This year’s annual Open Enrollment for 2015 benefits occurs from October 1 to November 30, 2014. If you wish to make any changes to your existing coverage, you must complete the enclosed Enrollment Form and return it to the District Benefits Office no later than November 30, 2014. All changes will be effective January 1, 2015. Please review the following brief highlights to understand changes that may affect you in 2015.
[button href=”https://www.jhmbhealthconnect.com/4002″ bg_color=”#59969B” text_color=”#fff”]COBRA & ED Code Participants – Click Here For Your Open Enrollment Information [/button]
[tabs tab1=”Actives/Non-Medicare Retirees” tab2=”Part-Time Employees” tab3=”Medicare Retirees” ]
[tab]
[togg title=”No Action Required”]
If you do not wish to make any changes to your existing coverage for the upcoming year, no action is required on your part during this Open Enrollment period. However, if you wish to make changes to your existing coverage (i.e. changes to your medical plan, vision/dental coverage, etc.), you must complete and return the Enrollment Form enclosed in this packet.[/togg]
[togg title=”Plan Option A and Option B (PPO) Updates”]
Anthem 24/7 NurseLine Service: The WellPATH Employee Wellness Program sponsors the Anthem Blue Cross 24/7 NurseLine for all Plan participants enrolled in the PPO plans. The 24/7 NurseLine is there for you (at no cost) whenever you need to consult a healthcare professional regarding your health concerns. At home, on vacation, or on a business trip, this service provides you with direct access to a registered nurse (English or Spanish) to answer questions about allergies, fevers, types of preventive care, or any other topic to help you along your path to better health. Call Anthem 24/7 NurseLine toll-free at (800) 700-9184 or review the Anthem 24/7 NurseLine Flyer. [/togg]
[togg title=”Plan Option C (Kaiser Permanente)”]
You can only enroll in Kaiser Permanente Health Plan if you live or work in a zip code on the attached Kaiser zip code range list. Also, Kaiser Permanente Health Plan coverage is only available to participants not eligible for Medicare (under age 65). If you are a retiree eligible for Medicare, effective January 1, 2015, you have the option to enroll in the Kaiser Permanente Senior Advantage Plan. However, the enrollment period for the Kaiser Permanente Senior Advantage Plan ends on October 31, 2014. Please contact the District Benefits Office for more information on the Senior Advantage Plan.
To enroll in Kaiser, you must complete the Kaiser enrollment form along with the FUSD Enrollment Form. For more information about Kaiser Permanente plan benefits and service areas, review the supplemental information enclosed in this Open Enrollment packet.[/togg]
[togg title=”WellPATH Program Expansion”]
As of July 1, 2014, the WellPATH Program has expanded eligibility to retirees and any dependent children age 18 or over. The program requirements now include the following:
– An individual who is a legal spouse or domestic partner enrolled in the District’s medical plan; or
– An individual who is an early retiree (defined as a retired individual under age 65 and not eligible for Medicare) enrolled in the District’s medical plan;
– An individual who is a dependent age 18 or over and enrolled in the District’s medical plan; or
– An individual who is a retiree enrolled in the District’s medical plan; and
– The individual can provide proof of enrollment such as a healthcare member ID number.
All WellPATH-eligible individuals may participate in group fitness classes, wellness screenings, wellness seminars, as well as a variety of other wellness programs and activities, including free flu shots through the District.
Visit www.JHMBHealthConnect.com/wellpath for upcoming health/wellness events, including WellPATH classes and events, Health Talk Webinars, and your chance at the monthly $25 gift card giveaway.[/togg]
[togg title=”Give Us 5 Minutes and We’ll Give You a Great Program”]
The WellPATH program now serves more than 25,000 individuals. As the program expands, we need your help to understand the best way to design the program offerings to meet your needs. Visit https://www.surveymonkey.com/s/RQQ7VF9 to take a quick 5 minute survey and enter for a chance to win a gift card (ranging from $10-$50). The survey ends November 30, 2014. We appreciate your feedback![/togg]
[togg title=”$0 Cost Preventive Care Services for Men, Women, and Children”]
Your health is your most important gift and your most important asset. The Joint Health Management Board (JHMB) is committed to making sure you have the resources and information you need to stay healthy and take the steps necessary to protect your most valuable resource.
