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TABLE OF CONTENTS
Open Enrollment Information .......................................................................................................................................... 3 What’s New? .................................................................................................................................................................... 4 Who Can Be Covered? ..................................................................................................................................................... 6 Making the Most of Your Benefits Program ................................................................................................................... 7 Medical / In-Network Only .............................................................................................................................................. 8 Dental ............................................................................................................................................................................ 12 Vision ............................................................................................................................................................................. 13 Rates for 2017 - 2018 .................................................................................................................................................. 14 Health Savings Account (HSA) ..................................................................................................................................... 17 Basic Life / Accidental Death and Dismemberment (AD&D) ........................................................................................ 19 Healthcare and Dependent Care Section 125 Flexible Benefit Plan ........................................................................... 21 403 (B) and 457 (B) Plans ........................................................................................................................................... 22 Employee Assistance Program ..................................................................................................................................... 23 Legal Shield .................................................................................................................................................................. 23 Employee Self Service (ESS) ........................................................................................................................................ 24 Frequently Asked Questions .......................................................................................................................................... 26 Contact Information ....................................................................................................................................................... 28 Key Terms ...................................................................................................................................................................... 29 Important Plan Notices and Documents ....................................................................................................................... 31 Notes ............................................................................................................................................................................. 32Medicare Part D Notice: If you (and/or your dependents) have Medicare or will
become eligible for Medicare in the next 12 months, a federal law gives you
more choices about your prescription drug coverage. Please see the Annual
Notices on the District’s website,
www.sbunified.org/benefitsfor more details.