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Open Enrollment Information Meeting. Plan Year Beginning August 1 st. Today’s Topics. What is Open Enrollment When is Open Enrollment Premiums Medical Co-Pays Covering Children up to Age 26 New Pharmacy Management Vendor Optional Life Insurance New Maximums

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open enrollment information meeting

Open Enrollment Information Meeting

Plan Year

Beginning

August 1st

today s topics
Today’s Topics
  • What is Open Enrollment
  • When is Open Enrollment
  • Premiums
  • Medical Co-Pays
  • Covering Children up to Age 26
  • New Pharmacy Management Vendor
  • Optional Life Insurance
    • New Maximums
    • Add up to $50,000 with no health history!

employee.phoenix.gov/hr

slide3

Helpful Reminders

employee.phoenix.gov/hr

to re enroll
To Re-enroll

You may re-enroll in City retiree medical coverage during Open Enrollment if you have

CONTINUOUS, COMPARABLE COVERAGE

since the date you dropped the City’s coverage.

Evidence of continuous, comparable coverage is required.

employee.phoenix.gov/hr

slide5
Open Enrollment Communication

employee.phoenix.gov/hr

41 000 members
41,000 Members

employee.phoenix.gov/hr

improved benefits info online
Improved Benefits Info Online

employee.phoenix.gov/hr

Benefits – Employment Services

Training & Development – Support Services

eCHRIS Self-Service - Retirees

FORMSDOCUMENTSWEBSITE LINKS UPDATES

employee.phoenix.gov/hr

open enrollment
Medical – Dental OPEN ENROLLMENT

employee.phoenix.gov/hr

self funding
Self Funding
  • Provider networks are leased.
    • Provider reimbursement levels are set
  • City pays a monthly fee to process claims and provide other services.
  • City is billed for the amount paid to each doctor, hospital, lab, etc.
    • This is paid from the Health Care Benefits Trust

employee.phoenix.gov/hr

215 million
$215 Million

The total projected cost for medical and pharmacy coverage in the 2011 – 12 Plan Year

  • Employees & Retirees
  • 99.06% is spent directly on

claims

employee.phoenix.gov/hr

request for proposal rfp process
Request for Proposal (RFP) Process
  • The City issued RFPs in late 2010 for
    • Medical, Dental, & Pharmacy Management
    • The last time these RFPs were issued: 2004
  • Responses were received from
    • 5 medical vendors
    • 9 dental vendors
    • 9 pharmacy management vendors
  • Selection committees reviewed RFP responses and interviewed finalists.

employee.phoenix.gov/hr

request for proposal rfp process13

Request for Proposal (RFP) Process

Request for Proposal (RFP) Process
  • Vendors were evaluated on
    • Ability to meet current and future plan designs
    • Customer service and support
    • Cost

OUTCOME

  • Medical and Dental Plans: No change

CIGNA Pharmacy Management replaces

CVS/Caremark on August 1st

employee.phoenix.gov/hr

when is open enrollment
When Is Open Enrollment?

Tuesday, May 31

to

Wednesday, June 29

at 5 p.m. sharp

employee.phoenix.gov/hr

premiums
Premiums
  • Medical Premiums
    • CIGNA 0%
    • BCBS HMO 0%
    • BCBS PPO ↑ 8.8%
  • Dental Premiums
    • DHMO 0%
    • DPPO 0%

employee.phoenix.gov/hr

slide19
Medical Co-Pays

employee.phoenix.gov/hr

current co pays
Current Co-Pays

employee.phoenix.gov/hr

medical co pay changes
Medical Co-Pay Changes

employee.phoenix.gov/hr

slide23
Eligibility for Children

up to Age 26

employee.phoenix.gov/hr

eligible child
Eligible Child
  • The term “child” includes a biological child, adopted child, child placed for adoption, stepchild, qualified domestic partner’s child, or a child living with you for whom you have either permanent legal custody.
  • Student status is not required.

