EMPLOYEE BENEFITS GUIDE

2019—2020

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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.

BENEFITS TEAM

Wayne Krueger

Assistant Superintendent, Support Services

kruegerw@smithville.k12.mo.us 816-532-0406 x5065 816-807-2161 cell

Mr. Krueger oversees all aspects of the employee benefits program

from inception to execution.

Ashley Jones

Director of Human Resources

jonesa@smithville.k12.mo.us 816-532-0406 x5066 816-350-9550 cell

Ashley oversees day to day employee service issues.

Kim Davis

Coordinator of Benefits & Wellness

davisk@smithville.k12.mo.us 816-532-0406 x5012 913-558-6669 cell

Kim manages the employee benefits program. Additionally, she manages

and promotes the District wellness initiative, provides day to day service

for issues for all core benefits, voluntary benefits, retirement services,

worker’s compensation/staff injuries, absences/time off, and FMLA/long

term leave.

Karen Kopp

Payroll Specialist

koppk@smithville.k12.mo.us 816-532-0406

Karen is the go-to person for all updates related to payroll deductions and

withholdings. She handles all payroll transactions and benefit deductions

for NON-certified staff and substitutes.

Lori Torkelson

Payroll Specialist

torkelsl@smithville.k12.mo.us 816-532-0406

Lori is the go-to person for all updates related to payroll deductions

and withholdings. She handles all payroll transactions and benefit

deductions for CERTIFIED staff.

Your one stop website for all your benefits, health, wellness, and programming questions.

www.totalhealthcampus.com

Your one-stop website for all benefits, health, wellness, and programming questions.

www.totalhealthcampus.com

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Eligibility: You are eligible to participate in the medical benefits plan if you work 30 or more hours per week. Retirees from the district, who elect within one year from the date of retirement, and retiree's spouse and children receiving or eligible to receive benefits under PSRS or PEERS. For questions concerning your medical benefits, a claim, to identi-fy a network provider, preventative coverage, prescription services, or other questions, contact:

Cigna Member Services at 1-800-CIGNA24

www.mycigna.com

PLAN RATE PLAN 1

SURE FIT HDHP HSA

PLAN 3

$0 Premium OAP CO-PAY Plan

PLAN 4

Buy Up OAP CO-PAY Plan

PLAN 2

OAP HDHP HSA

Employee $ 0.00 $70.00 $ 0.00 $ 50.00 $ 0.00 $40.00

Employee + Spouse $574.00 $70.00 $ 689.00 $ 809.00 $638.00 $40.00

Employee + Children $373.00 $70.00 $ 426.00 $ 520.00 $425.00 $40.00

Family $893.00 $70.00 $1156.00 $1323.00 $975.00 $40.00

Retiree $460.00 ——— $ 530.00 $ 580.00 $490.00 ———

Smithville School District offers benefits-eligible employees a choice of four medical plans.

All plans include pharmacy coverage.

PLAN 1: SURE FIT HDHP—High Deductible Health Plan coupled with a Health Savings Account. Sure Fit Network provides In Network coverage only. $0 premium, $2700 deducti-ble & Out Pocket Max. H.S.A. contribution of $70 per month enrolled. PLAN 2: OAP HDHP—High Deductible Health Plan coupled with a Health Savings Account. Open Access Plan provides both In and Out of Network coverage. $0 premium, $3000 de-ductible & Out Pocket Max. H.S.A. contribution of $40 per month enrolled. PLAN 3: $0 Premium OAP Co-pay Plan—Open Access Plan provides both In and Out of Network coverage. $0 premium, $4000 deductible, $6650 Out Pocket Max, 70/30% coinsur-ance, $25 copay PCP / $50 specialist. PLAN 4: Buy Up OAP Co-pay Plan—Open Access Plan provides both In and Out of Net-work coverage. $50 premium, $1500 deductible, $3500 Out Pocket Max, 70/30% coinsur-ance, $25 copay PCP / $50 specialist.

2019 Cigna Value 3-Tier RX Drug List

2019 No Cost Share Preventive Medications

2019—2020 Insurance Rate Price Sheet

Cigna 90 Now RX Program

Cigna Care Management—Here to help YOU.

Cigna Healthy Rewards (Discount Program)

Cigna One Guide—Personal Guidance

Cigna.com: Is my doctor in network?

