2021 Open Enrollment Virtual Health/Wellness Virtual .
2021 Open EnrollmentVirtual Health/Wellness Virtual Benefits FairWelcome to the 2021 State Judicial Branch Open Enrollment Virtual Health/Wellness VirtualBenefits Fair. The open enrollment period is from September 20, 2021 through October 15,2021. During this timeframe, you will be able to enroll, cancel, and/or change your election tothe following plan(s): MedicalDentalVisionFlex Elect Plans (Reimbursement and Cash Option)Long Term DisabilityGroup Legal Services Insurance PlanTo assist you in making informed decisions about your healthcare, the Judicial Council HumanResources office has compiled information from the plan administrators which you can access atyour convenience. Below is a summary of information contained in this document: Health Plan Changes for 2022 (New): Summary of health plan changes for theupcoming 2022 plan year. Healthier U Connections (New): The California Department of Human Resources(CalHR) hosted a virtual Open Enrollment fair for state employees. Employees willbe able to view on-demand webinars for all benefit plans on the Healthier UConnections (initial registration will be required for this website). Online Presentations: Includes live webinars, on-demand webinars, recordedpresentations, virtual/interactive platforms, and other educational videos Benefit Summary: Summary of benefit documents, evidence of coverage booklets,program guides, comparison charts, plan summaries, overviews, and newsletters. Helpful Links: Provider/location directories, member guides, enrollmentbrochures/kits, digital publications, frequently asked questions, andcalculators/estimator tools.If you have any additional questions, please contact your assigned Judicial Council Pay and Benefitsrepresentative.1
Health Plan Changes for 2022 Plan YearListed below is a summary of the health plan changes for the 2022 plan year. The list alsoincludes the health plans with a gross premium increase of 9.00% or more.Health Maintenance Organization (HMO) and Exclusive Provider Organization (EPO)Plan NameChanges for 2022Anthem Del Norte EPO11.49% premium increase for State and California StateUniversitiesBlue Shield Access Reenter into eight Bay Area counties: Alameda, Contra Costa,Marin, San Francisco, San Mateo, Santa Clara, Sonoma, andSolanoBlue Shield EPOExpand into Lassen and Shasta countiesBlue Shield TrioExpand into Santa Cruz, Stanislaus, and Orange countiesHealth Net Salud y Más14.47% premium increase for State and California StateUniversitiesSharp Performance Plus10.59% premium increase for State and California StateUniversitiesUnitedHealthcare SignatureValueHarmonyNew plan to be available in Los Angeles, Orange, Riverside,San Bernardino, and San Diego countiesWestern Health AdvantageExpand into Humboldt CountyPreferred Provider Organization (PPO)Plan NameChanges for 2022PERSCareTransition to PERS Platinum. Retains the same 10%coinsurance benefit design, and network as PERSCare/PERSChoice2
PERS ChoiceTransition to PERS Platinum. Offers a 10% coinsurancebenefit design, and retains the same broad network PERSChoice/PERSCare11.49% premium increase for State and California StateUniversitiesTransition to PERS Gold. Retains the same 20% coinsurancebenefit design and network as PERS SelectPERS Select23.32% premium increase for State and California StateUniversitiesSupplement to Medicare PlansPlan NameChanges for 2022Expand into 21 additional counties for coverage in all 58countiesNew supplemental benefits:Anthem Blue Cross MedicarePreferred- 12 telephone nutritional counseling sessions- 1 monthly shipment of recommended healthy nonperishable staples- Non-emergency medical transportation to medicalappointments, SilverSneakers locations, and pharmacies.Twelve one-way trips, up to 60 miles per trip, per yearNew plan to be available nationwideAdditional supplemental benefits:Blue Shield Medicare AdvantagePERSCare Supplement to Medicare-Quarterly 80 over-the-counter drug benefitPersonal emergency response systemPost-discharge meals24 non-emergency medical transportation one-way tripsTransition to PERS Platinum Supplement to Medicare Plan.No changes to benefit design or network.3
