Unified Fire Authority
Table of Contents
Explanation of Benefits............................................................................................................. 3 Benefits Overview...................................................................................................................... 5 Medical Benefits........................................................................................................................ 6 SelectHealth Member Resources............................................................................................. 8 On the Move?............................................................................................................................ 9 Virtual Visits – Connect Care.................................................................................................... 12 Preventive Care....................................................................................................................... 13 Pharmacy................................................................................................................................ 14 Healthy Beginnings................................................................................................................. 17 Helping You Quit..................................................................................................................... 18 Member Discounts.................................................................................................................. 19 Dental Benefits........................................................................................................................ 20 Vision Benefits......................................................................................................................... 21 Flexible Spending Account..................................................................................................... 24 Health Reimbursement Arrangement( HRA)........................................................................... 30 Life and Accidental Death & Dismemberment Insurance....................................................... 36 Voluntary Life Insurance.......................................................................................................... 36 Voluntary AD & D Insurance...................................................................................................... 37 Accident Weekly Indemnity Coverage.................................................................................... 38 Accident Medical Expense...................................................................................................... 38 Long-Term Disability Insurance............................................................................................... 38 Tier 1 Firefighters Retirement Information............................................................................... 39 Critical Illness.......................................................................................................................... 40 Hospital Indemnity.................................................................................................................. 41 Identity Theft Protection.......................................................................................................... 42 Blomquist Hale Solutions Program......................................................................................... 43 VEBA Plan FAQ’ s.................................................................................................................... 44 Contact Information................................................................................................................. 48 Monthly Contributions for Benefits.......................................................................................... 48 Important Notices and Disclosures......................................................................................... 50
IMPORTANT:
If you( and / or your dependents) have medicare or will become eligible for medicare in the next 12 months, federal law gives you more choices about your prescription drug coverage. Please see page 53 for more details.
This document is an outline of the coverage provided under your employer’ s benefit plans based on information provided by your company. It does not include all the terms, coverage, exclusions, limitations, and conditions contained in the official Plan Document, applicable insurance policies and contracts( collectively, the“ plan documents”). The plan documents themselves must be read for those details. The intent of this document is to provide you with general information about your employer’ s benefit plans. It does not necessarily address all the specific issues which may be applicable to you. It should not be construed as, nor is it intended to provide, legal advice. To the extent that any of the information contained in this document is inconsistent with the plan documents, the provisions set forth in the plan documents will govern in all cases. If you wish to review the plan documents or you have questions regarding specific issues or plan provisions, you should contact your Human Resources / Benefits Department.
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