2021 BENEFIT PLANS

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.

MEDICAL PLANS

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. Medical Mutual of Ohio Customer Service: 1-800-228-6472.

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
MedFlex Plan Guide
MedFlex Member Brochure
Maximum Value/HSA Plan Guide
Minimum Value Plan Guide

Summary of Benefits and Coverage-Advantage Plan
Summary of Benefits and Coverage-MedFlex Plan
Summary of Benefits and Coverage-Maximum Value/HSA Plan
Summary of Benefits and Coverage-Minimum Value Plan

Preventive Care Prescription Drugs
HSA Prevention Care Screenings and Immunizations
HSA Preventive Immunization Coverage List
MMO Claim Form
First Stop Health Telemedicine

Learn more about continuing coverage through COBRA - contact Kym Komaschka, (330) 643-2621, kkomaschka@summitoh.net.

FIRST STOP HEALTH TELEMEDICINE

Your telemedine benefit is provided through County of Summit. The next time you don't feel well, experience a minor injury or illness, or are traveling and run out of a prescription, call 888-691-7867 to talk to a doctor or log into www.fshealth.com.

No appointment needed - call 24/7/365
Avoid time-consuming and costly trips to doctors' offices, urgent care clinics, and ERs
Prescriptions when appropriate
No copay or fee to use the service
Unlimited calls for you and your covered dependents
Benefit provided to all County of Summit employees and their family members

Get the Google or Apple app or call 888-691-7867

First Stop Health Telemedicine

HEALTH SAVINGS ACCOUNT (HSA)

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.

You can use the money in your HSA to pay for qualified medical expenses now or in the future. Your HSA can be used for your expenses and those of your spouse/domestic partner and dependents even if they are not covered on the HDHP.

You are eligible to open and fund an HSA if you:

Are enrolled in an HSA-Eligible HDHP
Are not covered by other non-high deductible health plans, such as your spouse’s health plan, Health Care Flexible spending Account, or Health Reimbursement Account
Are not eligible to be claimed as a dependent on someone else’s tax return
Are not enrolled in Medicare
Have not received Veterans Administration benefits

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
HSA Participant Benefits
TASC HSA Investment Toolkit
HSA Transfer Form
Transferring 2020 HSA: HSA Transfer forms can be emailed to: HSA@avidiahealthcaresolutions.com after 12/31/2020.
HSA and Medicare Brochure

PRESCRIPTION PLANS

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. Express Scripts Customer Service: 1-800-417-1961.

Advantage and MedFlex Plans Rx Summary
Mail Order Form
Zero Copay Program
SMART90 Pharmacy List
Prescription Drug Formulary
In-Network Pharmacy Directory

DENTAL PLANS

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. Click on Guardian Dental to register and obtain additional plan information by calling customer service 1-888-600-1600. You will need the Guardian Dental Group ID 00543971 to register.

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
With the Value Plan, you can visit any dentist; but you pay less out-of-pocket when you choose a in-network PPO dentist. Out-of-network benefits are limited to Guardian's fee schedule and subject to balance billing.

Dental ID and Online Access
Dental PPO and Value Plan Comparison
Dental PPO and Value Plan Benefit Summary
Dental PPO Benefit Book
Dental Value Plan Benefit Book
Dental Claim Form
Dental Provider Search

College Tuition Benefit
Guardian College Tuition Benefit
College Tuition Benefit Video

VISION PLANS

Summit County provides you and your eligible dependents a Vision Care Program through Davis Vision. Click on Davis Vision or call 1-800-999-5431 to access network providers.

Davis Vision Benefits Summary
Davis Vision ID Card
Glass.com Online Retailer
Davis Vision Lasik Services Flyer
Davis Vision Mobile App Flyer
Warranty Policy Versant Health
Hearing Health Care Plan

LIFE INSURANCE

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
Guardian Voluntary AD&D Summary
Guardian Voluntary Insurance Enrollment Form
Evidence of Insurability Form
Guardian TravelAid
Guardian Will Prep Service
Guardian Life Insurance Video

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
Voluntary Life Beneficiary Form

FLEXIBLE SPENDING AND HEALTH REIMBURSEMENT ACCOUNTS

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
TASC Debit Card
FSA Eligible Expenses
FSA Participant Benefits
Dependent Care FSA Qualifications
Flexible Spending Account Summary Plan Description
Health Reimbursement Account Summary Plan Description

SUMMARY PLAN DESCRIPTION AND CERTIFICATES

Medical/Prescription Plans

Dental Plans

Dental Certificate PPO
Dental Certificate Value Plan

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
Health Reimbursement Account Summary Plan Description