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Leander ISD 2020 Benefits Open Enrollment Overview FIND YOUR FIT

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Page 1: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

L e a n d e r I S D 2 0 2 0 B e n e f i t s O p e n   E n r o l l m e n t   O v e r v i e w

F I N DY O U RF I T

Page 2: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

I M P O R TA N T   E n ro l l m e n t In f o r m a t i o n

Open Enrollment will be Oct. 14th-Nov.1st

Current benefit elections will NOT roll forwardfor the new plan yearALL benefits-eligible employees mustcomplete Open Enrollment, even if you don'tplan to make plan changes or waive coverage.This applies to new hires as well.Remember: To make mid-plan year changesto your benefits, you much have a QualifyingEvent. Examples: marriage, divorce, birth oradoption, death, change in dependenteligiblity status, etc.

Page 3: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

Open EnrollmentMeeting Schedule

We will provide information onall plan offerings. This is a opportunity to speak with theBenefits Dept. about your 2020benefits options. Attend an OpenEnrollment meeting to be sureyou have the information youneed to make the best decisionfor your needs.

02 OCT

CPHS

03 OCT 07 OCT 08 OCT 08 OCT

GHS VRHS PlantSVCS

VHS

Page 4: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

Open EnrollmentMeeting Schedule

We will provide information onall plan offerings. This is a opportunity to speak with theBenefits Dept. about your 2020benefits options. Attend an OpenEnrollment meeting to be sureyou have the information youneed to make the best decisionfor your needs.

02 OCT

CPHS

03 OCT 07 OCT 08 OCT 08 OCT

GHS VRHS PlantSVCS

VHS

Page 5: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

Open EnrollmentMeeting ScheduleCont.

09 OCT 10 OCT 11 OCT 15 OCT 16 OCT

LHS Trans. ADMIN CUSTODIAL RHS

@CICOCTOBER14

@CNSOCTOBER17

Page 6: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

EnrollmentSystem-Where

do I begin?NEW ENROLLMENT SYSTEM = 

ALL benefits-eligible employees mustcomplete Open Enrollment, even if you don’t

plan to make changes or waive coverage.

Please note your workemail may include a

middle initial.

Page 7: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

Open Enrollment Lab Schedule

03 07 OCT

Page 8: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

WHAT'S NEW??

Good News!We are happy to announcethat our premiums on almostall products will be the same orlower than last year!

Specifically,medical premiumswill remain the same for mosttiers and slightly lower onsome.

You will now conduct yourannual open enrollment onlineat www.thebenefitsexpert.com,we think you will find thissystem very user friendly.

All of your current informationhas been transferred into thissystem.

IMPORTANT: ALL benefitseligible employees mustcomplete Open Enrollment,even if you don’t plan to makechanges AND/OR want towaive coverage.

New System New BenefitsWe are always looking to addthe best options. Here are somenew ones that will be availableJanuary 1, 2020:

· Hospital Indemnity (TheHartford)· TMJ Coverage (Metlife DentalHigh Plan)· Marriage & Family Counseling(BCBS)· Behavioral Health (MDLive)Talk Therapy

Page 9: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

WHAT'S NEW?? cont.

Pharmacy RXElecting medical coverageautomatically enrolls you intothe corresponding Rx planthrough CVS Caremark. Pleasenote, CVS Caremark providescomprehensive coveragethrough all local pharmacies,not just CVS.

You will receive a new card!

· All BCBS medical plans willalso now include marriage andfamily counseling.

· The telemedicine benefit,administered by MDLive, willnow include Talk Therapy. Youcan now speak with a licensedcounselor, therapist orpsychiatrist for telephonic andvideo chat support via MDLive.

· We are changing ourEmployee Assistance Program(EAP) provider which will allowus a better network of licensedcounselors. We still offer 6 freesessions per issue per familymember.

Mental Health Medical UpdatePer IRS rules, the CDHP plandeductibles have moved from1,350 to 1,400 and 2,700 to2,800. The out-of-pocketmaximums have also increasedon these plans. The PPOdeductible has moved from800 to 1,000 to align betterwith local districts.

Page 10: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

During open enrollment, you can make a decision to supportLEEF through a payroll contribution. Just elect the amount youwant to contribute every paycheck to LEEF and deductions willbegin in January. Your tax-deductible contribution can be $1 ormore per pay period. You can change this amount at any time.

Please consider joining your colleagues enrolled in the EmployeeGiving Program and directly impact your district. As little as $2per month from every Leander ISD staff member would provide$120,000 in support to our classrooms and students!

LEEF supports its mission through three main programinitiatives:

- Foundations for Learning focusing on early literacy.- Enriching Great Teaching through innovative teaching grantsand professional development, and College Ready.- College Bound to build a college and career-ready cultureamong all students.

