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Commonwealth of Virginia Health Benefits Program

Commonwealth of Virginia Health Benefits Program. Open Enrollment Overview April 14 – May 14, 2004. Department of Human Resource Management April 2004. Open Enrollment Actions. Continue your health plan

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Commonwealth of Virginia Health Benefits Program

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  1. Commonwealth of VirginiaHealth Benefits Program Open Enrollment Overview April 14 – May 14, 2004 Department of Human Resource Management April 2004

  2. Open Enrollment Actions • Continue your health plan • COVA Care and additional coverage option(s) • Kaiser Permanente if live or work in the Northern Virginia service area 2

  3. Open Enrollment Actions • Selectanother health plan • COVA Care and additional coverage option(s) • Kaiser Permanente if live or work in the Northern Virginia service area 3

  4. Open Enrollment Actions • Continue or change membership • Remember to remove dependents when they become ineligible • Waive coverage in the health benefits program • Enroll in the program if you previously waived 4

  5. Open Enrollment Actions • Enroll in a Medical Expense or Dependent Care Flexible Reimbursement Account. • If you already have an FRA, you must re-enroll. Current accounts expire on June 30, 2004. 5

  6. Available Plans for July 1, 2004 • Kaiser Permanente HMO (Northern Virginia) • Members must live or work in the Kaiser service area • Search by zip code at: http://my.kaiserpermanente.org/mida/commonwealthofvirginia 6

  7. Available Plans for July 1, 2004 • Kaiser Permanente HMO (Northern Virginia) • During Open Enrollment, members enrolled in Kaiser who are ineligible for the plan must: • Enroll in COVA Care or • Waive coverage in the State Health Benefits Program 7

  8. Available Plans for July 1, 2004 • COVA Care Statewide Plan (show Understanding Your Benefits video) 8

  9. Available Plans for July 1, 2004 • COVA Care Statewide Plan – Premiums • Will increase, see page 7 of Spotlight • Accurate at press time, but may be subject to change by the General Assembly 9

  10. Types of Membership • Single • Employee + One • Family 10

  11. Flexible Reimbursement Accounts (FRAs) • What are FRAs? • Medical Expense FRA • Set aside money before taxes to pay for eligible expenses not covered by your health plan • Dependent Care FRA • Set aside money before taxes to pay for day care, day camp or at-home care of a dependent child or qualified adult while you or your spouse are working 11

  12. Flexible Reimbursement Accounts (FRAs) • Who can enroll? • Medical Expense FRA • Must be eligible for health benefits program for six months • Dependent Care FRA • Must be eligible for health benefits program 12

  13. Flexible Reimbursement Accounts (FRAs) • Return to 12-month plan year on 7/1/04 • Plan year contributions: • Minimum: $10/pay period • Maximum: Up to $5,000/plan year (Dependent Care maximum depends on tax filing status) 13

  14. Flexible Reimbursement Accounts (FRAs) • FRA elections must be in whole dollar amounts • Use it or Lose It: • You must incur expenses to use all the money in your account by June 30, 2005 • Cannot be carried over into the next plan year • If your FRA ends on June 30, 2005, you must file for reimbursement by September 30, 2005 14

  15. Reminders… • Employees who waive coverage may not enroll outside of Open Enrollment without a qualifying mid-year event • Your Open Enrollment elections for both health benefits and FRAs are binding • Once in effect, your elections cannot be changed without a qualifying mid-year event 15

  16. More Information • DHRM Web site: www.dhrm.virginia.gov • Spotlight newsletter 16

  17. Enroll Without Paper – Use EmployeeDirect! • Logon at http://edirect.virginia.gov • System available 24-7 Get Your Passcode Now! 17

  18. Enroll Without Paper – Use EmployeeDirect! • Forget Your Passcode? • Use EmployeeDirect to request a new passcode • 1 Hour Turnaround 18

  19. Enroll Without Paper – Use EmployeeDirect! • Update personal information today in EmployeeDirect • Review Benefits Profile • Update address • Update dependent information (names, birth dates) 19

  20. Make Open Enrollment Changes in EmployeeDirect April 14 – May 14, 2004 • Change Your Plan • Change Your Membership • Enroll in an FRA 20

  21. Keep Your Confirmation Number! • Confirms processing of your selection • Is displayed on your Benefits Profile when approved • Is the documentation for your records 21

  22. Received No Confirmation Number? • Your selection has not been approved • Contact your Benefits Administrator, OR • Send an e-mail to edirect@dhrm.virginia.gov 22

  23. Commonwealth of VirginiaHealth Benefits Program Questions and Answers 23

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