2021-2022 Employee Benefits Guide - Smithville School District
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Smithville School District’s vision is to be recognized and respected as a leader in health promotion. We recognize that our employees are our most valuable resource and that providing a comprehensive health, wellness, and benefits program is extremely important in achieving that vision. It is our pleas- ure to offer our employees and their families a variety of options to help address their benefits needs. YOUR BENEFITS TEAM Kim Davis Kim oversees day to day employee service issues. She manages the employee Director of Human Resources benefits program including core benefits, voluntary benefits, retirement services, worker’s compensation/staff injuries, risk/safety compliance, absences/time off, davisk@smithville.k12.mo.us ADA, EAP and FMLA/long term leave. Additionally, she manages and promotes 816-532-0406 x7579 the District wellness initiative. 913-558-6669 cell Amy Anderson Amanda Cole Payroll Specialist/Benefits Payroll Specialist/FMLA & Work Comp. andersoa@smithville.k12.mo.us colea@smithville.k12.mo.us 816-532-0406 X7842 816-532-0406 X7039 Amy is the lead payroll specialist and the go-to person for all updates Amanda is the go-to person for all updates related to payroll related to payroll deductions and withholdings. She handles all payroll deductions and withholdings. She handles all payroll transactions transactions and benefit deductions. Amy also supports Human and benefit deductions. Amanda also supports Human Resources Resources on benefit's administration and claims. on substitutes, FMLA and Worker's Compensation Claims. All benefit and enrollment information may be found on the Benefits Hub: www.benebloc.com/portals/smithville
Medical Eligibility: You are eligible to participate in the medical benefits plan if you work 30 or more hours per week. Smithville School District offers benefits-eligible employees a choice of four medical plans. All plans include pharmacy coverage. For questions concerning your medical benefits, a claim, to identi- PLAN 1: SURE FIT HDHP—High Deductible Health Plan coupled with a Health Savings fy a network provider, preventative Account. Sure Fit Network provides In Network coverage only. $0 premium, $3100 deducti- coverage, prescription services, or ble & Out Pocket Max. H.S.A. contribution of $20 per month enrolled. other questions, contact: PLAN 2: OAP HDHP—High Deductible Health Plan coupled with a Health Savings Account. Cigna Member Services at Open Access Plan provides both In and Out of Network coverage. $0 premium, $3400 de- 1-800-CIGNA24 ductible, 80/20% coinsurance, $3900 Out Pocket Max. No monthly HAS contribution for enrolling. www.cigna.com PLAN 3: $0 Premium OAP Co-pay Plan—Open Access Plan provides both In and Out of Network coverage. $0 premium, $4300 deductible, $6950 Out Pocket Max, 70/30% coinsur- ance, $30 copay PCP / $50 specialist. PLAN 4: Buy Up OAP Co-pay Plan—Open Access Plan provides both In and Out of Net- work coverage. $90 premium, $1800 deductible, $3800 Out Pocket Max, 70/30% coinsur- ance, $30 copay PCP / $50 specialist. PLAN RATE PLAN 1 PLAN 2 PLAN 3 PLAN 4 SURE FIT HDHP HSA OAP HDHP HSA $0 Premium OAP CO-PAY Plan Buy Up OAP CO-PAY Plan Employee $ 0.00 $20.00 $ 0.00 $0.00 $ 0.00 $ 90.00 Employee + Spouse $898.00 $20.00 $960.00 $0.00 $ 1124.00 $ 1283.00 Employee + Children $611.00 $20.00 $663.00 $0.00 $ 748.00 $ 870.00 Family $1350.00 $20.00 $1426.00 $0.00 $1793.00 $ 2012.00 NOTE: One must be eligible, per IRS guidelines, to receive the District Health Savings Account contribution. HSA Eligibility click HERE. Click here for additional HSA information. Medical Plan Resources (hyperlinks) • 2021 Cigna Value 3-Tier RX Drug List • My Health Assessment • 2021 No Cost Share Preventive Medications • MyCigna Mobile App • 2021-2022 Insurance Rate price sheet • Open Access Network Guide • Cigna 90 Now RX Program • Plan 1 SUREFIT High Deductible Plan Summary • Cigna Care Management—Here to help YOU. • Plan 2 OAP High Deductible Plan Summary • Cigna Healthy Rewards (Discount Program) • Plan 3 Zero Premium OAP Copay Plan Summary • Cigna One Guide—Personal Guidance • Plan 4 Buy Up OAP Copay Plan Summary • Cigna.com: Is my doctor in network? • Preventive Health Guide • Health Savings Account—How Does That Work? • Side by side medical comparison • High Deductible Health Plan—How Does That Work? • Sure Fit Network Directory • HIPAA Notice Enrollment Requirements • Sure Fit Presentation by Cigna • Home Delivery Pharmacy • Sure Fit—Kansas City: What you need to know • Home Delivery RX Made Easy • How to Find and Compare Healthcare Cost Videos • Make the Most of your Cigna Health Plan Health Assessment Surefit Open Access Plus Condition Mgmt Pharmacy myCigna App ID Card – ER Urgent Care
Eligibility: This benefit is available to all benefits-eligible employees (employees that work an average of 30 hours/ week) and their dependents up What is Saint Luke’s 24/7? to age 26 regardless of medical Saint Luke’s 24/7, powered by MDLIVE, is a mobile app that connects you to a provider anytime, plan coverage. anywhere by phone, mobile device, or web. Saint Luke’s 24/7 brings virtual health care right to your fin- gertips, and gives you round-the-clock access to providers who can diagnose, recommend treatment, For questions concerning and prescribe medication in real time. your benefits eligibility, contact: Using the app, a virtual visit by phone or video chat, allows the provider to talk and see you or your Kim Davis, 816-832-0406 family member in real time, and discuss treatment options. It’s easy to upload photos of an injury, davisk@smithville.k12.mo.us a rash, pink eye and more. Saint Luke’s 24/7 is HIPAA compliant providing the security you need during your provider visit and for all of your personal health information. Register NOW! Don’t wait until For questions concerning you’re sick! your 24/7 app technical issues, contact: What are common conditions that can be treated using Saint Luke’s 24/7? 1-888-434-8723 The providers are trained to treat a wide range of conditions for adults and children as young as 18 months. Most common conditions seen for treatment are: Constipation Insect bites PLAN RATE Acne Diarrhea and nausea Joint aches Allergies Employee $0.00 Ear infections Pink eye Asthma Employee + $0.00 Fever, headache, sore Rashes Spouse Bronchitis throat Respiratory infections Employee + $0.00 Cold and flu Infections Urinary tract infections Children Family $0.00 How do I sign up for Saint Luke’s 24/7 and activate my account? You can easily sign up and activate your account by following the simple steps outlined in the St. Luke’s 24/7 REGISTRATION GUIDE (click HERE). IMPORTANT: You must register under the group account “SMITHVILLE” to receive the zero consulta- tion fee. DO NOT register as an “Individual” or you will be charged a $40—$60 service fee. How do I register my dependents? Each of your dependents should have their own profile under your registered account. To create their profiles, click the My Account button, and then select the Family tab. You will need to register some basic information about each dependent and will need to confirm the registration using the email address you provide for that person. By making sure each family member is seen under their profile, you can ensure their treatment, prescriptions, and records are appropriately stored under their name. Telemedicine Resources (hyperlinks) St. Luke’s 24/7 Mobile User Guide—Exclusive to Smithville Em- Jordan’s Wedding Allergies video (30 seconds) ployees and their dependents Daughter with Pink Eye video (30 seconds) 4
Dental Eligibility: You are eligible to participate in the dental plan if you work 30 or more hours per week. Smithville School District offers benefits-eligible employees a choice of three dental plans. Retirees from the district, PLAN 1: DHMO Base Plan—This plan provides In Network only coverage. who elect within one year The plan offers free preventive care plus fee for service restorative care and from the date of retirement, child/adult orthodontia. $0 deductible, no calendar year benefit maximum, and retiree's spouse and chil- $5.00 copay per visit. dren receiving or eligible to receive benefits under PSRS PLAN 2: DPPO Buy Up Plan—This plan provides