Commonwealth of Virginia Health Benefits Program

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Commonwealth of VirginiaHealth Benefits Program

• Open Enrollment Overview
• April 14 May 14, 2004

Department of Human
Resource Management
April 2004
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Open Enrollment Actions

• Continue your health plan
• COVA Care and additional coverage option(s)
• Kaiser Permanente if live or work in the Northern
  Virginia service area

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Open Enrollment Actions

• Select another health plan
• COVA Care and additional coverage option(s)
• Kaiser Permanente if live or work in the Northern
  Virginia service area

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Open Enrollment Actions

• Continue or change membership
• Remember to remove dependents when they become
  ineligible
• Waive coverage in the health benefits program
• Enroll in the program if you previously waived

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Open Enrollment Actions

• Enroll in a Medical Expense or Dependent Care
  Flexible Reimbursement Account.
• If you already have an FRA, you must re-enroll.
  Current accounts expire on June 30, 2004.

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Available Plans for July 1, 2004

• Kaiser Permanente HMO (Northern Virginia)
• Members must live or work in the Kaiser service
  area
• Search by zip code at http//my.kaiserpermanente.
  org/ mida/commonwealthofvirginia

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Available Plans for July 1, 2004

• Kaiser Permanente HMO (Northern Virginia)
• During Open Enrollment, members enrolled in
  Kaiser who are ineligible for the plan must
• Enroll in COVA Care or
• Waive coverage in the State Health Benefits
  Program

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Available Plans for July 1, 2004

• COVA Care Statewide Plan
• (show Understanding Your Benefits video)

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Available Plans for July 1, 2004

• COVA Care Statewide Plan Premiums
• Will increase, see page 7 of Spotlight
• Accurate at press time, but may be subject to
  change by the General Assembly

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Types of Membership

• Single
• Employee One
• Family

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Flexible Reimbursement Accounts (FRAs)

• What are FRAs?
• Medical Expense FRA
• Set aside money before taxes to pay for eligible
  expenses not covered by your health plan
• Dependent Care FRA
• Set aside money before taxes to pay for day
  care, day camp or at-home care of a dependent
  child or qualified adult while you or your spouse
  are working

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Flexible Reimbursement Accounts (FRAs)

• Who can enroll?
• Medical Expense FRA
• Must be eligible for health benefits program for
  six months
• Dependent Care FRA
• Must be eligible for health benefits program

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Flexible Reimbursement Accounts (FRAs)

• Return to 12-month plan year on 7/1/04
• Plan year contributions
• Minimum 10/pay period
• Maximum Up to 5,000/plan year (Dependent Care
  maximum depends on tax filing status)

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Flexible Reimbursement Accounts (FRAs)

• FRA elections must be in whole dollar amounts
• Use it or Lose It
• You must incur expenses to use all the money in
  your account by June 30, 2005
• Cannot be carried over into the next plan year
• If your FRA ends on June 30, 2005, you must file
  for reimbursement by September 30, 2005

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Reminders

• Employees who waive coverage may not enroll
  outside of Open Enrollment without a qualifying
  mid-year event
• Your Open Enrollment elections for both health
  benefits and FRAs are binding
• Once in effect, your elections cannot be changed
  without a qualifying mid-year event

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More Information

• DHRM Web site
• www.dhrm.virginia.gov
• Spotlight newsletter

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Enroll Without Paper Use EmployeeDirect!

• Logon at http//edirect.virginia.gov
• System available 24-7

Get Your Passcode Now!
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Enroll Without Paper Use EmployeeDirect!

• Forget Your Passcode?

• Use EmployeeDirect to request a new passcode
• 1 Hour Turnaround

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Enroll Without Paper Use EmployeeDirect!

• Update personal information today in
  EmployeeDirect

• Review Benefits Profile
• Update address
• Update dependent information (names, birth dates)

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Make Open Enrollment Changes in EmployeeDirect

• April 14 May 14, 2004

• Change Your Plan
• Change Your Membership
• Enroll in an FRA

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Keep Your Confirmation Number!

• Confirms processing of your selection
• Is displayed on your Benefits Profile when
  approved
• Is the documentation for your records

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Received No Confirmation Number?

• Your selection has not been approved
• Contact your Benefits Administrator, OR
• Send an e-mail to edirect_at_dhrm.virginia.gov

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Commonwealth of VirginiaHealth Benefits Program

• Questions and Answers

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