ANNUAL EMPLOYEE BENEFITS OPEN ENROLLMENT - 2021-2022 APRIL 12-23, 2021 MY.JCCC.EDU
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2021–2022 ANNUAL EMPLOYEE BENEFITS OPEN ENROLLMENT APRIL 12–23, 2021 MY.JCCC.EDU
Enroll through my.jccc.edu
QUICK GUIDE HIGHLIGHTS
▨ Open enrollment runs April 12 through 23, 2021.
APRIL
23
▨ You must complete enrollment by 5 p.m. Friday, April 23, 2021.
▨ You must enroll even if you don’t make changes to your current coverage.
▨ Benefit elections are effective June 1, 2021, to May 31, 2022.
▨ Elections will be reflected on your June 15, 2021, paycheck.
▨ We've included instructions and an enrollment worksheet to make it easy
for you to compare your year-over-year benefit elections (see pages 12-13)
PROVIDERS
Medical: Blue Cross and Blue Shield of Kansas City (BCBSKC)
Dental: Cigna Dental or Delta Dental
Vision: EyeMed
NEW THIS YEAR
▨ Mindful By Blue KC, is a new behavioral health benefit available to all
employees enrolled in a JCCC medical plan option.
▨ There's a new employee advocacy benefit, Blue Connect, available to
all employees enrolled in a JCCC medical plan option.
▨ The Delta Dental annual and orthodontic maximum benefits are increasing.
NEED HELP?
Contact your JCCC Benefits Specialist if you have questions.
If your last name starts with:
A-F Connie Brickner ext. 4757
G-N Lisa Gates ext. 3619
O-Z Lisa Sullivan ext. 7624
Benefits Manager Jerry Zimmerman, ext. 2776
2 0 21- 2 0 2 2 BENEFITS OPEN ENROLLMENT GUIDETABLE OF CONTENTS
YOUR GUIDE TO OPEN ENROLLMENT
Enrolling for Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
Get Help. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
What’s Changing?
Medical Plan Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4
Flexible Spending Accounts (FSA). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Health Savings Account (HSA). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
Dental Plan Options. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12
Vision Plan Coverage. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
Benefit Elections and Worksheet Terms. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
Enrollment Worksheet. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Annual Reminders
Beneficiary Information. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16
Dependent Eligibility. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Voluntary Additional Life Insurance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Dependent Life Insurance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Domestic Partners. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
403(b) and 457(b) Plan Voluntary Contributions. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18
Qualified Status Change. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19
Know Your Other Benefits
Short-Term Disability Insurance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Employee Assistance Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Tuition Assistance. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20
Kansas Public Employees Retirement System (KPERS). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21
JOHNSON COUNTY COMMUNITY COLLEGE 2 0 21- 2 0 2 2 1ENROLLING FOR BENEFITS
1. Log in to MyJCCC at jccc.edu.
2. Make sure you are in the Employee tab.
3. Click on Go to My Benefits (blue box).
4. Follow the instructions.
5. Y
our electronic submission authorizes JCCC to enroll you in your online selections.
KNOW YOUR BENEFIT GROUP
Group 1: In general, full-time employees with a benefit eligibility date before June 1, 2014
Group 2: Full-time employees with a benefit eligibility date on or after June 1, 2014
GROUP 1 GROUP 2
Receive flex-credits frozen at $554.47 per pay period No flex-credits
Must purchase medical coverage and $50,000 of
Medical is voluntary and $50,000 of basic life is free
basic life insurance
JCCC contributes 7 percent to the 403(b) Plan JCCC contributes 8 percent to the 403(b) Plan
If you are in Group 1, you must first elect to remain in Group 1
hIMPORTANT or change to Group 2 before you can make your selections.
Once you change to Group 2, you will If you choose to move to Group 2, you must contact your
not be allowed to return to Group 1 benefits specialist (see page 3) before enrolling.
during future open enrollments.
If you are in Group 2, you will proceed directly to enrollment.
2 2 0 21- 2 0 2 2 BENEFITS OPEN ENROLLMENT GUIDEENROLLING FOR BENEFITS
? GET HELP
Contact your JCCC Benefits Specialist if you have questions.
