[PDF] [PDF] Employee Benefits Guide - AustinTexasgov

following the date you submit the Benefits Enrollment Form not qualify to be claimed on your federal income tax return, retirement system, you must call the Employee Benefits To be eligible to participate in the HSA, you must meet all the requirements below as Current Texas law states a legally married spouse



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Medical l Vision l Dental l Life Insurance l Disability l FSA l Wellness2020

Employee Benets Guide

Contact Information ...............................................2 Bene?ts Guide Information ....................................4 Bene?ts Eligibility ...................................................5 Employee Eligibility ................................................6 Dependent Eligibility ..............................................7 Dependent Documentation .....................................8 Persons Not Eligible ................................................8 Coverage Information .............................................9 Plan Choices ............................................................11 Medical Plans ..........................................................12 Medical Rates ..........................................................12 CDHP w/HSA ........................................................13 CDHP w/HSA Schedule of Benets .......................15 PPO & HMO Schedule of Benets ........................16 PPO & HMO Vision Benets ................................18 PPO & HMO Pharmacy Benets ...........................18 How to Use Mail Order ..........................................19 Diabetic Bundling ...................................................19 Medical Programs ....................................................20 Vision Plan ..............................................................21 Dental Assistance Plan.............................................22 Group Term Life Insurance .....................................23 Employee ................................................................23 Dependent ..............................................................25 Supplemental Life Insurance Worksheet ..................26 Short Term Disability ..............................................27 Long Term Disability ..............................................28 Long Term Disability Worksheet .............................29 Flexible Spending Account (FSA) ............................30 Health Care FSA .....................................................30 Dependent Care FSA ..............................................30 Health Care FSA Worksheet ....................................32 Dependent Care FSA Worksheet .............................33 Legal Insurance Plan................................................34 Employee Wellness ...................................................35 HealthyConnections ...............................................36 Additional Bene?ts ..................................................39 Employee Assistance Program ..................................40 Employee Communications ....................................41 Tuition Reimbursement Program ............................41 Service Incentive Pay ...............................................41 Direct Deposit .........................................................41 Employee Discount Page .........................................42 Smart Commute Rewards .......................................42 Aordable Small Dollar Loans .................................42 Homebuyer Assistance Program ..............................42 Child Care Program ................................................43 Maternity & Lactation Support ...............................43 Commuter Program ................................................43 Leave Programs .......................................................44 Veterans Services Oce ...........................................47 Workers" Compensation ..........................................48 Employee Retirement Systems .................................49 Deferred Compensation Plan ..................................49 Social Security .........................................................49 Important Bene?ts Information .............................50 Summary of Benets and Coverage .........................51 ADA Compliance ....................................................51 Governing Plan .......................................................51 HIPAA ....................................................................51 Women's Health and Cancer Rights Act .................52 Patient Protection and Aordable Care Act .............52 COBRA ..................................................................52 Continuation of Coverage for Domestic Partners ....53 USERRA Continuation of Coverage .......................53 Surviving Dependent Coverage ...............................53 Surviving Family/Work-Related Coverage ...............53 Your Prescription Drug Coverage and Medicare ......54 Health Insurance Marketplace .................................55 Notice to Enrollees ..................................................57 Premium Assistance Under Medicaid and CHIP .....57 Corporate Human Resources Department ...............58 e City of Austin is committed to compliance with the Americans with Disabilities Act.

Call the Human Resources Department at 512-974-3400 (Voice) or 800-735-2989 (Relay Texas TTY number) for more information.

1

City of Austin

Human Resources Department

Employee Benets Division

Bene?ts sta? are available to answer questions you have about your benets.

Phone Number:

512-974-3284

Outlook Email:

HRD, Benets

Email:

HRD.Benets@austintexas.gov

Fax Number: 512-974-3420

For your convenience, make an appointment before visiting our oce.

Oce Hours:

7:30 a.m. to 5:00 p.m.

Oce Location:

505 Barton Springs Road, Suite 600

Online Resources

Resources are available at cityspace, the City"s intranet website, or on the Internet at austintexas.gov/benets. Scan the QR code below for easy access to the Employee

Benets website.

BlueCross BlueShield

Medical Plans

Member Service phone number:

888-907-7880

24/7 NurseLine phone number:

800-581-0368

HSA Bank phone number:

855-731-5220

To ?nd a medical provider, visit bcbstx.com/coa.

1. Under “Find a Doctor," click on View provider

information.

2. Under “Provider Finder," click on HMO Plan,

PPO Plan, or HSA Plan.

3. Click on Browse by Category and select the type of

medical care you are searching for: Medical Care,

Urgent Care Center, or Behavioral Health.

To view the prescription formulary, Explanation of Benets, and print a temporary ID card, visit bcbstx.com/coa.

To register, follow these steps:

1.

Click Log in.

2.

Click Register Now.

3.

Follow the prompts to register.

