benefits.fresnounified.orgBenefits Department - Fresno Unified School District

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The Fresno Unified School District Benefits Department understands the importance of balancing your professional and personal life. We administer health and welfare benefits for FUSD employees, retirees, and their eligible dependents. Benefits Information Guide FUSD Employee Health Care Plan Booklet FUSD health and welfare benefits include: Medical ( Aetna or Kaiser Permanente ) Dental ( Delta Dental or UHC Dental ) Vision ( VSP Vision ) Life Insurance Please note that changes to your health and welfare benefits can only be made during one of the instances below: Within 31 days of your eligibility date – This eligibility window is for newly hired employees or for employee’s returning from an unpaid leave. The district offers an online system that walks you through the process of enrolling into your health and welfare benefits. An email will be sent to your FUSD account with the link to your New Hire enrollment portal. Learn about Eligibility Within 31 days of a Special Enrollment Event – You qualify for a Special Enrollment Event if you have recently experienced certain life events, including getting married, entering into a Domestic Partnership, having a baby, adopting a child, or obtaining permanent legal guardianship over a child. You have 31 days from the day of the event to fill out a Special Enrollment Form” and submit it to the Benefits Department. Learn about Special Enrollment During Open Enrollment – Every year, from October 1st through November 30th, the district hosts its yearly Open Enrollment period. This is your opportunity to make changes to your benefits (such as adding or removing dependents, switch to a different plan, etc.). Changes will take effect January 1st of the following year. Learn about Open Enrollment If you have questions, please contact the Benefits Department at 559-457-3520. Announcement 2024 Plan Changes – Medical, Dental, and Vision Waiver of Annual Deductible for Dual-Covered PPO Plan Participants Effective January 1, 2024, the annual deductible will be waived for all covered family members of a dual-covered member enrolled in the District’s PPO Plan Option A or PPO Plan Option B. To be eligible for this waiver, two District employees or retirees married to one another or in a domestic partnership, must each enroll their spouse/domestic partner as a dependent under their plan. Additional Coverage for Coinsurance The Joint Health Management Board and Fresno Unified School District have eliminated the percentage coinsurance that you would pay for medical benefits after your deductible has been met if you are enrolled in Plan Option A (PPO) or Plan Option C (Kaiser Permanente). If you are a Plan Option B (PPO) participant, the percentage co-insurance that you would pay after the deductible has been met has been reduced to 20%. Vision: New Provider and Plan Vision coverage for members enrolled in Plan Option A or Option B (PPO) is now provided by VSP Vision as a (PPO) plan. The switch to a new provider also comes with additional in-network benefits, including a higher retail allowance for frames. To locate an in-network VSP Vision provider, go to www.vsp.com , click on Find a Doctor.” You can search by location, office or doctor. Any questions pertaining to your vision coverage can be directed to VSP Vision by calling (800) 877-7195, or by visiting the website at www.vsp.com . Delta Dental Premier Incentive Plan If you currently have the Delta Dental PPO plan or is changing to Delta Dental PPO plan during Open Enrollment, your dental benefits are being enhanced to Delta Dental Premier Incentive Plan. You will receive additional benefits including up to 100% coverage for many dental services through in-network and out-of-network providers. The plan is on a new tiered structure designed to increase your benefits as you continue receiving dental care every year. This plan is an enhancement of the existing Delta Dental Dental PPO plan. The new incentive tiered structure applies to preventive services, restorative services, periodontics, endodontics, oral surgery, and crownsinlays. There is 100% benefits coverage for participants covered by the plan as of December 31, 2023, otherwise: 70% coverage when receiving dental care for the first year enrolled 80% coverage when receiving dental care for the second straight year while enrolled 90% coverage when receiving dental care for the third straight year while enrolled 100% coverage when receiving dental care for the fourth straight year (or longer) while enrolled Note: Benefits will decrease by 10% if you do not receive dental care each year. For further assistance or to find an in-network dentist, contact Delta Dental at (866) 499-3001 or visit www.deltadentalins.com . United Health Care Dental HMO Updates Benefits have been increased for the existing United Health Care Dental HMO plan: Composite fillings and root canals are now no charge. All oral surgery, crownsinlays, and prostheticsbridges are now no charge. The maximum out-of-pocket expense for 24-month orthodontia services have been reduced to $1,250. Upcoming Changes – VSP VSP® Vision Care provides you personalized eye care at VSP network locations with low or no out-of pocket costs. Value and savings you love. Save on eyewear and eye care when you see a VSP network doctor. Plus, take advantage of Exclusive Member Extras which provide offers from VSP and leading industry brands totaling more than $3,000 in savings. Provider choices you...