both In Network and Out of or PEERS. Network coverage. The plan offers free preventive care plus co-insurance pric- ing restorative care. $50 deductible, $1000 calendar year benefit maximum. For questions concerning your medical benefits, a claim, to identify a network PLAN 3: DPPO Buy Up Plan with Orthodontia—This plan provides both In provider, preventative cover- Network and Out of Network coverage. The plan offers free preventive care age, prescription services, or plus co-insurance pricing restorative care and child orthodontia up to age 19. other questions, contact: $50 deductible, $2000 benefit max per calendar year. Cigna Member Services PLAN RATE PLAN 1 PLAN 2 PLAN 3 1-800-CIGNA24 DPPO Buy Up Plan DHMO Base Plan DPPO Buy Up Plan w/Orthodontia www.Cigna.com Employee $0.00 $27.42 $36.23 www.mycigna.com Employee + Spouse $14.11 $59.26 $75.56 Employee + Children $14.11 $61.14 $77.88 Family $14.11 $87.37 $110.26 Dental Plan Resources (hyperlinks) Cigna.com: Is my dentist in network? Dental PPO w/orthodontics Plan Summary Dental HMO Fee Schedule / Plan Summary How to Find an In-Network Dentist Dental HMO Info Page Side by Side Dental Plan Comparison Dental PPO Basic Plan Summary Dental PPO Info Page Video Dental PPO Network DHMO DPPO & DHMO DPPO
Vision Eligibility: You are eligible to participate in the vison plan if you work 30 or more hours per week. Retirees from the district, who Using your VSP benefit is easy! elect within one year from the Create an account at VSP.com. Once your plan is effective, review your bene- date of retirement, and retiree's fit information. spouse and chil- dren receiving or eligible to re- Find an eye doctor who’s right for you. Visit VSP.com or call 800-877-7195. ceive benefits under PSRS or At your appointment, tell the provider you have VSP. There is no ID card nec- PEERS. essary. If you would like an ID card, you may print one off at VSP.com. For questions concerning your medical benefits, a claim, to BENEFIT DESCRIPTION COPAY FREQUENCY identify a network provider, pre- ventative coverage, prescription Well Vision Exam Focus on your eyes and overall wellness $10.00 Every 12 months services, or other questions, RX Glasses Materials $25.00 contact: See frame and lenses Frame $130- $150 allowance on frames plus 20% savings on amount over your allowance VSP Member Services: Every 24 months 800-877-7195 Lenses Single vision, lined bifocal, and lined trifocal lenses; Polycarbonate lenses for dependent children Every 12 months www.VSP.com Lens Enhancements Standard progressive lenses $0 Premium progressive lenses $95—$105 Every 12 months Custom progressive lenses $150—$175 20-25% savings on other lens enhancements PLAN RATE Contact Lenses $130 allowance for contacts Every 12 months Employee $ 9.13 Contact lens exam (fitting and evaluation) Up to $60 Extra Savings Extra $20 to spend on featured frame brands. Employee + Spouse $14.60 20% savings on additional glasses and sunglasses. Employee + Children $14.91 No more than a $39 copay on routine retinal screen- ing as an enhancement to a WellVision Exam. Family $24.03 Average 15% off the regular price or 5% off the pro- motional price Laser Vision Correction. Vision Plan Resources (hyperlinks) 2021 - 2022 INSURANCE RATES WHAT DO YOUR EYES SAY ABOUT YOU? VSP PLAN SUMMARY SEE MUCH MORE RESOURCE CENTER EYE CARE MADE EASY TRUHEARING HEARING AID DISCOUNT OFFER EYEWARE PROTECTION PLAN VSP MEMBER PERKS, COUPONS, AND SAVINGS PRIMARY EYE CARE
Life and AD&D Eligibility: You are eligible to participate in the Basic Life and voluntary Life plan if you work 30 or more hours per week. Basic Life and AD&D Insurance: Reliance Standard For questions concerning your Smithville R-II School District provides a basic $10,000 term life insurance benefit at Basic Life or Voluntary benefits no cost to you. This product is not portable and ends when one ends employment contact: with the District. Group Contact Center: Voluntary Life Insurance The voluntary life product allows you to purchase additional coverage over and BeneBloc beyond what the District provides to you. You may also purchase coverage for Phone: Local: (866) 692-2228 your spouse and/or