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City of Seattle

City of Seattle. 2013 New Employee Benefits Orientation – Most Employees. Benefits Orientation Topics. Medical , dental and vision plans, optional insurances, and other work/life benefits. Answer your questions Additional resources. Employee Responsibilities.

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City of Seattle

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  1. City of Seattle 2013 New Employee Benefits Orientation – Most Employees

  2. Benefits Orientation Topics • Medical, dental and vision plans, optional insurances, and other work/life benefits. • Answer your questions • Additional resources. 2013 New Employee Benefits Orientation - Most

  3. Employee Responsibilities • Dependent eligibility verification • 31 days to enroll. • Family status change. 2013 New Employee Benefits Orientation - Most

  4. Medical Plan Options • Preventive Plan (Aetna) • Traditional Plan (Aetna) • Group Health Cooperative Standard Plan • Group Health Cooperative Deductible Plan 2013 New Employee Benefits Orientation – Most

  5. Premium Payments • Premium sharing. • Pre-tax deductions. • Dental, Basic Vision plan, and Vision Buy-Up plan premiums. 2013 New Employee Benefits Orientation - Most

  6. 2013 Monthly Medical Premiums Children are included in all amounts. *Provided they are IRS tax dependents. 2013 New Employee Benefits Orientation - Most

  7. Aetna: Preferred Provider Organization • Managed care organization. • In- and out-of-network • coverage. • Self-refer. • Aexcel. 2013 New Employee Benefits Orientation - Most

  8. City of Seattle Preventive Plan In-Network Provider: • Deductible. • Office visit co-pay. • Preventive care coverage. • Varied co-pays for selected services. • Out-of-pocket maximum. 2013 New Employee Benefits Orientation - Most

  9. City of Seattle Preventive Plan Out-of-network provider: • Deductible. • Co-pays for selected services. • Annual out-of-pocket maximum. • May pay additional amounts. 2013 New Employee Benefits Orientation - Most

  10. City of Seattle Traditional Plan In-network provider: • Deductible. • Annual out-of-pocket maximum. • Varied co-pays for most services. 2013 New Employee Benefits Orientation - Most

  11. City of Seattle Traditional Plan Out-of-network provider: • Deductible. • Annual out-of-pocket maximum. • Varied co-pays for most services. 2013 New Employee Benefits Orientation - Most

  12. Prescription Drug Coverage (Preventive and Traditional) Retail • 31-day supply. • Co-insurances. • Annual out-of-pocket maximum. 2013 New Employee Benefits Orientation - Most

  13. Prescription Drug Coverage(Preventive and Traditional) Aetna Rx Home Delivery (Mail Order) • Coinsurance. • Minimum co-pay. • Maximum co-pay. 2013 New Employee Benefits Orientation - Most

  14. Group Health Cooperative • Integrated system. • GH doctors and facilities. • Self-refer. 2013 New Employee Benefits Orientation - Most

  15. Group Health Standard Plan • No deductible. • Office visit co-pay. 2013 New Employee Benefits Orientation - Most

  16. Group Health Deductible Plan • Deductible. • Office visit co-pay. • Similar coverage as Standard Plan. 2013 New Employee Benefits Orientation - Most

  17. Group Health Standard Plan Prescription Drug Coverage Retail • Copays GH Mail Order Program • Copays 2013 New Employee Benefits Orientation - Most

  18. Group Health Deductible Plan Prescription Drug Coverage Retail • Copays GH Mail Order Program • Copays 2013 New Employee Benefits Orientation - Most

  19. Where to Find More Information All Medical Plans • seattle.gov/personnel/benefits/health/medical.asp Preventive & Traditional Plans • AetnaNavigator.com Group Health Plans • GHC.org 2013 New Employee Benefits Orientation - Most

  20. Accept or Decline Coverage 2013 New Employee Benefits Orientation - Most

  21. Employee Wellness Programs • Employee Assistance Program. • Quit Tobacco Program. • Weight Watchers savings. • Health seminars and screenings: personnelweb/benefits/home.aspx. 2013 New Employee Benefits Orientation - Most

  22. Dental Plans • Washington Dental Service • Dental Health Services 2013 New Employee Benefits Orientation - Most

  23. Washington Dental Service • Dental network. • Annual Deductible. • Annual Maximum. • Incentive payment plan. • Orthodontia. • TMJ not covered. 2013 New Employee Benefits Orientation - Most

  24. Dental Health Services • Limited network. • No annual deductible/annual maximum. • Copays and fees. • Orthodontia. • TMJ. 2013 New Employee Benefits Orientation - Most

  25. Vision Services Plan VSP Provider (in network): Basic Plan (No Cost): • Eye exam. • Lenses and frames. • Special lenses. • Contact lens. 2013 New Employee Benefits Orientation - Most

  26. Vision Services Plan Non VSP provider (out of network): Basic Plan (No Cost): • Eye exam. • Lenses and frames. • Lined/unlined lenses. • Contact lenses. 2013 New Employee Benefits Orientation - Most

  27. Vision Services Plan If you use a VSP Provider: Buy-Up Plan (Employee Paid Plan): • Eye exam. • Lenses and frames. • Lined/unlined lenses. • Contact lens. 2013 New Employee Benefits Orientation - Most

  28. Vision Services Plan If you do NOT use a VSP provider: Buy-Up Plan (Employee Paid Plan): • Eye exam. • Lenses and frames. • Lined/unlined lenses. • Contact lens. 2013 New Employee Benefits Orientation - Most

  29. Flexible Spending Account Programs • Health Care Flexible Spending Account Program. • Dependent Care (day care) Assistance Program. 2013 New Employee Benefits Orientation - Most

  30. Basic and Supplemental Long Term Disability (LTD) • Salary replacement. • Basic Long-Term Disability. • Supplemental Long-Term Disability. • If you don’t elect when hired. 2013 New Employee Benefits Orientation - Most

  31. Basic Group Term Life Insurance • Basic GTL plan provisions. • Premiums. • Guaranteed acceptance if enrolled when hired. 2013 New Employee Benefits Orientation - Most

  32. Supplemental Group Term Life Insurance • Supplemental GTL provisions. • Spouse/Domestic Partner coverage. • Dependent children coverage. • If you don’t elect when hired. 2013 New Employee Benefits Orientation - Most

  33. Long-Term Care Insurance • Enroll within 31 days of hire. • Personal care for an extended period as result of injury or illness. • Premiums direct billed. • Eligible family members. • Portability. 2013 New Employee Benefits Orientation

  34. Accidental Death and Dismemberment (AD&D) • Death benefit due to accident. • Loss of limb or paralysis. • Coverage amounts. • Dependent coverage. • Premiums payments. 2013 New Employee Benefits Orientation - Most

  35. When Can I Change My Benefits? • Open Enrollment. • Dropping optional insurances. • Change in family status. 2013 New Employee Benefits Orientation - Most

  36. City Retirement System • Automatic enrollment. • Your retirement contributions. • Retirement Office. • cityofseattle.net/retirement/default.htm 2013 New Employee Benefits Orientation - Most

  37. Deferred Compensation • 457 Deferred Compensation Plan. • Pre-tax payroll deductions. • Contribution minimum and maximums. • www.Prudential.com 2013 New Employee Benefits Orientation - Most

  38. Remember… • 31 days to enroll from hire date. • Benefit related mailings. • 31 days for changes in family status. • Employee Benefits Guide. 2013 New Employee Benefits Orientation - Most

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