OPEN ENROLLMENT

	This page last modified: Monday, October 15, 2012 Current Openings > Application Process > Application Form Benefits: > Eligibility > Health Benefits:    - COBRA    - HIPAA    - Health Rights Act    - Cancer Rights Act > Retirement    - Deferred Comp > Other Benefits:    - Flexible Spending    - Supplemental Insurance    - Personal Accident Insurance    - SBC Credit Union    - Employee Assistance (EAP)    - Transit & Parking > Leave Benefits > Benefits Forms > Benefits Contacts	OPEN ENROLLMENT for 2013 HAS ENDED All enrollment selections will take effect January 1, 2013. This is your last chance until January 2014, unless you have a qualifying event, to change your medical, dental or vision coverage or to add qualified dependents. This is also the time to enroll in the Health Care and Dependent Care Flexible Spending Accounts (FSA), even if you are already participating. You must enroll again each year to remain in the plan. If you don’t re-enroll, your contributions will stop in pay period 1-2013. Benefit deductions premiums for 2013 will begin in payperiod 2013-2 New FSA deductions for 2013 will begin in payperiod 2013-1 Superior Court Human Resources staff and Alliant representatives will be available to answer your questions, distribute plan materials and help you enroll. Santa Barbara Santa Maria Lompoc October 16, 2012 Jury Assembly Bldg 11:45am-4:30pm October 17, 2012 SM Knights of Columbus Hall 507 South McClelland Street 11:45am-4:30pm October 23, 2012 Lompoc Lunch Room 9:00am-12:00pm Santa Barbara County Superior Court takes pride in offering a benefits program that provides flexibility for the diverse and changing needs of our employees. The Court has worked diligently to provide you with an array of insurance options consistent with the quality and accessibility you have come to expect at the lowest possible insurance premiums. 2013 Plan Year Updates There have been no changes to your insurance plan coverage. The premiums for medical and dental coverage have decreased and there was only a slight increase to the cost for vision coverage..There are two important changes that you need to be aware of: Premium contributions will now be taken 24 times per year rather than 26. With the exception of flexible spending, there will not be benefits deductions in pay periods 6 and 17 of 2013. Benefit deduction premiums for 2013 will begin in pay period 2013-2. The contribution limit for the medical flexible spending plan has been reduced to $2,500 per year.  This is due to healthcare reform. FREE FLU SHOTS For employees enrolled in the Low Option EPO, High Option EPO or PPO plan, FREE flu shots will be available at these meetings. Make sure to bring your Medco card and authorization forms with you to the meeting if you want to receive a flu shot. If you are not enrolled in one of these plans you can get a flu shot for a $20 fee. Please bring a completed flu shot screening questionnaire. Information on the Flu Vaccine can be found here. Flu shots will be available at open enrollment meetings at the following times: Santa Barbara Santa Maria Lompoc October 16, 2012 Jury Assembly Bldg 11:45am-2:45pm October 17, 2012 SM Knights of Columbus Hall 507 South McClelland Street 11:45am-2:45pm October 23, 2012 Lompoc Lunch Room 11:00am-12:00pm NEW FOR OPEN ENROLLMENT 2013: ONLINE ENROLLMENT! Online Enrollment Changes – You can make all of your Medical, Dental and Vision benefits selection changes online by going to the Court’s custom enrollment website at https://www.workterra.net/(S(o4fc4r45jxsk55jto3uj0eiq))/web/login.aspx. Be prepared before enrolling by having your personal information with you such as Dependents' Social Security numbers, birthdates and addresses. Online Enrollment Login Instructions HR staff will be available to assist you if you encounter any problems. Stephanie x4545 Carlos x6698 Cheli x4762 Velia x4715 Lisa x4739 More information can be found in the open enrollment booklet available here If you have questions but are unable to attend a meeting, please contact Care Counsel (888-227-3334) or Superior Court Human Resources. MEDICAL, DENTAL AND VISION Check your Medical, Dental and Vision plan benefits and covered dependents. If you want to change plans or if a dependent is not enrolled now and you want them to be covered, you must do so now or wait until January 2014, unless you have a "qualified change in status." To review your current plan selections you can visit the Employee Self Service (ESS) intranet site or https://www.workterra.net/(S(o4fc4r45jxsk55jto3uj0eiq))/web/login.aspx. We encourage ALL employees to visit the WorkTerra site to verify that your plan selections and covered dependents are correct. If you are currently enrolled in one of the Blue Shield plans, a Golden West dental plan or the VSP plan and want to continue your current coverage, you