If your last name starts with:
A-F Connie Brickner ext. 4757
G-N Lisa Gates ext. 3619
O-Z Lisa Sullivan ext. 7624
BENEFITS MANAGER:
Jerry Zimmerman, ext. 2776
Informational Sessions
hIMPORTANT
A narrated presentation of this year's open enrollment You must complete enrollment
highlights is available at the following link: no later than Friday, April 23,
at 5 p.m.
jccc.edu/2021OpenEnrollment
tNOTE
All enrollment forms must be submitted electronically.
Please print a copy for your records.
JOHNSON COUNTY COMMUNITY COLLEGE 2 0 21- 2 0 2 2 3WHAT’S CHANGING?
MEDICAL PLAN
Coverage options are provided by Blue Cross and Blue Shield of Kansas City (BCBSKC).
Find complete information about your medical plan benefits at jccc.edu. Search for
“Employee Medical Benefits.”
▣ Group 1 full-time benefit eligible employees must participate in either a JCCC medical
plan option or the “A Healthier You” wellness program option provided by BCBSKC. You
must certify that you have other group medical coverage to enroll in “A Healthier You.”
▣ Group 2 employees are not required to participate in a medical plan option.
The medical plan premiums per pay period are:
MEDICAL OPTION
GROUP 1 GROUP 2
AND COVERAGE LEVEL
Preferred-Care Blue EPO
Employee $320.09 $61.08
Employee +1 $550.24 $111.98
Family $741.56 $154.57
Preferred-Care Blue PPO
Employee $308.30 $51.45
Employee +1 $540.92 $94.32 hIMPORTANT
Family $711.38 $129.36 Remember PPO and HDHP
co-pays and deductibles will
Preferred-Care Blue—BlueSaver HDHP
restart on January 1, 2022
Employee $271.34 $0
Employee +1 $460.80 $0
Family $618.47 $0
BlueSelect Plus PPO
Employee $284.49 $45.27
Employee +1 $497.23 $83.02
Family $651.51 $113.85
BlueSelect Plus—BlueSaver HDHP
Employee $249.75 $0.00 + HSA$
Employee +1 $421.23 $0.00 + HSA$
Family $564.20 $0.00 + HSA$
A Healthier You™
Employee $42.90 NA
4 2 0 21- 2 0 2 2 BENEFITS OPEN ENROLLMENT GUIDEWHAT'S CHANGING?
BlueSelect Plus–BlueSaver HDHP and BlueSelect Plus–PPO are limited
network options that include more than 3,600 providers and nine hospitals.
In-network deductibles and co-pays are the same as traditional PPO and HDHP
medical options. The limited network results in lower premiums for participants.
Group 2 employees who enroll in the BlueSelect Plus HDHP will receive
an employer-paid contribution to a UMB HSA as follows:
Employee Only Coverage $38.75 per pay period ($930 annually)
Employee +1 Coverage $71 per pay period ($1,704 annually)
Family Coverage $97.50 per pay period ($2,340 annually)
tNOTE
Members receive a substantial financial reward for accessing
in-network care from the BlueSelect Plus network. Carefully
evaluate whether the limited network of hospitals and providers will
work for you and your family before electing one of these options.
h KEEP IN MIND
1. Because all JCCC medical plan participants will now have access
to the Blue Connect advocacy benefit, you will receive a new
benefit ID card.
2. Deductibles and coinsurance amounts are determined on a
calendar-year basis and will restart on January 1. Any amounts
you pay for deductibles, copays and so on from June through
December 2021 will not count for 2022.
3. If you switch from the EPO to either a PPO or HDHP option
starting June 1, 2021, any amounts paid while participating in the
EPO from January to May will not count toward your PPO/HDHP
deductible or coinsurance for the rest of 2021.
JOHNSON COUNTY COMMUNITY COLLEGE 2 0 21- 2 0 2 2 5WHAT’S CHANGING?
