Time to Enroll!
What is Open Enrollment?
I missed my new hire benefits date, can you still get me enrolled?
What is No?
HDHP
What is a High Deductible Health Plan?
Someone you can reach out to if you need help staying compliant with ERISA requirements.
Who is Gallagher? (Hannah/Erik/Rehn also acceptable)
The specified amount an insured must pay before insurance will pay a claim.
What is a Deductible?
A significant life change that allows you to change your benefits outside of the annual enrollment period.
Can I change my HSA contribution mid-year?
What is Yes?
FMLA
What is the Family Medical Leave Act?
Easy-to-read guide that provides details about benefits and perks, not required by ERISA.
What is a Benefit Guide?
Claim amount an insured must pay after meeting their deductible.
What is coinsurance?
A statement that proves you qualify for the life insurance policy you apply for by providing health information.
What is Evidence of Insurability?
Does Big-D's medical plan cover orthodontics for adults?
What is Yes?
SPD
What is Summary Plan Description?
A uniform template that uses clear, plain language to summarize key features of the plan, such as covered benefits, cost-sharing provisions and coverage limitations.
What is a Summary of Benefits and Coverage (SBC)?
A fixed amount an insured pays for a covered health service.
What is a copay?
Who you can enroll on your health plan.
Who are dependents (Spouse and Children)?
Can I change my FSA contribution mid-year?
What is No?
SBC
What is a Summary of Benefits and Coverage?
A document that tells participants what the plan provides and how it operates. It provides information on when an employee can begin to participate in the plan and how to file a claim for benefits.
What is a Summary Plan Description (SPD)?
Typically, an insured pays a higher premium and has a lower deductible and out of pocket max.
What is a Traditional Plan?
Name at least 4 qualified life change events.
What is birth, marriage, divorce or annulment, losing coverage, death of spouse, change in residence etc.
Does Big-D cover GLP-1s?
What is Yes, if you have a history of diabetes, no if not?
PPO
What is a Preferred Provider Organization?
A federal law that sets minimum standards for most voluntarily established retirement and health plans in private industry to provide protection for individuals in these plans.
What is ERISA?
Generally, has higher deductible and out of pocket max with lower monthly premiums.
What is a high deductible plan?