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Benefit Reference Guide - The School District of Palm Beach County

Benefit Reference Guide - The School District of Palm Beach County

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<strong>School</strong> <strong>District</strong> <strong>of</strong> <strong>Palm</strong> <strong>Beach</strong> <strong>County</strong><br />

What’s NEW for 2012?<br />

In this section...<br />

• Enrollment Information<br />

• New Medical Plan Names<br />

• Plan Changes<br />

• Wellness Rewards<br />

• Important Reminders<br />

• Annual Enrollment And Plan Year Dates<br />

• Online Annual Enrollment<br />

You are encouraged to read<br />

this booklet which provides the<br />

information necessary to help you<br />

decide the benefits that are right for<br />

you. <strong>The</strong> Low Option HMO or Waive<br />

Option will be the medical plan<br />

options for those newly eligible for<br />

benefits.<br />

<strong>Benefit</strong> Enhancements:<br />

• Employee premium contributions are required for all levels <strong>of</strong><br />

medical coverage<br />

• Wellness Rewards expanded to financially reward and motivate<br />

employees AND covered spouses/partners to take basic health<br />

steps to be more aware and active in their own health<br />

• Increase in Mail Order 90-day supply co-payment for all medical<br />

plans<br />

• HMO Choice 39 will be called High Option HMO<br />

• High Option HMO plan: deductible <strong>of</strong> $350 per individual and<br />

$700 per family applies to medical services outside <strong>of</strong> normal<br />

<strong>of</strong>fice visits<br />

• Deductibles apply toward inpatient and outpatient hospital<br />

services<br />

• EPO plan will be called the Low Option HMO<br />

• 401(a) contribution eliminated for Low Option HMO (formerly<br />

EPO) Single Coverage enrollment<br />

Existing part-time employees who are in an active paid position as<br />

<strong>of</strong> Dec. 31, 2011, will be grandfathered in and remain eligible for<br />

benefits.<br />

• New eligibility definition – New (non-CTA) employees must<br />

work 30 or more hours per week to qualify for insurance.<br />

• Minimum $100 per month increase for part-time employees<br />

enrolled in the High Option HMO plan (lower contribution<br />

available in the Low Option HMO)<br />

• NEW Nurse at Work Program – read more about this new<br />

program on page 58.<br />

• Rates for the Dental PPO plans will increase<br />

• EyeMed benefits slightly enhanced<br />

• MetLife Long Term Care (LTC) – no new policies sold after<br />

8/1/2011. Existing policyholders can expect increased rates.<br />

www.myFBMC.com<br />

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