employee.phoenix.gov/hr

coverage for children to age 26
Coverage for Children to Age 26

Medical – Dental

  • Beginning August 1, 2011 the maximum age for eligible children changes from age 23 to age 26.
  • Eligibility for Coverage
    • Cannot have access to other group coverage, for example, through their employer or their spouse’s employer.

employee.phoenix.gov/hr

coverage for children to age 2626
Coverage for Children to Age 26
  • Children who were removed from City coverage at age 23 will NOT be automatically re-enrolled. The employee must take action during Open Enrollment.
  • It is always the retiree’s responsibility to know when a child no longer qualifies for coverage.

employee.phoenix.gov/hr

cigna pharmacy replaces cvs caremark
CIGNA Pharmacy Replaces CVS/Caremark
  • Takes effect on August 1st
  • For CIGNA and BlueCross/BlueShield plans.
  • If you are impacted by this change you will receive information in the mail. Please open and read it.

employee.phoenix.gov/hr

a comparison
A Comparison

CVS/Caremark

CIGNA Pharmacy Mgmt.

60,000 pharmacies nationally

Walgreens

CVS

Walmart

Target

Costco

Safeway

Fry’s

Bashas’

CIGNA Medical Group

  • 60,000 pharmacies nationally
    • Walgreens
    • CVS
    • Walmart
    • Target
    • Costco
    • Safeway
    • Fry’s
    • Bashas’

employee.phoenix.gov/hr

a comparison30
A Comparison

CVS/Caremark

CIGNA Pharmacy Mgmt.

Customer Service

24/7

Home Delivery

90 Day Fill at Retail

Large chain stores

3 co-pays

Onsite Representative

Online support at mycigna.com

  • Customer Service
    • 24/7
  • Mail Order
  • 90 Day Fill at Retail
    • Large chain stores
    • 3 co-pays
  • Onsite Representative
  • Online support

employee.phoenix.gov/hr

id cards
ID Cards
  • Everyone will receive new medical ID cards.
  • Everyone will receive new Pharmacy ID cards.
  • You will receive new ID cards in the mail

in late July.

employee.phoenix.gov/hr

id cards32
ID Cards
  • Continue to use your CVS/Caremark pharmacy ID card through July 31st .
  • Give your pharmacist your CIGNA Pharmacy Management ID card the first time you fill a prescription on or after August 1st .

employee.phoenix.gov/hr

slide33
eCHRIS Self-Service

employee.phoenix.gov/hr

i m not sure what i m enrolled in
“I’m not sure what I’m enrolled in.”
  • Go to eCHRIS Self-Service
  • Log in
  • Go to Benefits
  • Click Current Benefits Summary

employee.phoenix.gov/hr

i want to make a change
“I want to make a change.”
  • Use eCHRIS Self-Service
    • Log in
    • Go to Benefits
    • ClickBenefits Enrollment
    • Make Change(s)
    • SUBMIT

Changes must be submitted by 5:00 p.m. on Wednesday, June 29th

employee.phoenix.gov/hr

i want to make a change but i can t use echris
“I want to make a change, but I can’t use eCHRIS.”
  • If you have a computer, but eCHRIS seems overwhelming, ask the HR Center or the Benefits Office for help.
  • If you are unable to use eCHRIS and would like to make a change, contact the Benefits Office before 5 p.m. on June 29th.

employee.phoenix.gov/hr

echris help
eCHRIS Help
  • HR Center
    • (602) 262-6608
    • Located on the 1st floor of the Personnel Building.
  • Benefits Office
    • (602) 262-4777
    • Located on the 4th floor of the Personnel Building.
  • Password Help
    • Call (602) 534-4357

employee.phoenix.gov/hr

i don t want to change anything
“I don’t want to change anything.”
  • Do nothing, and your current benefits will continue August 1, 2011 – July 31, 2012

employee.phoenix.gov/hr