Page 11: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

MEDICAL PLAN OPTIONS - WHAT TO THINK ABOUT

Page 12: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

CDHP 1400 vs. CDHP 2800

Page 13: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed
Page 14: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

MEDICAL PLAN RATES

Page 15: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

Cash Back with MEMBER REWARDS!

Earn cash back while shopping for care. Didyou know you can earn money when youneed an MRI, catscan, colonoscopy andchoose a less expensive provider?

Did you know that these procedures can varyhundreds or even thousands of dollars dependingon where you go?

Why not earn some money for making smarterchoices - It just takes 4 easy steps!

Your doctor recommends amedical service orprocedure.

Log in at www.bcbstx.com,to shop and compareprocedure costs.

You select the location ofchoice and have theprocedure or service done.

The claim is paid and so areyou! A check is maileddirectly to you.

Page 16: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

G e t c a r e w h e n a n d w h e r ey o u n e e d i t . V i r t u a l v i s i t sa l l o w s y o u t h e o p t i o n t oc o n s u l t a d o c t o r b y p h o n e ,m o b i l e a p p , o r o n l i n e v i d e oa n y t i m e , a n y w h e r e .

T h i s y e a r w e ’ v e a d d e d Ta l kT h e r a p y . S p e a k w i t h al i c e n s e d c o u n s e l o r , t h e r a p i s t ,o r p s y c h i a t r i s t f o r s u p p o r t .C a l l i n g a d o c t o r i s l e s se x p e n s i v e t h a n a n o f f i c e v i s i t !

• C o n s u l t a t i o n f e e o nt h e   C D H P 2 8 0 0 a n dt h e   C D H P 1 4 0 0 i s $ 4 4

• C o n s u l t a t i o n f e e o nt h e   P P O 1 0 0 0 i s $ 3 5

• C o n s u l t a t i o n f e e o nt h e   C D H P 2 8 0 0 a n dt h e   C D H P 1 4 0 0 i s $ 8 0 - $ 1 7 5

• C o n s u l t a t i o n f e e o n P P O1 0 0 0 i s $ 5 0

• W h a t s h o u l d I u s e M D L i v ef o r?

• A l l e r g i e s C o l d a n d F l u• A s t h m a E a r I n f e c t i o n s• N a u s e a / Vo m i t i n g R a s h e s• P i n k E y e• U T I s

• A n x i e t y• D e p r e s s i o n• Tr a u m a & l o s s• R e l a t i o n s h i p p r o b l e m s

A n d m o r e !

C a l l 8 8 8 - 6 8 0 - 8 6 4 8 o r v i s i t w w w. m d l i ve . co m

Page 17: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

Health Savings Account (HSA) participation gives youaccess to a personal savings account. You and LISDcan make pretax contributions into your HSA. Thefunds in your HSA are yours to spend on your medicalcare as you see fit, to help cover the cost of expensesincurred that your medical plan does not cover, suchas deductibles and co-pays.  CDHP 1400 and CDHP2800 are eligible plans.

Health Savings Account

2020 Annual Contribution Limits:

$3,550$7,100

*There is a $1,000 catch up contribution on HSAs foremployees over the age of 55

Leander ISD contributes $42/month towardsemployees’ HSA account.

Page 18: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

A Flexible Spending Account allows you to savemoney by paying out-of-pocket health and/ordependent care related expenses with pre-taxdollars. Your contributions are deducted fromyour pay before taxes are withheld and youraccount is front loaded with an annual amount.Because you are taxed on a lower amount ofpay, you pay less in taxes and you have more tospend.

Flexible Spending Account

FSA Contribution Limits (2020 notreleased at this time)

· Medical FSA—$2,650 (2019)· Limited Purpose FSA—$2,650 (2019)· Dependent Care FSA—$5,000 (2019)

Limited Purpose FSA•Similar to a Medical FSA butlimited to qualifying dental andvision expenses

Dependent Care•Uses tax-exempt funds to payfor childcare expenses incurredwhile working. Can also beused for adult daycare forfamily members that live athome including disabledspouses. Child must be 12 oryounger.

**LISD grace period states that you haveuntil March 15th of 2021 to incurexpenses on your past year FSA and untilMarch 31st to submit claims.

Page 19: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

•Copays•Vaccines•Deductibles•Humidifiers•Prescriptions•Orthodontia•Dental expenses•Diabetic Supplies•Vision expenses•Lasik Surgery•Hearing aids•Hospital bills•Fertility treatment•Lab fees•Acupuncture•Breast pumps•Chiropractors

And more!

What can I use my HSA/FSA for?

