Benefits Open Enrollment Deadline Monday 11/25/24

Good morning,

THIS NOTICE IS FOR ALL HEALTHCARE-ELIGIBLE EMPLOYEES:

A reminder that time is running out…have you made your changes and selected a vision plan?

Changes must be received by November 25, 2024.

  • Choose a vision plan – Starting January 1, 2025, the PEBB Program will offer standalone vision plans, which means routine vision coverage will be separate from your medical coverage. Routine vision coverage includes routine eye exams, eyeglass frames and lenses, and contact lenses. Treatment for medical conditions such as infections, eye diseases (like glaucoma), and eye injuries will still be covered under your PEBB medical plan.
  • Make elections and changes online – log in to Benefits 24/7 to make your vision election and any changes. Elections and changes must be submitted no later than November 25. 2024.
  • Even if you are not making changes – Choose a vision plan. If you do not select a vision plan, you and any dependents enrolled on your PEBB account will automatically enroll in MetLife Vision.

You must enroll in an FSA or DCAP each year you want to participate. To enroll in the Flexible Spending Arrangement (FSA), Limited Purpose FSA, or Dependent Care Assistance Program (DCAP): You may enroll in one of two ways:

  • Log in and enroll on the Navia Benefit Solutions website.
  • Complete Navia’s 2025 Annual Open Enrollment form, available on Navia’s (attached), and submit it as instructed on the form. Navia Benefit Solutions must receive your enrollment no later than November 25, 2024.

For questions about:

Cyndi Sandoval
Human Resources Consultant

Open Enrollment Information: FSA, Limited Purpose FSA, and Dependent Care Assistance Program

THIS NOTICE IS FOR ALL HEALTHCARE-ELIGIBLE EMPLOYEES:

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

Flexible Spending Arrangement (FSA), Limited Purpose FSA, and Dependent Care Assistance Program (DCAP):

FSAs allow you to set aside pretax money from your paycheck to pay for out-of-pocket healthcare costs. DCAP allows you to set aside pretax money from your paycheck to pay for qualifying childcare or elder care expenses. If you are participating in the FSA (formerly known as Medical FSA), Limited Purpose FSA, or DCAP for 2025, you must enroll during annual open enrollment even if you are not changing your contribution amount. Navia Benefit Solutions must receive your enrollment no later than November 25, 2024. The minimum contribution amount for the FSA and Limited Purpose FSA in 2025 is $120 and the maximum is $3,200. The maximum annual amount for DCAP in 2024 is $5,000 per household ($2,500 each if you and your spouse file separate tax returns).

How to enroll:

You may enroll one of two ways:

Navia Benefit Solutions must receive your enrollment no later than November 25, 2024.

FSAs and CDHPs don’t mix:

If you enroll in both an FSA and a consumer-directed health plan (CDHP), you will be automatically disenrolled from the FSA. You or your spouse or state-registered domestic partner cannot have both an FSA and a CDHP with a health savings account (HSA) in the same year.

If you have a CDHP with an HSA, you can enroll in a Limited Purpose FSA for eligible dental and vision expenses only.

FSA funds may carry over:

If you are enrolled in an FSA for 2024, unused funds up to $640 may carry over and be used for 2025. IRS rules require that any amount over $640 be forfeited to the plan administrator, the Health Care Authority. The minimum carryover amount is $120. Any amount under $120 will be forfeited unless you enroll in an FSA for 2025.

Deadlines for claims:

All 2024 FSA expenses must be incurred by December 31, 2024. You must submit all 2024 claims to Navia Benefit Solutions for reimbursement by March 31, 2025.

DCAP enrollees have until December 31, 2024, to incur expenses against their 2024 DCAP funds. You must submit all 2024 claims to Navia Benefit Solutions for reimbursement by March 31, 2025.

$250 FSA contribution for represented employees:

If you’re a represented employee earning $60,000 or less annually as of November 1, 2024, you might qualify for a $250 FSA contribution from your employer in January 2025, as per your collective bargaining agreement (CBA). This won’t be deducted from your paycheck and requires no action. If you have at least $120 left in your FSA from 2024, the leftover amount (up to $640) will carry over to an FSA for 2025. If you enroll in a CDHP with an HSA and still have at least $120 in your FSA from the previous year, the leftover amount will be converted to a Limited Purpose FSA. For more information, please visit the CBA FAQs.

For more information

Find out more on the PEBB Program’s Flexible Spending Arrangements and Dependent Care Assistance Program webpages or contact Navia at 1-800-669-3539 from 5 a.m. to 5 p.m. PST, Monday through Friday.

Important Open Enrollment Information

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.
PEBb OE webpage

Please contact benefits@shoreline.edu for any questions.

Important Benefits Message: SmartHealth for Benefit Level Employees

For all benefit level employees:

SmartHealth is included in your benefits and is a voluntary wellness program that supports you on your journey toward living well. Here are a few details to help you know what to expect from SmartHealth in 2024.

1. New SmartHealth experience

Have you heard? Starting in 2024, WebMD, one of the most trusted brands in well-being, will be the SmartHealth program vendor. You will have access to new resources and a more personalized experience. Watch your mailbox and email in January for more information.

The current Limeade SmartHealth platform will be available through 2023. Starting January 2, 2024, you will be able to register to use the WebMD SmartHealth platform. You can get ready now by creating a SecureAccess Washington (SAW) account if you haven’t already. To learn how, see Accessing SmartHealth.

2. Wellness incentive

If you qualified for the SmartHealth wellness incentive in 2023, it will be applied by the end of January 2024. Depending on your medical plan, you will either receive a $125 reduction in your deductible or a $125 deposit into your health savings account (HSA). See the SmartHealth webpage for more details.

Be sure to participate in the 2024 How do I find my $125? SmartHealth activity. It includes steps to follow to see how your wellness incentive was applied. We recommend waiting until the end of January to look for your incentive.

We encourage you to use SmartHealth to support your whole person well-being.

From your PEBB Team

Open Enrollment Ends November 30th- Sign up for Any Changes Today!

Greetings Campus Community~

Just a friendly reminder that open enrollment ends next week.  Now is the time to make changes to your benefits if you so desire. You have until Thursday, November 30th to make changes.

The Washington State Health Care Authority website is full of information to help you understand your benefit choices and make changes if desired.  Please visit the link below to learn all about your options.

Open enrollment (PEBB) | Washington State Health Care Authority

If you have questions or need additional support, feel free to reach out to benefits@shoreline.edu and we would be happy to assist.