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 Prescription Drug Coverage ................................................................................................... 16 SelectHealth Healthy Beginning ............................................................................................ 17 Helping You Quit .................................................................................................................... 18 Member Discounts ................................................................................................................. 19 Dental Benefits ....................................................................................................................... 20 Vision Benefits ........................................................................................................................ 21 Flexible Spending Account .................................................................................................... 24 Health Reimbursement Arrangement ( HRA ).......................................................................... 29 Life and Accidental Death & Dismemberment Insurance ...................................................... 35 Voluntary Life Insurance ......................................................................................................... 35 Voluntary AD & D Insurance ..................................................................................................... 36 Accident Weekly Indemnity Coverage ................................................................................... 37 Accident Medical Expense ..................................................................................................... 37 Long-Term Disability Insurance .............................................................................................. 37 Tier 1 Firefighters Retirement Information .............................................................................. 38 Critical Illness ......................................................................................................................... 39 Hospital Indemnity ................................................................................................................. 40 Identity Theft Protection ......................................................................................................... 41 Blomquist Hale Solutions Program ........................................................................................ 42 VEBA Plan FAQ ’ s ................................................................................................................... 43 Contact Information ................................................................................................................ 47 Monthly Contributions for Benefits ......................................................................................... 47 Important Notices and Disclosures ........................................................................................ 49
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 52 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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