.00 $ 29.00 $780.00
EE & Family $400.00 $460.00 $ 60.00 $1080.00
** Flat rates without consideration of Wellness or Tobacco
NO INCREASE Low Option HMO
Employee Only $ 50.00 $ 50.00 $0.00 $430.00
EE & Child(ren) $136.00 $136.00 $0.00 $730.00
EE & Spouse $178.00 $178.00 $0.00 $763.00
EE & Family $302.00 $302.00 $0.00 $931.00
Compare Contribution Costs
2013 Per Pay Contributions (Tentative Agreement )
Pay Frequency F26 F22 P26 P22
High Option HMO
Part Time has higher cost for High Option HMO Plan
Employee Only $ 45.00 $ 49.09 $ 95.00 $103.63
EE & Child(ren) $135.00 $147.26 $ 200.00 $218.16
EE & Spouse $160.00 $174.53 $ 225.00 $245.43
EE & Family $230.00 $250.88 $ 295.00 $321.79
** Flat rates without consideration of Wellness or Tobacco
Low Option HMO NO INCREASE
Employee Only $ 25.00 $ 27.27 $25.00 $27.27
EE & Child(ren) $ 68.00 $ 74.17 $ 83.00 $90.54
EE & Spouse $ 89.00 $ 97.08 $104.00 $113.44
EE & Family $151.00 $164.71 $166.00 $181.07
Plan Comparison- EE & Child(ren)
2013 Monthly Rates Automatic Contract
Provisions
Tentative Agreement Rates Non-Ratified by Dec. 2012
High Option HMO EE Rate Increase EE Rate Increase
Employee Only $90.00 $27.50 $142.50 $80.00
Employee +Child(ren) $270.00 $30.00 $290.00 $50.00
Employee + Spouse $320.00 $29.00 $365.00 $74.00
Employee + Family $460.00 $60.00 $460.00 $60.00
Low Option HMO
Employee Only $50.00 $0.00 $140.00 $90.00
Employee +Child(ren) $136.00 $0.00 $206.00 $70.00
Employee + Spouse $178.00 $0.00 $259.00 $81.00
Employee + Family $302.00 $0.00 $383.00 $81.00
When all is not “Right”
Appeal Procedures & Deadlines
Separate Appeals Procedures
Open Enrollment Appeal Deadline
Wellness Rewards Appeal Deadline
Enrollment Appeals Deadline 12/14/2012
Enrollment & FSA Appeals:
FBMC Benefits Management
Attn: Appeals CommitteeP.O. Box 1878Tallahassee, FL 32302-1878Fax: 850.514.5805
Wellness Rewards Appeal Deadline 11/30/12
Wellness Rewards Appeals
Attn: Onsite UHC Representatives
CONFIDENTIAL 3370 Forest Hill Blvd.,A103 West Palm Beach, FL 33406
Final Enrollment November 21,20125:00 p.m.
Check List
Enroll by 11/21
Dependent Doc’s 11/28/12
Confirm Elections 12/01/12www.palmbeachschools.org
Check Wellness Rewards
Know Appeal Deadlines
Follow Appeal Procedures if needed
Read O/E Material 11/1
Compare plan costs
Check deductions in Jan.
Start Wellness Actions
Thank You !Questions & Discussion
