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Welcome to Open Enrollment 2015

Welcome to Open Enrollment 2015. Benefits Life Dental Health. Life. Term Life Policy Date of Hire Date of Separation Can convert to Retiree Life if you retire from JCBOE. Dental. First Year Limit: Evaluation Cleaning Fluoride Treatment. $25.84 $70.94. State Health Benefit Plan

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Welcome to Open Enrollment 2015

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  1. Welcome toOpen Enrollment2015

  2. BenefitsLifeDentalHealth

  3. Life Term Life Policy Date of Hire Date of Separation Can convert to Retiree Life if you retire from JCBOE

  4. Dental First Year Limit: Evaluation Cleaning Fluoride Treatment $25.84 $70.94

  5. State Health Benefit Plan (Medical)

  6. Making Your 2015 Benefit Election Online Election Must have email address Members must make their health election at www.myshbpga.adp.com Registration code: SHBP-GA Tools: Medical Cost Calculator, Preference Module, Comparison Module Website Open & Close Dates Website opens at 12:00 a.m. on October 27, 2014 Website closes at 5:00 p.m. ET on November 14, 2014

  7. 2015 Open Enrollment Members may go online as many times as they like but the last election confirmed at the time OE closes will be the election for the 2015 Plan Year Members should print and keep a copy of the confirmation page which will contain a confirmation number

  8. 2015 Open Enrollment Members who do not make an open enrollment election are defaulted to last year’s plan (w/tobacco if in 2014) Members who wish to discontinue in 2015 must go online and elect no coverage or they will be defaulted to Bronze plan Members with no coverage in 2014 will be defaulted to no coverage in 2015

  9. Applied Behavior Analysis for Autism $35,000/year, through age 10 Bariatric Pilot 1st 75 non-Medicare Advantage members Hearing Aids $3,000/5 years, up to age 19 Incentive Accounts for HMO/HDHP 2015 Benefit and Plan Changes

  10. Plan Vendors Blue Cross and Blue Shield - HRA/HMO UnitedHealthcare – HMO/HDHP Kaiser Permanente – Regional HMO TRICARE PeachCare for Kids Express Scripts - Pharmacy Benefit Healthways - Wellness

  11. HRA PLAN (BCBSGa) No co-pays 100% Preventative care coverage Separate in/out network (ded/max) HRA credits pay first dollar coverage, if deductible not met HRA credits apply against deductible and out-of-pocket maximum Disease Management Program applies Unused HRA credits rollover

  12. HDHP PLAN (UHC) No co-pays 100% Preventative care coverage Separate in/out network (ded/max) Incentive credits after 38% deductible met Non-embedded deductible Health Savings Account Tax free Employee owns No employer contribution

  13. HMO PLAN (BSBSGa/UHC) In-network only (except emergency) Set co-pays; offset ded-no/max-yes 100% Preventative care coverage Certain services subject to ded/max Embedded deductible Incentive credits refund co-pays/pay claims if deductible not met Disease Management Program applies

  14. HMO PLAN (Kaiser) Live or work in 27 Atlanta metro counties Co-pay only No deductibles or co-insurance 100% Preventative care coverage Must choose Primary Care Provider KP facility; Henry, Clayton, Rockdale Wellness incentive – iPad and Fit Bit

  15. 2015 Wellness Incentive Members, and covered spouse, must complete between January 15 and December 15, 2015 Earn 240 Incentive Credits Complete an online Healthways Well-being Assessment Complete biometric screening (PCP submits form) Earn 240 Incentive Credits Telephonic pathway coaching - 240 Online pathway coaching – 40 each (up to 240)

  16. $80.00 Tobacco Surcharge not included

  17. $80.00 Tobacco Surcharge not included

  18. $80.00 Tobacco Surcharge not included

  19. Pharmacy Benefits

  20. PeachCare for Kids www.peachcare.org Call 1-877-427-3224 TRICARE

  21. JCBOE Contribution Certified employees$945.00 = $11,340.00 Classified employees$596.20 = $7,154.40

  22. Affordable Care Act SHBP meets the minimum essential coverage mandate SHBP meets the affordability mandate Health Insurance Marketplace Notice contains information for inquiry

  23. Open Enrollment Webpage Decision Guides; At-A-Glance Tables; Rates Individual Plan Summaries Pharmacy Guides, AAG, Summaries, Website Vendor Videos Wellness Incentives Summary ADP OE User Login, Guide, AAG Vendor Website Links Dental Insurance; Summary, Form Life Insurance; Summary, Form

  24. ADP OE Website Decision Support Tools w/in OE Portal Medical Cost Calculator Which plan option is best for you Preference Module Which plan features best meet your need Comparison Module Match specific need to plan option

  25. Questions

  26. Important Notice The information provided in this presentation is a summary of the 2015 Plan Year. It is intended only to highlight principle benefits Please refer to the Active Decision Guide and Plan Summaries for more details

  27. Questions or Additional Information Blue Cross/Blue Shield – 855-641-4862 www.bcbsga.com/shbp UnitedHealthCare – 888-364-6352 www.welcometouhc.com/shbp Kaiser Permanente – 855-512-5997 www.kp.org/shbp Healthways – 888-616-6411 (12/15/13) www.bewellshbp.com Express Scripts – 877-841-5227 www.dch.georgia.gov/shbp

  28. More Informationis available on thePersonnel/Payrollwebpage

  29. Thank you

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