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April 28, 2017

Ask for

LAB CORP

When having blood drawn at the doctors office

or

To Locate a Provider

Click Here

It’s your responsibility to inform your doctor!!!

It’s not just for employees!

All participants of the PBC FF’s Employee Benefits Fund are eligible to use the EAP network of over 20 local providers.  Wide variety of counseling services are available, and the best part…………

It’s absolutely

100% confidential

Call Ellen Flaum, Administrator of the EAP @ 561-968-1505 to get started today.

EAP PROVIDER LIST

EAP Webite

Newborn

Cord Blood (Stem Cell)

Benefit

Adult Stem Cell

Benefit Fund News

Health & Wellness Center Hours 

Click Here Wellness Services

 

Monday - Friday 8am - 8pm

Saturdays 9am - 5pm

      

Trustee Elections

    

Candidates for Trustee

Please click on name for bio

  

 Trustee #3

Brent Henderson

Brian Prather

   

Trustee #4

John Flaherty

AJ O'Laughlin

John Renna

Lazaro Rodriquez

   

   

To All participants of the Employee Benefits Fund,

The Board of Trustees for the PBC FF’s Employee Benefits Fund has taken action to create terms of office for Trustees. Each Trustee position will be up for election every five (5) years with two (2) positions up for election this year (2017).   New Trustees will take office on June 1st of each year.

Beginning March 1st and concluding on March 31st we will be accepting letters of interest from individuals who would like to serve on the Board of Trustees for the Insurance Fund.  Interested individuals must be a current or retired member of PBCFR who is currently enrolled in the Insurance Fund.  You may include up to a two page resume, and one page of other qualifications and/or description of reason(s) desiring the position which will be shared with all members eligible to vote.

Between April 3rd and 7th a list of the candidates for the vacancy shall be posted on our website, and emailed to all eligible voters along with any resumes, qualifications or description of reasons why they should be elected that was submitted by the candidates.

Voting for the position will commence on the morning of May 15th and end at 5pm on May 19th.  Voting will be done on a secured website to which the Fund staff and Trustees do not have access; they will only be provided the final results once voting has been closed.  The site which will be accessed through a link on our website has a proven track record in handling on-line voting for many Unions across the country.  You will be required to create a username and password with information that only you should know.  If you voted in the last Trustee election then your login information remains the same.  Voting will be open to all current or former members of PBCFR that are enrolled in either medical or dental insurance with the Fund.

The Trustee position is responsible for adopting an annual budget, determining the medical, dental, vision and life insurance to be provided for the participants of the Insurance Fund; for setting the premium rates for Active, Retired and COBRA participants; for setting the direction of our medical facility, along with many other duties required to operate and set direction for the Insurance Fund.

The position requires monthly attendance at Board meetings, which are the 3rd Thursday of each month from 9am – 2pm, all special call meetings, and attendance at specifically required training programs.

Letters of interest and any supporting documentation for the position may be mailed to the Fund at the address listed below, or may be emailed to masedgwick@myffbenefits.com, or faxed to 561-966-7760.

Any and all information as described above will only be done through email and our website.  If we currently do not have your personal email address, please call the Fund office so we can be sure to keep you up to date.

Any question may be directed to the Fund’s Administrative Manager Mike Sedgwick @ 561-969-6663

 

New Medical and Dental

ID Cards are in the

Mail to all Members

  

Every member in the medical and/or dental plans will be getting new ID cards. One card each for Medical and Dental.

Your Medical card should list the member and each dependent and show coverage as Med/Vis. Your new Dental card will only show the Member name. The Dental provider will confirm dependent participation when the card is presented.

Changes made to the new medical cards include a new color for 2017. Please make sure that after December 31 you use your new tan colored medical, vision and pharmacy card and throw out the old Medical card that had dental on them.

  

A new separate dental card will be issued from United Health Care. The new UHC dental plan will start January 1, 2017. We will no longer be affiliated with Dentemax. 

  

Should you need more than the two cards that are mailed to you, please log into your account and request a new card. They are issued in sets of two (2).

 

www.umr.com for Medical Cards
www.myuhc.com for Dental Cards
  
  
(new medical card example)
  

 

New Dental Plan information below PLEASE READ CAREFULLY 

 

Medical & Dental Plan Changes for 2017

Medical Plan

  • No Premium Changes for 2017

  • Specialist Office Visit Co-Payment Reduced to $40

  • Prescription Drug Co-Pay’s reduced as follows:

    • Generics reduced to $15 30 day retail, $30 for 90 day supply mail order

    • Formulary Drugs 10% cost share, $50 minimum-$100 maximum (30 day retail)

    • Non-Formulary Drugs 10% cost share $100 minimum-$200 Maximum (30 day retail)

  • Coordination of Benefits for individuals that have more than one medical insurance policy, changes from 100% coverage to same as normal Plan design. Medicare excluded.

