This year’s annual Open Enrollment for 2022 benefits occurs from October 1 to November 30, 2021. Please review the following brief highlights in this letter to understand changes that may affect you in 2022.
[tabs tab1=”COBRA Participants” tab2=”ED Code Participants” ] [tab]
This year’s annual Open Enrollment for 2022 benefits occurs from October 1 to November 30, 2021. 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 Tuesday, November 30, 2021. All changes will be effective January 1, 2022. Please review the following brief highlights in this letter to understand changes that may affect you in 2022.
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 you must complete the Benefits Open Enrollment form enclosed in this packet.
[togg title=”Plan Option A and Option B (PPO) Participants”]
Aetna to Replace Anthem Blue Cross for In-Network Medical Services starting January 1, 2022
The Joint Health Management Board (JHMB) contracts with specific healthcare provider networks to provide in-network medical services for the PPO Plans. For over the last two decades, in-network medical services have been offered utilizing the Anthem Blue Cross of California (Anthem) provider network. Starting January 1, 2022, PPO plans will switch to the Aetna national provider network for in-network medical services.
What This Mean for You
- – Broader Coverage: With Aetna’s network, you’ll have access to a nationwide network of providers, allowing you more choice and broader access. The majority of providers seen by our PPO plan participants in Anthem’s California network are also in Aetna’s national network.* The JHMB expects minimal disruption for our plan participants as a result of this change.
* Please note this data is based on information provided during the JHMB’s earlier analysis and is subject to change.
- – Prescription Drugs: Elixir will continue to provide prescription drug services for the PPO plans.
- – Member Services & Claims: Delta Health Systems will continue to be your primary contact for PPO plan member services and claims.
What You Need to Do
- – October – November 2021: The in-network provider change will not occur until January 1, 2022. During this time, you may continue to visit and schedule appointments with Anthem Blue Cross providers for in-network medical services to be completed on or before December 31, 2021.
- – December 2021: Prior to the network change on January 1, 2022, you’ll receive new Member ID cards, as well as more detailed information about the upcoming change. At that time, we recommend that you review the Aetna provider network to see if all of your existing providers are within the Aetna network. If they are not within the Aetna provider network, we recommend that you begin to identify in-network providers for medical services required on or after January 1, 2022, and schedule any necessary appointments.
- – January 2022: On January 1, 2022, begin scheduling and/or visiting Aetna providers for in-network medical services. You will continue to contact Delta Health Systems for member services and claims matters. And remember, when possible, we recommend you use in-network providers to reduce your out-of-pocket costs and avoid unnecessary fees. Services provided out-of-network could result in significant out-of-pocket costs that are not reimbursed by the District’s medical plan.
In the coming weeks, the JHMB will provide more details regarding the in-network provider change from Anthem to Aetna, including transition of care materials, access to provider directories, and more. Be on the lookout for these materials in the mail, on www.JHMBHealthConnect.com, and via the JHMB’s benefits alert emails.
5% Reduction in Co-insurance Rates for Plan Option A & Option B
The Joint Health Management Board has approved an across-the-board 5% reduction in co-insurance rates for in-network services for the District’s PPO plans starting January 1, 2022. Plan Option A participants will see their co-insurance rates for in-network services drop from 10% to 5% and Plan Option B rates will drop from 30% to 25%. This rate reduction is consistent with the JHMB’s efforts to maintain the most affordable and highest quality benefits available for both the District and its employees and retirees.
Teladoc to Replace PlushCare for Telehealth Services starting January 1, 2022
As of January 1, 2022, Teladoc will provide telehealth services for PPO Plan Options A & B. With Teladoc, you can connect with leading board-certified physicians in your state through the internet or telephone, helping you avoid emergency rooms and urgent care centers. Teladoc can also assist with prescription medications and with many non-emergency illnesses, including:
|
• Allergies • Arthritic pain • Asthma • Bronchitis • Colds and flu • Diarrhea • Insect bites • Pharyngitis • Conjunctivitis (pink eye) |
• Rash • Respiratory infection • Sinusitis • Skin inflammation • Sore throat • Sprains & strains • Urinary tract infection • Sports injuries • Vomiting |
Telehealth services will remain just $5* per appointment, and no deductible will apply when using Teladoc. Please look out for more details on how to get started with Teladoc beginning on or after January 1, 2022 in the coming weeks from the JHMB.
*$5 telehealth copay is waived on a temporary basis during the COVID-19 national emergency period.
