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Open Enrollment Information Meeting

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

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  1. Open Enrollment Information Meeting Plan Year Beginning August 1st

  2. 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

  3. Helpful Reminders employee.phoenix.gov/hr

  4. 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

  5. Open Enrollment Communication employee.phoenix.gov/hr

  6. 41,000 Members employee.phoenix.gov/hr

  7. 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

  8. In the Mail

  9. Medical – Dental OPEN ENROLLMENT employee.phoenix.gov/hr

  10. 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

  11. $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

  12. 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

  13. 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

  14. When Is Open Enrollment? Tuesday, May 31 to Wednesday, June 29 at 5 p.m. sharp employee.phoenix.gov/hr

  15. Premiums • Medical Premiums • CIGNA 0% • BCBS HMO 0% • BCBS PPO ↑ 8.8% • Dental Premiums • DHMO 0% • DPPO 0% employee.phoenix.gov/hr

  16. 2011-12 Retiree Medical Premiums

  17. employee.phoenix.gov/hr

  18. 2011 – 12 Retiree Dental Premiums employee.phoenix.gov/hr

  19. Medical Co-Pays employee.phoenix.gov/hr

  20. Current Co-Pays employee.phoenix.gov/hr

  21. Medical Co-Pay Changes employee.phoenix.gov/hr

  22. Prescription Co-Pays Do Not Change employee.phoenix.gov/hr

  23. Eligibility for Children up to Age 26 employee.phoenix.gov/hr

  24. 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

  25. 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

  26. 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

  27. CIGNA Pharmacy Management Replaces CVS/Caremark employee.phoenix.gov/hr

  28. 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

  29. 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

  30. 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

  31. 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

  32. 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

  33. eCHRIS Self-Service employee.phoenix.gov/hr

  34. “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

  35. “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

  36. “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

  37. 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

  38. “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

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