Benefits Guide
2027
Effective January 1st, 2027 Summary for Review Purposes Only
IMPORTANT REMINDERS - TAKE ACTION •
New Hires: Enrollment with Campus Benefits must be completed within 30 days of your hire date. Remember: Please review and/or update beneficiaries annually for all benefits including, State Life & AD&D, Voluntary Life and Permanent Life policies. Important: Review and Understand Guaranteed Issue Options (New Hires). Life Events: Submit benefit changes for you and your eligible dependents to Campus Benefits within 30 days of the qualifying life event. This Guide - This guide is presented for illustrative purposes only and is not intended to offer insurance advice. It is important you review each benefit’s summary plan description (SPD) and other carrier materials before making any selections.
• • • •
There are two separate benefit enrollments: 1. Campus Benefits Voluntary Benefits 2. Blue Cross Blue Shield Medical Insurance
1
2
How to Enroll in Campus Benefits How to Enroll in your Blue Cross Voluntary Benefits Blue Shield Medical Plan 1. Visit www.georgecountybenefits.com
1. Contact Kimberly Collins, Payroll Specialist
2. Select the “Enroll” tab or the
for necessary enrollment paperwork/
“Campus Connect” tab 3. Follow the on-screen instructions OR 4. Contact Campus Benefits at 1.866.433.7661, opt 5 •
Benefits enrollment must take place within 30 days of hire date
•
Plan year is 1/1 - 12/31
•
Annual open enrollment occurs in the Fall
requirements. •
Plan year is 1/1 - 12/31
•
New Hire: Enrollment must take place within 31 days of hire date.
•
Annual open enrollment occurs in the Fall (October 1st - 31st)
(October - November) Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
Version #09212026
1
INSIDE THIS GUIDE
Take Action Reminders............................ 1 Eligibility..................................................... 2 Campus Benefits Service Hub................. 3 Employee Assistance Program............... 4 Benefits Portal........................................... 5 Campus Benefits Enrollment................... 6 Short-Term Disability Insurance.............. 7 Long-Term Disability Insurance............... 8 Life Insurance 101..................................... 9 Voluntary-Term Life Insurance................ 10 Permanent Life Insurance........................ 11 Dental Insurance....................................... 12 Dental Resources...................................... 13 Vision Insurance........................................ 14 Vision Resources....................................... 15 Critical Illness Insurance.......................... 16 Cancer Insurance....................................... 17 Accident Insurance.................................... 18 Hospital Indemnity Insurance................. 19 Wellness Incentives................................... 20 MedCareComplete Program.................... 21 Legal Plan................................................... 22 UMMC Telehealth...................................... 23 Flexible Spending Accounts..................... 24-25 Health Savings Account........................... 26-28 Active Health Management..................... 29-30 BCBS Medical Insurance........................... 31-32 Deferred Compensation Plan.................. 33-34 State Life Insurance................................... 35 Retirement Information............................ 36 Terms & Definitions.................................. 37
The George County School District offers a comprehensive and valuable benefits programs to all eligible employees. Our benefits package is designed to provide security and assistance during a time of need. Please become familiar with the various options and select the best coverage for the upcoming year.
NEED HELP? START HERE: Campus Benefits Service Hub
Phone: 1.866.433.7661, opt 5 Email: mybenefits@campusbenefits.com
George County School District Kimberly Collins Payroll Specialist 601.947.6993, ext. 2042 kimberly.collins@gcsd.us
Eligibility • • •
Generally, full-time employees designated by the Board working 20 or more hours a week Generally, full-time bus drivers designated by the Board working 10 or more hours a week Specific plan eligibility is listed on the top of each page. Specific employee and dependent eligibility rules are governed by each plan’s policy document/certificate, which is available on your employee benefits website, or by contacting Campus Benefits.
Enrollment • • •
Open Enrollment: October - November Campus Benefits New Hire: Benefits enrollment must take place within 30 days of hire date Plan Year: January 1 – December 31
When Do Benefits Begin •
The effective date of coverage for benefits depends on your hire date. Typically, benefits will begin the first of the month coinciding with or after date of hire. For all benefits, you must be actively at work on the effective date of coverage.
Changes • • • • •
Employee benefit elections are allowed as a new hire and during the annual open enrollment period The selected benefits will remain in effect throughout the plan year A qualifying life event allows eligible changes to benefit elections throughout the plan year For Campus Benefits all qualifying life events must be submitted within 30 days of the event date For BCBS Medical Plans all qualifying life events must be submitted within 60 days
2
George County School District 2027
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
SERVICE HUB/ SUPPORT CENTER Campus Benefits is your dedicated advocate for all your voluntary benefits. When to contact the Campus Benefits Service Hub • • • • •
Portability/Conversion Benefits Education Evidence of Insurability Qualified Life Event Changes Cobra Information
• Card Requests • Benefit Questions • Claims
How to File a Claim 1. Contact Campus Benefits via phone or email 2. Work with Campus Benefits’ claims specialist to complete the necessary paperwork • Employee Portion • Physician Portion • Employer Portion 3. Submit the necessary paperwork to Campus Benefits via the secure upload • Secure upload located at: www.georgecountybenefits.com/contact-campus
The Campus Benefits team understands the claims process and leverages the necessary carrier relationships to expedite the paperwork efficiently to ensure claims are not delayed due to improper paperwork completion.
Frequently Asked Questions (FAQs): Q: When must a qualifying life event change be made? A: For voluntary benefits, please notify Campus Benefits within 30 days of the life event date. A: For BCBS medical plan life events, please contact the George County Schools Benefits Department within 60 days of the life event date. Q: Am I required to contact Campus Benefits to file a claim? A: No. However, in our experience the number one reason for claim denial or delay is due to incomplete or inaccurate paperwork. By working with Campus Benefits’ claim specialist, we can advocate on your behalf. Q: How can I access the group dental card or vision card quickly? A: Your group dental and vision plan information is available at: www.georgecountybenefits.com
Phone: 1.866.433.7661, opt 5 Email: mybenefits@campusbenefits.com Website: www.georgecountybenefits.com Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
3
EMPLOYEE ASSISTANCE PROGRAM What is an EAP? A program offered to eligible George County School District employees to provide guidance with personal issues, planning for life events or simply managing daily life which can affect your work, health and family. Eligibility: All eligible George County School District employees • Coverage through One America for George County School District at no cost to employee • Provides support, resources, and information for personal and work-life challenges • CALL 1.855.387.9727 or visit www.guidanceresources.com, Web ID: ONEAMERICA3
Confidential Counseling • • •
Helps employees address stress, relationship and other personal issues for you and your family Sessions with highly trained master’s and doctoral level clinicians Receive 3 Sessions per issue per year for: • Job pressures • Stress anxiety and depression • Grief and loss • Relationship/marital conflicts • Substance abuse • Problems with children
Financial Information and Resources •
Speak by phone with Certified Public Accountants and Certified Financial Planners on a wide range of financial issues, including: • Retirement planning • Getting out of debt • Estate planning • Credit card or loan problems • Saving for college • Tax questions
Work-Life Solutions •
Work-Life Specialists will do the research for you, providing qualified referrals and customized resources for: • College planning • Child and elder care • Pet care • Moving and relocation • Home repair • Making major purchases
GuidanceResources Online • • • •
One stop for expert information on relationships, work, school, children, wellness, financial, and more Timely articles, HelpSheets, tutorials, streaming videos and self-assessments “Ask the Expert” personal responses to your questions Child care, elder care, attorney and financial planner searches
Free Online Will Preparation • • •
EstateGuidance lets you quickly and easily write a will on your computer Go to www.guidanceresources.com and click on EstateGuidance link Follow the prompts to create and download your will at no COST • Name an executor to manage your estate • Choose a guardian for your children • Specify your wishes for your property • Provide funeral and burial instructions Provided at no cost to the employee by George County School District.
4
George County School District 2027
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
BENEFITS PORTAL! www.georgecountybenefits.com
What can you find on the Benefits Portal? • • • •
Plan Highlight Sheets Policy Documents and Certificates Claim Forms Links to Carrier Websites
What can the Service Hub assist you with? • • • •
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
Claims Card Requests Benefit Questions Qualified Life Events George County School District 2027
5
CAMPUS BENEFITS ENROLLMENT INSTRUCTIONS Website: www.georgecountybenefits.com
Company Identifier: GCS19
1
Visit www.georgecountybenefits.com
2 3
Select “Campus Connect” to login
Existing User Login 1. Enter your username 2. Enter your password 3. Click “LOGIN” 4. Click on the “Start Benefits” button and begin the enrollment process
Frequently Asked Questions What is my username? • Work email address OR • Email address you provided to HR when hired OR • Email address you used to previously change your username What is my password? To create or reset a forgotten password follow the steps on the login page using tips below. • Password must be at least 6 characters • It must contain a symbol and a number • Using uppercase, numbers and symbols greatly improves security 6
George County School District 2027
New User Registration 1. On Login page click on “Register as a new user” and enter information below • First Name • Last Name • Company Identifier: GCS19 • PIN: Last 4 Digits of SSN • Birthdate 2. Click “Next” 3. Username: Work email address or one you have provided to HR when you were hired 4. Password: Must be at least 6 characters and contain a symbol and a number 5. Click on “Register” 6. On the next page, it will show your selected Username. Click on “Login” 7. Enter Username and Password 8. Click “Start Benefits” to begin the enrollment
Need Help? Start Here: mybenefits@campusbenefits.com 1.866.433.7661, opt 5
Login Information Username: ____________________________ Password: _____________________________
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
SHORT-TERM DISABILITY What is Short-Term Disability Insurance? A type of coverage that replaces a portion of your income, for a short period of time, if injury or illness prevents you from working. It provides financial security for you and any loved ones who may depend on your most valuable asset — your ability to earn a paycheck. You may also hear disability insurance referred to as disability income insurance or income protection.
