Open Enrollment 2017 - ?· The 2017 employee benefits Open Enrollment period for Boutique Air is ...…

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The2017employeebenefitsOpenEnrollmentperiodforBoutiqueAirisDecember9December22,2016.InsurancePolicieshaveaJanuary1,2017startdate.AtBoutiqueAir,werecognizeouremployeesareatthecoreofoursuccess.ItsourAnnualOpenEnrollmentforourbenefitprograms.Pleasereadandunderstandwhatisbeingofferedtoyouandtherequirementstoenrollorwaivecoveragebelow.2017SUMMARYOFEMPLOYEEBENEFITSGoodnews!Wearekeepingallyourcurrentinsurancecarriersandmakingnochangestoourbenefitplans.Ratesformedicalincreasedslightlythisyear+3.5%.Ratesfordental&visionremainlockedinwitharatepassthisyear.OurMedicalCarrierisUnitedHealthcare,DentaliswithPrincipalPPOandVisioniswithMetLifeVisionPPOPlan.LifeInsuranceiswithMutualofOmaha.WhatdoyouneedtododuringtheOPENENROLLMENTperiod?EmployeeswhoarecurrentlyenrolledinMedical,Dental,VisionandLifeinsurancewillremainenrolledatyourcurrentbenefitlevelcareasofJanuary1,2017.Ifyouarehappywithyourplans,thereisnoneedtocompleteanyinsuranceformsthisyear.Ifyouwishtoenrollorwaiveanyprogramforthefirsttimeormakeachangetoyourcurrentenrollmentelections/waivecoverage,youmustcompletetheappropriateinsurancecarrierenrollmentformsandreturnthemtoHenriRevelbyThursday,December22,2016toensuretimelyenrollmentandaccuratepayrolldeductions.Eachcarrierhasaseparateformwhichrequiresactionifyouareinterestedinmakingachange.Importantnote***EachenrolledemployeewillreceiveanewMedicalIDcardinthemailinthenextcoupleofweeksfromUnitedHealthcare.ThenewIDcardwiththeBoutiqueAirlogoonit.BesuretotossyouroldcardanduseyournewcardforJanuaryasthepolicynumberforMedicalwillbedifferent.PleasegiveyournewIDcardtoyourDoctors&Pharmacywhenyouvisitthem.IfyouuseyouroldIDcard,benefitswillshowyourcoveragehasbeenterminatedasofDecember31,2016.NewEnrollmentsoraddingafamilymemberswillbeforaJanuary1,2017startdate.Ifyouarewaivingcoverage,wewillterminateyouractivebenefitsasofDecember31,2016.Waiversarerequiredannuallyalongwiththereasonforyourwaiver,suchascoveredbyspousesworkplanorVAbenefits.NOTE:Whenanemployerpays100%oftheemployeecosts,allfulltimeeligibleemployeesmustenrollourplansunlesstheyarecoveredelsewhere.TowaivecoveragetheemployeemustcanprovideacopyoftheIDcardandcompleteawaiverformforeachbenefitoffered,annually.AsofJanuary1,2014HealthCareReformAffordableHealthCareActlawsrequireeveryAmericantohavehealthcoverage.Byenrollinginthisplan,youwillmeetthatobligationandBoutiqueAirwillalsomeetourobligationofofferingyoucoveragethatisaffordable.AftertheOpenEnrollmentPeriod,youcannotmakechangestoyourcoverageduringtheyearunlessyouexperienceachangeinfamilystatus,suchas: Lossorgainofcoveragethroughyourspouse,Lossofeligibilityofacovereddependent Deathofyourcoveredspouseorchild,Birthoradoptionofachild Marriage,divorce,orlegalseparation SwitchfromparttimetofulltimeOpen Enrollment 2017 2017InsurancePremiumsContributions:BoutiqueAircontributes100%oftheEmployeecoveragefortheMedical,Dental,VisionandLifeinsurance.Youmayaddyourdependentstoourplans.Employeeswillberesponsiblefor50%ofthedependentscostshare..Formoreinformationonyouremployeebenefits,pleasevisitourinsurancewebsite.Goto:http://benefits.filice.com/boutiqueair DetailedplansummariesarelistedundertheBenefitstab.Youmayfindanswerstoyourquestionsbyreviewingtheplansummaryinformationpostedonthisbenefitswebsite.ClickontheBenefitstabandthenclickonthetypeofplanyouarelookingfor.Eachpagewillprovideabenefitsummarylinktoopenthecarrierssummarydocument. YoucansearchforInNetworkprovidersbyfollowingthelinkstodirectoriesforeachcarrier.ClickontheappropriatebenefitfromtheBenefitstabonyourhomepageandthenclickontheproviderdirectoryoptiontobeginyoursearch. YoumayalsofindPolicyNumbersandcustomerservicetelephonenumbersforeachoftheinsuranceplansundertheBenefitsTab. Downloadableenrollmentformsandformstomakechangestoyourbenefitscoverageareavailableontheformstab. Youcannotenrollormakechangesonthiswebsiteasitisinformationalonly.AlldocumentsrelatingtothecompanysEmployeeInsuranceBenefitsProgram,includingtheSummaryPlanDescriptions,HIPAAPrivacyNotice,GeneralCOBRANoticeandanyotherrelevantPlanNoticesorDocuments,areavailabletoemployeesandtheirdependentselectronicallythroughtheemployeebenefitswebsitenotedabove.NeedreplacementIDcards?IfyouhavelostyourIDcard,pleasevisitourinsurancebenefitswebsitepage.CallcustomerserviceandprovidethemwithyourSSN+dateofBirthtolocateyourrecords.Customerservicewillreorderyouanewset.***Besuretocheckyouraddress.Ifitisoutdated,pleaseupdatewiththeinsuranceplanandconfirmyournewaddresswithHumanResources.Questions?Ifyouhavequestionsorunresolvedissuesafterreviewingyourprogramoptionsforoneofourinsuranceproviders,youarewelcometocontactyourdedicatedBoutiqueAirInsuranceAgencyServiceRepresentative,MelanieRuiz.Melaniewillansweranyquestionsyoumayhaveconcerningyouremployeebenefits,claimproblemsandadministrativeissues.MelanieRuiz,FiliceInsuranceAgencyPhone(925)2997215Fax:(925)9621989orbyemailtomelanie@filice.com

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