Open Enrollment & Benefits Reference Guide

OPEN ENROLLMENT & BENEFITS REFERENCE GUIDE

WHAT’S NEW

for 2017

Medical Plans

• All employees and/or retirees enrolled in the EPO plan with

CareFirst will receive new cards for 2017. The cards will be in

the name of each covered dependent.

• All employees and/or retirees enrolled in the Blue Choice

HMO plan will receive new cards for 2017. The language on

the back of the card is changing.

• Video visits are a new benefit option for 2017. Beginning Jan-

uary 1st you will be able to do a virtual visit. Please review the

information in the 2017 Health Options Guide.

Life Insurance

MetLife will be our new vendor for life insurance effective Jan-

uary 1, 2017. If you would like to make increases to your life

insurance during this time you will need to complete Evidence

of Insurability and return it to Personnel by December 31, 2016.

Please refer to the life insurance section for more information.

There were no changes to basic or supplemental life rates, how-

ever there were minimal increases to both spouse and child life

insurance rate. Please refer to the rate table in the Group Life

Insurance section.

Caremark Prescription Drug

Compound Core Drug Strategy

In a cost containing effort, we have implemented the Com-

pound Core Drug Strategy with CVS/Caremark effective Janu-

ary 1, 2017. Requests for compound drugs require a Prior Au-

thorization (PA) on single ingredients over $300.

The information will be reviewed through the PA process

with CVS/Caremark and they will advise if the County should

pay the cost of the drug. The prior authorization request must be

sent to CVS/Caremark directly listing any ingredient over $300.

All PA’s must list the diagnosis code, estimated treatment plan

and the length of time you will need to take the drug. Requests

must be faxed directly to CVS/Caremark at

1-888-836-0730

Formulary List

The formulary list is updated quarterly. The updated list of Jan-

uary 1, 2017 drug removals are located here on the intranet:

http://countyconnect/Personnel/SitePages/benefits/index.aspx.

Members who elect to continue to receive an excluded medica-

tion will be charged the full price. For assistance in identifying

prescription alternatives, visit

www.caremark.com/druglist

or call

Caremark member services at

1-866-409-8521

Other Benefits – Short Term Disability

All benefit eligible employees, whether they are a new hire or

existing employee are eligible for contingent guaranteed un-

derwriting this Open Enrollment through Allstate. Contingent

guaranteed issue is when there are minimal underwriting ques-

tions asked that do not go into your full medical history. Con-

tact Select Benefits at 1-888-711-4478 to enroll.