2021 BENEFIT PLANS |
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The County of Summit offers a comprehensive benefit package to its eligible employees and their dependents. These benefit offerings include Medical, Prescription, Dental and Vision coverages, Life Insurance, Employee Assistance Program and Wellness programs and are administered by the Department of Human Resources, Division of Employee Benefits. Click on the links below for benefit information. EMPLOYEE ELIGIBILITY AND ADULT DEPENDENT COVERAGE To be eligible for benefit coverage, you must be a full-time employee working at least 35 hours per week. Benefits are effective on the 1st of the month following the employee’s date of hire. Eligible dependents include: Eligibility verification is only required once upon enrolling in the Summit County Benefit Plan for employees and dependents. You have 30 days from your effective date to submit your Employee Benefit Enrollment and Change Application with your one time verification forms for you and your dependents. (See Required Documents section.) QUALIFYING EVENTS Marriage/Domestic Partnership Divorce/Termination of Domestic Partnership/Legal Separation Birth/Adoption of a Child Birthday/Dependent Age Limit All Qualifying Event changes must be reported to the Employee Benefits department within 30 days of the date of event. Changes must be submitted on an Employee Benefits Enrollment and Change Application and must be accompanied by the appropriate Required Document listed below. REQUIRED DOCUMENTS (Required for new hires and qualifying events) Employee/Spouse/Domestic Partner Child Step-Child Please note: In addition to the birth certificate you must be able to prove the employee/step-child relationship (a valid birth certificate along with a valid marriage certificate listing both employee and spouse would prove the employee is tied to the step-child). In addition to the court order you must be able to prove the employee/step-child relationship (a valid court order along with a valid marriage certificate listing both employee and spouse would prove the employee is tied to the step-child) Federal law allows eligible dependent married or unmarried children to be covered until they reach age 26. Change of Address IMPORTANT ENROLLMENT REQUIREMENTS YOU MUST REPORT ALL CHANGES IN FAMILY STATUS TO THE DIVISION OF EMPLOYEE BENEFITS WTITHIN 30 DAYS OF THE OCCURRENCE. FAILURE TO REPORT CHANGES IN A TIMELY MANNER MAY RESULT IN DELAY OR DENIAL OF COVERAGE OR THE LOSS OF THE OPTION TO EXERCISE COBRA CONTINUATION. IF ELIGIBLE EMPLOYEES, SPOUSES, DOMESTIC PARTNERS AND DEPENDENTS ARE NOT ENROLLED ON THE BENEFIT PLAN WITHIN 30 DAYS OF THEIR ELIGIBILITY DATE, ENROLLMENT WILL BE DEFERRED TO THE NEXT OPEN ENROLLMENT PERIOD. SPECIAL ENROLLMENT RIGHTS You or your Eligible Dependent who has declined the coverage offered by County of Summit may enroll for coverage under this plan during any special enrollment period if you lose coverage or add a dependent for the following reasons, as well as any other event that may be added by federal regulations: To request special enrollment or obtain more information, contact Kym Komaschka, Division of Employee Benefits (330) 643-2621. 2021 County of Summit Domestic Partner Affidavit County of Summit Premiums Summit County offers four health plans that are designed to meet your individual needs. Visit the “My Health Plan” section of the Medical Mutual website to set up a personal secure password and search for provider, order a new ID card, check the status of your claims or print a claim form, reprint an Explanation of Benefits (EOB), view a member handbook or E-mail customer service. Through this site you can also locate SuperMed PPO or MedFlex in-network providers and access your prescription information. With My Care Compare, you can: •Get cost estimates for multiple services from routine lab work and office visits to minor and major surgeries •Compare costs at different locations for the same medical procedure. •View quality ratings of doctors and hospitals. Summary of Benefits and Coverage Advantage Plan Guide Summary of Benefits and Coverage-Advantage Plan Prevention Care Screenings and Immunizations Learn more about continuing coverage through COBRA - contact Kym Komaschka, (330) 643-2621, kkomaschka@summitoh.net. The County’s Maximum Value Plan also offers a Health Savings Account (HSA). An HSA is a personal savings account you can use to pay for