For full lists go to http://www.hsabank.com and clickon eligible expenses and www.fsastore.com

Page 20: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

Prescription - CVS Caremark

RxBenefits is yourPharmacy BenefitAdministrator(PBA). Yourpharmacy benefitscoverage will bewith CVSCaremark.

Do I have to only go to CVS now?Absolutely not. CVS Caremark providesprescription coverage for a comprehensivenetwork. You can still use your favoritepharmacies!

Will I get a new card?Yes! You will get a separate CVS Caremark cardthat you will use at the pharmacy! Your card willlook similar to the image below.

Download the CVS app (with direct accessthrough the LISD Benefits App!)

Manage your medication online orthrough the mobile app.

For assistance, please contactRXBENEFITS: 800-334-8134Hours 7 AM - 8 PMOR [email protected].

Page 21: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

MEDICAL TRANSPORT - MASA

Every day, families face the nancialburden of unexpected emergencymedical transportation. A MASAmembership ensures the peace of mindin knowing that a life saving medicaltransport doesn’t have to jeopardizeyour family’s nancial security.

Emergent Ground Ambulancetransport can easily surpass $2,000and can reach as high as $5,000.

Emergent Air Ambulance transportsfrequently cost more than $40,000,reaching as high as $70,000.

Monthly fee covers employee,spouse and children up to age 26. Nodeductibles. Easy claim process.

PLATINUM$39/MONTH

EMERGENT PLUS$14/MONTH

EMERGENTGROUND$9/MONTH

Page 22: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

Employee Assistance ProgramRemember to take care of yourmental and emotional health!Sometimes it's hard to balancethe demands of family, work, andpersonal needs, and yourEmployee Assistance Program(EAP) is here to help.

· 6 counseling sessions per needare available· No cost to you and themembers of your household· Available 24/7/365· 230 physicians, 185 in the BCBSnetwork

Your EAP Benefits with AllianceWork Partners:

· Law Access: legal and financialservices.· Help Net: customized websitefeaturing resources.· Work Life: Resources andreferrals for everyday needs.· Safe Ride: Reimbursement foremergency cab fare for eligibleemployees and dependents thatopt to use a cab service insteadof driving while impaired.

Page 23: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

EAP- AWPgoTelehealthAWPgo is a growing

telehealth solution thatoffers the option oftelephonic or video

counseling. 

These new options aresimilar to traditional therapy,

in that appointments arescheduled in advance and

take place once a week.

For EAP assistance, please contactALLIANCE WORK PARTNERS AT 800-448-1823OR WWW.awpNOW.COM.AWPgo at 800-343-3822PlanWell at 800-343-3822Teen Line at 800-334-TEEN (8336)

Who to Contact:

Page 24: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

HEADSPACELive a healthier, happier, more well-rested lifewith the Headspace App!

Sign up for free for the entire year throughLISD!

Hundreds of sessions on everything from stressand sleep, to focus and anxiety

Sign up at https://work.headspace.com/educators-TX-F-L/join withyour district email address to get started for FREE!

Page 25: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

DENTAL - METLIFE

Dental insurance is a coverage thathelps defray the costs of dental care. Itinsures against the expense of routinecare, treatment and dental disease.

Vendor is changing to MetlifePlan covers 3 cleanings per year withno time limitationsPreventive services such as cleanings,x-rays, fluoride through age 18 andsealants through age 14 are coveredat 100% on both plansDental high plan covers ortho forchildren up to age 19 at $1,000 perchild. 

NEW! - Dental High Plan now includescoverage for TMJ appliances.

High Plan

Low Plan

Page 26: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

VISION - METLIFE

Vision insurance provides coverage forroutine eye examinations and may cover allor part of the costs associated with contactlenses, eyeglasses and vision correct,depending on the plan.

Carrier will be changing to Metlife but stilluses the VSP Network!Retail shops such as Costco, Walmart andSam’s Club are all eligible to be usedunder this Metlife PlanEye exams are covered after a $20 copayevery 12 monthsFrames are covered at a $150 allowanceafter a $20 copay every 24 months; lensesare covered every 12 months (includessingle lined, lined bifocal, lined trifocal andlenticular)Contact lenses are covered at a $150allowance after a $20 copay every 12months 

Vision cards will be issued!

Page 27: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

•Carrier will be changing toThe Hartford

•You will now have an optionto elect 70% of yourmonthly salary!

•Your policy limits thebenefits you can receive fora disability caused by a pre-existing condition. In general,if you were diagnosed orreceived care for a disablingcondition within the 3consecutive months justprior to the effective date ofthis policy, benefits areexcluded, unless: You havebeen insured under thispolicy for 12 months beforeyour disability begins.

