Hertford County Schools Forms & Links 2021-2022

Colonial Life

Dental

Vision

Telemedicine

Pet Insurance

Flexible Spending Accounts

Henry CG & Henry-Martinsville SS Forms & Links 2021

Health

Colonial Life

Dental

Vision

Flexible Spending Accounts

Henry CG & Henry-Martinsville SS Short and Long Term Disability (VACORP) 2021

Virginia Association of Counties Group Self Insurance Risk Pool (VACORP)

Group Short Term Disability (STD) program provided for its participant by the Sponsor and administered by Anthem Life Insurance Company helps provide financial protection for covered members by promising to pay a weekly benefit in the event of a covered disability.

 

Group Long Term Disability (LTD) insurance from Anthem Life Insurance Company helps provide financial protection for insured members by promising to pay a monthly benefit in the event of a covered disability.

 

Please refer to the plan summary document and your employee handbook for specific plan details, eligibility definitions, limitations, and exclusions

 

Questions about your VACORP Short and Long Term Disability can be directed to:

1-844-404-2111 or www.vacorp.org/hybrid-disability/

Henry CG & Henry-Martinsville SS The FSAStore 2021

FLEX SPENDING WITH ZERO GUESSWORK

Pierce Group Benefits partners with the FSA Store to provide one convenient location for all your FSA-eligible purchases. Through our partnership, Pierce Group Benefits and FSA Store can help you shop for FSA eligible items and answer the many questions that come along with having a Flexible Spending Account.

 

  • – The largest selection of guaranteed FSA-eligible products
  • – 24/7 support, FREE shipping on orders over $50
  • – Are your health needs eligible? Easily check with our expansive Eligibility List
  • – Need an Rx? We’ll work with you to make getting one easier
  • – Learning Center – Get daily money-saving info
  • – Use your FSA Card or any major credit card

 

Accessing FSA Store is easy. Simply visit FSAstore.com/PGBFL for the largest selection of guaranteed FSA-eligible products with zero guesswork. Get $20 off $200+ with code PGBF20. One use per customer.

Accessing the FSAStore is easy. Simply visit www.FSAStore.com!

Henry CG Henry Martinsville SS Enrollment Assistance – BenSelect 2021

HELPFUL TIPS:
  • If you are a new employee and unable to log into the online system, please see the Benefits Representative at your location.
  • If you are an existing employee and unable to log into the online system, please contact Pierce Group Benefits at 888-662-7500 between 8:30 am and 5:00pm, or speak with your Benefits Representative at your location.
  1. Go to https://harmony.benselect.com/henrycounty or  https://harmony.benselect.com/hmss
    • Enter your User Name: Social Security Number with or without dashes (ex. 123-45-6789 or 123456789)
    • Enter your PIN: Last 4 numbers of your Social Security Number followed by last 2 numbers of your Date of Birth Year (ex. 678970)
  2. The screen prompts you to create a NEW PIN [____________________________].
  3. Choose a security question and enter answer [______________________________________].
  4. Confirm (or enter) an email address
  5. Click on ‘Save New PIN’ to continue to the enrollment welcome screen.
  6. From the welcome screen click “Next”.
  7. The screen shows ‘Personal Information’. Verify that the information is correct and enter the additional required information (marital status, work phone, e-mail address). Click ‘Next’.
  8. The screen allows you to add family members. It is only necessary to enter family member information if adding or including family members in your coverage. Click ‘Next’.
  9. The screen shows ‘Benefit Summary’. Review your current benefits and make changes/selections for the upcoming plan year.
    • HEALTH: You may enroll online in Health coverage.
    • HEALTH CARE FSA: Enter annual amount. MAX $2,750/year
    • DEPENDENT CARE FSA: Enter annual amount. MAX $5,000/year
    • DENTAL: You may enroll online in Dental coverage.
    • VISION: You may enroll online in Vision coverage.
    • DISABILITY 3000: You may enroll online in Disability 3000.
    • CANCER ASSIST: You may enroll online in Cancer Assist coverage.
    • CRITICAL ILLNESS: You may enroll online in Critical Illness 6000 coverage.
    • MEDICAL BRIDGE: You may enroll online in Medical Bridge coverage.
    • ACCIDENT 1.0: You may enroll online in Accident 1.0; however persons over 64 age applying for coverage and employees wishing to purchase an individual policy for their spouse must meet with the Benefits Representative.
    • GUNSHOT WOUND POLICY: You will need to speak with the Benefits Representative in order to enroll in the Gunshot Wound Policy. (Henry CG/PSA employees only)
    • TERM LIFE 5000:  You may enroll online in Term Life 5000; however, employees wishing to purchase an individual policy for their spouse should meet with the Benefits Representative
    • WHOLE LIFE 5000: You may enroll online in Whole Life 5000; however, employees wishing to purchase an individual policy for their spouse should meet with the Benefits Representative.
  10. Click ‘Sign & Submit’ once you have decided which benefits to enroll in.