Align CareAlign
Delivery
CareAlign
Delivery
Care Delivery
C O M P R E H E N S I VCEO S
MEPRV
R EIH
CEEN
SS I VCEO S
MEPRV
R EIH
CEEN
SS I V C
E OSNEVRV
E NI C
I EENST B E
CNOE
NFVIE
TNSIENT BE
CNOE
NFVIE
TNSIENT BENEFITS
Routine Adult & Pediatric Routine
Routine CommonAdult & Pediatric
Adult & Pediatric Common
Specialist Patient
Common
Specialist Patient
Specialist Patien
Preventive Care Preventive CareCarePreventive
Primary Prescriptions
CareCare
Primary Referrals
Primary Care &
Prescriptions Referrals
Wellness &
Prescriptions Referrals &
Wellness Wellne
Filled On-Site Scheduling
Filled On-Site Scheduling
Follow-ups
Filled On-Site Scheduling
Follow-ups Follow-u
Chronic Condition Chronic Condition
Behavioral Chronic
Health Condition
Outside-of-Care
Behavioral Routine
Outside-of-Care
Health Behavioral Health Access to A
Routine
Outside-of-Care Access to A
Routine Access
Management Consultations Management
Management Consultations Preventive
Consultations
Center Support Care Healthier
Center Support YouCare Healthier
Preventive
Center Support YouCare
Preventive Healthier
Platform Platform Platfor
Digital DigitalLab DigitalLab Online Lab Online
Online Online
Online Online
X-rays* Draws
X-rays* X-rays*
Draws Scheduling
Draws Care Team
Scheduling Scheduling
Care Team Care Team
Communication Communication Communication
*X-rays are available at select
*X-rays
locations
are only,
available at select
*X-rays
locations
are only,
available at select locations only,
Spira Care Find a Spira Care, Care Center near you:
▣ Olathe: 15710 W 135th Street, Suite 200
For the 2021-2022 benefit plan year, the BlueSelect
Plus HDHP will continue to provide participants with ▣ Overland Park: 7431 W 133rd Street
access to Spira Care’s convenient Care Centers. ▣ Shawnee: 10824 Shawnee Mission Parkway
Spira Care is a combined care and insurance offering ▣ Lee’s Summit: 760 NW Blue Parkway
developed by Blue Cross and Blue Shield of Kansas ▣ Liberty: 8350 N Church Road
City. Members can access comprehensive primary
▣ Crossroads: 1916 Grand Boulevard (KCMO)
care at Care Centers for a low allowable charge of just
$60 a visit as well as all the benefits of the BlueSelect ▣ Wyandotte: 9800 Troup Avenue (KCK)
Plus Network. ▣ Tiffany Springs: 8765 N Ambassador Dr (KCMO)
Take a virtual tour at SpiraCare.com/TourGuide.
6 2 0 21- 2 0 2 2 BENEFITS OPEN ENROLLMENT GUIDEWHAT'S CHANGING?
Mindful By Blue KC
In addition to the benefits you currently have available through the
College’s Employee Assistance Plan (EAP), all employees enrolled in
a JCCC medical plan option now have access to Mindful By Blue KC,
a new behavioral health initiative from Blue Cross and Blue Shield of
Kansas City (Blue KC).
Log in to BlueKC.com to learn
Mindful By Blue KC services include: more about all the services
available from Mindful By Blue KC.
▣ Well-Being Resources, including three (3) visits per issue for help
with major life events, stress, financial issues, childcare and other
everyday challenges.
▣ Online Therapy, text or scheduled live chat, phone or
video therapy at no cost for three (3) sessions to help with
conditions like depression, anxiety and stress.
▣ Online Self-Guided Tools, resources to manage stress,
improve mood and more.
▣ Work-Life Services, telephone and online support services for help
with things like childcare, parenting, adult care, emotional well-being,
career development, daily living needs and college planning.
▣ Family Referral & Caregiving Services, provides help with
such items as pet care, special needs assistance, adoption assistance
and disability resources.
▣ Legal/Financial Services, provides access to one 30-minute
call or visit per issue to a legal representative. Provides one
30-minute telephone consultation per issue to a financial
assistance representative.
▣ Daily Living and Convenience Services, such things as relocation
services, home repairs, housing locators, volunteering, weather
related services and much more.
▣ Serious Illness Resource Program & Funeral/Concierge Services
It all starts with reaching out to a Blue KC Mindful Advocate, who are
licensed behavioral health clinicians, to match you with providers and
guide care plans.
JOHNSON COUNTY COMMUNITY COLLEGE 2 0 21- 2 0 2 2 7WHAT’S CHANGING?
Optum Rx Mail-Order Pharmacy
Optum Rx is our prescription benefit manager with Blue KC.
