PLEASE NOTE: Benefits Open Enrollment has completed for the 2010 plan year. If you have been chosen for an audit on the Wellness activities you should send your verifications to Risk Management by November 30th.

Several documents are available for health plan members to explain the changes and enhancements for the 2010 plan year. The 2010 Summary Plan Description (SPD) explains the plan in detail. If you have questions about procedures or pharmacy tier information, you can find an explanation in the SPD. A quick look at the medical plan changes for 2010 are noted in Health Plan at a Glance for 2010.  We also have some Frequently Asked Questions regarding the 2010 Health plan that we hope will help answer some of your basic questions. 
Remember...for detailed information regarding such questions as prior authorizations for surgeries, or to inquire about the rules on pre-existing conditions, you should call the Coventry Customer Service line dedicated to USD 259 employees at 1-866-765-7841.

The Pharmacy enhancements for 2010 will include $0 co-pay for generic blood pressure and cholesterol medications. The current medications covered by this change are listed here.

January 1st, 2010, employees will begin paying an Annual Health Premium of $240. Employees may waive this premium by participating in 4 Wellness Activities . 


 

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HEALTH PLAN 2009
District Employees will be on a short health plan from September through December 2009. We will then move the benefits to run on a calendar year, from January through December of each year.  The short year will have prorated premiums, deductibles and co-insurance (for in-network services). The Summary Plan Description for 2009 will explain the Health Plan benefits for this short 4-month period.

Do you have questions about the health plan premiums? Review the attached FAQ document for more information.

The 2009 FLEX Plan SPD will explain the FLEX program for the September - December, 2009 4-month plan year.

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COVENTRY HEALTH ASSESSMENT TOOL

Coventry has a Health Assessment tool that is available for all members of the USD 259 Health Plan. This tool will allow you to store and track your personal health information. The instructions to log in to the Health Assessment are attached. Coventry Health Assessment Instructions


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                            31-Day Rule for Benefits Enrollment

Employees who experience a Life Event (marriage, divorce, birth, or adoption) have 31 days from the event date to add new dependents to the health plan. If new dependents are not added within the 31-day period the employee must wait until Annual Open Enrollment to add them. The 31-day period also applies to removing dependents due to a divorce.

LIFE EVENT:  The date of the birth or adoption of a child, or the date of a marriage or divorce.