Annual Enrollment for Plan Year 2011. February 2010 2 APRIL 2010 Topics to Discuss What’s New for...

Annual Enrollment for Plan Year 2011

February 2010 2APRIL 2010

Topics to Discuss

What’s New for Plan Year 2011?

Annual Enrollment Communications

Information regarding Dependents

QSC Review

Additional Reminders


What’s New for Plan Year

2011?



Dates for Annual Enrollment:

– Starts: 4:00 a.m., October 12th

– Concludes: 4:30 p.m. November 10th

Employees will have two options to make their benefit selections and/or update dependent information for Plan Year 2011:

– Accessing the GaBreeze web site: www.GaBreeze.ga.gov

> Link to GaBreeze via the Team Georgia web site: http://team.georgia.gov/portal/site/FLEX

– Contacting the GaBreeze Benefits Call Center: 1-877-342-7339

Employees will be allowed to have multiple confirmations online during the Annual Enrollment period



Accidental Death & Dismemberment

AD&D will increase coverage levels to 8x and 9x Benefit Salary

No Evidence of Insurability will be required to enroll or increase coverage



Child Life Insurance

Evidence of Insurability (EOI) is no longer required for current employees enrolling in coverage



Vision$50 Wholesale allowance for Private Practice providers will be replaced with $130 Retail allowance

– Participants will know how much they are required to spend

– Participants will have more freedom of choice between Retail providers and Private Practice providers

Online ID cards will be provided for Participants

– Participants log in to web site: www.myoptumhealthvision.com

– ID cards can be printed for employee or family members

– Log in with the employee’s identification number, enter the dependent’s last name and Date of Birth

– No limit to the number of cards which can be printed



Specified Illness

(For this Plan Year Only)

Evidence of Insurability requirements for Specified Illness:

– Employees can select up to $30k of coverage without EOI

– Employees can select up to $10k of coverage for Spouse Specified Illness without EOI



Spending Accounts

For Plan Year 2011, IRS regulations will prohibit over the counter medications as an eligible expense under the Health Care Spending Account

For Plan Year 2011 employees will have a 2 ½ month grace period to submit claims for their Health Care Spending Account – March 15, 2012

Employees will have until April 30, 2012 to send their claim forms to SHPS for reimbursement. All mailed claims must be postmarked by April 30th



Legal

Hyatt Legal Plans acquired Allstate’s group legal plans business, known as "Signature LegalCare” effective July 1, 2010

Plan design will remain the same for Plan Year 2011

No rate changes to the coverage levels



Legal

Contact information (by phone)

1-800-821-6400 Monday thru Friday 8 a.m. to 7 p.m. (E.T.)

Contact information (by email)

–www.legalplans.com

–Select Plan Passwords: 7600001 & 7610001

–Select Plus Plan Passwords: 7620001 & 7630001



Dependent Information on File

During Plan Year 2010, current employees must contact the GaBreeze Benefits Center to update dependent data

–Dental and/or Vision carriers will not accept dependent information

All employees will be required to verify and/or update their dependent information during Annual Enrollment for Plan Year 2011



Dependent Eligibility (Age Limit Increase)

Effective January 1, 2011, the Patient Protection and Affordable Care Act extends the age limit of eligible dependents from 19 to 26 regardless of full-time status for all plans which cover dependents

During the month of October, student status letters will cease



Dependent Eligibility (Annual Enrollment)

During Annual Enrollment, employees adding dependents, including dependent up to age 26, will receive a letter from the Flexible Benefits Program in the mail requesting proof of eligibility

Employees will have a 30-day period from the date of the letter to submit the requested documentation

If documentation is not submitted within the specified timeframe, the dependent(s) will be dropped and their coverage terminated


QSC (Qualifying Status Changes)

Review


16th of the Month Rule (Status or Coverage Changes)

Employee actions:

The employee reports the Qualifying Status Change (QSC) event on the GaBreeze web site OR by contacting the GaBreeze Benefits Call Center

–No paper forms are used

Supporting documentation issued to SPA

Hewitt issues a paper confirmation by mail for employee review



Status changes are driven by employment data

– Leaves, Terminations, Retirement, etc.

For Status Changes

Before the 16th of the Month

– Coverage change/end effective the first day of the next month

> (Example: Change on June 1st; Effective July 1st)

On or after the 16th of the Month

– Coverage change/end effective the first day of the following month

> (Example: Change on June 16th; Effective August 1st)



For Qualified Status Changes

Qualified Status Changes are initiated by employees

–Birth, Adoption, Marriage, Divorce, etc.

Effective the first of the month following the date the change is reported (regardless of actual QSC date)

Birth and adoption are effective on the actual date of the event

Employees report a QSC to GaBreeze

–Within 30 days of the event to request changes


Dates for Annual Enrollment: Starts: 4:00 a.m., October 12th Concludes: 4:30 p.m. November 10th

Employees will have the following options to make their benefit selections and/or update dependent information for Plan Year 2011:

•GaBreeze web site: www.GaBreeze.ga.gov •Team Georgia web site: http://team.georgia.gov/portal/site/FLEX

•Call the GaBreeze Benefits Call Center: 1-877-342-7339

Reminders


Final Questions and Follow-ups

Annual Enrollment for Plan Year 2011. February 2010 2 APRIL 2010 Topics to Discuss What’s New for...

Documents

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