children. If you wish to purchase coverage on your spouse and/or dependents, you must purchaseVoluntary Life for yourself as well. Email: info@benebloc.com New employees may participate under a Guaranteed Issue enrollment. New employees may purchase up to $150,000 on yourself, $25,000 on your spouse and $10,000 on your children without any medical questions. This year, current employees electing new coverage or an increase in cover- age for themselves, spouse and/or child (ren) may enroll under the Guaranteed Issue enrollment. One exception to the Guaranteed Issue enrollment for current employees is that if an employee has applied for coverage or increase in coverage in the past and was denied due to medical review, the Guaranteed Issue is non-applicable. Voluntary Life / AD&D Reliance Standard Rates Per $10,000 —based on employee’s age $1,000 increments to a max of $300,000. 0-29 $0.70 Employee Benefit Minimum election $10,000. 30-34 $0.80 Available 35-39 $1.00 $5000 increments to max of $150,000, not to ex- 40-44 $1.40 Spouse Benefit ceed 50% of employee election. 45-49 $2.00 Minimum election $5,000. 50-54 $3.10 $10,000 55-59 $4.65 Child Benefit 60-64 $6.30 Guarantee Issue Levels - Employee: $150,000 65-69 $10.50 Without Medical Ques- Spouse: $25,000 70+ $23.20 tions. Child: $10,000 Child $2.32 Life and AD&D Resources (hyperlinks) • VOLUNTARY LIFE BENEFIT HIGHLIGHTS • BOARD PAID BASIC LIFE BENEFIT HIGHLIGHTS
Section 125 Plan You are eligible to participate in the Section 125 Plan if you work 30 or more hours per week. Smithville R-II School District provides you the opportunity to pay for out-of- Health Eligibility: You are eligible to pocket medical, dental, vision and dependent care expenses with pre-tax dollars participate in the flexible benefits plan if through Flexible Spending Accounts. You must re-enroll in the plan annually to par- you work 30 or more hours per week AND you or your spouse are not partic- ticipate for the plan year. You can save approximately 25 percent of each dollar ipating in a Health Savings Account. spent on these expenses when you participate in a FSA. A health care FSA is used to reimburse out-of-pocket healthcare expenses incurred by you and your dependents. A dependent care FSA is used to reimburse Dependent Care Eligibility: You are expenses related to care of eligible dependents while you and your spouse work. eligible to participate in the flexible benefits plan if you work 30 or more Contributions to your FSA come out of your paycheck before any taxes are hours per week. taken out. This means that you don’t pay federal income tax, Social Security taxes, or state and local income taxes on the portion of your paycheck you contribute to your FSA. You should contribute the amount of money you expect to pay, out of pocket, for For questions concerning your medi- eligible expenses for the plan period. If you do not use the money you contributed it cal benefits, a claim, to identify a net- will not be refunded to you or carried forward to a future plan year. This is the use- it- work provider, preventative coverage, prescription services, or other ques- or-lose-it rule. tions, contact: The maximum that you can contribute to the Health Care Flexible Spending account is $2,750. CBIZ at 800-815-3023 The maximum that you can contribute to the Dependent Care Flexible Spend- Myplans.CBIZ.com ing Account is $5,000 if you are a single employee or married filing jointly, or $2,500 if you are married and filing separately. EXAMPLE: Without FSA With FSA Gross Monthly Pay $3,500 $3,500 CBIZ Section 125 Pre-Tax Benefits -Medical/Dental Premiums $0 $300 CBIZ Member Portal: -Medical Expenses $0 $100 How to Guide -Dependent Care Expenses $0 $400 FSA brochure Total $0 $800 Over The Counter (OTC) Taxes Insert Wages subject to tax $3,500 $2,700 Federal Tax $525 $405 FICA Tax (Social Security) $268 $207 State Tax $175 $135 Out of Pocket Expenses $800 $0 Total Spendable Income $1,732 $1,953 Net Increase in Take-Home Pay = $221/month 8 This is just an illustration and actual numbers may vary. This illustration shows that paying certain qualified expenses before taxes increases your take-home pay.