NOTE: PlushCare remains the covered telehealth service for PPO Plan Options A & B through December 31, 2021. Continue to use this service through the end of the year (2021) for your telehealth needs. For more information regarding this service, please visit www.JHMBHealthConnect.com/telehealth-at-your-fingertips.
The Elixir/EnvisionRx Customer Service Survey
We Need Your Feedback: Survey Open from October 1 – 31, 2021
One of the JHMB’s core missions is to manage and maintain the highest quality health benefits possible on behalf of active and retired employees. From time to time, we reach out to you (as plan participants) to help us understand and manage the service you receive from our benefits vendors.
For the past three years, we conducted a customer service survey for our prescription drug program and received valuable feedback from hundreds of our plan participants. You can review the follow up report from last year’s survey here: www.JHMBHealthConnect.com/10413. Your feedback was essential in helping us identify and improve gaps in service. Now it’s time to assess our progress over this past year.
Your feedback was essential in helping us identify and improve gaps in service. Now it’s time to assess our progress over this past year.
If you have used your Elixir prescription drug benefits within the last year, we ask that you take a moment to answer 10 simple questions to help us assess and improve your customer experience. The survey asks brief questions regarding the following aspects of the prescription drug program:
- – Retail Pharmacy – Rite Aid | Walgreens | CVS | Costco
- – Mail Order Pharmacy – Elixir Mail | Costco Pharmacy Home Delivery
- – Specialty Pharmacy – Elixir Specialty | Costco Specialty | Diplomat
- – Elixir Website and Member Portal
- – Elixir Overall Customer Service
This is your chance to provide feedback on the services you’ve received from Elixir and its partners over the last year. You may also add written comments to provide more details regarding your experience(s).
Take the Survey & Enter to Win a $50 Gift Card
You may complete the survey either using the paper survey enclosed in your Open Enrollment packet or online at: www.JHMBHealthConnect.com/rxsurvey. If you wish to enter into a raffle for a $50 Visa Gift Card, please provide your employee/retiree ID number when you complete the survey. It will help us identify you if you win the raffle. We look forward to your feedback and thank you for helping us manage the highest quality benefits for you and your family.
We look forward to your feedback and thank you for helping us manage the highest quality benefits for you and your family.
[/togg]
[togg title=”Rate Contribution Changes for 2022″]
The Joint Health Management Board (JHMB) continuously strives to manage and maintain the highest quality and most cost-effective benefits for our active employees and retirees. Medical, dental, and vision premiums depend on the plan option(s) you select. Please review the rates included on the enclosed Benefits Enrollment form for more details.
Thanks to the improved program usage by our employees and retirees, and the efforts of the Fresno Unified School District and the JHMB, these rate changes are not as large as the healthcare industry average increases in recent years. However, 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=”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. To enroll in Kaiser, you must complete the Kaiser enrollment form along with the District’s benefits enrollment form. For more information about Kaiser Permanente plan benefits and service areas, review the information enclosed in this Open Enrollment packet. We also invite you to review their online informational portal, complete with an overview video and additional details about Kaiser’s services and resources below:
5% Reduction in Co-insurance Rates for Plan Option C
The Joint Health Management Board has also approved an across-the-board 5% reduction in co-insurance rates for the District’s HMO plan starting January 1, 2022 (from 10% down to 5%). This rate reduction is also consistent with the JHMB’s efforts to maintain the most affordable and highest quality benefits available for both the District and its employees and retirees.
[/togg]
[togg title=”COVID-19 Resources Available on JHMBHealthConnect.com”]
COVID-19 has presented us with arguably one of the most challenging periods of our lifetimes. Throughout it all, the Joint Health Management Board (JHMB) has continued to work diligently to maintain a cost-effective healthcare program for our employees, retirees, and their families – in spite of all that COVID-19 has thrown our way.
Since the pandemic began, the JHMB has provided special email alerts to our 6,500+ email subscribers, along with updates to the COVID-19 resources section online at www.JHMBHealthConnect.com/resources-tips. Continue to visit this site for information regarding:
- – COVID-19 Vaccination and Testing Sites in Fresno County
- – Centers for Disease Control (CDC) COVID-19 Information & Resources
- – Other Healthful Resources Available to You and Your Family
Stay Safe and Stay Informed
We appreciate your understanding as we continue to grapple with this historic pandemic and protect the health of the District and our community. We will continue to do our best to keep you informed, ensure the sustainability of the Plan, and minimize potential disruptions caused as a result of COVID-19.
