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Page updated May 12, 2015 1:09 PM
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Retiree's Corner                                                                                                   

Update for the 2016 Retiree Open Enrollment

The Annual Open Enrollment Period for non-Medicare eligible retirees and their dependents begins Wednesday, May 6 and ends Friday, May 22, 2015.  Since last year’s Open Enrollment the Human Resources Department (HRD) has been hard at work re-bidding and negotiating the City’s health insurance plans in an effort to ensure our benefits program is affordable and provides the best quality care to retirees.

During Open Enrollment you can change your health insurance coverage.  If you are satisfied with your current plan you do not need to take any action.  If you are considering a change, the Guide to FY 2016 Open Enrollment is the best source of information to learn about plan offerings and costs.

Health Insurance Update

During fiscal year (FY) 2015, for the first time in many years, HRD competitively bid the City’s self-insured medical and prescription drug programs.  The City’s Kaiser program was not part of this year’s bid process. The goals in competitively bidding these programs were to increase competition, provide more choices, and expand health related services.  HRD is pleased to report United Healthcare won the bid for one of our medical programs and we have a new prescription drug provider – Blue Cross Blue Shield/Caremark (BCBS).  Here are some highlights of the City’s self-insured program:

  • UHC premiums have not increased even as national health rates continue to rise. In fact, in FY 2016 retirees in UHC plans will experience a 3.9% decrease in premium costs.
  • Also be on the look-out for new services from UHC, such as a 24-hour Nurseline and a new mobile app Health4me. These services are designed to enhance the patient/provider experience, coordinate care and provide greater accessibility to your healthcare information.
  • The BCBS pharmacy program is integrated with Caremark – the CVS pharmacy provider and allows for both 90-day mail order and retail refills. Retirees will also be eligible for a 20% discount on CVS merchandise not already discounted.

HRD has also successfully renewed the City’s contract with Kaiser Permanente. There will be no plan design changes in FY 2016 and retiree premium costs will rise by 2.4% - 7.5% since rates are no longer frozen at FY 2014 levels. As we return to the pre-FY 2015 policy of a $260 maximum contribution for all retirees, Kaiser premium rates are capped at 7.5% in FY 2016 to limit the impact of this change. As a result, the City will pay up to $279 per month for the Kaiser DHMO plan for the 2016 plan year.  The City contribution for all other plans will remain $260/month.

What do you have to do?

Detailed information about the FY 2016 health plan offerings and how to enroll are contained in the Guide to FY 2016 Open Enrollment.  As a retiree you are only eligible to change your health care benefits.  If you are satisfied with the health insurance coverage you currently have, you don’t have to do anything – your current coverage will be automatically continued.  However, you MUST complete an enrollment form if you want to enroll, change, or terminate your health insurance coverage, provider, plan or tier. If you elect to enroll or make changes, you must complete and return the appropriate form(s) to Human Resources no later than 4:30 p.m. Friday, May 22.  All enrollments, changes, etc. will take effect at the start of the plan year on July 1, 2015. The new premiums will be deducted from your checking account by electronic fund transfer (EFT) on July 15, 2015.

HRD urges you to take time to thoroughly review the Guide to FY 2016 Open Enrollment.  The Guide should help you make well-informed health insurance decisions for you and your eligible dependents.  You may also want to visit Retirees’ Corner, accessible from HRD’s website (www.alexandriava.gov/hr), where you will find summary plan documents for Kaiser and United Health Care as well as enrollment forms for all of the health insurance plan options.  If you need additional information, you may attend one of the 9 Open House meetings beginning Wednesday, May 6 (see the Guide for a list of times and locations).  Please note that the meeting scheduled on Wednesday, May 11 from 9 a.m. to noon at the Lee Center is specifically for retirees only.  Alternatively, you may contact the HR Benefits staff by calling 703.746.3785 or emailing HumanResources@alexandriava.gov for assistance.

 

Non-Medicare Eligible Retiree or Spouse   

FY2016 Open Enrollment Guide  

Medicare Eligible Retiree or Spouse  

CY2015 Open Enrollment Guide  

Open Enrollment Dates:   May 6 – May 22, 2015  

Open Enrollment Dates: November 7 – December 5, 2014  

Kaiser Permanente  

Kaiser Permanente  

Standard HMO (no deductible) plan 

KP 2015 Medicare Plus Plan A with D  

Deductible HMO (DHMO) plan 

  

 

KP 2015 Medicare Plus (Cost) Plan Provider Directory  

 

KP 2015 Medicare Plus EOC Group Plan A with D  

 

  KPMAS Group/FEHB Enrollment Form 
 
  KP 2015 Enhanced Group Formulary  
United Healthcare    
Choice (EPO) Plan    
Choice Plus (POS) Plan    

 


 


FOR YOUR CONVENIENCE

Forms:  

 Current Insurance Information:  

Kaiser Permanente 

United HealthCare  

 My Medicare  (Find Medicare and Medicaid Participating Physicians)

 


WEBSITES OF INTEREST


HEALTH RESOURCES ON THE INTERNET

General Health Information Sources 

Condition-Specific and Preventive Information 

Health Screenings 

Nutrition, Physical Activity, Smoking Cessation and Safety 

Health Care 

This information is not intended as medical advice. Always check with your health care provider regarding your health care, treatment, diagnoses and before beginning an exercise program. 


RETIREE HEALTH INSURANCE 

The health insurance reimbursement program is available to all eligible City retirees who participate in outside health insurance plans as well as those who participate in City-sponsored health insurance plans. The purpose of the reimbursement program is to help defray the steadily rising cost of health insurance for those retirees who are not participating in a City-sponsored health insurance program. The City reserves the right to amend or terminate any provision of this program.

Retired full-time employees receiving lifetime monthly benefits from a primary City-sponsored retirement plan who were enrolled in a City health insurance plan at the time of retirement are eligible for the program. Retired police officers and firefighters participating in the defined contribution retirement income plan must have at least 20 years of City Service to be eligible. If you have any questions concerning the amount of the monthly reimbursement and how to elect participation please contact the City's Human Resources Department.


CONTACT US

301 King St., Room 2500
Alexandria, Va 22314
703.746.3777

FAX: 703.838.3850
TTY: 703.838.5035

VA Relay Services 711

Email: Humanresources@alexandriava.gov 

 

301 King St., Room 2500
Alexandria, Va 22314
703.746.3777
FAX: 703.838.3850
TTY: 703.838.5035
VA Relay Services 711

Office Hours:
Monday-Friday,
8:00 a.m. - 5:00 p.m.