St. Joseph Mercy Oakland, Pontiac - AFSCME
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My Health & Welfare
For detailed information on your benefit plan options, please
take a moment to review the information provided below, or
you can proceed to Enroll
Now to complete your enrollment process.
Medical |Dental
| Vision
Life Insurance | Flexible
Spending | Legal
New overage dependent child definition for 2010:
Your dependent child may be eligible to be on your health
coverage through the end of the year they turn 26. Please
click
here for more information.
Planning to add dependents?
In order for new family members to be eligible for coverage
under any Trinity Health benefit plan, you are required to
provide proof of their dependent status. If you are planning
to add family members during annual enrollment, you must submit
dependent verification information to Human Resources within
31 days of your new hire or status change date. If
you do not submit the required paperwork by the deadline,
your newly added dependents will not be enrolled in coverage
and you will be required to wait until the next annual enrollment
period to enroll new dependents in the plan.
Required Documents
2010 Open
Enrollment Booklet and Plan Highlights
Medical
NEW!!!!
Effective July 1, 2010 Trinity Health and its Ministry
Organizations transitioned from Medco, our previous pharmacy
benefit manager (PBM), to CVS Caremark. This change
applied only to associates who are covered under a self-insured
medical plan (that is, Blue Cross Blue Shield of Michigan,
or Aetna). It does NOT apply to fully insured plans (Blue
Care Network (BCN), Priority Health HMO, etc.).
Visit www.caremark.com
for more information.
Medical Plans
You have a choice of four medical plan options - EPO High
Option A, PPO High Option A, Blue Care Network HMO, and Health
Alliance Plan HMO.
Find a BCBSM Participating
Provider.
Use the plan comparison tool to Estimate
My Plan Costs
PPO High
Option SPD |
PPO High Option Summary
EPO SPD
|
EPO High Option Summary
Caremark
Summary of Material Modification - Effective 7/1/2010
Summary of
Material Modification - Transplants
BCN Summary
HAP Summary
Pharmacy Discount at St. Joseph Mercy Oakland, click
here for details.
> Looking for a
St. Joseph Mercy Oakland Doctor? Visit the St. Joseph
Mercy Oakland website and search our Find
a Physician directory!
Dental
You have a choice of two dental plan options - Delta Dental
Premier and Delta Dental Preferred.
Delta Premier Standard
Summary
Delta Preferred High
Summary
Delta Premier Certificate
Delta Preferred Certificate
Vision
You have the option of electing two vision benefits through
United Healthcare(UHC) Vision.
UHC
High Vision Summary
UHC
Standard Vision Summary
UHC
Vision Benefit Booklet
UHC High Vision
SPD
UHC Standard
Vision SPD
Life Insurance
Full-time and Part-time associates continue to have Basic
Life Insurance provided at 1x annual salary.
In addition, you continue to have the option to purchase
additional coverage for yourself and your dependents in the
increments provided below.
| For
Yourself |
For
Your Spouse |
For
Your Child(ren) |
1x annual salary
2x annual salary
3x annual salary
4x annual salary
5x annual salary
|
$10,000
$20,000
$50,000
$100,000 |
$2,000
$5,000
$10,000
$20,000 |
Please Note: some elections may require a Statement
of Health. It is your responsibility to complete and return
your Statement of Health during the Enrollment Period.
Life Insurance Certificate
Statement of Health Form
Beneficiary Designation
Form
Flexible Spending
A Flexible Spending Account (FSA) gives you a way to pay
for your out-of-pocket health care and / or dependent care
expenses with before-tax dollars.
Click here
to help estimate your health care and / or dependent care
expenses.
Health Care Spending - you may contribute pre-tax
dollars in any amount between $130 and $5,000 annually. Contributions
made to the HCSA during the 2010 calendar year will be eligible
for reimbursement on services incurred from January 1, 2010
through March 15, 2011. The claim submission deadline will
continue to be March 31st. This 2-½ month extension
is allowed under new IRS guidelines. Please consider this
extension when making your 2010 elections.
Over-the-counter Medications (OTC) - Certain
OTC items qualify as "medical care" and are eligible
for reimbursement through an HCSA. Examples of such items
include asprin, allergy and sinus medications, antacids and
more.
Dependent Care Spending - you may contribute pre-tax
dollars in any amount between $130 and
$5,000 annually.
Click here
for additional information regarding HCSAs and DCSAs.
Direct Deposit - You can elect to have your reimbursements
automatically depositied into your checking or savings account
by signing up for direct deposit. Simply complete a Direct
Deposit Authorization Form and submit your completed form
to Aetna.
Aetna Navigator - HCSA participants can track HCSA
account statuses through Aetna Navigator, Aetna's member self-service
website. Navigator is available 24 hours a day, 7 days a week.
Through Aetna Navigator, you can check the status of your
HCSA, review your HCSA balance, sign up for Direct Deposit,
print claim forms, and much more. Once you enroll in an HCSA,
you can register to use Aetna
Navigator.
Healthcare Spending
Account Claim Form
Dependent Spending
Account Claim Form
Over-The-Counter Drug Claim Form
Direct Deposit Authorization
Form
Flexible Spending Accounts
Summary Plan Description
Legal
You have the choice of electing legal coverage through Hyatt
Legal for yourself and your family.
Hyatt
Legal Brochure
Hyatt Legal SPD
|
