NO CHANGES NEEDED?
If you do not enroll online by November 4th, your current coverage will continue, including your Healthcare and Dependent Care Flexible Spending Account (FSA) elections, effective January 1, 2025. The 2025 deductions will begin with the December paychecks. (Payroll deductions for Flexible Spending Accounts and MetLife Legal will begin with the first payroll in January and continue through the end of the calendar year (20 deductions.))
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What you need to know?
For 2025, we continue to provide you with quality, affordable benefit plans that meet your needs and those of your family.
We want to assure you that we worked hard to negotiate the best possible rates with our insurance carrier. As a result, the district is absorbing 80% of the cost increase, meaning employees will only be responsible for paying 20%.
Medical Plans Changes: Medical Plan Rates are Increasing 7.36%.
Select Open Access Plan:
- Inpatient, Hospice and Skilled Copay: $600 a day for 6 days
- Outpatient Surgery: $600 for a hospital / $500 for non-hospital surgery facility / $250 in a provider's office
- Ambulance Copay: $100 copay
- Allergy Serum Injections: $15 copay
Summary of Plan Changes: Choice Share Plan - this new plan replaces the current Choice POS II Plan.
NOTE: If you are currently enrolled in the Choice POS II Plan, it will automatically roll over to the new plan unless you go in and make changes. The plan is similar but has following changes:
- Network will be the national Select Open Access Network, same as our other plans.
- There will be no out-of-network benefits. You must stay in-network.
- Family deductible increasing from $1,000 to $1,500. Each individual on the plan will only need to meet $500, or the family can collectively reach the $1,500 deductible.
- Inpatient, Hospice and Skilled Copay: $600 a day for 6 days
All four Medical Plans: Home Health visits limited to 90 visit limit per calendar year.
Healthcare Flexible Spending Account Maximum Increased: The healthcare flexible spending maximum will increase to $3,000
A New Virtual Care Network (Primary and Immediate Care) was introduced on September 1st (may be subject to deductible or copay depending upon your plan). Aetna will no longer offer Teladoc as of January 1, 2025.
Employee Assistance Program (EAP): A new Lifestyle Coaching Program will be offered through Resources for Living (resourcesforliving.com - username pcsb, password eap) or by phone 800-848-9392.
No Changes to the following Benefit Plans:
- The Two Dental Plans through Humana Dental and MetLife Dental
- The Life Insurance Plans through The Standard Insurance Company
- The Long Term Disability Plans through The Standard Insurance Company
- The Vision Plans through EyeMed Vision
- All of the Voluntary Plans through MetLife Voluntary Benefits
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DON’T NEED MEDICAL COVERAGE?
Get $75 Per-Pay for Free Benefits: If you don’t enroll in a PCS-sponsored medical plan, you can use your $75 per-pay Board Contribution (credit) to pay for supplemental benefits. You must elect the benefits you want during Annual Enrollment, or you will forfeit the credit. Here’s how it works.
Enroll in these supplemental benefits:
- Hospital Indemnity Plan (HIP)
- Dental
- Vision
- Accidental Death and Dismemberment (AD&D)
- Disability (choose from two options)
- And/or deposit $10 - $25 in a Healthcare FSA (that's up to $500 per year to pay eligible medical, dental or vision expenses.)
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Annual Enrollment Education Zoom Meetings
Use the links below to register:
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Enrolling New Dependents?
Make sure they are eligible and have their Social Security numbers available. New dependents will require verification. You may enroll your legally married spouse and dependent children, which includes biological, step, adopted, foster, or other child for whom you have permanent legal guardianship. Children may be in the plan up to the end of the year that they turn 26. Children over 26 who are disabled may remain on the plans but are required to provide documentation.
Enrolling a New Dependent?
When you add a dependent(s), you are required to submit documentation verifying your relationship to the dependent(s). Scans or legible photos of documents are acceptable. You must email or fax your documentation by November 20, 2024.
- EMAIL: risk-benefits@pcsb.org
- PHONE: 727-588-6197
- FAX: 727-588-6182
- ATTENTION: Verification Representation
IMPORTANT: If documentation is not provided by the deadline, your dependent(s) will not be enrolled.
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Review and update your beneficiaries this Annual Enrollment
Take action. Ten minutes now could save your loved one's hours of heartache later.
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What do I need to do?
IMPORTANT: This is your only opportunity to make changes to your benefits coverage during the year unless you have a qualified family status change. If you don't actively elect your benefits, your current coverage will continue, including your FSA elections. The 2025 deductions will begin with the December paychecks.
Review Your Options: For more information, download your 2025 Employee Benefits & Wellness Guide at pcsb.org/annual-enrollment.
Questions: To speak with a Risk Management and Insurance team member call 727-588-6197.
Elect Your Benefits at Employee Self-Service (ESS): Go to ess.pcsb.org/empss/ by November 4 to enroll.
- Call the Help Desk at 727-588-6060 for assistance with your user ID, especially if your ID is not active!
- For medical queries, call the Aetna Concierge Customer Service Team at 866-253-0599.
For Aetna Onsite assistance, call:
- Aetna Account Manager at 727-588-6367
- Aetna Wellness Specialist at 727-588-6134
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