The waiting periods for disability areshown below, the 0/7, 14/14 and 30/30plans all have a first day hospital waiver

meaning if you are confined to ahospital for 24 hours or more the

waiting period is waived

DISABILITY Choose benefit amount40%50%60%70%

Choose waiting period

Page 28: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

•Group Life will continuewith the carrier OneAmerica

•You are eligible to electthe Guaranteed Issueamounts even if you didnot elect them at openenrollment last year!

•Maximum electionamount is $500,000,must submit Evidenceof Insurability for anyemployee amount over$250,000

Accidental Death andDismemberment can beelected separately up to

$500,000 for employee,$250,000 for spouse and

$50,000 for children

Group Life and AD&D OneAmerica

Page 29: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

•Permanent Life will bewith a new carrier thisyear, Chubb

•Maximum electionamount is $250,000 foremployee, $125,000 forspouse and $25,000 forchildren

•Policy has long-termcare and will pay 4% ofyour death benefit permonth if you are unableto perform 2 of the 6activities of daily living

Permanent Life Chubb

Page 30: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

CANCER - GuardianCancer insurance offers you and your familysupplemental insurance protection in theevent you or a covered family member isdiagnosed with cancer. It pays a benetdirectly to you to help with expensesassociated with cancer treatment.

Plan has an initial diagnosis benefit, radiationtherapy chemo benefit, blood, plasma andplatelet benefit and much more!

Advantage and Premier plan to choose from

See guide for all benefits

Page 31: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

Critical Illness - MetlifeCritical illness insurance isdesigned to supplement yourmedical and disability coverageeasing the financial impacts bycovering some of youradditional expenses. Itprovides a benefit payabledirectly to the insured upondiagnosis of a coveredcondition or event, like a heartattack or stroke.

Carrier will be changing to Metlife and youcan elect benefits in increments of $10,000up to $30,000Spouse and children can elect up to 100% ofyour coverage amountCovers cancer, partial cancer, heart attack,stroke, coronary artery bypass, kidney failure,Alzheimer’s, major organ transplant and 22other conditionsHas an annual wellness benefit of $50 percalendar year per covered personPremium is based on issue age and will notincrease!Pays upon diagnosisGuaranteed Issue: No medical questions ortests required for coverage.

Page 32: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

Accident Plan - ChubbChubb Accident Insurance payscash benefits directly to you oranyone you choose regardlessof any other coverage youhave. Benefits are designed tocover health plan gaps for out-of-pocket expenses likedeductible, copays, andcoinsurance. Let ChubbAccident Insurance help takecare of your bills so you cantake care of yourself and yourfamily.

Pays cash benefits for certain injuries,doctor’s office visits, hospital admissions,urgent care visits, etc.

Pays $100 as soon as you report your firstclaim

Sports package increases payouts by 25%, upto $1,000 per person per year for injuriesresulting from organized sports

Has an annual wellness benefit of $100 percalendar year (per person/once per year)

Page 33: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

Hospital Indemnity Plan –The HartfordHospital Indemnity insurance

pays a cash benefit if you or aninsured dependent (spouse orchild) are confined in a hospitalfor a covered illness or injury.The benefits are paid in lumpsum amounts to you, and canhelp offset expenses thatprimary health insurancedoesn’t cover (like deductibles,co-insurance amounts or co-pays), or benefits can be usedfor any non-medical expenses(like housing costs, groceries,car expenses, etc.).

New plan option!

No pre-existing condition clause andchildbirth is eligible

Page 34: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

LEGAL INSURANCE - TEXAS LEGAL

Legal plans provide valuable benefits thatcover the most common legal needs you mayencounter - like creating a standard will, livingwill, healthcare power of attorney or buying ahome. This plan also provides access to qualitylaw firms for advice, consultation andrepresentation.

Monthly Rates Individual: $12/Family: $16

Included: Identity and Credit Protection4 Consultations

Rates down 25%

Page 35: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

Instructions: Download the App, Login:“Create Account”, Lookup: Enter your

Last Name, Date of Birth, and LISDEmail Address and click “Next”, CreateAccount: Create your own Username &Password, Terms of Use: Accept User

Agreement, Verify MFA Code youreceived via Email or Text Message,

Home: Welcome to your App Home!.For further assistance, please contactSupport at: [email protected].

LISD BENEFITS APP! - Download Today!

Page 36: FIND YOUR FIT · also now include marriage and family counseling. · The telemedicine benefit, administered by MDLive, will now include Talk Therapy. You can now speak with a licensed

E m a i l : B e n e f i t s D e p t @ l e a n d e r i s d . o r g

Y o u rB e n e f i t sT e a m Colleen Corrigan

Sr Coordinator,Comp andBenefits

512-570-0113

Wendy RuenSr. BenefitsSpecialist

512-570-0142

Damiesha GilliamBCBS

Representative512-570-0137