"Let's Connect" September 23, 2020 - Ascend To Wholeness
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“Let’s Connect” September 23, 2020
1. Customer Service
2. Wellness Platform
3. COVID-19: Testing Update
4. Product Enhancement
5. Open Enrollment Materials & Dependent SSN
6. Two Factor Authentication Reminder
7. Q & A
Tim Northrop Tim is President/CEO for Adventist Risk Management, Inc. (ARM), and its affiliated companies, Gencon Insurance Company of Vermont and Gencon Insurance Company International, Ltd. As president of ARM, Northrop serves as the risk manager for the Seventh-day Adventist Church handling the full range of church Risks. He provides leadership to more than 150 employees in three offices. Northrop provides officer leadership to the Insurance Services, Claims and Legal, as well as Healthcare and Benefits functions of ARM. Since joining ARM in 2001, Northrop has held positions in Underwriting, Insurance Services and Client Care. Most recently serving As Senior Vice President and Chief Insurance Operations Officer.
Suzie Dallas Suzie is Manager of the Healthcare and Benefits Department of Adventist Risk Management, Inc. (ARM). She leads the team that Administers benefits for Seventh-day Adventist Church employers such as healthcare plans (including the Ascend to Wholeness Healthcare Plans) and voluntary benefits. Dallas has over 15 years of experience in healthcare benefits, and previously served as the ARM healthcare department’s Auditor And Stop Loss Coordinator. She studied Medical Technology at Howard University and holds a Group Benefits Associate designation.
How to Reach Us
TNAll Benefit Products - Employers
Email: Benefits@adventistrisk.org
Phone: 301-453-6969
TNMember Service
• Member Services (healthcare): 888-276-4732; 7am – 7pm CT.
• Prescription Questions: 800-541-8496
• Ascend to Wholeness website: Loginhelp@adventistrisk.org
• Wellness Platform: Chat function and support page within platform
TNWellness Platform
TNRegistered Users
3,585
TNWelcome and Demo link
• Welcome Video from the CEO of Virgin Pulse
• A 30-minute live demo for Employers: Live Demo
o Please
note this link is not for publication or distribution to
members. It is for Employer use only.
TNWellness Platform Timeline - Employee Member Communication Timeline • New Wellness Platform Announcement – July 2020 Member Update • Wellness Platform Notice with Free Max Buzz info – August 2020 Member Update • Wellness Platform is Live Notice – September 2020 Member Update • Enrollment Email and Reminder from Ascend to Wholeness – September 1, 4, and 9
Wellness Platform Points
• Activity points timeline – September 1, 2020 to July 31, 2021
• The updated prorated points system for members hired on
or after April 1
TNWellness Platform Points
• Minimum required activity points – 10,000 points
New Wellness Platform Previous Wellness Platform
5,000 Steps 50 points 2 points
30 min workout 100 points 2 points
Sleep tracker, >7 hours 50 points 0 points
Attending Week of Prayer 200 points 0 points
Read your daily cards 20 points per card 0 points
Read 20 daily cards in a month 200 points 0 points
TNREPORT: COVID-19
TESTING
SDCOVID-19 Tests: Ascend to Wholeness Plan Coverage
• The Plan pays for tests based on medical necessity decided by the individual’s
attending health care provider.
• If you’re a covered member on the plan (employee or dependent), have a Drs’
order, and it’s not required for work.
• Tests authorized by US Food and Drug Administration (FDA), US Dept of Health
and Human Services (HHS), or state authority.
• Out-of-network (OON) testing, if medically appropriate for individual as
determined by their doctor.
• These rules will be in place until the end of the COVID-19 public health
emergency (or longer if Plan Administrator so determines).
SDCOVID-19 Tests: Employer Paid
• The test is required of an employee as a condition of returning
to work.
• The requirement is resulting from a state or local authority as
part of public health safety guidelines relating to work.
SDCOVID-19 Tests: Member Responsibility
• If the employee or dependent is not enrolled on the Plan, they
may have to pay for the test themselves.
• The employee or dependent may have to pay if the test is for
reasons such as:
o Participation in sports activities
o Travel
SDProduct Enhancement
SDThe Hartford – Critical Illness
• Effective January 01, 2021 COVID-19 is a covered
disease on the Critical Illness policy.
VOYA 2021 Rates
• Effective January 1, 2021 the Long-Term Disability (LTD) plan will have a
10% rate reduction.
• bswift updated with the new rate.
• Updated Excel VOYA template will be emailed to each of our benefit contacts by
the end of the year.
SD2021
Open Enrollment
SDOpen Enrollment Materials
• www.AscendtoWholeness.org; Employer
Resources
• Enrollment Toolkit
o Sample letter
o Flyer
o bswift login instructions
o Open enrollment announcement email
reminders 1 and 2
o Hartford document and reminder emails
SDPlan Documents
• Plan Guide
• Summary Plan Document
• Plan Comparison Summary
• Summary of Benefits and Coverage
• Dependent SSN Opt-out Forms
• Omnibus Notice
These documents are also on the Plan Documents page on the Ascend to Wholeness website
SDSocial Security Number - Dependents
The bswift platform has been updated to require an SSN be entered for
spouses and for dependents over age one. Here’s why:
• This is a requirement by the Centers for Medicare & Medicaid Services
(CMS) and the Affordable Care Act (ACA).
• This is also necessary for proper plan administration in coordination of
benefits, subrogation, and in other areas.
The details are outlined in the Summary Plan Document (SPD) in the
eligibility section. You can find the 2021 SPD here.
If needed, there is an annual opt-out form and an annual acknowledgment
form that you can find here.
SDTwo Factor Authentication
Two-factor authentication (2FA) is live. We
encourage you to remind your employees to
configure this on their Ascend to Wholeness
account to increase their account security.
TNQuestions & Answers
TNAll Benefit Products - Employers
Email: Benefits@adventistrisk.org
Phone: 301-453-6969
Web: ascendtowholeness.org
TNThis presentation and any materials distributed are fact-based, general information and should not, under
any circumstances, be considered specific legal advice regarding a particular matter or subject. Please
consult your local attorney or risk manager if you would like to discuss how a local jurisdiction deals with any
specific circumstances you may be facing.
Copyright © 2020 Adventist Risk Management,® Inc. All rights reserved.
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