Please review the following information and forms that may be required for changes to your 2019 Health, Dental & Vision plan changes:
Dependent Changes/Additions/Deletions
Please review the Dependent Eligibility Documents to determine which proofs you will be required to submit in order to:
1. Add new Dependents on your health and insurance plans
2. Drop Dependents due to divorce or dissolution of a Domestic Partnership
3. Update Relationship status (i.e. you married your Domestic Partner, you got a divorce, you adopted a child.)
OPT-OUT*
If you plan to Opt Out of the 2019 PacificSource Health Plans, and you have not been previously, you will be required to provide a Proof of Other Coverage form during Open Enrollment, and you will be required to have continuous group medical coverage.
The monthly amount that an employee would receive is $350.00 in lieu of medical and vision exam insurance coverage. The Opt Out amount will be $175.00 for part-time employees (20-29hours/week) who were hired on or after January 1, 2018.
*Please note: Even if you Opt Out of PacificSource Health plans, you may still participate in the Dental and Supplemental Vision plan options for you and your dependents.
Domestic Partnership Changes
If you are adding a Domestic Partner and your Domestic Partner's children to your Health, Dental or Vision plans, you will need to review and submit the Domestic Partnership Affidavit and Certification of Tax-Qualified Dependents of Domestic Partnership forms.
In addition to the notarized Affidavit of Domestic Partnership, you must also submit the Certification of Tax-Qualified Dependents of Domestic Partnership, to either: 1) certify your Domestic Partner and their children are legal tax dependents in accordance with IRS Section 152(a) or 2) decline tax-qualified dependent status for your Domestic Partner and their children. Please see the form above for the information and forms that will be required.
Medicare Eligibility in 2019
If you will be turning 65 in 2019, Lane County recommends you talk to a tax professional and OPTUM before electing the High Deductible Health Plan with the Health Savings Account.
Please review the HSA 2019 Eligibiltiy Rules.
For further assistance, please contact OPTUM at 877-470-1771 or visit them online at https://mycdh.optum.com/ to view your current account or visit www.mycdh123.com to view helpful information about HSA rules.
Annual Open Enrollment for AFLAC Insurance
Now is also the time you may elect optional AFLAC Plan Options if you would like coverage for Accident, Critical Illness, Cancer or Hospital Indemnity insurance plans.
Please Contact AFLAC if you wish to learn more about your options or call Carol Kenyon at 541-580-5002.
AFLAC premiums are deducted from your paychecks and is only available annually during Open Enrollment.