[/togg]
[togg title=”Take a Healthy Minute and Schedule a Preventive Cancer Screening”] Under the District’s health plan, all participants are eligible for FREE preventive cancer screenings. Take a Healthy Minute and schedule an appointment with your physician today to get up-to-date with your routine cancer screenings.
[/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: [checklist]
- Annual Participant Notices
- EnvisionRx Customer Service Survey – which must be completed online or returned to the District Benefits Office no later than October 31, 2021.
- Benefits Enrollment and California Kaiser Group Enrollment Form – which must be completed and returned to the Benefits Office no later than November 30, 2021.
- Kaiser Commercial Zip Code Master Listing
[/checklist] For additional plan information and/or provider contact information view the following pages: www.JHMBHealthConnect.com/your-benefits | www.JHMBHealthConnect.com/using-plans[/togg]
[togg title=”Submitting Your Open Enrollment Materials in the COVID-19 Era”]Given the current situation with COVID-19, our Open Enrollment application process has been modified to limit the size of group gatherings and practice social distancing. We are following the guidance of CDC and local public health officials and are taking every precaution to protect our plan participants, their families, and the entire Fresno community. Please choose one of the following methods to submit your materials by Nov 30, 2021:
- Mail – Open Enrollment forms and supporting documents* to:
Fresno Unified School District
Attn: Benefits Department
2309 Tulare St.
Fresno, CA 93721
- Email – Open Enrollment forms and supporting documents to: FUSDBenefits@fresnounified.org. Please include your name and employee ID in the subject header.
- Fax – Open Enrollment forms and supporting documents to: 559-457-3760
- Make an Appointment – As a last resort, you may call (559) 457-3520 to make an appointment to physically bring forms into the Benefits Department. Employees will be required to wear PPE (mask) when entering the Education Center.
* Do not mail original birth or marriage certificates to the District.
[/togg]
[/tab] [tab]This year’s annual Open Enrollment for 2022 benefits occurs from October 1 to November 30, 2021. 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 Tuesday, November 30, 2021 (or November 19, 2021 if you wish to enroll in Kaiser Senior Advantage, see page 2). All changes will be effective January 1, 2022. Please review the following brief highlights in this letter to understand changes that may affect you in 2022.
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, or add/remove eligible dependents, you must complete the Benefits Open Enrollment form enclosed in this packet.
[togg title=”Plan Option A and Option B (PPO) Participants”]
Aetna to Replace Anthem Blue Cross for In-Network Medical Services starting January 1, 2022
The Joint Health Management Board (JHMB) contracts with specific healthcare provider networks to provide in-network medical services for the PPO Plans. For over the last two decades, in-network medical services have been offered utilizing the Anthem Blue Cross of California (Anthem) provider network. Starting January 1, 2022, PPO plans will switch to the Aetna national provider network for in-network medical services.
What This Mean for You
- – Broader Coverage: With Aetna’s network, you’ll have access to a nationwide network of providers, allowing you more choice and broader access. The majority of providers seen by our PPO plan participants in Anthem’s California network are also in Aetna’s national network.* The JHMB expects minimal disruption for our plan participants as a result of this change.
* Please note this data is based on information provided during the JHMB’s earlier analysis and is subject to change.
- – Prescription Drugs: Elixir will continue to provide prescription drug services for the PPO plans.
- – Member Services & Claims: Delta Health Systems will continue to be your primary contact for PPO plan member services and claims.
What You Need to Do
- – October – November 2021: The in-network provider change will not occur until January 1, 2022. During this time, you may continue to visit and schedule appointments with Anthem Blue Cross providers for in-network medical services to be completed on or before December 31, 2021.
- – December 2021: Prior to the network change on January 1, 2022, you’ll receive new Member ID cards, as well as more detailed information about the upcoming change. At that time, we recommend that you review the Aetna provider network to see if all of your existing providers are within the Aetna network. If they are not within the Aetna provider network, we recommend that you begin to identify in-network providers for medical services required on or after January 1, 2022, and schedule any necessary appointments.
- – January 2022: On January 1, 2022, begin scheduling and/or visiting Aetna providers for in-network medical services. You will continue to contact Delta Health Systems for member services and claims matters. And remember, when possible, we recommend you use in-network providers to reduce your out-of-pocket costs and avoid unnecessary fees. Services provided out-of-network could result in significant out-of-pocket costs that are not reimbursed by the District’s medical plan.