Under the Affordable Care Act, there are numerous annual screenings, immunizations, and counseling services that you can now receive for free – so long as a network provider delivers the services. That means no deductible, no copay, and no coinsurance. Free preventive services include:
– Annual physical exams
– Eye exams
– Family planning counseling
– Hearing exams
– Immunizations
– Prenatal care exams
– STD prevention counseling
– TB tests
– Well-women and well-child exams
– And many more…
Annual preventive health screenings should be a routine part of your health care. They help you understand your risks for certain diseases. They also provide an opportunity to consult with your doctor if disease is detected – which offers the best chance for success given your specific medical situation and personal preferences.
Even if you have no symptoms, it is a good idea to consult with your primary care physician and discuss which screenings may be right for you based on your age, risk factors and family history. Many people are at risk for diseases such as heart disease and cancer but never experience any symptoms. Early detection of disease can increase your treatment options and survival rate. For more information, visit www.JHMBHealthConnect.com/preventive-care-services.[/togg]
[togg title=”Tax Savings Opportunities Through Section 125 Plans”]
If you enrolled in the Section 125 flexible spending account (FSA) administered by American Fidelity Assurance Company (AFA) for the 2014 plan year, be sure to review your medical spending throughout the year to ensure you are maximizing your benefits. You may reimburse yourself for eligible healthcare expenses incurred by you, your spouse, eligible dependents, and/or adult children up to age 26. You may also reimburse yourself for eligible dependent day care expenses provided that they fall within the special rules outlined by the plan.
The JHMB recommends that you review your FSA on a quarterly basis to ensure that you are maximizing your benefits and reimbursements. Remember, if you don’t use your money by the end of the calendar year, you lose it. Use it, don’t lose it!
As reminder, if you wish to utilize the Section 125 flexible spending account in 2015, you must re-enroll with AFA. Please review the AFA information in this open enrollment packet for more details regarding AFA’s on-site enrollment sessions this fall and their Section 125 plan offerings.[/togg]
[togg title=”Employee Assistance Program (EAP) Reminder”]
Personal concerns can impact your work performance and overall functioning. The Employee Assistance Program, offered through Claremont EAP, helps you resolve personal issues before they become more serious and difficult to manage. You and your family members can receive professional, confidential counseling at no cost. The EAP also provides access to resources that can help you address virtually any personal concern or question. Review the EAP brochure and call (800) 834-3773 to discuss your question or issue with an experienced counselor who will refer you to the resources most appropriate for your needs.[/togg]
[togg title=”No Rate Contribution Increases for 2015″]
The Joint Health Management Board (JHMB) is pleased to announce that, thanks to the improved program usage by our employees and retirees, and the efforts of the Fresno Unified School District and the JHMB, there are no rate contribution increases for any of the benefits for the third straight year. It will require continued efforts by all of us to manage our overall healthcare expenses to help minimize increases in the coming years.[/togg]
[togg title=”Early Retirees Purchasing Dental or Vision Coverage under Education Code 7000″]
If you are an early retiree and would like to enroll in or make changes to your existing dental and/or vision coverage under Education Code 7000, please note the following applicable criteria for enrollment:
a. If you are a Certificated Retiree with a retirement date prior to January 1, 2009 – you qualify for dental coverage only.
b. If you are a Certificated or Classified Retiree with a retirement date of January 1, 2009 or after, you qualify for both dental and vision coverage.
c. If you were previously enrolled in dental or vision coverage, and subsequently terminated that coverage, you are not eligible to re-enroll.[/togg]
[togg title=”Review/Download the Materials”]
To assist you in making the best decisions for you and your family, the following information is available for your review:
Summary of Benefits & Coverage (Plan A | Plan B | Plan C – Kaiser )
Claremont EAP Brochure (mailed to homes)
Summary of Medical, Dental, and Vision Rates
American Fidelity Assurance Section 125 Enrollment Flyer
American Fidelity Assurance Site Schedule for Section 125 Appointments
Benefits Enrollment Form – which must be completed and returned to the Benefits Office no later than November 30, 2014.
