2021 Open Enrollment Book - City of Hays
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2021 Open Enrollment Book
TABLE OF CONTENTS
Contacts ......................................................................................................................................... 1
Important Documents ..................................................................................................................... 1
Welcome to Open Enrollment ......................................................................................................... 2
Qualifying Event ............................................................................................................................. 2
What’s New in 2021 ........................................................................................................................ 3
Health Insurance Plan Options and Premiums ............................................................................... 4
BCBS Preferred Network ................................................................................................................ 5
BCBS Prescriptions ........................................................................................................................ 5
BCBS Online Access ...................................................................................................................... 5
Preventative Services ..................................................................................................................... 5
Telemedicine .................................................................................................................................. 5
Dental Insurance Plan and Premiums ............................................................................................ 6
Vision Plan Options and Premiums ................................................................................................ 7
United Way of Ellis County ............................................................................................................. 9
Health Savings Account.................................................................................................................. 9
AFLAC ............................................................................................................................................ 10
HSA vs FSA .................................................................................................................................... 11
Experian IdentityWorks ................................................................................................................... 12
COVID-19 in 2021 .......................................................................................................................... 12
Gym Memberships.......................................................................................................................... 12
Employee Assistance Program (EAP) ............................................................................................ 13
Golf Course Fees Payroll Deduction............................................................................................... 13
AirMedCare .................................................................................................................................... 13
457 Plan ......................................................................................................................................... 13
Legal Notices .................................................................................................................................. 14
Continuation of Health Plan Coverage (COBRA) ...................................................................... 14
Notice of Special Enrollment Provision ................................................................................... 14
Special Rules for Mothers and Newborns ................................................................................ 14
HIPAA Privacy ........................................................................................................................... 14
Women’s Health and Cancer Rights Act of 1998 ...................................................................... 15
Health Insurance Marketplace Coverage Options & Your Health Coverage ............................. 15
Prescription Drug Coverage & Medicare ................................................................................... 17
Premium Assistance Under Medicaid and CHIP ....................................................................... 18
Family Medical Leave Act (FMLA)............................................................................................. 19
USERRA ................................................................................................................................... 19
City Personnel Manual & More........................................................................................................ 19
The information in this booklet is intended to summarize the benefits offered in language that is clear
and easy to understand. Every effort has been made to ensure that this information is accurate. This
booklet is not intended to replace the legal plan document (Benefit Description), which contains the
complete provisions of a program. In case of any discrepancy between this booklet and the legal
plan document, the legal plan document will govern in all cases.
More information can be found at www.haysusa.com/openenrollment.
CONTACT INFORMATION
Contact Website/Email Phone
Blue Cross Blue Shield of Kansas
bcbsks.com 800.432.3990
(Medical & Rx)
Delta Dental of Kansas deltadentalks.com 800.234.3375
Vision Care Direct visioncaredirect.com 877.488.8900
aflac.com
AFLAC—Randy Weber
randy_weber@us.aflac.com 785.639.3825
AFLAC—Flexible Spending Accounts takecarewageworks.com 800.950.0105
(Medical & Daycare) randy_weber@us.aflac.com 785.639.3825
KPERS kpers.org 888.275.5737
retirement.massmutual.com/rsgovnp 800.528.9009
457 Plan—Mike Allen
mallen@retirementplanadvisors.com 816.686.4685
Experian IdentityWorks experianidworks.com/bcbsks 855.272.6796
EAP (Company Code: Hays) ndbh.com 800.624.5544
airmedcarenetwork.com 833.965.0334
AirMedCare—Nate Brown
Nate.brown@airmedcarenetwork.com 785.216.9087
Human Resources hr@haysusa.com 785.628.7320
Erin Giebler—Director of HR egiebler@haysusa.com Fax:
Alissa Disney—HR Generalist adisney@haysusa.com 785.628.7323
IMPORTANT DOCUMENTS
As part of the Affordable Care Act, the federal government requires group health plans and health
insurance issuers offering group and individual coverage to provide consumers two key documents.
These documents provide consumers information needed to compare coverage options in different
types of plans.
Summary of Benefits and Coverage SBC – The SBC summarizes the key features of a health
plan, such as the covered benefits, cost-sharing provisions and coverage limitations. SBCs in-
clude a new, standardized plan comparison tool called “coverage examples,” similar to the Nutri-
tion Facts label required for packaged foods.
Uniform Glossary – This glossary of terms, written in plain language, helps consumers under-
stand some of the most common but confusing jargon used in health insurance.
The SBC is not a guideline or example. It must be replicated using the exact wording, format and
layout as set forth by the U.S. Department of Health and Human Services. Both of these forms are
the direct result of model forms created through a public process led by the National Association of
Insurance Commissioners (NAIC) and several representatives of insurers, health care professionals,
consumer advocacy groups and others.
The Summary of Benefits and Coverage and Uniformed Glossary can be found at
www.haysusa.com/openenrollment.
More information can be found at www.haysusa.com/openenrollment. PAGE 1
WELCOME TO OPEN ENROLLMENT
Open Enrollment has begun and will continue through December 2, 2020. Open Enrollment is a
time that employees can make changes to their pre-tax benefits such as Health Insurance, Dental
Insurance, Vision Plans, and AFLAC. Outside Open Enrollment, employees must have a qualifying
event to make changes to these benefits.
Open Enrollment is also a time where employees are provided with government mandated forms. It
is important to read all information thoroughly.
This year, employees will follow a link to complete their Open Enrollment Form. This will walk
them through the process. Once HR gets the completed form, any required forms will be sent
to you to sign. If no form is completed we will assume no changes are being requested.
HR has allotted specific times at locations across the City to answer questions and help employees
complete the Open Enrollment Form.
City Hall’s HR Office: November 16 1:30 pm — 4:30 pm
Water Plant: November 17 11:00 am — 1:00 pm
Welcome Center: November 17 2:00 pm — 3:00 pm
Public Works Conference Room: November 18 8:00 am — 11:30 am
Solid Waste Break Room: November 18 2:00 pm — 3:00 pm
Police Conference Room: November 18 4:30 pm — 7:00 pm
Wastewater Plant: November 18 12:00 pm — 1:00 pm
Parks Department Break Room: November 19 8:00 am — 10:00 am
City’s Hall HR Office: November 23 8:00 am — 11:30 am
Find more information about all the benefits discussed in this book in more detail online at
www.haysusa.com/openenrollment.