Colon Cancer Collection Kit

Colon Cancer—Get the Facts

Health Savings Account—How Does That Work?

High Deductible Health Plan—How Does That Work?

HIPPA Notice Enrollment Requirements

Home Delivery Pharmacy

Home Delivery RX Made Easy

How to Find and Compare Healthcare Cost

HSA Election Form — Smithville Payroll

Make the Most of your Cigna Health Plan

My Health Assessment

MyCigna Mobile App

Open Access Network Guide

Plan 1 SUREFIT High Deductible Plan Summary

Plan 2 OAP High Deductible Plan Summary

Plan 3 Zero Premium OAP Copay Plan Summary

Plan 4 Buy Up OAP Copay Plan Summary

Platte Valley Bank— Health Savings Set Up Form

Preventive Health Guide

Side by Side Medical Comparison

Side by Side Rx Comparison

Sure Fit Network Directory

Sure Fit Presentation by Cigna

Sure Fit—Kansas City: What you need to know.

Medical Plan Resources (hyperlinks)

NOTE: Premium prices above reflect the $30.00 per month discount received for completion of the annual biometric screening and on-line health

assessment.

NOTE: One must be eligible, per IRS guidelines, to receive the District Health Savings Account contribution. HSA Eligibility click HERE.

Medical

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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.

For questions concerning your benefits eligibility, contact:

Kim Davis, 816-832-0406

davisk@smithville.k12.mo.us

For questions concerning your 24/7 app technical issues, contact:

1-888-434-8723

What is Saint Luke’s 24/7?

Saint Luke’s 24/7, powered by MDLIVE, is a new mobile app that connects you to a provider anytime, 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, and prescribe medication in real time.

Using the app, a virtual visit experience will be similar to a Skype or FaceTime video chat, allowing the provider to see and talk to the patient, ask questions in real time, and discuss treatment options. The Saint Luke’s and MDLIVE provider network consists of board certified family medicine, internal medicine, emergency medicine, and pediatrics practitioners. This new telehealth service is available to benefits eligible employees and their families regardless of plan coverage.

What are common conditions that can be treated using Saint Luke’s 24/7?

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:

Acne

Allergies

Asthma

Bronchitis

Cold and flu

Constipation

Diarrhea and nausea

Ear infections

Fever, headache, sore throat

Infections

Insect bites

Joint aches

Pink eye

Rashes

Respiratory infections

Urinary tract infections

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.

PLAN RATE

Employee $0.00

Employee + Spouse $0.00

Employee + Children $0.00

Family $0.00

Retiree (if on a dis-

trict medical plan)

$0.00

St. Luke’s 24/7 Registration Guide—Exclusive to Smithville Em-

ployees and their dependents

St. Luke’s 24/7 Registration —Written Instructions.

Jordan’s Wedding Allergies video (30 seconds)

Daughter with Pink Eye video (30 seconds)

Telemedicine Resources (hyperlinks)

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Dental

Eligibility: You are eligible to participate in the dental plan if you work 30 or more hours per week. Retirees from the district,

who elect within one year

from the date of retirement,

and retiree's spouse and chil-

dren receiving or eligible to

receive benefits under PSRS

or PEERS.

For questions concerning your medical benefits, a claim, to identify a network provider, preventative cover-age, prescription services, or other questions, contact: Cigna Member Services 1-800-CIGNA24

www.Cigna.com www.mycigna.com

PLAN RATE PLAN 2

DPPO Buy Up Plan

PLAN 3 DPPO Buy Up Plan

w/Orthodontia

PLAN 1

DHMO Base Plan

Employee $27.42 36.23 $0.00

Employee + Spouse $59.26 $75.56 $14.11

Employee + Children $61.14 $77.88 $14.11

Family $87.37 $110.26 $14.11

Retiree $37.46 $46.27 $10.04

Smithville School District offers benefits-eligible employees a choice of three

dental plans.

PLAN 1: DHMO Base Plan—This plan provides In Network only coverage.

The plan offers free preventive care plus fee for service restorative care and

child/adult orthodontia. $0 deductible, no calendar year benefit maximum,

$5.00 copay per visit.

