Page 5 - Guide
P. 5
Eligibility and Enrollment
You may enroll in the beneits program if you are a regular full-time employee who is
actively working a minimum of 30 hours per week. As you become eligible for beneits,
so do your eligible dependents. In general, eligible dependents include your legally married
spouse or domestic partner and children up to age 26. Children may include natural,
adopted, stepchildren, or children obtained through court-appointed legal guardianship.
2016 Enrollment Highlights
X No changes to medical, dental, or vision plan insurance carriers
X All medical and pharmacy expenses (deductibles, copays, and coinsurance) will now
apply towards the out-of-pocket maximum
X Medical/Rx combined out-of-pocket limit will increase to $5,000 per individual and
$9,000 per family in-network
X Employee will be responsible for paying the irst $500 for individual coverage and
$1,000 for family coverage before the HRA pays; Mitchell Gold + Bob Williams will
continue to fund the HRA at the same level of $1,000 per individual and $2,500 per
family
X MG + BW will be moving our plan year effective date from December 1 to January 1
in 2017; as a result, the medical plan deductible and out-of-pocket maximum will run
from December 1, 2015 to December 31, 2016; it will restart again on January 1, 2017
X With the 13-month plan year, you will receive a new medical ID card with a new policy
and member number; you will be required to re-register on the myuhc.com website
with your new member ID, which you will receive by December 1, 2015; if you use the
mail order program, all current prescriptions will transfer to your new member number
X A fourth pharmacy tier for specialty drugs has been added at a $100 copay
X You will now receive a debit card if you enroll in the FSA
X New carrier partner for basic life/AD&D and voluntary short term disability
programs—UNUM
X New voluntary coverage available through UNUM
Z Voluntary long term disability, voluntary term life insurance, voluntary AD&D,
and speciied disease coverage during the October 12 through October 31 open
enrollment period
X Enrollment will now be online! All employees will be required to log in and
either enroll or decline coverage; employees may also enroll by contacting the
call center at 844.863.5934
5
You may enroll in the beneits program if you are a regular full-time employee who is
actively working a minimum of 30 hours per week. As you become eligible for beneits,
so do your eligible dependents. In general, eligible dependents include your legally married
spouse or domestic partner and children up to age 26. Children may include natural,
adopted, stepchildren, or children obtained through court-appointed legal guardianship.
2016 Enrollment Highlights
X No changes to medical, dental, or vision plan insurance carriers
X All medical and pharmacy expenses (deductibles, copays, and coinsurance) will now
apply towards the out-of-pocket maximum
X Medical/Rx combined out-of-pocket limit will increase to $5,000 per individual and
$9,000 per family in-network
X Employee will be responsible for paying the irst $500 for individual coverage and
$1,000 for family coverage before the HRA pays; Mitchell Gold + Bob Williams will
continue to fund the HRA at the same level of $1,000 per individual and $2,500 per
family
X MG + BW will be moving our plan year effective date from December 1 to January 1
in 2017; as a result, the medical plan deductible and out-of-pocket maximum will run
from December 1, 2015 to December 31, 2016; it will restart again on January 1, 2017
X With the 13-month plan year, you will receive a new medical ID card with a new policy
and member number; you will be required to re-register on the myuhc.com website
with your new member ID, which you will receive by December 1, 2015; if you use the
mail order program, all current prescriptions will transfer to your new member number
X A fourth pharmacy tier for specialty drugs has been added at a $100 copay
X You will now receive a debit card if you enroll in the FSA
X New carrier partner for basic life/AD&D and voluntary short term disability
programs—UNUM
X New voluntary coverage available through UNUM
Z Voluntary long term disability, voluntary term life insurance, voluntary AD&D,
and speciied disease coverage during the October 12 through October 31 open
enrollment period
X Enrollment will now be online! All employees will be required to log in and
either enroll or decline coverage; employees may also enroll by contacting the
call center at 844.863.5934
5