qualified out-of-pocket medical expenses with pretax dollars. Both you (through pretax funds from your paycheck) and the county (through Virgin Pulse wellness dollars) are able to make contributions to your account, but you own and control the account. Contributions are not taxed, and you can invest the balance in a variety of options. Your account (including interest and investment earnings) grows tax-free and as long as the funds are used to pay for qualified medical expenses, they are spent tax-free. Employee HSA Enrollment Link: www.tasconline.com If you have questions or concerns about your account, please contact TASC at (800) 422-4661 or www.tasconline.com. HSA Qualified Expenses Summit County's prescription provider is Express Scripts (administered by Medical Mutual of Ohio). Your ID card includes both medical and prescription plan information. Once you receive your ID card you can access your prescription information via the Medical Mutual website to locate an in-network pharmacy, review prescription history, view claims, price medications, refill mail orders, check mail order status and update mail order payment information. Advantage and MedFlex Plans Rx Summary Summit County offers you and your eligible dependents a dental program that gives you the choice of two plan options. The PPO plan offers out-of-network benefits and the Value Plan includes increased in-network benefits. Both plans offer Rollover Options. See link below or click on Guardian Dental to register and obtain additional plan information. Guardian Dental-PPO PLAN With the PPO Plan, you can visit any dentist; but you pay less out-of-pocket when you choose a in-network PPO dentist. Guardian Dental-VALUE PLAN College Tuition Benefit Summit County provides you and your eligible dependents a Vision Care Program through Davis Vision. Click on Davis Vision to access network providers. Davis Vision Benefits Summary The County of Summit provides Life Insurance and Accidental Death and Dismemberment coverage for full time employees. Additional Voluntary Life and AD&D may be purchased in amounts from $10,000 to $300,000 in increments of $10,000 at the employees own expense through payroll deductions. Guardian Voluntary Life Summary You can update your beneficiary during open enrollment, or anytime during the year using the beneficiary forms posted below. Completed forms should be submitted to Kym Komaschka, Employee Benefits in the Russell M. Pry Building, Suite 378 or email kkomaschka@summitoh.net. County Provided Life Beneficiary Form Employees have the opportunity to purchase Voluntary Insurance benefits for coverages such as Accident, Critical Illness and Universal Life. For questions regarding rates, claims and servicing, please contact please contact Charlie Frankel at Charlie.Frankel@NFP.COM or 216-262-3330. CyberScout Identity Theft Benefits Aflac Accident Insurance Summit County offers employees a Flexible Spending Account (FSA) program. These accounts set aside funds, on a pre-tax basis, through payroll deduction, to pay eligible out-of-pocket medical, dental, and dependent care costs. Participating employees are issued a debit card to make payments for eligible items or employees can file paper claims. The Flexible Spending Account program is administered by TASC. If you have questions or concerns about your account, please contact TASC at (800) 422-4661 or www.tasconline.com. TASC Online Account Enrollment Medical/Prescription Plans County of Summit Medical/Prescription Summary - Advantage Plan Dental Plans Dental Certificate PPO Vision Plans Vision Certificate Life Insurance The County of Summit provides Life Insurance and Accidental Death and Dismemberment coverage for certain full time employees. If you would like a copy of this policy, please email you request to kkomaschka@summitoh.net. Flexible Spending and Health Reimbursement Accounts Flexible Spending Account Summary Plan Description Summit County offers employees a Flexible Spending Account (FSA) program. These accounts set aside funds, on a pre-tax basis, through payroll deduction, to pay eligible out-of-pocket medical, dental, and dependent care costs. Participating employees are issued a debit card to make payments for eligible items or employees can file paper claims. The Flexible Spending Account program is administered by TASC. If you have questions or concerns about your account, please contact TASC at (800) 422-4661 or www.tasconline.com. |