SCR - AMHA

Table of Content

  1. Header
  2. Your 2026 AMHA (Non-Bargaining Employees) Benefits Page
    1. Eligibility
    2. Eligibility
    3. How to Enroll
    4. Instructions
    5. NEW! GLP-1 Program
    6. Medical
    7. Employee Contributions
    8. Summary of Benefits and Coverage (SBC)
    9. MedMutual My Health Plan/Mobile App
    10. Medical Mutual Total Health
    11. 24/7 Nurse Line and Care Navigation
    12. Maternity Management and NICU Management
    13. Transitional and Palliative Care
    14. Virtual Physical Therapy
    15. Digital and Telephonic Health Coaching
    16. Preventive Care
    17. HSA
    18. Prescriptions
    19. Smart90
    20. SaveOnSP (through Medical Mutual)
    21. ImpaxRX
    22. Dental
    23. Dental Summaries
    24. Vision
    25. Vision Summaries
    26. Life
    27. Basic Life Insurance
    28. Voluntary Life Insurance
    29. MetLife Benefit Summaries
    30. Beneficiary Designation
    31. Symetra Coverages
    32. Accident Coverage
    33. Critical Illness
    34. Hospital Indemnity
    35. First Stop Health
    36. All One Health
    37. Contact Information
    38. Compliance
  3. Footer

Eligibility

The Benefit choices you make during your initial enrollment or annual open enrollment remain in effect for the entire plan year, January 1, 2026 - December 31, 2026, unless you experience a qualifying life event. 

If you have a Qualifying Life Event and want to request a mid-year change, you must notify Human Resources so they can complete your election changes within 30 days following the event. Be prepared to provide documentation to support the Qualifying Life Event.

What is a Qualifying Life Event?

  • Marriage
  • Divorce
  • Birth/Adoption of a child
  • Death of a spouse or other enrolled dependent
  • Change in spouse’s benefits or employment status
  • A dependent becomes eligible for Medicare or Medicaid
What is a Qualifying Life Event?

What is a Qualifying Life Event?

When Does My Coverage Start? 

Benefits are effective your 31st day of employment.

Who is Eligible for Benefits?

Regular full-time employees and part-time employees averaging 30 hours per week or more are eligible to participate in the benefit plans.

Who are my legal dependents?

Your legal spouse (with proof of marriage).

Your children (up to age 26) including natural children, stepchildren, legally adopted children, 

children placed for adoption, children for whom you serve as legal guardian.

Disabled dependent child(ren) of any age. 

How to Enroll

OE

Action Required for all benefits-eligible employees:

To enroll into benefits, you must log in to BenXpress to enroll yourself and your dependents for coverage. All employees will use our benefits enrollment system to confirm or change benefit elections for 2026.

During Open Enrollment, you may:

  • Elect the same coverage with the same dependents.
  • Add or remove coverage for dependents. 
    • If adding a dependent, please provide a marriage certificate for spouse and birth certificate for children.
  • Decline benefits and elect to receive a waiver incentive. (with proof of coverage)
  • Enroll, if you are not currently enrolled in 2025 plans.
  • Update Life Insurance beneficiaries.
  • Enroll in additional Voluntary Life Insurance coverage through MetLife at your expense.
BenXpress Enrollment Guide

BenXpress Enrollment Guide

NEW! GLP-1 Program

AMHA has partnered with WellnessIQ to offer GLP-1 Medications to employees and spouses at a discounted price.

You do not need to be enrolled on the medical plan to have access to this program.

Register in 2 simple steps:

  1. Complete the online intake form
  2. Select your Program

All plans include:

  • Enforced by FDA - Pharmacies adhere to all State Board, USP-797, and PCAB standards
  • GLP-1 prescribed by a clinician, customized for you, with ongoing monitoring and on-demand support
  • No hidden costs, undisclosed charges, or bait and switch
  • Free, overnight, temperature-controlled shipping
  • Tips, tricks and maintenance plans to keep the weight off for life
  • Group virtual lifestyle medicine coaching
  • Change programs or cancel anytime

Along with medication all plans include Wellness Coaching, to help you develop sustainable habits for long-term health.

  • Goal Setting
  • Behavior Change
  • Emotional Health and Stress Management
  • Healthy Sleep and Nutrition Strategies
  • Exercise

All employees and spouses have access to the Wellness Coaching - you do not need to register for GLP-1 medication. 

Click the link below to register!

GLP-1 Program Flyer

GLP-1 Program Flyer

Medical

AMHA offers 3 medical plans through Medical Mutual.

A PPO option offers the freedom to see any provider when you need care. When you use providers from within the PPO network, you receive benefits at the discounted network cost. Most expenses, such as office visits, emergency room and prescription drugs are covered by a copay. Other expenses are subject to a deductible and coinsurance. The EPO plan only covers In-Network providers. 

The HDHP is similar to the PPO Plan in that you have the option to choose any provider when you need care. However, in exchange for a lower per-paycheck cost, you must satisfy a higher deductible that applies to almost all health care expenses, including those for prescription drugs. ​ All expenses are your responsibility until the deductible is reached, with the exception of preventive care, which is covered at 100% when you visit a physician in the network. 

