Table of Content
- Header
-
Page
- Introduction
- Benefits Overview
- Medical HMO
- Medical PPO
- Dental
- Vision
- Life Insurance
- How To Enroll
- Additional Resources
- Carrier Contacts
- Footer
Introduction
Annual enrollment is your opportunity to learn about the 2021 Health Care Program, review your current coverage and choose the best options for you and your family. During open enrollment, you can change plans, add or remove yourself or any dependents from the medical and/or dental effective 1/1/2021.
Benefits Overview
Benefits being offered by Ron Tirapelli Ford to all Full-time employees:
All benefits are provided through BlueCross BlueShield of Illinois
- Medical: HMO & PPO plans
- Dental: HMO & PPO plans
- Vision: Voluntary plan - 100% employee paid
- Life: Group life $10,000 benefit is covered by Ron Tirapelli Ford.
- Voluntary life: 100% employee paid - additional benefit amounts are available to employees, spouse and/or dependent child(ren).
Medical HMO
The only benefit change to the HMO for plan year 2021 is a $0 copay for Preferred Generic medications.
The cost per paycheck for the HMO is as follows:
Employee - $42.00
Employee + Spouse - $179.52
Employee + Child(ren) - $156.45
Family - $293.98
Medical PPO
The only benefit change to the PPO for plan year 2021 is a $0 copay for Preferred Generic medications.
The cost per paycheck for the PPO is as follows:
Employee - $54.00
Employee + Spouse - $207.70
Employee + Child(ren) - $181.87
Family - $335.52
Dental
No changes to the dental benefits for 2021.
Here is the weekly per paycheck cost for both plans:
PPO
Employee - $7.36
Employee + Spouse - $15.99
Employee + Child(ren) - $21.11
Family - $32.29
HMO
Employee - $3.81
Employee + Spouse - $7.33
Employee + Child(ren) - $7.95
Family - $12.01
To change your HMO Dental Provider, call 800-323-7201. Changes made by the 20th of the current month will be effective the 1st of the following month.
Vision
Voluntary vision is now being offered effective 1/1/21. Please see the Vision Benefit Summary for all benefits provided.
Here is the weekly per paycheck cost:
Employee - $1.75
Employee + Spouse - $3.33
Employee + Child(ren) - $3.51
Family - $5.16
Life Insurance
Employees can elect additional voluntary life insurance for themselves, spouse and/or dependent children.
Voluntary Benefit Amounts:
- Employee: $10,000 - $500,000
- Guarantee issue amount (no health questions asked) up to $100,000 for new hires only.
- Spouse: $5,000 - $250,000 in increments of $5,000, not to exceed 50% of employee benefit amount.
- Guarantee issue amount up to $25,000
- Child(ren):
- Birth to 14 days: $0
- Age 15 days to 6 months: $100
- Age 6 months to 26 years: $5,000 - $10,000 in increments of $5,000
How To Enroll
Please complete either the medical/dental app or life/vision app for any changes you would like to make.
Additional Resources
The following is included in this section:
- Link to BCBSIL "How to find a provider"
- BCBSIL Member Guide
- Link to Blue365 - Health and Wellness Discounts
- Required Notices
Carrier Contacts
BCBSIL Contact Information:
BCBSIL HMO:
- Customer service: 800-892-2803
BCBSIL PPO:
- Customer service: 800-541-2767
- Provider locator: 800-810-2583
- 24/7 Nurseline: 800-299-0274
- MDLIVE: 888-676-4204