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PfISD Insurance Committee Meeting

Explore decisions on medical, dental, vision, life, and disability plans with insights on voluntary benefits and carrier transitions.

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PfISD Insurance Committee Meeting

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  1. PfISD Insurance Committee Meeting September 24, 2019

  2. Agenda • Medical • Voluntary Product Plan Decisions

  3. Medical/Rx

  4. Medical • No changes to Low, Mid, or High plans • No changes to employee rates • Changes to the High Deductible Health Plan:

  5. Additional Medical Updates • The district is postponing the implementation of Surgery Plus for 2020 and will re-evaluate next year. • The Airrosti benefit will change to be your PCP copay for the Low, Mid, and High plans. • PfISD has added a program through RxBenefits to address the opioid epidemic and provide education and support to members who are/were prescribed opioids.

  6. Voluntary Plan Decisions

  7. Dental • 9 carriers provided proposals and were evaluated on: plan design, strength of network, and price • Dental will move to MetLife for the 2020 plan year for better network access and lower premium • MetLife’s provider network participation is 25% greater than current • No ID cards will be issued

  8. Vision • 7 carriers provided proposals and were evaluated on: plan design, strength of network, and price • Vision for the 2020 plan year will move to UHC Vision • By switching to UHC, you will be using the broad Spectera network that has access to more labs in the area • Walmart, Costco, Warby Parker and Sam’s Club are in network • No ID cards will be issued

  9. Life and Disability Voluntary Life will move to The Standard • Lower rates and an increase in the accelerated death benefit amount ($500,000) • Addition of AD&D – pays additional benefit in event of accidental death or dismemberment Disability will renew with The Standard at a +7.5% increase. • The last time the rate was increased was 3 years ago. Other results were a +25% increase. Disability Rates

  10. New & Enhanced Voluntary Benefits • The district is enhancing it’s voluntary benefit offeringto include the following additional or enhanced plans through Cigna: • Critical Illness & Accident Bundle: pays a tax-free lump sum if you're diagnosed with a defined critical illness during the policy term AND pays for the medical and out-of-pocket costs that you may incur after an accidental injury. This includes emergency treatment, hospital stays, and medical exams, and other expenses you may face, such as transportation and lodging needs.  • Cancer coverage is included in bundle • Hospital Indemnity Plan: pays you benefits when you are confined to a hospital, whether for planned or unplanned reasons, or for other medical services, depending on the policy.

  11. Other Voluntary Benefits Whole Life (Permanent Life) • New Carrier: Chubb • Why are we moving? Texas Life is not setup to be enrolled online and requires paper forms. The district is moving to a benefit administration system and is only selecting carriers which can be enrolled online. • Enhanced benefit includes rider for Long Term Care benefit. • Current participants can elect the Chubb policy or continue their Texas Life policy outside of payroll deduction. All current coverages (MetLife Accident, Allstate Cancer, Texas Life) are portable, so you can keep your coverage and pay carriers directly.

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