QUALIFYING EVENT
Life is full of changes; expected and unexpected. Generally, you may change your benefit elections
only during the open enrollment period. However, you may change your benefit elections during the
year if you experience a qualifying event, including but not limited to:
Marriage
Divorce
Birth or adoption
Death of your spouse or dependent child
Change in employment status of employee, spouse, or dependent child that causes a change
in eligibility for other coverage
Entitlement to Medicare and Medicaid
PLEASE NOTE:
You must notify Human Resources within 30 days of the qualifying event, even if you do not
plan on making any benefit changes. If you do not contact Human Resources within 30 days of
the qualified event, you will have to wait until the next open enrollment period to make changes
(unless you experience another qualifying event).
More information can be found at www.haysusa.com/openenrollment. PAGE 2WHAT’S NEW IN 2021
HEATH INSURANCE - SEE PAGE 4
High Deductible Plan
Moved from a 3 tier prescription plan to a 5 tier prescription plan
Premium Plan
Specialist Office Visits are now a $50 co-pay
Moved from a 3 tier prescription plan to a 5 tier prescription plan
Removal of the Accident Rider
Base Plan
Deductible increased to $2,500/$5,000
Co-Insurance decreased to $2,000/$4,000
Co-Insurance cost sharing decreased to 40%
Primary Office Visits are now a $30 co-pay and Specialist Office Visits are now a $60 co-pay.
Insurance will pay for a max of 5 visits per year per person. After that, visits will go towards
the members deductible and co-insurance.
Moved from a 3 tier prescription plan to a 5 tier prescription plan
Removal of the Accident Rider
Removal of the Lab/X-Ray Rider
Premium Change
Premiums changed on all health insurance plans for 2021.
HEALTH SAVINGS ACCOUNT - SEE PAGE 9
The City will not be contributing to an Employee’s HSA in 2021. Employees may still contribute into
their HSA if eligible.
DENTAL - SEE PAGE 6
The City changed from BCBS to Delta Dental. As a result the Annual Maximum is increased to
$1,500 and the addition of Right Start 4 Kids (RS4K) which waives the deductible and co-insurance
for covered, in-network, services for eligible children under 12. Unless told to change you dental en-
rollment on the Open Enrollment Form, HR will transfer your BCBS Dental enrollment to Delta Dental
automatically.
Premium Change
Premiums change on the dental plan for 2021.
EXPERIAN IDENTITYWORKS - SEE PAGE 12
Beginning in 2021, BCBS will offer Experian IdentityWorks for free for employees enrolled in the
City’s health insurance.
COVID—MEDICAL COST/COVID TEST - SEE PAGE 12
For 2021, COVID related medical expense will not be covered at 100%. Instead it will be treated like
any other sickness and go towards your deductible and co-insurance. The City will reimburse em-
ployees up to two COVID test costs in 2021.
COVID LEAVE—SEE PAGE 12
As of the date of this publication, COVID Leave will end Dec 31, 2020 and will not be available in
2021.
More information can be found at www.haysusa.com/openenrollment. PAGE 3HEALTH INSURANCE — BCBS OF KS
The City of Hays will continue to use Blue Cross Blue Shield of Kansas
for their Health Insurance in 2021. There are three health insurance op-
tions for employees: High Deductible Health Plan, Base Plan or Premium
Plan. Please see the Health Insurance summary of each plan. There will
be new health insurance cards provided in 2021. Your old card will
work until the new cards are received.
Benefit HDHP Base Plan Premium Plan
**
Plan Deductible $3,000/$6,000 $2,500/$5,000 $1,500/$3,000
**
Co-insurance $0/$0 $2,000/$4,000 (40%) $1,000/$2,000 (20%)
$30/$60 (up to 5 Vis-
Primary Care Office Visit/Specialist Deductible $25/$50
its per Person)
Preventative Services Paid 100% Paid 100% Paid 100%
100% up to $300
Outpatient Lab/X-Ray Services Deductible 40% after Deductible then Deductible and
Co-Insurance
Surgery Deductible 40% after Deductible 20% after Deductible
Inpatient Hospital Care (Room &
Deductible 40% after Deductible 20% after Deductible
board, maternity care, x-ray, labs, etc)
Inpatient Mental Illness Services & Al-
cohol or Chemical Dependency Treat- Deductible 40% after Deductible 20% after Deductible
ment
Ambulance/Emergency Transportation Deductible 40% after Deductible 20% after Deductible
40% after $250 Co- 20% after $250 Co-
ER Deductible
Pay & Deductible Pay & Deductible
Accidental Injury Deductible 40% after Deductible 20% after Deductible
Prescription Drugs Co-Pays Deductible then: .
Tier 1 (Generic) $15 $15 $15
Tier 2 (Preferred Formulary Brands) $50 $50 $50
Tier 3 (Non-Preferred Brands) $75 $75 $75
Tier 4 (Preferred Specialty) $150 $150 $150
Tier 5 (Non-Preferred Specialty) 20% up to $250 20% up to $250 20% up to $250
Bi-Weekly Employee Costs
Single $14.01 $24.20 $52.60
Employee/Spouse $30.08 $51.97 $112.96
Employee/Children $28.36 $48.98 $106.46
Family $44.43 $76.75 $166.82
Max Out of Pocket—Including deducti-
bles, co-insurance, & premiums. Does
not include co-pays.
Single $3,364.27 $5,129.20 $3,867.60
Employee/Spouse $6,782.21 $10,351.15 $7,936.87
Employee/Children $6,737.25 $10,273.48 $7,768.04
Family $7,155.19 $10,995.40 $9,337.44
**These rates are based on In-Network expenses. Please refer to the policy for full benefit details.
More information, including the Summary of Benefit
Coverage and Glossary of Terms can be found at
www.haysusa.com/openenrollment.
More information can be found at www.haysusa.com/openenrollment. PAGE 4BCBS Preferred Network
Make sure you check your medical provider before you go to an appointment to make sure they are
in network. Otherwise you will pay a higher deductible & co-insurance. To see if your provider is
on the preferred network, you can either call the number on the back of your insurance card or go to
www.bcbsks.com/find-a-doctor & put XSB in the “Already a Member” box.
BCBS Prescriptions
The easiest way to find out what tier your medication will be classified under BCBS is to go to
www.bcbsks.com and log into BlueAccess. You would then click on “Find Drugs (Formulary)”. Type
in the medicine you are wanting to check. Once you have it pulled up, under the bold information
that tells the dosing, you will see if it says “Generic for...covered, on drug list”. That would be Tier 1.