In the coming weeks, the JHMB will provide more details regarding the in-network provider change from Anthem to Aetna, including transition of care materials, access to provider directories, and more. Be on the lookout for these materials in the mail, on www.JHMBHealthConnect.com, and via the JHMB’s benefits alert emails.
5% Reduction in Co-insurance Rates for Plan Option A & Option B
The Joint Health Management Board has approved an across-the-board 5% reduction in co-insurance rates for in-network services for the District’s PPO plans starting January 1, 2022. Plan Option A participants will see their co-insurance rates for in-network services drop from 10% to 5% and Plan Option B rates will drop from 30% to 25%. This rate reduction is consistent with the JHMB’s efforts to maintain the most affordable and highest quality benefits available for both the District and its employees and retirees.
Teladoc to Replace PlushCare for Telehealth Services starting January 1, 2022
As of January 1, 2022, Teladoc will provide telehealth services for PPO Plan Options A & B. With Teladoc, you can connect with leading board-certified physicians in your state through the internet or telephone, helping you avoid emergency rooms and urgent care centers. Teladoc can also assist with prescription medications and with many non-emergency illnesses, including:
|
• Allergies • Arthritic pain • Asthma • Bronchitis • Colds and flu • Diarrhea • Insect bites • Pharyngitis • Conjunctivitis (pink eye) |
• Rash • Respiratory infection • Sinusitis • Skin inflammation • Sore throat • Sprains & strains • Urinary tract infection • Sports injuries • Vomiting |
Telehealth services will remain just $5* per appointment, and no deductible will apply when using Teladoc. Please look out for more details on how to get started with Teladoc beginning on or after January 1, 2022 in the coming weeks from the JHMB.
*$5 telehealth copay is waived on a temporary basis during the COVID-19 national emergency period.
NOTE: PlushCare remains the covered telehealth service for PPO Plan Options A & B through December 31, 2021. Continue to use this service through the end of the year (2021) for your telehealth needs. For more information regarding this service, please visit www.JHMBHealthConnect.com/telehealth-at-your-fingertips.
The Elixir/EnvisionRx Customer Service Survey
We Need Your Feedback: Survey Open from October 1 – 31, 2021
One of the JHMB’s core missions is to manage and maintain the highest quality health benefits possible on behalf of active and retired employees. From time to time, we reach out to you (as plan participants) to help us understand and manage the service you receive from our benefits vendors.
For the past three years, we conducted a customer service survey for our prescription drug program and received valuable feedback from hundreds of our plan participants. You can review the follow up report from last year’s survey here: www.JHMBHealthConnect.com/10413. Your feedback was essential in helping us identify and improve gaps in service. Now it’s time to assess our progress over this past year.
Your feedback was essential in helping us identify and improve gaps in service. Now it’s time to assess our progress over this past year.
If you have used your Elixir prescription drug benefits within the last year, we ask that you take a moment to answer 10 simple questions to help us assess and improve your customer experience. The survey asks brief questions regarding the following aspects of the prescription drug program:
- – Retail Pharmacy – Rite Aid | Walgreens | CVS | Costco
- – Mail Order Pharmacy – Elixir Mail | Costco Pharmacy Home Delivery
- – Specialty Pharmacy – Elixir Specialty | Costco Specialty | Diplomat
- – Elixir Website and Member Portal
- – Elixir Overall Customer Service
This is your chance to provide feedback on the services you’ve received from Elixir and its partners over the last year. You may also add written comments to provide more details regarding your experience(s).
Take the Survey & Enter to Win a $50 Gift Card
You may complete the survey either using the paper survey enclosed in your Open Enrollment packet or online at: www.JHMBHealthConnect.com/rxsurvey. If you wish to enter into a raffle for a $50 Visa Gift Card, please provide your employee/retiree ID number when you complete the survey. It will help us identify you if you win the raffle. We look forward to your feedback and thank you for helping us manage the highest quality benefits for you and your family.
We look forward to your feedback and thank you for helping us manage the highest quality benefits for you and your family.
[/togg]
[togg title=”Kaiser Permanente Senior Advantage Plan Option”]
Special Enrollment Ends November 19, 2021
As a reminder, from October 1 – November 19, 2021, Fresno Unified School District is offering a Special Enrollment for the Kaiser Permanente Senior Advantage plan. This employer-sponsored group coverage is available to Medicare-eligible retirees and spouses.
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, 2022, you will have to make this change during the Special Enrollment period and return your election forms to the District’s Benefit Department by November 19, 2021. 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, 2021.
