Benefits Amy Maros Senior Human Resources Specialist May 3, 2016 - PowerPoint PPT Presentation

Benefits Amy Maros Senior Human Resources Specialist May 3, 2016

Objectives  Provide contact information where employees can get more information  Provide overview on the benefits available to State of Florida employees  Explain the conditions and limitations of OPS employment benefit eligibility  Give useful tips for enrolling in benefits May 3, 2016 2

Stay Informed ‐ People First My Benefits Website  Benefits Guide  Learn about changes  Read about plans  Use Cost Estimators  Insurance Company Contact Info  http://mybenefits.myflorida.com/ How employees will receive information Employees MUST verify mailing and home address in People First  Benefits Summary will be mailed and available online  Confirmations will be mailed and available online  New hire letter May 3, 2016 3

Stay Informed ‐ JAC Website May 3, 2016 4

Eligible Variable Hour (OPS) Employees  Any state employee working an average of 30 hours or more per week will be eligible for: – Health Insurance: same premiums as Career Service; eligible for spouse program and HSA contribution – Basic life: employee must enroll and pay $3.58 monthly premium – Spouse life and child life (as long as they are enrolled in the basic life plan) – Dental, vision and other supplemental plans – Dependent Care FSA  Not eligible for optional life, Health Care FSA (formerly known as MRA) or Limited Purpose FSA May 3, 2016 5

Eligible Variable Hour (OPS) Employees  Qualifying Events – Eligible employees are subject to the rules of the program – Eligible employees who waived coverage but experience an appropriate QSC event may enroll and have coverage for the balance of their 12 month stability period – OPS eligible moving to FTE is no longer a QSC event May 3, 2016 6

Waiving Coverage  Waiving Coverage – Employees are not required to enroll in coverage • If they have no other coverage, they may be subject to the individual tax penalty – Use a waiver form May 3, 2016 7

Measurement Periods  New Hire Measurement Period – The period of 12 consecutive months starting the first day of the month following the initial hire date and ending the last day of the twelfth month for non ‐ eligible OPS employees  Open Enrollment Measurement Period – The period of 12 consecutive months from October 3 through the following October 2 of each year  Stability Period – The period of 12 consecutive months starting from the first day of enrollment (or possible enrollment if coverage is waived) in health insurance May 3, 2016 8

High Deductible Health Plan  Difference compared to HMO and PPO – Must meet higher deductible – Premium Cost Less – More out of pocket expenses  Has an HSA Advantage Account – Chard Snyder will complete the enrollment after employee agrees to the terms and conditions May 3, 2016 9

Dependent Eligibility Certification These steps must be completed before benefits changes will be processed  Verify Dependent Information – Dependent Name – Social Security Number – Date of Birth  Removing Dependent Outside Open Enrollment – Must have a Qualifying Status Event change – Must provide documentation to People First May 3, 2016 10

Pharmacy Benefits Manager  CVS/Caremark – Health Insurance Plans – https://www.caremark.com/wps/portal – http://info.caremark.com/sofrxplan – 888 ‐ 766 ‐ 5490 24/7  Exception: Retirees with Medicare Advantage Plan • Capital Health Plan (CHP) Florida Health Care Plan (FHCP) •  CVS, Winn ‐ Dixie, Wal ‐ Mart, Publix (check with your local pharmacy)  Walgreens – still Non ‐ Provider May 3, 2016 11

CVS/Caremark – Prescription Drug Plan  Retail – short ‐ term medications  Mail order or 90 day Retail – maintenance medications  90 ‐ Day Maintenance at Retail Pharmacies ‐ check if your pharmacy will participate State Employees’ Prescription Drug Plan Retail (up to 30 day supply) Mail Order (up to 90 day supply) Generic Drugs $7.00 $14.00 Preferred Brand Drugs $30.00 $60.00 Non ‐ Preferred Brand Drugs $50.00 $100.00 May 3, 2016 12

Life Insurance  Minnesota Life  Employer paid premium $3.58/ $25,000 basic life insurance:  $25,000 Basic Life for Full ‐ Time Employees at no cost to employee  $25,000 Basic Life for Part ‐ Time Employee at a pro ‐ rated premium  OPS employees are eligible; must pay entire premium  Over $500,000 requires medical underwriting  Maximum Coverage $1,000,000  Spouse and Dependant children are eligible for life insurance coverage  Spouse ‐ $4.50 ‐ $15,000 or $6.00 ‐ $20,000  Dependent $.85 ‐ $10,000 in coverage  Employee is the beneficiary on all spouse and dependent policies May 3, 2016 13

