Medical Coverage

The School Board recognizes the importance of maintaining the physical and mental well-being of its employees. All employees regularly scheduled to work 15 or more hours per week in a benefits-eligible position are eligible for enrollment in the group Medical, Dental, and Vision plans.

Employees may select medical insurance coverage for themselves and their eligible family members from:

  • Kaiser Permanente, or
  • Cigna Healthcare

Medical Coverage Plan Year:   January 1st through December 31st
The medical plans operate on a calendar year basis and both plans renew January 1st.  An open enrollment period is held annually, at which time employees can elect or make changes to their medical coverage.

2018 Employee Contribution Schedule for Active Employees
Go to the Benefits Home Page to view the 2018 Employee Contribution Schedule for Active Employees.

After each pay date, review your current deductions on your pay stub and notify the Benefits Department immediately of a discrepancy. You can view your pay stub and view your current benefit elections via your STARS APS Employee Self-Service account.  To access your STARS account, go to the Tools section on the Staff Central page.

Newly Hired Benefits-Eligible Employees and Current Employees Newly Eligible for Benefits
To make your benefit election, go to the Benefits Home Page to download and print the APS Benefits Enrollment and Change Form. Send your completed form to the Benefits Department to the address printed at the bottom of the form.

Have a Cigna Healthcare benefit question before you are enrolled?
Call Cigna Healthcare’s Pre-Enrollment Help Line at 1-800-564-7642.  View the Pre-Enrollment Help Line brochure.

What’s New in 2018?

The following medical coverage plan changes are effective January 1, 2018:

Kaiser Permanente HMO Signature Plan:

  • School Board Contribution increasing 1% on all coverage tiers (Individual, Individual/Spouse, Parent/Child(ren), and Family coverage) for full-time employees, and increasing .5% for part-time employees
  • Specialist Visit Copay increasing by $5.00
  • Prescription Copays increasing by $5.00
  • Urgent Care Facility Copay increasing by $10.00
  • Outpatient Surgical Services Copay increasing by $10.00
  • Out-of-Pocket Maximums are decreasing to $2,250 for Individual coverage and $4,500 for Dependent coverage

Cigna Healthcare

Cigna HIGH Plan

  • Annual deductible will no longer apply to the following benefits: Durable Medical Equipment, Emergency Room Facility, Urgent Care Facility

Cigna LOW Plan

  • School Board Contribution increasing 2% for the Individual coverage tier for full-time employees, and increasing 1% for part-time employees

Cigna HIGH Plan and Cigna LOW Plan

  • Multiple telehealth options added. Telehealth is the delivery of health-related services and information via telecommunications technologies, including telephones, smartphones and personal computers, for virtual consultations. Among the most significant benefits are ease of access, convenience, time savings and competitive cost. See below for more information:

Cigna Telehealth Connection Flyer
Cigna Telehealth FAQ Flyer
“Know Before You Go” Flyer

  • “Cigna 90 Now” benefit added. “Cigna 90 Now” allows members to fill prescriptions for maintenance medications for a 90-day supply at participating “Cigna 90 Now” pharmacies. Members are no longer limited to home delivery for maintenance medications. See below for more information:

Cigna 90 Now Flyer
Cigna 90 Now Pharmacy Directory
Cigna 90 Now Maintenance Drug List
Quantity limits for prescriptions filled through home delivery and at the retail level will be modified to be in alignment with “Cigna 90 Now.” Therefore, a 90-day quantity limit will apply to home delivery, and a 30-day quantity limit will apply to prescriptions filled at the retail level.

2018 Benefit Information:

Applies to full-time and part-time benefits-eligible employees, non-Medicare retirees, employees on an approved leave status, and COBRA participants.

Kaiser Permanente:

Cigna Healthcare:

 


2017 Benefit Information:

Kaiser Permanente:

Cigna Healthcare: