Unified Fire Authority
Table of Contents
Explanation of Benefits ............................................................................................................. 3 Benefits Overview ...................................................................................................................... 5 Navigate My Benefits ................................................................................................................ 6 Medical Benefits ........................................................................................................................ 7 SelectHealth Member Resources ............................................................................................. 9 On the Move ?.......................................................................................................................... 10 Virtual Visits — Connect Care .................................................................................................. 13 Preventive Care ....................................................................................................................... 14 Blomquist Hale Solutions Program ......................................................................................... 16 Prescription Drug Coverage .................................................................................................... 17 SelectHealth Healthy Beginning ............................................................................................. 18 Helping You Quit ..................................................................................................................... 19 Member Discounts .................................................................................................................. 20 Dental Benefits ........................................................................................................................ 21 Vision Benefits ......................................................................................................................... 22 Flexible Spending Account ..................................................................................................... 23 Health Reimbursement Arrangement ( HRA )........................................................................... 24 Life and Accidental Death & Dismemberment Insurance ....................................................... 25 Voluntary Life Insurance .......................................................................................................... 25 Voluntary AD & D Insurance ...................................................................................................... 26 Accident Weekly Indemnity Coverage .................................................................................... 27 Accident Medical Expense ...................................................................................................... 27 Long-Term Disability Insurance ............................................................................................... 27 Tier 1 Firefighters Retirement Information ............................................................................... 28 Critical Illness .......................................................................................................................... 29 Hospital Indemnity .................................................................................................................. 30 Identity Theft Protection .......................................................................................................... 31 VEBA Plan FAQ ’ s .................................................................................................................... 32 Important Notices and Disclosures ......................................................................................... 36 Contact Information ................................................................................................................. 44 Monthly Contributions for Benefits .......................................................................................... 44
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 39 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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