The City of Painesville

Table of Content

  1. Header
  2. Page
    1. What's New for 2022!
    2. Helpful Links
    3. Benefits Overview
    4. Tobacco Free Incentive Program
    5. Enroll or Qualifying Event Change
    6. BenXpress
    7. Medical
    8. Flexible Spending Account (FSA)
    9. Dental
    10. Vision
    11. Basic & Voluntary Life
    12. First Stop Health
    13. Vitality
    14. EASE@Work
    15. Additional Resources
    16. Contact Us
  3. Footer

What's New for 2022!

ImpaxRX


ImpaxRX is a concierge pharmacy program specifically targeting high-cost drugs by taking advantage of alternate distribution programs.

Income-eligible individuals will qualify to receive their prescriptions at NO COST.

Helpful Links

Benefits Overview

Medical Mutual: will continue as your Medical carrier

  1. Core Plan (HRA) - $500/$1,000
  2. Buy-Up Plan (PPO) - $250/$250


Caremark: will continue as your Prescription Drug carrier


Guardian: will continue as your Dental and Vision carrier


Vitality: is your wellness program vendor


First Stop Health: will continue as your telemedicine virtual health carrier


EASE@Work: will continue as your employee assistance program vendor

Your 2022 Benefit Guide

Your 2022 Benefit Guide

Tobacco Free Incentive Program

Tobacco Free Incentive Affidavit

Tobacco Free Incentive Affidavit

In order to improve the health and well-being of our employees, while also maintaining a high level of coverage at an affordable rate, The City of Painesville has a Wellness Program for Tobacco Cessation.


With this program all employees covered under the medical plan who use tobacco will be charged an additional health insurance premium. Additionally, any eligible spouses covered under the plan who use tobacco will also be charged an additional health insurance premium.


RANDOM testing will occur:

  • A positive test resulting from any tobacco cessation medication (gum or patches included) will not cause an employee to be responsible for the additional fee per month.
  • Employees and spouses can be randomly generated each quarter to be tested for nicotine
  • A failed test, unless noted above, will result in immediate change to tobacco user status, and that employee and/or spouse will be back charged $20 per month penalty to the beginning of that calendar year.


Enroll or Qualifying Event Change

Full-Time Employees (minimum of 30 hours/week)

*Employees are eligible the first of the month following your date of hire. If you were hired on the first of the month, then your benefits are effective on the date of hire.

 

EMPLOYEE ELIGIBILITY: If you do not enroll during this Open Enrollment period, you must wait until the next Open Enrollment period unless you experience a Qualifying Life Event. If you experience a Qualifying Life Event (i.e., birth or adoption of a child, marriage, divorce, loss of other coverage, etc.) you must enroll within 30 days of the Qualifying Event.

 

DEPENDENT ELIGIBILITY: You may also enroll eligible dependents for benefits coverage. A ‘dependent’ is defined as the legal spouse and/or ‘dependent child(ren)’ of the plan participant or the spouse.

  • Your Legal Spouse: If your legal spouse has coverage at his/her employer, they are not eligible for the City of Kirtland per the spousal waiver policy. You must submit a copy of your marriage license, if you have submitted documentation previously, you do not need to resubmit.
  • Your Dependent Children: Children are eligible up to the end of the month of 26th birthday regardless of marital or student status. You must submit a copy of each child's birth certificate, if you have submitted documentation previously, you do not need to resubmit.

 

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

 

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

BenXpress


All team members have access to your online benefits enrollment platform 24/7 where you have the ability to enroll, select or change your benefits online during the annual open enrollment period, new hire orientation, and for qualifying events.



  • Accessible 24/7
  • View all benefit plan options and your elections
  • View important carrier forms and links
  • Report a qualifying life event
  • Make changes to beneficiary designations


Go To: https://www.benxpress.com/summit

Username: First initial, plus your last name (example John Doe login: joe)

Password: Last four of your social (example: 5811)



This is an active enrollment!

This means that you must log in to BenXpress to enroll yourself and your dependents for benefits. All employees will use BenXpress to confirm or change benefit elections. 

Medical

Medical Mutual

  • Core Plan (HRA)
  • Buy-Up Plan (PPO)


When you utilize providers that are in MMO’s network to receive higher benefits. Employees who seek care from a provider that is not in MMO’s network, will be responsible for higher costs. 