  11. Review your coverage. If any items are ‘Pending’, you will need to decide whether to enroll or decline this benefit.

  12. Click ‘Next’ to review and electronically sign the authorization for your benefit elections.

  13. Review the confirmation, then if you are satisfied with your elections, enter your PIN and click ‘Sign Form’.

  14. Click ‘Download & Print’ to print a copy of your elections. Please do not forget this important step!!!

  15. Click ‘Log Out’.

Henry CG Henry Martinsville SS Important Information About Your Enrollment 2021

IN PERSON

During your open enrollment period, a Pierce Group Benefits representative will be available by appointment to answer any questions you may have and to assist you in the enrollment process.

ONLINE

You may enroll or make changes online to your flexible benefits plan. To enroll online, please visit https://harmony.benselect.com/henrycounty or https://harmony.benselect.com/hmss

 

ENROLLMENT PERIOD: APRIL 12, 2021 – APRIL 23, 2021

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

  • Enroll, change or cancel your Health Insurance.

  • Enroll/Re-Enroll your Flexible Spending Accounts+ (Medical Reimbursement and Dependent Care).

  • Enroll, change or cancel your Vision Insurance.

  • Enroll, change or cancel your Dental Insurance.

  • Enroll, change or cancel your Colonial coverage.

+You will need to re-sign for the spending accounts if you want them to continue each year.

ACCESS YOUR BENEFITS ONLINE WHENEVER, WHEREVER.

 

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 this booklet including premiums quoted is subject to change. All policy descriptions are for information purposes only. Your actual policies may be different than those in this booklet.

Henry CG Henry Martinsville SS Benefits Plan Overview 2021

Pre-Tax Benefits

 Flexible Spending Accounts*

  • Medical Reimbursement Maximum $2,750/year
  • Dependent Care Reimbursement Maximum $5,000/year

*You will need to re-sign for the Spending Accounts if you want them to continue next year.

IF YOU DO NOT RE-SIGN, YOUR CONTRIBUTION WILL STOP EFFECTIVE JUNE 30, 2021.

Health Insurance: Anthem

 Cancer Benefits: Colonial Life

Accident Benefits: Colonial Life

 Medical Bridge Benefits: Colonial Life

 Dental Insurance: Delta

 Vision Insurance: Superior

Post-Tax Benefits

 Disability Benefits: Colonial Life

 Critical Illness Benefits: Colonial Life

 Life Insurance

  • Term Life Insurance: Colonial Life
  • Whole Life Insurance: Colonial Life

Accident Benefits – Gunshot Wound Policy: Colonial Life (Henry CG/PSA employees only)

ENROLLMENT PERIOD: APRIL 12, 2021 – APRIL 23, 2021

EFFECTIVE DATES: JULY 1, 2021 – JUNE 30, 2022

 

QUALIFICATIONS:

Henry County Government monthly and semi-monthly employees working 35 hours or more per week are eligible for all benefits.

 

Henry County Public Service Authority (PSA) employees are eligible for all benefits. PSA employees: if you have questions about your current dental plan, please see HR.

 

Henry-Martinsville SS (HMSS) Employees who work more than 30 hours per week are eligible for all benefits.

 

IMPORTANT FACTS:

• The plan year for Anthem Health, Delta Dental, Superior Vision, Spending Accounts and Colonial Insurance products lasts from July 1, 2021 through June 30, 2022.