To learn more about the Kaiser Permanente Senior Advantage plan, please contact Kaiser Permanente at the information provided below. Enrollment forms are available for pick up at the District Benefits Office. You may also contact Kaiser Permanente to have an enrollment form mailed to you.
Information 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, 2022, you will have to make this change by November 19, 2021. Any other changes you wish to make to your current health plan offerings can be made during the Annual Open Enrollment period from October 1 – November 30, 2021.
[/togg]
[togg title=”COVID-19 Resources Available on JHMBHealthConnect.com”]
COVID-19 has presented us with arguably one of the most challenging periods of our lifetimes. Throughout it all, the Joint Health Management Board (JHMB) has continued to work diligently to maintain a cost-effective healthcare program for our employees, retirees, and their families – in spite of all that COVID-19 has thrown our way.
Since the pandemic began, the JHMB has provided special email alerts to our 6,500+ email subscribers, along with updates to the COVID-19 resources section online at www.JHMBHealthConnect.com/resources-tips. Continue to visit this site for information regarding:
- – COVID-19 Vaccination and Testing Sites in Fresno County
- – Centers for Disease Control (CDC) COVID-19 Information & Resources
- – Other Healthful Resources Available to You and Your Family
Stay Safe and Stay Informed
We appreciate your understanding as we continue to grapple with this historic pandemic and protect the health of the District and our community. We will continue to do our best to keep you informed, ensure the sustainability of the Plan, and minimize potential disruptions caused as a result of COVID-19.
[/togg]
[togg title=”Rate Contribution Changes for 2022″]The Joint Health Management Board (JHMB) continuously strives to manage and maintain the highest quality and most cost-effective benefits for our active employees and retirees. Medical, dental, and vision premiums depend on the plan option(s) you select. Please review the rates included on the enclosed Benefits Enrollment form for more details.
Thanks to the improved program usage by our employees and retirees, and the efforts of the Fresno Unified School District and the JHMB, these rate changes are not as large as the healthcare industry average increases in recent years. However, 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=”Stay Connected – Sign Up for Monthly Updates & Benefit Alerts”]Every month, the JHMB provides our plan participants with healthful information to help them along their path to better health. This includes benefits alerts and key reminders, upcoming events, healthful news and local activities, wellness offerings, healthy recipes, and even a new Healthy Aging Corner for our age 55+ plan participants. If you are not currently receiving these healthful email updates, visit www.JHMBHealthConnect.com/staying-connected to review past announcements and to sign up for our email list.
[/togg]
[togg title=”Dependents Eligibility Reminder”]
Notify the District When Your Ex-Spouses & Dependents are No Longer Eligible for Benefits
As a reminder, you are required to notify the District within 60 days following the date on which any dependent no longer meets the eligibility criteria for dependent coverage (including divorce or legal separation; and the termination, dissolution or nullification of Domestic Partnership). Failure to notify the District within the adequate time period may cause you to be responsible for the reimbursement of any claims paid for ineligible dependents.
[/togg]
[togg title=”Medicare Enrollment Reminder”]
Enroll In Medicare When You and/or Your Spouse Become an Eligible Retiree to Minimize Your Payments
The Joint Health Management Board wants to remind you of the importance of enrolling in Medicare once you are eligible. The District’s Health Care Plan indicates that you must enroll in Medicare Parts A & B as soon as you and/or your spouse become eligible for Medicare as a retiree.
Your specific Coordination of Benefits (COB) changes once you become eligible for Medicare as a retiree, which may result in reductions of Plan payments and increases in your payments if you fail to enroll in Medicare. This requirement only applies to retirees in the Fresno Unified School District Employee Health Care Plan. Active employees age 65 or over are not required to enroll in Medicare. For more information, review the JHMB’s notice available at www.JHMBHealthConnect.com/5665.
[/togg]
[togg title=”WellPATH Program Update”]
WellPATH, the Employee Wellness Program for Fresno Unified School District, is pleased to offer a variety of wellness services throughout the year. Below are some highlights of the WellPATH program. If you have not signed up to receive the monthly newsletter informing you of current program offerings, benefit updates, and educational material for your health, please reach out to WellPATH@delapro.com or visit our Staying Connected page to sign up (www.JHMBHealthConnect.com/staying-connected.)
