Employee Rates - Frederick County Public Schools

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Health/Vision Insurance – UnitedHealthcare Main Contact: Claims Office UnitedHealthcare PO Box 740800 800 Oak Street Atlanta, GA 30374-0800 Frederick, MD 21703 Phone: 1-877-702-5116 Website: www.myuhc.com UnitedHealthCare Vision P.O. Box 30978 Salt Lake City, UT 84130 Customer Service: 1-800-638-3120 Provider Locator: 1-800-839-3242 Website: www.myuhcvision.com Dental Plan – Delta Dental One Delta Drive, Mechanicsburg, PA 17055 Phone: 1-800-932-0783 Website: www.deltadentalins.com Insurance company contact InformatIon FCPS BeneFitS OFFiCe COntaCtS Benefits Office: 301-644-5080 Colette Baker 301-644-5112; E-mail: colette.baker@fcps.org Teresa Harris 301-644-5085; E-mail: teresa.harris@fcps.org Brenda Hedges 301-644-5058; E-mail: brenda.hedges@fcps.org Linda Stout 301-644-5093; E-mail: linda.stout@fcps.org The HIPAA Privacy Rules require health plans to provide a Notice of Privacy Practices to persons covered under the health plan. Eligible employees may obtain a copy of the Notice of Privacy Practices by visiting the school system’s website: www.fcps.org. Go to Departments, Human Resources, Benefits Links & Forms, HIPAA Privacy Statement. Employees may also contact the school system’s Benefits Office for a copy of the privacy practice notice. Questions concerning the HIPAA Privacy Rules may be directed to: Frederick County Public Schools Colette Baker, Senior Manager, Benefits 191 South East Street Frederick, MD 21701-5918 Flexible Spending Accounts – HFS (Hirsch Financial Services) P.O. Box 1550, Hunt Valley, MD 21030-1550 Phone: 1-888-460-8005 Fax: 1-888-510-4218 Website: www.hfsbenefits.com Prescription Plan – CVS/CareMark Claims Office P.O. Box 52010, Phoenix, AZ 85072-2010 Phone: 1-866-260-4646 Website: www.caremark.com Mail Order: CVS/Caremark P.O. Box 94467 Palatine, IL 60094-4467 Fax: 1-800-323-0161 FOR BENEFITS INFORMATION AND FORMS YOU MAY USE THE FCPS WEBSITE http://www.fcps.org UNITEDHEALTHCARE SUMMARY PLAN DESCRIPTION and DELTA DENTAL INFORMATION SHEET CAN BE FOUND AT insidefcps 2
HEALTH PLAN UPDATES EFFECTIVE JULY 1, 2010 To comply with federal mandated benefits, the following changes to the FCPS self insured health plan are effective July 1, 2010: • Extended Coverage for Full-time Students on Medical Leave – coverage for an eligible dependent who is a full time student at a postsecondary school and who needs a medically necessary leave of absence will be extended until the earlier of the following: ➣ one year after the medically necessary leave of absence begins; or ➣ the date coverage would otherwise terminate under the Plan • Medicaid and the Children’s Health Insurance Program (CHIP) – FCPS is required annually to notify employees about potential opportunities for premium assistance in the states in which they reside to help pay for health coverage. The state of Maryland currently does not offer this, and detailed information is included in this packet for employees residing in Pennsylvania, Virginia and West Virginia. • Mental Health Parity and Addiction Equity Act – copayments/co-insurance and treatment limitations for mental health and substance abuse services will match the copayments/co-insurance and treatment limitations of the medical/surgical benefits. • New Health Care Reform Bill Impacts Reimbursement of Over-The-Counter (OTC) Medicines – ➣ effective January 1, 2011 (mid-year for FCPS plan year), employees can no longer purchase over-the-counter (OTC) medications with the medical flexible spending account (FSA) funds unless prescribed by a health care provider. Detailed information is included in this packet. ➣ effective January 1, 2011, employees can no longer use the CVS Extracare discount card to receive discounts on OTC medications. HEALTH PLAN UPDATES EFFECTIVE JULY 1, 2011 Health care reform changes impacting the FCPS medical plan: Many health plan benefit changes are included in the recent health care reform legislation and are being phased in between 2010 and 2018. The change which will be implemented for the FCPS plan next plan year, July 1, 2011: ➣ extended coverage to dependents under age 26 if they have no access to other employer-sponsored coverage ADDITIONAL ANNOUNCEMENTS EFFECTIVE JULY 1, 2010 • CVS/Caremark issuing new employee identification cards – CVS/Caremark is no longer using social security numbers to identify employees and will issue new identification cards for the plan year beginning July 1, 2010. Employees should destroy the old cards when they receive the new ones mailed to their homes. • Coverage for hair prosthesis – benefits will be available for hair prosthesis for loss of natural hair resulting from chemotherapy treatment for cancer when prescribed by the resident oncologist. 100% in-network and 80/20% after deductible for out-of-network subject to a maximum of $350 and limited to one hair prosthesis per policy year. • Documentation now required when adding dependents to your medical and/or dental coverage – beginning with the May 2010 open enrollment period, employees adding dependents to their insurance coverage must submit the required documentation, including but not limited to: ➣ Spouse – copy of marriage certificate and most recent tax return showing marital status, personal and financial information blacked out ➣ Child – copy of birth certificate and college schedule if a full time student. Detailed information is included in this packet. • No action needed for employees currently covering one dependent – ➣ employees who are currently covering one dependent and are not making coverage changes this year do not need to complete an enrollment form. Premium adjustments will be handled through the FCPS Benefits/Payroll system. ➣ employees who are adding one dependent during the May open enrollment period must complete an enrollment form and return to the Benefits Office with the documentation described above by May 28. 3
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Employee Rates - Frederick County Public Schools

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