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2021 Uflac Benefits Guide Flip Ebook Pages 1 19 Anyflip

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2021 uflac benefits guide flip ebook pages 1 19 anyflip

UFLAC BENEFITS2021 UFLAC BENEFITS GUIDE UFLAC BENEFITS TRUST HERE FOR YOU AND YOUR FAMILYO20P2E1NAEPNRRIOL LLMENTAPRIL 1ST - APRIL 30TH, 2021(EFFECTIVE JULY 1, 2021)ENROLL OR MAKE CHANGES TO YOUR MEDICAL PLAN!MEDICAL: UFLAC OFFERS TWO ACTIVE... Enrolled members are eligible to open a HEALTH SAVINGS ACCOUNT (HSA) and your contributions reduce your federal income tax, earn tax-free interest, and your withdrawals for qualified medical expenses are tax-free. Plus, the City will contribute up to $300 per month ($3,600 per year) into your HSA account (if you receive a comprehensive Westchester physical)!• Select HMO: Low cost managed care medical plan using the... No deductibles, only fixed copays for services and you must select a primary care provider.MEDICAL: UFLAC OFFERS SEVERAL RETIREE ANTHEM MEDICAL PLANS:NON-MEDICARE RETIREES:UFLAC HSA-Eligible PPO: The PPO plan with special tax benefits that uses... Enrolled members are eligible to open a HEALTH SAVINGS ACCOUNT (HSA) and your contributions earntax-free interest.UFLAC HMO: Low cost managed care medical plan using the Anthem Select HMO network. No deductibles, only fixedcopays for services.

You must select a primary care provider under this plan.MEDICARE RETIREES:Anthem Medicare Advantage HMOAnthem Medicare Advantage PPO• Medicare Advantage, also called Medicare Part C, includes all the benefits of Part A & B, prescription... Although you may be enrolledin a LAFRA or LA City plan, Health Care Reform law requires that we send you information on how to obtain a UFLACSummary of Benefits and Coverage (SBC) for each... The SBCs summarizeimportant information about your health coverage options in a standard format, to help you compare options. SBCs areavailable on the web at: www.uflacbenefitenrollment.com. Once on the site, sign in or register an account using yourUFLAC credentials and navigate to the Reference Center on the home page. Paper copies are also available, free ofcharge, by calling the UFLAC Benefits Team at 213-977-9014, ext 2.

For eligibility and enrollment questions visit: www.uflacbenefitenrollment.com or call the UFLAC Benefits Office at (213) 977-9014, ext 22OVERVIEW 3MEDICAL/VISIONUFLAC sponsors two types of medical plansthrough Anthem Blue Cross for Active Membersand Non-Medicare Retirees, including... WWW.UFLACBENEFITENROLLMENT.COM company key: uflacACCESS ONLINE ENROLLMENT TO: Scan The Code With Your Phone• Get help on selecting the best medical plan for you and your family• Change your health plans (active members only)• Change... UFLAC Benefits Here for You and Your Family4UFLAC MEDICAL PLANSAT-A-GLANCE2021 UFLAC Benefits Guide 5UFLAC ACTIVE MEMBER BENEFITSMEDICAL PLANSUFLAC offers two different Anthem medical plans for you to choose from, including our HSA - Eligible... (Gym membership may be taxable)COMPREHENSIVE BODY SCAN• Comprehensive scan is covered once every 24 months for member and spouse• 3D, non-invasive scan for early disease detection and an overall health consultation• Call (877) 274-5577... This is a summary of benefits only. Refer to the actual policy for details.

TIER TOTAL MONTHLY RATE LA CITY MONTHLY MONTHLY MEMBER COST SUBSIDY HSA Member Only $985.78 $1,085.78 $0.00 PPO 2-Party $1,509.36 $1,609.36 $0.00 Family $1,509.36 $1,609.36 $0.00SELECT Member Only $1,085.78 $1,085.78 $0.00 HMO 2-Party $1,609.36... Enrolled members areeligible to open a HEALTH SAVINGS ACCOUNT (HSA) and your contributions earn tax-free interest. Refer to ActiveMedical Plan chart for more information.ANTHEM SELECT HMOLow cost managed care medical plan using the Anthem Select HMO network. No deductibles, only fixed copays forservices. You must select a primary care provider under this plan. Refer to Active Medical Plan chart for more information.RETIREES WITHOUT MEDICARE: TIER TOTAL MONTHLY MONTHLY MONTHLY LAFPP MEMBER ANTHEM HSA – ELIGIBLE PPO Member Only ANTHEM SELECT HMO 2-Party RATE SUBSIDY COST Family $1,013.58...