4. Enter information from your ID card. If you do not have your ID card, you can call 888-907-7880. 2

City of Austin Employees'

Retirement System (COAERS)

6836 Austin Center Blvd., Suite 190

Austin, TX 78731

Phone Number:

512-458-2551

Fax Number: 512-458-5650

Website:

coaers.org

Austin Fire Fighters Relief

and Retirement Fund (AFRS)

4101 Parkstone Heights Dr.,

Suite 270, Austin, TX 78746

Phone Number:

512-454-9567

Fax Number: 512-453-7197

Website:

afrs.org

City of Austin Police

Retirement System (PRS)

2520 South IH-35, Suite 100

Austin, TX 78704

Phone Number:

512-416-7672

Fax Number: 512-416-7138

Website:

ausprs.org

Retirement Systems

3

Davis Vision

Vision Plan

Toll-Free Number:

888-445-2290

To view bene?ts, locate a provider, and check claim status, visit davisvision.com. To register, follow these steps:

1. Click Member.

2. Click Register new account.

3. Enter information from your ID card.

4. Create a username, password, and security

question.

5. Click Register.

For non-members, click the Member link and enter 2481 for

Client Code.

CompuSys/Erisa Group Inc. (Erisa)

Dental Assistance Plan

COBRA Administration

Child Care Reimbursements

Phone Number:

512-250-9397

Toll-Free Number:

800-933-7472

Fax Number:

512-250-2937

Child Care Assistance Email: COADCAA@cserisa.com

City of Austin Dental Plan

To view claim activity, visit coadentalplan.com.

To register, follow these steps:

1. Click Sign In.

2. Enter your ID number from your ID card.

3. Leave password blank.

4. Click Sign In.

5. Follow the instructions to complete registration.

Austin Deferred Compensation Plan

457 Plan (Empower Retirement)

Toll-Free Number: 866-613-6189

Email: dcaustin@empower-retirement.com

To view and manage your account, visit dcaustin.com.

To enroll, click Register.

ARAG

Group Legal Plan

Toll-Free Number: 800-247-4184

Relay Texas Number: 800-383-4184

To view covered services and to locate a participating attorney, visit ARAGlegal.com/myinfo. To register, follow these steps:

1. Click Member Login.

2. Click Create account.

3. Enter your member ID number from your ID card and

your home address ZIP code and click Continue.

4. Enter your email address twice and click Continue.

5. Enter the verication code sent to your email and click

Submit Code.

6. Create a password and click Login.

For non-members, enter 17886COA for Access Code.

Deer Oaks

Employee Assistance Program

Toll-Free Phone Number:

866-228-2542

Relay Texas Number:

800-735-2989

Toll-Free Teen Helpline:

866-228-2542

To view a list of free webinars and counseling services, visit deeroakseap.com. To access, follow these steps:

1. Click Member Login.

2. Type austintexas.gov for the username and password.

3. Click Login.

Total Administrative Services Corporation

(TASC)

Flexible Spending Accounts (FSA) & Debit Card

Phone Number:

800-422-4661

Fax Number:

608-661-9601

To view activity, visit tasconline.com. To register:

1. Click Sign in to Universal Bene?t Account.

2. Under the Participants sign in, click Sign up to establish

your new account.

3. Enter your email and create a password.

4. Enter the verication code sent to your email and click

Verify.

5. Conrm your name and email address and click Continue.

6. Agree to the Terms of Use.

7. Enter your mobile number. Enter the authentication code

sent to your phone and click Verify.

Bene?ts Guide Information

City of Austin employees have access to benets approved by the City Council each year as part of the budget process. e

benets and services oered by the City may be changed or end at any time. ese benets are not a guarantee of your

employment with the City.

is Guide is designed to help you understand your benets. Review this material carefully before making your enrollment

decisions. Your rights are governed by each Plan Instrument, which may be a plan document, evidence of coverage, certicate

of coverage or contract. If there is a conict between the provisions of the plan you selected and this Guide, the terms of the

plan govern.

For detailed information about the plans, refer to each plan instrument, contact the Employee Benets Division of the Human

Resources Department or the vendor.

City Bene?ts

?e City is concerned for the health, welfare, and safety of its employees and is committed to providing cost-eective, sustainable benets that assist employees in being physically and mentally healthy. e benets oered require employees to assume responsibility for the choices they make and to be informed on how to use their benets eectively. As part of this philosophy, the City is committed, as resources permit, to making available a comprehensive benets program that includes plans for: Health care Death benets Wellness Education and training Disability income Paid time away from work Income replacement Childcare e City will explore other areas of benets to the extent they ll a need of a major portion of the workforce and to the extent they can be provided cost-eectively and eciently on a group basis.

Cost-wise Consumerism

Since rising health care costs a?ect both the City and its employees, the City will continue to study new coverage options that help control health care costs. e program is designed to be cost-eective, for both the short term and the long term. e cost of the program is determined in a realistic fashion and does not vary with short term nancial considerations. Employee contributions are required to help nance the cost of parts of the program.

Administration

?e overall administration of the benets program is re-evaluated and revised periodically to ensure it is simple, ecient, cost-eective, and satises overall goals.

Communications

A variety of media is used to

communicate the benets program to employees and their dependents.

Methods used include presentations,

newsletters, the City"s website, video on demand, and CitySource Today. In addition, bene?ts sta? are available by phone or in person to discuss benets questions with employees and their families. Communication goals of the benets program include: Educating employees on how to use their benets.

Employees should understand their responsibility

for the choices they make.

Employees should follow the requirements of the

plans. Educating employees on how to be better consumers of all benets.

Employee choices should be appropriate for their

needs. Employees should contribute to the ?scal integrity and cost-eectiveness of the plans by making informed choices when using their benets. Increasing employee understanding of the value of their benets. 4

Joya Hayes, Director of Human

Resources & Civil Service

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