Joliet Public Schools | District 86

 

Medical

 

BLUE CROSS BLUE SHIELD

Customer Service - Medical (800) 458-6024

 

 

Have questions or need forms?

See documents, or call the District Business Office at (815) 740-3196 ext. 8213

 

JOLIET PUBLIC SCHOOLS DISTRICT 86 INSURANCE PLAN

 

HEALTH plan

 

Monthly Total 2017 Current Premiums* -  effective 1/1/2017 

Coverage

Full Premium

5% Employee Share

Single

$624.95

$31.25

Family

$1,915.27

$95.76

 

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.    

 

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. 8213.

 

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.

 

CERTIFICATE OF CREDITABLE COVERAGE

To obtain a certificate of creditable coverage, please contact Blue Cross Blue Shield directly via the phone number listed on the back of your insurance card.

 

 

 

BLUE ACCESS FOR MEMBERS(bam)

 

Did you know you can login to Blue Cross Blue Shield and get answers to a number of your questions?

 

BAM provides online access to health and wellness information, and as applicable to your plan, the ability to:

  • Check the status of a claim and see your claims history

  • Sign up to get claim status email alerts

  • Confirm who in your family is covered under your plan

  • View and print an Explanation of Benefits (EOB) for a claim

  • Search for a doctor or hospital in the network

  • Select an option to electronically receive information about your plan

  • Request a new member ID card or print a temporary ID card

  • Make premium payments

  • View alerts on ways to manage health costs and get estimates for medical services and prescription drugs

  • Get estimates for medical services and prescription drugs

 

 

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). 

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.  

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. 8213.

 

 

 

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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