Subsidy amounts differ based on retirementdate, age, and years of service. The non-Medicare retiree subsidy changes every July 1st and the Medicare retiree subsidy changes every January 1st.10UFLAC MEDICARERETIREEMEDICARE ADVANTAGE PLANS• These plans are available to retirees (and dependents) over the age of 65 who... Or those persons who are disabled and Medicare eligible or with End-Stage Renal Disease (ESRD)• You must continue to pay your Part B premium• You must see a provider who agrees to accept Medicare•... Enrollment in an Individual Medicare plan will automatically end your enrollment in the UFLAC Anthem Medicare Advantage plan• Medicare Advantage, also called Medicare Part C, includes all the benefits of Parts A, B, and... Refer to the Anthem Medicare Advantage materials for additional details per CMS guidelines.2021 UFLAC Benefits Guide 11UFLAC RETIREE MEDICAL RATES2021 RETIREE MEDICAL TOTAL MONTHLY PREMIUM2021 UFLAC RETIREE MEDICAL RATES RETIREES WITH MEDICARE: TIER TOTAL... Subsidy amounts differ based on retirement date, age,and years of service.

The non-Medicare retiree subsidy changes every July 1st and the Medicare retiree subsidy changes every January 1st.12UFLAC DENTAL PLANS UFLAC offers different dental plan options so members can select the option that best fits... Please note, 2021 April Open Enrollment is not available to the UFLAC Dental Plans.METLIFE DHMO The low-cost, managed care optionIS COST YOUR PRIORITY? MetLife DHMO premium is NO COST for the whole family, for active membersMETLIFE DPPO The freedom and flexibility optionIS A RICH BENEFIT WHAT MATTERS MOST? MetLife DPPO offers a $3,000 annual maximum per memberDHMO PLAN DESIGN DPPO PLAN DESIGN SERVICES COPAY BENEFIT IN-NETWORKAnnual Exam & $0 Calendar Year $0 Cleaning Deductible 100% Diagnostic & PreventiveFillings Varies, usually $0 ServicesCrowns... Thismeans that your benefit payment from Reliance Standard may be reduced if you are receiving any of these types of income.METLIFE LEGAL PLANThis Legal plan provides you and your eligible dependents with convenient, professional... Please note, 2021April Open Enrollment is not available to the MetLife Legal Plan.EXAMPLES OF COVERED CATEGORIES INCLUDE:• Family & Personal • Civil Lawsuits • Elder Care Issues• Financial Matters • Home & Real Estate...

This pays aboveand beyond your medical coverage and can be used at yourown discretion.COVERED ILLNESSESINCLUDE:• Cancer• Heart Attack• Stroke• Paralysis• Organ Transplants• and others CRITICAL ILLNESS MONTHLY RATESMEMBER AGE $10,000 COVERAGE $15,000 COVERAGE $25,000... This pays above and beyond your medical coverage and canbe used at your own discretion.ACCIDENT INSURANCE PLANThis plan may help offset your deductible on the HSA PPO ACCIDENT INSURANCEmedical plan! MONTHLY RATESCOVERED ACCIDENTS INCLUDE: PLAN A PLAN C• Dislocations MEMBER ONLY $13.88 $25.26• Fracture $22.46 $41.58• ER Treatment MEMBER AND SPOUSE $33.80 $62.88• Hospital Confinement MEMBER AND $42.58 $79.44• Burns CHILD(REN) FAMILYTWO COVERAGE LEVELS... However, you must request enrollment within 30 days after your or yourdependents’ other coverage ends (or after the employer stops contributing toward the other coverage).In addition, if you have a new dependent as a... However, you must request enrollment within 30 days after the marriage,birth, adoption, or placement for adoption.Finally, you and/or your dependents may have special enrollment rights if coverage is lost under Medicaid or a Statehealth... However, Federal law generally does not prohibit themother’s or newborn’s attending provider, after consulting with the mother, from discharging the mother or her newbornearlier than 48 hours (or 96 hours as applicable).In any case,...