PERS Choice Supplement to MedicareTransition to PERS Platinum Supplement to Medicare. Nochanges to benefit design or network.PERS Select Supplement to MedicareTransition to PERS Gold Supplement to Medicare. No changeto benefit design or network.UnitedHealthcare Medicare AdvantageEdgeNew nationwide plan with OptumRx pharmacy benefitmanagerWestern Health Advantage (WHA)MyCare Select Medicare AdvantageNew plan to be available in 9 counties (Sacramento, Yolo,Solano, El Dorado, Placer, Colusa, Marin, Napa, Sonoma)4
Healthier U ConnectionsCalHR hosted its first virtual Open Enrollment Fair for state employees on September 15, 2021.Benefit administrators conducted webinars that provided plan summary/changes for theupcoming 2022 year. The webinars were recorded and below is a list of the September 15thpresentations.September 15th WebinarsWebinar TopicCoBen Benefits Allowance &FlexElect / CoBen Cash OptionDelta DentalMetLife DentalWestern DentalAnthem Blue CrossBlue Shield of CaliforniaHealth NetKaiser PermanenteUnitedHealthcareWestern Health AdvantageARAG Group Legal ServicesASI FlexMetLife (Life Insurance for ExcludedEmployees)To view the recorded webinars, you will need register for a Healthier U Connections account.Healthier U Connections is an online wellness program which provides year-round access towellness articles, healthy recipes, a fitness library and more. Below are instructions on setting upan account:1.2.3.4.5.6.Visit the Healthier U Connections website,Click on the “Register” Box in the first time user section ,Enter “Wellness2021” for the registration code,Enter in your personal information. Please use your work email for the email section,Under the Department section, please select “Judicial Council of California (JUD)”,Location will only show San Francisco or Sacramento. Please select either location,5
7. Under the Division section, it will ask you to select one of the following: Admin,Executive, Leadership Services, or Operations and Programs. Please select the onethat is most applicable to your position.The recorded sessions, on-demand webinars, and other resources will be available on HealthierU Connections through October 15, 2021. You may also review the open enrollment resourcesavailable on the benefit plan administrator’s websites (information provided in the followingcharts).After October 15th, employees can continue to access Healthier U Connections for year-roundwellness resources.6
Table of Contents for Benefit Plan AdministratorsHealth Maintenance Organizations (HMO):Anthem TraditionalAnthem SelectBlueShield Access BlueShield TrioHealth Net Salud HMO y MásHealth Net SmartCareKaiser PermanenteSharp Health PlanUnitedHealthCare Signature Value Alliance HMOUnitedHealthCare Signature Value Harmony HMOWestern Health AdvantageExclusive Provider Option (EPO):Anthem EPO (Del Norte Counties)BlueShield EPO (Colusa, Mendocino, and Sierra Counties)Preferred Provider Organization (PPO):PERS GoldPERS PlantinumOther Health Plan ResourcesOPTUM RXCalPERSDignity HealthSutter HealthHill PhysicianBrown and Toland PhysiciansUC Davis HealthDental PlansDelta Dental PPO plus PremierDelta Dental PPODeltaCarePremier AccessMetLifeWestern DentalVision Plans7
