Lake Metropolitan Housing Authority

Table of Content

  1. Header
  2. Page
    1. What's New for 2022!
    2. Helpful Links
    3. Benefits Overview
    4. Enroll and Qualifying Event Changes
    5. BenXpress
    6. Medical / RX
    7. Tobacco Cessation Program
    8. Dental
    9. Vision
    10. Basic Life and AD&D
    11. Short Term Disability (STD)
    12. First Stop Health
    13. EASE@Work
    14. Additional Resources
    15. 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.


Questions? Contact your human resources department or call 844-467-2979 (option 1) for Impax.

Helpful Links

Benefits Overview

Medical Mutual: will continue as your Medical carrier

  1. Lake Blue Plan (3 tier choices)

 

Caremark: will continue as your Prescription Drug carrier


EyeMed: will continue as your Vision Exam-Only carrier

 

Guardian: will continue as your Dental, Vision Buy Up, Life/AD&D, and Short Term Disability carrier

 

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

 

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

Enroll and Qualifying Event Changes

Full-Time Employees

**Insert employee waiting period

 

EMPLOYEE ELIGIBILITY: If you do not enroll during the 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 Lake Metro Housing Authority plan 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.
  • Disabled children who are physically or mentally incapable of self-support are eligible with no age limitations. Proper paperwork must be submitted and approved by each carrier during enrollment.


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.

2022 Election Form

2022 Election Form

Spousal Waiver Form

Spousal Waiver Form

Spousal Statement of Coverage

Spousal Statement of Coverage

BenXpress

  • 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/lakecounty

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

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