Department of Management Services

2018 Benefit Options

Health Premiums (Adobe PDF Document 22.55 KB)

October Wellness Wire (Adobe PDF Document 730.46 KB)

            
See below the sections that have updates for the 2018 Plan Year.

What's New

                  

Your HMO Plan option for 2018 may have changed. Please verify that your current HMO is available in your area for the 2018 plan year. In the event your HMO Plan option has changed and you fail to make an election, you will be automatically enrolled into the HMO plan available based upon your home mailing address.

Assurant is now Sun Life (Adobe PDF Document 1.15 MB). This name change does not impact the coverage offered.

Dental Options have changed. Several dental plans are ending. Those plans include: Ameritas Plan (4064), Human Plan (4004), Humana Plan (4054), and UnitedHealthcare plan (4014). If you have any of those plans you will need to make a new plan choice. New dental plans will be available through Ameritas and MetLife. Each company will offer three different levels of PPO coverage. The plans were designed to ensure open network access and a range of coverage options for state employees and their eligible dependents.

Occupational Therapy services are a covered benefit beginning January 1, 2018. Services must be for conditions resulting from a physical or mental illness, injury, or impairment. For the State Employees’ PPO Plan, coverage is limited to 21 treatment days during any six-month period; for the State Employees’ HMO Plan, coverage is limited to 60 visits per injury. 

Medication Synchronization (Med Sync) allows you to save time and reduce the number of trips to your retail pharmacy by requesting that your retail pharmacist “synchronize” all your medication refills so you can pick them all up on the same day. Med Sync is optional, not required and allowed once per year.

Vision Premiums have changed. New premiums are included in your Annual Benefits Statement.

At the end of 2018, members will be allowed to carryover up to $500 of unused healthcare flexible spending account (FSA) and limited purpose FSA money into the next plan year. The “Grace Period” for incurring claims into the next calendar yearwill be eliminated for the healthcare FSA and limited purpose FSA. Please note that the change to allow a carryover does notapply to the dependent care FSA, and the dependent care FSA will still have the “Grace Period” for incurring claims into thenext calendar year.

For 2018, the health savings account (HSA) contribution maximum for employees enrolled in single coverage is $3,450, including the state’s contribution. The family coverage HSA contribution is $6,900. That is an increase of $50 for individual limits and $150 for family limits for the 2018 plan year.

New Live Chat feature is available in the FSA & HSA Information Portal in People First. Now with a click of your mouse you can chat with a Chard Snyder customer service representative. Anything you might call in or email about, you can also take care of using Live Chat Representatives, who are available to chat Monday through Friday 8 a.m.to 5 p.m. ET.

OPS employees are now eligible to enroll in the healthcare FSA and the limited purpose FSA.

The Division of State Group Insurance (DSGI) is contracting with a private company to perform a Dependent Eligibility Verification Audit (DEVA) to determine whether dependent(s) are eligible to participate in the State Group InsuranceProgram. The audit will begin on December 1, 2017, and will require subscribers to respond to any requests fordocumentation to verify dependent(s) eligibility. Enrollees may remove ineligible dependents at any time prior to December1, 2017, by calling People First at 866-663-4735 or online during Open Enrollment.

Beginning January 1, 2018, DSGI will begin a Weight Management Pilot for eligible members of the Florida Blue, AvMed, Aetna, and UnitedHealthcare plans. This year-long pilot will enroll members in a wellness program and give them access to prescription drugs for chronic weight management.