Benefits Plan Overview

Pre-Tax Benefits

Health Insurance: The Local Choice – Anthem

Dental Insurance: The Local Choice – Delta Dental of VA

Vision Insurance: The Local Choice – Blue View Vision

Health Savings Accounts: Ameriflex
– Employee Maximum $3,850/year
– Family Maximum $7,750/year
HSA plans can only be established in conjunction with a qualified High-Deductible Health Plan (HDHP)
King William County Public Schools will contribute $250 annually to the employee’s HSA.

Flexible Spending Accounts: Ameriflex
– Medical Reimbursement Maximum: $3,050/year
– Dependent Care Reimbursement Maximum: $5,000/year
You will need to re-enroll in the Flexible Spending Accounts if you want them to continue next year.
IF YOU DO NOT RE-ENROLL, YOUR CONTRIBUTION WILL STOP EFFECTIVE SEPTEMBER 30, 2023.

Dental Insurance: Delta Dental of VA (Stand-Alone Policy)

Cancer Benefits: Colonial Life

Accident Benefits: Colonial Life

Medical Bridge Benefits: Colonial Life

Post-Tax Benefits

Short-Term Disability Benefits: Colonial Life

Long-Term Disability Benefits: Reliance Standard

Critical Illness Benefits: Colonial Life

Life Insurance: Colonial Life
– Term Life Insurance
– Whole Life Insurance

Employer-Paid Benefits

 Employee Assistance Program: NexGen EAP

Please note your insurance products will remain in effect unless you speak with a representative to change them.

Enrollment Period: AUGUST 1, 2023 – AUGUST 15, 2023

Effective Dates: OCTOBER 1, 2023 – SEPTEMBER 30, 2024

ELIGIBILITY:

– Full-Time Employees and Full- Time Bus Drivers working 30 hours per week are eligible for benefits.

IMPORTANT NOTICES:

– When do my benefits start? The plan year for The Local Choice Benefits (Anthem Health, Delta Dental, & Blue View Vision), Delta Dental (stand-alone policy), Reliance Standard Long-Term Disability, Spending Accounts, Health Savings Accounts, and Colonial Insurance products lasts from October 1, 2023 through September 30, 2024. Please Note: Dental benefits (stand-alone policy only) are based on the Calendar Year, running from January 1st through December 31st. Dental benefits (stand-alone policy only) and deductibles will reset every January 1st.

– When do my deductions start? Deductions for The Local Choice Benefits (Anthem Health, Delta Dental, & Blue View Vision) and Delta Dental (stand-alone policy) will begin September 2023. Deductions for Reliance Standard Long-Term Disability, Spending Accounts, Health Savings Accounts, and Colonial Insurance products will begin October 2024.

– Why have my Cancer, Accident, or Medical Bridge benefits not started yet? The Health Screening Rider on the Colonial Medical Bridge plan has a 30-day waiting period for new enrollees. Coverage, therefore, will not begin until October 31, 2023.

– What is an EAP? Your employer offers an Employee Assistance Program (EAP) for you and your eligible family members. An EAP is an employer-sponsored benefit that offers confidential support and resources for personal or work-related challenges and concerns. Please see the EAP pages of this benefit guide for more details and contact information.

– How do Flexible Spending Account (FSA) funds work, and do my FSA funds have to be used by a specific deadline? Flexible Spending Account expenses must be incurred during the plan year to be eligible for reimbursement. After the plan year ends, an employee has 3 months to submit claims for incurred qualified spending account expenses (or 3 months after employment termination date). If employment is terminated before the plan year ends, the spending account also ends. Failure to use all allotted funds in the FSA account will result in a “Use It or Lose It” scenario. Your plan also includes a rollover provision! This means that if you have money left in your FSA at the end of the plan year, you can carryover up to $500 into the next plan year. Any remaining funds beyond $500 is forfeited under the “Use It or Lose It” rule.

– 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.

– How do Dependent Care Account (DCA) funds work and when do they need to be used?  Dependent Care Accounts are like FSA accounts and allow you to request reimbursement up to your current balance. However, you cannot receive more reimbursement than what has been deducted from your pay. It’s important to note that any remaining funds in your DCA account must be utilized before the deadline. Failure to use all allotted funds in the DCA account will result in a “Use It or Lose It” scenario.

– 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 does Pre-Tax vs. Post-Tax Change? Pre-Tax benefits take funds directly from your paycheck to cover benefits before going through State and Federal taxing process. Post-Tax collects funds for benefits after taxes have been taken out. Please be aware there are certain coverages that may be subject to federal and state tax when premium is paid by pretax 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 Mid-Year Event, as defined by the Internal Revenue Code. Examples of a mid-year events can be found in the chart on the next page. Once a mid-year event has occurred, an employee has 30 days to notify PGB’s Service Center 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.