Insurance Open Enrollment

2020 Health Insurance Open Enrollment 

Open Enrollment Dates: Oct 28 - Nov 8, 2019
Open Enrollment CLOSES at 5 p.m. Nov. 8, 2019
All changes will take effect January 1, 2020

2020 Open Enrollment informaiton is coming soon

EnrollmentButton The link will be active October 28, 2019

If you need additional assistance please contact the Insurance Office at 801-826-5428.

Benefits Fair:

October 29, 2019
Mount Jordan Middle School
4 - 7 p.m.


To help you to get to know our carriers, we will be having a benefit fair during the enrollment window.   Many of our carrier's have online resources and mobile apps that can help you manage your accounts and your personal health. We strongly encourage you to attend, talk with the carriers, ask questions and become familiar with the insurance options and the tools that they offer.  They are eager to assist you and ensure that you have a positive experience.   

We are aware that some participants would like to enroll after attending the benefit fair.   There will be a computer lab available for participants to complete their enrollment.  


 

Summary of Carrier Changes

The District will not be changing the insurance carriers for the 2020 benefit year.  

Summary of Health Plan Changes

There are two major enhancements to the health plans this year.
1) For Individuals who enroll in the High Deductible plan and qualify to participate in the HSA, the District is enhancing the Employer Contribution amount to the HSA  The District will increase the HSA contributions and enhance how those contributions are allocated. In 2020, the District will provide two separate contributions. The first is a direct contribution that will be allocated in equal amounts incrementally over the benefit year. The second is a dollar for dollar match contribution that will depend on the employee’s election amount.
     
        District Direct Contribution

           Single                $400
           Employee +1      $600
           Family                $800

      District $ for $ Match Contribution.  
         Single                 $400
         Employee +1       $600
         Family                 $800

2) PEHP has Enhanced the Star qualified High Deductible plan to allow qualifying medications to be covered with a copay before the deductible has been met.   Please see the PEHP Enhanced Preventive Medication list on the insurance page for more details. This enhancement should benefit employees who have chonic medical conditions that require regular maintenence medications for their medical conditions.

Insurance Carrier Information

 
             
  2020          
  Insurance Plan  Carrier Network Description Phone Number   
  Health Insurance PEHP Advantage Network  The Advantage Network utilizes prodominetely the Intermountain Healthcare system and its assosciated physicians, hospitals and clinics  (800) 765-7347  
  Health Insurance PEHP Summit Network  The Summit Network Utilizes the University of Utah, Iasis, and Mountain Star heatlhcare systems and their associated physicisans, hospitals and clinics    (800) 765-7347  
  Dental Insurance  EMI HEALTH EMI Health  EMI Health administrers four different plan designs.    (800) 662-5850  
  Vision Insurance EMI HEALTH VSP   EMI health administers two plan designs that Utilize the VSP provider network.    (800) 662-5850  
  Life & Disability Insurance MetLife   MetLife administers the District's life & disability Insurance coverage. (800) 929-1492  
  Flexible Spending /HSA Discovery Benefits     Discovery Benefits manages the Districts Flexibles Spendings and Health Savings Accounts.  The also administer the District's COBRA benefits.  (866) 541-3399  
  Employee Assistance program (EAP) Blomquist Hale    The employee assistance program is a counseling service the assist employee and there families with a variety of counseling needs  (801)262-9619  
             
 
   

Open Enrollment FAQs


Q: When is the open enrollment period for the 2019 plan year?

A: Open enrollment will be Oct. 22 - Nov. 2. The Enrollment window will close at 5:00 PM on Friday, November 2, 2018.  All employees who want to have health, dental, vision, flexible spending or HSA elections in the 2019 plan year will need to go through the enrollment process.  Benefits, particularly flexible spending and HSA benefits, will not automatically transfer to the new year.  Voluntary plans that are not changing will also require participants to confirm their elections.

Q: I don't know what my user name an password is for the enrollment system.

The new enrollment system requires to to set your own User Name and Password by first registering on the website.  This is and upgraded security feature and designed ot give you access to your account and no one else.   To register just click on the "new user registration" link that appears under the Password field.  This registriation process is an easy straight forward process,  just fill in the fields as indicated.  the Company Identifier is "Canyons".  More detailed steps are available in the erollment guide included in the supplemental benefit materials.

Q: Will I need to do anything during open enrollment?

A: Yes. As has been the case with previous years, Open Enrollment for the 2019 plan year is mandatory.  This is for your benefit, if you don't complete the open enrollment, you run the risk of not having your preferred benefit elections in the 2019 benefit year.  All employees who are eligible for insurance in 2019, must log in and confirm their election, even if you want to decline benefits. This online enrollment must be completed by 5 pm on Nov 2, 2018.

Q: Why do I have to participate in the enrollment process? Why can't I just be enrolled automatically?