Vo l u n ta r y Eligibility: You are eligible to par- ticipate in the Unum voluntary bene- fits if you work 30 or more hours per week. Accident Insurance: For questions concerning Reliance Standard benefits contact: Accident insurance pays a benefit directly to you if you are injured and need treatment. Group Contact Center: BeneBloc Examples of covered injuries/expenses: broken bones, concussion, lacerations, chiropractic treatment, physical therapy, ER treatment, and much more. Phone: Local: (866) 692-2228Email: Accident Insurance pays for accidents injury treatment that might happen at work or at home. Email: info@benebloc.com Critical Illness Insurance: Critical illness insurance pays a benefit directly to you if you are diagnosed with a covered Resources (Hyperlinks) condition such as a heart attack, stroke or cancer. Three advantages of this coverage: ACCIDENT INSURANCE FLYER 1. Decreased, affordable premiums deducted directly from your paycheck. CRITICAL ILLNESS FLYER 2. Coverage is portable. You may take it with you if you resign or retire. 3. Includes a $75 wellness benefit for completing a health screening. CRITICAL ILLNESS INSURANCE RATES DISABILITY INSURANCE FLYER Educator Select Long-term Disability Insurance: DISABILITY INSURANCE RATES If a disability kept you from working, how would you pay your mortgage, your car payment, or other expenses? Long term disability insurance pays a percentage of your monthly salary if HOSPITAL INDEMNITY FLYER you are unable to work for an extended period of time due to a covered injury or illness. LIFE AND LTC FLYER Coverage includes features that allow you to design a flexible plan that meets your personal LIFE AND LTC RATES needs. You can select: Rates may vary and are 1. The benefit amount (benefit amount you would receive each month). based on the coverage 2. The elimination period (amount of time between when a disability starts and when bene- fits begin). amount, coverage level, 3. The duration period (length of time you would continue to earn benefits). and particulars of the plan selected. Hospital Indemnity Coverage: A trip to the hospital can be stressful, and so can the bills. Even with major medical insurance, you may still be responsible for co-payments, deductibles and other out-of-pocket costs. Our hospital indemnity plan pays a cash benefit directly to you whenever you or your covered family members are admitted to the hospital. Whether you’re being treated on an inpatient or outpatient basis, this coverage can help you manage your expenses. 1. NO PRE-EXISTING CONDITION LIMITATION 2. Decreased, affordable premiums deducted directly from your paycheck. The same premium for all ages. 3. Coverage is portable. You may take it with you if you resign or retire. 4. Hospital admission and per day benefit. Life Insurance w/ Long Term Care Benefit: 1. Locks in your rate at your purchase age 2. Long Term Care Benefit is 3X Life Insurance Amount 3. Portable
Resources (Hyperlinks) Bill of Rights for Members Group ID Shield Facts Sheet Legal Facts Sheet Member Perks—great discounts! Plan Features & Enhancements—ID Shield Plans Overview & Pricing 2021 Video: ID Shield Product Overview Video: ID Shield Social Media Monitoring Video: ID Shield Vault Video: Legal Shield Product Overview