Remember that mail-order delivery is the most cost-effective way to
fill prescriptions for maintenance medications—those taken regularly to
treat chronic conditions. Copays are reduced for up to a 90-day supply
and you can receive your medication automatically every 90 days.
t NOTE: You will pay a $20 higher copay at a retail pharmacy
after the second fill unless you choose mail-order delivery for
that maintenance medication.
Examples of maintenance drugs: those used to treat high blood Log in to BlueKC.com for access
pressure, high cholesterol, heart disease, asthma and diabetes. to the Optum Rx mail-order portal.
Contraceptive drugs are also considered maintenance medications.
Blue KC Virtual Care
Blue KC Virtual Care gives you access to board-certified doctors and
therapists 24/7/365. With Virtual Care you can schedule and see a doctor
for most minor medical issues anytime from any mobile device or computer.
If you are in an EPO or PPO plan, you will have a $20 copay. If you are in a Blue KC Virtual Care
JCCC HDHP plans, you must pay the allowable charge amount of $59, per Blue Cross Blue Shield of Kansas City
IRS requirements.
Download the Virtual Care
To learn more, log in to your member account at MyBlueKC.com, mobile app and have a video visit
under "Plan Benefits" select "Medical Plan Benefits " and then click on on your smartphone or tablet.
the "Virtual Care" icon
8 2 0 21- 2 0 2 2 BENEFITS OPEN ENROLLMENT GUIDEWHAT'S CHANGING?
Blue Connect Resources for Medical Plan Participants 833-275-5112
Blue Connect, is a new advocacy benefit available to all employees BlueConnect@BlueKC.com
enrolled in a JCCC medical plan option. Blue Connect, connects you
with an expert concierge team to provide a personalized experience for
all of your healthcare needs.
Here are just some of the ways Blue Connect can help you:
Find a healthcare provider
locally or out of area based
on care needs
Learn ways to Learn ways to save money
save on your like using telehealth or going
prescriptions to a lower-cost facility for a
test/procedure
Help for lost
prescriptions or In-depth help with
prescriptions claim issues, including
while traveling complex cases
Speak to a Resolve billing issues
registered nurse with three-way calling
for care questions with your doctor and
or for chronic daily follow-up calls
condition coaching
Assistance
Assistance with scheduling
with appeals appointments based on
care needs
Prior authorization help
for members both in
and out of area
JOHNSON COUNTY COMMUNITY COLLEGE 2 0 21- 2 0 2 2 9WHAT’S CHANGING?
FLEXIBLE SPENDING ACCOUNT (FSA)
Health Care Flexible Spending Account (HCFSA)
You can elect to contribute to a HCFSA for the 2021-2022 benefit plan
year to cover eligible medical, dental and vision expenses for yourself
Check out the self-service mobile app.
and your family that are not reimbursed by other health plans. The You can use it to review your account and
benefit plan year for the HCFSA option runs from June 1, 2021 through file claims. Just go to the Google Play
May 31, 2022. Store for Android devices or App Store
for Apple devices and search for ASIFlex.
The maximum annual contribution allowed to the HCFSA is $2,750 or
$114.58 per pay period per employee.
For this benefit plan year only, you have a grace period to incur tNOTE
eligible expenses up to May 31, 2023 but must submit them for
You cannot participate in
reimbursement no later than July 31, 2023, or you will forfeit any
unused HCFSA contributions. the HCFSA if you enroll in a
JCCC HDHP medical plan
option or are covered by an
Dependent Care Flexible Spending Account (DCFSA) HDHP group health plan
for Child and Elder Care
with another employer.
You can elect to contribute to a DCFSA for the 2021-2022 benefit plan
year. Set aside tax-free dollars for qualified dependent care expenses
necessary for yourself (or if married, additionally for your spouse) to
work or attend school full time. The benefit plan year for the DCFSA
option runs from June 1, 2021 through May 31, 2022. tNOTE
DCFSA contributions cannot
The Internal Revenue Service limits the maximum annual contribution
be used for dependent
amount to the DCFSA to $5,000 per family, or $208.33 per pay period.
health care expenses.
For this benefit plan year only, you have a grace period to incur
eligible expenses up to May 31, 2023 but must submit them for
reimbursement no later than July 31, 2023, or you will forfeit any
unused dependent care FSA contributions.
