It’s Benefits Enrollment Time!!!
AFSCME Part-time Food Service Employees Benefits
Open Enrollment Dates: December 5 – December 11, 2018
Period of Coverage Dates: January 1 – December 31, 2019
(Pending Successful Bargaining, Union Ratification and Board Approval)
AFSCME is pending union ratification and Board approval
Cigna Healthcare rates and plan design changes are pending final negotiations and ratification with the Unions and Board Approval.
What You Need to Know:
- Davis Vision WILL NOT be offered for the 2019 plan year. If you are currently enrolled in the Davis Vision plan, your coverage will terminate on December 31, 2018. We will continue to offer vision coverage through UnitedHealthcare. If you wish to enroll in this plan, you will need to complete the enclosed 2019 Flexible Benefits Enrollment Form and return it by the deadline.
- There are no plan design or premium changes to the Flexible Benefits being offered. If you wish to enroll or make changes to your current flexible benefits, you must complete a 2019 Flexible Benefits Enrollment Form and return it by the enrollment end date.
- If you do not make any changes, your current healthcare and/or flexible benefits coverage and your dependent(s) coverage will continue, with the exception of Davis Vision. Both plan design and premium changes will automatically be adjusted, if applicable, effective January 1, 2019.
- If you are currently opting out of healthcare, this election will continue and you will have to submit proof of other group or state-funded healthcare coverage.
If you are being deducted the spouse/domestic partner annual surcharge, the deductions will continue.
Your Open Enrollment To-Do List:
- Visit your new and improved ADA compliant benefits webpage at www.dadeschools.net and under “Highlights” click on “2019 Benefits.”
- Log into the employee portal and carefully review your current 2018 Benefits Statement for reference during your open enrollment session. This statement will display your benefits for the 2018 plan year; however, it will reflect your 2019 per pay deductions based on your updated Benefit Salary.
- Review your benefits to ensure you’ve selected the plans that best fits your needs.
- Review/Update your beneficiary designation (Name, Date of Birth and Social Security Number is required).
- If you cover your spouse or domestic partner on a medical plan, review your response in the Surcharge Affidavit to confirm their medical coverage status has not changed.
- Complete your 2019 healthcare benefit elections by submitting your changes and print your Employee Benefits Confirmation Statement.
- Flexible Benefits:
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If you wish to enroll or make changes to your current benefits, contact FBMC at 1.855.632.7748.
- Yours and your dependent(s)’ flexible benefits will continue, with the exception of Davis Vision; premium changes will
- You will be receiving monthly billing invoices reflecting your 2019 Flexible Benefits.
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- Dependent Coverage
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You can add your eligible dependent(s) during this enrollment period. You will need a valid Social Security Number at the time of enrollment.
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You can terminate your dependent coverage, but you will not be able to re-enroll the dependent until the next Open Enrollment provided you have maintained your enrollment in a School Board sponsored healthcare plan. You can add a dependent throughout the year if experiencing a qualifying change in status event.
- If you are covering your dependent,you must submit proof of eligibility documentation (i.e., marriage certificate for spouse, birth certificate for natural children) for each covered dependent upon request. If you do not provide the required documentation, coverage will be terminated.
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You and your dependent must be enrolled in the same healthcare plan.
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- Termination of Employment
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If you are no longer employed by the School Board, you will be provided the opportunity to continue your benefits in accordance with the Federal COBRA Law. You will be provided the ability to continue your medical, dental and/or vision plan if active and paid up to date at the time of termination.
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Should employment terminate during the last month of the school year, coverage will cease at the end of the calendar month in which your employment terminates. Benefits will remain in effect through August 31st.
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Frequently Asked Questions
Click on the question to reveal the answer
What is the Open Enrollment Period?
The Open Enrollment period is a period of time, determined by your employer, during which you are allowed to make any changes to your current benefits.
Note: No changes are allowed after the commencement of a new plan year, unless you experience a qualifying event.
When are benefits for the new plan year effective and for how long?
The benefits are effective January 1, 2019 through December 31, 2019.
What should all eligible employees do during this Open Enrollment period for benefits effective January 1, 2019?
- Visit your new and improved ADA compliant benefits webpage at www.dadeschools.net and under “Highlights” click on “2019 Benefits.”
- Log into the employee portal and carefully review your current 2018 Benefits Statement for reference during your open enrollment session. This statement will display your benefits for the 2018 plan year; however, it will reflect your 2019 per pay deductions based on your updated Benefit Salary.
- Review your benefits to ensure you’ve selected the plans that best fits your needs.
- Review/Update your beneficiary designation (Name, Date of Birth and Social Security Number is required)
- If you cover your spouse or domestic partner on a medical plan, review your response in the Surcharge Affidavit to confirm their medical coverage status has not changed.
- Complete your 2019 benefit elections by submitting your changes and print your Employee Benefits Confirmation Statement.