Eligibility: Eligible full-time employees as designated by the Board (page 2) • Coverage through One America • Employee must be actively at work on the effective date • Short-Term Disability Benefits pay in-addition to sick leave. Must use in conjunction with sick leave (if applicable). • No health questions EVERY YEAR! (Pre-existing condition will apply for new participants) Short-Term Disability Quick Summary
Elimination Period
Benefits begin after you have been out of work due to an injury or illness for the elimination period Option 1: 7 Days Option 2: 14 Days Option 3: 30 Days
Benefit Duration
Covers accidents and sicknesses up to 12 weeks
Benefit Percentage (weekly)
60% of your gross weekly salary
Maximum Benefit Amount (weekly)
Pre-existing condition
$1,200 3/6 Illness or injury for which you received treatment the 3 months prior to your effective date will not be covered for the first 6 months. (Applies to new enrollees only)
Monthly Rate Calculation Step 1
Divide your Annual Salary by 52. This is your weekly salary.
Step 2
Multiply weekly salary in Step 1 by 60%. If 60% of weekly salary exceeds $1,200, then enter $1,200. This is your maximum weekly benefit amount.
Step 3
Divide weekly amount in Step 2 by $10
Step 4
Multiply Step 3 by the Monthly Rate in the table to the right. This is your monthly premium.
Short-Term Disability Monthly Rates Per $10 of Weekly Benefit Age
7 Day
14 Day
30 Day
<19-29
$0.623
$0.537
$0.354
30-39
$0.637
$0.549
$0.365
40-49
$0.622
$0.536
$0.340
50-59
$0.670
$0.578
$0.320
60-64
$0.719
$0.620
$0.365
65-69
$0.777
$0.670
$0.390
70+
$0.800
$0.690
$0.420
*Enrollment system will calculate based on payroll information provided by employer
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
7
LONG-TERM DISABILITY What is Long-Term Disability Insurance? A type of coverage that replaces a portion of your income, for a longer period of time, if injury or illness prevents you from working. It provides financial security for you and any loved ones who may depend on your most valuable asset — your ability to earn a paycheck. You may also hear disability insurance referred to as disability income insurance or income protection. Eligibility: Eligible full-time employees as designated by the Board (page 2) • Coverage through One America • Employee must be actively at work on the effective date • Long-Term Disability Benefits do not pay in-addition to sick leave • No health questions EVERY YEAR! (Pre-existing condition will apply for new participants) Long-Term Disability Quick Summary Elimination Period
Benefits begin after you have been out of work due to an injury or illness for 90 calendar days
Benefit Duration
Covers accidents and sicknesses up to Social Security Normal Retirement Age (Please note exclusions or limitations may apply, see plan certificate for details)
Benefit Percentage (monthly)
60% of your gross monthly salary
Maximum Benefit Amount (monthly)
Pre-existing condition
$6,000 3/3/12 Illness or injury for which you received treatment the 3 months prior to your effective date will not be covered for the first 12 months, unless you are treatment free for 3 consecutive months (Applies to new enrollees only)
Monthly Rate Calculation Step 1
Divide your Annual Salary by 12. This is your monthly salary.
Step 2
Divide monthly amount in Step 1 by $100
Step 3
Multiply Step 2 by the Monthly Rate in the table to the right. This is your monthly premium.
Long-Term Disability Monthly Rates Per $100 of Covered Monthly Payroll Age
90 Day
Age
90 Day
0-19
$0.252
50-54
$1.347
20-24
$0.252
55-59
$1.539
25-29
$0.252
60-64
$1.201
30-34
$0.252
65-69
$0.451
35-39
$0.540
70-74
$0.451
40-44
$0.741
75+
$0.451
45-49
$1.006
Enrollment system will calculate based on payroll information provided by employer
8
George County School District 2027
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
LIFE INSURANCE 101 The need for life insurance depends on each individual life situation. If loved ones are financially dependent on you, then buying life insurance coverage can absolutely be worth it. Even if you don’t have financial dependents yet, life insurance can be a valuable solution for making death easier on a family (at least financially.) There are two voluntary life insurance options offered through your employer: Term Life Insurance and Permanent Life Insurance. Below is an overview of the differences. Term Life and Permanent Life work best used in conjunction with one another. Term Life can protect your family in your younger working years and Permanent Life can protect your family in your retirement years. TERM LIFE INSURANCE Term Life insurance is illustrated on the bell curve below. The term life offered is a group policy which allows you to get more benefit for less premium. • Term life insurance is for the unexpected death • Includes an Accidental Death & Dismemberment Benefit • Term life insurance is flexible and allows changes to your benefit amount each year depending on life changes. For example, as you get married and have children the need for term insurance often increases. As you near retirement, the need for term life insurance often decreases. • Coverage is portable at retirement or if you leave the employer (premium will increase) • Premiums are based on age and increase as you get older
PERMANENT LIFE INSURANCE Permanent Life Insurance is illustrated above along the bottom of the graph with a straight blue arrow. • Permanent life insurance offers a stable premium along the lifetime of the policy • Permanent life offers a level premium and is meant to take into retirement • Permanent life is an issue age policy based on the age when the policy is issued • This is an individual plan you can take with you regardless of where you work Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
9
VOLUNTARY TERM LIFE & AD&D What is Voluntary-Term Life and Accidental Death & Dismemberment Insurance? Proceeds can be used to replace lost potential income during working years and help ensure your family’s financial goals will still be met; goals like paying off a mortgage, keeping a business running, and paying for college. AD&D coverage is included as a part of life insurance benefits and will pay out a lump-sum death benefit in the event you or a covered loved one are killed accidentally or die later as the direct result of an accident. Eligibility: Eligible full-time employees as designated by the Board (page 2), spouse, & unmarried children up to age 26 • Coverage through One America • Employee must be actively at work on the effective date • Benefit amount doubles in the event an accident results in death • Employee must elect coverage on themselves in order to purchase for dependents • If electing for the first time outside of the initial open enrollment period or for an amount over the Guaranteed Issue Amount, health questions will be required Life and Accidental Death & Dismemberment (AD&D) Quick Summary LIFE AND AD&D MAXIMUMS Employee
Minimum of $10,000 with increments of $1,000 up to the lesser of $500,000 or 5 times annual salary
Spouse
Minimum of $5,000 with increments of $500 up to $250,000 (100% of Employee Election)
Child(ren) (up to Age 26)
$10,000 (one premium applies to all children) GUARANTEED ISSUE MAXIMUMS (NO HEALTH QUESTIONS REQUIRED WHEN FIRST ELIGIBLE)
Employee
$250,000
Spouse
$50,000
Child(ren)
$10,000
GUARANTEED INCREASE IN BENEFIT Age Reduction Portability & Conversion
Employee & Spouse: If currently enrolled, can increase up to the Guaranteed Issue amount at Open Enrollment. None Included (Premium will change/increase) (Portability ends at age 70)
Plan Rates Cost of coverage is based on the level of benefit you choose and your age. Spouse rate is based on employee’s age. Please consult with a Benefits Counselor or log into the enrollment system for rate details. 10
George County School District 2027
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
PERMANENT LIFE What is Permanent Life Insurance? Provides lifelong protection and the ability to maintain a level premium. Eligibility: Eligible full-time employees as designated by the Board (page 2), spouse, children (up to age 26) • Coverage through Colonial Life • Underwriting may be required. Coverage is not guaranteed • Must be actively at work on the effective date • Permanent offers the flexibility to meet a variety of personal needs while allowing employees the choice of benefit and premium amounts which fit their paychecks and life styles • Keep your coverage at the same cost even if you retire or change employers Permanent Life Quick Summary PLAN MAXIMUMS Employee (Ages 18 - 79)
Up to $500,000
Spouse (Ages 19 - 70)
Up to $500,000
Child (15 days - 26 years)
Up to $500,000
GUARANTEED ISSUE (NO HEALTH QUESTIONS FOR FIRST TIME ENROLLEES)
Employee
Up to $49,999 (Ages 18 - 50) Up to $29,999 (Ages 51 - 60) Up to $14,999 (Ages 61 - 79)
Spouse
Up to $49,999 (Ages 18 - 50) Up to $29,999 (Ages 51 - 60) Up to $14,999 (Ages 61 - 79)
Juvenile Policy
Ages 0 - 17 Full-Time Student/Dependent on Parent 18 - 26 Additional Plan Options/Riders Choose from Paid Up Options: age 70 or age 100, Accidental death rider available
Plan Rates Cost of coverage is based on the level of benefit you choose and your age. Please consult with a Campus Benefits Counselor or log into the enrollment system for rate details. Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
11
DENTAL What is Dental Insurance? A health and wellness plan designed to pay a portion of dental costs associated with preventive, basic, some major dental care, as well as orthodontia. Eligibility: Eligible full-time employees as designated by the Board (page 2), spouse and children up to age 26 • Coverage through Guardian • Provider directory: www.guardianlife.com/find-a-provider (Network: Dental Guard Preferred) • Orthodontia only available for children up to age 19 (subject to lifetime max) • Claims must be submitted within 90 days of date of service • Exams and cleanings are allowed 2 times each calendar year and do not have to be separated by 6 months • Refer to page 16 for additional details on how to get the most out of your dental plan • You can go to any provider on both plans but will receive a higher benefit for going to an InNetwork provider • The chart below is a sample of covered in-network services. Please see the Plan Certificate on your Employee Benefits website for a detailed listing of services, as well as out-of-network allowances in their entirety. Coinsurance
Buy up (High Plan)
Base (Low Plan)
Services Quick Summary
Preventive
100%
100%
Type 1 - Preventive
Basic
In-Network: 90% Out-of-Network: 80%
