Consider & Choose Benefits For 2021 - Atlanta
Consider & ChooseBenefits for 2021THE CITY OF ATLANTAActive Employee Enrollment GuideCity of Atlanta Open Enrollment: November 16 to 30, 2020
Open Enrollment Period:November 16 to 30, 2020Enrollment for your 2021 employee benefits will be heldfrom Monday, November 16 to Monday, November 30, 2020,at 11:59 p.m. ET.You must enroll in benefits if you wish to: Select coverage for the first time Change benefit plans Add a dependent Participate in a Flexible Spending Account Participate in voluntary benefit plansThe options you select will be effective from January 1, 2021, throughDecember 31, 2021, unless you have a qualifying life event.
Table of ContentsBenefits & Enrollment Website . . . . . . . . . 5Plan Changes for 2021 . . . . . . . . . . . . . . . . . 5How to Enroll . . . . . . . . . . . . . . . . . . . . . . . . . 6Your 2021 Benefit Options . . . . . . . . . . . . . 7Medical Plans . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7Mental Health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Health Savings Account . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Flexible Spending Accounts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9Dental Plan Options . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10Vision Plan . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11Life Insurance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Short-Term Disability . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Voluntary Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12Wellness Programs . . . . . . . . . . . . . . . . . . 13Active Employees Rates . . . . . . . . . . . . . . 14Important Contact Information . . . . . . . 15Benefit Providers . . . . . . . . . . . . . . . . . . . 152021 Open Enrollment3
City of Atlanta OfficialsExecutiveMayorKeisha Lance BottomsLegislativePresident Of Council . . . . . . . . . . . . . . . . . . . . . . . Felicia A. MooreMembers of CouncilDistrict 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Carla SmithDistrict 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Amir R. FarokhiDistrict 3 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Antonio BrownDistrict 4 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Cleta WinslowDistrict 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . Natalyn M. ArchibongDistrict 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jennifer N. IdeDistrict 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Howard ShookDistrict 8 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . J.P. MatzigkeitDistrict 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Dustin R. HillisDistrict 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Andrea L. BooneDistrict 11 . . . . . . . . . . . . . . . . . . . . . . . . . Marci Collier OverstreetDistrict 12 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Joyce M. SheperdMembers of Council at LargePost 1 At Large . . . . . . . . . . . . . . . . . . . . . . . . . . . . Michael J. BondPost 2 At Large . . . . . . . . . . . . . . . . . . . . . . . . Matt WestmorelandPost 3 At Large . . . . . . . . . . . . . . . . . . . . . . . . . . . . Andre DickensAdministrative (Appointed)Chief Operating Officer . . . . . . . . . . . . . . . . . . . . . Joshua WilliamsChief Of Staff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Carmen ChubbInterim Commissioner Of Human Resources . . Jeffrey B. Norman4The City of Atlanta
Benefits &Plan ChangesEnrollment Website for 2021Our benefits website at benefits.atlantaga.gov includes detailedinformation about:Anthem BCBS HDHP No changes to this plan. Premium increase. Available benefits and plan ratesAnthem BCBS POS Frequently asked questions No changes to this plan. Eligibility and proof of dependent eligibility Premium increase. Making mid-year plan changesKaiser Permanente High-Deductible HMO How to enroll in benefits Individual and family deductibles are increasing. More information, including required notices,summaries of coverage and a glossary of terms Premium increase.Kaiser Permanente HMO No changes to this plan.For information aboutthe Wellness Center and ourwellness programs, please visitwellnesscenter.atlantaga.gov. Premium increase.Flexible Spending Accounts No changes to these plans. Contribution limits increase slightly.Dental Plan No changes to this plan. Premium increase.Vision Plan No changes to this plan. Premiums will not change.Life Insurance No changes to this plan. Rates will not change. Check your beneficiaries and update as appropriate.Short-Term Disability Plan No changes to this plan.Voluntary Insurance Products No changes to these plans.Retirement Plans New plan administrators.2021 Open Enrollment5