NEW: Holistic Wellness Page at JHMBHealthConnect.com
WellPATH is always looking for new ways to provide information and resources for Fresno Unified School District covered employees, retirees, and dependents (age 18+) to help enhance their health. WellPATH believes in providing resources that will enhance your quality of life in many areas including physical/nutritional wellness, mental/emotional wellness, and financial wellness. We have created a new webpage that compiles resources for all areas of wellness for you to research at your own discretion. We invite you to visit the new Holistic Wellness page available at www.JHMBHealthConnect.com/holistic-wellness.
FREE WellPATH Group Fitness Classes
WellPATH is proud to offer group fitness classes that cover a wide range of interests. Classes are led by Pinnacle Training Systems certified instructors who have been trained to meet the needs of all fitness levels and skills. Classes are open to active employees, spouses, domestic partners, dependent children age 18+, early retirees, and Medicare-eligible retirees covered under the District’s health benefit plan. Beginners are welcome! For more information on current offerings, visit www.JHMBHealthConnect.com/group-fitness-classes.
Additional Services Offered by WellPATH
The suite of free services includes:
- – Annual preventative wellness screenings ($25 gift card for participating)
- – Wellness challenges* (Gift Card Prizes for qualifying participants)
- – Group fitness classes*
- – Annual flu shot clinics
- – Monthly health education*
- – Wellness coaching*
- – Personal training * (member must qualify)
- – Behavior modification * (member must qualify)
*These services are provided through a virtual platform during the COVID-19 Pandemic
For more information about these programs and other WellPATH offerings, visit www.JHMBHealthConnect.com/wellpath or contact the WellPATH Program at (833) Well-PATH.[/togg]
[togg title=”Take a Healthy Minute and Schedule a Preventive Cancer Screening”] Under the District’s health plan, all participants are eligible for FREE preventive cancer screenings. Take a Healthy Minute and schedule an appointment with your physician today to get up-to-date with your routine cancer screenings.[/togg]
[togg title=”Employee Assistance Program (EAP) – Available to Retirees Too!”]
Available to All Benefit-eligible Employees, Retirees, and Dependents
Including Kaiser Permanente® (Plan C) Members
The Employee Assistance Program, offered through Claremont EAP, helps you resolve personal issues before they become more serious and difficult to manage. Claremont will support you quickly and confidentially in dealing with the stresses and challenges of everyday life. You and your family members can receive the following professional, confidential counseling services:
- – 5 Free Counseling Visits per Incident
- – Legal Consultations
- – Financial Services
- – Child/Elder Care Referrals
- – School/College Assistance
- – Adoption Assistance
- – Pet Care Referrals
- – Daily Living/Convenience Referrals
- – Wellness Referrals
The EAP also provides access to resources that can help you address virtually any personal concern or question. Visit www.ClaremontEAP.com for more information or call Claremont EAP at (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=”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: [checklist]
- Annual Participant Notices
- EnvisionRx Customer Service Survey – which must be completed online or returned to the District Benefits Office no later than October 31, 2021.
- Benefits Enrollment and California Kaiser Group Enrollment Form – which must be completed and returned to the Benefits Office no later than November 30, 2021. As a reminder, if you wish to change to the Kaiser Senior Advantage plan, you will have to make this change by November 19, 2021.
- Kaiser Commercial Zip Code Master Listing
[/checklist] For additional plan information and/or provider contact information view the following pages: www.JHMBHealthConnect.com/your-benefits | www.JHMBHealthConnect.com/using-plans[/togg]
[togg title=”Submitting Your Open Enrollment Materials in the COVID-19 Era”]Given the current situation with COVID-19, our Open Enrollment application process has been modified to limit the size of group gatherings and practice social distancing. We are following the guidance of CDC and local public health officials and are taking every precaution to protect our plan participants, their families, and the entire Fresno community. Please choose one of the following methods to submit your materials by Nov 30, 2021:
- Mail – Open Enrollment forms and supporting documents* to:
Fresno Unified School District
Attn: Benefits Department
2309 Tulare St.
Fresno, CA 93721
- Email – Open Enrollment forms and supporting documents to: FUSDBenefits@fresnounified.org. Please include your name and employee ID in the subject header.
- Fax – Open Enrollment forms and supporting documents to: 559-457-3760
- Make an Appointment – As a last resort, you may call (559) 457-3520 to make an appointment to physically bring forms into the Benefits Department. Employees will be required to wear PPE (mask) when entering the Education Center.
* Do not mail original birth or marriage certificates to the District.
[/togg]
[/tab] [/tabs]