HEALTH SAVINGS ACCOUNT (HSA)
You can choose to contribute to a health savings account if you enroll
in the Blue Saver HDHP or BlueSelect Plus HDHP medical plan options.
You aren’t required to enroll in the HSA with an HDHP plan. If you have
a current UMB HSA you do not have to open an account again.
Group 2 employees who enroll in the BlueSelect Plus HDHP option will
automatically have an HSA account opened for them to accept JCCC’s
HSA employer contribution.
10 2 0 21- 2 0 2 2 BENEFITS OPEN ENROLLMENT GUIDEWHAT'S CHANGING?
Benefits of an HSA:
▣ You get triple tax savings:
ρ You set aside pre-tax dollars through convenient payroll deductions
ρ HSA payments and reimbursements aren't taxable
tNOTE
ρ Any related investment income or gains aren't taxable
Group 1 employees
▣ Funds can be used to cover out-of-pocket healthcare costs, such as
who have leftover
deductible and co-insurance charges.
flex-credits may use
▣ Unlike with an FSA, you will not lose any remaining money in your HSA
them to fund their HSA.
at the end of the plan year. The funds in your HSA are always yours, even if
you change medical plan options, leave the College or retire, and you can
add more money or spend the money on eligible expenses in future years.
UMB Bank is the HSA administrator for JCCC. You can use any bank or
financial institution that offers HSA rather than UMB, but you will not be able
to take advantage of the automated pre-tax payroll deduction capability if you tNOTE
open an HSA elsewhere.
If you are a Group 2
Beginning June 1, 2021, the maximum amount you can contribute to the employee who
HSA for the remainder of the 2021 Calendar Year (14-pay periods) is: participates in the
Employee Only $2,100 ($150 per pay period)* BlueSelect Plus
Family (Employee +1 or more) $4,200 ($300 per pay period)* HDHP, the employer
contributions to the
If you reach your 55th birthday and are not enrolled in Medicare despite
HSA will reduce the
being otherwise eligible, you can make an additional catch-up contribution of
$583.24 ($41.66 per pay period) to your HSA for 2021. You will have an maximum amount
additional opportunity in November 2021 to make an HSA election for the you can contribute.
2022 calendar year.
* If you enroll in the BlueSelect Plus HDHP, the JCCC per pay period
contribution to your HSA will reduce, dollar for dollar, the maximum
amount you may contribute.
hKEEP IN MIND
1. You cannot participate in the JCCC Health Care Flexible Spending
Account if you enroll in either HDHP option.
2. In general, you are not eligible to receive an employer HSA
contribution or make a voluntary HSA contribution if you or your
spouse participate in a health care flexible spending account or are
covered under another group medical plan other than an HDHP.
3. Once you are enrolled in any Medicare option (A, B, C or D),
you are no longer eligible to make contributions to an HSA and
must discontinue making contributions six (6) months prior to
enrolling in Medicare.
JOHNSON COUNTY COMMUNITY COLLEGE 2 0 21- 2 0 2 2 11WHAT’S CHANGING?
DENTAL PLAN
Dental plan coverage is voluntary. JCCC offers two options:
Cigna Dental Care (CDC) or Delta Dental Premier/PPO.
For 2021-2022, Cigna’s Participant Charge Schedule remains
unchanged. You can find a copy of the Participant Charge Schedule
at Benefits at jccc.edu. Search for “Employee Dental Benefits.”
Compare Delta Dental of Kansas
The CDC option is a managed care program that provides
comprehensive dental care with:
✔ No claim forms to fill out
✔ No deductibles
hKEEP IN MIND
✔ No dollar maximums If you change from Delta
Dental to CDC during open
✔ No pre-existing conditions
enrollment, you need to choose
For this option, you must select a licensed dentist participating in a CDC dentist based upon your
CDC. If you do not select a CDC dentist, Cigna will assign one for residence ZIP code for each of
each of your enrolled dependents. If Cigna assigns you a dentist, you your enrolled dependents.
must wait a minimum of 30 days to change your assigned dentist.
Visit cigna.benefitnation.net/cigna
Copays for covered dental services are spelled out in Cigna’s
to find a CDC dentist near you.
Participant Charge Schedule applicable to the coverage. Review the
covered dental services carefully before deciding to elect this option.