Your prescription drug coverage is through Caremark. You can receive generic medications for hypertension, diabetes, cholesterol, and asthma at $0 copay. If you are on a maintenance or long-term medication, then you must fill these prescriptions through mail order. You can receive a 90-day supply at any CVS Pharmacy.


Access your health plan Online or on the Mobile App.




Medical Mutual Membership Brochure

Medical Mutual Membership Brochure

HRA Summary of Benefits & Coverage

HRA Summary of Benefits & Coverage

PPO Summary of Benefits & Coverage

PPO Summary of Benefits & Coverage

Flexible Spending Account (FSA)

Health FSA with Dependent Care Kit

Health FSA with Dependent Care Kit

Flexible Spending Accounts (FSA) allow you to reduce your taxable income by setting aside pre-tax dollars from each paycheck to pay for eligible out-of-pocket health care and dependent care expenses* for yourself, your spouse and your dependent children.


In order to participate in the FSA, you must enroll each year. Your annual contribution stays in effect during the entire year (January 1st through December 31st). The only time you can change your election is during the enrollment period or if you experience a change-in-status event. Also, you must elect this benefit within 30 days of your hire date or first date of benefits eligibility.


HEALTH CARE FSA ROLLOVER

Health Care FSA’s have a $500 roll over feature, which allows any amount of $500 or less remaining in your account at the end of the plan year to roll over into the new plan year.

At the end of each plan year, you may use these funds left over from the current year FSA balance to pay for eligible expenses incurred in the first 2 ½ months of the following year. Any unused funds beyond the 2 ½ month grace period will be forfeited.


City of Painesville FSA with Infinisource

FSA Plan Year runs from January 1 to December 31

Contributions for the FSA plans – both the FSA and Dependent Care FSA – are taken out in 26 pay period. 





Dental

Guardian remains the carrier for your dental benefits.


You may go to any dentist. However, those who belong to the DentalGuard Preferred network will be most cost effective.

Dental Benefit Summary

Dental Benefit Summary

Vision

Vision Benefit Summary

Vision Benefit Summary

Guardian remains the carrier for your vision care benefits.


You may go to any eyecare provider. However, those who belong to Davis or VSP networks will be most cost effective.


How often can I obtain service?

  • Exams: Once every 12 months
  • Lenses: Once every 12 months
  • Frames: Once every 24 months
  • Contacts: Once every 12 months (contacts in lieu of frames/lenses)

Basic & Voluntary Life

Your Basic and Voluntary Life benefits are provided through Symetra.


Your Basic Life Benefit

  • 100% company paid benefit, no cost to you
  • Flat $25,000 benefit
  • Portable
  • Continue your term insurance if your employment ends
  • Convertible
  • To an individual life policy when coverage ends under the plan


Your Voluntary Life Benefit

  • Available to active full-time employees (40 hours/week)
  • 100% employee paid benefit
  • Evidence of Insurability (EOI) required
  • Spouses and children may also be eligible
  • See Plan Summary for Volume Amount details


Have a question? Call Symetra customer service 1-800-796-3872

Evidence of Insurability (EOI) Form

Evidence of Insurability (EOI) Form

Basic Life Benefit Summary

Basic Life Benefit Summary

Voluntary Life Benefit Summary

Voluntary Life 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.

 

When can I use First Stop Health?

  • your doctor is not available
  • you will become ill when traveling
  • when you are considering a hospital visit for a non-emergency health condition

 

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.

First Stop Health

Vitality

Your wellness program is through Vitality. Set goals, plan activities, and enjoy rewards. See attached flyer on how to get started and get connected!

Quick Start Guide

Quick Start Guide

How to Connect Fitness Devices

How to Connect Fitness Devices

How to Earn Points

How to Earn Points

EASE@Work

Member Portal

Member Portal

A program provided by your organization that is available to you, your household members and dependents. 24/7/365 support.


EASE@Work can help you reduce stress, improve mental health, and make life easier by connecting you to the right information and resources.


Log in with company code: city44077




Contact Us

Client Contacts

CM

Connie Morrison

cmorrison@painesville.com

440-392-5788

KY

Kris Young

kyoung@painesville.com

(440) 392-5787

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