How to EnrollThere are two ways to access the enrollment system:1. Go to benefits.atlantaga.gov and click the red"Enroll in Benefits" button on the home page, or2. Go directly to the ATL Cloud site at https://ehxr.login.us2.oraclecloud.com/. In either case, followthe instructions below.Enrollment InstructionsFrom the ATL Cloud website: https://ehxr.login.us2.oraclecloud.com/1. To log in, enter your username and password.(If you need an Oracle password reset, click"FORGOT PASSWORD" on the main screen andchange the password.)Edit Benefits Review the available plans and click “Select” next tothe option(s) of your choosing. Scroll to the top of the page and click “Next.” Select your plan. If you are enrolled in a High Deductible Health Plan,determine the amount you would like to save in yourHealth Savings Account. Enter that value into the“Coverage” box. Scroll to the top of the page and click “Next.” Select your Dental and Vision Plan. Select your Life Insurance and enter thecoverage value.2. After you log in, under Apps, click on the orange“My Benefits” icon. Select a Flexible Spending Account option and enterthe coverage value.3. Next, click on the blue “Change Benefit Elections”box under “Start Enrollment.” Specify what percentage of any insurance payoutsyou want each of your beneficiaries to receive.Dependents and Beneficiaries Choose which beneficiaries would receive anythingas a primary recipient. (For example, will yourspouse receive 100% of the benefit if somethinghappens to you?) Enter anyone you want to list as a dependent and/orbeneficiaries, if they are not already listed inthe system. Confirm dependent and/or beneficiaries’ informationalready entered in the system is correct. To create a new contact, click “Create Contact.” Enter the person’s Name and Relationship. Youmust complete the “Relationship,” “RelationshipStart Date,” “Last Name,” and “First Name” fields. Therelationship start date you enter must be a dateprior to the Open Enrollment start date. Enter their address information, or if they share thesame residence as you, check the “Copy my homeaddress” box. Choose which beneficiaries would receive anythingas a contingent recipient. (For example, what willyour children receive if something happens to youand your primary recipient?) To recalculate your total, click "Recalculate." Boththe primary and contingent percentages shouldequal 100%. Repeat for additional policies listed. When you are ready to continue, click "Next." Review your plan. If there are errors, click “Back”and make the necessary corrections. Finish completing the remaining fields, if necessary. If everything is correct, click “Submit.” When finished, click the “Save and Close” box at thetop of the screen.Important Notes Repeat these steps as many times as necessary toadd dependents and beneficiaries. When you are ready to continue, click “Continue.” A warning will pop up. If you have added all ofthe dependents you intend to add, click“Continue Enrollment.” When you see the “Authorization” page, read theinformation and click “Accept.”6The City of Atlanta You cannot select both a Health Savings Accountand Flexible Spending Account. You can only selectone of those options. You cannot select a Health Savings Account unlessyou are enrolled in a High Deductible Health Plan. If you add a “New Dependent,” you must uploadthe dependent verification to your documents ofrecord or you can submit to the Insurance Division.
Your 2021 Benefit OptionsMedical PlansThe City of Atlanta offers four Medical Plan options.High-deductible options: Anthem BCBS High-Deductible Health Plan (HDHP)with Health Savings Account (HSA) Kaiser HMO High-Deductible Health Plan (HDHP)with Health Savings Account (HSA)Traditional Medical Plan options: Anthem BCBS POS Kaiser Permanente HMOEach of the plans cover 100% of in-network preventivecare, even before you meet the deductible. Each plan alsoprovides prescription drug benefits according to a tieredcoverage system. You will pay the least for prescriptionswhen you choose generics and/or use the mailorder service.This year, consider the two high-deductible plans. Thoughthe deductible is higher than in a traditional plan, thepaycheck contribution is significantly lower. This meansyour out-of-pocket costs for the year might be less thanwhat you would pay under a traditional plan option.High-deductible Medical Plan OptionsPlan ProvisionHow It WorksHealth Savings AccountFirst, use your HSA to payfor covered services. You cancontribute pretax