Page 4 - Enrollment guide 2025-26_Final
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Enrollment Basics                                                                                                                                                           Benefits Spotlight







        An Employee who meets all of the conditions for eligibility set by their Employer and                                      Watch for a Brand New Wellness Experience Coming 7/1
        SchoolCare is eligible to enroll as a Subscriber. Employees must enroll within 30 days after                               Schoolcare’s Good For You! Well-Being Program is getting a makeover for
        first meeting their Employer's eligibility requirements or during an Open Enrollment Period.                               2025-26. Cigna has partnered with Personify Health to bring a new personalized
                                                                                                                                   wellness experience for all Schoolcare/Cigna subscribers and spouses. With the
                                                                                                                                   newly enhanced Good For You! program, participants will remain eligible to earn
                                                               Eligible Dependents                                                 up to $600 per year in wellness incentives through a blend of the programs you
                                                                                                                                   have come accustomed to, as well as new features designed to integrate your
                                                               Employees may also enroll their eligible family                     existing healthy habits with new opportunities to earn. These include:
                                                               members including:                                                   •  Connecting your activity tracker to earn rewards when you hit your goals
                                                                                                                                       around activities like daily steps, sleep and exercise minutes

                                                                •  Legally married spouse                                           •  Inviting friends and colleagues to participate in challenges to motivate each
                                                                •  Domestic partner and their children, if offered by                  other to build new healthy habits
                                                                   Employer                                                         •  Completing Journeys that help you make changes to your health one-step-
                                                                •  Dependent children under age 26                                     at-a-time
                                                                                                                                    •  And much more



                                                               Elections you make while

                                                               enrolling for medical, dental,               i i                                                                                                             Learn more
                                                               vision and Health Care                                                                                                                                       about some of
                                                               Flexible Spending Account                                                                                                                                    the changes
                                                               (FSA) or during Open Enrollment are                                                                                                                          coming to the
                                                               binding through June 30, 2026, unless                                                                                                                        Good For You!
                                                               you experience a qualifying life event                                                                                                                       Well-Being
                                                               (examples below).                                                                                                                                            Program on
                                                                                                                                                                                                                            pages 12 and 13
                                                                                                                                                                                                                            of this guide.

                                                               Qualifying Life Events

                                                               Per IRS regulations, you can only change your
                                                               elections annually during the Open Enrollment period,               Introducing Oshi, a Virtual GI Clinic
                                                               unless you have a qualifying life event. SchoolCare
                                                               Open Enrollment generally begins on April 15  and                   Meet Oshi Health, a new, in-network virtual care clinic available
                                                                                                           th
                                                               runs through May 31 .  For a qualifying life event,                 to all Schoolcare/Cigna participants to assist with digestive health
                                                                                    st
                                                               Subscribers must provide notice and required                        issues without needing to wait weeks or months for an appointment. Available
                                     Refer to the              documentation within 30 days of the event.
                                     SchoolCare                Examples include:                                                   from the comfort of your home, patients can expect an initial visit within 5
                                     Health Benefits                                                                               days of registering for your account, with access to next day appointments and
                                     Booklet (HBB)             •  Marriage                 •  Divorce/legal                        24/7 support available once established. Oshi’s gastrointestinal (GI) providers,
                                     for more detailed         •  Loss of other insurance     separation (within                   registered dietitians, and gut-brain specialists help patients find lasting relief
                                     information.                 coverage                    60 days)                             for symptoms and conditions, including: abdominal pain and bloating, acid
                                                               •  Adoption/legal           •  Birth of a child                     reflux and Gastroesophageal Reflux Disease (GERD), Crohn’s disease and
                                                                  guardianship             •  Death                                ulcerative colitis, irritable bowel syndrome (IBS), undiagnosed GI symptoms,
                Health Benefits Booklet
                                                                                                                                   and hundreds of other GI issues. Learn more or get started with Oshi here.



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