In-Network: 100% Out-of-Network: 80%
Routine Exam (2 per calendar year)
Major
In-Network: 60% Out-of-Network: 50%
Not Covered
Orthodontics
50% (Child up to age 19)
Not Covered
Calendar Year Maximum
$1,000 per person
$750 per person
Rollover Maximum
$1,000
Not Covered for Low Plan
Orthodontia Maximum
$1,500 per person (Child up to age 19)
Not Applicable
Deductible
$50/$150 Max per Family per Calendar Year (Basic & Major)
Complex Extractions (High Plan only)
Allowance
80th Usual, Customary, & Reasonable
Anesthesia (High Plan only)
Waiting Period
None
Type 3 - Major (High Plan only)
Preventive Advantage
Bitewing X-rays (1 per calendar year) Cleaning (2 per calendar year) Fluoride (2 per calendar year for children <19) Full Mouth X-rays (1 in 3 Years) Type 2 - Basic Endodontics (Nonsurgical & Surgical) Fillings (includes posterior composites) Periodontics (Nonsurgical) Simple Extractions
Inlays, Onlays & Vaneers
Preventive services do not apply to the annual max
Crowns & Repairs Prosthodontics Periodontics (Surgical) Implants
Employee Name
Employee ID
George County School District
G-00069894
Group Name
Policy Number
For benefit or services information or to express concerns about our services, call Guardian at:
1.800.541.7846
www.guardianlife.com
Monthly Rates
High Plan
Low Plan
Employee
$48.45
$27.71
Employee + Spouse
$96.67
$55.44
Employee + Child(ren)
$107.54
$65.44
Family
$167.00
$103.28
*Click on id card for more information and printable version (electronic guide) Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes 12 George County School District 2027 and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
GET THE MOST OUT OF YOUR DENTAL PLAN DENTAL PLAN
Your Dental Plan Features Dental Rewards Maximum Rollover (High Plan Only)
If during a benefit year, a covered person has a paid claim (not just a visit) and does not exceed the paid claims Threshold Amount, then the Rollover Amount (or the Rollover Bonus Amount, if included) will be rolled over for use in future years. The Maximum Rollover Account Limit is the most money that can be kept in the Maximum Rollover account. The covered person’s personal Maximum Rollover account is used for additional coverage when his or her annual maximum is exhausted. High Plan Rollover Quick Summary Threshold
$500
Dental benefits received for the year cannot exceed this amount
Rollover Amount
$250
Dental rollover amount is added to the following year’s maximum
Maximum Carryover
$1,000
Maximum possible accumulation for Dental Rollover
Preventive Advantage
Members have an unlimited preventive care maximum (frequency/age limitations still apply). Members obtain preventive care, including exams, cleanings, x-rays and fluoride treatments, without having the benefit deducted from their annual maximum. The entire annual maximum amount is preserved for basic and major services. Preventive care will continue to be covered even after the annual maximum is met. Preventive Advantage promotes preventive care to help keep members healthy and productive while extending the value of their annual maximum.
TRAVEL ASSISTANCE
International Dental Travel Assistance services are administered by AXA Assistance USA, Inc. AXA
Assistance is not affiliated with (The) Guardian Life Insurance (Company of America) (“Guardian”), and the services they provide are separate and apart from the benefits provided by Guardian. While traveling internationally, Guardian members can get a referral to a local dentist for immediate dental care through the International Dental Travel Assistance Program. This service is available 24/7, in over 200 countries. Coverage will be considered under the out-of-network benefits.
Contact:
1.630.766.7710 (via collect call) 888.647.2701 (from the U.S.)
TOBACCO CESSATION PROGRAM The Guardian + Pelago tobacco cessation program, included with all new Guardian dental plans, provides dental members and their families (age 15+) personalized, resources that can help them reduce their usage or quit use of tobacco, including vaping, for good. Visit your www.guardiananytime.com account for more information and to sign up.
Features: • • • • •
Dedicated care team: Access to qualified coaches to help guide members on every step of their recovery journey Personalized tracking: Tools to help members track their personal triggers, cigarettes smoked, dollars saved, and health progress Helpful cognitive behavioral therapy (CBT) content: Audio sessions and interactive exercises to help members learn new techniques for dealing with craving triggers Craving tools: Support for members to manage cravings and reach their goals Nicotine replacement therapy: Access to gums and patches to manage and lessen cravings (if your employees need them)
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
13
VISION What is Vision Insurance? A health and wellness plan designed to reduce your costs for routine preventive eye care including eye exams and prescription eyewear (eyeglasses and contact lenses). Eligibility: Eligible full-time employees as designated by the Board (page 2), spouse and dependent* children up to age 26 • Coverage through MetLife - Provider directory: www.metlife.com (Network: VSP Choice) • Refer to the next page for details on how to get the most out of your vision plan • The chart below is a sample of covered in-network services. Please see the Plan Certificate on your Employee Benefits website for a detailed listing of services, as well as out-of-network allowances in their entirety. * Child marital status impacts benefit eligibility Vision Benefits Quick Summary
In-Network
Exam
In: $10 Copay Out: Up to $45 allowance
Contact Lens Fit and Follow-Up
Member pays up to $60 (Standard)
Retinal Imaging
Up to $39 Copay
Lasik or PRK
15% Discount off Retail and 5% off Promotional
Frames
In: $15 Copay - $200 Allowance + 20% off Balance $110 Allowance at Walmart, Costco, Sam’s Club Out: Up to $70 allowance Lenses and Lens Options In: $15 Copay Out: Up to $30 - $100 allowance
Single/Lined Bifocal & Trifocal/Lenticular Standard Progressive Lens
Up to $55 Copay
UV Coating
Covered in Full
Standard Polycarbonate
Adults: Up to a $35 Copay Children: Covered in Full
Tint (Solid & Gradient)
Up to a $17 to $44 Copay
Standard Scratch Resistant
Up to $17 - $33 Copay
Standard Anti-Reflective Coating
Up to $41 - $85 Copay Contact Lenses
Elective Contacts
In: $200 allowance Out: Up to $105 allowance In: Covered in Full after eyewear copay Out: Up to $210 allowance
Medically Necessary Contacts
Frequencies Exams/Lenses or Contact Lenses/Frames
Every 12 Months
2nd Pair Benefit (Advise provider to submit two pair of glasses on separate invoices)
Each covered person can get one of the options below: 2 pairs of prescription eyeglasses OR 1 pair of prescription eyeglasses and an allowance toward contacts OR Double the contact lens allowance
Election frequency based on date of service
Monthly Rates
14
George County School District 2027
Employee
$12.17
Employee + Spouse
$24.39
Employee + Child(ren)
$20.65
Family
$34.05
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
GET THE MOST OUT OF YOUR VISION PLAN DID YOU KNOW? Your vision plan allows you to visit any licensed vision specialist and receive coverage. Just remember your benefits go further when you go in-network. • • • • • •
You can price shop your lens & frame providers. Take your prescription from your out of network provider to an in-network provider to receive the most benefit from your vision plan. Visit www.metlife.com for a listing of in-network providers. Your vision care expenditures qualify as an eligible expense under the available Flexible Spending Account Plan. View the FSA pages for more details. You can access additional plan information on your benefits website: www.georgecountybenefits.com Track your claims and plan usage by registering for a MetLife My Benefit Account. Visit www.metlife.com/ mybenefits.com. Enter George County Board of Education as your employer. When submitting claims for the 2nd Pair Benefit, advise provider to two submit two pair of glasses on separate invoices.
WHY IS HAVING A GOOD VISION PLAN SO IMPORTANT? Because taking good care of your eyes can help you take better care of your body. Regular visits to your eye care professional do more than just protect your eyesight. They can help protect your overall health. Through a routine exam, eye doctors can spot serious health problems like diabetes, high blood pressure, heart disease, certain cancers and other conditions. That’s why, even if you have perfect vision, yearly exams are important. Don’t let preventable health and vision problems sneak up on you. Vision benefits are there to help you stay on top of your care.
George County BOE
5965845
Group Name
Group Number
Members: 1.800.438.6388 Providers: 1.855.638.3931
metlife.com/mybenefits
*Click on id card for more information and printable version (electronic guide)
This card is not a guarantee of coverage or eligibility. Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
15
CRITICAL ILLNESS
What is Critical Illness Insurance? A health and wellness plan in which you receive a lump sum cash payment if diagnosed with one of the specific illnesses on the predetermined list of critical illnesses.
Eligibility: Eligible full-time employees as designated by the Board (page 2), spouse and dependent children* up to age 26 • Coverage through MetLife • Issue Age - Rates are locked in and will not increase with age • No health questions - EVERY YEAR!! • The chart below is a sample of covered services. Please see the Plan Certificate for a detailed listing of services in their entirety, available on your Employee Benefits Website. * Child marital status may impact benefit eligibility Critical Illness Quick Summary Employee
$15,000 or $30,000
Spouse
50% of Employee Amount
Dependent Children
50% of Employee Amount
COVERED SPECIFIED CRITICAL ILLNESSES
Pays % of Face Amount
Invasive Cancer
100%
Non-Invasive Cancer
25%
Skin Cancer
5% (not less than $250)
Benign Brain Tumor
100%
Coronary Artery Bypass Graft (CABG)
50%
Childhood Diseases (Cerebral Palsy, Cleft Lip or Cleft Palate, Cystic Fibrosis, Diabetes (Type 1), Down Syndrome, Sickle Cell Anemia, Spina Bifida)
100% of Child Benefit
Functional Loss (Coma, Loss of: Ability to Speak; Hearing; or Sight, Paralysis of 2 or more limbs)
100%
Heart Attack
100%
Sudden Cardiac Arrest
50%
Infectious Diseases (Bacterial Cerebrospinal Meningitis, COVID-19, Diphtheria, Encephalitis, Legionnaire’s Disease, Malaria, Necrotizing Fasciitis, Osteomyelitis, Rabies, Tetanus, Tuberculosis)
25% *Hospitalization is required, see policy for details.
