What's New for 2022!

Domestic Partner Coverage: Removed effective January 1, 2022.


New Drug Formulary: Summit County has moved to a new formulary called the National Preferred Formulary effective January 1, 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.



For more information on ImpaxRX, contact your Human Resources department, or call 844-467-2979 (option 1) for ImpaxRX.

Helpful Links

Benefits Overview

Medical Mutual: will continue as your Medical carrier

  1. HSA Plan
  2. PPO Plan

Express Scripts: will continue as your Prescription Drug carrier

Guardian: will continue as your Dental, Vision, Life and Short Term Disability carrier


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

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


Please contact The Village of Mogadore business office with any questions.

Christine Wheeler: 330-628-4896

Your 2022 Benefit Guide

Your 2022 Benefit Guide

Enroll and Qualifying Event Changes

2022 Election Form

2022 Election Form

Full-Time Employees (30 hours/week minimum)

**New employees are eligible for benefits the first of the month following date of hire.

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 Village of Mogadore 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.


** Domestic partner coverage removed 1/1/22**

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.


What is Acceptable Documentation?

  • Marriage: marriage certificate, jointly filed federal tax return, joint mortgage/lease, joint bank account
  • Divorce: divorce decree, legal separation agreement
  • Birth/Adoption: birth certificate, adoption agreement
  • Gain/Loss of other coverage: documentation from employer or carrier with effective date

Medical

Medical Mutual: will continue as your Medical carrier

1. Option 1: HSA

2. Option 2: PPO

Express Scripts: will continue as your Prescription Drug carrier


**As of 1/1/2022, Summit County has moved to a new formulary called the National Preferred Formulary. This allows for higher rebates and program savings.


ImpaxRX may be able to help you receive high cost prescriptions at NO COST. ImpaxRX will reach out to you directly if you are taking an approved high cost drug and are income eligible.



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


Routine Preventive Services

All routine preventive services are covered at 100%, no coinsurance, no deductible as long as the claim is submitted as “routine or preventive” and the services performed falls within the approved list of preventive services. 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.


Examples of Preventive Services include;

  • Routine wellness exam
  • Pelvic exam, pap test, mammograms
  • Colorectal cancer screenings
  • Vaccines & Immunizations
  • Contraceptives (specific list applies)
  • Diabetes screenings


Access the Medical Mutual Member Portal online or on the mobile app.


Medical Mutual Membership Brochure

See what's included with your benefits

Medical Mutual Membership Brochure

See what's included with your ...

HSA Summary of Benefits & Coverage

HSA Summary of Benefits & Coverage

PPO Summary of Benefits & Coverage

PPO Summary of Benefits & Coverage

Health Spending Account (HSA)

A Health Savings Account (HSA) is a tax-free savings account is owned by you, is 100% vested from day one, and let’s 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 have an HSA and make contributions to the account you must meet several basic qualifications.

  • You must have coverage under a qualified High Deductible Health Plan (HDHP)
  • Participants cannot be covered by any other health insurance plan (this exclusion does not apply to dental, vision, disability or long-term care coverage)
  • Participants cannot participate in a Healthcare FSA or spouse/domestic partner's Healthcare FSA or Health Reimbursement Account (HRA)
  • Participant 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


2022 HSA Funding Limits

  • Employee: $3,650
  • Two Person/Family: $7,300

Dental & Vision

Dental & Vision Enrollment Kit

Dental & Vision Enrollment Kit

Guardian remains the carrier for your dental and vision benefits.


You can visit the provider of your choice. However, those who are in network will be most cost effective.


Dental Network: DentalGuard Preferred

Vision Network: Davis Vision




Life & Short Term Disability

Life and STD Enrollment Kit

Life and STD Enrollment Kit

Guardian remains the carrier for your life and short term disability benefits.


Life insurance helps protect your families finances by providing a cash benefit if you pass away. AD&D insurance is equal to your life benefit in the event that your death is the result of an accident.


Your Basic Life Benefit

  • 100% company paid benefit, no cost to you
  • Flat $40,000 benefit
  • Portable: Continue your coverage if you terminate employment
  • Convertible: Continue your coverage after your group plan has terminated
  • Waiver of premium


Disability Insurance covers part of your income, so you can pay bills in the event you become injured or sick and can't work.


Your STD Coverage

  • $150 weekly amount
  • Up to 26 weeks
  • Benefits begin on Day 1 of an accident, Day 8 of an illness

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, 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

EASE@Work

Ease@work


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.


Contact Us

Client Contacts

CW

Christine Wheeler

clerktreasurer@mogadorevillage.org

(330) 628-4896