PLAN 2: DPPO Buy Up Plan—This plan provides both In Network and Out of

Network coverage. The plan offers free preventive care plus co-insurance pric-

ing restorative care. $50 deductible, $1000 calendar year benefit maximum.

PLAN 3: DPPO Buy Up Plan with Orthodontia—This plan provides both In

Network and Out of Network coverage. The plan offers free preventive care

plus co-insurance pricing restorative care and child orthodontia up to age 19.

$50 deductible, $2000 benefit max per calendar year.

2019—2020 Insurance Rates Cigna.com: Is my dentist in network? Dental HMO Fee Schedule / Plan Summary Dental HMO Info Page Dental PPO Basic Plan Summary Dental PPO Info Page Dental PPO Network Dental PPO w/orthodontics Plan Summary

DHMO Directory How to Find an In-Network Dentist Side by Side Dental Plan Comparison

Dental Plan Resources (hyperlinks)

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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

elect within one year from the

date of retirement, and retiree's

spouse and chil-

dren receiving or eligible to re-

ceive benefits under PSRS or

PEERS.

For questions concerning your medical benefits, a claim, to identify a network provider, pre-ventative coverage, prescription services, or other questions, contact: VSP Member Services: 800-877-7195 www.VSP.com

PLAN RATE

Employee $ 9.13

Employee + Spouse $14.60

Employee + Children $14.91

Family $24.03

Retiree $9.13

2019 - 2020 INSURANCE RATES

VSP PLAN SUMMARY

EYE CARE MADE EASY

EYEWARE PROTECTION PLAN

PRIMARY EYE CARE

WHAT DO YOUR EYES SAY ABOUT YOU?

SEE MUCH MORE RESOURCE CENTER

TRUHEARING HEARING AID DISCOUNT OFFER

VSP MEMBER PERKS, COUPONS, AND SAVINGS

Vision Plan Resources (hyperlinks)

BENEFIT DESCRIPTION COPAY FREQUENCY

Well Vision Exam Focus on your eyes and overall wellness $10.00 Every 12 months

RX Glasses Materials $25.00 See frame and lenses

Frame $130- $150 allowance on frames plus 20% savings on

amount over your allowance

Every 24 months

Lenses Single vision, lined bifocal, and lined trifocal lenses;

Polycarbonate lenses for dependent children

Every 12 months

Lens Enhancements Standard progressive lenses

Premium progressive lenses

Custom progressive lenses

20-25% savings on other lens enhancements

$0

$95—$105

$150—$175 Every 12 months

Contact Lenses $130 allowance for contacts

Contact lens exam (fitting and evaluation)

Up to $60 Every 12 months

Extra Savings Extra $20 to spend on featured frame brands.

20% savings on additional glasses and sunglasses.

No more than a $39 copay on routine retinal screen-ing as an enhancement to a WellVision Exam.

Average 15% off the regular price or 5% off the pro-motional price Laser Vision Correction.

Using your VSP benefit is easy!

Create an account at VSP.com. Once your plan is effective, review your bene-

fit information.

Find an eye doctor who’s right for you. Visit VSP.com or call 800-877-7195.

At your appointment, tell the provider you have VSP. There is no ID card nec-

essary. If you would like an ID card, you may print one off at VSP.com.

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Eligibility: You are eligible to participate in the Basic Life and voluntary Life plan if you work 30 or more hours per week.

For questions concerning your Basic Life or Voluntary benefits contact:

Group Contact Center:

American United Life Insurance Company

P.O. Box 6123 Indianapolis, IN 46206-6123

Phone: Local: (800) 553-5318

Fax: (317) 285-1565

Email: GroupContactCenter@oneamerica.com

Basic Life and AD&D Insurance: One America

Smithville R-II School District provides a basic $10,000 term life insurance benefit at no cost to you. This product is not portable and ends when one ends employment with the District.

Voluntary Life Insurance

The voluntary life product allows you to purchase additional coverage over and beyond what the District provides to you. You may also purchase coverage for your spouse and/or children. If you wish to purchase coverage on your spouse and/or dependents, you must purchase Voluntary Life for yourself as well.

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.

EVIDENCE OF INSURABILITY FORM

VOLUNTARY LIFE BENEFITS SUMMARY

VOLUNTARY LIFE: WHAT YOU NEED TO KNOW

BOARD PAID LIFE BENEFITS SUMMARY

Life and AD&D Resources (hyperlinks)

Life and AD&D

Voluntary Life / AD&D One America

Employee Benefit

Available

$1,000 increments to a max of $500,000 not to

exceed 5 times an employees annual base salary.