dollars tothe HSA and use them to helpmeet your annual deductible.Unused HSA funds roll overfrom year to year.2021 Contributions to Your HSAFor 2021, you can contribute pretax dollars from each paycheck up to thefollowing limits: 3,600 for individual coverage 7,200 for family coverage 1,000 catch-up contribution for members age 55 or older(not a lump-sum contribution)These limits apply to all combined contributions from any source, except rollover funds.City of Atlanta ContributionThe City makes a contributionto help you get started.Employer HSA Contribution 500 for individual coverage 750 for family coverageFree Preventive CareTo help you stay healthy,preventive care is coveredat 100%.Preventive CareThere is no deduction from your HSA or any out-of-pocket costs for you if you receiveyour preventive care from in-network providers. Preventive care may include certainscreenings, immunizations, and physician visits.Meet Your DeductibleThe deductible is the annualamount you pay, eitherout-of-pocket or using yourHSA, before you reach thetraditional health coverageportion of the plan.In-Network 1,300 individual 3,900 familyOut-of-Network 2,500 individual 5,000 familyIn-Network Only 1,400 individual 4,200 familyTraditional Health CoverageAfter you meet yourdeductible, the plans worklike traditional plans. You paycoinsurance (a percentage ofcharges), and the plan paysthe rest.In-Network Plan pays 80%after deductible forin-network providers Plan pays 80% afterdeductible for innetwork pharmaciesOut-of-Network Plan pays 60%after deductible forout-of-network providers Plan pays 80%after deductible forout-of-network pharmaciesIn-Network OnlyPlan pays 90% afterdeductible for coveredservicesOut-of-Pocket MaximumFor your protection, thetotal amount you spendout-of-pocket is limited.Once you spend that amount,the plan pays 100% of thecost for covered services forthe remainder of the year.In-Network 3,500 individual 7,000 familyDeductible countstoward maximumOut-of-Network 7,000 individual 14,000 familyDeductible countstoward maximumIn-Network OnlyUnder the Kaiser plan, youmeet your out-of-pocketmaximum once you’ve metyour annual deductible.Anthem BCBS HDHP with HSAKaiser HMO HDHP with HSA2021 Open Enrollment7
Traditional Medical Plan OptionsPlan ProvisionsAnthem BCBS POSKaiser mitedUnlimited 500/ 1,500 800/ 2,400 500/ 1,500 2,500/ 7,500 4,000/ 12,000 2,500/ 7,50090%70%90%Immunizations100% (no copay)70% after deductible100% (no copay)Pap Smear/Mammography/Prostate Screening100% (no copay)70% after deductible100% (no copay)Routine Physicals100% (no copay)70% after deductible100% (no copay)Primary Care 20 copay70% after deductible 20 copaySpecialist 40 copay70% after deductible 35 copayLifetime MaximumDeductible (individual/family)Annual Out-of-Pocket Maximum(individual/family)CoinsurancePreventive CareOffice VisitsEmergency Services 300 copay (waived if admitted)Inpatient Hospital90% after deductible90% after deductible90% after deductibleOutpatient Hospital Services Hospital Charges Diagnostic X-ray/Lab Services Physician Services90% after deductible90% after deductible90% after deductibleInpatient & Partial HospitalizationFees/Services90% after deductible70% after deductible90% after deductibleOutpatient Mental Health Treatment90% after deductible70% after deductibleMental Health/Substance Abuse 20 copay(unlimited visits)Additional ServicesAmbulance Service100% after 300 copay100% after 300 copay100% after 300 copaySkilled Nursing Facility (100-day max)90% after deductible70% after deductible90% after deductibleHome Health Care100% after deductible70% after deductible(40 visits per year max)Hospice CareNo charge(120 visits per year max)100% after deductible100% after deductibleNo chargeGeneric (30-day supply) 1570% after deductible 20 KP/ 30 NWKPreferred Brand (30-day supply) 3070% after deductible 40 KP/ 50 NWKNon-Preferred Brand (30-day supply) 4070% after deductibleN/A80%( 80 min/ 120 max)N/A80%( 80 min/ 120 max)2x retail copayNot covered2x retail copay 20 copay PCP 40 copay Specialist70% after deductible 30 copayPrescription Drugs*Speciality DrugsMail Order (90-day supply)VisionEye Exam (Only for injury or disease ofthe eye.)* Medications with a generic equivalent will be filled as generic unless the physician indicates DAW (dispense as written). If DAW is not indicated,members who choose the brand over the generic will pay the applicable copayment plus the difference in cost between the brand name and thegeneric. All specialty medications must be filled through the mail order program.8The City of Atlanta
