Getting Ready for Open Enrollment 2021

 

Open Enrollment is right around the corner and it is a great time to review your benefits. How often did you go to the dentist this past year? Are you filling maintenance prescriptions that might be cheaper through mail order? Did you complete your two-step wellness program incentive tasks? These are questions to consider when thinking about next year’s benefit elections.

IMPORTANT: All Open Enrollment meetings will be virtual this year!

System Benefits Administration will conduct virtual open enrollment meetings by Webex throughout the month of July. A calendar is posted on the Open Enrollment website and below with information on how to attend your virtual Open Enrollment meeting. Please save this information so you are ready to either call in or log into your meeting by computer.

Here are plan updates for September 1:

  • The employee premium for full-time employees will remain the same for the 6th year in a row! Part-time employee premiums are increasing slightly. Retiree and Grad Plan rates will reduce slightly. Premium sheets for all plans can be found on the Open Enrollment website on June 15th.
  • Delta Dental premiums will remain the same for both the HMO and PPO plans. Night-guards are being added to coverage under the PPO plan.
  • The telemedicine services provided by physicians and specialists during the pandemic will continue to be available and covered by the medical plans. You can utilize these services from an offering physician for the standard copay amount. MDLIVE will continue to have a $10 copay.
  • The Grad Plan telemedicine provider is changing from MDLive to AHP Live Care. There will no longer be a copay to use this service if enrolled in the Grad Plan.
  • Preventive dental cleanings and preventive eye examinations are being added as eligible tasks on the MyEvive Two-Step Personalized checklist. Dental cleaning includes scaling and root planing. Completing one of these tasks in FY21 will count towards your two-step credit in FY22 if you are enrolled in the A&M Care plan!
  • The Healthcare Flexible Spending Account maximum will remain $2,750. However, the extended grace period set by the COVID-19 Relief Bill is in effect for FY21. Read more here. It is important to remember that you must re-enroll in an FSA every year.
  • Retirees enrolled in the Medicare Part D prescription drug plan through Express Scripts can now take advantage of a broader pharmacy network for 90-day prescriptions. You will have the option to fill acute, maintenance, and specialty medication prescriptions through 63,000+ retail pharmacies, as well as through home delivery from the Express Scripts® Pharmacy or Accredo® Specialty Pharmacy. This includes all major chains such as Walgreens and CVS, with the exception of Publix. Maintenance medications can be filled for up to 90 day supplies at any pharmacy in the Broad Performance Medicare Network. To find out more information or to locate a pharmacy, contact Express Scripts Medicare customer service at 1-855-895-4647.
  • Employees enrolled in the Prescription Drug plan through Express Scripts can now take advantage of the Smart90 network. Within this network, you can switch your 30-day supply of daily medication to a 90-day supply and have it delivered to your home by Express Scripts Pharmacy or at a participating retail pharmacy. If the cost of a medication at a retail pharmacy is lower than your plan’s retail copayment or coinsurance, you will not pay more than the retail pharmacy’s cash price, regardless of the number of times you purchase the prescription. In some cases, this price may be less than either your standard retail or mail copayment or coinsurance, so it may save you money. If your doctor prescribes you a daily medication or if you’re already taking one, ask for a 90-day prescription to participate—or visit express-scripts.com/3month today. The Smart90 network does not include CVS Pharmacies, and is restricted to 90-day refills. All other prescription drug fills can be claimed at any in-network pharmacy. Contact Express Scripts customer service at 1-866-544-6970 to locate a pharmacy or find out more information.

A full description of your coverage and exclusions for each plan can be found in the plan’s Summary Plan Description booklet, available on the Open Enrollment website on June 15th.

Open Enrollment Webinar Series

This summer, stay tuned for a full webinar series on all of your optional benefit programs! Beginning June 15th and running through September 15th, join a webinar almost every week. Don’t forget to register! All programs are subject to eligibility requirements such as plan participation and status.

 

  • MDLive – June 8th at 11:00 AM
  • MyEvive – June 15th at 11:00 AM
  • Omada Health – June 24th at 11:00 AM
  • Airrosti – July 13th at 11:00 AM
  • ComPsych Guidance Resources – July 27th at 11:00 AM
  • Ovia Health – August 3rd at 11:00 AM
  • WonDr Health – August 10th at 11:00 AM
  • Hinge Health – August 17th at 11:00 AM
  • Livongo – August 24th at 11:00 AM
  • Well onTarget – September 7th at 11:00 AM

Getting Ready for Open Enrollment 2020

Open Enrollment is right around the corner and it is a great time to review your benefits. How often did you go to the dentist this past year? Are you filling maintenance prescriptions that might be cheaper through mail order? Did you complete your two-step wellness incentive tasks? These are questions to consider when thinking about next year’s benefit elections.

IMPORTANT: All Open Enrollment meetings will be virtual this year!

Due to COVID-19, System Benefits Administration has made the decision to conduct virtual open enrollment meetings by Webex Presentations throughout the month of July. A calendar is posted on the Open Enrollment website and below with information on how to attend your virtual Open Enrollment meeting. Please record this information in advance so you are ready to either call in or log into your meeting by computer.