For individuals receiving mastectomy-related benefits, coverage will be provided ina manner determined in consultation with the attending physician and the patient, for:• All stages of reconstruction of the breast on which the mastectomy was... If you would like more information on WHCRA benefits, call your plan administrator at(213) 977-9014, extension 2.PATIENT PROTECTION DISCLOSUREAnthem Blue Cross generally requires the designation of a primary care provider. You have the right to designate anyprimary care provider who participates in our network and who is available to accept you or your family members. Untilyou make this designation, Anthem designates one for you. For information on how to select a primary care provider, andfor a list of the participating primary care providers, contact the UFLAC Benefits Office at (213) 977-9014, extension 2.For children, you may designate a... The health care professional, however, may be required to comply with certainprocedures, including obtaining prior authorization for certain services, following a pre-approved treatment plan, orprocedures for making referrals.

For a list of participating health care professionals who specialize in obstetrics orgynecology, contact the UFLAC Benefits Office at (213) 977-9014, extension 2.18UFLAC BENEFITSUNITED FIREFIGHTERS OF LOS ANGELES CITY BENEFITS OFFICE 1571 Beverly Boulevard,... This is a summary of benefits only. Refer to theactual policy for details. In case of any discrepancy between this guide and the actual plan documents and insurance contracts, the plan documents andinsurance contracts will prevail. If you have any questions about the information presented, please contact UFLAC Benefits at (213) 977-9014, extension 2.2021 UFLAC Benefits Guide 19 UFLAC BENEFITS2022 UFLAC BENEFITS GUIDE UFLAC BENEFITS TRUST HERE FOR YOU AND YOUR FAMILYNJAENWUFAORRY 1ST, 2022LIFE/AD&D, LTD, CRITICAL ILLNESS AND ACCIDENTENHANCEMENTS (EFFECTIVE JANUARY 1, 2022)Starting January 1, 2022 all UFLAC Life/AD&D, Long Term Disability...

Please be advised that any claims incurred prior to January 1, 2022 will be covered byReliance Standard, but proof of loss must be submitted within 12 months or 15 months (LTD only) from thedate... Basic Life/AD&D increased to $125,000 at no cost to you!• Supplemental Life/AD&D Benefit Maximum is $1,000,000 with a medical exam (EOI) • New Active Members have a $250,000 Guaranteed Issue Amount• No Change to... This meansthat you can receive covered lenses and contact lenses every 12 months!Mobile Health Consumer TerminationBeginning January 1, 2022 Mobile Health Consumer will no longer be available to UFLAC Anthem Blue Cross members.Members will... For more information please visit:UFLAC Anthem Medical Members and Retirees• Register an account or login at uflac.sharecare.com or• Download the Sharecare app from the App Store or Google Play • Please note, you must... Enrolled members are eligible to open a HEALTH SAVINGS ACCOUNT (HSA) and your contributions reduce your federal income tax, earn tax-free interest, and your withdrawals for qualified medical expenses are tax-free. Plus, the City will contribute up to $300 per month ($3,600 per year) into your HSA account (if you receive a comprehensive Westchester physical)!• Select HMO: Low cost managed care medical plan using the...

No deductibles, only fixed copays for services and you must select a primary care provider.Both medical plans include: gym membership, Body Scan, Mobile Health app, and VSP Vision (with benefitenhancements effective January 1, 2022)DENTAL:... Although you may be enrolled in a LAFRAor LA City plan, Health Care Reform law requires that we send you information on how to obtain a UFLAC Summaryof Benefits and Coverage (SBC) for each... The SBCs summarize importantinformation about your health coverage options in a standard format, to help you compare options. SBCs are availableon the web at: www.uflacbenefitenrollment.com. Once on the site, sign in or register an account using your UFLACcredentials and navigate to the Reference Center on the home page. Paper copies are also available, free of charge, bycalling the UFLAC Benefits Team at 213-977-9014, extension 2.For eligibility and enrollment questions visit: www.uflacbenefitenrollment.com or call the UFLAC Benefits Office at (213) 977-9014, extension 22022...

