Open Enrollment

It’s that time of year again – Open Enrollment for Plan Year 2018-2019!  Our open enrollment period takes place this year from Monday, April 30 through Friday, May 25, 2018 and is your opportunity to make changes to your health, dental, vision, dependent life, as well as voluntary Aflac coverage's.  During this time you may make changes, adding or dropping eligible dependents from coverage.  The only other opportunity you have to make these changes outside of open enrollment is when you experience a qualifying life event such as a birth or adoption of a child, marriage, divorce, loss of coverage, etc.  Any new elections or changes will become effective July 1, 2018, and continue through June 30, 2019.  If you do not want to make any changes to your coverages, you do not need to take any action.

If you do wish to make changes please complete the change form and email to rferebee@emeraldisle-nc.org or feel free to stop by in person to complete no later than Friday, May 25. 

Health Plan – MedCost – High Deductible Health Plan 3000 w/HSA

The Town of Emerald Isle Health Plan will remain with MedCost for the upcoming 2018-2019 plan year and you will continue to receive the same benefits with a deductible for employee coverage of $3,000, and dependent deductible of $6,000 in-network.  The Town’s contribution to employee Health Savings Accounts will remain at $2,200 for the new plan year.  This year the first $1,100 of the Town’s HSA contribution will be made in July 2018 and the remaining $1,100 of the Town’s HSA contribution in January 2019.  The plan coverage’s remain the same with in-network coverage of 100% after meeting your deductible and Wellness Preventive Care in-network still 100% no deductible. (Plan Summary)

Annual contribution limits to your Health Savings Account (includes all employer and employee elected contributions made in the tax year).  Those with individual plans for tax year 2018 may contribute $3,450.  Those with dependents covered for 2018 may contribute $6,900.  Employees 55 or older may contribute an additional catch-up amount of $1,000.  Please be sure if you have pre-tax deductions from your pay to go into your Health Savings Account that the combined employer and employee tax year contributions don’t exceed the established IRS annual limits to avoid tax consequences. (Optional HSA Payroll Deduction Form)

MedCost HDHP 3000

Employee cost per month

Employee cost semi-monthly

Employee Only

$0.00

$0.00

Employee & Child

283.00

141.50

Employee & Children

452.00

$226.00

The Town pays 100% of the health premium for each employee per month in the amount of $561.00.

Plan Changes for 2018-2019 Renewal

New ID Cards:  You will be receiving new ID cards this year.  The old card will continue to work, but the new card has additional information that the provider will need for quicker processing of claims. 

Nutritional Counseling:  Effective 7/1/2018, there will be a total of six (6) visits available at 100% coverage.  Anyone diagnosed with diabetes will receive unlimited visits at 100%.

Complementary or Alternative Medicine (CAM):  Our plan will offer the CAM program to all covered employees and their covered dependents.  Many Americans use health care approaches developed outside of mainstream Western or conventional medicine.  This will be available to our employees beginning 7/1/2018.

The CAM Program provides coverage of complementary and alternative treatments of medical conditions when medically necessary.  Information about the CAM Program details will be mailed to all employees in July 2018:

*Acupressure                                                                   *Homeopathy

*Acupuncture                                                                   *Hypnotherapy

*Ayurvedic medicine                                                        *Massage Therapy

*Biofeedback                                                                   *Naturopathy

*Energy medicine (see Qi Gong and Reiki)                  *Yoga Therapy

Dental Plan – MedCost Benefit Services

The Town’s dental plan as outlined in the first table below will remain the same this year for dental service using any dentist.  There is no network of providers for dental service.  The dental plan calendar year deductible for individuals is $50 per person.  Aggregate family maximum deductible if applicable is $100 per family.  Our dental plan has a plan year maximum benefit for Class I, II, III expenses of $1,000 per person.

Our dental plan provides the option to “buy up” to a different level of dental coverage.  The Town will continue to pay the employee only coverage for our standard renewal plan – Dental Plan II – No Ortho -  but an employee may elect to choose a different plan as outlined in the options provided below and pay the difference pre-tax from their pay if they so choose.

 

Town Plan Dental II  – No Ortho

 

 

Employee cost per month

 

 

Employee cost semi-monthly

 

Employee Only

$0.00

$0.00

Employee & Spouse

$29.00

$14.50

Employee & Children

$32.00

$16.00

Family

$48.00

$24.00

Current Plan Design – Dental II – No Ortho - (Plan Summary)

Deductible                              $50

Family Deductible                 $100

Preventive Services              100%

Basic                                        80%

Major                                      50%

Annual Maximum                 $1,000

 

The Town pays 100% of the current dental premium for each employee per month in the amount of $30.00. 