Minimum election $10,000.

Spouse Benefit

$500 increments to max of $250,000, not to ex-

cess 100% of employee election.

Minimum election $10,000.

Child Benefit $10,000

Guarantee Issue Levels -

Without Medical Ques-

tions.

Employee: $150,000

Spouse: $25,000

Child: $10,000

Rates

Per $10,000 —based on employee’s age

0-29 $0.80

30-34 $0.90

35-39 $1.10

40-44 $1.50

45-49 $2.30

50-54 $3.60

55-59 $5.70

60-64 $7.20

65-69 $12.40

70+ $32.60

Child $2.75

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Section 125 Plan

You are eligible to participate in the Section 125 Plan if you work 30 or more hours per week. Health Eligibility: You are eligible to participate in the flexible benefits plan if you work 30 or more hours per week AND you or your spouse are not partic-ipating in a Health Savings Account.

Dependent Care Eligibility: You are eligible to participate in the flexible benefits plan if you work 30 or more hours per week.

For questions concerning your medi-cal benefits, a claim, to identify a net-work provider, preventative coverage, prescription services, or other ques-tions, contact: CBIZ at 800-815-3023 Myplans.CBIZ.com

Smithville R-II School District provides you the opportunity to pay for out-of-pocket medical, dental, vision and dependent care expenses with pre-tax dollars through Flexible Spending Accounts. You must re-enroll in the plan annually to par-ticipate for the plan year. You can save approximately 25 percent of each dollar 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 expenses related to care of eligible dependents while you and your spouse work.

Contributions to your FSA come out of your paycheck before any taxes are 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 eligible expenses for the plan period. If you do not use the money you contributed it will not be refunded to you or carried forward to a future plan year. This is the use-it-or-lose-it rule.

The maximum that you can contribute to the Health Care Flexible Spending account is $2,700.

The maximum that you can contribute to the Dependent Care Flexible Spend-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:

CBIZ Member Portal: How to Guide

CBIZ Prepaid Benefits

Card

Dependent Care Flexible Spending Account

Flexible Spending Ac-count Information

FSA brochure

Over The Counter (OTC) Insert

CBIZ Section 125

Without FSA With FSA

Gross Monthly Pay $3,500 $3,500

Pre-Tax Benefits

-Medical/Dental Premiums $0 $300

-Medical Expenses $0 $100

-Dependent Care Expenses $0 $400

Total $0 $800

Taxes

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

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.

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Voluntary

Eligibility: You are eligible to par-ticipate in the Unum voluntary bene-fits if you work 30 or more hours per week.

For questions concerning UNUM benefits contact:

WWW.UNUM.COM

866-679-3054

Accident Insurance:

Accident insurance pays a benefit directly to you if you are injured and need treatment.

Examples of covered injuries/expenses: broken bones, concussion, lacerations, chiropractic

treatment, physical therapy, ER treatment, and much more.

Accident insurance also includes a $50 wellness benefit paid upon a wellness screening

and an additional catastrophic benefit.

Critical Illness Insurance:

Critical illness insurance pays a benefit directly to you if you are diagnosed with a covered

condition such as a heart attack, stroke or cancer.

Three advantages of this coverage:

1. Decreased, affordable premiums deducted directly from your paycheck.

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.

Educator Select Long-term Disability Insurance:

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

you are unable to work for an extended period of time due to a covered injury or illness.

Coverage includes features that allow you to design a flexible plan that meets your personal

needs. You can select:

1. The benefit amount (benefit amount you would receive each month).

2. The elimination period (amount of time between when a disability starts and when bene-

fits begin).

3. The duration period (length of time you would continue to earn benefits).

d actual numbers may vary. Paying certain qualified expenses before tax increases your

ACCIDENT INSURANCE VIDEO

ACCIDENT INSURANCE FLYER

ACCIDENT PAYOUT SCHEDULE

CRITICAL ILLNESS VIDEO

CRITICAL ILLNESS FLYER

DISABILITY INSURANCE VIDEO

DISABILITY INSURANCE FLYER

HOSPITAL INDEMNITY VIDEO

HOSPITAL INDEMNITY FLYER

Resources (Hyperlinks)

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. Includes a $50 Wellness Benefit.