Stroke
100%
Major Organ Transplant (Bone marrow, Heart, Lung, Pancreas, and Liver)
100%
Kidney Failure
100%
Progressive Diseases (ALS, Alzheimer’s Disease, Multiple Sclerosis, Muscular Dystrophy, Parkinson’s Disease (Advanced), Systemic Lupus Erythematosus (SLE))
100%
Severe Burn
100%
Stroke
100%
ANNUAL WELLNESS INCENTIVE
$50 - (See Wellness Incentives Page for more details)
Age Reduction
None
Pre-Existing Condition
None
Plan Rates Cost of coverage is based on the level of benefit you choose and your age. Please consult with a Campus Benefits Counselor or log into the enrollment system for rate details. 16
George County School District 2027
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
CANCER INSURANCE What is Cancer Insurance? Cancer insurance is a form of supplemental insurance meant to offset cancer-related expenses so you can focus on recovery. Eligibility: Eligible full-time employees as designated by the Board (page 2), spouse and children up to age 26 • Coverage through Colonial Life • Keep your coverage, at the same cost, even if you retire or change employers • Payments made directly to you and do not offset with medical insurance • The chart below is a sample of covered in-network services. Please see the Plan Certificate on your Employee Benefits website for a detailed listing of services. Cancer Benefits Quick Summary
Level 2
Level 3
HOSPITAL AND RELATED BENEFITS Initial Cancer Diagnosis
$1,000 - $10,000 in $1,000 Increments
Hospital Confinement (30 days or less)
$150
$250
Hospital Confinement (31 days or more) Air Ambulance (2 per confinement)
$300 $2,000
$500 $2,000
Hospice, Initial
$1,000
$1,000
RADIATION,CHEMOTHERAPY & RELATED BENEFITS Radiation/Chemotherapy for Cancer Blood, Plasma, Platelets per day (max $10,000 per year) Medical Imaging (max per year)
$100 - $500
$150 - $750
$150 $250
$175 $350
SURGERY AND RELATED BENEFITS Surgical Procedures - per unit
$50
$60
Surgical Procedures max per procedure
$3,000
$5,000
Anesthesia (% of surgery) Surgery (outpatient) per day Surgery (outpatient) annual max Bone Marrow or Stem Cell Transplant (2 transplant max)
25% of Surgical Procedures Benefit $200 $300 $600 $900 $4,000 $7,000
MISCELLANEOUS BENEFITS Bone Marrow Donor Screening
$50
$50
Experimental Treatment - Max Lifetime
$12,500
$15,000
Second Medical Opinion (1)
$200
$300
Prosthetic Limb - Max Lifetime
$3,000
$4,000
ANNUAL WELLNESS INCENTIVE PRE-EXISTING CONDITION WAITING PERIOD
$50 - (See Wellness Incentives Page for more details) None (5 Years treatment free from cancer) 30 Days - Waived for Takeover
Plan Rates Cost of coverage is based on the level of benefit you choose and your age. Please consult with a Campus Benefits Counselor or log into the enrollment system for rate details. Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
17
ACCIDENT INSURANCE What is Accident Insurance? A financial and family protection plan designed to help pay for the medical and out-of-pocket costs a covered individual may incur after an accidental injury either on or off the job. Eligibility: Eligible full-time employees as designated by the Board (page 2), spouse and dependent children* up to age 26 • Coverage through MetLife • No health questions - Every Year!! • The chart below is a sample of covered services. Please see the Plan Certificate for a detailed listing of services in their entirety, available on your Employee Benefits Website * Child marital status may impact benefit eligibility Accident Benefits Quick Summary
Low Plan
High Plan
INJURIES Fractures
$200 - $10,000
$250 - $12,000
High Plan Rates
Dislocations
$200 - $10,000
$250 - $12,000
Second and Third Degree Burns
$100 - $15,000
$150 - $17,500
Employee $18.45
$500
$750
$75 - $700
$100 - $800
$400
$500
Employee + Child(ren) $31.40 Employee + Family $40.32
Concussions Cuts/Lacerations Eye injuries
MEDICAL SERVICES & TREATMENT Ambulance (Ground)
$400
$500
Emergency Room Treatment
$200
$250
Abdominal or Thoracic Surgery
$2,000
$2,500
Physician Office Visit
$100
$125
Low Plan Rates Employee $14.58
ACCIDENTAL DEATH & DISMEMBERMENT Accidental Death
$25,000 - $100,000*
$50,000 - $200,000*
Dismemberment
$1,000 - $40,000*
$1,250 - $60,000*
(Basic and Common Carrier)
* Amount varies for employee, spouse and children and based on type of Covered Loss, see plan certificate for details.
Hospital Coverage (Accident) Hospital Admission
$1,500
Hospital Stay (per day) Intensive Care Unit Stay (per day)
18
Employee + Spouse $27.74
$2,000
$300
$400
(Max 365 Days)
(Max 365 Days)
$300
$400
(Max 365 Days)
(Max 365 Days)
Age Reduction
None
Pre-existing Condition
None
WELLNESS INCENTIVE
$50 - (See Wellness Incentives page)
George County School District 2027
Employee + Spouse $22.14 Employee + Child(ren) $24.30 Employee + Family $31.59
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
HOSPITAL INDEMNITY What is Hospital Indemnity Insurance? A plan which pays you benefits when you are confined to a hospital, whether for planned or unplanned reasons. Eligibility: Eligible full-time employees as designated by the Board (page 2), spouse and children up to age 26 • Coverage through MetLife • Benefits do not coincide with health insurance; payments made directly to you • No waiting period and pre-existing condition limitation • No Health Questions - EVERY YEAR! • The chart below is a sample of covered in-network services. Please see the Plan Certificate on your Employee Benefits website for a detailed listing of services at www.georgecountybenefits.com. Hospital Indemnity Benefits Quick Summary
High Plan
Low Plan
Hospital Admission
$1,000
$500
ICU Supplemental Admission
$1,000
$500
Admission Benefit (4 times per calendar year - separated by 90 days) If a covered person is readmitted within 90 days for the same or related sickness/injury for which we paid an Admission Benefit, an additional Admission Benefit is not payable. Confinement
$200
$100
ICU Supplemental Confinement
$200
$100
Confinement Benefit (365 days per calendar year) Confinement Benefit for Newborn Nursery Care (2 days per confinement)
$50
Wellness Incentives (1 time per calendar year, per covered person)
$50 (See Wellness Incentives page)
Low Plan Rates
High Plan Rates Employee Employee + Spouse Employee + Child(ren) Employee + Family
$25
$18.51 $33.53 $29.98 $45.00
Employee Employee + Spouse Employee + Child(ren) Employee + Family
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
$12.03 $21.71 $19.77 $29.45
George County School District 2027
19
WELLNESS INCENTIVES What are Wellness incentives? An annual reimbursement for covered members who complete one of the eligible screening procedures on an elected Critical Illness, Cancer, Accident or Hospital Indemnity plan. Available Wellness Incentives Critical Illness, Accident & Hospital Indemnity Plans - MetLife
$50/per covered person per year
Cancer Plan - Colonial Life
$50/per covered person per year
What Qualifies as Wellness? MetLife Critical Illness, Accident & Hospital Indemnity Plans
Colonial Life Cancer Plan
Included, but not limited to: • • • • • • • • • • • • • • • • • • • • •
Biopsies for cancer Blood test to determine total cholesterol/triglycerides Bone marrow testing Breast MRI, ultrasound, sonogram Cancer antigen 15-3 and 125 blood test for breast cancer (CA 15-3)/ovarian cancer (CA 125) Carcinoembryonic antigen blood test for colon cancer (CEA) Carotid doppler Chest x-rays Clinical testicular exam Colonoscopy; Digital rectal exam (DRE) Complete blood count (CBC) Coronavirus Testing Dental Exam Doppler screening for cancer Doppler screening for peripheral vascular disease Echo cardiogram; Electrocardiogram (EKG) Electroencephalogram (EEG) Endoscopy Eye exam Fasting blood glucose/plasma test Flexible sigmoidoscopy
• • • • • • • • • • • • • • • • •
Hemoccult stool specimen Hemoglobin A1C Human papillomavirus (HPV) vaccination Lipid panel Mammogram Oral cancer screening Pap smears or thin prep pap test Prostate-specific antigen (PSA) test Serum cholesterol test to determine LDL or HDL Serum protein electrophoresis Skin Exam; Skin cancer biopsy; screening Stress test on bicycle or treadmill Successful completion of smoking cessation program Tests for sexually transmitted infections (STIs) Thermography Ultrasounds for abdominal aortic aneurysms Virtual colonoscopy
• • • • • • • • • • • • • • • • • • • • • • • •
Blood test for triglycerides Bone marrow testing Breast ultrasound CA 15-3 (blood test for breast cancer) CA 125 (blood test for ovarian cancer) Carotid Doppler CEA (blood test for colon cancer) Chest X-ray Colonoscopy Echocardiogram (ECHO) Electrocardiogram (EKG, ECG) Fasting blood glucose test Flexible sigmoidoscopy Hemoccult stool analysis Mammography Pap smear PSA (blood test for prostate cancer) Serum cholesterol test for HDL and LDL levels Serum protein electrophoresis (blood test for myeloma) Skin cancer biopsy Stress test on a bicycle or treadmill Thermography ThinPrep pap test Virtual colonoscopy
How to File a Wellness Claim?