If you enroll in the HSA plan you must open a Health Savings Account (HSA).

Notice: IRS guidelines for 2026 have increased the single and family deductible to $3,400/$6,800 for the HDHP plan.

 Utilizing In-Network providers will allow for the highest level of coverage. In-Network providers agree to accept Medical Mutual's contract rate as the final charge and the member is not balance billed*. 

**Balance Billing: Some Out of Network Providers bill a patient the difference between the total cost of services and the amount insurance pays.

Medical Summary

Employee Contributions

Employee Contributions

Medical Mutual Total Health

Akron Metropolitan Housing Authority is part of Medical Mutual's Total Health Program. (previously known as Chronic Condition Management)

You have access to the below services, at NO COST.

  • Self-Service Wellness tools via My Health Plan
  • 24/7 Nurse Line
  • Maternity Management
  • Care Navigation
  • Palliative Care
  • Transitional Care
  • Progeny Health: NICU Management
  • SWORD Health: Virtual Physical Therapy
  • BLOOM: Virtual Pelvic Health Therapy
  • Digital and Telephonic Health Coaching

Preventive Care

All health plans recognize routine preventive services at 100%, with no coinsurance and no deductible if the claim is submitted as routine or preventive and the services performed fall within the approved list of preventive services.

For a complete and updated list of preventive services, please use the link below.

During your wellness visit, proactively let your physician know the reason for the appointment is for a wellness visit and that your physician needs to submit and code the visit as routine or preventive in nature. If your visit is submitted with a diagnosis, the wellness visit will not be paid at 100%, but instead will be subject to deductible and coinsurance. Below are a few examples of services that can be recognized as preventive.

  • Routine wellness exams, including well baby and child routine exams.
  • Cholesterol and lipid level screening
  • Pelvic exam, pap test and screening mammograms
  • Colorectal cancer screening, colonoscopies, sigmoidoscopies (age limits apply)
  • Vaccines & immunizations
  • Contraceptives (specific list applies)
  • Diabetes screenings
MMO Preventive Drug Flyer

MMO Preventive Drug Flyer

Preventive Care Guidelines

Preventive Care Guidelines

HSA

Health Savings Account

A Health Savings Account (HSA) is a tax-free savings account that is owned by you, it is 100% vested from day one, and lets you build up savings for future needs. The funds may be used to pay for qualifying healthcare expenses not covered by insurance or any other plan for yourself, your spouse, or tax dependents. You decide how much you would like to contribute, when and how to spend the money on eligible expenses, and how to invest the balance.

To be eligible for an HSA, you must be enrolled in a High Deductible Health Plan (HDHP).

UNDERSTANDING YOUR HSA

  • Pre-tax contributions are deducted through payroll and deposited into your HSA account.
  • You can use your HSA available funds to pay for qualified medical expenses tax-free. 
  • If HSA funds are used for non-eligible expenses, they are subject to regular income taxes and a 20% excise tax penalty. 
  • Unused funds remain in your account for future use and roll over each calendar year.
  • HSAs remain with you even if you change health plans or companies. If you open an HSA and later become ineligible to make contributions, you can still use your remaining balance for qualified medical expenses. 
  • You can change your HSA contribution at any time during the plan year for any reason.

 To have an HSA and make contributions to the account, you must meet several basic qualifications.

  • Participants cannot be covered by any other health insurance plan (this exclusion does not apply to certain other types of insurance, such as dental, vision, disability or long-term care coverage)
  • Participants cannot participate in a Healthcare FSA elsewhere or spouse/domestic partner’s Healthcare FSA or Health Reimbursement Account (HRA).
  • Participants cannot be enrolled in Medicare or Medicaid.
  • You cannot be eligible to be claimed as a dependent on someone else’s tax return.
  • You have not received Department of Veterans Affairs Medical benefits in the past 90 days, unless the Veteran has a disability rating.

You may contribute as follows: (new 2026 limits)

  • $4,400 for Employee Only
  • $8,750 for a Two-Person or Family

MAINTAINING RECORDS 

To protect yourself in the event that you are audited by the IRS, keep records of all HSA documentation and itemized receipts for at least as long as your income tax return is considered open (subject to an audit), or as long as you maintain the account, whichever is longer.

HSA Overview

HSA Overview

Employer Contributions

Contribution Maximums

Waiting on materials from MetLife

MetLife App

MetLife App

MetLife Dental Summary

MetLife Dental Summary

How to Access MetLife Site

How to Access MetLife Site

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MetLife Vision Benefit Summary

MetLife Vision Benefit Summary

Life

Voluntary Life Summary

Voluntary Life Insurance


Employees can enroll in supplemental Life Insurance. This will be in addition to your employer provided Basic Life Insurance. Coverage is also available for your spouse and dependent children. It is required that you enroll in coverage for yourself in order to be eligible for coverage for your dependents.


If you are not a newly hired employe, you are required to complete Evidence of Insurability no matter how much you select. The up to $100,000 offer is only upon hire.