Enrolled members are eligible to open a HEALTH SAVINGS ACCOUNT (HSA) and your contributions earn tax-free interest.• UFLAC HMO: Low cost managed care medical plan using the Anthem Select HMO network. No deductibles, only fixed copays for services. You must select a primary care provider under this plan.MEDICARE RETIREES:• Anthem Medicare Advantage HMO• Anthem Medicare Advantage PPO • Medicare Advantage, also called Medicare Part C, includes all the benefits of Part A... • These plans are only available to members/dependents who are enrolled in Medicare Part A & B. • You must visit a Medicare provider for services to be covered.Both medical plans include: gym membership and VSP Vision (with benefit enhancements effectiveJanuary 1, 2022)DENTAL: UFLAC OFFERS THREE METLIFE DENTAL PLANS:• UFLAC MetLife... Although you may be enrolled in aLAFRA plan, Health Care Reform law requires that we send you information on how to obtain a UFLAC Summary ofBenefits and Coverage (SBC) for each plan in order...

The SBCs summarize importantinformation about your health coverage options in a standard format, to help you compare options. SBCs are availableon the web at: www.uflacbenefitenrollment.com. Once on the site, sign in or register an account using your UFLACcredentials and navigate to the Reference Center on the home page. Paper copies are also available, free of charge,by calling the UFLAC Benefits Team at 213-977-9014, extension 2. For eligibility and enrollment questions visit: www.uflacbenefitenrollment.com or call the UFLAC Benefits Office at (213) 977-9014, extension 24OVERVIEW 5MEDICAL/VISIONUFLAC sponsors two types of medical plansthrough Anthem Blue Cross for Active Membersand Non-Medicare Retirees, including... WWW.UFLACBENEFITENROLLMENT.COM company key: uflacACCESS ONLINE ENROLLMENT TO: Scan The Code With Your Phone• Get help on selecting the best medical plan for you and your family• Change your health plans (active members only)• Change...

UFLAC Benefits Here for You and Your Family6UFLAC MEDICAL PLANSAT-A-GLANCE2022 UFLAC Benefits Guide 7UFLAC ACTIVE MEMBER BENEFITSMEDICAL PLANSUFLAC offers two different Anthem medical plans for you to choose from, including our HSA - Eligible... (Gym membership may be taxable)COMPREHENSIVE BODY SCAN• Comprehensive scan is covered once every 24 months for member and spouse• 3D, non-invasive scan for early disease detection and an overall health consultation• Call (877) 274-5577... This is a summary of benefits only. Refer to the actual policy for details. TIER TOTAL MONTHLY RATE LA CITY MONTHLY MONTHLY MEMBER COST SUBSIDYHSA Member Only $985.78 $1,085.78 $0.00PPO 2-Party $1,509.36 $1,609.36 $0.00 Family $1,509.36 $1,609.36 $0.00SELECT Member Only $1,085.78 $1,085.78 $0.00 HMO 2-Party $1,609.36 $1,609.36 $0.00... Enrolled members areeligible to open a HEALTH SAVINGS ACCOUNT (HSA) and your contributions earn tax-free interest.

Refer to ActiveMedical Plan chart for more information.ANTHEM SELECT HMOLow cost managed care medical plan using the Anthem Select HMO network. No deductibles, only fixed copays forservices. You must select a primary care provider under this plan. Refer to Active Medical Plan chart for more information. UNFROZEN RETIREES TIER TOTAL MONTHLY MONTHLY WITHOUT MEDICARE: MONTHLY LAFPP MEMBER RATE SUBSIDY COST ANTHEM HSA – ELIGIBLE PPO Member Only $1,051.99 $1,051.99 $0.00 2-Party $1,158.96 $1,158.96 $0.00 Family $1,318.99 $1,318.99 $0.00 ANTHEM SELECT... Subsidy amounts differ basedon retirement date, age, and years of service.

The unfrozen non-Medicare retiree maximum subsidy changes every July 1st and the Medicare retireemaximum subsidy changes every January 1st. FROZEN RETIREES TIER TOTAL MONTHLY MONTHLY WITHOUT MEDICARE: MONTHLY LAFPP MEMBER RATE SUBSIDY COST ANTHEM HSA – ELIGIBLE PPO Member Only $1,051.99 $1,051.99 $0.00 2-Party $1,158.96 $1,097.41 $61.55 Family $1,318.99 $1,097.41 $221.58 ANTHEM SELECT... Subsidy amounts differ based onretirement date, age, and years of service. The frozen non-Medicare retiree and frozen Medicare retiree maximum subsidies do not change for memberswho chose not to opt in during the designated period.12UFLAC MEDICARERETIREEMEDICARE ADVANTAGE PLANS• These plans are available to retirees (and... Or those persons who are disabled and Medicare eligible or with End-Stage Renal Disease (ESRD)• You must continue to pay your Part B premium• You must see a provider who agrees to accept Medicare•... Enrollment in an Individual Medicare plan will automatically end your enrollment in the UFLAC Anthem Medicare Advantage plan• Medicare Advantage, also called Medicare Part C, includes all the benefits of Parts A, B, and...