PSRS / PEERS For questions concerning your PSRS The Public School and Education Employee Re- or PEERS membership, contact: tirement System o f Missouri has a comprehen- sive website that provides general and member spe- Information Center Representatives cific information on eligibility, investment, resources, 7:30 a.m.—5 p.m. and more. Phone: 800-392-6848 Email: psrspeers@psrspeers.org PSRS Eligibility: PSRS membership is automatic, PEERS Eligibility: PEERS membership is automatic, regardless of position, for certificated employees of the cov- regardless of position, for non-certificated employees of the ered employers listed below in a position that normally re- covered employers listed below to work at least 20 hours per quires the employee: 1. Work the full school day, or 2. Work week on a regular basis in a position that normally requires at least the same number of hours per week as required for the employee to work at least 600 hours during the school such a position, and 3. Work at least 600 hours during the term. If you meet eligibility requirements, you cannot opt out school term. If you meet eligibility requirements, you cannot of PEERS membership. opt out of PSRS membership. Certificated employees/ teachers employed less than full-time but for at least 17 hours per week on a regular basis in a position that normally re- quires the employee to work at least 600 hours during the school term are automatically members of the Public School Retirement System of Missouri (PSRS) unless they choose, within 90 days of first employment as a part-time, certificated employee/teacher, to be a member of the Public Education Employee Retirement System (PEERS). PLAN EMPLOYEE EMPLOYER CONTRIBUTION CONTRIBUTION PSRS 14.5% 14.5% Certified and serving in a position that requires a teaching certificate. PSRS members do NOT contribute to social security. PSRS TWO-THIRDS 9.67% 9.67% Certified and serving in a position that does NOT require a teaching certificate. PSRS TWO- THIRDS members DO contribute to social security at a current rate of 6.2%. PEERS 6.86% 6.86% Non-certified and serving in a position that does NOT require a teaching certificate. PEERS members DO contribute to social security at a current rate of 6.2%. The contribution rate is set each school year by the PSRS/PEERS Board of Trustees. It is based on the recommendation of the Systems’ actu- ary after the annual actuarial valuation has been completed. Contributions are automatically deducted from your pay and are tax-deferred (not taxed until paid to you as monthly benefits or as a lump-sum payment). Your funds are credited to your individual account, and you earn interest on your funds every June 30. Smithville School District contributes an equal percentage to PSRS or PEERS. Employer funds are placed in a general reserve account used to help fund benefits for retirees and beneficiaries of deceased members. Resources (hyperlinks) PSRS—PUBLIC SCHOOL RETIREMENT SYSTEM OF MISSOURI—CERTIFIED TO TEACH PEERS—PUBLIC EDUCATION EMPLOYEE RETIREMENT SYSTEM OF MISSOURI—NON CERTIFIED STAFF
Eligibility: This benefit is available to all benefits-eligible employees (employees that work an average of 30 hours/ week) and their dependents up to age 26 regardless of medical plan coverage. EMPLOYEE ASSISTANCE PROGRAM (EAP): For questions concerning your benefits eligibility, contact: Smithville School District recognizes the challenges of balancing work with the circumstances of everyday life. That’s why you and your family have access to Saint Luke's LIFEWISE™ Employee Assistance ⇒ Kim Davis, 816-832-0406 Program. davisk@smithville.k12.mo.us No cost to you or your immediate family members (dependents) to use the service. ACCESS IS EASY No matter when, no matter where, you and your family have access to professional support 24/7/365. Call 855-492-3638 to get started. For EAP counseling or work- life services: ⇒ 855-492-3638 ⇒ WEBSITE: EAP ⇒ Code: SSDwarriors ⇒ ICONNECTYOU Passcode: 145120 PLAN RATE Employee $0.00 Employee + Spouse $0.00 Employee + Children $0.00 Family $0.00 EAP Resources (hyperlinks) • Aware Mindfulness Stress Reduction • EAP Work-Life Website • LiveCONNECT Online Chat • Counseling • Elder Care Resources • Your Pets • Computerized Cognitive Behavioral • Financial Assist • Therapy Counseling • Growing Families Resources • Daily Convenience Services • iConnectYou EAP on the go • EAP Counseling Resilience • Legal Assist • EAP Overview • Legal_Financial_Center 4 • EAP PowerPoint Presentation • Life Coach