Mental HealthIf you or a family member have any mental healthneeds, please review the medical benefits carefully.There are significant differences related to mentalhealth coverage.Please feel free to call the COA’s Psychological Services/Employee Assistance Program (PS/EAP) office at404-546-3074, if you would like to discuss yourindividual needs to ensure that you select the bestcoverage for you and your family members.Flexible SpendingAccountsThe Anthem Act Wise Flexible Spending Accounts (FSAs)offer you the opportunity to save for and pay certainhealth and dependent care expenses with pretaxdollars. Participating in an FSA reduces your taxableincome, which means you owe less tax and spend lessfor qualified expenses. The amount you may contributeto an FSA is determined by the IRS annually and isnoted in the enrollment system.The City offers two types of FSAs: one for health careand another for dependent day care.Health Savings AccountIf you enroll in the Anthem BCBS HDHP or Kaiser HMOHDHP, you also are eligible to enroll in a Health SavingsAccount (HSA). You can use the funds in your HSA topay for eligible healthcare expenses.Eligible healthcare expenses may include: Medical, dental and vision deductibles Medical, dental and vision coinsurance Medical, dental and vision copaysThere are two ways to fund your HSA:1. The City of Atlanta will contribute to your HSA eachyear — 500 for individuals, and 750 for families(employee plus one or more dependents). The Health Care FSA is available if you enroll in theAnthem BCBS POS Plan or the Kaiser HMO. It is notavailable if you enroll in the Anthem BCBS HDHPor Kaiser HMO HDHP. You can contribute up to 2,750 in 2021. You will lose any money over 550left in your Health Care FSA after March 31, 2022,so plan your expenses carefully. 550 can be rolledover into the next year. The Dependent Care FSA is available regardless ofyour Medical Plan enrollment. You can contributeup to 5,000 in 2021. You will lose any money left inyour Dependent Care FSA after March 31, 2022, soplan your expenses carefully.All FSA-eligible expenses must be incurred betweenJanuary 1 and December 31, 2021. Claims forreimbursement must be filed before March 31, 2022.2. You also can contribute to the HSA up to certain IRSlimits that are noted on the prior page.HSA funds are yours to keep even if you change medicalplans or leave employment with the City. Funds roll overfrom year-to-year, and you can use them for eligiblehealthcare expenses even into retirement.The HSA is not available if you enroll in the AnthemBCBS POS Plan or the Kaiser HMO.2021 Open Enrollment9
Dental Plan OptionsThe City of Atlanta offers three dental plan options: Anthem BCBS Dental PPO - High Option (with orthodontia coverage) Anthem BCBS Dental PPO - Low Option (without orthodontia coverage) Aetna DHMOThe Anthem BCBS plans allow you to seek care in- or out-of-network, although you'll save when you stayin-network. The Aetna plan only allows coverage in the plan's network.Anthem BCBS Dental PPOHigh Option (withorthodontia)Low Option (withoutorthodontia)Annual Benefit Maximum (per person) 2,000 2,000Annual Deductible (individual/family)* 50/ 150 50/ 150Dental ServicesPlan pays:Plan pays:Diagnostic and Preventive Services (exams, cleanings, X-rays)100%100%Basic Services (fillings, extractions, root canals, periodontic scaling,and root planing)80%80%Major Services (crowns, dentures, bridges)50%50%Orthodontic Services (adults and dependent children)50%Not coveredOrthodontic Services Lifetime Maximum (per person) 1,500N/A* Deductible waived for diagnostic/preventive services.Aetna DHMOIn-Network Coverage OnlyDiagnostic and Preventive Services Exams Cleanings Routine X-raysYou pay 0You pay 0You pay 0Basic Services Fillings Simple extractions Root canals (anterior/bicuspid) Periodontal scalingYou pay 22 - 80You pay 12 - 30You pay 150 - 195You pay 39 - 65Major Services Root canals (molar) Crowns Dentures BridgesYou pay 435You pay 445 - 488You pay 513 - 719You pay 475 - 488Orthodontic Services (up to 24 months of treatment) Adults Dependent children (up to age 19)You pay 2,400You pay 2,40010The City of Atlanta