• •
20
Call 1-800-GET-MET8. (800-438-6388) File your Health Screening Benefit online through the MyBenefits portal at www.metlife.com/mybenefits or by mail with a paper claim form.
George County School District 2027
1. Complete your wellness 2. File your claim online at www.Coloniallife.com and click on “File a Claim” button OR 3. Fax your claim form to 1.800.880.9325 OR 4. Mail your claim form to Colonial Life Wellness P.O. Box 100195 Columbia, SC 29202 • Wellness forms are located on your benefits portal, www.georgecountybenefits.com
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
MEDCARECOMPLETE
THE SMART WAY TO REDUCE YOUR HEALTHCARE COSTS What is MedCareComplete? Provides a bundle of services constructed to save you time and money while simplifying your life. Eligibility: Eligible full-time employees as designated by the Board (page 2), spouse & unmarried children up to age 26 • This is a supplemental benefit and does not replace health insurance • Register @ MCC: www.Medcarecomplete.com/members to access the full range of benefits • Register @ 1800MD: www.1800md.com or 1.800.388.8785 to access telemedicine benefits
Included with the MedCareComplete Membership: Medical Bill Negotiator
Restoration Expert
Medication Management
Identity Loss Expense Reimbursement
Telemedicine
Social Media Tracking
Medical & ID Theft Monitoring
Sex Offender Alerts
Medical Bill Negotiator A medical bill advocate will identify and appeal common billing errors and overcharges on your behalf. Advocates provide continuous support throughout the appeal that typically results in an average savings of 40% on 80% of the bills reviewed.
Telemedicine
Individual Monthly Rate
Family Monthly Rate
$10.50 Per Month
$12.50 Per Month
Get 24/7/365 on-demand telephone access to Board-certified physicians for diagnosis, and prescriptions for common and acute illnesses. There are no copays and no limit to how many times you can utilize this feature.
NO COPAY
Acute Illnesses include but are not limited to the following: Asthma Fever Headache Infections Migraines
Rashes Bacterial Infections Diarrhea Heartburn Sinus Conditions
Urinary Tract Infections Bronchitis Ear Infection Gout
Joint Aches Pink Eye Sore Throat Cold & Flu Nausea & Vomiting
Medical & ID Theft Protection Service monitors the internet for instances of your personal health and financial information to protect you from becoming a victim of identity theft. The security of your personal health information (PHI) can have a large impact on the medical care you receive. Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
21
LEGAL PLAN What is a Legal Plan? A plan which provides valuable legal and financial educational resources for a variety of life events and needs. Eligibility: Eligible full-time employees as designated by the Board (page 2), spouse and dependent children (up to age 26) • Coverage through MetLife • Elder Care extends to parents and in-laws • Visit www.legalplans.com/why-enroll or call 800.821.6400 for additional information • Non-Members & Members create an account and select Employer for plan information (creating an account doesn’t enroll you in plans) • High Plan: For non-covered matters that are not otherwise excluded, your plan provides four hours of network attorney time and services per year • Additional information can be found on your benefits website (www.georgecountybenefits.com) Low Plan Quick Summary Money Matters Home & Real Estate
Estate Planning
Family & Personal
Civil Lawsuits
Elder Care Issues
Vehicle & Driving 22
High Plan Quick Summary
• • • • •
Identity Theft Defense Negotiations with Creditors Promissory Notes Debt Collection Defense Tax Collection Defense
• • • • •
Identity Theft Defense Negotiations with Creditors Promissory Notes Debt Collection Defense Tax Collection Defense
• • • • • •
Deeds Mortgages Foreclosure Tenant Negotiations Eviction Defense Security Deposit Assistance
• • • • • •
Deeds Mortgages Foreclosure Tenant Negotiations Eviction Defense Security Deposit Assistance
• • • • •
Simple and Complex Wills Healthcare Proxies Living Wills Codicils Powers of Attorney (Healthcare, Financial, Childcare, Immigration
• • • • •
Simple and Complex Wills Healthcare Proxies Living Wills Codicils Powers of Attorney (Healthcare, Financial, Childcare, Immigration
• • • •
Guardianship Conservatorship Name Change Review of ANY Personal Legal Document School Hearings Demand Letters Affidavits Personal Property Issues Garnishment Defense Domestic Violence Protection
• • • •
Guardianship Conservatorship Name Change Review of ANY Personal Legal Document School Hearings Demand Letters Affidavits Personal Property Issues Garnishment Defense Domestic Violence Protection
Disputes over Consumer Goods & Services Administrative Hearings Incompetency Defense
•
• • • • • • • • •
• • • • • •
• •
Disputes over Consumer Goods & Services Administrative Hearings Incompetency Defense
• • • •
Personal Bankruptcy LifeStages Identity Management Tax Audit Representation Financial Education Workshops
• • • • •
Sale or Purchase (Primary or Vacation Home) Refinancing & Home Equity Property Tax Assessments Boundary & Title Disputes Zoning Applications
•
Revocable & Irrevocable Trusts
• • • • •
Juvenile Court Defense (Including Criminal Matters) Parental Responsibility Matters Review of Immigration Documents Prenuptial Agreement Adoption
• • •
Civil Litigation Defense & Mediation Small Claims Assistance Pet Liabilities
Consultation & Document review for issues related to your (or spouses) parents: • Medicare • Medicaid • Prescription Plans • Nursing Home Agreements • Leases • Promissory Notes • Deeds • Wills • Power of Attorney
Consultation & Document review for issues related to your (or spouses) parents: • Medicare • Medicaid • Prescription Plans Monthly Rate • Nursing Home Agreements (Includes spouse and children) • Leases • Promissory Notes • Deeds Low Plan High Plan • Wills • Power of Attorney
• • • •
• • • •
Repossession Defense of Traffic Tickets Driving Privileges Restoration License Suspension due to DUI
George County School District 2027
$8.00
Repossession Defense of Traffic Tickets Driving Privileges Restoration License Suspension due to DUI
$16.50
NO COPAY
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
UMMC TELEHEALTH PROVIDER What is UMMC Telehealth? Provides fast treatment for minor medical issues through a computer, tablet or mobile phone. Monitors patients with chronic illnesses remotely. Specialized care is also available statewide. • • • •
Reminder: The University of Mississippi Medical Center (UMMC) is the preferred provider of telehealth services for the State and School Employees’ Life and Health Insurance Plan To make an appointment, go to www.UMMC2You.com For questions about UMMC 2 You, email Telehealth@umc.edu or call 601.815.2020 Visit www.UMMC.com for more information and resources on telehealth
Telehealth Dietitian Services:
Telehealth Health Care:
A registered dietician will help you eat healthier and lower your risk for chronic diseases by managing: - High blood pressure - Type 2 diabetes - Fatty liver - Weight issues
- Cold and flu - COVID-19 symptoms - Asthma and allergies - Rashes and bites - Aches and pains - Other minor medical issues
Telehealth Mental Care: - Depression - Anxiety - PTSD - ADHD - Bipolar disorder - LGBTQ support - And more
Coverage Costs Quick Summary Base Coverage Cost
Select Coverage Cost
Telehealth 24/7 Minor Medical
$10 Copay Subject to deductible
$10 Copay Not subject to deductible
Telehealth Mental Health
20% Coinsurance After deductible is met
20% Coinsurance After deductible is met
Telehealth Dietician Services
$10 Copay Subject to deductible
$10 Copay Not subject to deductible
Other network providers may offer these services. Check with your provider to see if online doctor visits are available. To be eligible for this benefit, all visits must be “real-time” video chats. Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
23
FLEXIBLE SPENDING ACCOUNTS What are Flexible Spending Accounts? A pre-tax benefit account used to pay for out-of-pocket healthcare costs such as deductibles, copays, prescribed medications, and doctor visits. What are Dependent Care Accounts? A pre-tax account used to pay for dependent care services such as daycare, before or after school programs, and elder care. Eligibility: Eligible full-time employees as designated by the Board (page 2), spouse and children up to age 26 (Dependent care for children ages 12 and under) • Plan year is from January 1 - December 31. Employees must re-elect each year. • Only family status changes will allow you to change your annual election. The altered election must be consistent with the status change. • Transfer of funds between Dependent Care and Medical Care are prohibited • Married and not filing jointly participants limited to $3,750 deferral for Dependent Care • Full list of eligible FSA expenses is on the website: www.georgecountybenefits.com FSA Quick Summary MEDICAL FSA ACCOUNT Minimum Contribution
$300 annually
Maximum Contribution
$3,400 annually
Carryover Maximum*- Maximum participants can carry over if re-electing the plan
$680
Total elected amount is available at the beginning of the plan year All receipts should be kept to submit if verification is requested *Carryover funds are only available if re-electing the plan for the next year DEPENDENT CARE FSA ACCOUNT Minimum Contribution
$300 annually
Maximum Contribution
$7,500 annually
Carryover Maximum
None Amount is only available as it is payroll deductible Plan Rules
RUNOUT PERIOD - Time to turn in receipts for services rendered during the plan year. Admin Fee Fee Per Participant Per Month
24
(One fee even if electing both Medical FSA and Dependent Care)
$3.50
Replacement Card Fee
$10.00
George County School District 2027
30 days from plan end date
IMPORTANT NOTE: Dependent Care FSA is for eligible expenses related to the care of your child, disabled spouse, elderly parent, or other dependent who is physically or mentally unable of or disabled for self-care (i.e. day care, adult day care). Medical expenses for your dependent are not eligible for reimbursement under the Dependent Care.
