Here are some common questions about Open Enrollment.

Getting
Started

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 April 1, 2020 through December 31, 2020.

What should all eligible employees do during this Open Enrollment period for benefits effective?
  • Visit your benefits webpage at dadeschools.net and under “Highlights” click on “2020 Benefits.”
  • Log into the employee portal and carefully review your current 2020 Benefits Statement. This statement will display your healthcare benefits for the remainder of the 2020 plan year. Please note, the enrollment period for Flexible Benefits has ended.
  • If you currently or electing to decline healthcare coverage through the School Board, you must submit proof of other group or state funded healthcare coverage along with your completed Declination of Healthcare Coverage Affidavit.
  • 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.

If making changes to your current 2020 healthcare benefit, you must complete and submit your enrollment election. Remember to 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.
  • 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.

Coverage

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’s healthcare coverage?

The healthcare dependent premiums will be deducted from your paycheck.

Will the School Board subsidize my dependent healthcare premium?

There will be no changes to the healthcare premiums.

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.

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.

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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
305-995-7129

FBMC Service Center
Mon - Fri, 7 a.m. to 7 p.m. ET
1-855-MDC-PS4U (1-855-632-7748)