Joliet Public Schools | District 86

 

Medical

 

Blue Cross Blue Shield of illinois
Provider Finder

Customer Service - Medical (800) 458-6024

 

 

2015 - 2016 OPEN ENROLLMENT FOR

 

Benefit

Open Enrollment Dates

Group Health Plan

October 1 through December 31, 2015

AFLAC

October 1 through December 31, 2015

NCPERS Voluntary Additional Life Insurance

October 1 through November 30, 2015

 

Have questions or need forms?

See the documents section, or call the District Business Office at (815) 740-3196 ext. 213

 

NOT MAKING HEALTH PLAN CHANGES?

NO FORMS NECESSARY –


YOUR CURRENT ELECTIONS WILL REMAIN INTACT.

 

 

 

What is Open Enrollment?

  • Open enrollment is the only opportunity for you to make changes to your health insurance coverage unless there is a relevant qualifying event mid-year and the Business Office is notified and provided with documentation within 30 days of the qualifying event.
  • During open enrollment, you may make certain elections and/or changes to your benefits that become effective January 1, 2016.
  • Completed forms for health plan enrollment and/or changes must be in the Business Office, located at the District Office, by 4:30 p.m. on Friday, December 18, 2015.

 

 

JOLIET PUBLIC SCHOOLS DISTRICT 86 INSURANCE PLAN

HEALTH INSURANCE

Monthly Total Current Premiums* - effective 1/1/2015

Coverage

Full Premium

5% Employee Share

Single

$510.02

$24.99

Family

$1573.44

$77.10

 

Monthly Total 2016 Premiums* - effective 1/1/2016

Coverage

Full Premium

5% Employee Share

Single

$574.06

$28.14

Family

$1759.98

$86.27

 

Pre-Tax Premium Deductions
Premium deductions for active employees are made pre-tax.  Having your premiums deducted pre-tax generally reduces your state and federal tax liability and maximizes your take-home pay.

*FOR BENEFIT ELIGIBILITY REQUIREMENTS AND DISTRICT CONTRIBUTIONS, PLEASE REFER TO THE WORKING AGREEMENT FOR YOUR EMPLOYEE GROUP.  NEW RATES WILL BE EFFECTIVE 1-1-2016.  

 

PLAN CHOICES

Joliet Public Schools District 86 offers one District health plan.  The plan is a Preferred Provider Network (PPO) and is administered by Blue Cross and Blue Shield of Illinois.  A schedule of benefits and coverage is available in the documents section.  Information on the health plan can be found in the documents section or by contacting the District Business Office at (815) 740-3196 ext. 213.

 

PLAN CHANGES FOR 2016

The District health plan has modified coverage effective January 1, 2016 per the Affordable Care Act (ACA) and Illinois State mandates.

 

CHANGES ALLOWED DURING OPEN ENROLLMENT

Eligible employees may use this open enrollment opportunity to:

  • Enroll in the plan
  • Discontinue coverage
  • Add or drop dependents

 

Find the enrollment and change forms to the left under documents, or contact the Business Office at (815) 740-3196 ext. 213.  Open enrollment changes will be effective January 1st of the following calendar year.

 

SUMMARY OF BENEFITS COVERAGE (SBC) AVAILABLE

All health plans are required to make a Summary of Benefits Coverage (SBC) available to health plan participants and beneficiaries during open enrollment.  Employees, participants and beneficiaries can access the SBC’s for the District’s Health Insurance Plan located in the documents section.

 

NOTICE OF CREDITABLE COVERAGE

You can find the notice of creditable coverage located in the documents section, or by contacting the Business Office at (815) 740-3196 ext. 213.

 

HIPAA SPECIAL ENROLLMENT RIGHTS NOTICE

 

Once the open enrollment period closes, you are generally not able to change your benefit elections mid-year.  However, if you declined health and/or dental coverage for yourself or for your dependents (including your spouse) because of other health insurance or group health plan coverage, you may be able to enroll yourself and your dependents in this plan if you or your dependents lose eligibility for that other coverage (or if the employer stops contributing toward your coverage or your dependents’ coverage).  However, you must request enrollment within 30 days after the date your coverage, or your dependents’ coverage, ends (or after the employer stops contributing toward coverage).*

In addition, if you have a new dependent as a result of marriage, birth, adoption, or placement for adoption, you may be able to enroll yourself and your dependents.  However you must request enrollment within 30 days after the marriage, birth, adoption, or placement for adoption.

*Documentation is required for each life event within 30 days from the life event.

To request special enrollment or for more information contact the Business Office at 815-740-3196 ext. 213.

 

BLUE ACCESS FOR MEMBERS

Did you know you can login to Blue Cross Blue Shield and get answers to a number of your questions?  Here is just a few of the things you can do when you login:

  • My Coverage – review benefit details for you and your family covered under your plan.

  • Claims Center – view and organize claims

  • MyHealth – make more informed health care decisions

  • Doctors & Hostpitals – Use the Provider Finder to locate a network doctor, hospital or other health care provider.

  • Order replacement ID cards.

BAM_Find_What_You_Need

22195.0812_IL_Group_Blue_Access_for_Members_Registration_Me

 

BLUE CROSS AND BLUE SHIELD OF ILLINOIS WELL ONTARGET

Well onTargetSM — Wellness involves making healthy choices that enrich the mind, body and spirit. Well onTarget is a program designed to give our employees the tools and support they need, while rewarding you for making healthy choices. To guide them in making healthy choices, participants will have access to a convenient, secure website which includes a health assessment, interactive tools and information as well as a points reward program.

Launch video.

 

BLUE CROSS AND BLUE SHIELD OF ILLINOIS FITNESS PROGRAM

The Fitness Program is available to plan participants through Well onTarget. When you enroll in the Fitness Program you get access to an independently contracted network of leading fitness centers including national and regional chains, participating YMCAs and local exercise facilities for one low price, plus the ability to manage your account and track your fitness center visits online.

The Fitness Program is administered by Healthways, Inc., an independent contractor to Blue Cross and Blue Shield of Illinois, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Texas and Blue Cross and Blue Shield of New Mexico.

Login to your BAM account today and follow the quick links to Fitness Program to get started.

Welcome to Joliet Public Schools District 86

Our schools, as partners with our children's parents and with the community, will create a safe and positive environment in which all students will learn and develop to their greatest potential. All students will be empowered to become lifelong learners, responsible citizens and caring members of their communities.

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