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2020 Open Enrollment

health and wellness

2020 Open Enrollment

    2020 Open Enrollment
    October 11 - October 25, 2019

    Open Enrollment Information Session Slides

    What is Open Enrollment?

    Open Enrollment is the only opportunity for current benefits-eligible SMU employees to make changes to benefits elections for 2020 without having a qualifying life event.  

    During the Open Enrollment period, you may...

    • make changes to your current coverage, including adding or dropping dependents
    • elect new coverage or cancel existing coverage
    • elect one or both Flexible Spending Accounts (FSAs) for 2020 (if already participating, you must re-elect FSAs each year!)
    • elect the Health Savings Account (HSA) for 2020 (if already participating, you must re-elect the HSA each year!)

     

    Do you want your benefits to stay as they are now?

    Consider the following...

    • Do you wish to contribute to a Flexible Spending Account (FSA) and/or Health Savings Account (HSA) for 2020?  If yes, you must enter your new annual election(s) via my.SMU during the Open Enrollment period.

    If your answer to this question is no, you need not take action.

     

    Do you want to make changes to your current coverage, add/drop coverage, or participate in a FSA/HSA?

    If you would like to make changes to your current coverage, add new coverage, drop existing coverage or participate in a FSA/HSA in 2020 this is your chance!  Log-in to my.SMU and make your changes during the Open Enrollment period. Remember, FSA/HSA elections do not continue! If you wish to participate in a FSA/HSA for 2020 you must log-in to my.SMU and enter your annual election amount!

     

    Do you need additional information on SMU's 2020 benefits?

    Review the 2020 Benefits Guide for detailed information on SMU's benefit plans and rates for the 2020 plan year.

    What's New for 2020?

    Click here to review the 2020 Benefits Highlights or review the information below...

    Health Plan Options & Premiums

    Medical premiums for all plans will increase 2% for 2020, which is significantly lower than the 7% national healthcare inflation average.  Dental and vision premiums will remain the same for 2020.

    2020 High Deductible Health Plan Deductible Limits

    Due to IRS guidelines, the in-network individual and family deductible amounts for the $2,700 HDHP will increase to $2,800 (individual) and $5,600 (family). This plan will now be referred to as the $2,800 HDHP.

    Specialty Prescription Update

    Effective January 1, 2020, specialty medications will only be available through Prime’s specialty pharmacy home delivery service (AllianceRX Walgreens Prime). If you currently fill a specialty prescription at a retail pharmacy, please arrange for the prescription to be sent to Prime’s specialty home delivery pharmacy before your next fill to ensure there is not a gap between fills. There will be two grace fills allowed at retail pharmacies if needed, and Prime will be reaching out to any affected members to help guide you through the process of transferring your prescription to the Prime home delivery service. If you have questions about the home delivery service, please call 1-877-627-MEDS (6337).

    2020 Health Savings Account and Flexible Spending Account Limits

    A new election is REQUIRED each year for Health Savings Accounts (HSA) and Health Care Flexible Spending Accounts (HCFSA).  Both accounts enable you to accumulate funds tax-free to pay for out-of-pocket healthcare expenses.  Please see the HSA/HCFSA flyer included in your Open Enrollment mailing.

    The HSA 2020 annual contribution limit will increase to $3,550 for an individual and $7,100 for a family. If you are age 55 or older you may contribute an additional $1,000.  As a reminder, you may enroll in the HSA only if you are enrolled in the $2,800 or $5,000 deductible medical plans.

    For 2020, the HCFSA limit is $2,700. You may enroll in the HCFSA if you enroll in the $2,000 deductible medical plan.

    A Dependent Care FSA (DCFSA) enables you to save an average of 30% on eligible dependent care services, such as preschool, summer day camp, before or after school programs, and child or adult daycare. The 2020 DCFSA limit is $5,000.  A new election is REQUIRED each year for the DCFSA.

    Click here to learn a more about the benefits of spending accounts.  

    Caregiver Support Service

    Effective January 1, 2020, all benefits-eligible faculty and staff and their family members will have access to a free caregiver support service, Cariloop. You do not have to be enrolled in a SMU health plan to use Cariloop’s service. When you’re stressed or anxious about taking care of a loved one, Cariloop’s Care Coaches support you with the research, questions, and next steps it takes to feel confident in your loved one’s care.

