Health/Life/FLEX

HEALTH INSURANCE
LIFE INSURANCE
FLEX SPENDING

Health Insurance/Flex Spending:    Judy Foy    973-4564
Life Insurance:                              Cindy Thorsell    973-4522
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                            COVENTRY HEALTH CARE -

COVENTRY HAS CREATED A TOLL-FREE DEDICATED LINE FOR QUESTIONS REGARDING COVERAGE ON THE USD 259 HEALTH PLAN. PLEASE CALL THIS PHONE NUMBER TO GET A CUSTOMER SERVICE REPRESENTATIVE WHO WILL UNDERSTAND OUR PLAN AND BE ABLE TO ANSWER YOUR SPECIFIC QUESTIONS.

                                    1-866-765-7841
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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 or delete dependents.

If new dependents (new babies or new spouses) are not added within the 31-day period the employee must wait until Annual Open Enrollment to add them to the Health plan.

                                        Health Insurance
The Wichita Public Schools group health insurance plan is a self-funded plan including health, dental, vision and pharmacy coverage for all eligible employees, retirees and their qualified dependents. The district hires a third party administrator to pay claims and manage the networks.

Coventry Health Care is our administrator for health, pharmacy and vision claims.
Delta Dental of Kansas is our administrator for dental care.
MH Net is the plan administrator for our mental health program. Preapproval is required for all mental health care and substance abuse visits.

Full-time Student Verification requirements:
If your dependent is between ages 19-23, and is a full-time student, they can stay on your health insurance with proof of their student status. Coventry will send a letter requesting verification of student status to all affected health plan members. Verification of student status is required to keep the dependent on the health plan.

COVENTRY dedicated Customer Service line for USD 259 health plan members:
    Toll-Free:    1-866-765-7841

Delta Dental of Kansas
Customer contact information: Local:        316-264-4511

MH Net
Customer contact information:   Toll-Free:   1-866-607-5970.

                Health Plan Summary Plan Description

The Summary Plan Description for the Wichita Public Schools Health Plan is available online for the benefit of our health plan members. Please click on the following link to view the document.
2009 4-month Summary Plan Document

Some procedures must have pre-certification from Coventry before the procedure is performed. This is the current list of procedures. Please call Coventry for more information.
PreCertification List 2009

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            MHNET - Mental Health and Substance Abuse Provider

Our Mental Health Network is with MHNet.  All inpatient and outpatient mental health and substance abuse services will require prior authorization from MHNet before services are rendered. Call MHNet at 1-866-607-5970.

May 2009 - The following links are the current lists of MH Net providers and facilities. These lists are updated frequently, so you may need to call MHNet before scheduling an appointment with a new provider to verify they are an in-network provider.

MHNet KS-MO Facilities list May 2009
MHNet KS-MO Provider list May 2009



                CAREMARK Mail Pharmacy Program

CAREMARK is the mailorder pharmacy used by the Coventry Health Care system. Coverage with CAREMARK began 9/1/2007.

Health plan members enrolling in the mailorder pharmacy program will be required to get new prescriptions to send with your application. If you have questions regarding this program contact the Coventry Customer Service line at 1-866-765-7841.

Here are some documents to help you with the Pharmacy program.
CAREMARK Mail Order Form    Caremark Group Code = CVTY
Mail Order Pharmacy Exclusion List
Drug Formulary List
Pharmacy Quantity Limits
Prescription Program Information
Self Administered Injectibles

Some information for you from Coventry:

Primary Care Physicians (PCP): This generally includes physicians who practice in the specialties of Family Practice, Internal Medicine, General Practice, or Pediatrics.  If you are not sure if a physician is a PCP, please contact Coventry Customer Service at the toll-free number on the back of your health card.
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LIFE INSURANCE

The district has group term life insurance through The Standard that covers all eligible benefited employees and retirees. Employee groups are covered at these levels:
    Certified Teachers:    $30,000
    Classified A-Ji:         $30,000
    Classified K-Z:          $40,000
    Administrators:         $50,000

All employees with district life insurance should review/verify your beneficiaries online through the eBenefits program. Changes to beneficiaries, or changes to the allocation of life insurance among beneficiaries, can be made through eBenefits any time during the year.

Updates to your KPERS Life Insurance beneficiaries can also be made at any time. These beneficiary changes must be made by submitting a new KPERS Beneficiary Form to the KPERS offices in Topeka. This form must be filled out completely, signed and witnessed, and then mailed or faxed to KPERS for the changes to be posted. The mailing address and FAX number are on the beneficiary form.

SUPPLEMENTAL LIFE INSURANCE-VOLUNTARY

All benefited employees may elect to enroll in the Supplemental Life Insurance program within the first 31 days of employment. This is an option available to every benefited employee via the online benefits enrollment system.
The company who carries the district Supplemental Life Insurance program is The Guardian. The costs of this life insurance is in this attachment:
Supplemental Life Insurance Rates