Summer Enrollment Changes to Benefits FY 2019 July 9th through July 21st Changes Effective September 1 2018 If you have questions about Summer Enrollment please contact Barbara Hunter ext 3978 ID: 702385
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Slide1
Human
Resources presents:
Summer Enrollment
Changes to Benefits – FY
2019
July 9th through July
21st
Changes Effective September 1,
2018Slide2
If you have questions about Summer Enrollment, please contact:
Barbara Hunter, ext. 3978
Senior HR
Representative
Aleta
Spivey,
ext.
1098
Senior HR
RepresentativeSlide3
ERS Insurances at SFA
Health
Care
Dental
Care
Vision
Insurance
Optional Life Insurance
Dependent Life
Accidental Death & Dismemberment (AD&D
)
Short Term Disability Income Insurance
Long
Term Disability Income
Insurance
TexFlex Health
TexFlex-Dependent Day CareSlide4
What Can You Do During Summer Enrollment?
Change/ Add /drop dependents from your coverage
Requires Child Certification
Dependent Verification
Tobacco Certification Required
Switch
health insurance coverage
Tobacco Certification
/ Choose to Quit Tobacco Program
Add
/drop dental or vision coverage
Enroll, increase/decrease, or drop AD&D
Enroll, change or drop
TexFlex
health and/or Dependent Daycare
Apply, increase/decrease, or drop life insurance coverage
with EOI
Apply /drop dependent life insurance
with EOI
Apply
/
drop STD/LTD
c
overage
with EOI
For more information visit the Summer Enrollment Guide on the SFA HR Website:
http://www.sfasu.edu/hr/documents/2018_Summer_Enrollment_Active_Employee_Guide.pdfSlide5
What’s Changing?
Health Insurance Premiums
Total Out of Pocket
Maximum
Dental Choice Premiums & Coverage
Vision Premiums & Co-Pays
TexFlex
Contribution AmountSlide6
Our plan is HealthSelect of Texas.
Insurance plan stays the same. Small increase in rates.
We are NOT in an HMO Network Provider.
https://www.bcbstx.com/
hs
Slide7
Health
Insurance Rate for
2019
Full-Time
Employees
(
Salary paid in 12 months)
FY-18
FY-19Member only 0.00 0.00 Member/Spouse 356.32 358.00Member/Child 238.58 239.70Member/Family 594.90 597.70
Full-Time Employees (Salary paid in 9 months) FY-18 FY-19Member only 0.00 0.00 Member/Spouse 475.10 477.33Member/Child 318.10 319.60Member/Family 793.20 796.93Slide8
Health
Insurance Rate for
2019
Part-Time Employees
(Salary paid in 12 months)
FY-18
FY-19
Member only 310.95 312.41
Member/Spouse 845.43 849.41Member/Child 668.82 671.96Member/Family 1203.30 1208.96 Part-Time Employees
(Salary paid in 9 months)
FY-18
FY-19Member only 414.60 416.54Member/Spouse 1127.25 1132.54Member/Child 891.76 895.94 Member/Family 1604.40 1611.94Slide9
Health Insurance
BCBSTX Mobile App:
https://
www.bcbstx.com/mobile
Can be found in the Apple App Store and Google Play
Find a doctor, hospital or urgent care facility, access claims and estimate cost of procedures, test and treatment, etc.
