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HomeMy WebLinkAbout2023 Benefit Additional Educational Documents CITY OF TWIN FALLS City of Twin Falls -MENEM �L- r N` M5 ..� YOUR HEALTH I YOUR FAMILY I YOUR LIFE (This page is intentionally left blank for double-sided printing) SavingsRx A Stop overpaying a - p for your ; prescriptions := ,- A Activate Rx Savings Solutions. A new way to help lower your \ prescription drug costs. 1 �-A— How it Works 0 Rx Savings Solutions uses software connected r Rx Savings Solutions will contact you to your health plan. It looks at the medications :i anytime you're spending too much on you take and finds options that may save prescriptions you're currently taking or you money. new ones you're prescribed in the future. 4 Your online account shows which lower-cost Switching to a more affordable prescriptions are available and lets you prescription is easy. Rx Savings compare prices. It also automatically lists any Solutions will consult with your doctor medications you've filled so everything's in one to get their approval on any changes place. It's like having your own personal and take care of all the other details—no pharmacist right at your side. effort required from you. is ' of O Call 1-800-268-4476 (TTY 800-877-8973). Para espanol, (lame al 1-800-917-5572 OVisit selecthealth.org/mavings — — Know Before Compare drug prices Convenient pharmacy access Log in to your SelectHealth member account to search for covered medications, compare drug prices, and see other information about your INTERMOUNTAIN prescriptions and benefits. Your member account HOME DELIVERY PHARMACY also has information about any special requirements, like step therapy or preauthorization, which you Get your prescriptions delivered for FREE and/or your doctor may need to complete before anywhere in the country. Register online at you can fill a prescription. If you ever have intermountainrx.org or call 855-779-3960. questions about drugs with special requirements, call Member Services at 800-538-5038. Save money with lower-tier drugs INTERMOUNTAIN The list of drugs covered by your plan will be either SPECIALTY PHARMACY RxSelect° or RxCore'. Your member materials and ID card indicate which drug list you have, and Get your specialty drugs or searchable versions of these two drug lists are self-injectables delivered for FREE available on our website. anywhere in the country. Your drug list will have three or four tiers of Ask your doctor to send coverage and each tier corresponds to a copay or prescriptions or call 877-284-1114. coinsurance amount (the amount you pay when you get drugs at the pharmacy). Look for generics and lower-tier alternatives to pay less for equally effective medications. RETAIL 90R $ Tier 1 Lowest Cost Get a 90-day supply of your maintenance (mostly generic drugs) medications at a participating Retail 90 $$ Tier 2 Higher Cost pharmacy—and pay less in most cases. (generic and brand-name drugs) $$$ Tier 3 Highest Cost I (mostly brand-name drugs) $$$$ Tier 4 Injectable Drugs and Specialty Medications YOUR LOCAL PHARMACY From major national chains to the corner drug store, you can get your prescriptions filled pretty much anywhere. Search for participating pharmacies at selecthealth.org. Preventive Care DID YOUKNOW? Your plan covers procedures, and preventive screenings no out-of-pocket c• • you. With 100% coverage, you get the preventive care youneed. For services to be covered as preventive, your doctor must submit claims with preventive codes. If a preventive service identifies a condition that needs further testing or treatment, regular copays, coinsurance, or deductibles may apply. Unless otherwise indicated, these services are generally covered once every 12 months. This information is subject to change at any time and additional limitations may apply. To verify if your service or supply is considered preventive, call Member Services at 800-538-5038. 1 0 Preventive Care: - - t Cost Adult Provo ' -4Pediatric > Rotavirus (ages 18 and o lder) > Human Papillomavirus (HPV)(ages 9 to 45) Laboratory Tests > Alcohol Misuse Screening Procedures/Counseling Obstetrical > Complete Blood Count and Counseling > Preventive Well-Child Visit Preventive Services (CBC) > Annual Hearing Screening (no limit from birth to age 12; > Prostate Cancer Screening (ages 65 and older) every 275 days from ages These are specific to pregnant (PSA) > Glaucoma Screening 12 to 18) women.To determine which > Diabetes Screening (once every 12 months) > Eye Exam additional non-obstetrical services may be considered > Cholesterol Screening > Sexually Transmitted > Depression Screening preventive, please refer to the > Gonorrhea Screening Infections Counseling > Developmental Testing Adult or Pediatric Preventive > Human Papillomavirus(HPV) > Dietary Counseling > Newborn Hearing Screening Services lists. Testing (once every 3 years (5 visits every 12 months; (once per lifetime) Laboratory Tests for women ages 30 to 65) only for certain diet-related > Annual Hearing Screening > Iron Deficiency Anemia > Chlamydia Screening chronic diseases) (ages 21 and younger) Screening > Human Immunodeficiency > Depression Screening > Application of Fluoride > Diabetes Screening Virus(HIV)Screening Immunizations Varnish(younger than age 5) > Urine Study to Detect > Syphilis Screening > Influenza > Dietary Counseling Asymptomatic Bacteriuria > Tuberculosis(TB)Testing > Tetanus or Tetanus, (5 visits every 12 months;only (first prenatal visit or at > Lead Screening Diphtheria,and Pertussis for certain diet-related 12 to 16 weeks gestation) > BRCA 1&2 Testing (Td,TdaP) chronic diseases) > Rubella Screening (covered once per lifetime > Pneumococcal Laboratory Tests > Rh(D) Incompatibility for high-risk individuals > Hepatitis A&B > Newborn Metabolic Screening Screening who meet criteria) > Meningitis (younger than age 1) > Hepatitis B Infection > Hepatitis B Virus(HBV) Human Immunodeficienc Screening (at first Screening (covered for > Zoster(ages 18 and older) > Virus(HIV) unode high-risk individuals who > Human Papillomavirus(HPV) Screening prenatal visit) meet criteria) (ages 9 to 45) > PKU Screening (younger > Gonorrhea Screening > Hepatitis C Virus(HCV) Contraception than age 1) > Chlamydia Screening Screening (once per lifetime Most contraceptives are > Thyroid(younger than age 1) > Syphilis Screening for individuals over age 50) > Sickle Cell Disease Screening g pp covered as a preventive service Breast-feeding Supplies Procedures under your pharmacy benefits. (younger than age 1) and Support > Pap Test(once every three > Cervical Cap with Spermicide > Lead Screenings > Breast Pump, Electronic AC years for ages 21 and older) > Diaphragm with Spermicide > Tuberculosis(TB)Testing or DC(one per pregnancy) > Lung Cancer Screening (between ages 50 and 80) > Emergency Contraception Immunizations > Lactation Class(one per > Screening Mammogram (Ella, Plan B) (As recommended by the pregnancy at a SelectHealth (once every 275 days) > Female Condom CDC/ACIP) approved facility) > Colonoscopy Colon Cancer > Implantable Rod > Measles, Mumps Rubella Screening(once every five (MMR) > IUDs years for ages 45 to 75) > Generic Oral Contraceptives > Diphtheria,Tetanus, Pertussis > Abdominal Aortic Aneurysm (Dtap, DT, DTP) Screening (males only,once (Combined Pill, Progestin Only,or Extended/ > Haemophilus Infuenzae between ages 65 and 75) Continuous Use) Type B(Hib, DtaP-Hib-IPV, This information is subject to > Bone Density/DEXA(once > P DTP-Hib, Dtap-Hib) every two years in women atch change at any time and additional > Polio(OPV, IPV, limitations may