AIG / VALIC Financial Services 403B AND 457B RETIREMENT PLANS For questions concerning financial services contact: Evan Federman, Representative Eligibility: All district employees are eligible for Evan.federman@aig.com AIG / Valic Financial Services. 800-448-2542 Resources (hyperlinks) 2021 Contribution Limits 403b vs 457b How do the plans Future Fit Informational Video differ? 403b Enrollment Form What is the CSD Retirement Trust? Employee Online Account Access/ 403b Highlights Your Valic Representative Enrollment 457b Enrollment Form AIG Education Center FAQ CSD Retirement Trust 457b Highlights Well4Life Warriors Wellness Program Our mission is to create Eligibility: a culture of wellness at Smithville Schools. All district employees, Through comprehensive spouses, and depend- programming, the District ents age 16 or older are will strive to nurture and eligible for improve the well-being of participation in the all staff. wellness program. Consiglio Wellness Center A shared health clinic open to Smithville School District employees, retirees, and their dependents. Medical staff include Physicians and Family and Pediatric Nurse Practitioners focused on prevention and urgent care needs. While this is not a substitute for a primary care physician, it will provide an affordable option for our staff to receive basic health care. Employees, dependents and district retirees are eligible to take advantage of these services with copayment based on their current insurance coverage. 816-224-1740 ~ 1501 NW Jefferson, Blue Springs ~ www.consigliowellnesscenter.com
Next Steps How Do I Enroll or Make Changes? • STEP 1: Schedule a telephonic appointment here https://beneblocenrollment.as.me/SmithvilleSchools • STEP 2: At the time you selected for your appointment, a Benefit Counselor will contact you to review your available benefit options and enroll or decline each product available to you. • STEP 3: You will be sent a Benefit Confirmation Statement outlining the elections made. Important Contacts! • ENROLLMENT ASSISTANCE: BeneBloc is your contact for enrollment assistance, questions about the benefits you elected or for claim filing assistance. (866)692- 2288. • MEDICAL and DENTAL INSURANCE: To find an in-network medical provider visit www.mycigna.com or call 800-CIGNA24. • VISION INSURANCE: To find an in-network vision provider visit www.vsp.com or call 800-877- 7195. • LEGAL SHEILD: For additional information, assistance or questions call Cathy Lucas at 913-709-4392.
Notices and Additional Information CHIP/MEDICAID NOTICE FMLA POLICY GBBDA HIPAA PRIVACY NOTICE HIPAA SPECIAL ENROLLMENT NOTICE INITIAL COBRA NOTICE LEAVE POLICY: GCBDA AND GDBDA LEAVING THE DISTRICT: WHAT YOU NEED TO KNOW—GCPB / GCPC / GDPB1 / GDPC MEDICARE PART D NOTICE NEWBORN AND MOTHER HEALTH PROTECTION NOTICE NOTICE OF MARKETPLACE OPTIONS FOR EMPLOYEES ELIGIBLE FOR EMPLOYER COVERAGE SICK LEAVE BANK POLICY GCBDAC/GDBDAC SPECIAL ENROLLMENT REQUIREMENTS NOTICE / WOMEN’S HEALTH & CANCER RIGHTS SUMMARY OF BENEFITS AND COVERAGES (SBC) - available on page 3 of this booklet under medical resources or a copy may be obtained by contacting the benefits coordinator. WELLNESS PROGRAM NOTICE WHO TO CALL WORKERS COMPENSATION POLICY GBEA
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