Village of Glenwillow

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
    7. Dental
    8. Vision
    9. Basic Life and AD&D
    10. First Stop Health
    11. EASE@Work
    12. Additional Resources
    13. Contact Us
  3. Footer

What's New for 2022!

Domestic Partner Coverage: Removed effective 1/1/22.


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? Please contact your human resources department or Impax RX at 844-467-2979 (option 1)

Helpful Links

Benefits Overview

Medical Mutual: will continue as your Medical carrier

  1. PPO Plan

 

Express Scripts: will continue as your Prescription Drug carrier

 

Guardian: will continue as your Dental, Vision and Life Insurance carrier

 

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

 

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


Please contact the Village of Glenwillow business office should you have questions with your benefits.

Lori Pepera: 440-232-8788

Enroll and Qualifying Event Changes

Full-Time Employees (30 hours per week)

**Employees are eligible 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: 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 effective 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.

2022 Election Form

2022 Election Form

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/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: will continue as your Medical carrier

  1. PPO Plan


When you utilize providers that are in Medical Mutual's network, you receive higher benefits. 

Employees who seek care from a provider that is not in Medical Mutual's network, will be responsible for higher costs. 


Preventive Services Covered at 100%

All routine preventive services are covered 100% as long as the claim is submitted as routine or preventive, and falls within the approved list of preventive services. Remind your physician that you are visiting for the purpose of a wellness visit and to submit your visit as preventive in nature.


What is considered a preventive service?

  • Routine exams
  • Pelvic exams, pap tests, mammograms
  • Colorectal cancer screenings
  • Vaccines & Immunizations
  • Contraceptives (specific list applies)
  • Diabetes screenings



Access your health insurance plan 24/7 on the member portal or mobile app

  • Track expenses
  • Search for providers
  • Track claims
  • View, email, fax ID cards




Your prescription drug coverage is through Express Scripts.



**Please refer to attached Summary of Benefits and Coverage (SBC) for more complete plan details**

Medical Mutual Membership Brochure

See what's included with your benefits

Medical Mutual Membership Brochure

See what's included with your ...

Health and Wellness with Medical Mutual

Health and Wellness with Medical Mutual

PPO Summary of Benefits & Coverage

PPO Summary of Benefits & Coverage

Dental

Dental Benefit Summary

Dental Benefit Summary

Guardian remains the carrier for your dental benefits.


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


**Please refer to attached Benefit Summary for more complete plan details**

Vision

Guardian remains the carrier for your vision benefits.


You may go to any eye care provider. However, those who belong to the Davis Vision's network will be most cost effective.


How often can I obtain services?

  • Exams: Once a year
  • Lenses: Once a year
  • Frames: Once a year
  • Materials: Once a year


**Please refer to attached Benefit Summary for more complete plan details**

Vision Benefit Summary

Vision Benefit Summary

Basic Life and AD&D

Basic Life Benefit Summary

Basic Life Benefit Summary

Guardian remains as your Basic Life and AD&D insurance provider.


Your Basic Life Benefit

  • 100% company paid benefit, no cost to you
  • Flat $50,000 benefit
  • Eligible 1st of the month following date of hire
  • Portable: Continue your term insurance if your employment ends
  • Convertible: To an individual life policy when coverage ends under the plan


*It is important to designate a beneficiary. Your primary beneficiary will receive you life benefit in the event of your death. Your contingent beneficiary will receive the benefit if you primary beneficiary cannot.


**Please refer to attached Benefit Summary for more complete plan details**


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.
Ways to Enroll for First Stop Health

Ways to Enroll for First Stop Health

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

LP

Lori Pepera

lpepera@glenwillow-oh.gov

440-232-8788

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