apply.This list may ages 60 and older) > Shot/Injection DtaP-Hep-LPV) not include all the preventive care > Certain Sterilization (Depo-Provera) > Influenza available to you for no money Procedures(such as > Spermicide out-of-pocket.To verify if your tubal ligation) > Sponge with Spermicide > Pneumococcal service or supply is considered Examinations/Counseling > Surgical Sterilization for > Hepatitis A preventive,call Member Services > Physical Exam Women(Tubal Ligation) > Hepatitis B at 800-538-5038. > Eye Exam > Surgical Sterilization Implant > Meningitis > Tobacco Use Counseling for Women > Varicella (including MMVR) > Vaginal Contraceptive Ring selecthealth. We're Here to Help You Health insurance doesn't have to be so complicated. We can help you with everything from understanding your benefits to finding the right doctor. Our customer service teams are dedicated to providing exceptional service. MEMBER SERVICES We want to help you understand your insurance plan— when you have a question, give us a call. We know that life doesn't always happen between nine and five, so we're here late. 7 a.m. to 8 p.m. MST, weekdays 9 a.m.to 2 p.m. MST, Saturdays 800-538-5038 MEMBER ONLINE ADVOCATES" CUSTOMER SERVICES We can help you find the right No time for a call? Log in to doctor for your needs. We'll find your SelectHealth member account the closest facility or doctor with the and chat with us or request a call back nearest available appointment, at a time that's convenient for you. schedule appointments for you, and help you understand and selecthealth.org maximize your benefits. 800-515-2220 1 9 - - - Top-notch Tech for You Your secure online member account is your one-stop shop for information about your healthcare. Your member account can be accessed from your mobile device or computer by visiting selecthealth.org. MEDICAL COST ESTIMATOR selecthealth We can estimate the cost of many healthcare 2022-SELECTHEALTHMEDPLUS services, so that you know what a procedure can cost before you schedule it. Log in to your SelectHealth account where you can see bundled �' �• cost estimates that include charges for the facility, provider, and anesthesiologist. Plan Details Documents Usaq,. ID CARDS Lost your ID card? No worries—you can view and print copies of your card from your SelectHealth member account. Rx Savings . REQUEST A CALL Use our call request feature to schedule a call back from our Member Services team at a set time that's ZS convenient for you. Connect Care Nurse Line Urgent CHAT WITH US No time for a phone call? Use our secure chat feature to talk with Member Services online. If you need to know whether your medication will be covered or how much a doctor's bill was, chat can help. HEALTHCARE INFORMATION View your benefits, claims, and deductible levels. Many contracted providers and facilities receive secure messages and will even upload lab results, imaging reports, and other health information on your Intermountain Healthcare My Health+ account. To access information from your providers, click the blue My Health+ button in the right corner of your SelectHealth dashboard. M : iealth+ aselecthealth. Your Health. Connected. You've got options when it comes to remote care. Get care wherever, whenever. Download the MyHealth+ App to get started or use the web version: intermountainhealthcare.org/myhealth. The doctor is always in with Intermountain Connect Care' Get urgent care 24/7 from home with virtual doctor visits at no or low out-of-pocket cost to you. When you can't get in to see your regular doctor, use Connect Care for: > Stuffy and runny nose > Eye infections > Lower back pain > Allergies > Cough > Joint pain or strains > Sore throat > Painful urination > Minor skin problems The typical wait time is under 10 minutes, and you can save an average of $400 per visit compared with the ER. Note: For true emergencies, call 911 or go to the ER. > In the My Health+app select"Virtual Visit,"and choose"Connect Care Urgent Care." fl —F Ta Not sure where to start? Try our free, 24/7 Nurse Line. Talk to a nurse about any condition to get advice on how and where to get care. Call 844-265-7648. Bundled1 . What's covered with your copay? Compare other plans to ours. Some health insurance plans require separate copays for these benefits. Rselecthealth. \ 8 / Office visit / — X-ray exam u Basic metabolic panel " Urinalysis Bone density tests Spirometry/pulmonary function testing The above table provides an example of what could be included for one copay at an office visit when services are received from an in-network provider. However, coverage is not limited to these examples and covered services may also be subject to the plan deductible. IR selecthealthm Seven Tips to Keep Healthcare Costs Low ......................................................................................................................................... We know healthcare can be expensive, but by using the tips below, you can keep your costs lower. GET CARE IN THE RIGHT PLACE. Make sure you choose the most appropriate place for your healthcare needs. Besides helping you save money, this helps you stay healthy and safeguard your benefits. If you're not sure where to go, you can always call us at 800-515-2220.And remember,save that trip to the emergency room for only true emergencies. USE GENERIC DRUGS WHENEVER POSSIBLE. Talk to your doctor and pharmacist about options for using generic drugs—they can help you get effective medication at the best price. STAY HEALTHY. The number one influence on your health is you. Take the time to take care of yourself and your family. Fact: The healthier you are, the less you spend on healthcare. GET PREVENTIVE CARE. Preventive care is covered 100% by most plans when you use in-network providers. Preventive care can help you stay healthy in the long run. 1 SEE IN-NETWORK PROVIDERS. We've said it many times, but it's worth saying again. If you go to doctors and facilities in your network, you will usually pay less for the care you receive. And if you go out-of-network, you will likely pay more out-of-pocket. _qw- 7 USE AN FSA OR AN HSA. Sign up for a plan that pairs with a Flexible Spending Account (FSA) or Health Savings Account (HSA) to pay for your out-of-pocket health • expenses (if offered by your employer). Remember only certain plans pair with an HSA, and other limits may apply. MANAGE YOUR CHRONIC ILLNESS. Our Care Management team can coordinate care and find the best way to meet your needs. Current programs include asthma, cancer, COPD, diabetes, depression, heart disease, high-risk pregnancy, mental health concerns, and substance abuse. To speak with a care manager, call 800-442-5305. The SelectHealth Network The SelectHealth Network includes all St. Luke's hospitals, facilities, and physicians, in addition to thousands of contracted doctors. You also have in-network benefits in all 50 states as shown in the chart below. STATE NETWORK IDAHO SelectHealth Network, which includes f BrightPath and St. Luke's Health Partners -7 UTAH SelectHealth Med (Utah only) NEVADA SelectHealth Med, Beech Street Network ; (outside Clark and Nye Counties) , ALL OTHER UnitedHealthcare Options PPO STATES Visit selectheaIth.org/findadoctor or use our mobile app to search for in-network doctors and facilities. Remember to choose the right network from the drop down. You can use the advanced search option to set your location. PRIMARY CARE PROVIDERS URGENT CARE A Primary Care Provider (PCP) sees patients for common What's open late and costs less than the ER? Our urgent medical problems, performs routine exams, and helps care