2013 Employee Benefits Guidebook - Administration Home

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Vision Plan EyeMed Vision Care Customer Service ......................................................1-866-723-0596 EyeMed Vision Care Website................................................. www.eyemedvisioncare.com Flexible Spending Accounts PayFlex Customer Service: .........................................................................1-800-284-4885 PayFlex Claim Fax Number: ...................................................................... 1-800-450-0016 PayFlex Website .................................................................................. www.healthhub.com Reach Your Peak Health Management Program Reach Your Peak Program Questions email:..................... RYPsimplywell@elpasoco.com Program Website................................................................................ www.simplywell.com Website Technical Questions.......................................................................1-877-991-9355 Wellness Reimbursement Account (WRA) Website........................... www.healthhub.com Wellness Reimbursement Account (WRA) Customer Service…………...1-800-284-4885 Employee Assistance Program (EAP) ComPsych ...................................................................................................1-800-272-7255 Website ..................................................www.guidanceresources.com Web ID COM589 Life and Disability Insurance UNUM Life Insurance .……………………………………………………1-800-421-0344 Plan Highlights & Forms ........http://w3.unum.com/enroll/ElPasoCounty/enrollment.aspx Short Term Disability (policy #907374) - to file a claim...................... 888 673-9940 STD Fax ................................................................................................ 800 447-2498 General Questions Contact the Employee Benefits Office .................. 719 520-7420 El Paso County Retirement Plan Retirement Benefit Information...................................................................... 719 520-7490 Internet Address...............................................................................www.epcretirement.org Deferred Compensation (457 Plan) Great West Retirement Services ..................................................................1-800-947-4409 Key-Talk ......................................................................................................1-800-701-8255 Web Site....................................................................................................... www.gwrs.com 2013 Employee Benefit Guidebook Updated August 2013
IMPORTANT INFORMATION SUMMARY OF BENEFITS AND COVERAGE (SBC) AND SUMMARY PLAN DOCUMENTS (SPD): For a copy of the Summary of Benefits and Coverage and also the Summary Plan Documents contact the Employee, Benefits and Medical Services Department (EBMS) Benefits Division at (719) 520-7402, or go to www.elpasoco.com under the EBMS Benefits Division. This information is also available on Depot, the El Paso County Intranet site. ENROLLMENT AND EFFECTIVE DATE OF COVERAGE FOR MEDICAL, DENTAL, VISION AND LIFE INSURANCE BENEFITS: Eligible employees must complete the enrollment process (even if waiving coverage) through Employee Self Service (ESS) or by completing a Benefit Enrollment Form. Employees enrolling for coverage agree to pay the required contributions. Dependents of an eligible employee may not be enrolled in the Medical, Dental and Vision plans unless the employee is also enrolled for coverage under the Plan. If both spouses are employees of El Paso County and both are eligible for benefits, you should carefully review the contribution rates and select the option that provides the best coverage for you and your family at the lowest total cost. If both parents of an eligible dependent child are enrolled as a subscriber, only one parent may enroll the child as a dependent. ELIGIBLE DEPENDENTS: Eligible dependents include your lawful spouse and children who are less than 26 years old. Dependent children are also covered if age 26 or more years old and primarily supported by you and incapable of self-sustaining employment by reason of mental or physical handicap. You may be required to provide proof of the child’s dependent status to the health care provider or to the EBMS Benefits Division. You must provide the social security number (SSN) for dependents enrolled on our medical plan. Federal law requires group health plans and claim administrators to provide reports to the Centers for Medicare & Medicaid Services (CMS). We understand that you may have concerns with sharing your SSN. However, federal law requires that we collect this information so that accurate reports can be provided to CMS. This information will be shared only for reporting directly to CMS. The medical administrator sends the reports to CMS using a secure data transmission method to ensure the privacy and security of your information. Documentation for any covered dependents is also a requirement. If an employee enrolls a spouse, a copy of the marriage certificate must be provided. If enrolling children, copies of birth certificates must also be provided. These persons are excluded as Dependents: other individuals living in the covered Employee's home, but who are not eligible as defined in the Summary Plan Document (SPD); the divorced former Spouse of the Employee; foster children; or any person who is covered under the Plan as an Employee. See the SPD for additional information on eligible classes of dependents. 2013 Employee Benefit Guidebook Updated August 2013
Page 1 and 2: EMPLOYEE BENEFITS Open Enrollment G
Page 3: PHONE DIRECTORY Employment, Benefit
Page 7 and 8: EMPLOYEE CONTRIBUTIONS AND POP: The
Page 9 and 10: MEDICAL, VISION AND DENTAL PLAN PRE
Page 11 and 12: Questions regarding which protectio
Page 13 and 14: (including ER Physician services) M
Page 15 and 16: All subsequent prenatal visits, pos
Page 17 and 18: Note: The copayment will apply as l
Page 19 and 20: Pregnancy * Initial visit (to confi
Page 21 and 22: Wellness Exams The County Employee
Page 23 and 24: Walgreens Health Initiatives now Ca
Page 25 and 26: Medication List (PML)/formulary is
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Page 29 and 30: Guardian DENTAL PLANS El Paso Count
Page 31 and 32: What is an FSA? FLEXIBLE SPENDING A
Page 33 and 34: You can only be reimbursed up to th
Page 35 and 36: VOLUNTARY TERM LIFE INSURANCE Volun
Page 37 and 38: DISABILITY BENEFITS SHORT TERM DISA
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