HSA / FSA INFORMATION
TABLE OF CONTENTS
Welcome to the City of Arlington . This document is intended to provide basic information about benefit plan options available to employees . The City reserves the exclusive right to terminate , amend or modify plans , coverage and cost of employee benefits . This guide is only a summary of benefits . Where disparities exist between this guide and the insurance documents or policies , the documents or policies will govern .
Benefits Overview
4 Your Benefits Team 5 Eligibility and Enrollment Deadlines 6 Family Status Changes and Life Events 7 Dependent Eligibility 8 Declining Coverage & Required Notices
Online Enrollment
10 Online Enrollment – New Hires 10 Online Enrollment – Annual Enrollment 11 Primary Care Provider ( PCP ) Selection
Medical , Dental and Vision Plans
15 UHC Medical Plans and Rates 17 Prescription Drug Coverage 18 Health Savings Account Information 19 Flexible Spending Account Information 20 Dental Plans and Rates 21 Vision Plans and Rates
Optional Added Value Plans
22 Optional Term Life Insurance 23 Short-Term / Long-Term Disability 25 Group Accident 26 Critical Illness
Flexible , Focused Care Options
27 United Healthcare Virtual Visits and Tools 28 Employee Health and Wellness Clinics 29 Tobacco User Cessation and Surcharge 30 Employee Assistance Program ( EAP ) 31 Wellness for Life Program
Additional Information
32 Retirement Options 33 Life Insurance Rates
City of Arlington / EMPLOYEE BENEFITS GUIDE 2021
Find what you need , F A S T !
INSURANCE PLANS AND COSTS
M E D I C A L
P A G E 15
D E N T A L
P A G E 20
EMPLOYEE RESOURCES
F L E X I B L E C A R E O P T I O N S P A G E 27
HSA / FSA INFORMATION
H
S A
F S A
P A G E 18 P A G E 19
V I S I O N
P A G E 21
ADDED VALUE COVERAGE
L I F E I N S U R A N C E P A G E 22
EAP P A G E 30
G R O U P A C C I D E N T P A G E 25
P
C P
P R I M A R Y C A R E P A G E 11
C R I T I C A L I L L N E S S P A G E 26
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