If it doesn’t say generic instead just “covered, on drug list” it is Tier 2. If it says Covered, Not on drug
list then it is Tier 3. If, on the right hand side (before the pricing), it says specialty then it is a special-
ty drug. You would then look to see if it says “on drug list” Tier 4 or “covered, not on drug list” for Tier
5. You may also find information without logging in by going to www.myprime.com/en/forms.html.
BCBS ONLINE ACCESS
For online access to your health insurance and resources to enhance your membership with
BCBSKS, you will want to establish a BlueAccess account. Follow the steps below to get your ac-
count set-up.
1. Go to bcbsks.com/blueaccess and select “Signup for BlueAccess”.
2. Read the user agreement, check “I Agree”, select “continue”.
3. Create your profile. (Have your ID card handy.)
4. Finish your registration.
PREVENTATIVE SERVICES
Preventative services can be received without any cost-sharing, meaning you will not pay deducti-
bles, copays or coinsurance. Preventative services must be provided by an eligible contracting pro-
vider as outlined in the health plan. Preventative services are subject to change. To see the full list
of covered preventative services, please visit bcbsks.com/aca. For additional information on health
care reform and preventative services, please visit healthcare.gov.
TELEMEDICINE
Telemedicine is an alternative to in-person visits. It allows health care professionals to evaluate, di-
agnose and treat patients at a distance via secure video/audio connections. Blue Cross Blue Shield
has partnered with Amwell so you can have a virtual doctor’s visit from your smartphone or computer
– right when you need it. Great for common conditions like Cold/Flu, Fever, Rash, Sinus Infection,
Pink Eye, Ear Infection, etc. They also provide behavioral health services. Doctors may provide pre-
scriptions when needed. To register download the Amwell app, visit bcbsks.com/telemed or call
844.733.3627. Cost is processed based on your BCBS plan design. Often telemedicine is cheaper
than in-person doctor visits for members who do not have a co-pay for doctor visits.
More information can be found at www.haysusa.com/openenrollment. PAGE 5DENTAL—DELTA DENTAL OF KS
The City of Hays will change their Dental Insurance provider to Delta Dental
of Kansas in 2021. A change in dental insurance may mean changes in net-
work providers. To save the most money, you must go to an in-network pro-
vider. See if your dentist is in network at deltadentalks.com.
Maximum Benefit Per Person
$1,500
(annually)
100% Paid (No Deductible)** Oral Evaluation (2x per year)
Bitewing X-Rays (2x per year for under 18 years old and 1x per
year for 18 years old and older)
Full Mouth or panoramic X-Rays (1x per 5 years)
Prophylaxis (Cleanings)
Topical Fluoride (2x per year for under 19 years old)
Space Maintainers (under 14 years old for premature loss of
molars)
Sealants (1x per lifetime per tooth for under 16 years old)
Deductible $50 per person up to $150
80% (After Deductible)** Ancillary (1x per year)
Oral Surgery
Regular Restorative (Cavities)
Endodontics (Root Canal)
Periodontics (Surgical and Non-Surgical)
50% (After Deductible)** Special Restorative (Crowns)
Prosthodontics (Bridges, Dentures, Implants)
Orthodontics No Coverage (May use HSA or Flex Spending Account)
Right Start 4 Kids (RS4K): Children, 12 years old and under, receive coverage at 100% for all ser-
vices covered under the plan. Not subject to deductible, but plans’ annual maximum and fre-
quencies/limitations apply.
Bi-Weekly Employee Costs
Single $16.77
Employee/Spouse $33.21
Employee/Children $33.20
Family $56.46
**These rates are based on In-Network expenses. Please refer to the policy for full benefit details.
More information can be found at www.haysusa.com/openenrollment. PAGE 6VISION — VISION CARE DIRECT
The City of Hays will continue their Vision Plan through Vision Care
Direct in 2021 with no change in premiums or plan designs. There
are many options employees may choose, so review each option
carefully. Employees may enroll in more than one plan. To get the
most out of your benefit, see a Vision Care Direct provider. To loc-
cate a Vision Care Direct provider in your area go to www.VisionCareDirect.com.
Open Access
Plan Includes (Using an In- Member
Description of Allowance Maximum (Non-
Network Provider) Responsibility
Network Provider)
Exam (Not applicable on Materials Only PK Plans)
Comprehensive eye-health
vision examination
100% after exam fee $15 Exam Fee Up to $50
includes refraction &
dilation if indicated*
In the event that a member has an eye exam in-
cluded with another plan, Vision Care Direct al-
lows the exam reimbursement to be used for oth-
er services or materials in lieu of a Vision Care No Open Access
Flexible Exam Option
Direct eye exam. An explanation will be provided Option
to you by your provider at time of service regard-
ing to the amount and how it was applied to your
additional services or materials.
Materials (Not Applicable on Exam Only Plan)
100% for glass or plastic
(CR-39) for single vision, Up to Maximum
Spectacle Lens* $15 Material Fee
bifocal, trifocal (FT25-28 or Listed:
lenticular) after material fee Single: $50
Progressive Lens*- Up to the retail price of Bifocal: $75
All Non-Platinum standard trifocal lens Overage Trifocal: $100
complete plans regardless of Rx Lenticular: $100
Progressive Lens*- All $180 progressive lens Progressive: $100
Overage
Platinum Plans allowance
100% for Dependent
No Open Access
Polycarbonate for Kids* children up to age 18 after $25 Material Fee
Option
material fee
Contact Lens* - In lieu of
Fitting fees and
frames and spectacle lens Elective: Selected Allowance
overage above Up to $80
(including multi-focal Medically necessary: $250
allowance
contacts)
Any frame from provider’s Overage above
Frame Allowance* Up to $60
inventory allowance
Specialty Plan Variations
Members pay differ-
Lenses included as indicated ence in retail price
Same as
RX Sunwear PK Plan* above. 100% tint on plastic for Polarized, glass
spectacle lens
lens tints, or photo-
chromic, plus $15
*There is an 11-month waiting period between each eye exam and glasses purchases.
More information can be found at www.haysusa.com/openenrollment. PAGE 7VISION — VISION CARE DIRECT
General Limitations & Exclusions
The vision plan is designed for routine eye care & materials ex-
pense incurred while the membership is in force. Plan allowances
cannot be combined with any other discounts, promotional offers or
other advertised specials including, but not limited to, discounts,
coupons, or two-for-one materials specials offered by the providers at their individual offices. Mem-
bers must choose between using their Vision Care Direct allowances or the provider’s special offers.