clinics. If you need urgent care, these are great options. prevent or treat illness. You can trust a PCP to know your health history and help you find other doctors when you INTERMOUNTAIN CONNECT CARE"' need them. If your in-network PCP allows virtual (video) Visit a provider 24/7 via live online video. Many plans cover visits, you may pay less for these visits based on your this service at no or low out-of-pocket cost to you. Check benefits. Check out the "Primary Care Provider (PCP) your ID card or member materials for coverage information. Virtual Visits" benefit on your Member Payment Summary MENTAL HEALTH (MPS) to see how much you will pay. You have coverage through thousands of in-network mental SPECIALISTS health providers. With your benefits, there is no reason to When you need more than your PCP, our network of quality neglect any mental health issue. If you need help, we have specialists and surgeons can help. you covered. HOSPITALS EMERGENCY CARE ANYWHERE Our hospitals span Idaho, offering great care and services. For emergencies go to the nearest emergency room or Think heart care, cancer treatment, transplant services, hospital and you'll be covered whether in the U.S. or abroad. women and newborns, and much more—you name it, they can treat it. selecthealth. NetworkYour Doctors and Hospitals You have in-network benefits with hospitals, doctors, and healthcare professionals throughout Idaho. You can use St. Luke's nationally recognized hospitals, facilities, and physicians through the St. Luke's Health Partners network.* In addition, you have access to providers on the BrightPath network and Multi Plan providers are available in certain counties in Northern Idaho. Altogether, you can see more than 6,000 providers and healthcare professionals, and 45 hospitals, surgery centers, and skilled nursing facilities statewide. We've listed some of the more prominent facilities on the map below. Q • Kootenai Medical—•(g)—Kootenai kL Center Urgent WEB selecthealth.org/facilities Care PHONE 800-538-5038 Canyon County • Hospitals and Medical Centers *Merative Top 15 Health Systems in the U.S.,2022 •St. Luke's Nampa Emergency Department O Urgent Care Facilities •West Valley Medical Center-Caldwell Ada County OQ St. Luke's Clinic-Nampa 0--Syringa • St. Luke's Cancer Institute QQ Saltzer Quick Care General • St. Luke's Regional Medical (&Primary Health Medical Hospital Center-Boise Group Urgent Care Clinics • St. Luke's Regional Medical Center-Meridian Steele Memorial Hospital • St. Luke's Rehab Hospital / OO St. Luke's Eagle Urgent Care St. Luke's Mccae I I @ Primary Health Medical Memorial Hospital Group Urgent Care Clinics Weiser Memorial Hospital V or Health Madison Memorial St.Luke's Hospital Clinic—Family 9-St.Luke's Wood River —Teton Valley Hospital Medicine: Medical Center Idaho Urgent Care Fruitland St. Luke's Elmore Medical Center Bingham-tEastern Idaho Regional Memorial Medical Center •'/ Hospital First Choice Urgent Care 0­--North Canyon Medical Center Portneuf Medical Center Power County Hospital 4 0—portneuf Convenient Care St. Luke's Jerome—, ~Caribou Memorial Riverview Urgent Care _�—Minidoka Memorial Hospital Hospital Q "Cassia Regional Medical Center St. Luke's Magic Valley----A (&-Urgent Care of Twin Falls Medical Center St. Luke's Bear Lake Quick Care Oneida County Hospital 0 Memorial Hospital Franklin County Medical Center---* selecthealth. United Healthcare Options " • Network The United Healthcare Options PPO network includes PRIMARY CARE PROVIDERS 83% of all hospitals and two of every three healthcare A Primary Care Provider (PCP) sees patients for providers in the U.S. Using the SelectHealth website or common medical problems, performs routine mobile app, you can easily search for in-network exams, and helps prevent or treat illness. You providers and facilities anywhere in the country. can trust a PCP to know your health history and Choose "United Healthcare Options PPO" from the help you find other doctors when you need them. network drop down at selecthealth.org/findadoctor or If your PCP allows virtual (video) visits, you may in the app. If you need help finding providers or getting pay less for these visits based on your benefits. appointments, our team can help. Call 800-538-5038. Check out the "Primary Care Provider (PCP) Virtual Visits" benefit on your Member Payment Note: When getting care in Idaho, Utah, or Nevada you Summary (MPS) to see how much you will pay. will need to use the local networks found on the back of your ID card. SPECIALISTS When you need more than your PCP, our STATE NETWORK network of quality specialists and surgeons All states outside UnitedHealthcare Options PPO - use this can help. Idaho, Utah, and network when getting care in any of the Nevada blue states on the map below. HOSPITALS AND LOCAL CLINICS Your network includes 83% of all hospital beds Idaho, Utah, Use the approriate local network on the in the U.S. Think heart care, cancer treatment, and Nevada back of your ID card when seeking care transplant services, women and newborns, and in Idaho, Utah, or Nevada. much more—you name it, they can treat it. Visit selecthealth.org/findadoctor or use our mobile app to search for in-network doctors and facilities. Remember to URGENT CARE choose the right network from the drop down. What's open late and costs less than the ER? Our Urgent Care clinics. If you need urgent While your network of doctors and facilities is contracted care, these are great options. through United Healthcare, your in-network insurance CONNECT CARE` coverage is through SelectHealth. Contact SelectHealth Visit a provider 24/7 via live online video. with any questions about your coverage or benefits. Many plans cover this service at no or low out-of-pocket cost to you. Check your ID card or member materials for coverage information. ,boo"' fi MENTAL HEALTH You have coverage through thousands of in-network mental health providers. With your benefits, there is no reason to neglect any ■ � mental health issue. If you need help, we have you covered. EMERGENCY CARE ANYWHERE For emergencies go to the nearest emergency room or hospital and you'll be covered whether in the U.S. or abroad. selecthealth. SelectHealth Healthy Living Program Check this list often to make sure you are staying up-to-date with your SelectHealth Healthy Living program engagements. CREATE YOUR SELECTHEALTH ACCOUNT If you don't already have an account, visit selecthealth.org and register for one. You'll have access to your Member Checklist and health tools from the Dashboard page. 0 ANNUAL HEALTH SCREENING Attend a work-site health education and screening event or visit your doctor or PCP for an annual screening. HEALTH ASSESSMENT VIRGIN PULSE HEALTH CHECK The Health Check is an online health # assessment that gives you a health score ` based on your lifestyle. F DIGITAL COACHING VIRGIN PULSE JOURNEYS Digital Coaching programs can help 1 you create new healthy habits or keep the ones you have. 1 ` ACTIVITY CAMPAIGNS VIRGIN PULSE CHALLENGES Stay motivated with Activity Campaigns. Choose two challenges per year that fit your needs. Here are your options: """"""""""""""""""""""""""""""" If you complete the Team Challenge and 7,000 steps > 7,000 Steps Challenge in the same month,you only get credit for one. (20 days in one month) > Promoted Team Challenges Review your SelectHealth Member Checklist to check (offered quarterly) your progress. > Four individual promoted Healthy Refer to the Member Guide for additional details on how to Habit Challenges (offered monthly) participate in the Share Healthy Living Program. •ns? Call 800-442-5260. ©2020 SelectHealth.All rights reserved.1304759 11120 Get Fit. Get Paid. We want to give you up to $240 per year for being active! Choose from one of our two Wellness Rewards program options and receive $20/20 reward points for each month you participate - up to $580 per family, per year. Or pick the easy-to- use PIVOT program. It's your choice. 