Just a reminder that we are in full swing of annual enrollment for our health insurance through Office of Group Benefits until November 15th, 2016. As a courtesy to you, we will open the LPPS board room November 8th-10th, 2016 from 8:30AM - 4:00PM. You do NOT have to wait to make any changes to your plan. I have instructions listed below for the most common changes made during annual enrollment. I have also attached the 2017 decision guide & their plan rates as well as the enrollment/change form.
***First Financial, our third party administrator of supplemental benefits (dental, vision, short & long term disabilities, etc.) will begin their annual enrollment next month. You will begin to see their representatives at your schools soon. ***
*New Enrollment (not currently enrolled in a health plan?)
I’ve attached the 2017 decision guide and the GB01 enrollment form for annual enrollment. I want to clarify that if you currently don’t have insurance with us and enroll during annual enrollment, your health insurance will go into effect 01/01/2017. Your premium will be deducted in December because we prepay our health insurance.
If you choose the Pelican HSA775 plan, please know that there are additional forms that you would need to complete in order to enroll in that plan. The GB01 enrollment form is for you to complete once you have decided on a health plan. Documents can be scanned & emailed or faxed to my # listed below. If you’re adding a spouse, we’ll need a copy of your marriage license. If you’re adding children, we’ll need a copy of their birth certificates.
**Adding Dependents or Spouse during Annual Enrollment (need to add your spouse or child to your plan?)
If you want to add your spouse or dependents, you’ll need to complete the attached form. Please return it to me along with a copy of your marriage license for your spouse or birth certificates for your dependents. If you’re adding a step-child, I’ll need both your marriage license & their birth certificate. These documents can be scanned & emailed or faxed to my # listed below. I want to clarify that any persons coverage that you added to your plan during annual enrollment will go into effect 01/01/2017.
***Deleting Dependents or Spouse during Annual Enrollment (need to drop your spouse or child from your plan?)
If you want to delete your spouse or child/ren off of your plan, please complete the attached form & scan & email it or fax it to my fax below. I want to clarify that any persons deleted from your plan during annual enrollment will terminate 12/31/2016 at midnight.
****If you are NOT making any changes to your plan, then you do not have to do anything.
Your plan will remain the same. Please note that members who are enrolled in the HSA775 plan do have to re-enroll every year. Please contact me for the enrollment form.
OGB Health Benefits Guide
OGB- Enrollment/Change Form
OGB- Health Savings Account Change Form