Unused allowances do not roll over into next allowance period. We do not provide allowances for the
following: 1)Services & Materials not included on Allowance Summary including cosmetic items &
add-ons; 2) Orthoptics or vision training & any associated supplemental testing; 3) Subnormal vision
aids, non-prescription or aniseikonia lenses; 4) Contact lenses for cosmetic enhancement such as
changing eye color except as included in the Allowance Summary; 5) Oversized 61 & above lens or
lenses; 6) Medical or surgical treatment of the eyes; 7) Any injury or illness covered by Worker’s
Compensation or similar law; 8) Two pairs of glasses in lieu of bifocals, trifocals, or progressives; 9)
Care for services or materials received while traveling in a foreign country without a detailed receipt
in English; 10) Charges incurred after membership ends.
More information can be found at www.haysusa.com/openenrollment.
Frame/Contact Emp./ Emp./
Emp. Emp. + 1 Family Emp. Emp. + 1 Family
Lens Allowance Deps. Deps.
Platinum Complete Plan—12 month Platinum Material Only Plan—12
exam, lens, & frame benefit (Includes month lens & frame benefit (Includes
$180 progressive lens allowance) $180 progressive lens allowance)
$100/$105 $6.02 $9.63 $11.10 $18.89 $4.31 $6.90 $7.97 $13.54
$130/$130 $7.05 $11.24 $13.02 $22.14 $5.35 $8.57 $9.88 $16.80
$160/$160 $8.10 $12.95 $14.94 $25.40 $6.39 $10.23 $11.80 $20.06
$200/$200 $9.48 $15.17 $17.49 $29.75 $7.77 $12.44 $14.35 $24.41
Gold Complete Plan—12 month exam, Gold Material Only Plan—12 month
lens, & frame benefit lens & frame benefit
$100/$105 $5.25 $8.40 $9.69 $16.48 $3.54 $5.68 $6.54 $11.13
$130/$130 $6.29 $10.06 $11.61 $19.74 $4.59 $7.34 $8.46 $14.39
$160/$160 $7.33 $11.72 $13.52 $23.00 $5.62 $9.00 $10.38 $17.66
$200/$200 $8.71 $13.94 $16.08 $27.35 $7.01 $11.22 $12.94 $22.00
Silver PK Plan—12 month exam & lens, Rx Sunwear—12 month lens & frame
24 month frame benefit benefit
$100/$105 $4.68 $7.50 $8.64 $14.07 $3.83 $6.13 $7.07 $12.03
$130/$130 $5.20 $8.33 $9.60 $16.33 $4.86 $7.79 $8.99 $15.29
$160/$160 $5.72 $9.16 $10.56 $17.96 $5.91 $9.45 $10.90 $18.54
$200/$200 $6.42 $10.26 $11.56 $20.13 $7.29 $11.67 $13.46 $22.89
Exam Only Plan—12 month exam
$1.70 $2.72 $314 $5.34
More information can be found at www.haysusa.com/openenrollment. PAGE 8UNITED WAY OF ELLIS COUNTY
United Way of Ellis County supports 18 partner agencies in the county.
Employees who wish to contribute have many different ways to give to
United Way of Ellis County.
1. Donate directly on their website at www.liveunited.us.
2. Set up automatic withdrawals from your bank account.
3. Round Up Giving: Rounds up your bank/credit card to the nearest dollar to a set amount monthly.
4. AmazonSmile: While shopping Amazon select United Way of Ellis County as your favorite charity.
5. Donate through payroll deduction.
Any employees currently doing payroll deduction for United Way will continue to have their donation
collected through payroll deduction and given to United Way. Any employee wanting to cancel,
make changes or start payroll deduction for United Way of Ellis County should contact HR or
complete the Open Enrollment Form.
Visit www.haysusa.com/openenrollment for more information about the United Way campaign.
Health Savings Account (HSA)
A Health Savings Account (HSA) is a plan designed to help you help pay
your deductible of a High Deductible Health Plan (HDHP) by allowing you to
set aside money to pay for out-of-pocket medical expenses. You set aside
money on a pre-tax basis—this means as long as you use the money for
eligible expenses, you won’t pay income taxes on it. Unlike a healthcare
flexible spending account (FSA), HSA’s are employee-owned, meaning you
take the HSA with you if you change employers and any unused funds rollo-
ver to the following year.
You may be Eligible for a HSA if:
• You are covered by a High Deductible Health Plan (HDHP)
• You are not covered under another medical plan that is not a HDHP
• You are not enrolled in Medicare benefits
• You cannot be claimed on another person’s tax return
• You are not contributing to or have access to funds in a healthcare FSA through a spouse
Payroll Deduction
Contributing funds lowers your taxable income and allows you to build a nest egg for future
healthcare expenses. The amount you elect to contribute to your HSA will be payroll deducted and
deposited into the HSA account that you open. You may open a HSA account at any financial insti-
tute that offers this specialized account. The amount of payroll deduction can be changed during the
year by completing a new HSA Deduction form available from HR. HSA funds cannot be used in ad-
vance like FSA funds are. You will be allowed to use only the amount available in your HSA account.
CARES Act Change
HSA can be used for even more since the CARES Act added Over the Counter (OTC) medicines
without a prescription and feminine care products to the list of eligible medical expenses.
To find out more about HSAs, please view Publication 969 on the IRS website (www.irs.gov).
2021 HSA Maximum Annual Contributions: Individual—$3,600; Family—$7,200, Catch-Up (for
employees over age 55) - $1,000. (Your maximum contribution may be different due to mid-year
changes. See IRS Publication 969 to see how this may affect you.)
More information can be found at www.haysusa.com/openenrollment. PAGE 9AFLAC & FLEXIBLE SPENDING ACCOUNTS
AFLAC is supplemental insurance that provides an additional level of fi-
nancial protection by providing cash to help with expenses health insur-
ance doesn't cover like deductibles and copayments. The plans offered
include: Accident, Cancer, Critical Illness, and Hospital. Plan designs and
premiums may vary. Contact our AFLAC representative, Randy Weber,
to discuss the plan options.
AFLAC also offers Flexible Spending Accounts. A Flexible Spending Ac-
count (FSA) lets you set aside money from your paycheck on a pretax
basis to use for eligible out-of-pocket expenses. There are three types of FSAs:
Health Care FSA – You can use this account to pay for eligible medical, dental, vision, hearing
and prescription drug expenses for you, your spouse and your eligible tax dependents. The en-
tire amount you set aside is available to use on the first day of your plan year.