1. If you don't have a Selectl-lealth account, visit selecthealth.org and select REGISTER from the top of the homepage. Once you've created an account, log in. You'll land on the Selectl-lealth Dashboard. 2. Scroll down on the Dashboard to find My Tasks and select Membership Rewards. 1. MEMBERSHIP REWARDS > Join any gym you like or select "Gym Membership Discounts" from the screen that appears. This will take you to a list of gyms and other discounts. > To enter your gym information for one or more months, select "Submit Gym Information & Redeem Rewards." This will take you to the Rewards Homepage, where you'll select the "Gym Physical Activity" badge linking you to your Activity page. This is where you'll enter your gym information. > To redeem your reward points, log in to selecthealth.org. Go to My Tasks and select "Membership Rewards." From the screen that appears select "Submit Gym Information & Redeem Rewards." This will take you back to the Rewards Homepage where you'll select the "Redeem Rewards" badge. This badge will link you to the Rewards Search Catalog where you can redeem your points for rewards* equal in dollar value to your points total. continued on next page selecthealth. Get Fit. Get Paid. (continued) 2. PHYSICAL ACTIVITY REWARDS > Select "Sign Up &Track Steps" from the screen that appears. This Program Eligibility: Eligible members must be age 18 or older. Eligible will take you to create a Virgin Pulse account. Note: If you've just members must accept the Program created a SelectHealth account, you may need to wait 24 hours Terms and Conditions. To receive your reward points for these program options, for Virgin Pulse to receive your information. you must complete all requirements by the December deadline. For Detailed > Once logged on to the Virgin Pulse website, choose "7000 Steps Program Terms and Conditions and more for 20 Days..." Use a smartphone or fitness tracker to enter your information a how these options work, visit selecthealth.org/getfit or call us at steps with the Virgin Pulse "Stats"tool. Or, convert your choice of 800-538-5038. exercise, like biking to steps, with the "Add a Workout"feature. *Please note that rewards received may be considered income and subject to tax. > During each calendar month, complete 20 days or more of 7,000 steps, or the equivalent in non-stepping exercise, to earn points towards the 7,000 Steps for 20 Days Reward Trophy. > To redeem your reward points, log in to selecthealth.org. Go to My Tasks and select "Progress Tracking & Rewards." This will take you to the Rewards Homepage where you'll select the "Redeem Rewards" badge. From there, you will see the Rewards Search Catalog where you can redeem your points for rewards equal in ' dollar value to your points total. i 04 selecthealth. a U l } 4, Helping You Quit Tobacco Cessation If you've thought about quitting tobacco, Quit ' For Life on Rally Coach'" can help. Get all the tools and online resources you need to quit— and stay tobacco-free—at no cost. GET COACH SUPPORT Connect with a coach who will help create a personalized Quit Plan and guide you at every step. ACCESS ANYTIME, ANYWHERE Manage triggers with coach-led group sessions, trackers, text support, and more, all at your fingertips. VIEW QUIT RECOMMENDATIONS Get real-life tips and plan your path to quit with { recommended daily goals, articles, and videos. Get started at my quitforlife.com/selecthealth or call 1-866-QUIT-4-LIFE TTY 711. . 2� z Nicotine Replacement Therapy Most SelectHealth plans include 100% coverage for Nicotine Replacement Therapy (NRT), which includes prescription drugs or patches that can help curb nicotine cravings. Check your benefits to make sure you have coverage, but most of our plans allow two 90-day courses of nicotine replacement medication each year. For more information about prescribed medication that may increase your chances of quitting, talk to your doctor. Y I SelectHealth Healthy Beginnings' How we can help Our Healthy Beginningss" program is designed to help you have the healthiest pregnancy possible. This prenatal program is available to you at no extra cost. Our nurse care managers can offer: > Support and education during your pregnancy > Help with claims and benefit questions > Community resources,such as Women, Infants,and Children (WIC)and food and transportation programs,etc. > Education about childbirth,breastfeeding,and more > Access to needed care r Extra perks - > Cash incentives'for prenatal and postnatal care > Free online education through Intermountain Healthcare > Prenatal booklet and a free book of your choice > Help getting a breast pump after delivery / _ How to enroll A � Call us at 866-442-5052, Monday through Friday, from 8:00 a.m. to 5:00 p.m MST. If calling after hours, please leave a message with a phone number and best time to reach you. 1 Incentives received may be considered income and subject to tax 2 Based on plan type i Member ALL MEMBERS, ANYWHERE IN THE U.S. Visit your member account on selecthealth.org and click on ChooseHealthy Discounts to start saving. You'll find specialty provider discounts, deep product discounts, and free health resources. Need a hearing aid, upscale piece of home gym or fitness equipment, wearable tech, sunglasses, fitness fashion, healthy food service delivery, or wireless buds to fuel your workout? We've got a discount for that. WHEN IN IDAHO, UTAH, OR NEVADA, OUR MEMBERS MAY FIND ADDITIONAL DISCOUNTS. _ Get a little motivation to get and stay healthy with local member discounts. Find prices slashed for things like, Lasik surgery, gym memberships, hearing aids, cosmetic dermatology, eyewear, and r . more. Start browsing and saving at selecthealth.org/discounts. QUESTIONS? WEB & PHONE `�C selecthealth.org/discounts \ 800-538-5038 Helping You Manage Care managers are specially trained registered nurses who can help with managing long-term chronic diseases and provide support for recovery from surgeries and short-term illnesses. They have years of healthcare experience, with extensive knowledge about facilities, providers, and services. If you qualify for care management, a care manager will work with you and your doctor to make sure you get the most appropriate care and receive help with your benefits and claims. In addition to one-on-one support, we provide educational materials and follow-up phone calls to help you manage your condition. Care management is available for members with the conditions, surgeries, or illnesses listed here. Please call us to learn more. Asthma Cancer Chronic Obstructive Pulmonary Disease (COPD) .�. Complex joint i replacements Diabetes Heart disease Depression/Anxiety High-risk pregnancy HIV and other blood conditions Some surgeries / Q • WEB PHONE R selecthealth.org/wellness/ 800-442-5305 care-management (This page is intentionally left blank for double-sided printing) City Of Twin Falls #3135 Dental Benefits Rollover Max- PPO 50 $1,000 Categories Delta Dental PPO ■'• 50 Rollover Network Type PPO Premier Preventive&Diagnostic 100% 80% Basic 80% 70% Major** 50% 40% Deductible* $50/$150 $50/$150 Annual Maximum $1,000 $1,000 based on a benefit year Maximum Rollover $3,050 1" Max Fact Annual Threshold Amount $600 $500 in total paid claims With Rollover Max, when you use less than the Maximum Rollover $300 $250 $600 threshold amount in total paid dental claims during the year, a portion of your benefit dollars will Child&Adult Orthodontia** N/A N/A automatically rollover for future years when you may need it most. It's a fantastic benefit you can put Lifetime Maximum N/A N/A to work in many ways to benefit your dental health. 