Page 5 - Enrollment guide 2024-25 - v3

Enrollment Basics Benefit Elections

An Employee who meets all of the conditions for eligibility set by their Employer and SchoolCare This page contains important information and key steps you should review before making
is eligible to enroll as a Subscriber. Employees must apply within 30 days after first meeting their benefit elections. If you have any questions about this information, please contact your
Employer's eligibility requirements or during an Open Enrollment Period. Human Resources Office or SchoolCare.

i i Changes you make during Open Enrollment to your medical, dental, vision You MUST take action if you want to: If you do NOT make changes:
Your current health coverages
• Enroll for the first time
and Health Care Flexible Spending Account (FSA) will take effect on July
automatically continue for the July 1, 2024,
• Make changes to your current medical,
1, 2024, and are binding through June 30, 2025, unless you experience a
dental, and vision coverages, or
qualifying life event (examples below). • Contribute to an FSA. You must annually make to June 30, 2025, plan year.
an FSA election to continue your contribution.
Eligible Dependents Qualifying Life Events

Employees may also enroll their eligible Per IRS regulations, you can only change your elections
family members including: annually during the Open Enrollment period, unless
you have a qualifying life event. SchoolCare Open Your Enrollment Checklist
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• Legally married spouse Enrollment generally begins on April 15 and runs
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• Domestic partner and their children, if through May 31 . For a qualifying life event, Subscribers Read through this Enrollment Guide to understand
offered by Employer must provide notice and required documentation within benefit options available.
• Dependent children under age 26 30 days of the event. Examples include:
• Marriage • Divorce/legal separation Attend an on-site or virtual meeting, or view the
• Loss of other insurance (within 60 days) recorded Open Enrollment presentation.
coverage • Birth of a child
Refer to the SchoolCare
• Adoption/legal • Death Consider your health history and care needs Health Benefits Booklet (HBB)
guardianship that may have changed since the last plan year. for more detailed information.

Gather dependent information, including social
security numbers, dates of birth, addresses, Don't Forget to Activate Your
emails/phone numbers.
Choice Fund
Click here to locate your group-specific Benefit
Summaries and Enrollment/Change Form. Subscribers enrolled in the Yellow Plan with
Choice Fund must complete a confidential
Complete your Enrollment/Change Form and submit to Cigna Health Assessment annually to activate
your Human Resources Office by May 24 . their Choice Fund.
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• Biometric health data is
Review your current FSA options and ask your employer not required $1,000
for an election form if you want to contribute in the Single
2024-25 plan year. You must elect an FSA contribution • Current Subscribers
annually, it does not reset automatically. complete between
June 1 and July 31 st
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Set a reminder for June 1 to complete your confidential • New Subscribers $2,000
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Health Assessment at myCigna to earn Good For You! complete within 60 Two-Person/
Well-Being Program incentives and/or activate your days of your effective Family
Choice Fund, if applicable.

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