Dependent Care FSA – You can use this account to pay for eligible child and adult care expens-
es like day care, before and after school care, nursery school, preschool, and summer day
camp.
3. Limited Purpose FSA – You can generally use this account to pay for eligible dental and vision
expenses. You can enroll in this account, if you have or plan on opening a Health Savings Ac-
count (HSA). The entire amount you set aside is available to use on the first day of your plan
year.
Remember:
Eligible expense must be incurred within the plan year (Jan 1 - Dec 31).
The Healthcare and Limited Purpose FSA allows participants to carry over $500 into the next
year. If you have a FSA and money left over, it will automatically be rolled over to the following
year. If you plan on contributing to an HSA the following year, this rollover may make you ineligi-
ble for an HSA. Please visit with the AFLAC rep to get the money left over to rollover into a Lim-
ited Purpose FSA.
Any unused funds over the $500 at the end of the plan year will be forfeited. Also called “Use it or
Lose it”.
The contribution elections made will remain in effect until the end of the plan year unless a quali-
fying event occurs.
AFLAC Representative Schedule
AFLAC representatives will be available to meet with employees to make changes, answer ques-
tions and/or enroll in AFLAC benefits at:
Police Department: December 7th 8:00 am – 2:00 pm
Parks Department: December 7th 8:00 am – 9:00 am
Public Works: December 7th 9:00 am – 10:00 am
Water Maintenance Building: December 7th 10:00 am – 11:00 am
City Hall: December 9th 8:00 am – 2:00 pm
If you can’t make any of these times work, you may contact Randy Weber directly at 785.639.3825
or randy_weber@us.aflac.com before December 10th.
More information can be found at www.haysusa.com/openenrollment. PAGE 10HSA VS HEALTHCARE FLEXIBLE SPENDING ACCOUNT
Funding predictable healthcare ex-
Funding lifetime of healthcare ex-
GENERAL penses in the current year with pre-
penses with pre-tax dollars.
tax dollars.
Owned by the employee. Keeps
Owned by the City. Ends when your
the HSA after the end of employ- CONTROL
employment ends.
ment.
Employees may adjust contribu-
Annual elections. Changes may only
tions throughout the year up to the CONTRIBUTIONS
be made due to a qualifying event.
IRS limit.
IRS Limit of $3,600 for Single Plan
and $7,200 for Family plan as well CONTRIBUTION
IRS Limit of $2,750
as an additional $1,000 for employ- LIMITS
ees over 55.
Must be paired with a qualified HEALTH PLAN
Can be paired with any health plan.
HDHP. ELIGIBILITY
Funds available once they have FUND All funds available on day one of the
been contributed. AVAILABILITY plan year.
Distributions for eligible expenses,
Distributions for eligible expenses and
investments returns, and contribu- TAX SAVINGS
contributions are tax-free.
tions are tax-free.
All funds carry over to the next plan Up to $500 may carry over to the next
CARRYOVER
year. year.
INVESTMENT
Yes No
CAPABILITY
IRS; Publication 969 MORE INFO IRS; Publication 969
More information can be found at www.haysusa.com/openenrollment. PAGE 11EXPERIAN IDENTITYWORKS—FREE FOR BCBS MEM-
BERS
New in 2021!! Experian IdentityWorks is available to all BCBSKS members at no
cost. Once you are enrolled, you will have access to: Experian credit report at sig-
nup; credit monitoring, internet surveillance; identity restoration; up to $1 million
identity theft insurance; lost wallet; child monitoring; and Experian IdentityWorks ExtendCare.
Enrollment is required.
Members must provide their personal information to enroll online or via phone. To start monitoring
your personal information, please follow the steps below:
1. Visit the Experian IdentityWorks website to enroll: www.experianidworks.com/bcbsks
2. Click “Get Started” and enter code: KANSAS20
3. Complete the enrollment process.
How Experian Identity Restoration Works
If you become a victim of identity theft, Experian will act as your guide & advocate from start to finish
by initiating the dispute process, and help ensure that your identity returns to its pre-identity theft
state. If you have questions about protecting your identity or if you suspect that your identity has
been stolen:
1. Call 1-855-272-6796
2. Provide the engagement number DB14226
COVID 2021
COVID Medical Costs/COVID Test
In 2021, the City’s BCBS plans will no longer cover COVID related costs at 100%. In-
stead it will be treated like any other condition and count towards your co-pays, deducti-
ble, and co-insurance. While insurance will not cover your COVID related costs at 100% in 2021, the
City will reimburse an employee covered under the City’s health plan, the cost of up to two COVID
tests in 2021 . The COVID test should be ran through your insurance. For reimbursement employ-
ees will need to provide their Explanation of Benefit from BCBS as well as their invoice from the pro-
vider to HR. (Insurance must approve the COVID test in order for it to be reimbursed.)
COVID Leave
As of the date of this publication, the Families First Coronavirus Response Act (FFCRA) will not be
extended into 2021. Therefore, there will be no COVID leave available in 2021. Any employee miss-
ing work due to a COVID illness, quarantine, or school/daycare closure, will be required to use their
PTO. Employees will still be required to follow the City’s COVID Policy.
GYM MEMBERSHIPS
HRC Fitness: Single—$25.00; Family (up to 4)—$48.00; Student/Senior—$23.00
Munsch Fitness: Single—$34.95
Must have 10 employees signed up for membership to get this rate.
The Center for Health Improvement: Single—$54.45; Spouse—$50.00; Family (Primary/Spouse/2
Dependents)—$125.00; Child—$20.00 (Age 13-21. Must be claimed on Primary’s taxes)
Must have 18 employees sign up for membership to get these rates (the City currently DOES NOT meet this
requirement). Enrollment fees are waived if a one-year agreement is signed. HR has a limited number of guest passes
for The Center if anyone would like to try it before signing up.
More information can be found at www.haysusa.com/openenrollment. PAGE 12EMPLOYEE ASSISTANCE PROGRAM (EAP)
The City of Hays offers all full-time employees and their families,
the Employee Assistance Program at no cost. This allows you to
call or set up face-to-face meetings with experts in the fields of counseling, legal and financial at no
cost to the employee. Their website, www.ndbh.com (password: Hays) is full of articles, videos, self-
assessments and planners to help you balance your work and family life, support your emotional
wellbeing and promote personal growth. To find out more about the free benefit, watch a pre-
recorded webinar at http://ndbh.adobeconnect.com/p3xhsacjv5j/.
