This Open Enrollment period is for benefits effective January 1, 2020 through December 31, 2020.
This is an opportunity for benefit eligible employees to enroll in coverage, add or remove an eligible dependent (spouse or child up to age 26) , or make changes to your insurance coverage without experiencing an IRS qualifying life event.
Health, Dental and Vision - All changes and new enrollments must be received in the Human Resources/Benefits Department by 4:00 pm on Friday, November 15, 2019.
Flexible Spending Accounts (Health and/or Daycare) - If you wish to participate in a Flexible Spending Account (FSA) in 2020, you will want to complete the enrollment process that will be emailed to the district email of eligible employees by 121 Benefits.
You can learn more about open enrollment at the following informational meetings:
- Monday, Nov. 4 at 4:30 p.m. at East Ridge High School, Rooms 2045A/2045B
- Thursday, Nov. 7 at 4:30 p.m. at Woodbury High School, Media Center
- Tuesday, Nov. 12 at 6:30 p.m. at Park High School, Lecture Hall
Presentation materials from the information meetings:
2020 Open Enrollment Presentation
2020 Open Enrollment Presentation with audio
For information about current benefits please visit the Employee Benefits Website
PAGE CONTENTS
Health Insurance, including VEBA
Read the information below carefully prior to making your health plan election.
If you do not make changes during open Open Enrollment,
you will remain in the health plan you are currently enrolled in for 2020.
Preferred One (P1)
Preferred One will continue to be our health insurance carrier PreferredOne website
Group Number: PCH10638
Local Network: Complete (Open Access 200)
Nationwide Network: First Health Network
Call Center Hours: 7:00 a.m. - 7:00 p.m. CST, Monday – Friday
Twin Cities Area: 763.847.4477 or Outside Metro Area: 1.800.997.1750
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Premiums
Click here to access the 2020 Health Insurance premiums.
Health Plans
There are no plan design changes, i.e. deductibles, out-of-pocket limits and maximum out of pocket limits.
We will continue to have 3 options for employees to select form:
2020 Plan Comparison
Open Access High Deductible with VEBA
Open Access $25 Co-Pay
Open Access $15 Co-Pay
Forms:
Health Insurance Enrollment Form -Complete this form if you do NOT currently have health insurance with the district
Health Insurance Change Form - Complete this form if you already have health insurance with the district
PreferredOne Preventative Dental Benefit
A preventative dental benefit is included with all PreferredOne (P1) health plans. Preventative dental care includes annual routine oral evaluation, teeth cleaning, bitewing and periapical x-rays (once every 12 months) and full mouth/panoramic x-rays (once every 3 years)
Please click here to access a list of in-network dental providers within a 50-mile radius of Cottage Grove MN.
- PLEASE NOTE: these are preventative dental benefits only; please review our dental insurance section for further dental coverage options.
VEBA (for employees enrolled in the Open Access High Deductible plan)
121 Benefits will be our administrator for VEBA/HRA
121 Benefits websiteCustomer Service: 612.877.4321 or 1.800.300.1672
VEBA is a tax-free Health Reimbursement Arrangement (HRA) that provides a source of funds to pay for the cost of health care expenses for you, your spouse and qualified dependents. VEBA is available to employees who enroll in the Open Access High Deductible Plan only.
The VEBA account may be used to pay any qualified pre- retirement and post-retirement medical, dental, or vision out-of-pocket expenses (deductibles, co-payments, co-insurance, etc.), plus post-retirement medical, dental, or vision insurance premiums, long term care premiums, Medicare Part B premiums, Medicare deductibles and Medicare Supplement Plan premiums.
In a full calendar year, the district contribution will be distributed as follows: 50% of the annual amount on the January 15 payroll, 25% of the annual amount on the July 15 payroll, and 25% of the annual amount on the October 15 payroll.
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Read the information below carefully prior to making your health plan election
If you do not make changes during open Open Enrollment,
you will remain in the health plan you are currently enrolled in for 2020.
Delta Dental administers our dental insurance
Delta Dental website
Customer Service Department: 651.406.5916
Premiums
There are no changes to the monthly premiums for 2020. Click here to access the 2020 Dental Insurance Rates.
Plans
There are no plan design changes
We will continue to have 2 plan options for employees to select form:
Delta Care
Delta Preferred (PPO and Premier Networks)
Forms
Dental Insurance Enrollment Form - Complete this form is you do NOT currently have dental insurance with the district
Dental Insurance Change Form- Complete this form is you already have dental insurance with the district
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EyeMed administers our vision insurance
EyeMed website
https://eyemed.com/en-us
Customer Service Department: 866.939.3633
Read the information below carefully prior to making your vision plan election
Your eye examination and caring for your eyes is important to your overall health. Eye examinations diagnose much more than the need for corrective lenses. An eye examination can uncover more than 30 systemic diseases including hypertension, arteriosclerosis, diabetes, and Graves Disease. This plan allows you to improve your health by saving you money on your eye care purchases.
You have two plans to choose from:
This Vision plan is a voluntary benefit, meaning 100% of the premiums are employee-paid.
Monthly Premiums:
| |
Exam + Materials |
Materials only |
| Single |
$7.28 |
$5.84 |
| Family |
$18.56 |
$14.90 |
Enrollment Form
EyeMed Enrollment Form
Note: If you are enrolled in district health insurance with PreferredOne, your health insurance plan includes an annual, preventative vision exam with an in-network provider.
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121 Benefits will be our administrator for VEBA/HRA
121 Benefits website
Customer Service: 612.877.4321 or 1.800.300.1672
HealthCare FSA
The current Health Care FSA annual maximum is $2,750/calendar year for 2020
Dependent Care FSA
The Dependent Day Care FSA annual contribution is $5,000 per family per calendar year for 2020
ACTION REQUIRED:
You must enroll in Health Care FSA and/or Dependent Day Care FSA each year you want to participate. You enrollment for 2019 will not automatically continue into 2020
Eligible employees will receive an email from 121 benefits with your log in information.
There is no open enrollment opportunity for the following plans; you may only enroll through an Evidence of Insurability (EOI) process, which may require medical underwriting directly from The Standard. If you are interested in completing this process, please contact your benefit specialist for the necessary paperwork.
- Dependent Life Insurance, underwritten by The Standard
- Long Term Disability (LTD), underwritten by The Standard
- Life Insurance, underwritten by The Standard
- Supplemental Life Insurance, underwritten by The Standard
The District 833 Benefits Team
Health and Dental Premiums
Dental
Flexible Spending Account (FSA)
VEBA
Vision
Employee Notices
Other