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2017 Annual Benefit Enrollment News
2

How to Enroll, Waive, and Confirm Benefits
2

Who is Eligible?
2

Open Enrollment Meeting
2

How to make changes
2

Healthcare Consumerism Tools & Resources
3

New Resources Available as a Blue Cross Participant
3

Retail Telehealth
3

A Healthier You Portal
5

Doctor and Hospital Finder
5

Rx Savings Solutions
6

Convenience Care
7

Urgent Care
7

Emergency Room
7

Medical Plan Provider Networks
8

Medical Plan
10

Medical Plan Cost
11

Health Savings Account (HSA)
11

How does the QHDHP work?
11

Health Savings Accounts (HSA): UMB
11

Who is eligible to participate in a HSA?
12

How much can I contribute to my HSA?
12

What are some of the advantages of a HSA?
12

Flexible Spending Accounts (FSA)
13

Types of Accounts
13

Flexible Spending Accounts (FSA) (Cont’d)
14

Dental Plan
15

Dental Plan Cost
15

Vision Plan
16

Vision Plan Cost
16

Video Links for Better Consumerism Tools
17

Disability Insurance – American Fidelity
17

Voluntary Life Insurance – American Fidelity
17

Cancer Insurance – American Fidelity
18

Critical Illness – American Fidelity
18

Accident Coverage – American Fidelity
18

American Fidelity Secure ID 2
19

Annual Legal Notices
21

Special Enrollment Rights
23

Women’s Health and Cancer Rights Act
23

Premium Assistance Under Medicaid and the Children’s Health Insurance Program (CHIP)
23

Paperwork Reduction Act Statement
26

Your Right to Receive a Notice of Privacy Practices
26

Notice Regarding Wellness Program
30

403(b) Plan Highlights
31

Contributions
31

American Fidelity Open Enrollment Instructions
32

Contacts for Questions
34

Bonner Springs USD 204 403(b) Plan
35

2017 Benefits Enrollment Worksheet
37