Vision Services Plan BasicVision Services Plan PremierFlex Elect PlansMedical and Dependent Care Reimbursement PlansCash Option PlanASI FlexLong Term DisabilityGroup Legal Services Insurance PlanWellness ResourcesWellness Resources available through Healthcare ProvidersRetirement Planning ResourcesCommunity-based and Volunteering Resources8
Health Maintenance Organizations (HMO)Online PresentationBenefit SummaryAnthem Blue CrossTraditional HMO855-839-4524Helpful LinksTraditional HMO 2022 Summary ofBenefitsTraditional and Select HMOProvider DirectoryTraditional HMO 2022 Evidence ofCoverage2022 Open Enrollment DigitalPublicationTraditional HMO 2022 Benefit GuideSelect HMO 2022 Summary ofBenefitsAnthem Blue CrossSelect HMO855-839-4524Select HMO 2022 Evidence ofCoverageSelect HMO Provider Directory2022 Open Enrollment DigitalPublicationSelect HMO 2022 Benefit GuideBlueShield of CaliforniaAccess HMO800-334-5847BlueShield of CaliforniaTrio800-334-58472021 Blue Shield of California BenefitsPresentation2022 Access HMO Summary ofBenefits and CoverageOnline Access Provider/Facility SearchBlue Shield of California HMO PlanInteractive Video2022 Access HMO Evidence ofCoverageSchedule Appointment withBlue Shield Representative2021 Blue Shield of California BenefitsPresentation2022 Trio HMO Summary of Benefitsand Coverage2022 Trio Service Areas andZip CodesBlue Shield of California HMO PlanInteractive Video2022 Trio HMO Evidence ofCoverageOnline Trio HMOProvider/Facility Search9
Schedule Appointment withBlue Shield RepresentativeHealth NetSalud HMO y Más888-926-4921Health Net for CalPERS 2022 OpenEnrollment2022 Salud HMO y Más Summary ofBenefits and CoverageHealth Net 2022 Open Enrollment HostedMeeting (09/29/21 – 11:00 – 12:00PM)via Zoom2022 Salud HMO y Más Evidence ofCoverageHealth Net Member GuideOnline Provider/Facility SearchToolNetwork Comparison ListingJoin by phone at US: 1 669 444 9171 or 1 646 931 3860, Meeting ID: 984 46058705Minute Clinic Quick ReferenceGuideWellness Program & DiscountsHealth NetSmartCare888-926-4921Health Net for CalPERS 2022 OpenEnrollment2022 SmartCare HMO Summary ofBenefits and CoverageHealth Net 2022 Open Enrollment HostedMeeting (09/29/21 – 11:00 – 12:00PM)via Zoom2022 SmartCare HMO Evidence ofCoverageHealth Net Member GuideOnline Provider/Facility SearchToolNetwork Comparison ListingJoin by phone at US: 1 669 444 9171 or 1 646 931 3860, Meeting ID: 984 46058705Minute Clinic Quick ReferenceGuideWellness Program & DiscountsKaiser Permanente800-305-1220Kaiser Virtual Open Enrollment Platform(Registration Required, Live WebinarsAvailable: 9/7, 9/8, 9/9, 9/14, 9/15, 9/16,2022 Summary of Benefits andCoverage2022 Evidence of Coverage10Kaiser Virtual Open EnrollmentReference Guide, Live WebinarSchedule, and Event Flyer
9/21, 9/22, 9/23, 9/28, 9/29, 9/30, 10/5,10/6, 10/7, 10/12, 10/13, & 10/14)Online Provider and FacilityDirectoryHealth and WellnessResources2022 Benefit SummarySharp Health Plan855-995-5004Sharp Performance Plus Health Plan forCalPERS members2022 Summary of Benefits andCoverageEnrollment KitMember Resource Guide2022 Summary of Benefits2022 Evidence of CoverageOnline Provider and FacilityDirectoryPerformance NetworkOverviewUnitedHealthcare SignatureValueAlliance HMO877-359-3714CalPERS 2022 UnitedHealthCarePresentation2022 UnitedHealthcare Summary ofBenefits and CoverageUHC Virtual Education Center2022 Evidence of CoverageUHC Virtual Office Hours via MicrosoftTeams (09/24/21 – 9:00 – 11:00AM)UHC Virtual Office Hours via MicrosoftTeams (09/30/21 – 1:00 – 3:00PM)UHC Virtual Office Hours via MicrosoftTeams (10/01/21 – 9:00 – 11:00AM)UHC Virtual Office Hours via MicrosoftTeams (10/13/21 – 9:00 – 11:00AM)11Open Enrollment BrochureOnline Provider and FacilityDirectoryHealth Plan Overview