GOLF MEMBERSHIP
Non-seasonal City employees can elect to pay for golf membership at Fort
Hays Municipal Golf Course through payroll deduction. This allows employ-
ees to pay for theirs &/or their family’s golf membership dues bi-weekly in-
stead of a one-time lump sum. The bi-weekly amount is figured by taking your
total membership costs divided by the number of payroll deductions left in the payroll year. Employ-
ees wishing to take advantage of this will need to go to Fort Hays Golf Course & fill out a member-
ship card & when asked for payment tell them you are a City of Hays’ employee & would like to pay
for membership through payroll deduction. They will provide you with a form which will allow the City
to deduct your membership costs equally throughout the remaining payrolls. If you leave employ-
ment with the City of Hays before paying off the membership fees, the remaining amount will be tak-
en out of your final paycheck. Remember you must renew your membership & payroll deduction
each year.
AIRMEDCARE NETWORK MEMBERSHIP
EagleMed & many other Emergency Air Transportation companies have
started the AirMedCare network membership. The participating providers of
the AirMedCare Network provide air ambulance service that can help reduce
time to the appropriate trauma center. When you become a member, you will
have no out-of-pocket flight expenses if you are flown by one of their partici-
pating providers. With the City’s membership with the Chamber of Com-
merce, employees & their household may sign up for a 1-year membership
for $65/year. To learn more, call Membership Sales Manager, Nate Brown, at 785.216.9087 or visit
www.AirMedCareNetwork.com. This is not a benefit offered by the City of Hays & is not available as
payroll deduction. Employees who would like to learn more or enroll would need to deal directly with
the AirMedCare Network. The enrollment form can be found at www.haysusa.com/openenrollment.
457 PLAN
The 457 plan is a type of non-qualified, tax advantaged deferred-compensation retire-
ment plan that is available for governmental employers in the United States. The em-
ployer provides the plan and the employee defers compensation into it on a pre-tax or
after-tax (Roth) basis. For the most part, the plan operates similarly to a 401(k) or 403(b) plan most
people are familiar with. The key difference is that, unlike with a 401(k) plan, there is no 10% early
withdrawal tax penalty (although the withdrawal is subject to ordinary income taxation).
2021 Contribution Limits: $19,500, additional $6,500 if over age 50
Contact Person: Mike Allen, mallen@retirementplanadvisors.com, 816.686.4685
More information can be found at www.haysusa.com/openenrollment. PAGE 13LEGAL NOTICES
CONTINUATION OF HEALTH PLAN COVERAGE
A federal law, commonly referred to as COBRA (for Consolidated Omnibus Budget Reconciliation
Act) gives you and your covered dependents the right to continue health plan coverage in certain
circumstances when it would otherwise end. These include termination of employment or reduction
in hours causing loss of plan eligibility of the covered employee, as well as for covered dependents,
the death of the covered employee, a divorce or legal separation from the covered employee, or
ceasing to be an eligible dependent child of the employee.
IT IS VERY IMPORTANT THAT YOU NOTIFY HUMAN RESOURCES IF YOU EXPERIENCE A DI-
VORCE/LEGAL SEPARATION OR HAVE A DEPENDENT WHO NO LONGER MEETS THE ELI-
GIBILITY RULES OF THE PLAN.
If you do not notify Human Resources of one of these events within 60 days, your covered depend-
ents will lose the right to continue their coverage under COBRA. More details are available in the
COBRA notification material on the City’s Intranet Web Page.
NOTICE OF SPECIAL ENROLLMENT PROVISIONS
If you are declining enrollment for yourself or your dependents (including your spouse) because of
other health plan coverage, you may, in the future, be able to enroll yourself and/or your dependents
in this plan, provided that you request enrollment within 30 days after you or your dependents lose
eligibility for that other coverage (or employer contributions toward that coverage end). In addition, if
you have a new dependent as a result of marriage, birth, adoption, or placement for adoption, you
may be able to enroll yourself and your dependents, provided that you request enrollment within 30
days after the marriage, birth, adoption, or placement for adoption. To request special enrollment,
contact the Human Resources Department.
SPECIAL RULES FOR MOTHERS AND NEWBORNS
Group health plans and health insurance issuers generally may not, under Federal Law, restrict ben-
efits for any hospital length of stay in connection with childbirth for the mother or newborn child to
less than 48 hours following a vaginal delivery, or less than 96 hours following a cesarean section.
However, Federal law generally does not prohibit the mother’s or newborn’s attending provider, after
consulting with the mother, from discharging the mother or her newborn earlier than 48 hours (or 96
hours as applicable). In any case, plans and issuers may not, under Federal law require that a pro-
vider obtain authorization from the plan or the insurance issuer for prescribing a length of stay not in
excess of 48 hours or (96 hours).
HIPAA PRIVACY
The City’s Medical Plan is required by law to take reasonable steps to ensure the privacy of your
personally identifiable health information and to inform you about the uses of protected health infor-
mation (PHI) and your privacy rights. PHI use and disclosure by the City’s Medical Plan is regulated
by federal law known as HIPAA (the Health Insurance Portability and Accountability Act). A copy
may be found within the City’s Personnel Manual.
More information can be found at www.haysusa.com/openenrollment. PAGE 14LEGAL NOTICES
WOMEN’S HEALTH AND CANCER RIGHTS ACT OF 1998
If you had or are scheduled to have a mastectomy, you may be entitled to certain benefits under the
Women’s Health and Cancer Rights of 1998. For individuals receiving mastectomy-related benefits,
coverage will be provided in a manner determined, in consultation with attending physician and the
patient, for:
1. All stages of reconstruction of the breast on which the mastectomy was performed;
2. Surgery and reconstruction of the other breast to produce a symmetrical appearance;
3. Prostheses; and
4. Treatment of physical complications during all stages of the mastectomy, including lymphedemas.
These benefits will be provided, subject to the same deductible, copays, and coinsurance applicable
to other medical and surgical benefits under the plan.
HEALTH INSURANCE MARKETPLACE COVERAGE OPTIONS & YOUR HEALTH COVERAGE
PART A: GENERAL INFORMATION
When key parts of the health care law took effect in 2014, there was a new way to buy health insur-
ance: the Health Insurance Marketplace. To assist you as you evaluate options for you and your
family, this notice provides some basic information about the new Marketplace and employment
based health coverage offered by your employer.
WHAT IS THE HEALTH INSURANCE MARKETPLACE?
