What is Open Enrollment?
Open Enrollment is your opportunity to elect benefits for the upcoming policy year. During Open Enrollment, you may make additions, changes or deletions that will be effective in the new benefit year beginning January 1, 2019 and ending December 31, 2019.
When is Open Enrollment?
Open Enrollment will run from October 22, 2018 through November 2, 2018 for the 2019 plan year. When the enrollment period ends, you will not have an opportunity to change your benefit elections (other than Health Savings Account (“HSA”) and 401(k) contributions) until the next enrollment-period, unless you have a qualified life event.
What will happen if I do not participate in Open Enrollment?
Open Enrollment is passive EXCEPT for Flexible Spending Accounts (FSA) and Health Saving Account (HSA). This means all other current benefits, EXCEPT FSAs and HSA, will automatically rollover if no elections are made. If you currently have no coverage, you will continue to have no coverage.
What if my spouse has a different Open Enrollment time frame?
If your spouse has a different Open Enrollment period, elect any benefits you may want on the Appriss plans during our Open Enrollment. If you want to drop an Appriss plan and switch to your spouse’s plan during their Open Enrollment period, you will need to send an email to firstname.lastname@example.org. This email must include coverage changes (i.e. drop dependent on medical or drop coverage on medical) along with a letter from the spouse’s employer stating the Open Enrollment dates with the spouse’s name included.
What changes will be made to subsidies and surcharges with the addition of the new wellness program?
Beginning with the 2019 Benefit Plan year, Appriss will be replacing the Tobacco Program with a Wellness Program for reduced premiums. Participation in the 2018 Wellness Program will dictate premiums in 2019.
What benefits are being removed from the offerings?
Due to low enrollment, Appriss will no longer offer the following benefits:
The 2018 Wellness Program will start 9/1/18 and close 11/2/18. All activities for the program MUST be completed within this timeframe to earn incentives. More information coming soon on the 2019 Program.
Who can/should participate?
Employees and Spouses active on an Appriss Medical Plan on 9/1/18 will be eligible to participate in the 2018 Program. Those wanting to receive a Wellness Subsidy and avoid a Tobacco Surcharge in the 2019 plan year should participate.
What if I enroll in Medical after 9/1/18?
Those enrolling and active after 9/1/18, including new hires and newly elected medical during open enrollment, will start their program starting 1/1/19.
Employees active after 9/1/18 will automatically receive the wellness subsidy in 2019 and avoid the surcharge, for themselves and their spouse for the first 90 days. You will have 90 days to complete the program from 1/1/19. Failure to do so will result in no subsidy and a surcharge.
What are the activities?
There are now two programs related to receiving either a subsidy or surcharge. They are outlined in the chart below.
What is the Member Health Assessment(MHA)?
The MHA consists of questions about specific lifestyle habits. Your MHA responses are analyzed to show your risk level and generate a Health Index. You can complete your MHA within SimplyWell once we go live.
Why is a Biometric Screening important?
Biometric Screenings will be offered at most office locations onsite this year. These screenings provide vital information about your overall health, including cholesterol (total, LDL, and HDL), triglycerides, cardiac risk, glucose, blood pressure, height, weight, Body Mass Index (BMI), and waist measurement.
If you are unable to attend a Biometric Screening event, you may fulfill the screening requirement by visiting your physician* and completing a physician form or by visiting a Quest Diagnostics® Patient Service Center.
*Cost associated with Primary Care Physician will not be covered by Appriss.
Can Appriss see the results of my MHA, Biometric, or Tobacco?
HR will only receive a summary document detailing whether the activity was completed. This will allow us to load the subsidy or surcharge on your benefit profile. We are unable to see any detailed results or findings from your activities.
Where and when do I sign up for Biometric?
Biometric signs ups for all options, including Quest center/Primary Care, will be completed within the SimplyWell Portal at https://connect.viverae.com/#/auth/login.
Whether you’re a tobacco user or tobacco-free, you have a tobacco requirement as part of your wellness program.
What are the Reasonable Alternative Requirement for Tobacco User?
Reasonable alternative requirement is a tobacco-free education program within the SimplyWell Portal. Tobacco users can complete at their own pace to avoid the surcharge.
What is a Subsidy/Surcharge?
Subsidy is additional earnings for those who complete the Wellness Program to assist with Medical cost. This will be processed as additional earnings within payroll.*
Surcharge is an additional charge for those who do not complete the Tobacco Requirements. This will be processed as an additional deduction within payroll.
*Our Clinic Access and Tech. Supp. Spec. subsidies will continue in 2019 for those eligible.
When is my reward received?
2018 earned rewards will be received on 2019 premiums starting 1/1/19.
Do both Employee and Spouse have to complete?
Yes, in order to receive your full reward, you and your spouse must complete the program requirements. If you complete the program requirements, but your spouse does not, you will only receive a portion of the reward. Same goes for if your spouse completes the program and you do not.
How do I get the Subsidy?
To receive the full wellness subsidy for the 2019 calendar year, the Biometric and MHA MUST be completed by 11/2/18.
How do I avoid the Surcharge?
To avoid the full tobacco surcharge for the 2019 calendar year the Tobacco Affidavit MUST be completed for non-tobacco users by 11/2/18. If you’re a tobacco user then you will need to complete the reasonable alternative requirement by 11/2/18.
What are the rates,subsidies,surcharge amounts for 2019?
Click here for 2019 Medical Rates.
What is the 2019 Wellness Program?
More information to come.
How much time off will I get for maternity and paternity leave?
State, federal, and local laws trump any Appriss policies. Leave is based on approval through Family Medical Leave Act (FMLA) and other acts, including but not limited to, Americans with Disability Act (ADA) or California Family Rights Act (CFRA). Approval through these acts grants job protection, but does not guarantee paid leave.
Click here for more information on leaves of absence.
What pay is associated with paternity and maternity leave?
Hourly employees receive pay for maternity leave based on approval through Short Term Disability. Paternity leave is unpaid for hourly employees.
Salary employees are eligible for 100% salary continuation for maternity leave for approved FMLA. Employees are eligible for up to 12 weeks of FMLA in a rolling 12 month calendar. Paternity leave for salary employees is 100% up to 6 weeks for approved FMLA leaves.
Click here for more information pay associated with leaves.
When do I enroll my newborn onto my insurance?
Newborns will need to be enrolled via a qualifying life event in UltiPro within 31 days of birth. Proof of the life event, such as a birth certificate, must be submitted to HR within that time frame as well. Failure to enroll the new dependent will result in you having to wait until Open Enrollment.
Click Here for directions on qualifying events.
My recently born child does not have a SSN. What do I do?
When enrolling a child without a SSN simply enter a fake one during enrollment. Once you have the SSN, go into UltiPro > Menu > Myself > Contacts. From there click on the child’s name, update the SSN, and then save. This will send an update to all of our vendors.