'Deductible applies to Basic and Major Services only with a maximum of(3)three deductibles per family **Late-entrants will have a 24 -month waiting period to both Major and Orthodontic Services o C�) W $1 ,000 $1 ,300 $1 ,600 $1 ,900 $1 ,600* $1 ,900 Annual Maximum Maximum Maximum Maximum Maximum Maximum Rollover Rollover Rollover Rollover Rollover $400 paid $450 paid $300 paid $1,300*paid $250 paid $300 paid dental claims dental claims dental claims dental claims dental claims dental claims Getting the most from Rollover Max • When you receive a preventive service (such as a dental cleaning or dental exam) within the benefit year, you will be eligible for the rollover benefit. • You are eligible for the $3,050 or$2,500 maximum rollover benefit when you obtain ALL dental services from a PPO or Premier dentist. • If you receive care from a non-participating dentist at any time during the benefit year,you will not accrue the rollover benefit for that year. • You will lose your rollover balance if you dis-enroll or have a break in coverage. • The maximum rollover amount does not apply to any services with a lifetime maximum. (such as orthodontics or implants). DELTA DENTAL (This page is intentionally left blank for double-sided printing) ® I„I OW® HEALTH through d DELTA DENTAL ORAL WELLNESS® • Here's [ HOW] you can Z maximize your oral health t no additional cost. a A healthy mouth is a vital part of your overall health, and Delta Dental of Idaho cares about yours. That's why we're introducing Health through Oral Wellness° (or, HOW"' for short). HOW is a unique, patient-centered program that adds additional benefits to your dental plan, based on your individual oral health needs. By having your dentist perform a simple risk assessment, you may have access to additional preventive and health-sustaining benefits. HOW TO GET STARTED: First, check with your Second, simply request Third, if you qualify employer to make a free Health through based on your results, sure your company Oral Wellness (HOW) Delta Dental of Idaho is participating in risk assessment at the will release, or'unlock' the HOW program. beginning of your specific additional benefits dental visit. without an increase in premium. BELOW ARE JUST SOME OF THE BENEFITS THAT MAY BE COVERED BASED ON RISK SCORES Additional cleanings SK Additional sealants (child and adult) [ Fluoride (child and adult) Periodontal maintenance (gum disease treatment) Oral hygiene instruction, nutritional counseling, or tobacco cessation En Drugs or medicaments dispensed in counseling the office for home use If you have questions or would like to contact us for more information about the Health through Oral Wellness program, please contact us by phone at (208) 489-3580 or toll-free at (800) 356-7586 or by email at customerservice@deltadentalid.com. All enhanced benefits are subject to the patient meeting their plan's annual maximum and other limitations. A risk assessment must be performed at every routine re-care visit to occur at least once in the plan year. Enhanced benefits and standard policy requirements,including coinsurance percentages, copayments and plan maximums,may be subject to changes. HOW® HEALTH through d DELTA C ORAL WELLNESS® Instructions for your dentist: At Delta Dental of Idaho, we understand that some patients need more dental care than others. That's why we offer our Health through Oral Wellness° (HOW( ) program. Many Delta Dental of Idaho patients who are at risk for certain conditions may be eligible for additional preventive benefits at no additional cost to them.* To assess their risk level, they need your help! They need you to complete an oral health risk assessment using a clinical risk evaluation tool powered by PreViser°. This tool is provided to you by Delta Dental of Idaho at no charge. The risk assessment is quick and easy and may provide your patients with additional preventive benefits such as extra cleanings, extra periodontal maintenance, fluoride, sealants and more. You can perform this risk assessment on your patients immediately. HOW TO GET STARTED. First, simply create your PreViser Second, begin your PreViser oral health account at go.deltadentalid.com/ risk assessment for your patient. If your PreViser and follow the registration patient is high-risk for a certain condition, steps. Delta Dental of Idaho will "unlock" additional preventive benefits immediately. BELOW ARE JUST SOME OF THE BENEFITS THAT MAY BE COVERED BASED ON RISK SCORES Additional cleanings G Additional sealants (child and adult) Fluoride (child and adult) G Periodontal maintenance (gum disease treatment) Oral hygiene instruction, nutritional counseling, or tobacco cessation Drugs or medicaments dispensed in counseling the office for home use If you have questions or would like to contact us for more information about the new Health through Oral Wellness program, please contact us by phone at (208) 489-3580 or toll-free at (800) 356-7586 or by email at customerservice@deltadentalid.com. *Additional preventive benefits are subject to the provisions of your patient's Delta Dental of Idaho policy.All enhanced benefits are subject to the patient meeting their plan's annual maximum and other limitations. A risk assessment must be performed at every routine re-care visit to occur at least once in the plan year. Enhanced benefits and standard policy requirements,including coinsurance percentages,copayments and plan maximums,may be subject to changes. DELTA DENTAV Value-Added Orthodontic Discount Program Delta Dental of Idaho members no longer have to `brace' for the cost of orthodontic care. Delta ; Dental's value-added Orthodontic Discount ` Program provides Idaho members and their eligible dependents a discounted fee for adult and child orthodontia if they obtain care from a Delta h II IIpp ��rrIIIIII��1I1I1I1I111III11�� ���� Dental of Idaho Discount Program orthodontist. ulMlll�ll II��111IIII�1llI�I11.LLY11IlUll�.MN�IU�� Number of Treatment Months Fee Schedule Based on Length of Treatment 12 to 17 months $4,050 18 to 24 months $4,450 25+ months $4,850 Who is Eligible? All Idaho members and their eligible dependents enrolled in a Delta Dental of Idaho dental plan that does not include an orthodontic benefit are eligible for Delta Dental's value-added Orthodontic Discount Program. How Does the Discount Program Work? Delta Dental members will experience substantial savings because Idaho orthodontists in the Orthodontic Discount Program agree to discounted fees. Members simply call and schedule a visit with a Delta Dental of Idaho Discount Program orthodontist and present their Delta Dental of Idaho ID card at the time of their appointment. The discount amount is based on the length of treatment. Members will know their total out-of-pocket costs prior to the beginning of treatment, so there will be no surprises! See the fee schedule above for details. Is There a Cost for this Orthodontic Program? No. Delta Dental of Idaho's Orthodontic Discount Program is a value-added service and is not insurance. Please see the back of this flyer for a list of orthodontists in the Discount Program. For more information, please call (208) 489-3580 or email: CustomerService@deltadentalid.com Delta Dental of Idaho deltadentalid.com DELTA