Open Enrollment

OPEN ENROLLMENT IS MAY 1, 2020 TO MAY 25, 2020

ALL ENROLLMENT FORMS/CHANGES MUST BE RECEIVED BY JODI WICK, HUMAN RESOURCE ASSISTANT, NO LATER THAN MAY 25, 2020.  IF YOU HAVE ANY QUESTIONS PLEASE EMAIL HER AT JWICK@SAU50.ORG.

The open enrollment period for 2020-2021 benefit elections has begun for all benefit eligible staff.  This is the only time you can make voluntary changes to your medical and/or dental plans for 2020-2021 without a change in life status such as marriage, death, adoption, spouses job loss, etc.

If you do not want to make any changes to your health or dental plan, no action is required on your part.

This is also the only time you can enroll in a Flexible Spending Account for 2020-2021 (Healthcare Flexible Spending Account and/or Dependent Care Flexible Spending Account).  Please note your 2019-2020 Flexible Spending Account will not roll over to 2020-2021.  You will need to complete a new enrollment form if you want to continue with your Flexible Spending Account.

Please find highlighted links below for enrollment forms and informational brochures/flyers

Health and Dental Enrollment Form To be completed if making a change or newly enrolling in a health and/or dental plan.

Dental Only Enrollment Form To be completed if you are enrolling in dental ONLY.

          Helpful Hints When Completing Health and Dental Enrollment Form

Flexible Spending Account - For those employees who wish to enroll and are on the Access Blue New England health plan. 

Flexible Spending Account (Limited Purpose) For those employees who wish to enroll and are on the Lumenos health plan.  Please note you can only use the Healthcare Flexible Spending Account for dental or vision expenses.

          Health and Dependent Care Flyer

          List of Eligible Expenses


Please find highlighted links below for health/dental/prescription drug summaries and informational brochures/flyers

Please review your CBA or Handbook to see which plans are available to you.

Health Options

Health Plan Comparison Guide

Lumenos with Health Savings Account

          Health Savings Account Flyer

Access Blue New England $5 Copay with RX 10/25/40 M10/40/70

Access Blue New England $20 Copay with RX 10/25/40 M10/40/70

Access Blue New England $20 copay with RX 10/20/45

          Anthem Vision

          Aware Recovery

          Benefit Education PowerPoint

          LiveHealth Online

          Solera Diabetes Program

          SmartShopper
       

Northeast Delta Dental (NEDD) Options

Option 1     Option 2A     Option 3D     Option 4     Option 4A     Option 6A

          NEDD Vision Discount Program

               NEDD Benefit Lookup Site

Prescription Drug Plans

RX 10/25/40 M10/40/70

RX 10/20/45

          CVS Caremark Long Term Prescriptions

          CVS Retail Pharmacy Locations


Mandatory Notices

Primary Care Provider (PCP) or Ob/Gyn Provider Selection

Premium Assistant under Medicaid and the Children’s Health Insurance Program (CHIP)

 

ALL ENROLLMENT FORMS/CHANGES MUST BE RECEIVED BY JODI WICK, HUMAN RESOURCE ASSISTANT NO LATER THAN MAY 25, 2020. IF YOU HAVE ANY QUESTIONS PLEASE EMAIL HER AT JWICK@SAU50.ORG.

 


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