Dental Plans  Dental Tier Option Choices • Prepaid • DPPO – Preferred Provider • Indemnity – Reimbursement  http://mybenefits.myflorida.com/health/for ms_and_resources/forms_and_publications /supplemental_insurance_publications  Vision Plan Exam and Materials only May 3, 2016 14

Supplemental Plans  Supplemental Plans – Will require a company form as well as online enrollment May 3, 2016 15

Tax Favored Accounts  Health Care FSA (formerly known as MRA) – Standard HMO and PPO Members – Maximum Annual Contribution • $2,500 per year or $208.33 per month  Health Savings Account (HSA) – Health Investor HMO and PPO – Maximum Annual Contribution (includes State Contribution) • Individual = $3,350 • Family = $6,550  Limited Purpose FSA (formerly known as LPMRS) – Only for Employees Enrolled in the Health Investor HMO and PPO – Maximum Annual Contribution • $2,500 per year or $208.33 per month – Can only be used for preventative care expenses not covered by health plan, dental, and vision  Dependent Care FSA (formerly known as DCRA) – Maximum Annual Contribution • $5,000 per year or $416.00 per month Dependent Care Only – May 3, 2016 16

Tips  Encourage employees to visit the myBenefits website when they have questions about their benefits  Remind employees to review their current Benefits Statement  Contact JAC if the employee has any problems with their enrollment May 3, 2016 17

When to Send Payment to People First  Initial enrollment after payroll cutoff – Health insurance only  While employee is on Leave Without Pay (LWOP) – FMLA – Personal – Suspension – Military  When there is an increase in premiums – Optional Life – Going from individual to higher coverage level May 3, 2016 18

Where to Send Payment People First Service Center P.O. Box 863477 Orlando, FL 32886 ‐ 3477  Make payment out to DSGI  Make payment for the exact amount owed  Include the employee’s People First ID#  Make a copy of the payment May 3, 2016 19

Emergency Reinstatements  Only health insurance  Must be a true emergency  Employee, or their dependent, needs immediate/ urgent medical treatment or required medicines  Must follow emergency reinstatement rules – Employee provides payment for underpayment – A copy of the payment is sent to JAC via email – You place payment in the mail for employee May 3, 2016 20

Danger Zones  Please remember People First and JAC can not accept paper enrollment forms.  Employees must complete their own enrollments online; however, you can assist them or they can contact the People First Service Center if needed.  If the employee is having trouble enrolling online, they should call the People First Service Center for assistance.  Please do not use employee’s People First number to enroll as the employee.  Remind employees to print confirmation(s) for their records.  Dependent Social Security numbers and information must be accurate; IRS penalty can result. May 3, 2016 21

Contact Information  JAC Contacts – State Attorney Offices • Call Monica Thomas at 850 ‐ 488 ‐ 2415 or email at benefits@justiceadmin.org – Public Defender Offices, Guardian Ad Litem Offices, Capital Collateral Regional Offices and Criminal Conflict and Civil Regional Offices • Call Amy Maros at 850 ‐ 488 ‐ 2415 or email at benefits@justiceadmin.org  People First – Call at 866 ‐ 663 ‐ 4735 – Fax at 800 ‐ 422 ‐ 3128 – https://peoplefirst.myflorida.com/peoplefirst(bD1lbiZjPTIzMA==)/logon.htm May 3, 2016 22

Questions May 3, 2016 23

Flexible Spending Accounts

Flexible Spending Accounts Information Get in touch with Chard Snyder By phone: 855 ‐ 824 ‐ 9284 By email: floridaaskpenny@chard ‐ snyder.com People First Service Center 1 ‐ 866 ‐ 663 ‐ 4735 https://PeopleFirst.MyFlorida.com May 3, 2016 25

State of Florida Flexible Spending Accounts (FSA)  f/k/a Medical Reimbursement Account (MRA)  f/k/a Dependent Reimbursement Account (DCRA) PLAN BENEFIT YEAR January 1, 2016 through December 31, 2016 May 3, 2016 26

What is a Flexible Spending Account?  Flexible Spending Accounts are an excellent way to increase your spendable income and reduce your federal and FICA taxes.  Under Section 125 of the IRS Code, you, as an employee, can pay for qualified expenses using money from your paycheck that is deducted pre ‐ tax.  By using pre ‐ tax dollars, you reduce the amount you pay in taxes!  Flexible Spending accounts are “use it or lose it”. May 3, 2016 27