 

• Deductions for Anthem Health, Delta Dental and Superior Vision will begin June 2021. Deductions for Spending Accounts and Colonial Insurance products will begin July 2021.

 

• Please visit www.piercegroupbenefits.com/henrycounty to review plan summaries and other required health plan notices.

 

• If signing up for any coverage on your spouse and/or children, please have their dates of birth and social security numbers available when meeting with the Benefits Representative.

 

• 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.

 

• Elections made during this enrollment period CANNOT BE CHANGED AFTER THE ENROLLMENT PERIOD unless there is a family status change as defined by the Internal Revenue Code. Examples of a family status change are: marriage, divorce, death of a spouse or child, birth or adoption of a child, termination or commencement of a spouse’s employment, or the transition of spouse’s employment from full-time to part-time, or vice-versa.

 

• Once a family status change has occurred, an employee has 30 days to notify the Pierce Group Benefits Service Center at 1-800-387-5955 to request a change in elections.

 

• Flexible Spending Account expenses must be incurred during the Plan Year in order to be eligible for reimbursement.

 

• An employee has 90 days after the plan year ends to submit claims for spending account expenses that were incurred during the plan year. Please note that if employment terminates during the plan year, that employee’s plan year ends the day employment ends. The employee has 90 days after the termination date to submit claims.

 

• With Dependent Care Flexible Spending Accounts, the maximum reimbursement you can request is equal to the current account balance in your Dependent Care account. You cannot be reimbursed more than has actually been deducted from your pay.

 

• As a married couple, one spouse cannot be enrolled in an FSA at the same time the other is contributing to an HSA.

 

• The Colonial Medical Bridge plan has a 30-day waiting period for new enrollees. Coverage, therefore, will not begin until July 31, 2021.

 

Additionally, some policies may include a pre-existing condition clause. Please read your policy carefully for full details.

 

• 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.

 

• An employee taking a leave of absence, other than under the Family & Medical Leave Act, may not be eligible to re-enter the Flexible Benefits Program until the next plan year. Please contact your Benefit Administrator for more information.

Henry County Public Schools Forms & Links 2021

Health

Colonial Life

Dental

Vision

Flexible Spending Accounts

Henry County Public Schools Short and Long Term Disability (VACORP) 2021

Virginia Association of Counties Group Self Insurance Risk Pool (VACORP)

Group Short Term Disability (STD) program provided for its participant by the Sponsor and administered by Anthem Life Insurance Company helps provide financial protection for covered members by promising to pay a weekly benefit in the event of a covered disability.

 

Group Long Term Disability (LTD) insurance from Anthem Life Insurance Company helps provide financial protection for insured members by promising to pay a monthly benefit in the event of a covered disability.

 

Please refer to the plan summary document and your employee handbook for specific plan details, eligibility definitions, limitations, and exclusions

 

Questions about your VACORP Short and Long Term Disability can be directed to:

1-844-404-2111 or www.vacorp.org/hybrid-disability/

Henry County Public Schools The FSAStore 2021

FLEX SPENDING WITH ZERO GUESSWORK

Pierce Group Benefits partners with the FSA Store to provide one convenient location for all your FSA-eligible purchases. Through our partnership, Pierce Group Benefits and FSA Store can help you shop for FSA eligible items and answer the many questions that come along with having a Flexible Spending Account.

 

  • – The largest selection of guaranteed FSA-eligible products
  • – 24/7 support, FREE shipping on orders over $50
  • – Are your health needs eligible? Easily check with our expansive Eligibility List
  • – Need an Rx? We’ll work with you to make getting one easier
  • – Learning Center – Get daily money-saving info
  • – Use your FSA Card or any major credit card

 

Accessing FSA Store is easy. Simply visit FSAstore.com/PGBFL for the largest selection of guaranteed FSA-eligible products with zero guesswork. Get $20 off $200+ with code PGBF20. One use per customer.

Accessing the FSAStore is easy. Simply visit www.FSAStore.com!