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
HELPFUL FSA RESOURCES What is covered under Medical FSA Account? • Medical coinsurance and deductible FSA Eligibility List • Doctor’s office visit copays www.consolidatedadmin.com/fsa-hsa-eligible-expenses • Emergency Room costs FSA Calculator • Dental copays and out-of-pocket costs (estimates how much you can save with an FSA) • Vision copays and out-of-pocket costs www.fsastore.com/fsa-calculator • Contacts and glasses • Prescriptions • Please see the full eligibility list for other covered expenses Who is covered under a Dependent Care Account? • Children ages 12 and under (including stepchildren, grandchildren, adopted or foster children, and children related to you who are eligible for a tax exemption on your federal tax return) • Tax dependents residing with you and incapable of self-care (this could include your spouse, a child age 13 and over, and elderly parents) The CARES Act permanently reinstates over-the counter products, and adds menstrual care products for the first time, as eligible expenses for your FSA funds WITHOUT A PRESCRIPTION! Eligible items for purchase without a prescription now include, but are not limited to: • Pain relief medications, e.g., acetaminophen, ibuprofen, naproxen sodium • Cold & flu medications • Allergy medications • Acne treatments • Eye drops • Stomach & digestive aids • Pads, tampons and menstrual sponges • Sleep aids • Children’s pain relievers, allergy medicines, and digestive aids
In the App Store go to: Consolidated Admin Services Online Portal and Access to information: www.consolidatedadmin.com
IMPORTANT NOTE: Dependent Care FSA is for eligible expenses related to the care of your child, disabled spouse, elderly parent, or other dependent who is physically or mentally unable for self-care (i.e. day care, adult day care) or is disabled. Medical expenses for your dependent are not eligible for reimbursement under the Dependent Care account. Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
25
HEALTH SAVINGS ACCOUNTS What is a Health Savings Account? A pre-tax benefit account used to pay for eligible medical expenses. Unused funds rollover each year and you can keep the account regardless if you change employers, switch health plans or retire. What are Health Savings Account triple tax advantages? Any contributions, investment earnings, and qualified distributions are exempt from federal income tax, FICA (Social Security and Medicare) tax and state income taxes (check your state). Eligibility: • Coverage through Consolidated Admin Services (CAS) • Plan year is from January 1st - December 31st • Employees must be enrolled in the BCBS of MS Base Coverage to be eligible (qualified high deductible health insurance plan) • Employees cannot have other health coverage (including Tricare or Medicare), be claimed as a dependent, or have a spouse enrolled in a Medical FSA • Please visit your Employee Benefits website for a complete listing of eligible expenses and qualifying dependent care services. HSA Benefits Quick Summary Individual Minimum Deductible
$1,700
Individual Maximum Contribution
$4,400
Family Minimum Deductible
$3,400
Family Maximum Contribution
$8,750
HSA Catch-Up
Ages 55+ can contribute an extra $1,000
Plan Rules
No runout or grace period. Funds never expire and belongs to the employee.
Admin Fee
$2.50 a month
Annual out-of-pocket expenses (deductibles, co-payments and other amounts, but not premiums) cannot exceed $8,500 for self-only coverage and $17,000 for family coverage. How does HSA work? 1. Use your HSA to help pay for qualified medical expenses 2. Unused funds rollover each year and may be invested (check with your financial institution), allowing earnings to grow tax deferred. 3. HSA funds are available as they are payroll deducted (they are not available at the beginning of the year). Contributions (100% tax deductible from gross income) 1. Pre-tax payroll contributions through your employer. 2. Transfer funds from bank account. 3. Send a check to CAS for deposit into your HSA. 4. Make a one-time IRA to Has transfer (IRS rules apply) 26
George County School District 2027
Distributions: 1. Pay with CAS card. 2. Use online bill pay through the online HSA portal. 3. Request self-reimbursement through the online portal when you have already paid out-of-pocket for qualified expenses.
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
HEALTH SAVINGS ACCOUNTS
ADDITIONAL INFORMATION Qualified medical expense: • Doctor Visits (deductibles, co-insurance, etc.) • Dental and Vision Services • Prescriptions • Other expense may also be eligible NOT qualified medical expense: • Surgery for purely cosmetic reasons • Health club dues • Illegal operations or treatment • Maternity clothes • Toothpaste and cosmetics
A list of HSA eligible expenses is available on the IRS Web site, www.irs.gov in IRS Publication 502.
What are the differences between HSA and FSA? Both HSAs and FSAs allow you to pay for qualified medical expenses with pre-tax dollars. You can only enroll in either HSA or Medical FSA, not both. One key difference, however, is that HSA balances can roll over from year to year, while FSA money left unspent at the end of the year is limited to the carryover maximum to the following plan year. HSA funds can be used to pay for qualified medical expenses that are not covered by your health plan including:
• • • • • • •
Dental expenses Deductibles Co-payments Braces X-rays Fillings Dentures
• • • • • • • •
Vision expenses Co-payments Frames Contacts Prescription sunglasses Goggles Optometrists/Ophthalmologist fees Corrective eye surgery
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
27
HEALTH SAVINGS ACCOUNTS MOBILE APP & WALLET INFORMATION How to access HSA benefits: 1. CAS Consumer Portal - This one-stop portal gives you 24/7 access to view information and manage your accounts. • • •
Visit: www.consolidatedadmin.com Hover over the “Logins” link at the top of the webpage Click on “Participant/Employee Login”
2. CAS mobile app allows you to manage your accounts from the palm of your hand, anytime anywhere. Available on APP Store and Google Play. • • • •
Search your app store for “Consolidated Admin Services” Install the app Log in with your web login username and password Access your account anywhere, anytime!
3. Mobile Wallet now available! • It’s easier than ever to use your benefits by adding your CAS debit card to your Apple Wallet, Google Wallet, or Samsung Pay. • Apple users can also take advantage of digital provisioning, allowing access to the card before it even arrives by mail.
CAS Phone: 877.941.5956
28
George County School District 2027
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
ACTIVE HEALTH MANAGEMENT What is ActiveHealth Management? Promotes health through providing resources to balance body, mind and spirit. Offers personalized recommendations to improve health outcomes and lower health care costs. MyAccessHealth Portal PROGRAM OVERVIEW
Feel better, get active and be healthier with your wellness program. Don’t miss out! Your wellness program includes:
Health coaching: Health coaching: Ready to do something good for yourself? Now, it’s easier than ever. This personalized coaching program can help Ready to do You something Now, it’s easier than active ever. Thisand personalized coachingof your health. You choose you reach your health goals. can good learnfortoyourself? eat better, get more take charge program can help you reach your health goals. You can learn to eat better, get more active and take how to use the program. You goYou at your pace with online coaching. Or with youonline can work with a coach in charge of yourcan health. chooseown how to use the program. Youdigital can go at your own pace live, group coachingdigital sessions or one to one over the phone. coaching. Or you can work with a coach in live, group coaching sessions or one to one over the phone.
MyActiveHealth website: MyActiveHealth website: Managing your health can be challenging. But the tools you don’t That’s Managing your health can be challenging. But thethat toolshelp that help you don’t have have toto be.be. That’s why why we’ve made it we’ve made it easy to track complete youractivity, assessment, track your activity, get wellness advice, findrecipes healthy and more. You’ll find easy to complete your assessment, your get wellness advice, find healthy recipes and more. You’ll find it online at MyActiveHealth.com/Mississippi. it online at MyActiveHealth.com/Mississippi. ActiveHealth app:
ActiveHealth app: Always on the go? No problem. The ActiveHealth app is ready for you wherever you are. Just search for problem. “ActiveHealth” in your app store and app download the app. Always on the go? No The ActiveHealth is ready for you wherever you are. Just search for “ActiveHealth” in your app store and download the app. Digital coaching: What’s your health goal? Digital coaching tools can help you achieve it. You can work on things like
Digital coaching: being more active, losing weight, eating better and more. You’ll find daily activities, games, quizzes and videos to keep you moving forward. What’s your health goal? Digital coaching tools can help you achieve it. You can work on things like being more active, losing weight,Your eating better and more. You’ll find daily activities, games, quizzes and videos to keep you Health Education: moving forward. Your well-being is more than your physical health. You can explore topics like pain management and heart health. You’ll also find topics like stress management and financial wellness.
Your Health Education: Your Health Goals: Keeping healthy andphysical staying healthy, it’s the goal! Useexplore your digitaltopics coach inlike yourpain personal health website and heart health. Your well-being is more than your health. You can management to like help you reachmanagement your health goals.and It canfinancial help you focus on setting weekly activities for being active, You’ll also find topics stress wellness. eating better and managing weight. You can also access activities, such as quizzes, videos and articles.
Your Health Goals: Keeping healthy and staying healthy, it’s the goal! Use your digital coach in your personal health website to help you reach your You health goals. It can help focus on setting weekly activities for being active, eating better and can get started today. Callyou 1-866-939-4721 managing weight. You can also access activities, such as quizzes, videos and articles. or log on MyActiveHealth.com/Mississippi. You can get started Callby1.866.939.4721 or log on programs, MyActiveHealth.com/Mississippi. Servicestoday. are provided ActiveHealth Management, Inc. Our care team and care managers do not provide
diagnostic or direct treatment services. We assist you in getting the care you need, and our program is not a substitute for the medical treatment and/or instructions provided by your health care providers.. Services are provided by ActiveHealth Inc. Our State programs, careEmployees’ team and careInsurance managers dohealth not provide Wellness programs are Management, sponsored by Mississippi’s and School Health Plan’s initiative,diagnostic or direct Living Healthy, and ActiveHealth Management, theaPlan’s wellnessfor vendor. treatment services.Motivating We assistMississippi–Keys you in gettingtothe care you need, and our program is not substitute the medical treatment and/or instructions ©2021 care ActiveHealth Management, provided by your health providers. WellnessInc. programs are sponsored by Mississippi’s State and School Employees’ Health Insurance Plan’s
health initiative, Motivating Mississippi–Keys to Living Healthy, and ActiveHealth Management, the Plan’s wellness vendor. Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
29
ACTIVE HEALTH MANAGEMENT ACCOUNT
It’s easy to register for MyActiveHealth.com and start making progress toward your health goals.