California Region Group Enrollment Change Form
Summary of Zip Code Ranges For Kaiser Permanente Service Areas
For additional plan information and/or provider contact information view the following pages:
www.JHMBHealthConnect.com/your-benefits
www.JHMBHealthConnect.com/using-plans[/togg]
[/tab]
[tab]
[togg title=”No Action Required”]
If you do not wish to make any changes to your benefit elections for the upcoming year, no action is required on your part during this Open Enrollment period. However, if you wish to make changes to your existing coverage (i.e. changes to your vision or dental coverage), you must complete and return the Enrollment Form enclosed in this packet.[/togg]
[togg title=”No Benefit Changes/Employee Rate Contribution Increases for 2015″]
The Joint Health Management Board (JHMB) is pleased to announce that, thanks to the efforts of the Fresno Unified School District, the JHMB, and the improved program usage by our employees and retirees, there are no employee rate contribution increases for any of the benefits for the third straight year. It will require continued efforts by all of us to manage our overall healthcare expenses to help minimize increases in the coming years.[/togg]
[togg title=”Review/Download the Materials”]
To assist you in making the best decisions for you and your family, the following information is available for your review:
Summary of Dental and Vision Rates and Benefits
American Fidelity Assurance Section 125 Enrollment Flyer
American Fidelity Assurance Site Schedule for Section 125 Appointments
Benefits Enrollment Form – which must be completed and returned to the Benefits Office no later than November 30, 2014.
For additional plan information and/or provider contact information view the following pages:
www.JHMBHealthConnect.com/your-benefits
www.JHMBHealthConnect.com/using-plans[/togg]
[/tab]
[tab]
[togg title=”No Action Required”]
If you do not wish to make any changes to your existing coverage for the upcoming year, no action is required on your part during this Open Enrollment period. However, if you wish to make changes to your existing coverage (i.e. changes to your medical plan, vision/dental coverage, etc.), you must complete and return the Enrollment Form enclosed in this packet.[/togg]
[togg title=”Plan Option A and Option B (PPO) Updates”]
Anthem 24/7 NurseLine Service: The WellPATH Employee Wellness Program sponsors the Anthem Blue Cross 24/7 NurseLine for all Plan participants enrolled in the PPO plans. The 24/7 NurseLine is there for you (at no cost) whenever you need to consult a healthcare professional regarding your health concerns. At home, on vacation, or on a business trip, this service provides you with direct access to a registered nurse (English or Spanish) to answer questions about allergies, fevers, types of preventive care, or any other topic to help you along your path to better health. Call Anthem 24/7 NurseLine toll-free at (800) 700-9184 or review the Anthem 24/7 NurseLine Flyer. [/togg]
[togg title=”Kaiser Permanente Senior Advantage Plan Option”]
Special Enrollment Ends October 31, 2014
As a reminder, from September 2 – October 31, 2014, Fresno Unified School District is offering a Special Enrollment for the Kaiser Permanente Senior Advantage plan. This employer-sponsored group coverage is being offered to Medicare-eligible retirees 65 and older.
Participation in the Senior Advantage plan is not mandatory and is being offered in addition to the current PPO plans. However, if you wish to change to Senior Advantage effective January 1, 2015, you will have to make this change during the Special Enrollment period and return your election forms to the District’s Benefit Department by October 31, 2014. Any other changes you wish to make to your existing coverage can be made during the Annual Open Enrollment period from October 1 – November 30, 2014.
If you live in an approved Senior Advantage service area you should have received a detailed information packet regarding the Senior Advantage Special Enrollment in late-September. However, if you still have questions regarding this offering, please contact Kaiser Permanente at the information provided below:
Questions about the Senior Advantage (HMO) Plan
Kaiser Permanente
(855) 843-8390
(TTY 711 for the deaf, hard of hearing, or speech impaired)
Seven days a week, 8 a.m. to 8 p.m.
As a reminder, if you wish to change to Senior Advantage effective January 1, 2015, you will have to make this change by October 31, 2014. Any other changes you wish to make to your current health plan offerings can be be made during the Annual Open Enrollment period from October 1 – November 30, 2014.[/togg]
[togg title=”WellPATH Program Expansion”]
As of July 1, 2014, the WellPATH Program has expanded eligibility to retirees and any dependent children age 18 or over. The program requirements now include the following:
– An individual who is a legal spouse or domestic partner enrolled in the District’s medical plan; or
– An individual who is an early retiree (defined as a retired individual under age 65 and not eligible for Medicare) enrolled in the District’s medical plan;
– An individual who is a dependent age 18 or over and enrolled in the District’s medical plan; or
– An individual who is a retiree enrolled in the District’s medical plan; and
– The individual can provide proof of enrollment such as a healthcare member ID number.
All WellPATH-eligible individuals may participate in group fitness classes, wellness screenings, wellness seminars, as well as a variety of other wellness programs and activities, including free flu shots through the District.
Visit www.JHMBHealthConnect.com/wellpath for upcoming health/wellness events, including WellPATH classes and events, Health Talk Webinars, and your chance at the monthly $25 gift card giveaway.[/togg]
[togg title=”Give Us 5 Minutes and We’ll Give You a Great Program”]
The WellPATH program now serves more than 25,000 individuals. As the program expands, we need your help to understand the best way to design the program offerings to meet your needs. Visit https://www.surveymonkey.com/s/RQQ7VF9 to take a quick 5 minute survey and enter for a chance to win a gift card (ranging from $10-$50). The survey ends November 30, 2014. We appreciate your feedback![/togg]
[togg title=”$0 Cost Preventive Care Services for Men, Women, and Children”]
Your health is your most important gift and your most important asset. The Joint Health Management Board (JHMB) is committed to making sure you have the resources and information you need to stay healthy and take the steps necessary to protect your most valuable resource.
Under the Affordable Care Act, there are numerous annual screenings, immunizations, and counseling services that you can now receive for free – so long as a network provider delivers the services. That means no deductible, no copay, and no coinsurance. Free preventive services include:
– Annual physical exams
– Eye exams
– Family planning counseling
– Hearing exams
– Immunizations
– Prenatal care exams
– STD prevention counseling
– TB tests
– Well-women and well-child exams
– And many more…
Annual preventive health screenings should be a routine part of your health care. They help you understand your risks for certain diseases. They also provide an opportunity to consult with your doctor if disease is detected – which offers the best chance for success given your specific medical situation and personal preferences.
Even if you have no symptoms, it is a good idea to consult with your primary care physician and discuss which screenings may be right for you based on your age, risk factors and family history. Many people are at risk for diseases such as heart disease and cancer but never experience any symptoms. Early detection of disease can increase your treatment options and survival rate. For more information, visit www.JHMBHealthConnect.com/preventive-care-services.[/togg]
[togg title=”Employee Assistance Program (EAP) Reminder”]
Personal concerns can impact your work performance and overall functioning. The Employee Assistance Program, offered through Claremont EAP, helps you resolve personal issues before they become more serious and difficult to manage. You and your family members can receive professional, confidential counseling at no cost. The EAP also provides access to resources that can help you address virtually any personal concern or question. Review the EAP brochure and call (800) 834-3773 to discuss your question or issue with an experienced counselor who will refer you to the resources most appropriate for your needs.[/togg]
[togg title=”No Rate Contribution Increases for 2015″]
The Joint Health Management Board (JHMB) is pleased to announce that, thanks to the improved program usage by our employees and retirees, and the efforts of the Fresno Unified School District and the JHMB, there are no rate contribution increases for any of the benefits for the third straight year. It will require continued efforts by all of us to manage our overall healthcare expenses to help minimize increases in the coming years.[/togg]
[togg title=”Retirees Purchasing Dental or Vision Coverage under Education Code 7000″]
If you would like to enroll in or make changes to your existing dental and/or vision coverage under Education Code 7000, please note the following applicable criteria for enrollment:
a. If you are a Certificated Retiree with a retirement date prior to January 1, 2009 – you qualify for dental coverage only.
b. If you are a Certificated or Classified Retiree with a retirement date of January 1, 2009 or after, you qualify for both dental and vision coverage.
c. If you were previously enrolled in dental or vision coverage, and subsequently terminated that coverage, you are not eligible to re-enroll.[/togg]
[togg title=”Review/Download the Materials”]
To assist you in making the best decisions for you and your family, the following information is available for your review:
Summary of Benefits & Coverage (Plan A | Plan B )
Claremont EAP Brochure (mailed to homes)
Summary of Medical, Dental, and Vision Rates
Benefits Enrollment Form – which must be completed and returned to the Benefits Office no later than November 30, 2014.
For additional plan information and/or provider contact information view the following pages:
www.JHMBHealthConnect.com/your-benefits
www.JHMBHealthConnect.com/using-plans[/togg]
[/tab]
[/tabs]