
All contract employees and all non-contract employees working 30 hours or more per week are eligible for medical insurance coverage. New employees must complete online enrollment within 31 days of their eligibility date to be covered (if eligible for benefits on May 1, enrollment must be completed by May 31). Please contact Human Resources to confirm your eligibility for benefits — most employees are eligible for benefits the first of the month after date of hire. Premiums are paid through payroll deduction and may be sheltered from income tax under Section 125.
Instructions for completing Online Enrollment
It's more important than ever to make informed decisions about your health care. With that in mind, we have partnered with BCBSKC to design health benefits that give you and your family added choice and flexibility. You have your choice of three PPO plans and two HMO plans. The difference in each plan is the out-of-pocket cost to you. On each plan, you have the option to choose between four levels of coverage: Employee Only, Employee & Spouse, Employee & Child(ren), or Employee & Family.
When choosing a health benefits plan, the most important question is: Will it provide the right amount of coverage for you and your family? After deciding how much coverage you need, consider the costs — and when you pay them.
There are two ways you contribute to the cost of a health plan:
If you need medical care often, you might want to pay more up-front and less as-you-go costs. Budgeting is easier because your premium costs are always the same, and you won't have huge expenses for any major, unexpected medical treatment.
If you see a doctor or need prescriptions only two or three times a year, it might make more sense to pay less up-front and more as-you-go. This way, you can save the premiums and avoid paying for more coverage than you might use.
Members can choose from one of 5 programs: $2,500 PPO, $1,000 PPO, PPO 250, and HMO 1 (click the plan name for a detailed .pdf benefit summary or click here for a side-by-side comparison of all 4 plans).
To obtain a list of providers participating in either network, log on to the Employee Service Center website at www.cbizesc.com/kckps. From the main menu, select "Medical Plan" then select "Providers."
The Prescription Drug Plan is a separate plan from your medical plan. The Deductible and Copays under this plan are not applied to any deductible or out-of-pocket maximum under your medical plan.
The District will pay the cost of single coverage for the $2,500 PPO plan. You can choose to "buy-up" to one of the other options, but you will have to pay the difference in premium. If you choose coverage for your dependents on any of the options, you will also have to pay the additional cost.
Premiums are deducted per pay period (the 15th and last day of the month). Your per pay period costs for the plan year beginning on July 1, 2011 and ending on June 30, 2012 are shown below.
| Total Monthly Cost | | Your Per Pay Period Cost |
|
|---|---|---|
| 2500 PPO Employee Only Employee and Spouse Employee and Child(ren) Employee and Family |
$374.36 $818.94 $730.00 $1,100.52 |
$0.00 $222.29 $177.82 $363.08 |
| 1000 PPO Employee Only Employee and Spouse Employee and Child(ren) Employee and Family |
$395.24 $864.62 $770.72 $1,161.92 |
$10.44 $245.13 $198.18 $393.78 |
| PPO 250 Employee Only Employee and Spouse Employee and Child(ren) Employee and Family |
$486.00 $1,064.38 $948.70 $1,430.66 |
$55.82 $345.01 $287.17 $528.15 |
| HMO 1 Employee Only Employee and Spouse Employee and Child(ren) Employee and Family |
$487.60 $1,067.92 $951.84 $1,435.44 |
$56.62 $346.78 $288.74 $530.54 |
Log on to the BCBS Member Website to check provider participation, prescription drug listings, claims and benefits eligibility. You must first be a member in order to register on www.bcbskc.com. You can check prescription drug information and provider listings without registering.
For questions regarding claims and coverage, please contact BCBS Customer Service at 1-866-811-4589. You must be an enrolled BCBS member to use the BCBS Customer Service Team.
For all other questions, please contact the Benefits Office at (913) 279-2274 or (913) 279-2135 or via email at benefits@kckps.org.
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