It’s easy to register for MyActiveHealth.com and start making progress toward your health goals. Step 1: Go to www.MyActiveHealth.com/[clientspecificname] and click Create an Account.
Step 1 You can call xxx-xxx-xxxx and if you click have problems account. Go to www.MyActiveHealth.com/[clientspecificname] Createwith anyour Account. Step 2 Step 2: Enter your information and click Continue. Enter your information and click Continue. You must enter your name exactly as it appears on your insurance *You must enter your name exactly ascard. it appears ononyour insurance Ifyour your name on the If your name your insurance cardcard. includes middle initial, then type in your first name, add a space, and type in your insurance card includes your middle initial, then first name, add a space, and type in your initial in the first type name in fieldyour (or section, block, etc.) initial in the first name field (or section, block, etc.) Step 3 Set up a username, password and secret question. Then click Continue. Step 4 Confirm your contact information. Then review and accept the terms and conditions. Step 3: Set up a user
Step 4: Confirm your
secret question. Then click Continue.
Then review and accept the terms and conditions.
name, password and For questions regarding the registering process, please call 1.800.491.3464, opt 3. contact information.
Services are provided by ActiveHealth Management, Inc. Our programs, care team and care managers do not diagnose or treat members. We assist you in getting the care you need, and our program is not a substitute for the medical treatment and/or instructions provided by your health care providers.
Client logo
© 2022 ActiveHealth Management, Inc. (12/22)
30
George County School District 2027
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
MISSISSIPPI STATE HEALTH INSURANCE PLAN Notice: George County School District offers eligible employees health insurance through the Mississippi State Health Insurance Plan. During the annual open enrollment, employees have the opportunity to review all available options and make elections for the new plan year. • • • •
Coverage through BlueCross BlueShield of Mississippi Please visit the Mississippi Health Insurance website for plan eligibility rules All qualifying life events must be submitted through the George County School District benefits department It is important to review plan options and coverage each year
BCBS of Mississippi Website: www.bcbsms.com
More Questions?
Visit the George County Schools’ benefits portal for all links, plan documents, and rates. www.georgecountybenefits.com
Frequently Asked Questions
NEW WELLNESS INCENTIVES FOR 2025 VISIT:
www.knowyourbenefits.dfa.ms.gov/wellness-preventive-coverage
State Employee Provider Directory:
www.myaccessblue.com/AHSProviderSearchWeb
Mississippi State Health Insurance Plan Email: KnowYourBenefits@dfa.ms.gov BlueCross BlueShield of Mississippi Phone: 800.709.7881 Office of Insurance Phone: 601.359.3411 or TF 866.586.2781
1. How do I know what type of coverage I have now? If you are not sure what type coverage you currently have, you can call Blue Cross & Blue Shield of Mississippi (BCBSMS) at 1.800.709.7881, or the Office of Insurance at 601.359.3411 or toll-free 1.866.586.2781. 2. How does each type of coverage work? Under Select Coverage, there is a separate deductible (individual and family) for medical expenses and a separate individual deductible for prescription drugs. Once the appropriate medical deductible is met, you will start paying 20 percent of the allowable charge for covered medical services. Regardless of whether or not you have met your medical deductible, you will have to meet the $75 individual prescription drug deductible before you start paying a co-payment for a covered drug. Under Select Coverage, there is no prescription drug co-payment maximum, so you will continue to pay the co-payment for your drug each time you have it filled for the remainder of the year. Under Base Coverage, you will have to meet the full deductible ($1,800 for individual coverage, $3,300 for family coverage) before any covered medical or prescription drug charges will be paid by the Plan. This means that you will pay the full allowable charge for both medical and prescription drugs until the deductible is met. Once the deductible is met, you will start paying 20 percent of the allowable charge for covered medical services and a copayment for covered drugs. There is a $75 preventive medications individual deductible. Other medications are subject to the calendar year deductible. Once your coinsurance/co-payment maximum is met, the plan will pay 100 percent of the allowable charge for both covered prescription drugs and medical services. 3. What are some of the main differences in Base and Select Coverage? The premium rates differ for Base and Select Coverage. Another difference between Base and Select Coverage is how the deductibles work. Under Base Coverage, all charges (medical and prescription drug) apply to the calendar year deductible. Under Select Coverage, there is a separate deductible for medical charges and a separate deductible for prescription drug charges. Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
31
MISSISSIPPI STATE HEALTH INSURANCE PLAN Plan Pricing as of 1.1.2026 Legacy - Initially Hired before 1/1/2006 Horizon - Initially Hired on or after 1/1/2006 LEGACY EMPLOYEES ACTIVE EMPLOYEES
BASE TOTAL PREMIUM
HORIZON EMPLOYEES SELECT
EMPLOYEE PORTION
TOTAL PREMIUM
BASE
EMPLOYEE PORTION
TOTAL PREMIUM
SELECT
EMPLOYEE PORTION
TOTAL PREMIUM
EMPLOYEE PORTION
EMPLOYEE*
$513
$0
$533
$20
$513
$0
$566
$53
EMPLOYEE + SPOUSE
$1,074
$561
$1,173
$660
$1,074
$561
$1,205
$692
EMPLOYEE + SPOUSE & CHILD(REN)
$1,367
$854
$1,467
$954
$1,367
$854
$1,499
$986
EMPLOYEE + CHILD
$659
$146
$759
$246
$659
$146
$790
$277
EMPLOYEE + CHILDREN
$886
$373
$983
$470
$886
$373
$1,015
$502
* The State pays 100% of the employee's premium for Base Coverage. Active employees enrolling in Select Coverage must pay a portion of the employee premium. LEGACY EMPLOYEES RETIRED EMPLOYEE (NON-MEDICARE ELIGIBLE)
BASE
HORIZON EMPLOYEES SELECT
BASE
RETIREE
$590
$614
$941
$975
RETIREE + SPOUSE (NON-MEDICARE)
$1,235
$1,349
$1,887
$2,010
EMPLOYEE + SPOUSE & CHILD(REN) (NON-MEDICARE)
$1,571
$1,686
$2,109
$2,234
RETIREE + CHILD
$758
$839
$1,109
$1,200
RETIREE + CHILDREN
$1,017
$1,063
$1,368
$1,425
RETIREE + SPOUSE (MEDICARE)
N/A
$864
N/A
$1,225
EMPLOYEE + SPOUSE & CHILD(REN) (ONE OR MORE MEDICARE)
N/A
$1,089
N/A
$1,450
RETIRED EMPLOYEE MEDICARE ELIGIBLE
BASE
SELECT
BASE
SELECT
RETIREE
N/A
$250
N/A
$250
RETIREE + SPOUSE (NON-MEDICARE)
N/A
$985
N/A
$1,285
EMPLOYEE + SPOUSE & CHILD(REN) (NON-MEDICARE)
N/A
$1,322
N/A
$1,509
RETIREE + CHILD
N/A
$474
N/A
$474
RETIREE + CHILDREN
N/A
$699
N/A
$699
RETIREE + SPOUSE (MEDICARE)
N/A
$500
N/A
$500
EMPLOYEE + SPOUSE & CHILD(REN) (ONE OR MORE MEDICARE)
N/A
$752
N/A
LEGACY EMPLOYEES
32
SELECT
$725 HORIZON EMPLOYEES
COBRA
BASE
SELECT
BASE
PARTICIPANT
$522
$545
$522
SELECT $577
PARTICIPANT + SPOUSE
$1,095
$1,197
$1,095
$1,229
PARTICIPANT + SPOUSE & CHILD(REN)
$1,394
$1,496
$1,394
$1,529
PARTICIPANT + CHILD
$672
$774
$672
$806
PARTICIPANT + CHILDREN
$903
$1,003
$903
$1,036
COBRA DISABILITY EXTENSION
BASE
SELECT
BASE
SELECT
PARTICIPANT
$769
$801
$769
$849
PARTICIPANT + SPOUSE
$1,611
$1,760
$1,611
$1,808
PARTICIPANT + SPOUSE & CHILD(REN)
$2,051
$2,201
$2,051
$2,249
PARTICIPANT + CHILD
$988
$1,138
$988
$1,186
PARTICIPANT + CHILDREN
$1,329
$1,476
$1,329
$1,524
George County School District 2027
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
MISSISSIPPI DEFERRED COMPENSATION PLAN Part of financial health involves knowing how much you need in retirement. Consider supplementing your future savings through the Mississippi Deferred Compensation Plan 1. It’s automatic and controlled by you • You choose the amount you want to save. 2. It probably costs less than you think • You can start saving with as little as $25 per month. 3. Give yourself some credit • You may be eligible for an IRS Saver’s Credit on the first $2,000 you contribute to MDC, based on your adjusted gross income and tax filing status. 4. Starting early makes a difference • Waiting could impact how much you’ll have for retirement. 5. Lower expenses • With MDC, you may have the potential for lower investment management expenses.
6. Investment assistance • MDC provides a variety of investment choices so you can build the right mix for your future. 7. Local people for help • Local MDC representatives are ready to help you plan for your future. 8. Resources at your fingertips • Take advantage of convenient resources and plan educational materials available 24/7 at www.mdcplan.com. 9. Stay as long as you like • Even after you retire or separate from service, you can keep your account right where it is so you have access to all the MDC resources. 10. A partner for your future • PERS oversees MDC on an ongoing basis on your behalf.