UHC Virtual Office Hours via MicrosoftTeams (10/13/21 – 1:00 – 3:00PM)UnitedHealthcare SignatureValueHarmony HMO877-359-3714CalPERS 2022 UnitedHealthCarePresentation2022 UnitedHealthcare Summary ofBenefits and CoverageUHC Virtual Education Center2022 Evidence of CoverageUHC Virtual Office Hours via MicrosoftTeams (09/24/21 – 9:00 – 11:00AM)Open Enrollment BrochureOnline Provider and FacilityDirectoryHealth Plan OverviewUHC Virtual Office Hours via MicrosoftTeams (09/30/21 – 1:00 – 3:00PM)UHC Virtual Office Hours via MicrosoftTeams (10/01/21 – 9:00 – 11:00AM)UHC Virtual Office Hours via MicrosoftTeams (10/13/21 – 9:00 – 11:00AM)UHC Virtual Office Hours via MicrosoftTeams (10/13/21 – 1:00 – 3:00PM)Western Health Advantage 2022 OpenEnrollment Presentation2022 Summary of Benefits andCoverageOpen Enrollment Booklet2022 Plan HighlightsWestern Health Advantage888-942-73772022 Evidence of CoverageOnline Provider NetworksOnline Provider and FacilityDirectory12
Exclusive Provider Options (EPO)Online PresentationBenefit SummaryEPO 2022 Summary of BenefitsAnthem Blue CrossEPO (Del Norte County)855-839-4524BlueShield of CaliforniaEPO (Colusa, Lassen, Mendocino,Shasta, and Sierra Counties)800-334-5847Helpful LinksDel Norte County EPOProvidersEPO 2022 Evidence of CoverageEPO 2022 Benefit Guide2022 Open Enrollment DigitalPublication2021 Blue Shield of California EPOBenefits Presentation2022 EPO Summary of Benefits andCoverageSchedule Appointment withBlue Shield RepresentativeBlue Shield of California EPO PlanInteractive Video2022 EPO Evidence of CoveragePreferred Provider Organization (PPO)Online PresentationBenefit Summary2022 Summary of BenefitsAnthem Blue CrossPERS Gold877-737-7776Helpful LinksOnline Provider and FacilityDirectory2022 Evidence of Coverage2022 Benefit Guide132022 Open Enrollment DigitalPublication
2022 Summary of BenefitsAnthem Blue CrossPERS Platinum877-737-7776Online Provider and FacilityDirectory2022 Evidence of Coverage2022 Benefit Guide2022 Open Enrollment DigitalPublicationOther Health Plan ResourcesOnline PresentationOPTUM RxPharmacy Benefit Manager for Anthem(HMO/PPO/EPO), Health Net, Sharp,UnitedHealthcare, and Western HealthAdvantage Plans)Plan DocumentsCalPERS Prescription BenefitsPresentation – Administered by OPTUMRXEvidence of Coverage BookletHelpful LinksOnline Network PharmacyDirectoryPrescription Drug Pricing ToolFrequently Asked Questions855-505-8110CalPERSHealth Plan Administrator888-225-7377Open Enrollment VideoHealth Program GuideMyCalPERS – Step by Step Navigation forOpen Enrollment2022 Health Benefits SummaryCalPERS On-Demand Education VideosCalPERS Online Videos14Your Guide to Choosing aHealth PlanMyCalPERSHealth Benefit Plan Enrollment Formfor Active Employees (HBD-12)Health Plans and Rates2021/2022 Open EnrollmentNewsletterHealth Plan Search by ZipCode
Dignity HealthMedical GroupOpen Enrollment VideoOnline Provider DirectoryDignity Health Video LibrariesOnline Location DirectoryDoc Talk VideosRequest a ConsultationDignity Health BrochureSutter HealthMedical Group855-532-6400Email: employer@sutterhealth.orgGet to Know Sutter Health During OpenEnrollment for CalPERSOnline Provider DirectoryMy Health Online BenefitsLive Webinar LibraryOnline Provider DirectoryHill PhysiciansMedical Group800-445-5747Online Urgent Care CenterDirectoryMember ResourcesOnline Provider DirectoryBrown and Toland PhysiciansMedical Group800-225-5637Online Hospital and LabsDirectoryOpen Enrollment How to Choose UC Davisas Primary Care VideoOpen Enrollment SectionOnline Provider DirectoryUC Davis HealthMedical Group15