DENTAI: Provider List Value-Added Orthodontic Discount Program Delta Dental of Idaho members and their eligible dependents can receive a discounted fee on adult and child orthodontia treatment. Members simply call and schedule a visit with an orthodontist from the list below and present their Delta Dental of Idaho ID card at the time of their appointment. This is a value-added service and is not insurance. Providers periodically change,so please visit go.deltadentalid.com/orthodontic-discount for the latest provider list. Aberdeen Sam Smith, DMD, MS Jordan Hillam, DDS Stephen A.Morris,DDS,MS Phillip David Lowder, DDS Shane Schvaneveldt, DDS (208)321-7006 (208)524-1800 (208)898-000 (208)745-7407 (208)734-4600 Brendon Swenson, DDS Phillip David Lowder, DDS John Slattery, DDS, MS Joshua Murphy, DMD Ammon (208)649-5721 (208)524-1404 (208)433-1122 (208)497-0826 C.Jared Randall, DDS, MS Travis Tingey, DDS, MS Anthony Mongillo, DMD Travis Tingey, DDS, MS Ryan L Wood, DDS (208)523-3380 (208)375-0631 (208)524-1404 (208)375-0631 (208)497-3300 Arco Burley Bret E. Mooso, DDS, MS Montpelier Rupert C.Jared Randall, DDS, MS Shane Schvaneveldt, DDS (208)522-4552 Jeffrey W.Johnson, DDS Shane Schvaneveldt, DDS (208)527-3472 (208)734-4600 Joshua Murphy, DMD (208)529-3500 (208)734-4600 Blackfoot Caldwell (208)522-4552 Mountain Home Salmon Michael Summers, DDS, MS Brendon Swenson, DDS Ryan L Wood, DDS, Steven Gilman, DMD Phillip David Lowder, DDS (208)232-0464 (208)649-5721 (208)522-9600 (208)587-3010 (208)524-1404 Boise Eagle Jerome Laura Lineberry, DDS, MS Anthony Mongillo DMD Scott Alexander, DMD Scott Alexander, DMD Shane Schvaneveldt, DDS (208)587-4422 (208)524-1404 (208)331-5080 Shoshone (208)331-5080 (208)734-4600 Nampa (208)377-0252 Mary Hoffman, DMD Kuna Rebekah Goforth, DDS Shane Schvaneveldt, DDS Steven Gilman, DMD (208)331-5080 Stephen A.Morris,DDS,MS (208)996-3010 (208)734-4600 (208)375-5012 Jacob R.Jarvis, DMD, MS (208)898-0000 Marcus Lowry, DDS Star Gregory Guymon, DDS (208)383-0100 Lewiston (208)461-5459 Rebekah Goforth, DDS (208)898-0000 (208)996-3003 Sam Smith, DMD, MS Brendon Swenson, DDS Stephen A.Morris,DDS,MS Stephen A.Morris,DDS,MS Mary Hoffman, DMD (208)321-7006 (208)746-0479 (208)331-5080 (208)898-0000 (208)898-0000 Emmett McCall Patrick Niland, DDS, MS (208)377-0252 Kelsey Peterson, DMD John Slattery, DDS, MS Sugar City (208)467-5259 Phillip David Lowder, DDS Jacob R.Jarvis, DMD, MS (208)365-6800 (208)433-1122 (208)383-0100 John Slattery, DDS, MS (208)745-7407 John Slattery, DDS, MS Meridian (208)433-1122 Twin Falls John Kalange, DDS (208)433-1122 Brandon Fowler, DDS (208)342-0212 Brendon Swenson, DDS Shane Schvaneveldt, DDS Fruitland (208)893-5440 (208)649-5721 (208)734-4600 (208)342-0678 Rebekah Goforth, DDS (208)895-8555 208)887-1053 Pocatello (two Boise locations) (208)877-4444 ( Tyler Leavitt, DDS Christopher Kelson, DMD Jason R Howell, DMD, MS (in three locations) (208)237-3330 (208)378-1300 (208)452-4444 Rebekah Goforth, DDS Michael Summers,DDS,MS Corrine Kunkle, DMD Garden City (208)938-6343 (208)232-0464 (208)321-5507 Rebekah Goforth, DDS (208)877-4536 Rexburg Laura Lineberry, DDS, MS (208)877-4444 Michael L.Gold, DMD Matthew J Elison DDS (208)658-9470 Jason R Howell, DMD, MS (208)376-2422 (208)356-3300 Marcus Lowry, DDS (208)452-4444 Greg Guymon, DDS Andrew W.Summers,DDS (208)377-0410 Idaho Falls (208)898-0000 (208)356-3621 Jon Miler, DDS, MS Matthew J Elison DDS Jason R. Howell, DMD, MS Ryan L Wood DDS (208)323-4800 (208)522-9600 (208)893-5151 (208)356-3300 Stephen A. Morris, DDS, MS Andrew Higham, DDS Jacob Jarvis, DMD, MS Rigby (208)898-0000 (208)529-2199 (208)585-9200 Matthew J Elison, DDS John Slattery, DDS, MS (208)524-0644 Marcus Lowry, DDS (208)497-3300 (208)433-1122 (208)855-5045 If your orthodontist is not currently a participating provider in the Discount Orthodontic Program, please have them contact Delta Dental of Idaho at (208)489-3580 or customerservice@deltadentalid.com. Delta Dental of Idaho complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin,age,disability,or sex.ATENCION: si habla espanol,tiene a su disposicidn servicios gratuitos de asistencia linguistica. Llame al 1-(800)356-7586.Aft:ORLM yips,V:-1-4 $2 4 00RNM RN.-pMF M1-(800) 356-7586. Updated 12/08/2022 Learn more at www.amplifonusa.com/ddid If you think you may have hearing loss, rest easy. Delta Dental of Idaho has teamed up with Amplifon to offer you quality hearing health care. $995/ear $1,495/ear $1,795/ear $2,195/ear $2,645/ear You and your provider will determine the best device to meet your hearing loss, lifestyle,and technology needs. Risk-free trial- 100%money-back guarantee if not completely satisfied, no return or restocking fees Follow-up care-for one year following purchase. Batteries-two-year supply of batteries(80 cells/ear/year) or one standard charger at no additional cost.Warranty-exclusions and limitations may apply.Contact Amplifon 866-921- 3974 for details. Virtual screening does not take the place of a diagnostic exam by a licensed professional. Not all virtual services are available on all products. Amplifon Hearing Health Care is solely responsible forthe administration of hearing health care services,and its own financial and contractual obligations. Delta Dental of Idaho and Amplifon are independent, unaffiliated companies. The Amplifon Hearing Health Care discount program is not approved for use with any third-party payor program, i ncluding government and private third-party payor programs. Hearing services are administered by Amplifon Hearing Health Care,Corp. 3309MEMR/Delta Dental of Idaho VSPI members get an Extrc $ o4 to spend on frames by W - iKt Yp - r 1 lexibleo r Strong J d\ Calvin Klein ' O L E H A A FLEXON LACOSTE Jeans VSPT- exclusive member extras Promotion ends 6/30/2023 ©2023 Vision Service Plan.All rights reserved. Check your VSP°frame benefit VSP is a registered trademark of Vision Service Plan. t0 See If this Off files. All other brands or marks are the property of their respective owners. 112216 VCCM offer applies. snow i loom Browse with Benefits Your • and wellness come • 6—Now, yourbenefit includes • • • preferred online Eyeconic° seamlessly connects your eyewear, asp eyec-onic your insurance coverage, and the VSP" doctor network. Plus, you get the convenience of vision care a vsp vision company online shopping along with the personal touch from a VSP doctor. Online shopping with benefits Online shoppers will love: • A huge selection of contact lenses and designer frames 24/7—and the Virtual Try-On tool. V V • Free shipping and returns.* Already used • Free frame adjustment or contact lens consultation. • Verification of your prescriptions and the 25-point your benefits inspection process to ensure your eyewear is just right. for the year? It's easy to use your VSP benefit As a VSP member, you still receive 20% 1. Create an account at vsp.com. Review your vision savings on glasses and benefit and access your eligibility and coverage sunglasses at Eyeconic. information, including how to apply your benefits at Eyeconic. 