October 8th - November 2nd

Benefits Fair

Thanks to the over 450 employees who attended the Benefits Fair.  Hope you all had a great time. Click here for pictures and to see this years prize winners.

MyBenefits Website

Click here to visit the MyBenefits website which provides detailed information regarding state sponsored benefits.

Open Enrollment Informational Sessions

Monday, October 31st

Location: Student Union, Room 213

Time: 11:00 am Open Enrollment Information

Tuesday, November 1st

Location: Student Union, Room 213

Time: 2:00 pm Open Enrollment Information

Time:  3:00 pm Medical Reimbursement Accounts (MRA)

Learn more on how to use and get the most out of your account

Thursday, November 3rd

Location: Student Union, Room 213

Time: 10:00 am Open Enrollment Information

Time:  11:00 am Long Term Disability Information

Summary of 2012 Changes

New Pharmacy Benefit Manager/Provider

All health plans will be using the new pharmacy benefit manager Medco as of January 1, 2012. For employees on HMO coverage this will mean using a separate Medco card for prescriptions. For employees on the PPO, this means you will use a Medco card instead of your current Caremark cards effective 1/1/2012.

In December new prescription ID cards will be mailed to all employees enrolled in health coverage. Medco will mail 2 cards; additional cards can be requested if needed. Medco will also send an announcement letter at the end of September with additional information including website links.

Medco will transfer any existing prescriptions from your current pharmacy benefit manager and will also provide information regarding their Preferred Drug List (PDL) which may differ from your previous provider.

PPO members are still required to use the mail order benefit for maintenance medications. If you have filled a maintenance prescription at a retail pharmacy 3 times you will now need to continue through mail order when filling any subsequent refills.

Note: As of January 1, 2012 Walgreens Pharmacy will no longer be a participating pharmacy in the State's network.

HMO Changes

We are pleased to announce that United HealthCare has signed an HMO service contract with the State as the sole HMO carrier for 18 counties: Bay, Charlotte, Collier, DeSoto, Glades, Gulf, Holmes, Jackson, Lafayette, Lee, Monroe, Okaloosa, Okeechobee, Puntnam, Sarasota, Taylor, Walton and Washington.

The State continues to provide the option of a perfered provider organization (PPO) plan administered by Blue Cross and Blue Shield of Florida.

Employees who live and work in any of these counties who are enrolled in an HMO other than United HealthCare and do not make and active election to change plans will automatically be enrolled in United HealthCare HMO.

Premium Increases

The following dental plans will have a premium increase effective January 1, 2012. Please review your Open Enrollment materials carefully for changes in premium information.

• CIGNA Dental Prepaid

• CompBenefits Network Plus Prepaid

• CompBenefits Preferred Plus PPO

Vendor Name Change

Alta will now be known as CIGNA Health and Life Insurance Company (CHLIC).

Long Term Disability

Human Resources and the Gabor Agency are pleased to announce enhancements to the Long Term Disability plan. Effective September 1, 2011, The Standard Insurance Company will replace our current long term disability carrier, UNUM. The Standard plan will provide a rate reduction with improved benefit coverage.

The new plan from The Standard will provide similar benefits with the following enhancements:

• Lower rates

• Increased maximum benefit to $15,000 per month

• A longer benefit payment period (from age 65 to Social Security Normal Retirement Age*)

• A lifetime benefit period in the event of a Catastrophic Disability**

• Increased income replacement percentage (80%) until Social Security Normal Retirement Age in the event of a Catastrophic Disability**

• A simplified claims process for disabled employees.

Employees who are currently not enrolled in LTD now have the opportunity during this special open enrollment period of September 1 through November 18, 2011 to enroll with no medical underwriting.

Please note that if you are currently enrolled in the Long Term Disability plan, no action is required if you wish to continue your coverage with The Standard. However, employees who want to reduce their waiting period from 90 to 30 days may do so during a special open enrollment scheduled for September 1 through November 18, 2011. Human Resources will be forwarding a brochure and enrollment form via interoffice mail in the next week with additional information.

