changes for 2010 premium increase for hmo - blue choice and cigna opportunity to increase optional...
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Changes for 2010Premium increase for HMO - Blue Choice and
CIGNAOpportunity to increase Optional Life levelNew Optional Life ProviderHealth Savings Account maximumVision CareDental Plus rate increaseTobacco Surcharge $25.00
What you can do during this enrollment period.Change from one health plan to another.Increase/Decrease Optional Life.Increase/Decrease Dependent Life Spouse.Enroll in State Vision Care Plan.Add or drop dependents.Enroll/Dis-enroll in Dental Plus.Enroll or re-enroll in MoneyPlu$ MSA and
Dependent Day Care Accounts.May re-enroll in spending accounts on line at
MyFBMC.com.Change your Health Savings Account amount.May make changes on MyBenefits.
Blue Choice HMO CIGNAMonthly Rates$185.56- Enrollee$508.78-Enrollee
/Spouse$382.66-
Enrollee/Child(ren) $741.22- Full Family
SHPs-No increase in monthly premiums
Lifetime max $2 million per person
Monthly Rates$251.94- Enrollee$608.42- Enrollee/
Spouse$518.08-
Enrollee/Child(ren)$930.84 -Full Family
HMO ChangesBlue Choice CignaCoinsurance 85%/15%Coinsurance max
$2,000/$4,000Physician Visit co-pay $15Specialist co-pay $40Pharmacy co-pay
$8/$15/$35/55Lifetime max $2 million
per personNo routine vision benefit
Lifetime max to $2 million per person
No routine vision benefit
APS- Mental Health and Substance Abuse
Effective January 1, 2010, (APS) will cover out-of- network services.
New online Access to Claims and EOB’s.
Tobacco Surcharge
Effective January 1, 2010, a $25 a month surcharge will be added to health insurance premium of subscribers who use tobacco or who cover family members who do.
Persons who fail to complete a certification will be assessed the same non-refundable surcharge.
VISION CARE Comprehensive program covers eye exams and eye wear.
Current vision care discount program will still exist, but cannot be combined with the new program at the time of service. The new vision plan will also use a different network of providers.
Beginning January 1, 2010, Blue Choice Health Plan and CIGNA HMO will no longer offer vision routine vision care coverage.
Anyone eligible for health insurance through the EIP is eligible for vision coverage.
Active employees may pay for vision before taxes are deducted through MoneyPlu$.
Vision Care RateGroup
Monthly Premium
Yearly Premium
1)Subscriber Only $7.76 $93.122)Subscriber + Spouse $15.52 $186.243)Subscriber + Child(ren) $16.48 $197.764)Subscriber + Family $24.24 $290.885)Surviving Children $8.72 $104.64
•Exam – Once every calendar year•Frames – Once every 2 calendar
years•(Eyeglass) Lenses or Contact
Lenses – Once every calendar year
Dental Plus RatesMonthly PremiumsEnrollee $22.04Enrollee/ Spouse $41.72Enrollee/Child(ren) $45.54Full Family $65.22
Optional LifeMET LIFE new carrier.Employees can enroll in and/or increase
coverage in $10,000 increments up to $50,000 without providing medical evidence of good health.
For amounts above $50,000 in $10,000 increments up to $500,000 medical evidence required.
$500,000 maximum benefit.Can decrease or cancel coverage.Premium decrease.
Dependent LifeIncrease dependent life spouse coverage. Enroll dependent spouse for up to $20,000.Cannot exceed 50 percent of employee’s
optional life benefit amount, or $100,000, whichever is less.
Dependent Life Child(ren) did not change.
My Insurance Manager Review claims status.View and print copy of your Explanation of
Benefits (EOB).View amount paid toward annual
deductible and coinsurance maximum.Ask customer service a question.Locate a network provider.
How to make changes
Use MyBenefits (preferred)!Come into the office.Complete a paper Notice Of Election.Re-enroll on line at FBMC (preferred).Enroll with paper for first time participant in
a MSA or Dependent Day Care Account.
Supplemental Long-Term DisabilityEnroll in supplemental long-term disability
with medical evidence of insurability. Change from the 180 day to 90 day with
medical evidence of insurability.Change from 90 day to 180 day without
medical evidence.Cancel supplemental long-term disability.
MyBenefitsGo to http://www.eip.sc.gov/mybenefits.Enroll or access your current MyBenefits
account.1st time users must register.Available to online users until midnight
October 31, 2009. Detailed instructions in Insurance
Advantage.PAPER Notice Of Election completed by
Friday October 30, 2009.
Reminders- On line usersIf you want to make beneficiary changes and
enrollment changes at the same time, remember to make the beneficiary change first and 48 hours later make the enrollment change.
Prior to finishing you should enter submit or approve twice. You will then be prompted to print a copy for your record.
Print your copy!
MoneyPlu$Enrolling and re-enrolling in MoneyPlu$.First-time MoneyPlu$ subscribers must see their
benefits administrator to enroll.Current MoneyPlu$ spending account(s)
participants can re-enroll online.Visit FBMC’s web site www.myFBMC.com.
MoneyPlus-Grace Period
Can incur expenses through March 15, 2010, provided your account is active on December 31, 2009.
Rule applies to Medical Spending Accounts and to “limited use” Medical Spending Accounts.
Don’t wait to submit 2009 MSA claims and documentation (particularly if you have begun submitting 2010 claims).
Remember, during grace period
Medical Spending Account (MSA) claims for services rendered in 2010 received during the grace period will be paid with unspent 2009 money first.
If you wait to file claims for 2009 expenses, your 2009 account may be exhausted.
EZ REIMBURSE® VISA Card®
Service provider must have terminal eligible medical expenses such as co pays and deductibles subtracted at point-of-sale (substantiation of claims may be required).
$10 annual fee deducted from Medical Spending Account.
EZ reimbursement cardJanuary 1, 2010, you cannot use card at
stores that have not met certain electronic coding requirements for prescriptions and eligible over-the-counter items.
EZ REIMBURSE® VISA CARD®.
Health Savings AccountHSA contributions -- limits and “catch-up”
provision.2010 contributions limited to $3,050 for
individuals $6,150 for family.Catch-up provisions for individuals age 55
and older additional $1,000 for 2010.
RemindersCheck your December 15th payroll for health,
dental, dental plus, vision, optional life insurance and supplemental long-term disability (SLTD) changes. January 15th for Medical Spending Account (MSA) and Dependent Day Care changes.
Print off a copy of any on line transactions !Keep a copy of any paper forms completed.Call the Human Resources office for
assistance.
QUESTIONS