MEDICARE ADVANTAGE HMO MEDICARE ADVANTAGE PPO BENEFIT IN-NETWORK IN AND OUT-OF-NETWORK $0 $100 ANNUAL DEDUCTIBLE* $3,400 (Does not apply to Rx) $3,400 (Does not apply to Rx)ANNUAL OUT-OF-POCKET MAXIMUM* OFFICE VISIT COPAY $5 copay/primary... This is a summary of benefits only. Refer to the Anthem Medicare Advantage materials for additional details per CMS guidelines. 132022 UFLAC Benefits GuideUFLAC UNFROZEN RETIREE MEDICAL RATES2022 RETIREE MEDICAL TOTAL MONTHLY PREMIUM2022 UFLAC RETIREE MEDICAL RATES UNFROZEN RETIREES TIER TOTAL MONTHLY MONTHLY WITH MEDICARE: MONTHLY LAFPP MEMBER Retiree Only ANTHEM MEDICARE 2-Party RATE... Subsidy amounts differ based onretirement date, age, and years of service. The unfrozen non-Medicare retiree maximum subsidy changes every July 1st and the Medicare retiree maximumsubsidy changes every January 1st.14UFLAC FROZEN RETIREE MEDICAL RATES2022 RETIREE MEDICAL TOTAL MONTHLY PREMIUM2022 UFLAC RETIREE MEDICAL RATES FROZEN RETIREES...

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UFLAC BENEFITS2021 UFLAC BENEFITS GUIDE UFLAC BENEFITS TRUST HERE FOR YOU AND YOUR FAMILYO20P2E1NAEPNRRIOL LLMENTAPRIL 1ST - APRIL 30TH, 2021(EFFECTIVE JULY 1, 2021)ENROLL OR MAKE CHANGES TO YOUR MEDICAL PLAN!MEDICAL: UFLAC OFFERS TWO ACTIVE... Enrolled members are eligible to open a HEALTH SAVINGS ACCOUNT (HSA) and your contributions reduce your federal income tax, earn tax-free interest, and you...

You Must Select A Primary Care Provider Under This Plan.MEDICARE

You must select a primary care provider under this plan.MEDICARE RETIREES:Anthem Medicare Advantage HMOAnthem Medicare Advantage PPO• Medicare Advantage, also called Medicare Part C, includes all the benefits of Part A & B, prescription... Although you may be enrolledin a LAFRA or LA City plan, Health Care Reform law requires that we send you information on how to obtain a UFLACSummary of Benefits...

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For eligibility and enrollment questions visit: www.uflacbenefitenrollment.com or call the UFLAC Benefits Office at (213) 977-9014, ext 22OVERVIEW 3MEDICAL/VISIONUFLAC sponsors two types of medical plansthrough Anthem Blue Cross for Active Membersand Non-Medicare Retirees, including... WWW.UFLACBENEFITENROLLMENT.COM company key: uflacACCESS ONLINE ENROLLMENT TO: Scan The Code With Your Phone• Get ...

TIER TOTAL MONTHLY RATE LA CITY MONTHLY MONTHLY MEMBER COST

TIER TOTAL MONTHLY RATE LA CITY MONTHLY MONTHLY MEMBER COST SUBSIDY HSA Member Only $985.78 $1,085.78 $0.00 PPO 2-Party $1,509.36 $1,609.36 $0.00 Family $1,509.36 $1,609.36 $0.00SELECT Member Only $1,085.78 $1,085.78 $0.00 HMO 2-Party $1,609.36... Enrolled members areeligible to open a HEALTH SAVINGS ACCOUNT (HSA) and your contributions earn tax-free interest. Refer to ActiveMedical Plan chart for...

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Subsidy amounts differ based on retirementdate, age, and years of service. The non-Medicare retiree subsidy changes every July 1st and the Medicare retiree subsidy changes every January 1st.10UFLAC MEDICARERETIREEMEDICARE ADVANTAGE PLANS• These plans are available to retirees (and dependents) over the age of 65 who... Or those persons who are disabled and Medicare eligible or with End-Stage Renal ...