Vision PlanThe Vision Plan is administered by UnitedHealthcare Vision. You can choose from private practice providers andretail chain providers. When you use in-network providers, you’ll pay less for care.Plan ProvisionsIn-NetworkOut-of-NetworkVision ExamYou pay 15Available once every 12 monthsRefractive measures such as lenses, frames, and contactlenses are covered under the UHC Vision Plan. MedicalPlan participants are allowed one annual vision examunder the Medical Plan; however this does not includeevaluation or coverage for glasses or contacts.Plan pays up to 40Eyeglass Lenses Single Vision Bifocal Trifocal LenticularYou pay 25Available once every 12 monthsEyeglass FramesPlan pays 130Available once every 12 monthsContact Lenses in Lieu ofEyeglasses Elective NecessaryYou pay 25 and any amount over 150Available once every 12 monthsLaser Vision CorrectionUnitedHealthcare Vision has partnered with QualSightLASIK, for access to discounted laser vision correctionproviders. Member savings represent up to 35% offthe national average price of traditional LASIK.Contracted prices start at 945 per eye for traditionalLASIK and 1,395 per eye for custom LASIK. For moreinformation visit myuhcvision.com.Hearing Aid DiscountUnitedHealthcare Hearing offers discounts for hearingaids through our uhchearing.com website or youcan call 1-855-523-9355. Mention promo code UHCMYVISION to receive discounted pricing for your hearingaid, ranging from Basic, Essential, Advanced andPremium Hearing Aids.Plan pays up to 40Plan pays up to 60Plan pays up to 80Plan pays up to 80Plan pays up to 45Plan pays up to 150Plan pays up to 210Not available2021 Open Enrollment11
Life InsuranceThe City of Atlanta provides you with a basic amount of Group Life Insurance and Accidental Death andDismemberment (AD&D) Insurance to help protect your loved ones in the event of your death. There is anadditional “In the Line of Duty” Benefit for First Responders.You also may be eligible to purchase additional life insurance for yourself and your dependents. This supplementalcoverage may require proof of insurability.Insurance PlanBenefits CoverageBasic Employee Life and AD&DThe City provides 40,000 in coverage.Supplemental Employee Life and AD&DYou may purchase 1x base salary in increments of 10,000 up to 200,000.Supplemental Spouse/Domestic Partner LifeInsuranceYou may purchase 5,000 in coverage. A SurvivingSpouse/Domestic Partner who is insured at the time anemployee passes away will be eligible to continue his/her 5,000 Life Insurance coverage.Supplemental Child Life InsuranceYou may purchase:Birth to 6 months: 6006 months to 26 years: 5,000Short-Term DisabilityAFLAC's Short-Term Disability (STD) Insurance offersa monthly benefit to replace up to 60% of your grossincome if you are disabled and can’t work due to acovered accident or covered sickness.Voluntary BenefitsOur voluntary insurance plans are offered by MetLife.If you’re sick or hurt, MetLife pays benefits directly toyou to help with your eligible expenses. Coverage alsois available to your spouse and dependent children.You may choose the amount of your disability benefits(subject to income limits): Lump Sum Critical Illness Insurance Up to 60% of your gross monthly income upto 4,000 per month with Guaranteed Issue(no health questions). Accident Indemnity Insurance Higher monthly benefits are available up to 7,500 per month with additional underwriting.When you enroll, you may choose on/off-the-job oroff-the-job only coverage. You also may choose howsoon benefits are paid and how long benefits will last.12The City of Atlanta Cancer Care Insurance Hospital Indemnity Insurance Critical Care and Recovery InsuranceIf you would like to enroll online in the City'sMetLife voluntary benefits, you can do so by clickingon enroll.employeenavigator.com or byentering enroll.employeenavigator.com in yourInternet browser.
Wellness ProgramsThe DHR – Employee Benefits manages a comprehensive health and wellnessprogram for the City’s active and retired employees and their families. Formore information about the activities listed below, contact the DHR – EmployeeBenefits office at 404-330-6036.Disease ManagementCOA Employee Wellness CenterContracted insurance vendors manage chronic diseasessuch as diabetes, heart disease, coronary arterydisease (including circulatory restrictions and strokes),musculoskeletal disorders (including lower back pain),and digestive disorders. These are the top five chronicdiseases prevalent in our population. Your Medical Plancarrier may reach out to you, offering support if you arecoping with any of these chronic diseases.Employees who are enrolled in a City-sponsoredMedical Plan are eligible to use the City’s onsite healthclinic. You must present a proper Medical Plan ID card.Free medical and pharmacy services will be available.When you use the Wellness Center, you save on officevisit copays and may receive generic medications at nocost to you.Incentive ProgramFor information about the City’s Wellness Center facility,please visit wellnesscenter.atlantaga.gov.Active employees can earn up to 300 in wellnessincentives at the end of the plan year.Anthem BCBS offers plan participants the followingincentives: 100 for an annual physical exam with your primarycare physician 25 for mammogram 50 for colon screening 25 for a claims process flu shot or for obtaining abiometric screening, sponsored by the City of Atlanta Up to 100 for reaching points level 2 ( 25) eachquarter through the City of Atlanta’s Mobile HealthConsumer appParticipants in the Kaiser medical option also may earnup to 300 in wellness incentives.All 2021 incentive amounts must be earned, redeemedand rewarded by December 31, 2021. Incentives will bedelivered as a gift card.2021 Open Enrollment13
