1. Must I enroll during this Open Enrollment period?

No, this is a changes only enrollment. If you are not making any changes to your current healthcare coverage. Your current coverage and your dependent(s)’ coverage will continue. Both plan design and premium changes will automatically be adjusted effective January 1, 2017.

 

2. If I'm enrolled in the Cigna OAP 20 or LocalPlus plan, do I need to select a Primary Care Physician?

Yes, you are required to select a Primary Care Physician for these plans.

 

3. What is this Open Enrollment Period?

This is the period of time determined by your employer, during which you are allowed to make any changes to your current benefits.

 

4. What changes can I make during this enrollment period?

You can add eligible dependents to your medical plan or delete currently covered dependents.

 

5. How do I enroll?

Your open enrollment for healthcare will be online. You must log on to the enrollment website if you wish to make changes and to view your 2017 Employee Benefits Statement.

 

6. Is there a free healthcare option offered?

Yes. The Cigna LocalPlus Plan is being offered at no cost to all benefits eligible employees.

 

7. Will I continue to receive the Flex Credit Dollars?

Employees represented by the AFSCME Union and enrolled in a healthcare plan will receive an annual flex credit of $115. The flex credit will be added to the employees' gross income and paid through the payroll system based on the number of payroll checks the employee receives.

 

10-month employees (20 paychecks) - $5.75

11-month employees (24 paychecks) - $4.79

12-month employees (26 paychecks) - $4.42

 

8. What are my choices if I have healthcare coverage outside the School Board (group healthcare, Medicare or Medicaid)?

You can opt-out of the board offered healthcare plan and in lieu of healthcare coverage, the board will contribute $100.00 per month. You will receive $100.00 a month, paid bi-weekly through the payroll system based on the deduction pay schedule (subject to withholding and FICA) as follows:

 

  • 10-month employees will receive a $60.00 payment in 20 paychecks
  • 11-month employees will receive a $50.00 payment in 24 paychecks
  • 12-month employees will receive a $46.15 payment in 26 paychecks

 

9. If I am opting out of the Board offered healthcare plan, must I submit any additional documentation?

Yes, if you are opting out of the Board offered healthcare plans you must provide proof of the other group, Medicare or Medicaid enrollment. In addition, you will need to submit and sign the Declination of Healthcare affidavit with the proof.

 

10. Will the School Board subsidize my dependent healthcare premium?

No, the Board will not pay a portion of your dependent healthcare coverage.

 

11. Can I enroll in accidental Death & Dismemberment Coverage?

No, AFSCME employees CANNOT enroll in this benefit.

 

12. Can I purchase flexible benefits?

Yes, you can purchase flexible benefits by calling FBMC at 1.855.MDC.PS4U (1.855.632.7748) and requesting an enrollment form.

 

13. How would I pay for my dependent coverage?

The medical dependent premiums will be deducted from your paycheck and FBMC will bill you for the flexible benefits.

 

14. Will my healthcare benefits continue if I am on a Board-approved leave of absence?

If you are out on a Board-approved leave that's eligible for benefits, your healthcare coverage will continue. If you are out on leave of absence that does not provide you with healthcare benefits, you will be given the opportunity of continuing your benefits at you cost.

 

For additional information regarding your current leave status or you want to apply for leave contact the Leave Office at 1.305.995.7090.

 

15. How do I prove that my spouse/domestic partner has group coverage available through her/his employer?

During the online enrollment, an Affidavit will be available and you will be given the opportunity to verify the status of your dependent's group coverage.

 

 

Enrollment Helpline:

1-305-995-2777

7 a.m. to 7 p.m. ET /

Seven days a week

Enrollment Website:

www.dadeschools.net

Benefits Inquiry:

FBMC Service Center

Mon - Fri, 7 a.m. to 7 p.m. ET

1-855-MDC-PS4U (1-855-632-7748)

Office of Risk and Benefits Management

1501 N.E. 2nd Avenue, Suite 335

Miami, Florida 33101

Mon - Fri, 8 a.m. to 4:30 p.m. ET