do not need to do anything; your current elections will roll-over. Rates and Additional Information 2013 Premium Rates for Medical, Dental & Vision 2013 Premium Rates for Part Time Employees: 50% FTE 60% FTE 62.5% FTE 75% FTE 80% FTE 87.5% FTE Rules for Benefits Changes During the Year MEDICAL Medical Plan Provider – for more information including providers: Blue Shield – www.blueshield.com/csac Pharmacy Carrier - Express Scripts (Medco) will continue to be your pharmacy provider for retail and mail order prescriptions for all EPO and PPO plans. Blue Shield is the Pharmacy Provider for the High Deductible Health Plan (HDHP). EPO PLAN Blue Shield EPO (Exclusive Provider Organization): Under the EPO plan, the network of contracted physicians and hospitals are known as Preferred Providers. Under an EPO plan, you do not have an assigned Primary Care Physician (PCP). You are allowed to access medical services from any Blue Shield in-network PPO physician, specialist or facility without having to obtain a referral. All covered services, except for Emergency Care, must be provided by a Preferred Provider. The EPO plan does not provide out-of-network benefits. Low EPO Quick Summary Low EPO Benefit Summary Low EPO Express Scripts (Medco) Prescription Drug Summary High EPO Quick Summary High EPO Benefit Summary High EPO Express Scripts (Medco) Prescription Drug Summary PPO PLAN Blue Shield PPO (Preferred Provider Organization): The PPO plan is designed to provide choice, two levels of service, and flexibility. Participants may go directly to any physician without a referral and have a choice of using preferred (PPO/in-network) or non-preferred (non-PPO/out-of-network) providers. Generally, there are annual deductibles to meet before benefits apply. Participants are also responsible for a certain percentage of the charges (co-insurance), and the plan pays the balance up to the agreed upon amount. PPO Quick Summary PPO Benefit Summary PPO Express Scripts (Medco) Prescription Drug Summary HIGH DEDUCTIBLE Blue Shield HDHP (High Deductible Health Plan): The HDHP plan provides choice and two levels of service; in-network and out-of-network. The HDHP plan uses the Blue Shield national PPO networks so you have a choice of using in-network preferred providers or any out-of-network physician that you choose. There are no copayments; only co-insurance with coverage for in-network providers at a higher benefit level and lower cost to you. This plan has a higher annual deductible that must be met before it begins to pay the appropriate co-insurance amount. An H.S.A. (Health Savings Account) is available to you if you are enrolled in a HDHP plan. An H.S.A. account allows you to contribute using pre-tax dollars and the funds roll over and accumulate year to year if not spent. H.S.A. funds can be used to pay any qualified medical expenses. This type of health savings account is owned by you and is portable. If you decide to terminate the HDHP plan, you will no longer be able to deposit new funds into the H.S.A. account, but funds already in the H.S.A. will remain available for your use. HDHP PPO Quick Summary HDHP Benefit Summary HEALTH SAVINGS ACCOUNT (HSA) Health care savings accounts may only be used in conjunction with the High Deductible PPO health plan. An HSA allows individuals to pay for qualified health expenses and save for future medical and retiree health expenses on a tax-free basis.  It is owned by you and is “portable” so if you leave the Court employment, your HSA stays with you.  The Court will contribute $900 per calendar year ($37.50 bi-weekly) to your HSA while you are enrolled in the High Deductible PPO health plan. During open enrollment, find out if a Health Savings Account (HSA) is right for you. Additional info can be found at: http://www.sterlinghsa.com  HEALTH SAVINGS ACCOUNT (HSA) Health Savings Accounts are administered by Sterling HSA FAQs Setting up a Sterling HSA Account Sterling HSA Service Package Sterling HSA Enrollment DENTAL CHANGES FOR 2013 The Court’s dental coverage will continue through Golden West. Employees will have the choice between the HMO Pacesetter and the PPO Unicare National PPO plans. 