What happens if I do not log into the employee portal and review my Benefits Statement by the enrollment deadline?
If you do not log into the employee portal and review your Benefits Statement during this Open Enrollment period, the following will occur:
- Your current healthcare coverage will continue; there are no plan design or premium changes.
- Your dependent(s)’ healthcare coverage will continue; there are no plan design or premium changes.
Please note, if you experience a change in salary band, as a result of last year’s negotiations, you may have an increase in both employee and dependent healthcare deductions.
- If you opted out of healthcare, this election will continue and you will have to submit proof of other group or state-funded healthcare coverage.
- If you are being deducted the spouse/domestic partner annual surcharge, the deductions will continue. However, you should review your response in the Surcharge Affidavit to confirm their medical coverage status has not changed.
How will I know when I can access the online enrollment application?
You will be provided access to the online enrollment application during the Open Enrollment Period, December 5, 2018 through December 11, 2018. You will receive an email specifying your Bargaining Unit’s enrollment dates.
What healthcare plans am I eligible to enroll in?
Employees represented by the AFSCME Union are eligible to enroll in either the Cigna OAP20 or LocalPlus plan.
Is there a free healthcare option being offered?
Yes. The Cigna LocalPlus Plan, employee-only coverage, is being offered at no cost to all benefits eligible employees.
If enrolling in the Cigna OAP20 or LocalPlus Plan, will I be required to select a Primary Care Physician?
Yes, you are required to select a Primary Care Physician for these plans.
How would I pay for my dependent coverage?
The medical dependent premiums will be deducted from your paycheck and FBMC will bill you for the flexible benefits.
Will the School Board subsidize my dependent healthcare premium?
No, the Board will not pay a portion of your dependent healthcare coverage.
How do I prove that my spouse/domestic partner has group coverage available through her/his employer?
During the online enrollment, the application will display an Affidavit and you will be given the opportunity to click on the box that best describes the status of your dependent's group coverage.
- If you cover your spouse/domestic partner on your healthcare plan and your spouse/domestic partner has coverage available from his/her own employer, an additional annual surcharge of $500 will be charged. The annual surcharge will be billed on a bi-weekly basis according to your pay schedule.
- If you cover your spouse/domestic partner on your healthcare plan and your spouse/domestic partner does not have an employer sponsored healthcare plan available to him/her, the spousal surcharge will not be applied.
Will I continue to receive the Flex Credit Dollars?
Employees represented by the AFSCME Union and enrolled in a healthcare plan will receive an annual flex credit of $115. The flex credit will be added to the employees' gross income and paid through the payroll system based on the number of payroll checks the employee receives.
- 10-month employees (20 paychecks) - $5.75
- 11-month employees (24 paychecks) - $4.79
- 12-month employees (26 paychecks) - $4.42
What are my choices if I have healthcare coverage outside the School Board (group healthcare, Medicare or Medicaid)?
You can opt-out of the board offered healthcare plan and in lieu of healthcare coverage, the board will contribute $100.00 per month. You will receive $100.00 a month, paid bi-weekly through the payroll system based on the deduction pay schedule (subject to withholding and FICA) as follows:
- 10-month employees will receive a $60.00 payment in 20 paychecks
- 11-month employees will receive a $50.00 payment in 24 paychecks
- 12-month employees will receive a $46.15 payment in 26 paychecks
If I am opting out of the Board offered healthcare plan, must I submit any additional documentation?
Yes, if you are opting out of the Board offered healthcare plans you must provide proof of the other group, Medicare or Medicaid enrollment. In addition, you will need to submit and sign the Declination of Healthcare affidavit with the proof.
Can I enroll in accidental Death & Dismemberment Coverage?
No, AFSCME employees CANNOT enroll in this benefit.
Can I purchase flexible benefits?
Yes, you can purchase flexible benefits by calling FBMC at 1.855.MDC.PS4U (1.855.632.7748) and requesting an enrollment form.
Will my healthcare benefits continue if I am on a Board-approved leave of absence?
If you are out on a Board-approved leave that's eligible for benefits, your healthcare coverage will continue. If you are out on leave of absence that does not provide you with healthcare benefits, you will be given the opportunity of continuing your benefits at you cost.
For additional information regarding your current leave status or you want to apply for leave contact the Leave Office at 1.305.995.7090.
Open Enrollment Facts & FAQs
Miami-Dade County Public Schools
Office of Risk and Benefits Management
1501 N.E. 2nd Avenue, Suite 335
Miami, Florida 33132
Mon - Fri, 8 a.m. to 4:30 p.m. ET
www.dadeschools.net
Benefits Inquiry:
FBMC Service Center
Mon - Fri,
7 a.m. to 7 p.m. ET
1-855-MDC-PS4U (1-855-632-7748)
Enrollment Helpline:
1-305-995-2777
7 a.m. to 7 p.m. ET /
Seven days a week