Full-time Employees (Hired Before 1/1/2018)

Getting
Started

What is the Open Enrollment Period?

The Open Enrollment period is a period of time, determined by your employer, during which you are allowed to make any changes to your current benefits.

Note: No changes are allowed after the commencement of a new plan year, unless you experience a qualifying Change In Status event.

When are healthcare benefits effective and for how long?

The benefits are effective January 1, 2022 through December 31, 2022.

Must all eligible employees enroll for benefits effective January 1, 2022?

No. You only needed to re-enroll during this Open Enrollment period if you were making a change to your healthcare and/or flexible benefits.

What happened if I did not re-enroll by the enrollment deadline?

If you did not re-enroll during this Open Enrollment period, the following occured:

  • Your current healthcare and/or flexible benefits coverage and your dependent(s) coverage continued.  Premium changes were automatically adjusted, if applicable, effective January 1, 2022.
  • If you were currently opting out of healthcare, this election continued. You were required to complete the Declination of Healthcare Coverage Affidavit and submit it with proof of other group or state-funded healthcare to the Office of Risk and Benefits Management. If you did not provide this required documentation, you were automatically assigned to the Cigna SureFit (employee only) healthcare plan.
  • If you were being deducted the spouse/domestic partner annual surcharge, the deductions continued. However, we asked that you review your response in the Surcharge Affidavit to confirm their medical coverage status had not changed. If you experienced a change in salary band, as a result of last year’s negotiations, you may have had an increase in both employee and dependent healthcare deductions.
  • If you elected to cover your spouse or domestic partner in a medical plan, you will need to complete the spouse/domestic partner affidavit and check the applicable box on the online enrollment application that best describes the status of their coverage.
When was the last day to make a change for benefits effective January 1, 2022?

The appeals enrollment period ended on at 11:59 p.m. on December 14, 2021.

When was the online enrollment application available?

The application was available during the Open Enrollment period 24 hours/7 days a week.

Coverage

What changes could I have made during Open Enrollment?

During the enrollment period, you could have changed your current benefits, delete, or add an eligible dependent.

Can I have selected coverage for myself through one benefit plan and another for my family?

No. You and your eligible dependent(s) must be covered with the same benefit plan and provider.

Can I decline healthcare coverage?

Yes. You may decline healthcare coverage. You must provide proof of other group or state-funded program coverage. Enrollment in an individual healthcare plan does not qualify. Additionally, you must agree to the provision set forth in the affidavit.

If I declined healthcare coverage, what happens to the Board contribution towards my healthcare coverage?

In lieu of healthcare coverage, you will receive $100 per month paid bi-weekly through the payroll system, based on our deduction pay schedule (subject to withholding and FICA) as follows:

  • 10-month employees will receive their payments in 20 pay checks.
  • 11-month employees will receive their payments in 24 pay checks.
  • 12-month employees will receive their payments in 26 pay checks.

If you do not provide proof of other group healthcare coverage or state-funded healthcare coverage, you will be automatically assigned to the Cigna SureFit (Employee-only) healthcare plan and standard Short-term Disability.

If electing to decline healthcare coverage during this Open Enrollment, you are required to submit proof of enrollment in another group or state-funded program, even if previously submitted.

Will I be able to view and print a confirmation of my 2022 benefits selections?

Yes. You can view your 2022 benefits by logging in to your Employee Portal.

What healthcare plans are being offered for the 2022 plan year?

The Cigna Healthcare plans being offered are: Cigna Open Access Plan High, Open Access Plan Standard and SureFit.

Is there a free healthcare option being offered?

Yes. The Cigna SureFit Plan, employee-only coverage, is being offered at no cost to all benefits eligible employees.

How do I view the Cigna Healthcare directories?

To view participating providers in Cigna: log in to www.mycigna.com and click on “Find a Provider”.

How do I prove that my spouse/domestic partner has or does not have group coverage available through her/his employer?

During the online enrollment, the application will display an Affidavit and you will be given the opportunity to click on the box that best describes the status of your dependent’s group coverage.   

  • If you cover your spouse/domestic partner on your healthcare plan and your spouse/domestic partner has coverage available from his/her own employer, an additional annual surcharge of $500 will be charged. The annual surcharge will be billed on a bi-weekly basis according to your pay schedule.
  • If you cover your spouse/domestic partner on your healthcare plan and your spouse/domestic partner does not have an employer sponsored healthcare plan available to him/her, the spousal surcharge will not be applied.

Dependent

What do I need to submit to ensure that my dependent(s) will have coverage?

When requested, you will need to submit dependent eligibility verification. Otherwise, your dependent’s coverage may be terminated.

Will my current Adult Child dependent’s coverage continue?

No. Your current adult child healthcare coverage will terminate December 31, 2021. If you wish to continue their participation in a sponsored group healthcare plan, you must re-enroll them for the 2022 plan year.

Leave & Termination

If I take a Board-approved leave of absence, whom do I contact about my benefit?

Once your leave is approved and the Office of Risk and Benefits Management receives notification, you will be eligible for applicable benefits in accordance to your Bargaining Unit and type of leave. You will be billed for employer-paid benefits in accordance to the type of leave and labor contact. Additionally, you will be billed for all employee-paid benefits.

Miami-Dade County Public Schools implements the Family and Medical Leave Act of 1993 (FMLA) through provisions contained in the School Board Rules and collective bargaining agreements.

For questions regarding your benefits while on leave, please call the Leave Billing Specialist at 305-995-7458.

What happens to my benefits if I terminate employment?

Your coverage will cease at the end of the calendar month in which employment terminates. Benefits will remain in effect through August 31st for 10-month employees who terminate employment during the last month of the school year.

Note: An individual who loses coverage under the plan becomes entitled to elect COBRA. The individual has the right to continue his or her medical, dental, and vision coverage under COBRA law for a period of 18 months and/or Medical FSA deposits until the end of the plan year following termination of employment. For questions you may contact TASC Customer Service at 800-422-4661, Monday – Friday, 8 a.m. – 5 p.m., or visit www.tasconline.com.

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Office of Risk and Benefits Management
1501 N.E. 2nd Avenue, Suite 335
Miami, Florida 33132
Mon - Fri, 8 a.m. to 4:30 p.m. ET
www.dadeschools.net
305-995-7129

FBMC Service Center
Monday - Friday, 7 a.m. – 7 p.m.
1-855-MDC-PS4U (1-855-632-7748)