Waiting on materials from MetLife

Basic Life (Non-Bargaining) Benefit Summary

Basic Life (Non-Bargaining) Benefit Summary

Voluntary Life Benefit Summary

Voluntary Life Benefit Summary

Voluntary Life Rates

Voluntary Life Rates

Symetra Coverages

Symetra

Accident Coverage

Accident Insurance allows you to be better prepared for the unexpected. Accident insurance can cover out of pocket expenses related to an accidental injury. Benefits are paid for injuries and do not interfere with your medical plan.


When you have an accident, your medical plan pays the hospital or provider, your accident coverage pays you, and you can use that money for out-of-pocket expenses, household bills, or however you see fit while you are recovering.


With Symetra Accident Insurance,

  1. There are no health questions or tests to take
  2. No copays, coinsurance or deductibles to meet
  3. Benefits are paid no matter what other coverage you have
  4. Benefits can be used for anything


Accident Benefit Summary

Accident Benefit Summary

Accident Enrollment Guide

Accident Enrollment Guide

How to file a claim

How to file a claim

Critical Illness

Critical Illness Insurance can provide financial relief during a serious medical condition or event. This benefit pays a lump-sum benefit to you that you can use for anything - medical bills, childcare, household bills - after a covered diagnosis.

Covered conditions include, (see attached benefit summary for full list of covered conditions)

  • Cancer
  • Heart Attack
  • Stroke
  • Organ Failure
  • Loss of sight, speech, hearing
  • Severe burns
  • Coma

With Symetra Critical Illness insurance, 

  • There are no health questions or tests to take
  • No copays, coinsurance or deductibles to meet
  • Benefits are paid no matter what other coverage you have
  • Benefits can be used for anything
Critical Illness Enrollment Guide

Critical Illness Enrollment Guide

How to File a Claim

How to File a Claim

Critical Illness Benefit Summary

Critical Illness Benefit Summary

Hospital Indemnity

Hospital Indemnity coverage helps cover the cost of inpatient hospital and ICU stays. It may also cover outpatient services for mental health, skilled nursing and substance abuse.


There are no preexisting condition limitations or health questions to answer. You are paid the full per-day benefit no matter what other insurance you have.

Hospital Indemnity Enrollment Guide

Hospital Indemnity Enrollment Guide

How to File a Claim

How to File a Claim

Hospital Indemnity Benefit Summary

Hospital Indemnity Benefit Summary

First Stop Health

No crowded waiting rooms. No driving. See a doctor when you need a doctor. Talk to a doctor 24/7 at no cost to you. 

When can I use First Stop Health?

  • Your doctor is not available.
  • You become ill when traveling.
  • when you are considering treatment for a non-emergency health condition

What is a non-emergency condition?

  • Bladder infection
  • Bronchitis
  • Diarrhea
  • Fever
  • Rash
  • Seasonal flu
  • Allergies
  • Sore throat

How does it work?

  • Call (888) 691-7867 or log in to fshealth.com or download the mobile app to request your doctor visit.
  • Set up your account now so its ready when you need it!
  • Complete patient registration for medical history, pharmacy preference, primary care physician contact information and insurance information.
  • Each time you visit you will be asked brief medical questions. If appropriate you will be connected to a doctor using secure live audio and video.
  • You and your doctor will discuss your medical issue and if appropriate your doctor may write a prescription.

fsh
FSH Flyer

FSH Flyer

All One Health

All employees and their covered dependents have access to free Employee Assistance Program through AllOneHealth.

Get support for you and your family from licensed counselors 24/7.

Get help with

  • Family Conflict
  • Work/Life Balance
  • Couples/Relationships
  • Depression/Anxiety
  • Life Coaching
  • Parenting
  • Stress
  • Wellness
  • Financial and Legal Consultation

All One Health counseling can be done via phone, web portal, mobile app, chat, or video.

Company Code: akronmha

 1-800.521.3273

Orientation Video

Orientation Video

AllOneHealth Member Portal Flyer

AllOneHealth Member Portal Flyer

Contact Information

AMHA Contact Information

Mary Lutz

HR Analyst - Benefits and Compensation

330-376-9787

mlutz@akronhousing.org

Mike Gerzeny

Manager of Employee and Labor Relations

330-376-9879

mgerzeny@akronhousing.org

Carrier Contact Information

Medical Mutual 

Customer Service: 877-730-2221

Website: www.medmutual.com/member

Express Scripts

Customer Service: 800-282-2881

Website: www.express-scripts.com

ImpaxRX

Customer Service: 844-467-2979, option 1

MetLife

Customer Service: 1-800-638-5433

Website: www.metlife.com

Symetra

Customer Service: 1-800-796-3872

Website: www.symetra.com

First Stop Health

Customer Service: 888-691-7867

Website: www.fshealth.com

AllOneHealth

Customer Service: 800-521-3272

Website: www.allonehealth.com

contact

Compliance

Medicare Part D

Medicare Part D

Market Exchange Notice

Market Exchange Notice

2026 Annual Notices

2026 Annual Notices