With the Delta Dental Premier/PPO option, you can:
✔ Go to any dentist
✔ Enjoy significant savings when you use a participating PPO dentist
The annual and orthodontic maximum benefit is increasing to $1,750
with no increase in premiums. You can find a PPO participating
dentist at deltadentaltalks.com.
CDC premiums are NOT changing. Delta Dental premiums are NOT changing.
The premiums per pay period are: The premiums per pay period are:
COVERAGE LEVEL GROUP 1 GROUP 2 COVERAGE LEVEL GROUP 1 GROUP 2
CDC Delta Dental
Employee $12.98 $1.38 Employee $16.41 $1.82
Employee +1 $26.34 $2.81 Employee +1 $32.11 $3.58
Family $40.58 $4.33 Family $57.05 $6.37
12 2 0 21- 2 0 2 2 BENEFITS OPEN ENROLLMENT GUIDEWHAT'S CHANGING?
VISION PLAN
During open enrollment, you may elect to enroll in vision plan coverage
with our service provider, EyeMed, and its Insight Network.
Benefits include:
▣ $10 copay for a vision examination
▣ $10 copay for lenses
▣ Coverage for contact lenses
EyeMed is a national provider of vision care and has agreements with
member vision providers, laboratories and retail networks that result in
substantial savings. Visit eyemedvisioncare.com for more information.
You can also see full vision plan information at jccc.edu. Search for
“Employee Vision Benefits.”
EyeMed premiums are NOT changing
The premiums per pay period are:
COVERAGE LEVEL PREMIUM
EyeMed
Employee $5.24
Employee +1 $9.95
Family $14.62
JOHNSON COUNTY COMMUNITY COLLEGE 2 0 21- 2 0 2 2 13WHAT’S CHANGING?
BENEFIT ELECTIONS
Use this worksheet to assist you in enrolling for your 2021/2022 benefit elections.
You can obtain the cost of your 2020/2021 benefit elections as follows:
1. Log in to MyJCCC at jccc.edu.
2. Make sure you are in the Employee tab.
3. Click on Go to My Benefits (blue box).
4. Click on Confirmation Statement.
Your 2020/2021 elections are only available until April 9.
WORKSHEET TERMS
Medical Plan Premiums HSA Contribution
ρ Preferred-Care Blue (PCB) EPO Health Savings Account
ρ PCB PPO (must be enrolled in an HDHP medical plan option)
ρ PCB – BlueSaver HDHP HCFSA Contribution
ρ BlueSelect Plus PPO Health Care Flexible Spending Account
ρ BlueSelect Plus – BlueSaver HDHP (not available if enrolled in a HDHP medical plan option)
Dental Plan Premiums DCFSA Contribution
ρ Delta Dental Premier/PPO Dependent Care Flexible Spending Account
ρ Cigna DHMO Supplemental Life Premium
Vision Plan Premium For a maximum of $500,000 of coverage
(does not include $50,000 of basic life coverage)
ρ EyeMed
Dependent Life Premium
$5,000 for child, $25,000 for spouse
hIMPORTANT
You can no longer make changes to your voluntary contribution
elections to the JCCC 403(b)/457(b) plans during open enrollment.
See page 18 for additional information on how to make these changes.
14 2 0 21- 2 0 2 2 BENEFITS OPEN ENROLLMENT GUIDEWHAT'S CHANGING?
ENROLLMENT WORKSHEET
2020-2021 2021-2022
Plan Name Employee Cost Plan Name Employee Cost
Medical ____________________ Medical ____________________
Dental ____________________ Dental ____________________
Vision ____________________ Vision ____________________
HSA (must be in HDHP) ____________________ HSA (must be in HDHP) ____________________
HCFSA ____________________ HCFSA ____________________
DCFSA ____________________ DCFSA ____________________
Supplemental Life ____________________ Supplemental Life ____________________
Dependent Life ____________________ Dependent Life ____________________
Total Cost ____________________ Total Cost ____________________
JOHNSON COUNTY COMMUNITY COLLEGE 2 0 21- 2 0 2 2 15ANNUAL REMINDERS
BENEFICIARY INFORMATION
Ensure your assets go to those you intend to receive them in the
event of your death. Open enrollment is a good time to review your
beneficiary information and make sure your designations are up-to-date.