The Marketplace is designed to help you find health insurance that meets your needs and fits your
budget. The Marketplace offers "one-stop shopping" to find and compare private health insurance
options. You may also be eligible for a tax credit that lowers your monthly premium right away. Open
enrollment for health insurance coverage through the Marketplace begins in October for coverage
starting as early as January 1.
CAN I SAVE MONEY ON MY HEALTH INSURANCE PREMIUMS IN THE MARKETPLACE?
You may qualify to save money and lower your monthly premium, but only if your employer does not
offer coverage, or offers coverage that doesn't meet certain standards. The savings on your premi-
um that you're eligible for depends on your household income.
DOES EMPLOYER HEALTH COVERAGE AFFECT ELIGIBILITY FOR PREMIUM SAVINGS
THROUGH THE MARKETPLACE?
Yes. If you have an offer of health coverage from your employer that meets certain standards, you
will not be eligible for a tax credit through the Marketplace and may wish to enroll in your employer's
health plan. However, you may be eligible for a tax credit that lowers your monthly premium, or a re-
duction in certain cost-sharing if your employer does not offer coverage to you at all or does not offer
coverage that meets certain standards.
If the cost of a plan from your employer that would cover you (and not any other members of your
family) is more than 9.83% (subject to change by federal government) of your household income for
the year, or if the coverage your employer provides does not meet the "minimum value" standard set
by the Affordable Care Act, you may be eligible for a tax credit.1
1
An employer-sponsored health plan meets the "minimum value standard" if the plan's share of the total al-
lowed benefit costs covered by the plan is no less than 60 percent of such costs.
More information can be found at www.haysusa.com/openenrollment. PAGE 15LEGAL NOTICES
HEALTH INSURANCE MARKETPLACE COVERAGE OPTIONS & YOUR HEALTH COVERAGE
Note: If you purchase a health plan through the Marketplace instead of accepting health coverage
offered by your employer, then you may lose the employer contribution (if any) to the employer-
offered coverage. Also, this employer contribution as well as your employee contribution to employer
offered coverage is often excluded from income for Federal and State income tax purposes. Your
payments for coverage through the Marketplace are made on an after-tax basis.
HOW CAN I GET MORE INFORMATION?
For more information about your coverage offered by your employer, please check your summary
plan description or contact Human Resources.
The Marketplace can help you evaluate your coverage options, including your eligibility for coverage
through the Marketplace and its cost. Please visit HealthCare.gov for more information, including an
online application for health insurance coverage and contact information for a Health Insurance Mar-
ketplace in your area.
PART B: INFORMATION ABOUT HEALTH COVERAGE OFFERED BY YOUR EMPLOYER
This section contains information about any health coverage offered by your employer. If you decide
to complete an application for coverage in the Marketplace, you will be asked to provide this infor-
mation.
Employer Name: City of Hays, KS
Employer EIN: 48-6011465
Employer Address: 1507 Main, PO Box 490 | Hays, KS 67601
Employer Phone: 785.628.7320
WHO CAN WE CONTACT ABOUT EMPLOYEE HEALTH COVERAGE AT THIS JOB?
Erin Giebler | egiebler@haysusa.com
HERE IS SOME BASIC INFORMATION ABOUT HEALTH COVERAGE OFFERED BY THIS EM-
PLOYER:
The City of Hays offers a health plan to all non-seasonal eligible employees working an average
of 30 hours per week;
We offer coverage to eligible spouses and dependent children to age 26;
Coverage meets the minimum value standard, and the cost of this coverage to you is intended to
be affordable, base on employee wages.
** Even if your employer intends your coverage to be affordable, you may still be eligible for a premi-
um discount through the Marketplace. The Marketplace will use your household income, along with
other factors, to determine whether you may be eligible for a premium discount. If, for example, your
wages vary from week to week (perhaps you are an hourly employee or you work on a commission
basis), if you are newly employed mid-year, or if you have other income losses, you may still qualify
for a premium discount.
If you decide to shop for coverage in the Marketplace, HealthCare.gov will guide you through the
process.
More information can be found at www.haysusa.com/openenrollment. PAGE 16LEGAL NOTICES
PRESCRIPTION DRUG COVERAGE & MEDICARE
Important Notice from CITY OF HAYS About
Your Prescription Drug Coverage and Medicare
Please read this notice carefully and keep it where you can find it. This notice has information about
your current prescription drug coverage with City of Hays and about your options under Medicare’s
prescription drug coverage. This information can help you decide whether or not you want to join a
Medicare drug plan. If you are considering joining, you should compare your current coverage, in-
cluding which drugs are covered at what cost, with the coverage and costs of the plans offering
Medicare prescription drug coverage in your area. Information about where you can get help to
make decisions about your prescription drug coverage is at the end of this notice.
There are two important things you need to know about your current coverage and Medicare’s pre-
scription drug coverage:
Medicare prescription drug coverage became available in 2006 to everyone with Medicare. You can
get this coverage if you join a Medicare Prescription Drug Plan or join a Medicare Advantage Plan
(like an HMO or PPO) that offers prescription drug coverage. All Medicare drug plans provide at
least a standard level of coverage set by Medicare. Some plans may also offer more coverage for a
higher monthly premium.
City of Hays has determined that the prescription drug coverage offered by their Health Plan is, on
average for all plan participants, expected to pay out as much as standard Medicare prescription
drug coverage pays and is therefore considered Creditable Coverage. Because your existing cover-
age is Creditable Coverage, you can keep this coverage and not pay a higher premium (a penalty) if
you later decide to join a Medicare drug plan.
When Can You Join A Medicare Drug Plan?
You can join a Medicare drug plan when you first become eligible for Medicare and each year from
October 15th to December 7th.
However, if you lose your current creditable prescription drug coverage, through no fault of your
own, you will also be eligible for a two (2) month Special Enrollment Period (SEP) to join a Medicare
drug plan.
What Happens To Your Current Coverage If You Decide to Join A Medicare Drug Plan?
If you decide to join a Medicare drug plan, your current City of Hays coverage will be affected. If you
chose Medicare Plan D as a primary payer, your group health insurance for you and your depend-
ents will be dropped.
If you do decide to join a Medicare drug plan and drop your current Group Health Insurance cover-
age, be aware that you and your dependents will be able to get this coverage back during open en-
rollment.
When Will You Pay A Higher Premium (Penalty) To Join A Medicare Drug Plan?
You should also know that if you drop or lose your current coverage with City of Hays and don’t join
a Medicare drug plan within 63 continuous days after your current coverage ends, you may pay a
higher premium (a penalty) to join a Medicare drug plan later.
