Open Enrollment For 2018 Benefits
October 10th - November 10th, 2017
Open Enrollment is your opportunity to make/change your plan elections and add/drop dependents for the upcoming year. With the exception of the Healthcare and Dependent Care Flexible Spending Accounts(FSA) and the Health Savings Account (HSA), all your current benefit elections will automatically rollover unless you make a change during Open Enrollment.
- Selections made during Open Enrollment will be effective January 1-December 31 of the following year.
- You can review your current benefits by logging on to Workday anytime, either at work or at home.
- You will be able to make changes, without a qualifying event, starting October 10th through November 10th.
- The maximum amount you may contribute to a Healthcare Flexible Spending Account for the 2018 plan year is $2,600.
- The maximum amount you may contribute to a Dependent Day Care Spending Account is $5,000 a year.
What's New for 2018:
View the 2018 Benefit Rates for Active Employees
2018 Employee Benefits Guide COMING SOON!
Introducing Trio! The same benefits as the Blue Shield Access+ HMO Plan with a lower premium
Special one-time offer for employees to elect up $250,000 of Additional Life coverage for themselves without submitting proof of health
For those classifications who do not pay into SDI, you may elect Expanded Short Term Disability (STD) without submitting the Evidence of Insurability (EOI) medical proof. (Even if you were previously denied)
Open Enrollment changes will not be accepted by phone this year. ALL changes must be submitted on the new enrollment form
Blue Shield Trio HMO is being offered in addition to the Blue Shield Access + HMO
- The local doctors and hospitals in Trio’s select network work closely to keep everyone healthy while keeping costs down.
- The result is dependable care and a lower premium.
Trio HMO plan highlights
- Same benefits as the Blue Shield Access+ HMO plan
- Access to a select network of local doctors and hospitals
- A lower premium than you pay for Access+ HMO
- With Trio, you also have access to Shield Concierge, a team of experts that includes pharmacists, registered nurses, service representatives, and others. You simply call one toll-free number for personalized support on all aspects of your care, including benefits, claims, pharmacy and more.
How is the Trio HMO plan different from the Access+ HMO plan?
- Your premium is lower.
- Just like the Access+ HMO plan, when you’re enrolled in Trio, you can change your primary care physician (PCP) at any time. However, the PCP must be in the Trio Accountable Care Organization (ACO) HMO Network, which is smaller than the Access+ HMO Network.
- Trio's select network focuses on coordinating your care to help keep you and your family healthy and reduce your costs.
- With Shield Concierge, you call one toll-free number for help with all aspects of your care rather than a larger customer service call center.
The Standard and County of San Mateo are pleased to offer this special one-time offer for employees to elect up $250,000 of Additional Life coverage for themselves without submitting proof of health:
- This offer is available to all employees except:
o Individuals who were previously declined by The Standard
o Employees who already signed up for the guaranteed issue amount of $250,000
o Dependents of employees
- Proof of medical health is still required for Dependent’s requesting additional life and employee’s who wish to sign up for more than $250, 000
For those classifications who do not pay into SDI (Management, Confidential, Attorneys, Elected Officials and SMCCE), you may elect Expanded Short Term Disability (STD) without submitting the Evidence of Insurability (EOI) medical proof. (Even if you were previously denied)
This coverage will offer:
- Replacement of up to 60 percent of your salary (not to exceed the maximum weekly benefit of $1215) or $95 weekly benefits for Basic STD, depending on your insurance policy classification.
- No Evidence of Insurability (EOI) Required - Instead of submitting your medical history, you will be subject to a Late Enrollment Penalty (Even if you were previously denied)
- An increase of the maximum weekly benefit from $987 to $1215 depending on your income which may result in an increase in your bi-weekly deduction depending on your salary.
- STD rates are based on age, salary and benefit amount
What is the Late Enrollment Penalty
- The Standard is designed to pay a weekly benefit to you if you cannot work because of a covered illness or injury.
- Payment for approved claims begins after the waiting period.
- You would be subject to a 60-day waiting period for all claims that are submitted in the first 12 months. After the initial 12 months, the waiting period for claim payment will revert to 14 days.
More Information and 2018 Retiree Benefits Guide COMING SOON
New Enrollment Form (COMING SOON)
New Lower Cost BLUE SHIELD TRIO HMO -(for retirees and dependents under age 65)