Benefits forCity of Martinsville

Important Information About Your Enrollment

IN-PERSON

During your annual enrollment period, a PGB Benefits Representative will be available by appointment to meet with you one-on-one to help you evaluate your benefits based on your individual and family needs, answer any questions you may have, and assist you in the enrollment process.

ANNUAL ENROLLMENT PERIOD: April 21, 2025 – May 9, 2025
ELIGIBILITY:

– Employees working 40 hours or more per week are eligible for all benefits.

IMPORTANT NOTICES:

When do my benefits start? The plan year for Colonial Life Insurance Products, The Local Choice (Anthem Health, Delta Dental of VA, and Anthem Blue View Vision), Flex Facts Health Savings Accounts, Dental Dental of VA (Stand-Alone Policy), Aetna Vision (Stand-Alone Policy), and The Hartford Long Term Disability runs from July 1, 2025, through June 30, 2026.

When do my deductions start? Deductions for Colonial Life Insurance Products, The Local Choice (Anthem Health, Delta Dental of VA, and Anthem Blue View Vision), Flex Facts Health Savings Accounts, Dental Dental of VA (Stand-Alone Policy), Aetna Vision (Stand-Alone Policy), and The Hartford Long-Term Disability start July 2025 for enrolled employees.

Why have my Accident or Medical Bridge benefits not started yet? The Health Screening Rider on the Colonial Accident and Colonial Medical Bridge plan have a 30-day waiting period for new enrollees. Coverage, therefore, will not begin until July 31, 2025.

My spouse is enrolled in an Health Savings Account (HSA), am I eligible for an FSA? As a married couple, one spouse cannot be enrolled in a Medical Reimbursement FSA at the same time the other opens or contributes to an HSA.

– Does the City of Martinsville contribute to my HSA? Beginning June 1, 2025, the city of Martinsville will contribute $60/month to all HSAs for employees enrolled in individual health coverage and $83.33/month for HSAs in dependent health coverage. Please Note: HSAs are optional and not automatically set up when you enroll in a High Deductible Health Plan. To receive the employer contribution, employees must enroll in an HSA during Open Enrollment.

When will I get my card? If you will be receiving a new debit card, whether you are a new participant or to replace your expired card, please be aware that it may take up to 30 days following your plan effective date for your card to arrive. Your card will be delivered by mail in a plain white envelope. During this time you may use manual claim forms for eligible expenses. Please note that your debit card is good through the expiration date printed on the card.

I want to sign my family up for benefits as well, what information will I need? If signing up for any coverage on your spouse and/or children, please have their dates of birth and social security numbers available when speaking with the Benefits Representative.

What is the difference between pre and post-tax benefits? Pre-tax benefit contributions are taken from an employee’s paycheck before state and federal taxes are applied. Post-tax benefit contributions are paid after taxes are deducted. It’s important to note that some coverages may still be subject to taxes even if paid for through pre-tax deduction or employee contribution.

Can I change my benefit elections outside of the enrollment period? Elections made during this enrollment period CANNOT BE CHANGED AFTER THE ENROLLMENT PERIOD unless there is a family status change, otherwise known as a qualifying life event (Mid-Year Events), as defined by the Internal Revenue Code. Examples of Mid-Year Events can be found here. Once a Mid-Year Event has occurred, an employee has 30 days to notify PGB’s VA Employee Services at 1-800-387-5955 to request a change in elections.

I have a pre-existing condition. Will I still be covered? Some policies may include a pre-existing condition clause. Please read your policy carefully for full details.

 

YOU CAN MAKE THE FOLLOWING BENEFIT ELECTIONS DURING THE ANNUAL ENROLLMENT PERIOD:

– Enroll in, change, or cancel The Local Choice benefits (Anthem Health, Dental Dental of VA, and Anthem Blue View Vision).

– Enroll in, change, or cancel Health Savings Accounts.

– Enroll in, change, or cancel Dental Insurance (Stand-Alone Policy).*

– Enroll in, change, or cancel Vision Insurance (Stand-Alone Policy).*

– Enroll in, change, or cancel Long-Term Disability Insurance.

– Enroll in, change, or cancel Colonial coverage.

 

*The Dental and Vision Stand-Alone Policies are for employees who have waived coverage under the Local Choice (Health, Dental, & Vision) plan. Employees enrolled in the Local Choice plan may not enroll in the Dental or Vision Stand-Alone Policies.

 

IMPORTANT NOTE & DISCLAIMER

This is neither an insurance contract nor a Summary Plan Description and only the actual policy provisions will prevail. All information in your benefits guide including premiums quoted is subject to change. All policy descriptions are for information purposes only. Your actual policies may be different than those in the benefits guide.