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Open Enrollment for July 1, 2020 benefits Delta Dental Delta - PowerPoint PPT Presentation

Open Enrollment for July 1, 2020 benefits Delta Dental Delta Vision Mutual of Omaha Voluntary Life Insurance DELTA DENTAL Delta Dental Concord School District Dental Plan Design: 100% (Diagnostic & Preventive) 100% (Basic


  1. Open Enrollment for July 1, 2020 benefits Delta Dental Delta Vision Mutual of Omaha Voluntary Life Insurance

  2. DELTA DENTAL

  3. Delta Dental Concord School District Dental Plan Design:  100% (Diagnostic & Preventive)  100% (Basic Restorative)  50% (Major Restorative)  Max $1000 (resets July 1) White composite fillings on all teeth (anterior front teeth and posterior back teeth) 3

  4. What is ? Patient-Centered Oral Health HOW allows you to qualify for additional dental preventive services.* Qualification for the additional services is determined by the results of a clinical survey performed by your dental provider. *Any additional services are subject to your annual maximum. 4

  5. Take the Risk Assessment Answer the questions • Print your report • Take to your next visit • 5

  6. Share with your Dentist Your dentist can do a clinical version of the risk assessment. • • Based on your risk, you may be eligible for additional preventive benefits. • Your dentist will tell you if you qualify and what the additional services are. You can call NEDD or check Benefit Look Up to see if you qualify. • 6

  7. Delta Dental Enrollment forms can be accessed on the CSD website. • Please email completed forms to Melissa Witherspoon at central office. • mwitherspoon@sau8.org. All applications must be submitted to HR by May 29, 2020. • Forms only needed if you are electing coverage for the first time or • making changes to coverage for yourself or your dependents. 7

  8. DELTA VISION

  9. The vision product is so simple $130 Contact lens $130 frame $25 lens copay allowance every 12 allowance every every 12 months months 24 months in lieu of spectacle lenses 9

  10. DeltaVision Brief Overview Benefit Frequency Network Benefit Frames Every 24 $130 Allowance months then 20% off balance Standard Plastic Every 12 Member pays $25 Lenses months Lens Options Average a 30% discount Contact Lenses in lieu of Every 12 spectacle lenses months • Conventional $130 Allowance then 15% off balance Disposable $130 Allowance, • member pays balance • Medically Paid in full Necessary 10

  11. Member savings … for example Sample transaction for a pair of glasses vs. what you’d pay without vision coverage: With Benefit Without Insurance Frame $200 $200 -$130 allowance 50% $70 -$14 (20% off balance) savings $56 Lens $25 Copay $78 Copay $15 UV Treatment $23 UV Treatment $15 Scratch Coating $25 Scratch Coating $55 $126 Annual $51.60 (single DeltaVision coverage) Premium Total $162.60 $326 11

  12. DeltaVision Customer Service Access 7 days a week, 102 Hours per week 7:30 AM to 11:00 PM EST Monday - Saturday 11:00 AM to 8:00 PM EST - Sunday 1-866-723-0513 12

  13. Voluntary Vision Benefit Enrollment forms can be accessed on the CSD website. • Please email completed forms to Melissa Witherspoon at • central office. mwitherspoon@sau8.org. Rates will remain the same as last year. • All applications must be submitted to HR by May 29, 2020. • Forms only needed if you are electing coverage for yourself • or a dependent for the first time. 14

  14. Vision Rates Monthly Rates Employee $ 4.30 Employee + One $ 7.37 Family $13.19 15

  15. Mutual of Omaha Voluntary Life and AD&D Insurance

  16. Voluntary Life and AD&D Insurance Concord School District will continue to offer Voluntary Life • Insurance through Mutual of Omaha. You will be able to take this Voluntary Life Insurance with • you even after you leave CSD’s employment. Available to employees who currently have District paid • Life. Open Enrollment Open enrollment runs through May 29, 2019. • If you are interested Voluntary Life Insurance, please • download the forms from the CSD website. You can email Melissa Witherspoon in HR with completed • forms or questions: mwitherspoon@sau8.org. 17

  17. Voluntary Life and AD&D Insurance Enrolled Employees & Spouses  Current Employees who have elected voluntary life coverage when first eligible can buy 2 increments of $10,000 each with guarantee issue at open enrollment.  Current Spouses who have elected voluntary life coverage when first eligible can buy 2 increments of $5,000 each with guarantee issue at open enrollment (not to exceed 50% of the employee election). 18

  18. Voluntary Life and AD&D Insurance New Hires Coverage for new hires is available in $10,000 increments up • to 5 x annual salary (rounded to the next higher $10,000). Minimum coverage is $10,000. • Maximum coverage is $300,000. (For new hires, guarantee • issue is $200,000). Coverage reduces 35% upon the Person's attainment of age 65, • an additional 25% of the original amount at age 70, an additional 15% of the original amount at age 75, an additional 15% of the original amount at age 80, and will terminate upon retirement. Existing employees can purchase this same amount subject to • Evidence of Insurability. 19

  19. Voluntary Life and AD&D Insurance Spouses of New Hires Coverage is available in $5,000 increments up to 100% of the • employee’s benefit up to $150,000. Minimum coverage is $5,000. • Maximum coverage is $150,000. • Coverage reduces 35% upon the employee's attainment of age 65, and • will terminate upon the employee's attainment of age 70 or retirement, whichever occurs first. Spouse coverage is only available if the employee is insured for • voluntary coverage. Spouses of newly hired employees will be able to purchase up to • $30,000 guaranteed issue with no medical questions asked, up to 100% of the employee’s benefit. Spouses of existing employees can purchase this same amount subject • to Evidence of Insurability. 20

  20. Voluntary Life and AD&D Insurance Details of Coverage DEPENDENT CHILDREN  Dependent Coverage is only available if the employee is insured for voluntary coverage.  This benefit provides coverage for all dependent children in the following amounts:  $10,000 Child: 14 days to age 19 (to age 26 if full-time student)  Newborn children to age 14 days are not eligible for a benefit 21

  21. Voluntary Life and AD&D Insurance Evidence of Insurability is required for:  Employees electing more than the $200,000 Guaranteed Issue amount of Voluntary Life Insurance when newly hired.  Spouses of Newly Hired Employees electing more than the $30,000 Guaranteed Issue amount of Voluntary Life Insurance.  Employee and/or spouse, currently enrolled, is purchasing more than 2 additional increments at open enrollment.  Employee and/or spouse, not currently enrolled, is newly electing any amount of Voluntary Life Insurance at open enrollment.  The E of I form can be downloaded from the CSD website. 22

  22. Voluntary Life and AD&D Insurance Update Your Beneficiary Information  This is particularly important if you have had a major change of life such as a marriage, separation or divorce.  This form is available on the CSD website. 23

  23. THANK YOU !  Please email Melissa Witherspoon in HR with completed forms by May 29 st mwitherspoon@sau8.org.  Questions Welcome! Please send questions to: mwitherspoon@sau8.org.

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