Here are plan updates for September 1:

  1. The A&M Care full-time premiums are remaining the same for the 5th year in a row; however, other plan premiums, including part-time premiums and the graduate student plan premiums, are changing. Please review the premium sheets found on the A&M System Benefits Open Enrollment website.
  2. Family, group, and marriage counseling will now be covered by the A&M Care, J and 65+ health insurance plans.
  3. A new coverage tier is being added to the A&M Care 65 Plus and A&M Care Plans. Blue Cross and Blue Shield of Texas-designated Blue Distinction Centers have a proven record of delivering specialty care and results. Blue Distinction Center care includes the following categories: bariatric surgery, cardiac care, knee/hip replacement, spine surgery, and transplants. This tier will be covered at 90% coinsurance for inpatient services. The benefits of the Blue Distinction Centers are available to 65 PLUS plan members, but there is no plan savings since, in most cases, Blue Cross and Blue Shield pays what Medicare does not pay for inpatient hospitalizations.
  4. Polycarbonate lenses and standard anti-reflective lenses are now covered in full for participants and dependents enrolled in the vision plan.
  5. The vision premium will have a small increase $.60 per month for employee only and $1.72 for employee and family and include the above additional coverage.
  6. Every 6 years, the A&M System Benefits Administration office is required to bid the insurance plans. This year, during the Request for Proposal process, a new Life Insurance carrier was selected. The Hartford will be the new carrier for FY21, however, there will be no plan changes.
  7. The MDLIVE Virtual Visits copay will decrease from $20 to $10 for the A&M Care, J, and 65 Plus plans. Virtual Visits is a way to conduct doctor’s or behavioral health appointments for non-emergency conditions by phone, video, or the MDLIVE app 24/7. To register for MDLIVE, go to MDLIVE.com/bcbstx and enter the information found on your ID card.
  8. Dependent Life Insurance Plan B has been split into Spouse Life B and Child Life B. This change has not changed the coverage amount and slightly lowered the premium for some enrollees. The premium is now: Spouse Plan B – $1.05; Child Plan B – $0.32 (for one or multiple children).
  9. The Healthcare Flexible Spending Account maximum annual election will increase from $2,700 to $2,750.
  10. The credit hour requirements for voluntary graduate students will be changed from 6 to 5 hours. Continuation coverage for the Graduate Student employee Plan (Grad Plan) will be reduced from 6 months to 3 months.
  11. During a recent records audit, we determined there is no provision to name an alternate beneficiary for Dependent Life Insurance. The beneficiary is the employee or retiree, and if deceased as well, the benefit will go to the estate.
  12. Livongo for diabetes and hypertension, Omada for pre-diabetes and pre-hypertension, and Hinge Health for musculoskeletal conditions are being added as Blue Cross and Blue Shield partner programs. These programs are based on eligibility or diagnosis, and include digital tools to assist with these chronic conditions such as a scale or virtual therapy courses. There will be more information provided about these programs after September 1.

 

Virtual Open Enrollment Calendar and Meeting Presentation Schedule

July 1 – July 31

Below you will find the morning, afternoon, and Retiree Meeting presentation schedules. If your campus or agency meeting is shown on the calendar in the AM, use the AM Presentation schedule for reference. You may join the Webex at any time during the meeting to listen to the vendor presentation for which you are most interested. Click the calendar above, and click on your campus or agency name to quickly get to the Webex meeting for your event. You may also drop off the meeting at any time. You will need the Webex information below to dial in. You may also have received this information from your benefits office via email invite. Please record this information ahead of your meeting.

Call-in Information: 1.855.282.6330 (toll free)
Password: benefits

Access Codes:

TAMIU:  145 341 0876
TAMUCC: 145 785 9574
TAMU-HSC: 145 382 8386
TAMU-K: 145 824 7915?
TAMU (7/13): 145 609 6860
TAMU (7/14): 145 315 7150
TAMUS: 145 679 8555
AgriLife: 145 158 5324
TEEX/TFS/TTI: 145 241 9072
TEES/COE: 145 679 3032
Retiree Meeting: 145 623 6773
WTAMU:145 385 2677
PVAMU: 145 500 0676
TAMUSA: 145 440 6709?
TAMUCT/TAMUT: 145 959 8925
TAMUC: 145 261 3887
Tarleton: 145 863 7222

Dependent Social Security Number Reminder

As part of compliance with the Affordable Care Act (ACA), the A&M System Benefits Administration Office is required to request Social Security Numbers (SSNs) for covered dependents. This information will remain confidential. If you have dependents covered through your A&M System health plan for whom you have not provided an SSN or if you are unsure as to whether you have previously provided your dependent’s SSN(s), go online to Workday (https://sso.tamus.edu/) to check and enter an SSN. After logging into Workday, click on the Benefits Worklet. On the Benefits screen, select Change Dependents.

First Things First: New Fiscal Year Benefits Checkpoints

First Things First: New Fiscal Year Benefits Checkpoints

Check your deductions

Your new benefits plan year began September 1, 2019. It is important to log into Workday through Single Sign On (https://sso.tamus.edu/) and verify the accuracy of the benefits you elected for FY20 by clicking on the Benefits worklet, then “Benefit Elections” in the View column. If you find an error in your benefit elections, contact your human resources office immediately.

Dependent SSN Reminders

As part of compliance with the Affordable Care Act (ACA), the A&M System Benefits Administration Office is required to request Social Security Numbers (SSNs) for covered dependents. This information will remain confidential. If you have dependents covered through your A&M System health plan for whom you have not provided an SSN or if you are unsure as to whether you have previously provided your dependent’s SSN(s), go online to Workday (http:// sso.tamus.edu/) to check and enter an SSN. After logging into Workday, click on the Benefits worklet. On the Benefits screen, select “Dependents” in the Change column.

FY19 Flexible Spending Account Deadlines

If you have remaining funds in your FY19 healthcare or dependent care Flexible Spending Account (FSA), you are eligible for a 2 1/2 month grace period. This means you may file eligible claims with a date of service of September 1, 2018 through November 15, 2019 to use your remaining FY19 FSA funds. All claims related to your FY19 FSA must be filed by December 31, 2019.

Total Rewards Explained

Last year, the Total Compensation Letter for employees of the A&M System was replaced with the Total Rewards page in Workday. You can find it by logging into Workday, clicking on your profile, then Compensation and the Total Rewards tab is on the far right.