Ability to view and email your Insurance Card
Available in Spanish
Virtual Doctor Visits:
Will no longer charge a
copay
https://www.bcbstx.com/hs/plan-information/value-added-programs-and-services.htmlPersonal Health Assistant:Call (800)-252-8039Designate your PCP or help finding oneAssistance with referralsTotal Out of Pocket Maximum Increase:$6,650 per person ($100 Increase)$13,300 per family ($200 Increase)Slide10
State of Texas Dental Choice
(Salary paid in 12 months)
FY-18
FY-19
Member only 27.41 28.64
Member/Spouse 54.82 57.28
Member/Child 65.78 68.74
Member/Family 93.19
97.38 (Salary paid in 9 months) FY-18 FY-19Member only 36.54 38.18
Member/Spouse 73.09 76.37
Member/Child 87.70 91.65
Member/Family 124.25 129.84 Slide11
State of Texas Dental
Choice Changes
Individual annual plan limit will increase from $1,500 to
$2,000
Lifetime plan limit for orthodontia will increase from $1,500 to
$2,000
Orthodontic benefits for adults will be added
The exclusion for missing tooth replacement
(no coverage for tooth extracted before enrollment in this plan)
will be eliminated
The extended benefit for
out-of-network services after the annual benefit maximum is reached will be eliminated The extended benefit for in-network services remainsSlide12
State of Texas Vision
(Salary paid in 12 months)
FY-18
FY-19
Member only 6.69 6.02Member/Spouse 13.38 12.04Member/Child 14.38 12.94 Member/Family 21.07 18.96 (Salary paid in 9 months) FY-18 FY-19Member only 8.92 8.02Member/Spouse 17.84 16.05
Member/Child 19.17 17.25 Member/Family 28.09 25.28Slide13
State of Texas
Vision Changes
The member copay for an annual eye exam will decrease from $25 to
$15
Member will be able to get their annual eye exam once each plan year, without waiting a full 12 months after their previous eye exam.Slide14
TexFlex Changes
TexFlex
– Health Care
We will continue to
not
be a charge for an administrative fee for the PY 2019.
The annual amount is going from $2,600 to
$2,650.
12 month maximum
of $220 and minimum of $15 9 month maximum of $294 and minimum of $20Slide15
Making Changes Online at
ERS
www.ers.texas.govSlide16Slide17
Sign in
i
f you already have an existing ERS account.
OR…
Register
to create an account
.Slide18
Once you have logged into ERS…
Check that your address, email, and phone number are correct and up to date. Slide19
ERS Personal Benefits Enrollment Statement (PBES)Slide20
Making Changes Online at ERS
ERS Website:
http://
www.ers.texas.govSlide21
Sign in
i
f you already have an existing ERS account.
OR…
Register
to create an account
.Slide22
Summer Enrollments Changes….
You will need to click on Benefits Enrollment to make changes to your insurance elections.Slide23
09/01/2018Slide24
New Plan Year 2019 Options
2018
2018Slide25Slide26
Adding or Dropping
DependentSlide27
Dropping DependentSlide28
Adding
DependentSlide29
Be sure and list the name of your dependent
exactly the way it is on the Social Security Card
to meet 1095B
requirements for Income Tax purposesSlide30
Dependent Child CertificationSlide31Slide32
2650.00Slide33
$220.00
$2640.00Slide34
$2640.00
$220.00Slide35Slide36Slide37Slide38Slide39
$2640.0
$220.00Slide40Slide41
Lumberjack, Sally Ann
01234567890Slide42
Once you have submitted your change(s) online with ERS you need to print and maintain:
A copy of the changes that were made.
You will receive an email confirmation from ERS.
Review the email for accuracy.
Keep the email as backup documentation
.Slide43
Alight Solutions Dependent Verification
Validation of legal dependents added to:
Health, Dental, Vision, Dependent life
You will receive a request to provide documentation on your dependent(s) by email and/or hard copy in the mail to your current
address listed at ERS (update your mailing address and email at ERS.
YOU MUST SEND ALL DOCUMENTATION WITHIN THE ALLOTTED TIMEFRAME LISTED IN THE LETTER/EMAIL. Failure to provide this information within the timeframe your dependent(s) will be removed from ALL coverages.
DO NOT SEND ORIGINAL DOCUMENTS. SEND COPIES ONLY.
We recommend you FAX or EMAIL the forms to ERS, so you have a receipt of sending the document(s).
Verify with Alight Solutions that they received the documents. Slide44
Qualifying Life
E
vent
changes
cannot
be made online during summer enrollment.
You must come to the HR Department for these changes starting June 22nd through Sept. 1
st
, 2018.Qualifying Life Events:MarriageDivorceBirth of a Child
Job Status ChangeSlide45
Questions?Slide46
HR Benefits Staff is here for you!
Any questions that you have just call, email or if you want to just stop by to discuss any options that you may have with your insurances.
SFA HR Contact Information:
Barbara Hunter, ext.
3978
Aleta
Spivey, ext.
1098
ERS Contact Information:
ERS Online:
www.ers.state.tx.us
ERS Enrollment Hotline: 866-399-6908ERS Main Line: 877-275-4377