  • Out-of-Network Deductible increased to $6,000 individual $14,000 family.

Dental Plan

    

The Board of Trustees has decided to change the current Dental Plan to a United Health Care Dual Option PPO/HMO Dental Plan in order to give the members choices for their dental insurance coverage.

 

Everyone will still have the opportunity to continue with the same dental coverage (similar but different network) as we currently offer, but you will also have the choice to elect a less expensive dental insurance plan option if that works better for you and your family.

 

Both options will be offered by United Health Care and the Benefits Fund will no longer offer the self-insured plan through Dentemax. It is advised to review the list of participating dentist to confirm that you current providers are in the new network.

  

Members living outside the state of Florida will only have the PPO option.

Prices for both plans are as follows and rates are guaranteed thru the end of 2018:

                                                 PPO Plan

                                         Retiree           Pay Period

Employee                          $45.61              $21.05

Employee & Spouse         $96.05               $44.33

Employee & Child(ren)     $120.39              $55.56

Employee & Family          $161.08              $74.34

  

                                                 HMO Plan  

                                        Retiree           Pay Period

Employee                         $12.20               $5.63

Employee & Spouse        $21.34                $9.85

Employee & Child(ren)     $26.42             $12.19

Employee & Family          $33.54             $15.48

   

New Participating Dentist Lists along with specifics on each plans benefits below.

  

UHC customer service for dental: 877-816-3596 Plan ID #1095410 for both plans.

 

HMO Welcome Guide

HMO Plan

HMO FL Network

HMO Search by Zip Code Click on product "Dental" then plan "S700B-SHP. Add the specialty looking for, zip code and how many miles.

 

PPO Welcome Guide

PPO Plan

PPO So FL Network

PPO All FL Network

PPO Search by State Click on Find a Dentist and Use plan "National Options Plan 30"

  

2017 Employee Status Change Form

 

2017 Retiree Status Change Form

 

What's New at Benefits Fund
The Facts About Zika Virus
The Facts About Zika Virus     Do you want to know a little more about the Zika virus, symptoms or how to protect yourself? Click here for the latest from the CDC. Read More...
Prescription Drug Savings Cards
Prescription Drug Savings Cards    Do you find yourself without any choice but to take a name brand medication that has a high co-pay?    By clicking the link below you will be taken to a list of the most common brand medications used by our group and links to co-pay savings cards offered by the manufacturer's. Read More...
BENEFITS ADMINISTRATOR
  BENEFITS ADMINISTRATOR Earlier this year with the uncertainty of whether Rick Rhodes would stay on in the position of Benefits Administrator for the Fund pending his retirement from the fire department the Fund completed an exhaustive nationwide search for a possible replacement.  The position was also opened up to all participants of the Fund. Read More...
Voluntary Life Rate Change
Please be advised that your Voluntary Life Insurance deduction amount may change as of June 1, 2016. Your Deduction may change due to an age bracket change/update. Once a year in June, age bracket changes are updated by Reliance Standard. I have attached a copy of the Reliance Standard Group Voluntary Term Life lnsurance Premium Table for your information. Read More...
IRS Form 1095-C
March 2015  Last week we mailed out the Form 1095-C for all Employees enrolled in the Benefits Fund in 2015. This form was an IRS requirement for all employers with more than 50 employees and is a direct result of the Affordable Health Care Act. The form is you and your dependents proof of health insurance for your 2015 tax return. Read More...

EXPECTING? 

If you are currently expecting a new baby in your life don’t forget about the Benefits Fund Cord Blood harvesting and cryogenic storage program.  For only $100 out of your pocket you can protect your newborn from numerous health issue’s.  The Fund will pick up the balance of the cost for harvesting the stem cells and storing them for 18 years…….. It’s well worth the small investment on your part.

Call the Fund office to get a brochure and contact information for the Stem Cell Cryobank  located at the Bethesda Health City on Hagen Ranch Road in Boynton Beach.

We will also cover your future storage fees if you had your child's cord blood stored with another vendor prior to the Fund implementing the program in January 2011, call the Fund office for more details.

 

UMR.COM Access 

We hope that you have had an opportunity to experience the enhanced services on umr.com and will find that the new features increase the productivity of your day-to-day benefit-related tasks.

Please remember to use your new login information to access umr.com.

Click here for a flyer that you can use as a reminder to set up your new access to umr.com.


Provider Search
Visit www.umr.com/oss/cms/UMR/Choice_Plus_Excl.html!
Visit www2.dentemax.com/Members/FindADentist.aspx!
Visit www.myhumanavcp.com/vcp/public/provloc.emvc?planCat=V!

Account Login

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