A: The selection of a health plan is a personal decision and depends largely on the employee's personal circumstances. Needs and circumstances change from time to time, we encourage employees to examine their benefit needs annually to determine if any changes need to be made. This is your only opportunity to make changes without a qualifing event, and we suggest that you consider your options and verify your coverages.

Q: How do I choose a health plan: Step 1 – Traditional vs Qualified High deductible health plan?

A: The choice between the Traditional plan and the Qualified High Deductible Health Plan is a choice that rests on your personal feeling about security vs control. The traditional plan is more about security, you pay a higher monthly premium but you pay less for the deductibles and the out of pocket maximum, but conversely you also pay a higher monthly premium even if you don’t require any medical care during the year. The High Deductible plan is more about having control over your health care dollars. You pay substantially less in premium and in exchange you will be expected to cover more of your upfront costs based on the deductible and out of Pocket Maximum. To help manage the insecurities associated with this plan, the IRS allows you to set money aside in a Health Savings Account (HSA); the funds in this account can be used to cover the costs you may incur. A very risk averse person would likely lean toward the Traditional plan, and person who wants to have more control over how their health care dollars are spent will likely lean toward the High Deductible plan.

Q: How do I choose a health plan: Step 2 – Advantage vs Summit

A:  This choice rests on which network you are more comfortable with. The Advantage network is mainly the Intermountain Health Care (IHC) network, whereas the Summit network is essentially the Non–IHC affiliated hospitals and clinics.   This would include Mountain Star, Iasis, and the University of Utah Health Care clinics and hospitals. Some individuals might have strong opinions toward one network or the other, while others don’t really care at all. The plan designs are equivalent and you should receive excellent care through both networks.  If you don’t have strong feelings toward one or the other you may want to look at the list of covered hospitals, on page 11 & 12 of the benefit guide, and select the network with the hospital closest to your home.

Q: How do I choose a Health plan: Step 3 – Base vs Buy Up?

A: This is question largely about out-of-network coverage. While the base option has regional network agreements that allow participants to receive emergency services out of the Utah region, they don’t provide any kind of out-of-network benefit. The Buy Up option allows you to have out-of-network coverage. There are two advantages to the buy up:  first, some participants who travel might have concerns about finding a doctor to treat a medical need while traveling, this option allows them to get services almost anywhere.  Second, some people might be treated for a condition by a specialist that may not be in their preferred network; the buy up allows them to have coverage for this out-of-network specialist. The additional cost is substantial, so you will want to consider your projected out-of-network costs carefully before selecting this option.

Q: I don’t understand the HSA tax dependent rules. Who can I use my HSA dollars for?

A: Because the HSA is governed by the IRS, the HSA regulations follow tax law for dependency. This means that the funds can only be used for medical expenses for either you and your tax dependents. In short if you claim them on your taxes, as a dependent, you can use your HSA dollars for their approved medical expenses.  If you don’t claim them as a tax dependent, you can’t use your HSA to pay for their expenses. The confusion comes because the Affordable Care Act allows children to stay on a parents health plan until they reach age 26, but dependents who are in there 20’s may, or may not be a tax dependent. Let me give you an example, I have two children one age 22 and one age 24. The 22 year old is a student and living at home, I claim him as a dependent for taxes. The 24 year old has graduated from college, is married and has started a career; I don’t claim her on my taxes. I am however, covering both children on my health insurance. I can use my HSA to cover the medical expenses of the 22 year old because they are still my tax dependent; however, I can’t use my HSA to cover the expenses of the 24 year old because I no longer claim her as a dependent on my taxes.

Q: Will my premiums change?

A: As was agreed in the District's annual negotiation there will be a 3% rate increase on the Traditional plan.  The premiums on the High Deductible Health Plan will remain the same.  The Distirct portion of the monthly premiums will also increase by 3%.

Q: Will my benefits change?

A: There will not be any notable benefit changes for the 2019 benefit year.

Q: Why are Socials Security numbers required for my dependents?

A: The Social Security Number is the unique identifier used by insurance companies to reconcile claims data when more than one carrier is involved. Starting January 2015, the Affordable Care Act requires that pharmacy claims and health insurance claims both count toward the annual out-of-pocket maximum. While this is a small change to the plan design it requires a major change to the administrative process. In order to accumulate claims data toward the annual out-of-pocket maximum, the carriers must communicate and reconcile claims between the pharmacy and health administrators. If dependent Social Security Numbers are not recorded in the enrollment system then the claims incurred may not accumulate toward your out-of-pocket maximum correctly. If you do not have Social Security Numbers for your Dependents, please contact the Insurance Department as soon as possible at 801-826-5428 or send an email to This email address is being protected from spambots. You need JavaScript enabled to view it. and we will assess your situation to determine your options.

What carrier changes will occur in the 2019 benefit year.

In accordance with established state procurement guidlines, MetLife was selected as the District's new Life, Accident and Disability coverage Provider.  Discovery Benefis Was selected to administer the Districts HSA, FSA, Limited FSA, Dependent Care FSA and COBRA benefits.