Open Enrollment 2013
Open Enrollment begins October 29 and ends November 19
Open Enrollment is the one time of year when benefit-eligible employees can enroll in or change their health, dental, vision and Flexible Spending Account(s) benefit selections for the upcoming calendar year. Vendor fairs and presentations have been scheduled around the County to provide educational and informational opportunities for employees to learn about the benefit plans. Schedules are posted on broward.org/benefits and in the Open Enrollment newsletter.
Important
No increase in health deductions for the fourth year!
Online Waiver of Coverage Required - All benefit-eligible employees are required to enroll or waive coverage online. To continue to receive the Waiver Credit of $119.23 per paycheck, employees must waive coverage online. Failure to waive coverage online will result in loss of the Waiver Credit for 2013.
Contact Information - Employees can now update their contact information and emergency contact information online.
Enrollment/Confirmation Statements
Confirmation statements will not be issued after Open Enrollment closes. Employees can view and print their Confirmation online. Changes can be made as many times as necessary prior to 5 p.m. November 19, 2012. The last enrollment submitted online is the enrollment that will be processed for 2013. Employees can view and print their Confirmation Statement through January 31, 2013.
Highlights of Changes for 2013
Health – Humana
Changes for 2013
- Co-pay for urgent care at Concentra Urgent Care facilities lowered to $30 (all other Urgent Care facility copays remain $50)
- Durable Medical Equipment (DME) for Diabetic Equipment/Supplies – no deductible, only subject to co-insurance
- Additional Prevention-Related Services covered at no cost under the Patient Protection and Accountability Act (PPACA):
- Well-woman visits
- Gestational diabetes screening for pregnant women
- FDA-approved contraception methods, and contraceptive education and counseling
- Breastfeeding support, supplies, and counseling
- Human Papillomavirus (HPV) DNA testing for women 30 or older
- Sexually transmitted infections counseling
- HIV screening and counseling for sexually-active women
Review all of the Preventive Services covered under the Affordable Care Act.
Pharmacy – Catamaran
Changes for 2013
- Pharmacy Benefit Manager has a new name - Catamaran (formerly Catalyst Rx, formerly Walgreens Health Initiatives). Catalyst Rx was purchased by SXC Health Solutions, Inc., in mid-2012 and the two companies became Catamaran. Members will receive new ID cards in early January. Members should continue using their Walgreens ID card until that time.
- New dedicated Customer Service line for County members effective January 1: 1-855-356-3216
- New website for members effective January 1: mycatamaranrx.com (live on November 1)
- Prevention-Related Services covered at no cost under the Patient Protection and Accountability Act (PPACA):
- Aspirin to prevent cardiovascular disease (men and women age 45 and older)
- Fluoride (children between age 6 months and 5 years)
- Folic Acid (women age 55 or younger)
- Iron Supplementation (children age 0 to 1 year)
- Contraception (women age 55 or younger)
Review all of the Preventive Services covered under the Affordable Care Act.
Health Reimbursement Account (HRA) – FBMC, A WageWorks Company
No changes to the plan.
The 2012 HRA account balances will rollover in mid-January and can be used to pay for 2012 or 2013 eligible health and pharmacy expenses. Note: vision and dental are not covered under the HRA.
Dental
DHMO – Humana/CompBenefits
No changes in benefits or premiums
PPO HIGH – The Standard
Premiums reduced 3 percent for all tiers along with enhanced benefits covering implants and porcelain fillings in back teeth.
Vision
UnitedHealthcare
UnitedHealthcare is our new vision provider as of April, 2012. Rates are lower than the 2012 rates and the plan benefits are different. Please review their brochure in your open enrollment packet.
Flexible Spending Accounts (FSA)- FBMC, A WageWorks Company
Medical Expense
Maximum contribution amount reduced under Health Care Reform from $5,000 to $2,500 per year.
Dependent Care
Maximum contribution amount remains $5,000.
Employees are encouraged to review their Open Enrollment newsletter, carrier material and ABCs/Your Benefits &You book for more details.
Health Coaches Help Create Successful Health and Wellness Strategies
Lacey Starkey