800-282-3284Online Primary Care LocationsDirectoryFrequently Asked QuestionsDental PlansOnline PresentationBenefit SummaryDelta Dental Enrollee Online ToolsDelta Dental PPO plus Premier PlanHighlightsDelta Dental PPO plus PremierPlan 9949800-225-3368Helpful LinksOnline Provider DirectoryWellness SiteDelta Dental PPO plus PremierEvidence of CoverageCalHR Dental Benefit Summary2022 Dental Benefits Handbook forActive EmployeesUsing Your PlanCalHR Frequently AskedQuestionsDental Plan EnrollmentAuthorization STD 692Cal HR Dental OverviewDelta Dental PPO Plus Premier andPPO Coverage and Cost ComparisonCalHR Open EnrollmentSummaryCalHR Benefits CalculatorDelta Dental Enrollee Online ToolsDelta Dental PPOPlan 9946800-225-3368Delta Dental PPO Plan HighlightsOnline Provider DirectoryDelta Dental PPO Evidence ofCoverageWellness SiteUsing Your PlanCalHR Dental Benefit Summary16
2022 Dental Benefits Handbook forActive EmployeesCalHR Frequently AskedQuestionsCal HR Dental OverviewDental Plan EnrollmentAuthorization STD 692Delta Dental PPO Plus Premier andPPO Coverage and Cost ComparisonCalHR Open EnrollmentSummaryCalHR Benefits CalculatorDelta Dental Enrollee Online ToolsDeltaCareDHMO800-422-4234DeltaCare USA Plan HighlightsOnline Provider DirectoryDeltaCare USA Plan Evidence ofCoverageWellness SiteUsing Your PlanCalHR Dental Benefit Summary2022 Dental Benefits Handbook forActive EmployeesCalHR Frequently AskedQuestionsCal HR Dental OverviewDental Plan EnrollmentAuthorization STD 692DHMO Coverage and CostComparisonCalHR Open EnrollmentSummaryCalHR Benefits CalculatorPremier Access Powerpoint PresentationPremier AccessDHMOSchedule of BenefitsOnline Provider DirectoryEvidence of CoverageCalHR Frequently AskedQuestionsCalHR Dental Benefit Summary17
888-534-3466State of California DHMO InsuranceMetLifeDHMO800-888-18002022 Dental Benefits Handbook forActive EmployeesDental Plan EnrollmentAuthorization STD 692Cal HR Dental OverviewCalHR Open EnrollmentSummaryDHMO Coverage and CostComparisonCalHR Benefits CalculatorSchedule of BenefitsOnline Provider DirectoryCalHR Dental Benefit SummaryMetLife Frequently AskedQuestions2022 Dental Benefits Handbook forActive EmployeesCalHR Frequently AskedQuestionsCal HR Dental OverviewDHMO Coverage and CostComparisonDental Plan EnrollmentAuthorization STD 692CalHR Open EnrollmentSummaryCalHR Benefits CalculatorWestern DentalDHMO866-859-7525Plan SummaryOnline Provider SearchSchedule of BenefitsOnline Location SearchCalHR Dental Benefit SummaryCalHR Frequently AskedQuestions2022 Dental Benefits Handbook forActive EmployeesCal HR Dental Overview18Dental Plan EnrollmentAuthorization STD 692
DHMO Coverage and CostComparisonCalHR Open EnrollmentSummaryCalHR Benefits CalculatorWestern Dental Benefits SummaryVision PlansOnline PresentationBenefit SummaryOpen Enrollment Employee BenefitsPresentationVision Services Plan (VSP)Basic Plan800-877-71952022 Member Benefits SummaryComparisonHelpful LinksEnrollment/Change Portal(click on enroll now or changelink)Evidence of CoverageFrequently Asked QuestionsCalHR Vision Benefit SummaryOnline Provider DirectoryCalHR Open EnrollmentSummaryCalHR Benefits CalculatorOpen Enrollment Employee BenefitsPresentationVision Services Plan (VSP)Premier Plan800-877-71952022 Member Benefits SummaryComparisonEnrollment/Change Portal(click on enroll now or changelink)Evidence of CoverageFrequently Asked QuestionsCalHR Vision Benefit SummaryOnline Provider Directory19
