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Resources Available During Open EnrollmentFCPS encourages you to utilize the many available resources to aid you in making importantbenefits decisions. These resources include the FCPS and vendor websites, member servicecenters, and virtual support from FCPS staff and benefits vendors during Open Enrollment.Your Open Enrollment ResourcesReview Your Options with ALEX Benefits CounselorPersonalized, confidential benefits assistance - wherever and whenever you want!Visit www.myalex.com/fcps/2022.Visit our websitehttps://www.fcps.edu(Search keyword “Benefits”)Send us an emailHRConnection@fcps.eduVirtual Open HousesThe Office of Benefit Services (OBS) will behosting virtual sessions to discuss 2022 benefits for active employees. Chat with benefitvendors and OBS staff to get answers to yourquestions. Virtual informational sessions willbe held on: Friday, October 15, 4 - 6 p.m. Wednesday, October 20, 4 - 6 p.m. Thursday, October 28, 4 - 6 p.m. Tuesday, November 2, 4 - 6 p.m.Speak with a representativeBenefit Services: 571-423-3200Hours: 8 a.m. - 4:30 p.m., Mon. - Fri.Expectant Parents ResourcesThinking about expanding your family?You may want to attend the Office ofBenefit Services’ Virtual Expectant ParentWorkshop. You will learn about FCPS leavebenefits and receive information about otheravailable resources. Here are the dates/timesfor upcoming virtual workshops: Monday, October 11, 2 - 3 p.m. Tuesday, October 26, 4 - 5 p.m. Tuesday, November 2, 2 - 3 p.m.Pre-registration will be required in order toaccess a virtual open house. Full sessiondetails, including pre-registration instructionsand session links, are posted on the OpenEnrollment website (www.fcps.edu, search“open enrollment”). Thursday, November 11, 3 - 4 p.m.UConnect AssistanceVisit ALEX Benefits Counselor atwww.myalex.com/fcps/2022. When you talkto ALEX, he’ll ask you a few questions aboutyour health care needs, explain differentaspects of each benefit (including plan detailsand premiums), and point out what optionsmay make the most sense for you.Don’t forget! You must enroll and/or makeany changes to your benefits throughUConnect by the end of Open Enrollment.Step-by-step instructions for using UConnectcan be found on the Using UConnectduring OE website (www.fcps.edu, search“UConnect”).You must register through MyPDE(www.fcps.edu, search “mypde”).Wondering how your expanding family mightimpact your FCPS benefits?If you need additional assistance, you cancontact the IT Help Desk (for technologyquestions) at 703-503-1600 or the WelcomeCenter (for questions about using UConnect)at 571-423-3000.Office of Benefit Services · Fairfax County Public Schools5

2022 PremiumsMonthly Paid Employee(deductions over 10 pay periods)1CoverageAetna/Innovation HealthMEDICALYOU PAYFCPSPAYSCareFirst BlueChoiceAdvantageYOU PAYTotal CostFCPSPAYSTotal CostYOU PAYTotal Cost 159.26 902.46 1,061.72 119.01 674.39 793.40 127.17 720.63 847.80Employee 1 530.86 1,592.59 2,123.45 396.70 1,190.10 1,586.80 423.90 1,271.70 1,695.60Family 663.57 1,990.72 2,654.29 495.88 1,487.64 1,983.52 529.88 1,589.64 2,119.522 Employee:Family 2 530.86 2,123.43 2,654.29 396.70 1,586.81 1,983.51 423.90 1,695.61 2,119.51Biweekly Paid Employee(deductions over 20 pay periods)1Aetna/Innovation HealthYOU PAYIndividualFCPSPAYS 79.63CareFirst BlueChoiceAdvantageYOU PAYTotal CostFCPSPAYSKaiser PermanenteTotal CostYOU PAY 63.58 360.31 451.23 530.86 59.50 337.19 396.69FCPSPAYSTotal Cost 423.89Employee 1 265.43 796.29 1,061.72 198.35 595.05 793.40 211.95 635.85 847.80Family 331.79 995.36 1,327.15 247.94 743.82 991.76 264.94 794.82 1,059.762 Employee:Family 2 265.43 1,061.72 1,327.15 198.35 793.41 991.76 211.95 847.81 1,059.76Monthly Paid Employee1CoverageAetna DNOFCPSPAYSTotalCost 7.65 17.85Employee 1 13.01Family 18.41Employee 122 Employee:Family 2IndividualBiweekly Paid Employee1Aetna PPOYOUPAY2 Employee:Aetna DNOCoverageIndividualAetna PPOYOUPAYFCPSPAYSTotalCostYOUPAY 25.50 19.15 44.69 63.84 3.83 30.36 43.37 32.56 75.97 108.53 6.51 15.18 21.69 42.96 61.37 46.16 107.71 153.87 9.21 21.48 30.69 8.68 34.70 43.38 21.70 86.82 108.52 4.34 17.35 21.69 12.27 49.10 61.37 30.78 123.10 153.88 6.14 24.55 30.69FCPSPAYS aiser PermanenteAetna/ talCost 12.76 9.58 22.34 31.92 16.28 37.98 54.26 23.08 53.86 76.94 10.85 43.41 54.26 15.39 61.55 76.94DentalKaiserPermanenteAetna DNOAetna PPO 902.46 674.39 720.63 21.68 54.26Employee 1 1,804.93 1,348.77 1,441.27 36.87 92.24Family 2,256.14 1,685.99 1,801.60 52.16 130.80All benefits-eligible employees in active status pay the same rates, regardless if part-time or full-time. Employees havedeductions taken January through June, then again September through December.1Employees and their spouses who both work for FCPS in benefits-eligible positions are eligible for a spousaldiscount on their health and dental insurance. The FCPS Spousal Rates reflect an employee contribution of 20% oftotal premium for medical and dental coverage. If you are eligible but not currently receiving this discount, complete theFCPS Spouse Health Plan Deduction form (HR Form 134) and submit during Open Enrollment. As a reminder, employeesare required to notify the Office of Benefit Services within 30 calendar days of any event that would cause an employeeto qualify for (or cease to be eligible for) the discounted rate; including marriage, divorce, termination of employment, orcommencement/termination of a leave of absence.2COBRA premiums apply to employees/dependents who are eligible and have elected COBRA continuation coverage.Premiums are paid monthly (over 12 months) on a direct bill basis.36Office of Benefit Services · Fairfax County Public Schools