Henry County Public Schools Important Information About Your Enrollment 2021

IN-PERSON ENROLLMENTS FOR PERSONAL SERVICE

During your open enrollment period, a Pierce Group Benefits representative will be available by appointment to meet with you one-on-one and assist you in the enrollment process. Your representative will help you evaluate benefits based on your individual needs and answer any questions you might have.

 

ACCESS YOUR BENEFITS ONLINE WHENEVER, WHEREVER.

 

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 this booklet including premiums quoted is subject to change. All policy descriptions are for information purposes only. Your actual policies may be different than those in this booklet.

Henry County Public Schools Benefits Plan Overview 2021

Pre-Tax Benefits

 Flexible Spending Accounts*

  • Medical Reimbursement Maximum $2,750/year
  • Dependent Care Reimbursement Maximum $5,000/year

*You will need to re-sign for the Flexible Spending Accounts if you want them to continue next year.

IF YOU DO NOT RE-SIGN, YOUR CONTRIBUTION WILL STOP EFFECTIVE JUNE 30, 2021.

Health Insurance: Anthem

 Cancer Benefits: Colonial Life

 Medical Bridge Benefits: Colonial Life

 Accident Benefits: Colonial Life

 Dental Insurance: Delta

 Vision Insurance: Superior

Post-Tax Benefits

 Disability Benefits: Colonial Life

 Critical Illness Benefits: Colonial Life

 Life Insurance

  • Term Life Insurance: Colonial Life
  • Whole Life Insurance: Colonial Life

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

 

ENROLLMENT PERIOD: APRIL 12, 2021 – MAY 7, 2021

EFFECTIVE DATES: JULY 1, 2021 – JUNE 30, 2022

 

QUALIFICATIONS:

• Full-time employees (working 30 or more hours per week or Child Nutrition employees working more than 25 hours per week) and Grandfathered Bus Drivers are eligible for all benefits.

 

• Part-time Child Nutrition employees working 25 hours per week are eligible for dental and vision only.

 

IMPORTANT FACTS:

• The plan year for Anthem Health, Delta Dental, Superior Vision, Spending Accounts and Colonial Insurance products lasts from July 1, 2021 through June 30, 2022.

 

• Deductions for Anthem Health, Delta Dental and Superior Vision will begin June 2021. Deductions for Spending Accounts and Colonial Insurance products will begin July 2021.

 

• Please visit www.piercegroupbenefits.com/henrycountypublicschools to review plan summaries and other required health plan notices.

 

• If signing up for any coverage on your spouse and/or children, please have their dates of birth and social security numbers available when meeting with the Benefits Representative.

 

• 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.

 

• Elections made during this enrollment period CANNOT BE CHANGED AFTER THE ENROLLMENT PERIOD unless there is a family status change as defined by the Internal Revenue Code. Examples of a family status change are: marriage, divorce, death of a spouse or child, birth or adoption of a child, termination or commencement of a spouse’s employment, or the transition of spouse’s employment from full-time to part-time, or vice-versa.

 

• Once a family status change has occurred, an employee has 30 days to notify the Pierce Group Benefits Service Center at 1-800-387-5955 to request a change in elections.

 

• Flexible Spending Account expenses must be incurred during the Plan Year in order to be eligible for reimbursement.

 

• An employee has 90 days after the plan year ends to submit claims for spending account expenses that were incurred during the plan year. Please note that if employment terminates during the plan year, that employee’s plan year ends the day employment ends. The employee has 90 days after the termination date to submit claims.

 

• With Dependent Care Flexible Spending Accounts, the maximum reimbursement you can request is equal to the current account balance in your Dependent Care account. You cannot be reimbursed more than has actually been deducted from your pay.

 

• As a married couple, one spouse cannot be enrolled in an FSA at the same time the other is contributing to an HSA.

 

• The Colonial Medical Bridge plan has a 30-day waiting period for new enrollees. Coverage, therefore, will not begin until July 31, 2021.

 

Additionally, some policies may include a pre-existing condition clause. Please read your policy carefully for full details.

 

• 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.

 

• An employee taking a leave of absence, other than under the Family & Medical Leave Act, may not be eligible to re-enter the Flexible Benefits Program until the next plan year. Please contact your Benefit Administrator for more information.