Title: EMPLOYEE BENEFITS Brevard County Board of County Commissioners
1EMPLOYEE BENEFITSBrevard CountyBoard of County
Commissioners
- Effective January 1, 2008
2Your 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
32008 ANNUAL ENROLLMENT
On-line Enrollment Starts 10/15 and Ends
10/26 www.enrollment.com
October 2007
42008 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
5CAMPUS 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.
6WWW.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)
7WWW.ENROLLMENT.COM
Click here to learn more about your benefits.
Click here when you are ready to begin.
8WWW.ENROLLMENT.COM
9BENEFITS OVERVIEW
OPEN ACCESS PLANS no referrals required for
specialist visits (in-network)
10SCHEDULE 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.
11HOW 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
12FINDING 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
132008 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
142008 DENTAL PLANS
- New Dental Carrier - Delta Dental
15HOW DO YOU CHOOSE A PLAN?
16DELTACARE 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
17DELTACARE USA PLAN COMPARISONS
18DELTA 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
19DELTA DENTAL LOW PPO EXAMPLE
Utilizing an In-Network Dentist
Utilizing an Out-of-Network Dentist
20DELTACARE USA/PPO COMPARISON
21DELTA 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
-
22PPO PLAN COMPARISON
232008 DENTAL RATES
24HOW DO I CHOOSE A PLAN?
252008 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
26FSA TAX EXAMPLE
Annual Salary 40,000
272008 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
28MEDICAL 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
29DEPENDENT 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
30FSA 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
31LIFE 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
32VOLUNTARY 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)
33POINTS 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!!!!
34HEALTH 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!
35Who 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.