How do I enroll? • • • • •
You can easily enroll online by visiting www.mdcplan.com. Prior to enrolling, contact your payroll/benefits department or your local MDC representative to obtain a Plan Enrollment Code flier, which will include a specific code needed to enroll online. Once you have the Plan Enrollment Code flier, visit www.mdcplan.com and click on the REGISTER button. Select I have a plan enrollment code and follow the prompts on the website. Visit www.mdcplan.com for more information, or to find your local MDC representative.
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
33
MISSISSIPPI DEFERRED COMPENSATION CONTACT Meet your dedicated and local representative for your Mississippi Deferred Compensation Your Retirement Plan Advisor is available to provide you one-on-one counseling with personalized account services at no cost to you, such as: •
Enrollment
•
Contributions
•
Retirement readiness
•
Investment choices
•
Account review
•
Comparison of retirement plans
•
Rollovers - Consider all your options and their features and fees before moving money between accounts.
Meet your dedicated and local representative for your Mississippi Meeting your retirement goals can start with your local Retirement Plan Advisor! To set up Deferred Compensation a one-on-one appointment or to find out about upcoming retirement planning seminars, Your local Retirement Plan Advisor is a salaried professional with one goal: to help prepare you for retirement.
contact Craig at 228.355.2129 or craig.finn@empower.com.
Your Retirement Plan Advisor is available to provide you one-on-one counseling with personalized account services at no cost to you, such as: • Enrollment • Contributions • Retirement readiness • Investment choices • Account review • Comparison of retirement plans • Rollovers — Consider all your options and their features and fees before
Craig Finn moving money between accounts. Retirement Plan Advisor Your local Retirement Plan Advisor is a salaried professional with one goal: to help prepare you for retirement.
Craig Finn Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or Meeting your retirement goals can start with your local Retirement Plan Retirement Plan Advisor premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes Advisor! To set up a one-on-one appointment to find out and all other features & plan designs are offered and governed exclusively by the insuranceorprovider orabout upcoming craig.finn@empower.com retirement(SPD). planning contact Craig at 228-355-2129 or . vendor contract and associated Summary Plan Description All seminars, employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
r dedicated and local ative for your Mississippi 34
George County School District 2027
Mobile: 228-355-2129
STATE LIFE INSURANCE What is State Life Insurance? A program offered to eligible George County School District employees through the State of Mississippi. This is a Basic Life Insurance program that can provide a cash benefit in the event the insured passes away.
Eligibility: Coverage through Minnesota Life Insurance Company (Securian Financial) • 50% of coverage is paid for by George County School District • Coverage available: Up to 2 times basic annual earnings up to a max of $100,000 • Retiree Coverage: Coverage up to $20,000 available (based on retiree date) • Continuation of Coverage: Policy Number: 33683 Access Key: msse Phone: 866.365.2374
Contacts and Beneficiary Update Information.
Minnesota Life Phone: 888.658.0193 To manage your beneficiary designation online: 1. Log in to www.bcbsms.com. If you have not previously registered, information will be required from your BCBSMS ID card to complete the registration process. 2. Go to the My Benefits tab. 3. Under the Life Benefits section, click the link to update the beneficiary information. You will see a notification asking you to “Agree” to be transferred to a secure portal provided by Minnesota Life. Click “I Agree.” 4. Click “View beneficiary.” 5. If you need to make any changes, click “Update Designation,” and provide the name(s), relationship(s) and respective benefit shares. 6. After this information has been entered, you will receive an email acknowledgment, as well as a letter in the mail confirming your changes to your beneficiary designation.
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
35
RETIREMENT INFORMATION What is PERS? PERS is the Public Employees’ Retirement System of Mississippi. The Public Employees’ Retirement System of Mississippi (PERS) is a governmental defined benefit plan qualified under Section 401(a) of the Internal Revenue Code. PERS was established by the state legislature in 1952 to provide benefits to eligible Mississippi public employees working for state agencies, universities, community colleges and public schools, as well as counties, cities, and other participating political subdivisions. The mission of PERS is to provide secure benefits to our members and consistently deliver quality service by meeting our customer’s needs, operating efficiently and transparently, investing and managing assets prudently, and acting in the best interest of all members.
Visit the PERS website for helpful resources - pers.ms.gov PERS Contact Information Phone: 800.444.7377 / 601.359.3589 Email: customerservice@pers.ms.gov Hours: Monday - Friday 8:00am - 5:00pm
403B CARRIER CONTACTS What are 403Bs? A 403B is a tax-deferred retirement plan that allows you to set aside pre-tax dollars out of your paycheck to save for retirement.
PenServ Plan Services Phone: 803.791.4923 Fax: 803.791.5925 Hours: 8:00 am - 5:00 pm, Monday through Friday Email: service@penserv.com Mailing Express: 102 Trade Zone Drive, West Columbia, SC 29170 Standard Mail: P.O. Box 3109, West Columbia, SC 29171
36
George County School District 2027
Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
TERMS & DEFINITIONS Definitions Disclaimer: The definitions below are for illustrative purposes only. Actual plan definitions are governed exclusively by the provider contract and associated Summary Plan Description (SPD). Please visit www.georgecountybenefits.com for each plans policy document/certificates and actual benefit definitions. Age Reduction - A reduction of the face amount of your group insurance policy when you reach a certain age. Please review the age reductions on the Voluntary Term Life Insurance. Beneficiary - A life insurance beneficiary is the person or entity that will receive the money from your policy’s death benefit when you pass away. When you purchase a life insurance policy, you choose the beneficiary of the policy. Please update your beneficiaries as needed for your Voluntary Term Life Insurance and/or Permanent Life Insurance. Conversion - The option on your term life policies to convert your term life insurance policy into a permanent life insurance policy. Please refer to the plan certificate for detail on converting your term life coverage. Note: converting your term life policy will change the rate. Dependents – The definition of eligible dependents vary by insurance carrier. Eligible dependents may include your spouse and taxable dependent children who are under the age of 26. Child marital status will impact benefit eligibility. Please refer to each plans policy document for verification of dependent eligibility. Elimination Period - A period of consecutive calendar days that you must be out of work before you are eligible to receive benefits. Refer to the Disability page for more details. Flexible Spending Accounts - An employee benefit which allows you to set aside money from your paycheck, pre-tax, to pay for healthcare and dependent care expenses. There are two types of flexible spending accounts: A Health Care FSA can cover medical, dental or vision expenses that you would otherwise pay for out of pocket. A Dependent Care FSA, also known as a Dependent Care Assistance Program (DCAP), covers employment-related expenses for child care. Please review the Flexible Spending Account pages for additional details. Guaranteed Issue - A plan’s guaranteed issue (GI) is the amount of life insurance available to an employee without having to provide Evidence of Insurability, or EOI/ no health questions. This is particularly helpful if you have health issues which may make you otherwise uninsurable. Many of the benefits offered have GI amounts for new hires. Please review these within your new hire window. Portability – The portability provision allows you to take coverage with you when you leave your place of employment. The portability rate will differ from current plan rates and are determined by the plan carrier at the time of portability. Portability must be completed with a specific time frame. Please refer to the plans policy certificate for details on portability. Pre-existing Condition - An illness or injury experienced before enrollment in an insurance plan may be considered a pre-existing condition. Pre-existing conditions can include health issues such as cancer, diabetes, lupus, depression, acne, pregnancy, or just about any other health condition you can imagine. Refer to each plans document for pre-existing condition limitations. Qualifying Life Event Change - A change in your situation — like getting married, having a baby, or losing benefit coverage — that can make you eligible for a Special Enrollment Period, allowing you to enroll in insurance outside the yearly Open Enrollment Period. Mississippi State Health - It serves as the state’s administrator of health insurance coverage for state employees, teachers, public school employees, retirees, and former employees, and covered dependents. Coverage is through Blue Cross Blue Shield. Term Insurance VS. Permanent Life Insurance - There are two basic life insurance options offer through your employer: term and permanent. The term life offered is a group policy which allows you to get more benefit for less premium. Permanent lasts your entire lifetime. Term Life and Permanent Life work best when used in conjunction with one another. Term Life can protect your family in your younger working years and Permanent Life can protect your family in your retirement years. Please review the Life Insurance 101 pages for more details. Voluntary Benefits - Products offered by your employers but paid by employees via payroll deductions. The voluntary benefits within this guide are life insurance, disability insurance, vision insurance, dental insurance, critical illness insurance, cancer insurance, accident insurance, Hospital Indemnity, telemedicine insurance, and legal insurance. Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated Summary Plan Description (SPD). All employees should review carrier documents posted on your employer’s benefits website or request documents before electing coverage.
George County School District 2027
37
The Service Hub Helps With: • • • •
Portability/Conversion Benefits Education Evidence of Insurability Qualified Life Event Changes
• • • •
Claims Card Requests Benefit Questions COBRA Information
Phone: 1.866.433.7661, opt 5 Email: mybenefits@campusbenefits.com Benefits website address: www.georgecountybenefits.com
The 2027 Benefits Enrollment Guide is provided for illustrative purposes only. Actual benefits, eligibility, services, premiums, claims processes and all other features and plan designs for coverage offered is governed exclusively by the insurance contract and associated Summary Plan Description (SPD). In case of discrepancies between this document and the insurance contract and SPD, the contract and SPD will prevail. We reserve the right to change, modify, revise, amend or terminate these plan offerings at any time. Updates, changes, and notices are available for review at www.georgecountybenefits.com or by contacting HR or the email above. These should be reviewed fully prior to electing any benefits. Disclosures: All required SPD, legal and plan Disclosures are posted on the Benefit Website. For a written copy please contact Campus Benefits at 866.433.7661, opt. 5.