2013 Dental Premiums   GOLDEN WEST PPO: Golden West PPO Overview WorkTerra / WorkTerra Log in Instructions     GOLDEN WEST PACESETTER: Golden West Pacesetter Overview Golden West Pacesetter Fee Schedule WorkTerra / WorkTerra Log in Instructions VISION Vision Plan Benefit Summary 2013 Vision Premiums More Choice and Convenience with VSP® Vision Care You’ll have more eyecare providers to choose from with VSP. Finding the right eyecare provider for you is important to your eye health and overall wellness. That’s why, you can choose to see any eyecare provider—a VSP doctor, retail chain affiliate (including Costco), or any other provider. Using your VSP benefit is easy. Whether you choose to see a VSP doctor or a retail chain affiliate using your vision coverage is simple and convenient. Find an eyecare provider who’s right for you. To find a VSP doctor or an affiliate provider, visit vsp.com or call 800.877.7195. Review your benefit information. Visit vsp.com to review your plan coverage along with the details about how your coverage differs with retail chain affiliates and other providers. At your appointment, tell them you have VSP. There’s no ID card necessary. That’s it. VSP will handle the rest—there are no claim forms to complete when you see a VSP doctor or retail chain affiliate. Plus, VSP has made getting your benefit information and finding a doctor easier and more convenient through your Smartphone. Once your coverage is effective, register and log on to vsp.com. You’ll be able to access information on the go—when you need it—from your computer or smart phone: View personalized benefit information, including eligibility Find a VSP doctor or an affiliate provider, including maps, office hours, and contact information Download/print your personalized member vision card FLEXIBLE SPENDING ACCOUNTS This is the time to enroll in the Health Care and Dependent Care Flexible Spending Accounts, even if you are already participating. You must enroll again each year to remain in the plan. If you don’t re-enroll, your contributions will stop in pay period 1-2013. Over-the-Counter (OTC) Drugs and medicines:  as of January 1, 2011, your FSA can not reimburse you for OTC drugs and medicines (other than insulin) without a doctor’s prescription.  OTC drugs/medicines can no longer be reimbursed through your FSA. Flexible Spending Account 2013 ACCOUNT LIMITS: Healthcare spending = $2,500/year Dependent care = $5,000/year Transit = $125/month Parking = $240/month Flexible Spending Account Enrollment Form 2013 Flexible Spending Account Direct Deposit Form Transportation & Parking Account Information Transportation & Parking Enrollment/Change Form Additional info can be found at:  FSA Information SUPPLEMENTAL LIFE AND PERSONAL ACCIDENT INSURANCE (PAI) The Court offers two different ways to plan for life's changes; Supplemental life and Personal Accident Insurance. Both of which can be part of a comprehensive financial plan. Life, LTD & Accident Insurance Enrollment Form Request for Change Form Beneficiary Designation Form Evidence of Insurability SUPPLEMENTAL LIFE For you Life insurance can be purchased for yourself in amounts from $10,000 to $500,000 in $10,000 increments, not to exceed 5 times your annual salary. Supplemental Accidental Death and Dismemberment coverage in the amount of $10,000 is included. While actively at work, benefit amounts reduce to 65% at age 65. Coverage is portable, if you change jobs or retire, you can keep your coverage until age 70. Evidence of insurability must be supplied for any amount of coverage. For your spouse If you are covered for Supplemental Life, you may apply for spousal coverage from $5,000 to $250,000 in $5,000 increments. Spouse coverage may not exceed 50% of the total amount of your Supplemental Life coverage. Evidence of insurability must be supplied for any amount of coverage. For your Children If you are covered for Supplemental Life, you may apply for child life coverage in the amount of $5,000. This benefit is limited to $1,000 for children in the first six months of life. Evidence of insurability must be supplied for any amount of coverage. Additional info can be found at: http://www.sbcourts.org/hr/benefits/misc/ins/sup.asp SUPPLEMENTAL PERSONAL ACCIDENT For you Coverage amounts from $25,000 to $300,000 not to exceed 10 times your annual salary. Benefit reduced by 65% at age 65. Benefit ceases at retirement. For your family Spouse coverage amount equal to 50% of employee coverage. Child coverage is equal to 10% of employee amount. Additional information can be found at: http://www.sbcourts.org/hr/benefits/misc/ins/pai.asp EXPRESS SCRIPTS/MEDCO PHARMACY: Express Scripts/Medco Information Vaccinations Info Approved Preventive Vaccinations ADDITIONAL INFORMATION: 2013 CareCounsel: HealthCare Advocacy Program 2013 Employee Assistance Program (EAP) 2013 HIPAA: Health Insurance Portability & Accountability Act 2013 Prescription Drug Coverage and Medicare 2013 HealthCare Reform Disclosures 2013 CHIP: Medicaid and the Children’s Health Insurance Program Offer Free or Low-Cost Health Coverage to Children and Families 2013 Active Employee Benefit Plan Summary: Plan Year January 1, 2013 - December 31, 2013 This page last modified: 10/12/2012 The information in this summary is not intended to take the place of, or change the official Plan Documents or Summary Plan Description. In the event that the information in this summary differs from the Plan Document, the Plan Document shall prevail.
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