Active Employee RatesMedical PlansAnthem BCBS HDHPBi-Weekly RatesAnthem BCBS POSYour CostCity CostYour CostCity CostEmployee Only 78.84 224.38 94.86 269.97Employee Child(ren) 139.38 396.71 166.09 472.70Employee Spouse/Domestic Partner 197.33 561.62 237.34 675.51Employee Family 260.55 741.56 313.38 891.94Kaiser HDHPBi-Weekly RatesYour CostCity CostKaiser HMOYour CostCity CostEmployee Only 73.36 208.78 88.09 250.71Employee Child(ren) 121.97 347.16 154.30 439.14Employee Spouse/Domestic Partner 183.39 521.96 220.21 626.75Employee Family 242.06 688.93 290.68 827.32Dental PlansAnthem BCBS Dental High OptionBi-Weekly RatesEmployee OnlyAnthem BCBS Dental Low OptionYour CostCity CostYour CostCity Cost 3.64 10.37 3.39 9.65Employee Child(ren) 7.71 21.96 6.55 18.66Employee Spouse/Domestic Partner 7.44 21.19 6.90 19.62Employee Family 12.21 34.74 10.41 29.63Aetna DHMOBi-Weekly RatesYour CostCity CostEmployee Only 1.36 3.87Employee Child(ren) 2.45 6.98Employee Spouse/Domestic Partner 2.66 7.57Employee Family 4.09 11.66Vision PlanUnitedHealthcare VisionBi-Weekly RatesYour CostCity CostEmployee Only 1.51 0.00Employee Child(ren) 3.32 0.00Employee Spouse/Domestic Partner 3.16 0.00Employee Family 4.28 0.00Life Insurance PlansAnthem Life InsuranceBi-Weekly RatesBasic Life - 1x salaryYour Cost 0.377 per 1,000Basic AD&D - 1x salary 0.024 per 1,000Additional Life 0.377 per 1,000Dependent Life (Spouse/Domestic Partner)* 3.600 per monthDependent Life (Child)* 1.070 per month* 5,000 maximum coverage14The City of Atlanta
Important Contact InformationContactAddressPhone / WebsiteDHR – Employee Benefits68 Mitchell St. SWSuite 2120Atlanta, GA 30303Phone: 404-330-6036Fax: 404-658-6640City of AtlantaEmployee Wellness Center235 Central Ave. SWAtlanta, GA 30303Health Clinic: 404-546-4730Fitness Center: 404-546-4745Pension Services68 Mitchell St. SWSuite 2107Atlanta, GA 30303404-330-6607Strategic Benefit Advisors, Inc.*(General Pension Fund)(Fire & Police Pension Fund)2472 Jett Ferry RoadSuite 400-410Atlanta, GA 30338COA Pension Center: 888-594-0216coapension@sba-inc.comEmployee Assistance Program2 City Plaza72 Marietta St.Atlanta, GA 30315404-546-3074Benefits/Programs* Effective January 1, 2021Benefit ProvidersContactPhoneWebsiteAnthem BCBS POS1-800-368-0766www.anthem.comKaiser Permanente HMO1-888-865-5813 or404-261-2590www.kp.orgAetna DHMO1-877-238-6200www.aetna.comAnthem BCBS Dental1-877-604-2158www.anthem.comUnitedHealthcare Vision1-800-638-3120www.myuhcvision.comAnthem Life1-800-552-2137www.anthemlife.comAFLAC Short-Term Disability1-678-886-9454www.aflac.comMetLife (voluntary plans)1-800-GET-MET8 (800-438-6388)www.mybenefits.metlife.comPrudential Financial etirementAnthem Act Wise Flex www.prudential.com/online/retirementMedical PlansOther Health PlansLife & Disability InsuranceSupplemental PlansRetirement PlanPrudential Financial Services** Effective January 1, 20212021 Open Enrollment15
This document provides a summary of benefits available to City of Atlanta active employees and eligible dependents, as well as laws,procedures, and regulations required to obtain and use such benefits. However, if inconsistencies occur between the contents of thisdocument and the contracts, rules, or laws regulating administration of the various programs, the program contract terms and/or appropriatelegislation supersede this document. In some instances, limitations and exclusions may apply.Should you have questions, please contact the benefit program’s member services or the Department of Human Resources (DHR) EmployeeBenefits. Contact information is included in this document.
Anthem BCBS High-Deductible Health Plan (HDHP) with Health Savings Account (HSA) Kaiser HMO High-Deductible Health Plan (HDHP) with Health Savings Account (HSA) Traditional Medical Plan options: Anthem BCBS POS Kaiser Permanente HMO Each of the plans cover 100% of in-network preventive care, even before you meet the deductible.
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