It's time to update your benefit elections during CivicSource's annual open enrollment!
Annual enrollment is your opportunity to learn about the 2021-2022 benefits offered by CivicSource, review your current coverage and choose the best options for you and your family. Please review our 2021-2022 Benefits Summary to learn more about our 2021-2022 benefits offerings.
Open Enrollment is happening today through November 15th, 2021. Any changes you make will be effective December 1st, 2021.
Please note, all employees MUST log into your Ease online portal to complete your enrollment.
· MEDICAL: We will be staying with United Healthcare this year, and we are excited to announce that there will be NO CHANGE to the cost! Please review all plans to decide which option is best for you and your family.
· DENTAL & VISION: The Dental and Vision benefits will remain with United Healthcare as well. There is a slight increase to dental premium for dependent coverage, and no change to the benefits. Vision benefits and cost will remain the same!
· LIFE & DISABILITY: We will be continuing our Life and Disability coverages with Equitable. There are NO CHANGES to the costs or benefits! Please note, if you are enrolled in Voluntary Life/AD&D coverage and have aged up to the next age band, you may see a change in your cost. If you would like to make any changes to these benefits, please reach out to our benefits partner, NFP, to discuss.
· VOLUNTARY WORKSITE BENEFITS: Accident, Cancer and Critical Illness coverages will continue to be offered through Guardian! Remember, these plans include wellness benefits for your annual check-ups and pay cash benefits directly to YOU. Please contact NFP if you need assistance filing a wellness or standard claim.
SBC: I hereby acknowledge receipt of the Summary of Benefits and Coverage (SBC) found in Ease. I have read the SBC and am familiar with its contents. If I have any questions concerning the information, I will contact the carrier or my Human Resource Department to have my questions answered. I understand this SBC is not a contract, and the material represents guidelines subject to change.
Offer of Coverage: I certify that I have received enrollment and plan information for health care coverage that CivicSource offers, representing that it meets ACA requirements for affordable, minimum essential coverage, offering minimum value to me. I have been given the opportunity to enroll in or decline that coverage.
Pre-Tax Payroll Deductions: I authorize any payroll deductions required for the elections made in this online enrollment portal. I understand that these deductions will be made on a pre-tax basis unless I elect otherwise on this form. I understand that I cannot change my elections until the next open enrollment period, but I may change coverage for the dependents I am insuring or add new dependents if there is a "qualified" change in status. I have read the plan description and understand the post-tax deduction option.