Compare to the following Buy-up Option:

Dental Plan III – No Ortho

Employee cost per month

Employee cost semi-monthly

Employee Only

$9.00

4.50

Employee & Spouse

$49.00

24.50

Employee & Children

$52.00

26.00

Family

$73.00

$36.50

Plan Design – Dental III - No Ortho - (Plan Summary)

Deductible                                         $50

Family Deductible                            $100

Preventive Services                         100%

Basic                                                   80%

Major                                                 80%

Annual Maximum                            $1,500

Vision Plan – VSP (Vision Service Providers)

The Town’s vision plan as outlined in the first table below will remain the same this year for vision service when using a VSP network doctor.  VSP vision coverage provides for exams every 12 months, lenses and frames every 12 months, or $120 elective contact allowance every 12 months.  Exam co-pays are $10, prescription glasses co-pays are $20.  There are no vision cards; when you make an appointment tell the doctor you are a VSP member.  If you decide not to see a VSP doctor, co-pays still apply, you will receive a lesser benefit, (unless the provider honors VSP), and you’ll be required to pay an out of network provider in full and then submit a claim to VSP for partial reimbursement. 

Our vision plan proves employees the option to “buy up” to a different level of vision coverage.  The Town will continue to pay the employee only coverage for our standard renewal plan – Premier Vision Plan -  but an employee may elect to choose the level up plan as outlined and pay the difference pre-tax from their pay if they so choose.

 

Town Plan Premier Vision

 

 

Employee cost per month

 

 

Employee cost semi-monthly

 

Employee Only

$0.00

$0.00

Employee & Spouse

$6.00

$3.00

Employee & Children

$6.00

$3.00

Family

$13.00

$6.50

Current Plan Design – Premier Vision Plan - (Plan Summary)

  • WellVision Exam:    $10 every 12 months
  • Prescription Glasses:  $20 copayment every 12 months
  • Frame allowance of $120 and $140 for featured frame brands
  • 20% savings on amount over your allowance
  • Or Contacts (instead of glasses) $120 allowance every 12 months

The Town pays 100% of the current vision premium for each employee per month in the amount of $7.00.

Compare to the following Buy-up Option:

Premier Plus Vision Plan

Employee cost per month

Employee cost semi-monthly

Employee Only

$5.00

$2.50

Employee & Spouse

$14.00

$7.00

Employee & Children

$14.00

$7.00

Family

$25.00

$12.50

Plan Design – Premier Plus Vision Plan - (Plan Summary)

  • WellVision Exam:  $10 every 12 months
  • Prescription Glasses:  $20 copayment every 12 months
  • Frame allowance of $160 and $180 for featured brands
  • 20% savings on amount over your allowance
  • Or Contacts (instead of glasses) $160 allowance every 12 months

LIFE INSURANCE

The Town of Emerald Isle provides basic life insurance coverage through Unum Provident for its full-time employees equal to 1x annual salary amount of the employee. The employee at enrollment or after may also choose to purchase dependent life insurance coverage ($2,000 per dependent, $1,000 live birth to 6 months) for a minimal monthly premium of $0.88 post-tax. 

Other Important Reminders

This is always a good time to be sure that your beneficiary information is correct for things like your State Retirement, 401(k) and your basic life insurance coverages provided by the Town in the amount of 1 x your salary. 

Changes can occur over time that might cause us to occasionally need to make adjustments to our beneficiary information and that is something easily overlooked until it’s too late!!!

Voluntary AFLAC Insurance

Our AFLAC representative will be here the week of May 21 – 25, 2018.   You will have the opportunity to make purchases of any AFLAC products or changes if interested at this time. 

Mon. May 21 - @Fire Department 8:30am /  @Admin / Inspections 11:00am

Tues., May 22 - @ Fire Department 8:30am / @ EMS 11:00am / @ Parks & Recreation 1:00 pm/ @ Police Department 4:30pm

Wed., May 23 - @ Fire Department 8:30am / @ Public Works 11:00 am/ @ EMS 1:00 pm /@ Police Department 4:30pm 

Thurs. May 24 - @EMS 8:30am / @ Admin 11:00 am Open Time for all employees not able to meet during above times

Fri. May 25 –  only if needed per AFLAC agent

Our Agent will be contacting anyone unable to meet with her during the scheduled week above.

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See the source imageQuestions?

Contact Rhonda Ferebee, Town Clerk/HR

rferebee@emeraldisle-nc.org