2. Find superior eye care near you. The decision is yours—choose a conveniently located VSP doctor or any out-of-network provider. Visit vsp.com or call 800.877.7195 to find the best provider for you. 3. Check out Eyeconic and browse the frame brands you love. You can connect to your VSP benefits, upload your prescription at checkout, and order your glasses following your WeIlVision Exam'. Experience • mO', a convenient retailoption. •Terms and conditions apply.Visit eyeconic.com/faqs for more details. ©2022 Vision Service Plan.All rights reserved. VSP,WeIlVision Exam,Eyeconic,and eyeconic.com are registered trademarks of Vision Service Plan. All other brands or marks are the property of their respective owners.104846 VCCM Classification:Public TheStandard Explore with confidence . Rely on Travel Assistance when you're away from home. ,sy rol 'i l t Standard Insurance Compan i Things can happen on the road. Passports get stolen or lost. Unforeseen events or circumstances derail travel plans. Medical problems surface at TravelContact the most inconvenient times. Travel Assistance can help you navigate these issues and more at any time of the day or night.' 800.872.1414 You and your spouse are covered with Travel Assistance — and so are United States, Canada, Puerto Rico, kids through age 25—with your group insurance from Standard Insurance U.S.Virgin Islands and Bermuda Company(The Standard).z Everywhere else +1.609.986.1234 Security That Travels with You Travel Assistance is available when you travel more than 100 miles from home or internationally for up to 180 days for business or pleasure. It offers aid +1.609.334.0807 before and during your trip, including: • . . 0o Visa, weather and currency exchange information, health inoculation recommendations, country-specific details and ® security and travel advisories Get the A pP Get the most out of Travel Assistance Credit card and passport replacement and missing baggage with the Assist America Mobile App. and emergency cash coordination Click one of the links below or scan the Help replacing prescription medication or lost corrective QR code to download the app. Enter your reference number and name to lenses and advancing funds for hospital admission set up your account. From there, you can use valuable travel resources "p Emergency evacuation to the nearest adequate medical including: facility and medically necessary repatriation to the - One-touch access employee's home, including repatriation of remains' to Assist America's Emergency Connection to medical care providers, interpreter services, Operations Center local attorneys and assistance in coordinating a bail bond -Worldwide travel alerts 010 Return travel companion if travel is disrupted due to - Mobile ID card I I I emergency transportation services or care of minor children I I ( 1 if left unattended due to prolonged hospitalization . Embassy locator _ Assistance with the return of your personal vehicle if your Reference Number: 0 o emergency transportation services leave it stranded 01-AA-STD-5201 a ® Evacuation arrangements in the event of a natural disaster, political unrest and social instability 0 Standard Insurance Company 11100 SW Sixth Avenue, Portland, OR 97204 standard.com 1 Travel Assistance is provided through an arrangement with Assist America, Inc.and is not affiliated with The Standard.Travel Assistance is subject to the terms and conditions, including exclusions and limitations of the Travel Assistance Program Description. Assist America, Inc. is solely responsible for providing and administering the included service.Travel Assistance is not an insurance product.This service is only available while insured under The Standard's group policy. 2 Spouses and children traveling on business for their employers are not eligible to access these services during those trips. 3 Must be arranged by Assist America,Inc. The Standard is a marketing name for StanCorp Financial Group, Inc. and subsidiaries. Insurance products are offered by Standard Insurance Company of Portland, Oregon in all states except New York. Product features and availability vary by state and are solely the responsibility of Standard Insurance Company. Travel Assistance EE SI 14684 (6/20) I � I � I I � I1 • � � � I� I I I I J _ 4k- t National Conference on Public • Employee Retirement Systems t4. LIMITED TIME ONLY Guaranteed Approval! Term Life and 1 Accidental Death and Dismemberment coverage Help protect you and your loved ones from life's twists and turns when you enroll in affordable Term Life and Accidental Death and Dismemberment Insurance. Coverage is issued by The Prudential Insurance Company of America(Prudential). Key Plan Features: • Up to$325,000 in total coverage • Guaranteed approval • No medical questions or exams • $16 a month and will never increase The Group Decreasing Term Life Insurance plan pays a maximum amount in your younger years, and gradually decreases as you get older when your financial obligations may be less. • Spouse and dependent life coverage at no added cost •Accidental Death & Dismemberment coverage for you at no added cost • NEW Student Loan Protection Benefit! For members under age 46, Prudential will reimburse the amount of Student Loans you owe up to a maximum of$50,000, should you become totally disabled and have an outstanding student loan balance Sy Apply online at https://ncpers.memberbenefits.com/enroll.You may also contact Enrolling is Ea Member Benefits by phone at 800-525-8056 or email at nepers@memberbenefits.com NB I MemberBenefits Gallagher J��koi, Prudential Insurance I Risk Management I consulting A Booklet-Certificate with complete plan information,including limitations and exclusions,will be provided when you enroll.If there is a discrepancy between this communication and the Booklet-Certificate issued by The Prudential Insurance Company of America,the Booklet-Certificate will govern. Group Decreasing Term Life Insurance,Dependent Group Decreasing Term Life Insurance,and Accidental Death&Dismemberment Insurance coverages are issued by The Prudential Insurance Company of America,a Prudential Financial company,Newark,NJ.Contract Series:83500. This AD&D policy provides ACCIDENT insurance only.It does NOT provide basic hospital,basic medical,or major medical insurance as defined by the New York State Department of Financial Services. IMPORTANT NOTICE—THIS POLICY DOES NOT PROVIDE COVERAGE FOR SICKNESS. ©2020 Prudential Financial,Inc.and its related entities.Prudential,the Prudential logo,and the Rock symbol are service marks of Prudential 1035793-00001-00 PRU8 FL G13 01 NB MemberBenefits Dear Employee-Member: We are pleased to offer you a Voluntary Group Life Plan from the National Conference on Public Employees Retirement Systems (NCPERS). PERSI members-employees can purchase term life coverage through the Voluntary Group Life Plan with NCPERS. The plan is available through PERSI participation in NCPERS. It is underwritten by The Prudential Insurance Company of America and administered by Member Benefits. The life insurance plan is designed to supplement your retirement benefits and other life insurance you may have through the PERSI or your employer. It gives you the opportunity to purchase affordable term life insurance with no medical evidence requirements. The monthly cost remains the same regardless of your age. Your insurance protection is greatest when your accrued retirement benefits are lowest. The enclosed brochure provides details of the plan. You should also consider the following features: 1. The NCPERS Plan is an affordable plan, regardless of your age. 2. The plan provides you with the greatest amount of insurance when you need it most. 3. Coverage for your eligible dependents is included in your premium amount. 4. You do not need to answer any health questions or take a medical exam if you enroll during an open enrollment period. Coverage is effective on the first day of the month following your payroll deduction. 