If you go 63 continuous days or longer without creditable prescription drug coverage, your monthly
premium may go up by at least 1% of the Medicare base beneficiary premium per month for every
month that you did not have that coverage. For example, if you go nineteen months without credita-
ble coverage, your premium may consistently be at least 19% higher than the Medicare base benefi-
ciary premium. You may have to pay this higher premium (a penalty) as long as you have Medicare
prescription drug coverage. In addition, you may have to wait until the following October to join.
More information can be found at www.haysusa.com/openenrollment. PAGE 17LEGAL NOTICES
PRESCRIPTION DRUG COVERAGE & MEDICARE
For More Information About This Notice Or Your Current Prescription Drug Coverage…
Contact Human Resources at hr@haysusa.com or 785.628.7320.
Note: You’ll get this notice each year. You will also get it before the next period you can join a Medi-
care drug plan, and if this coverage through the City of Hays changes. You also may request a copy
of this notice at any time.
For More Information About Your Options Under Medicare Prescription Drug Coverage…
More detailed information about Medicare plans that offer prescription drug coverage is in the
“Medicare & You” handbook. You’ll get a copy of the handbook in the mail every year from Medi-
care. You may also be contacted directly by Medicare drug plans.
For more information about Medicare prescription drug coverage: Visit www.medicare.gov.
Call your State Health Insurance Assistance Program (see the inside back cover of your copy of the
“Medicare & You” handbook for their telephone number) for personalized help
Call 1.800.MEDICARE (1.800.633.4227). TTY users should call 1.877.486.2048.
If you have limited income and resources, extra help paying for Medicare prescription drug coverage
is available. For information about this extra help, visit Social Security on the web at
www.socialsecurity.gov, or call them at 1.800.772.1213 (TTY 1.800.325.0778).
Remember: Keep this Creditable Coverage notice. If you decide to join one of the Medicare drug
plans, you may be required to provide a copy of this notice when you join to show whether or not
you have maintained creditable coverage and, therefore, whether or not you are required to pay a
higher premium (a penalty).
PREMIUM ASSISTANCE UNDER MEDICAID AND CHIP
If you or your children are eligible for Medicaid or CHIP and you’re eligible for health coverage from
your employer, your state may have a premium assistance program that can help pay for coverage,
using funds from their Medicaid or CHIP programs. If you or your children aren’t eligible for Medicaid
or CHIP, you won’t be eligible for these premium assistance programs but you may be able to buy
individual insurance coverage through the Health Insurance Marketplace. For more information, visit
www.healthcare.gov.
If you or your dependents are already enrolled in Medicaid or CHIP and you live in a State listed be-
low, contact your State Medicaid or CHIP office to find out if premium assistance is available.
If you or your dependents are NOT currently enrolled in Medicaid or CHIP, and you think you or any
of your dependents might be eligible for either of these programs, contact your State Medicaid or
CHIP office or dial 1.877.KIDS.NOW or www.insurekidsnow.gov to find out how to apply. If you qual-
ify, ask your state if it has a program that might help you pay the premiums for an employer-
sponsored plan.
If you or your dependents are eligible for premium assistance under Medicaid or CHIP, as well as
eligible under your employer plan, your employer must allow you to enroll in your employer plan if
you aren’t already enrolled. This is called a “special enrollment” opportunity, and you must request
coverage within 60 days of being determined eligible for premium assistance.
KANSAS – Medicaid www.kdheks.gov/hcf/ or 1.800.792.4884.
For additional state information or for more information on special enrollment rights, you can contact either:
U.S. Dept. of Labor: Employee Benefits Security Administration www.dol.gov/ebsa or 1.866.444.EBSA
U.S. Dept. of HHS: Centers for Medicare & Medicaid Services www.cms.hhs.gov or 1.877.267.2323, Ext. 61565
More information can be found at www.haysusa.com/openenrollment. PAGE 18LEGAL NOTICES
FAMILY MEDICAL LEAVE ACT (FMLA)
FMLA entitles an eligible employee to take unpaid or paid job protected leave, with continuation of
group health insurance coverage under the same terms and conditions as if the employee had not
taken leave. When the employee returns to work from FMLA leave, the employer must restore the
employee to the same job or a similar job with virtually identical pay, benefits, and other conditions
of employment. Eligible employees may take: 12-workweeks of leave in a 12-month period for: 1)
childbirth and to care for/bond with the newborn within one year of the child’s birth; 2) adoption or
foster care placement of a child and to care for/bond with the child within one year of the placement;
3) to care for spouse, son, daughter, or parent who has a serious health condition; 4) own serious
health condition that makes him or her unable to work; or 5) any qualifying exigency” arising out of
the deployment to a foreign country of the spouse, son, daughter, or parent who is in the Regular
Armed Forces or National Guard or Reserves. Eligible employees may take 26-work weeks of leave
in a single 12-month period to care for a spouse, son, daughter, parent or next of kin that is a cur-
rent servicemembers or veterans with qualifying serious injury or illness incurred or aggravated in
the line of duty on active duty.
An eligible employee has worked for the employer for at least 12 months AND has worked at least
1,250 hours in the last 12 months preceding the leave. Any one who is taking leave for the rea-
sons listed above, needs to contact HR at 785.628.7320.
USERRA—KNOW YOUR RIGHTS
USERRA protects the job rights of individuals who voluntarily or involuntarily leave employment posi-
tions to undertake military service or certain types of service in the National Disaster Medical Sys-
tem. USERRA prohibits employers from discriminating against past and present members of the uni-
formed services, and applicants to the uniformed services. Employees have the right to be
reemployed if you take leave to perform service in the uniformed service and: 1) ensure that your
employer receives advance written or verbal notice of your service; 2) you have five years or less of
cumulative service in the uniformed services while with your current employer; 3) you return to work
or apply for reemployment in a timely manner after conclusion of service; and 4) you have not been
separated from the service with a disqualifying discharge or under other than honorable conditions. If
you leave your job to perform military service, you have the right to elect to continue your exiting em-
ployer-based health plan for you and your dependents for up to 24 months while in the military. If you
do not elect to continue health insurance, you have the right to be reinstated in your employer’s
health plan when you are reemployed, generally without any waiting periods or exclusions.
CITY’S PERSONNEL MANUAL, PAY PLAN AND MORE
The City’s Personnel Manual, pay plan and more can be found online at www.haysusa.com/
employment.
More information can be found at www.haysusa.com/openenrollment. PAGE 19You can also read