1. Log in to MyJCCC at jccc.edu.
2. Make sure you are in the Employee tab.
3. Click on Go to My Benefits (blue box).
4. Choose Manage Beneficiaries under the Quick Links heading.
5. A pop-up box will appear noting you must select a primary
beneficiary for your basic life and AD&D coverage. Click OK.
6. Follow the instructions at the top of the page to record
your beneficiary.
7. You must click the SAVE icon to ensure your election isn’t lost.
hKEEP IN MIND
▣ Your chosen beneficiary for any employee supplemental term life will
be the same as your beneficiary for basic life.
▣ This MyJCCC link will not work during the two weeks of open
enrollment unless you have completed your enrollment elections.
▣ Go to KPERS.org to review your current beneficiary or make a change.
Can’t remember your login? Call KPERS toll free at 1-888-275-5737.
▣ To change your 403(b) and/or 457(b) beneficiaries, contact TIAA toll free
at 877-518-9161 or visit TIAA.org/jccc.
16 2 0 21- 2 0 2 2 BENEFITS OPEN ENROLLMENT GUIDEANNUAL REMINDERS
DEPENDENT ELIGIBILITY
If you add a new dependent to any healthcare coverage (medical, dental,
vision), you must provide documentation of eligibility for coverage. See
an outline of eligible dependents and the necessary documentation
requirements at jccc.edu. Search for “Dependent Eligibility.”
VOLUNTARY ADDITIONAL EMPLOYEE LIFE INSURANCE
During open enrollment, you may elect to decrease or increase coverage
(maximum of $500,000).
If you elect to increase your voluntary additional life insurance coverage
you will be automatically directed to The Standard EOI form. You must
complete this form and submit it online (group number 151414).
tNOTE
You cannot make changes
The premium for any increased amount of voluntary additional life
to your basic life insurance
insurance you have elected will only be changed if The Standard
coverage amount of $50,000.
approves your EOI application.
DEPENDENT LIFE INSURANCE tNOTE
During open enrollment, you may elect to add or drop dependent life You must complete the EOI
insurance coverage on your spouse and eligible dependent children. for your dependent spouse
no later than July 31, 2021,
▣ The cost remains a flat $3.41 per pay period after taxes.
to have it considered for the
▣ If you add dependent life insurance coverage for your spouse, you
current benefit plan year.
must complete and submit the online evidence of insurability (EOI)
form, which will automatically appear upon selection, to The Standard
Life Insurance Company (group number 151414).
▣ Coverage on eligible dependent children is automatically approved and
will begin June 1, 2021.
▣ Coverage on a spouse will not go into effect until The Standard
approves the EOI application.
▣ Children are covered through the end of the year in which they turn 26.
JOHNSON COUNTY COMMUNITY COLLEGE 2 0 21- 2 0 2 2 17ANNUAL REMINDERS
DOMESTIC PARTNERS
Your domestic partner and any domestic partner children are eligible
for medical, dental and vision plans only.
If you newly enroll a domestic partner, you must submit the required
“Affidavit of Domestic Partnership” form and corresponding
documentation to Human Resources, GEB 274, Box 46, no later
than April 23, 2021. You can find the domestic partner form at
jccc.edu. Search for “Domestic Partner Benefits.”
The value of domestic partnership coverage is treated as taxable
wages to you. You will be subject to all applicable withholding taxes
such as federal income tax, Social Security tax, and state/local
income tax on the value of the coverage.
403(b) PLAN AND 457(b) PLAN VOLUNTARY CONTRIBUTIONS tNOTE
In addition to any employer contributions to your 403(b), you can elect Social Security and KPERS
to make monthly voluntary pre-tax or Roth after-tax contributions to the may not provide all the
JCCC 403(b) and/or 457(b).
resources you will need in
You can no longer make changes to your voluntary contribution retirement. Consider making
elections to the JCCC 403(b)/457(b) plans during open enrollment. a voluntary contribution to the
Rather, you must log in to MyJCCC and click on the "Go to TIAA" link or 403(b) and/or 457(b) plans
log in to the secure website TIAA.org/jccc, to change your contributions to enhance your available
or investment elections at any time. If you prefer you can speak to TIAA retirement assets.
by calling 800-482-2252 weekdays from 7 a.m. to 9 p.m. and Saturday
and Sunday 8 a.m. to 5 p.m. (CT).
