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2021 VIRTUAL OPEN ENROLLMENT INFORMATION

To:  All Full-Time Benefits-Eligible Employees of SUNY Broome Community College

Subject:  CHANGE or ENROLL in Health, Dental or Vision Plan; Enroll in Flexible Spending Account for Health and Childcare; and Health Benefits Opt Out Election

Time Period: Virtual Open Enrollment – Monday, October 19, 2020 through Friday, November 6, 2020. Due to the COVID-19 Pandemic Open Enrollment will be conducted in a Virtual Platform this year.

The Open Enrollment Period for 2021 will run from Monday, October 19th, 2020 through Friday, November 6th, 2020. During this period, employees may enroll for health insurance,  dental insurance, vision insurance coverage, and Flexible Spending Plan or make changes to their current insurance plans.

All changes and new enrollments must be filed in Human Resources by 5:00 pm on Friday, November 6, 2020.

All changes and enrollments will go into effect January 1, 2021

For your convenience, the following forms may be obtained on myCollege under the “Employee Tab” on the left side under “Employee Menu”, select “Human Resources Documents” In the center of the next screen, select “Open Enrollment -HR Benefit Forms and Information” to select and download form.:

  • Excellus Group Enrollment Form for Dental Insurance – (Guild, ESPA & Admin only).
  • Excellus Group Enrollment Form for Health Insurance – (See Health Insurance below)
  • Vision Service Plan Enrollment Form.
  • Flexible Benefits Program Enrollment Form. (Must be completed annually)
  • Flexible Benefits Request for Reimbursement Form.
  • 2021 Health Benefits Opt-Out Election Attestation Form – (Must be completed annually)
  • Summary of Benefits for Excellus, Excellus Dental, VSP Vision Plan and Flex Spending Plan.

HEALTH INSURANCE

There are two (2) health insurance plans available through Excellus BCBS (The Broome County Health Plan) for 2021: Traditional and Red HMO Plans. Information and a comparison of these plans are available on myCollege as indicated above. If you are NOT making any changes in the health insurance plan option you currently have, you DO NOT need to contact Human Resources or take any further action to continue your coverage. Pursuant to the Faculty contract, Part-Time instructional adjuncts who have worked four (4) consecutive semesters without a break of more than two (2) consecutive fall/spring semesters may enroll in the employer Health Insurance Plan for the entire premium amount. Please read and compare the health insurance policy options to ensure you have selected the plan best fitted to your particular needs. This is the only time of the year when changes in your choice of plan may be made.

Due to the Health Care Reform law, adult children under the age of 26 may be added to your family plan. To add  an adult child to your plan, a change form must be completed by the employee no later than 5:00 pm, Friday, November 6, 2020.

To change health insurance plans, please complete and return a new Enrollment form to Human Resources by 5:00 pm on Friday, November 6, 2020, to indicate the modification of the coverage being requested. If you are joining a health plan for the first time, you must complete an enrollment form.

All changes and new enrollments must be filed in Human Resources by 5:00 pm on Friday, November 6, 2020.

All enrollments and changes will go into effect January 1, 2021.

HEALTH INSURANCE OPT-OUT *Must be submitted annually

An eligible full-time employee who properly submits a Health Benefits Opt-Out Election form along with valid proof of other health insurance (copy of insurance card) to HR @sunybroome.edu by 5:00 pm on Friday, November 6, 2020, to waive or withdraw from participation in the employer provided health insurance plan because he/she has other health insurance coverage, shall be eligible for the opt-out opportunity. Current health insurance coverage shall conclude effective December 31, 2021, via completion of the Health Benefits Opt-Out Election form and valid proof of other health insurance (copy of insurance card). Eligibility for opt-out benefit must be submitted annually each year during Open Enrollment.

FLEXIBLE SPENDING PLAN – HEALTH AND DEPENDENT CARE – *Must be submitted annually

Flexible Spending Plan enrollees must complete a NEW form each year. To elect and enroll for this benefit, please download the 2021 application to acquire an Enrollment form. The college flex plan will continue to be administered by SIEBA. There is no continuous coverage or carry-over of this  plan.  Completed Flexible Benefits Program Enrollment forms must be received in the Human Resources Office by 5:00 pm on Friday, November 6, 2020. These enrollments will go into effect January 1, 2021. SIEBA is offering the Prepaid Benefits Card again which will work like a Visa card for eligible health care expenses. The” Benny card” is good for three (3) years and should not be destroyed. Please pay attention to the expiration date on your card. Replacement cards are available for a $10.00 fee.

EXCELLUS DENTAL for Administration, Guild and ESPA employees offers three (3) options: Individual, Family or two (2) person coverage which can include (Employee and Spouse) OR (Employee and Child {1 + 1} only) at a reduced rate from Family coverage. To change coverage, please complete and return a new Enrollment form to Human Resources by 5:00 pm on Friday, November 6, 2020, to indicate the modification of the coverage being requested. The monthly Excellus Dental rates are as follows:

                       Individual          2 Person              Family

ESPA                     $5.18/mo.           $10.36/mo.       $14.29/mo.
Guild                        $5.70/mo.            $11.39/mo.       $15.72/mo.
Administration       $5.96/mo.           $11.91/mo.       $16.43/mo.

*The above are 2020 rates. The 2021 rates are pending.

Please note: The Faculty Dental Plan is administered through the Faculty Association. Please contact Kennie Leet at Ext.5413 for enrollment periods and information

VSP VISION COVERAGE for full-time employees currently enrolled will continue unless you notify Meg Smith by email at smithmb@sunybroome.edu indicating your desire to discontinue vision coverage. The 2021 VSP Vision Plan rates remain as follows: Individual rate: $8.36/month and Family rate: $22.96/month.

Vision coverage for part-time employees only: Coverage effective January 1, 2021 through December 31, 2021: Individual: $100.32 and Family $275.52 annually. Complete the VSP Vision Enrollment Form between Monday, October 19, 2020 and Friday, November 6, 2020, attach a check for the full premium amount made payable to SUNY Broome Community College, and deposit in the HR door drop box. This is an annual, calendar year, non- refundable benefit which the part-time employee must enroll for every year during Open Enrollment.

Please contact Meg Smith in Human Resources at +1 (607) 778-5240 or by email at smithmb@sunybroome.edu with any additional questions.

Please note that submissions may be made to HR@sunybroome.edu. OR deposited in the HR door drop box in Wales 103.