THIS NOTICE IS FOR ALL HEALTHCARE ELIGIBLE EMPLOYEES:

Open Enrollment is now open for any changes you may want to make for the 2025 year to your healthcare choice and/or dental plan.

Please note that you need to choose a vision plan this year, it is no longer included in your medical coverage, please see information below.

Changes for 2025

All changes are effective January 1, 2025, unless otherwise noted. You can also view these changes on the PEBB open enrollment webpage and in the October For Your Benefit newsletter.

• Routine vision coverage: Starting January 1, 2025, routine vision coverage will be separate from medical coverage. During annual open enrollment, October 28 through November 25, 2024, you must choose one of three vision plans (Davis Vision by MetLife, EyeMed, or MetLife Vision), or you will be automatically enrolled in MetLife Vision.
• Vision hardware benefit: Under the new vision plans, the hardware benefit will increase up to $200 (from $150) for prescription eyeglasses or contact lenses and will reset on odd years (2025, 2027, etc.)
• Change to medical plan availability: UMP Plus–Puget Sound High Value Network (PSHVN) will leave Chelan and Douglas counties starting January 1, 2025. UMP Plus–PSHVN members in these counties who do not choose a new medical plan during open enrollment will be automatically enrolled in UMP Classic starting January 1, 2025.
• Health savings account (HSA) maximum: The annual maximum contribution to the Health Savings Account (HSA) will increase to $4,300 for a single subscriber and $8,550 for a subscriber with at least one enrolled dependent.
• Deductible for Consumer-Directed Health Plan: The IRS raised the minimum deductible for high-deductible health plans to $1,650 for a single subscriber and $3,300 for a subscriber with at least one enrolled dependent.
• Flexible spending arrangement (FSA): The annual maximum contribution for the FSA and Limited Purpose FSA will increase to $3,200.
• Behavioral health resources: The 2025 Medical Benefits At-a-Glance includes a section to compare behavioral health benefits by plan. You can also visit the Behavioral health services by plan webpage.
• Reduction in cost for inhalers and epinephrine injectors: Out-of-pocket costs will be capped at $35 for a 30-day supply of inhaled corticosteroids combination products and epinephrine autoinjectors.
• Increasing access to Human Immunodeficiency Virus (HIV) Post-Exposure Prophylaxis (PEP): Plans will be prohibited from cost-sharing or prior authorization requirements for at least one full PEP regimen.

Dental plan reminder

The PEBB Program offers two dental plans administered by Delta Dental that are often confused. Sometimes people intend to enroll in the Uniform Dental Plan (UDP) but accidentally enroll in DeltaCare, or vice versa. During open enrollment, be careful to choose the dental plan you want.

• DeltaCare (Group 3100) is a managed-care plan with a narrow network. You must choose a primary care dentist within the network, or you will be assigned a primary care dentist. Your primary care dentist must give you a referral to see a specialist. The plan will not pay claims if you see a provider outside of the network.
• Uniform Dental Plan (Group 3000) is a preferred provider plan. You may choose and change to any dental provider at any time, but you will typically have a lower out-of-pocket cost if you see in-network providers.

Compare your dental plan options on the PEBB Program’s Dental plans and benefits webpage. Before you enroll in a dental plan, check with the plan (DeltaCare or UDP, not the provider) to see if your provider is in the plan’s network and confirm the group number. You can call the dental plan’s customer service or use the plan’s online directory.

For questions about:

• Your enrollment or PEBB account: Contact your payroll or benefits office.
• Benefits: Contact the plans.
• Benefits 24/7: Go to the Help with Benefits 24/7 webpage or call the login assistance phone line at 1-866-335-0043. This line is designated for employee login issues only. Contact your payroll or benefits office for non-login related issues.

Please contact benefits@shoreline.edu for any questions.