    Cariloop pairs you with a dedicated Care Coach on a secure online portal. Cariloop’s Care Coaches are licensed/certified healthcare professionals and are equipped to support you as you care for a loved one of any age—from pediatrics to elder care. They are available to speak with you about challenges such as:

    • Understanding diagnoses like ADHD, Alzheimer’s, Anxiety, Autism, Cancer, Down Syndrome, Parkinson’s, etc.
    • Finding the right type of doctor or specialist for a loved one
    • Understanding how to pay for a loved one’s care
    • Filling out important legal caregiving documents (wills, POAs, DNRs, etc.)
    • Understanding a loved one’s Medicare, Medicaid or VA benefits
    • Finding appropriate care providers (Skilled Nursing, Behavioral Health Programs, Rehab, Home Health, Hospice, etc.)
    • Managing family dynamics related to your loved one’s care
    • Help parents (legal guardians) research and vet daycares, nannies, summer programs, etc. for their children

    Whether you’re managing a loved one’s finances, coordinating his or her medical care, offering long-distance support or are simply worried about your loved one’s future well-being, a Cariloop Care Coach will walk with you through the whole process and make sure you don’t face the challenges of caregiving alone.

    To connect with a Care Coach today and learn more:
    • Connect with your very own Care Coach now at cariloop.com/smu
    • Take SMU's Caregiver Assessment (cariloop.com/assess-smu) if you want to learn more about what it means to be a caregiver
    • Email helpme@cariloop.com for help any time

    Emeriti Health Account

    As a reminder, full-time benefits-eligible faculty and staff are automatically enrolled in the Emeriti Health Account at age 40. Employee and SMU matching contributions increase 4% each year. For 2020, you will contribute $80.05 per month (prorated depending on your pay schedule) on a pre-tax basis. SMU will make equal matching contributions on your behalf. SMU matching contributions vest after you complete seven years of SMU employment.

    MDLIVE Virtual Visits

    MDLIVE provides you and your covered dependents 24/7/365 access to board-certified physicians for non-emergency medical care through the convenience of phone or video consults. The cost per virtual visit is $10 if enrolled in the $2,000 PPO and $44 if enrolled in the $2,800 or $5,000 HDHP. MDLIVE doctors and therapists can help treat many common health conditions, including:


    • General health issues such as allergies, asthma, nausea, flu, and sinus infections
    • Pediatric care such as cold or flu, ear infections, and pinkeye
    • Behavioral health issues like anxiety or depression, child behavior or learning issues, and marital problems

    To learn more about MDLIVE, visit www.mdlive.com/bcbstx

    Wellbeing Management

    BlueCross BlueShield’s Blue Care Connection Program is upgrading on January 1, 2020. Members enrolled in a SMU medical plan will now have access to the new Wellbeing Management platform, which will now include expanded resources and you will have one point of contact for all Wellbeing Management Programs offered by BCBSTX.

    To learn more about the Wellbeing Management platform, visit www.BCBSTX.com and log into your Blue Access for Members portal.

    Also, effective January 1, 2020, the Special Beginnings Program will be known as Women’s and Family Heath. To learn more please call 1-888-421-7781.

    New Health Pro Contact

    (offered by Alight, previously known as Compass Professional Health Services)
    Your Alight Health Pro is available to all employees enrolled in a medical plan can help you find highly rated doctors, schedule your appointments, obtain cost estimates, review your medical bills, and much more. To learn more, visit www.alight.com/compass-login or contact SMU’s dedicated Health Pro, Olivia Capogna over the phone at 800-513-1667 ext. 3502 or via email at Olivia.Capogna@alight.com.

     

     

     

     

     

    Making Elections Using my.SMU

    Before you begin, be sure you have accurate dates of birth and Social Security Numbers for any dependents you will be adding to your coverage.  You will also need your SMU Employee ID and password to log in to my.SMU.

     

    Watch the video or follow the steps below to make your 2020 elections using my.SMU. 

     

    1. Log in to my.SMU.edu
    2. Confirm the bar at the top of the page is set to Employee Self Service
    3. Click on the title that says Open Enrollment
    4. Follow the path of the activity guide on the left
    5. The Welcome page contains important reminders regarding Open Enrollment and a video to walk you through the process
    6. The Benefits Summary page allows you to see your current elections at a glance.  You can also change the date to view past and future elections
    7. The Benefits Enrollment page is where you will make any changes to your elections.  Click the box of the plan you want to update and make your new election.
    8. Repeat step 7 for all plans you wish to update
    9. When you are finished, click the green "Submit Enrollment" button in the top right corner
    10. The Benefits Statement page allows you to view a summary of your changes.  Click the "Print View" button in the top right corner of the page for a printable version
    11. The Summary page contains additional information regarding your election submission

     

    Remember...

    • Open Enrollment is the only opportunity for current benefits-eligible SMU employees to make changes to benefits elections for 2020 without having a qualifying life event.
    • If you wish to participate in a FSA/HSA for 2020, you must log-in to my.SMU and enter your annual election amount, even if you've participated in a FSA/HSA previously.

    Required Notices

     

    Federal law requires the following notices to be distributed to participants in the Southern Methodist University Health & Wellness Plan (the “Plan”).  These notices relate to the health benefits provided under the Plan.

    The CHIP Reauthorization Act of 2009 (CHIPRA) requires employers offering group health plans to notify employees of their potential rights to receive premium assistance under a state's Medicaid or CHIP program.