1. Decreased, affordable premiums deducted directly from your paycheck.

2. Coverage is portable. You may take it with you if you resign or retire.

3. Hospital admission and per day benefit.

Rates vary and are based

on the coverage amount,

coverage level, and partic-

ulars of the plan selected.

Cost calculator is included

on the benefits enroll-

ment tool.

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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 2019

Video: ID Shield Product Overview

Video: ID Shield Social Media Monitoring

Video: ID Shield Vault

Video: Legal Shield Product Overview

Resources (Hyperlinks)

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The Public School and Education Employee Re-

tirement System of Missouri has a comprehen-

sive website that provides general and member spe-

cific information on eligibility, investment, resources,

and more.

PSRS—PUBLIC SCHOOL RETIREMENT SYSTEM OF MISSOURI—CERTIFIED TO TEACH

PEERS—PUBLIC EDUCATION EMPLOYEE RETIREMENT SYSTEM OF MISSOURI—NON CERTIFIED STAFF

Resources (hyperlinks)

For questions concerning your PSRS or PEERS membership, contact:

Information Center Representatives

7:30 a.m.—5 p.m. Phone: 800-392-6848

Email: psrspeers@psrspeers.org

PSRS Eligibility: PSRS membership is automatic,

regardless of position, for certificated employees of the cov-

ered employers listed below in a position that normally re-

quires the employee: 1. Work the full school day, or 2. Work

at least the same number of hours per week as required for

such a position, and 3. Work at least 600 hours during the

school term. If you meet eligibility requirements, you cannot

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).

PEERS Eligibility: PEERS membership is automatic,

regardless of position, for non-certificated employees of the

covered employers listed below to work at least 20 hours per

week on a regular basis in a position that normally requires

the employee to work at least 600 hours during the school

term. If you meet eligibility requirements, you cannot opt out

of PEERS membership.

PLAN EMPLOYEE

CONTRIBUTION

EMPLOYER

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.

PSRS / PEERS

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2019 Contribution Limits

403b Enrollment Form

403b Highlights

457b Enrollment Form

457b Highlights

403b vs 457b How do the plans differ?

Employee Online Account Access/Enrollment

FAQ CSD Retirement Trust

Future Fit Informational Video

What is the CSD Retirement Trust?

Your Valic Representative

Valic is now AIG...read more

Resources (hyperlinks)

403B AND 457B RETIREMENT PLANS

Eligibility: All district employees are eligible for AIG / Valic Financial Services.

For questions concerning financial services contact:

Mark Fuson, Representative

Mark.Fuson@valic.com

816-676-1575

Well4Life Warriors Wellness Program

Eligibility:

All district employees, spouses, and depend-

ents age 16 or older are eligible for

participation in the wellness program.

Our mission is to create a culture of wellness at

Smithville Schools. Through comprehensive programming, the District will strive to nurture and improve the well-being of

all staff.

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.totalhealthcampus.com

Consiglio Wellness Center

AIG / VALIC Financial Services

CHIP/MEDICAID NOTICE

COBRA—CONTINUATION OF COVERAGE

FMLA POLICY GBBDA

FMLA: HOW TO APPLY FOR FMLA APPROVED LEAVE

HIPAA PRIVACY NOTICE

HIPAA SPECIAL ENROLLMENT NOTICE

HOW TO REQUEST A CHANGE IN BENEFITS as a result of a qualified event

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

NOTICES and ADDITIONAL INFORMATION

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Cigna Guided Solutions on-line, self-enrollment tool / https://www.cgsmarketplace.com/

April 29th—May 10th

STEP 1: Launch the Guided Solutions website:

https://www.cgsmarketplace.com/

STEP 2: Login using your myCigna user ID and password. If you do not have a Cigna ID/password, select REGISTER NOW to create one.

STEP 3: Your personal enrollment page will open. Your current benefits will display on your elections page. Select the ANNUAL ENROLLMENT window.

STEP 4: Use the navigation tool to guide you through the site. Select the benefits that best fit you and your family’s needs. View the amount to be deducted from your paycheck each month via the

spending tracker (in orange).

Confirm your elections and “checkout”.

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