5. Any active PERSI member who has been covered as an active participant for at least one month can elect to continue coverage into retirement if they are receiving a monthly pension check. Life insurance is an important part of financial planning. Please read the enclosed brochure carefully to see if you want to take advantage of the additional financial security that this coverage can help provide. You may enroll for this affordable coverage during the October 1st — November 30th open enrollment period. Simply complete the enrollment form that is part of the brochure and return it to your payroll office no later than November 30th. (do not send the enrollment card directly to Member Benefits). Please keep in mind if you do not enroll now, you will have to wait until the next open enrollment to purchase this affordable life insurance protection. We urge you to take advantage of the opportunity to enroll in this valuable coverage. Your insurance is automatically effective the first of the month following your first payroll deduction, with no medical evidence requirements. Coverage for your eligible dependents is automatically included in your monthly premium. Please feel free to call Member Benefits at 1-800-525-8056 if you have any questions about the coverage or enrollment process. A group rate that's competitive NCPERS guarantees that every active member, regardless of age, pays$16 a month, and it will never increase. Dependent Group Members Decreasing Term Life Spouse/Member's Group Group Total Benefit Age at Time Decreasing for Accidental Domestic of Claim Term Life ■: ■ ■ eath Partner Less than 25 $225,000 $100,000 1 $325,000 $20,000 $4,000 25 to 29 $170,000 $100,000 $270,000 $20,000 $4,000 30 to 39 $100,000 $100,000 $200,000 $20,000 $4,000 40 to 44 $65,000 $100,000 $165,000 $18,000 $4,000 45 to 49 $40,000 $100,000 $140,000 $15,000 $4,000 50 to 54 $30,000 $100,000 $130,000 $10,000 $4,000 55 to 59 $18,000 $100,000 $118,000 $7,000 $4,000 60 to 64 $12,000 $100,000 $112,000 $5,000 $4,000 65 and over $7,500 $7,500 $15,000 $4,000 $4,000 Payment Examples: 1. If an insured member age 38 dies of natural causes,the beneficiary would receive $100,000. If death is due to a covered accident,$200,000 would be payable. 2. If the spouse or domestic partner of a 42-year-old member dies,the member would receive$18,000. 3. If a dependent child less than age 26 dies,the payment to the member would be$4,000. `Unmarried children up to age 26 are covered,including adopted children,stepchildren,and foster children who depend on you for support.Dependents in the military service are not eligible. Please note:insurance coverage for a child will not end at age 26 if the child is then mentally or physically incapable of earning a living and meets the definition of Qualified Dependent. NEW! Student Loan Protection Benef it Included in the Group Decreasing Term Life Insurance Plan at no extra cost Paying off student loans can be challenging enough—but when an unexpected illness or disability prevents you from earning a paycheck, things can get out of control quickly unless you have a backup plan. Ask yourself this: when you are unable to work and faced with a student loan payment in addition to countless other bills, what will you do? The Student Loan Burden Can Result In**: — Delaying buying a home Preventing or delaying saving for a"rainy day" Limiting ability to spend on things like going out, eating out,buying clothes, going on vacation Grads without loans J Grads with loans: M Grads with loans: Paid off Haven't paid off Special features NEW! Student Loan Protection Benefit If you are age 45 and under, approved for a waiver of premium claim due to a total disability, and have an outstanding student loan balance, Prudential will reimburse the amount of student loans that you owe up to a maximum of$50,000. We developed this benefit to help address the rising burden of student loans. Waiver of Premium If you are less than 60 years old and become totally disabled for at least nine months, your insurance may be continued without further premiums, as long as you furnish annual proof of your continued total disability satisfactory to Prudential. Option to Accelerate Payment of Death Benefits* If you are terminally ill with a life expectancy of six months or less, you may receive up to 50% of your insurance benefits— up to a maximum of$112,500 in advance. The death benefit, payable to your beneficiary, will be reduced by that amount. Conversion of Coverage If you cease to be a member, you can convert your insurance to a Prudential individual life policy within 31 days following termination of insurance. Dependent Spouse or Domestic Partner Group Decreasing Term Life coverage can also be converted if you cease to be a member or die. Retirement Coverage Coverage can be continued into retirement if you are insured as an active member and continue to receive a benefit upon retiring. Simply authorize the retirement system to deduct your contributions from your retirement check. Your premium will remain the same regardless of your age. (This page is intentionally left blank for double-sided printing) D�GLL WELCOME TO EXCLUSIVE SAVINGS Dell 27 Ultrathin Monitor- S2719DM XPS 13 2-in-1 Now that you're enrolled in the Dell Member Purchase Program, you can enjoy: COO ALWAYS-ON EARLY ACCESS TO DEDICATED EXCLUSIVE SAVINGS PREMIER EVENTS ACCOUNT TEAM OFFERS Members can shop discounts 24/7 at www.dell.com/mpp/TF-ID When contacting your Member Purchase Program Account Team, please use Member ID - US41681526 For sales quotes, contact Phillip_Chancellor@Dell.com For program information, contact Ashley_Messinger@dell.com Copyright 0 2019 Dell Inc.or its subsidiaries.All Rights Reserved.Dell Technologies,Dell,EMC,Dell EMC and other trademarks are trademarks of Dell Inc.or its subsidiaries.Other trademarks may be trademarks of their respective owners.294007 City of Twin Falls — ADDITIONAL PERKS City Exercise Room The City of Twin Falls exercise room is available 24 hours a day for City employees and their spouses. Dependents who are 16 years of age and older can use the exercise room when accompanied by either the City employee or his/her spouse. The IT department will activate City ID cards upon completion of a Laserfiche request form. There is no cost for the City employee, but spouses must pay $5 + tax for their own access cards. Dependents will not be given access cards as they will only be allowed in the exercise room with a parent. Shoshone Falls/Dierkes Lake Park Passes City employees can get passes to Shoshone Falls/Dierkes Lake at no cost from the Parks and Recreation office. If you choose to get a vehicle pass, it is a good for one calendar year and is tied to a specific vehicle. You may also opt to get a coupon book which does not expire and is not tied to any specific vehicle. Twin Falls City Swimming Pool City swimming pool passes are available for City employees at no cost. Family pool passes can be purchased through the City aquatics director. Twin Falls Library Cards City employees who live outside the City limits may obtain a library card at no cost. Twin Falls Municipal Golf Course City employees can purchase golf passes at a rate of % the regular rate. A reduced rate is also available for couple or family season passes. Wellness Reimbursement Program The City of Twin Falls Wellness Reimbursement Program is designed to offer incentives to those who choose to participate in a program whose goal is to help individuals make healthy lifestyle choices. City employees who participate in a yearly health screening (KYN screening) and who attend at least one Lunch and Learn event can ear up to $150 in reimbursements for activities such as fitness and health club memberships, golf passes, continuing education classes, park and camping fees, etc.