CalHR Open EnrollmentSummaryCalHR Benefits CalculatorFlex Elect PlansOnline PresentationBenefit SummaryReimbursement Plan SummaryMedical and Dependent CareReimbursement PlanMedical Reimbursement AccountSummaryDependent Care ReimbursementAccount Summary2022 FlexElect HandbookHelpful LinksReimbursement AccountEnrollment AuthorizationForm STD 701-RFlexElect ReimbursementClaim Form CalHR 351CalHR Open EnrollmentSummaryCalHR Benefits CalculatorFlex Elect ReimbursementFlyerMedical ReimbursementEligible Expenses SheetCash Option Plan SummaryMedical and Dental Cash Option PlanCash Option EnrollmentAuthorization Form STD 701-C2022 FlexElect HandbookCalHR Open EnrollmentSummaryCalHR Benefits Calculator20
ASI Helpful VideosASI FlexMedical and Dependent CareReimbursement Plan Adminsrator800-659-3035HealthCare FSA InformationASI FormsDependent Care FSA InformationFrequently Asked QuestionsSavings CalculatorLong Term Disability (LTD)Online PresentationBenefit SummaryLTD Decision Support ToolsThe Standard888-641-7193Helpful LinksGroup LTD GuideLTD Online EnrollmentLTD Certificate of InsuranceKey Features of LTD PlanLTD Summary (CalHR)LTD Needs EstimatorLTD Premium CalculatorGroup Legal Services Insurance PlanOnline PresentationARAG*Access Code 10202soc866-762-0972Benefit SummaryHelpful LinksWhat is Legal InsurancePlan DetailsOnline EnrollmentARAG Virtual Benefit Fair WebinarGroup Legal Services Insurance PlanSummary (CalHR)Group Legal Services InsurancePlan Enrollment Authorizationfor Active Employees21
ARAG Learning CenterOnline Attorney DirectorySavings Estimator22
We are providing the following wellness-related links to various resources offered by the JudicialCouncil’s benefits providers, which are free to both members and non-members.Wellness Resources available through Healthcare ProvidersKaiser Permanente Monthly Health TopicsKaiser Permanente Self Care PageAnthem Blue CrossBlue ShieldHealthNetUnited Healthcare AllianceWestern Health AdvantageSharp Health PlanKaiser Monthly Health TopicsKaiser Self Care PageAnthem Blue Cross Health & WellnessBlue Shield Wellness ResourcesHealth Net Wellness WebinarsHealth and Wellness TopicsHealth and Wellness ResourcesPrevention and Wellness ResourcesRetirement Planning ResourcesSavings Plus (SF)To book an online appointment, s Plus (SAC)To book an online appointment, tappt.comCalPERS RetirementTo book an appointment, quarters-regionaloffices/make-an-appointmentFree State Wellness Resources and WebinarsSavings Plus Event CalendarCalPERS Member Education PortalWestern Health CommunityFITCalifornia 211Click to registerClick for more informationView schedulehttps://www.211ca.org/23
Health Net SmartCare 888-926-4921 Health Net for CalPERS 2022 Open Enrollment Health Net 2022 Open Enrollment Hosted Meeting (09/29/21 – 11:00 – 12:00PM) via Zoom Join by phone at US: 1 669 444 9171 or 1 646 931 3860, Meeting ID: 984 4605 8705 2022 SmartCare HMO Summary of Benefits and Coverage 202
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Open Enrollment 2022 Dear George Washington University Community, Welcome to the 2022 Benefits Open Enrollment season! Open Enrollment . begins on Monday, October 11, 2021, and closes at 8 p.m. (ET) on Friday, October 29, 2021. Open Enrollment provides an annual opportunity to reflect upon yo
Health, Dental, and Vision Enrollment/Change Form - FINAL 12.20.2022 Page 1 of 6. Health, Dental, and Vision Enrollment/Change Form . Instructions: Form is only to be used for new employees or . qualifying event changes during the plan year (outside of annual Open Enrollment). For new hire enrollment,
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OPEN ENROLLMENT STEP BY STEP USING THE ENROLLMENT PLATFORM Page 9 of 24 In this step, the Enrollment Platform connects to the Marketplace to verify your identity. This is designed to ensure your privacy, so they can verify you are the real person applying. You will be asked to respond to a series of questions to determine your identity. Some .
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