To verify in which waiting period option you are currently enrolled, login to Gulfline at http://gulfline.fgcu.edu and select the following menu items:

• Employee

• Benefits & Deductions

• Benefit Statement (select current)

• The ‘Plan Cd:’ field under Long Term Disability will display whether you are enrolled in the 90 or 30 day waiting period option

Should you have questions about the new disability plan or rates, please visit the Gabor Agency website at www.gaboragency.com/ltd. Aaron Cheesman, our Gabor representative, will also conduct several on campus enrollment meetings during the coming months. Dates and times will be announced soon. Mr. Cheesman may be reached at 850-321-3790 or acheesman@gaboragency.com.

Co-Pay

The copays listed are for the standard PPO and HMO plans. Health investor plans do not have copays.

Prescription Drug Copay

The copays listed are for the standard PPO and HMO plans. Health investor plans do not have copays.

With a shortened Open Enrollment period, it is important to be prepared prior to November 7th.  Our office will be emailing your People First  ID number in October.  A few things you can do to get ready include:

• People First passwords expire every 90 days. Reset your password by logging onto the People First web site and following the Forgot Password instructions. For further assistance, call 1-866-663-4735. It is important to do this now, as the People First service center will be very busy during the 2 week open enrollment period, and you will experience a long wait time to reset your password.
• Verify that your home address is accurate in the People First system.  If your address is incorrect in the People First system, please email our office no later than October 18 at HRRecordsTeam@fgcu.edu with your correct address and we will update our records as well as forward an update to People First. 
• Verify that your dependent(s) information is correct, your coverage levels are accurate and the appropriate dependents are tied to your various benefit coverages in People First.   
• Watch for your Open Enrollment packet beginning the week of October 24. The packet will be mailed to the home address on file in the People First system as of October 20^th.  Review the enclosed Benefits Statement carefully but remember that the statement WILL NOT include any  University sponsored benefits in which you are enrolled, such as Long Term Disability and Long Term Care.  University sponsored benefits in which you are enrolled can be found on your Benefits Statement on Gulfline.
• Refer to the state’s myBenefits and HR’s Open Enrollment  website frequently for updates. 
• Review all information and consider your needs and available benefit options carefully in order to make the best possible choices for the 2012 Plan Year.

How to Make Open Enrollment Changes

Online enrollment - the People First online system at https://peoplefirst.myflorida.com/ will be available 24 hours a day, 7 days a week.  

People First Service Center Enrollment - Service Center Specialists can be reached at 1-866-663-4735 Monday through Friday 8:30 AM - 5:30 PM, Eastern Time.  

Paper Enrollment Forms – You can request forms from a People First Service Center Specialist by calling 1-866-663-4735 or access enrollment forms online on the People First website or the MyBenefits website. 

Health Plan Cost Estimator

Helps you compare the estimated total costs of the PPO, HMO and Health Investor medical plans available to you - based on the medica coverage you buy through the state and the
care you need during the year.

Medical Reimbursement Cost Estimator

Helps you estimate your out-of-pocket medical, dental and vision costs, and see the possible federal tax savings if you use this account to pay for those expenses with pre-tax dollars.

Other valuable calculator tools are avaialble on the MyBenefits website.

Behavioral Health Benefits for PPO Plan Memebers 

Effective December 1, 2011, New Directions Behavioral Health will be the contracted network manager for BlueCross and BlueShield of Florida (BCBSF) assisting in the management of  behavioral health benefits on behalf of BCBSF for all members, including State Employees’ PPO Plan members. This is similar to other network management programs BCBSF and other major healthcare companies utilize today throughout the country.

Plan provisions and coverage for mental health services remain the same. New Directions will be involved in the utilization management of all acute inpatient psychiatric and substance abuse admissions, case management and physician consultation for difficult cases and will integrate medical and behavioral case management for co-management of co-morbid cases just as it is done for the State Employees’ PPO Plan members today.

In addition, with state approval, New Directions can offer a number of  programs not offered today, such as 24/7 member access, assertive case management, New Directions case and care technology, and Employee Assistance Plan (EAP) services, all of which provide additional value to members.

Before receiving any health care or mental health services, members should always call providers to be sure they are still in the BCBSF or New Directions network. Out-of-network services are covered, but members pay a higher out-of-pocket cost.

If a mental health care provider leaves the network, members can call New Directions at (888) 611-6285 and nominate the provider for inclusion in their network.