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Annual Enrollment Webinar 2011 - PowerPoint PPT Presentation


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Annual Enrollment for Plan Year 2011 August 2010 Session Purpose 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? What’s New for Plan Year 2011?

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Presentation Transcript
session purpose
Session Purpose
  • 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 20114
What’s New for Plan Year 2011?

Annual Enrollment

  • 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
what s new for plan year 20115
What’s New for Plan Year 2011?

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
what s new for plan year 20116
What’s New for Plan Year 2011?

Child Life Insurance

  • Evidence of Insurability (EOI) is no longer required for current employees enrolling in coverage
what s new for plan year 20117
What’s New for Plan Year 2011?

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
what s new for plan year 20118
What’s New for Plan Year 2011?

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
what s new for plan year 20119
What’s New for Plan Year 2011?

Spending Accounts

  • Beginning January 1st, GaBreeze will replace SHPS as the plan administrator of the Health Care and Dependent Care Spending Accounts
  • Employees will have access to their account information on the GaBreeze web site under the Your Spending Accounts (YSA)
  • Employeescan contact the Benefits Call Center with questions
  • Any claims for PY 2010 will still need to be issued to SHPS after January 1st. Claims for PY 2011 will go to GaBreeze
what s new for plan year 201110
What’s New for Plan Year 2011?

Your Spending Accounts (YSA)

  • Allows you to monitor all your YSA card transactions via the GaBreeze web site
  • YSA gives you the ability to:
    • Submit and review the status of your claims
    • Access comprehensive listing of eligible expenses and approved merchants
    • Learn which submitted claims may need follow-up and what to do
    • Manage your current account balance(s)
    • Find additional information on FSA guidelines
what s new for plan year 201111
What’s New for Plan Year 2011?

Your Spending Accounts (YSA) Card

  • To activate the YSA card:
    • Call the toll-free telephone number on the activation sticker affixed to the front of the card and follow the prompts until successfully activated
    • Sign the back of your card signifying you agree to all terms and conditions to the Cardholder’s Agreement
    • Present the card as payment when you visit eligible providers
    • Choose “credit” when you swipe your card. If you choose the “debit” option, your transaction will not be processed
what s new for plan year 201112
What’s New for Plan Year 2011?

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 GaBreeze for reimbursement. All mailed claims must be postmarked by April 30th
what s new for plan year 201113
What’s New for Plan Year 2011?

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
what s new for plan year 201114
What’s New for Plan Year 2011?

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
information regarding dependents19
Information regarding Dependents
  • 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
    • Dependent coverage remains in place through Plan Year 2010 for participants with missing dependent information
      • Current employees will be required to update dependent data when a QSC results in Benefit changes or enrollment
    • Allemployees will be required to verify and/or update their dependent information during Annual Enrollment for Plan Year 2011
    • Communications with employees needing to update dependent information will be issued beginning in September
information regarding dependents20
Information regarding Dependents
  • 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
    • For August and September, GaBreeze will continue to issue letters for dependents turning age 19 where student status has not been verified
    • During the month of October, student status letters will cease
information regarding dependents21
Information regarding Dependents
  • 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
16 th of the month rule status or coverage changes
16th of the Month Rule (Status or Coverage Changes)
  • 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)
16 th of the month rule status or coverage changes24
16th of the Month Rule (Status or Coverage Changes)
  • Qualified Status Changes are initiated by employees
    • Birth, Adoption, Marriage, Divorce, etc.

For Qualified Status Changes

  • 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
16 th of the month rule status or coverage changes25
16th of the Month Rule (Status or Coverage Changes)

Employee actions:

  • The employee reports the 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

Benefit Professional actions:

  • Changes or updates to the employee’ s benefits will be reported on the following Benefit Deduction Report
    • Updated on the Employer Web Site weekly (Friday) for “Manual” agencies
  • Payroll will adjust agency payment accordingly
support avenues for benefit professionals spa web site
Support Avenues for Benefit Professionals(SPA Web Site)
  • SPA web site online resources
  • Job Aides:
    • http://www.spa.ga.gov/employees/flexible_benefits.asp
    • Click on Employer Reference Materials for GA Breeze to view job aides
      • Job Aides are for General information, SMART Forms, and Reports
support avenues benefit professionals
Support Avenues (Benefit Professionals)
  • The SPA Team
  • Team will continue to be agencies’ first point of contact
    • Respond to questions about business rules, business processes
    • Support use of the Employer Web Site
    • Answer questions about Employer Web Site reporting
    • Work with Hewitt to resolve data issues

1-888-968-0490 or 1-404-656-2730

Monday – Friday, 8:00 am – 4:30 pm ET

excluding holidays

support avenues employees participants
Support Avenues (Employees/Participants)

Benefits Call Center

1-877-3GBreez

or 1-877-342-7339

Monday – Friday, 8:00 am – 5:00 pm ET

excluding holidays

Website

www.GaBreeze.ga.gov

Link on Team Georgia Flexible Benefits tab

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