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Annual Enrollment for Plan Year 2011

Annual Enrollment for Plan Year 2011. 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?. Dates for Annual Enrollment:

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Annual Enrollment for Plan Year 2011

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  1. Annual Enrollment for Plan Year 2011

  2. Topics to Discuss • What’s New for Plan Year 2011? • Annual Enrollment Communications • Information regarding Dependents • QSC Review • Additional Reminders

  3. What’s New for Plan Year 2011?

  4. What’s New for Plan Year 2011? • 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

  5. 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

  6. What’s New for Plan Year 2011? Child Life Insurance • Evidence of Insurability (EOI) is no longer required for current employees enrolling in coverage

  7. 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

  8. 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

  9. 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 SHPS for reimbursement. All mailed claims must be postmarked by April 30th

  10. 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

  11. 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

  12. Information regarding Dependents

  13. 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 • Allemployees will be required to verify and/or update their dependent information during Annual Enrollment for Plan Year 2011

  14. 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 • During the month of October, student status letters will cease

  15. 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. QSC (Qualifying Status Changes) Review

  17. 16th of the Month Rule (Status or Coverage Changes) Employee actions: • The employee reports the Qualifying Status Change (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

  18. 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)

  19. 16th of the Month Rule (Status or Coverage Changes) For Qualified Status Changes • Qualified Status Changes are initiated by employees • Birth, Adoption, Marriage, Divorce, etc. • 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

  20. Reminders • Dates for Annual Enrollment: • Starts: 4:00 a.m.,October 12th • Concludes: 4:30 p.m. November 10th • Employees will have the following options to make their benefit selections and/or update dependent information for Plan Year 2011: • GaBreeze web site: www.GaBreeze.ga.gov • Team Georgia web site: http://team.georgia.gov/portal/site/FLEX • Call the GaBreeze Benefits Call Center: 1-877-342-7339

  21. Final Questions and Follow-ups

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