For the 2021 calendar year, contribution limits are unchanged:
▣ You can contribute up to $19,500 (combined pre-tax and Roth You can meet with a TIAA or
after-tax contributions) to each plan. Two West advisor to learn more.
▣ If you turn 50 or are already 50 or older, you can make an additional To schedule an appointment:
$6,500 catch-up contribution for a total of $26,000 to each plan.
TIAA
▣ You may initiate or change voluntary contributions at any time. 800-732-8353
TIAA.org/jccc
Find more information on Roth after-tax contributions versus pre-tax Search Consultations & Seminars,
contributions at jccc.edu. Search for “Employee Benefits Roth.” select Meet at Work
Two West
913-647-8376
mike@twowestadvisors.com
18 2 0 21- 2 0 2 2 BENEFITS OPEN ENROLLMENT GUIDEANNUAL REMINDERS
QUALIFIED STATUS CHANGE
Changes to your benefit plan selections after open enrollment
are not generally allowed unless you experience an IRS-approved
qualified status change event during the plan year.
Qualified status change events include but aren’t limited to:
▣ Marriage
▣ Divorce
▣ Birth or adoption of a child
▣ Loss of a spouse’s insurance through another company
To be eligible, you must contact your benefits specialist within
30 days of the event and provide supporting documentation.
These changes go into effect the first day of the month following
the receipt of the appropriate documentation.
Changes due to marriage or the birth of a child may be made sooner.
Find more information on qualified status changes at jccc.edu.
Search for “Qualified Status Change.”
tNOTE
If you notify your benefits specialist later than 30 days after the
event and the change results in a plan level modification (such
as a change from family to employee plus one coverage), you
cannot make additional changes to your benefit plan enrollment
elections until the next open enrollment period.
JOHNSON COUNTY COMMUNITY COLLEGE 2 0 21- 2 0 2 2 19KNOW YOUR OTHER BENEFITS
YOUR JCCC BENEFITS PACKAGE INCLUDES MUCH MORE.
HERE’S A SAMPLING.
SHORT-TERM DISABILITY INSURANCE
At no cost, the College provides short-term disability coverage once
you complete three months of full-time continuous employment. The
weekly benefit is equal to 65% of your basic weekly earnings.
EMPLOYEE ASSISTANCE PLAN
Employee Assistance Plan (EAP) coverage is provided at no cost to you.
You and your eligible dependents can access the EAP even if you have
no other coverage through JCCC. COVID-19 resources and confidential
services are available from more than 200 professionally trained
guidance counselors contracted with New Directions Behavioral Health
in the KC area.
Get free, confidential support for life’s challenges, including
relationships, life-changing events, worry or stress, workplace changes,
substance dependence, or legal and financial issues.
800-624-5544
ndbh.com, passcode JCCC
TUITION ASSISTANCE
You and your eligible dependents can receive free tuition and fees for
credit courses taken at JCCC.
20 2 0 21- 2 0 2 2 BENEFITS OPEN ENROLLMENT GUIDEKNOW YOUR OTHER BENEFITS
KANSAS PUBLIC EMPLOYEES RETIREMENT SYSTEM (KPERS)
As a JCCC employee, you automatically accrue retirement benefits
from KPERS. You also receive the following benefits:
▣ Basic life insurance provided at no cost to you
▣ Long-term disability coverage provided at no cost to you and
equal to 60 percent of your KPERS gross earnings
▣ Additional life insurance (optional)
▣ Spouse life insurance (optional)
▣ Child life insurance (optional)
Go to KPERS.org to learn more.
Have questions or need more detailed information?
Contact your Benefits Specialist.
If your last name starts with:
A-F Connie Brickner ext. 4757
G-N Lisa Gates ext. 3619
O-Z Lisa Sullivan ext. 7624
You must complete enrollment
no later than Friday, April 23, at 5 p.m.
JOHNSON COUNTY COMMUNITY COLLEGE 2 0 21- 2 0 2 2 21M Y. J C C C.E DU This enrollment package is presented as a matter of information. In the event of any inconsistency between a statement in this enrollment package and the relevant plan document or plan summary, the plan document or plan summary will control over the statement in this enrollment package.
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