Your Open Enrollment ChecklistBefore Open Enrollment: Log in to UConnect to verify your personal information is correct, such as your mailingaddress, phone number, and your dependent(s) SSN(s)!Employees must make changes or elections for Open Enrollment via UConnect using a FCPS network computer or VPN. Directions forVPN / UConnect access available at https://connect.fcps.edu.For Technology Questions(e.g. VPN, username andpassword)For Assistance Using UConnect(e.g. changing plans, addingdependents)For Benefits Enrollment Questions(e.g. vendor selection, costs)Call 703-503-1600, M-F, 7-5 p.m.Call 571-423-3000, M-F, 8-4:30 p.m.Call 571-423-3200, M-F, 8-4:30 p.m. “Talk” to ALEX Benefits Counselor to get personalized benefits assistance.Visit www.myalex.com/fcps/2022. Review your health care claims to help estimate your out-of-pocket expenses for 2022.Think about enrolling in a Flexible Spending Account (Health Care and/or Dependent DayCare) to help reduce your out-of-pocket costs by saving money on taxes in 2022. If you will be requesting coverage for your spouse and/or dependent children who are notcurrently covered under an FCPS plan, begin gathering legal documentation needed to addthem to your coverage. Documents are due by 4:30 p.m. on Friday, November 5.During Open Enrollment: Review your Benefits Briefing carefully as you consider your plan choices. Take advantageof the many open enrollment resources available to you. Log in to UConnect and review your elections for calendar year 2022. Make changes ifneeded. Remember, Open Enrollment ends at 4:30 p.m. on Friday, November 5. If you participated in the Flexible Spending Account program in 2021, you must re-enrollto continue participating in 2022. You do not need to take action if you are not making any coverage changes or notenrolling in an FSA for 2022.Af ter Open Enrollment: Review carefully the benefits confirmation statement that will be sent to your FCPS emailaccount in mid-November. If you changed plans during Open Enrollment, look for new ID cards in late December.Employees covering spouse/dependent children, please note –FCPS must request your spouse/dependent child(ren)'s SSN for reporting health plan enrollment to the IRS.Please review these SSN’s to ensure they are accurate.If you are requesting coverage for your spouse and/or dependent children, go to www.fcps.edu and search“dependent eligibility” for a list of required documents to support eligibility for coverage. You may scan andemail your documents to HRBenefitsDocumentation@fcps.edu or fax your documents to 571- 423 - 5000.Your dependent’s coverage cannot be made effective until the Office of Benefit Services receivesappropriate legal documentation.Office of Benefit Services · Fairfax County Public Schools7

Planning to Retire Soon?What to Expect with YourHealth BenefitsIf you are considering retiring from FCPS inthe near future, it’s important to understandyour health benefit options. A little preparationand research now means a smooth transitioninto retirement.When will my coverage end?Your health coverage as an active employeewill continue: Through the end of August if your last dayworked occurs in June, July, or August. Through the last month of employment ifyour last day worked occurs in any othermonth.If you’re enrolled in a flexible spendingaccount (FSA), your FSA will end onthe same schedule as health insurance(described above). You may submit claims foryour FSA until March 31 of the year followingyour retirement; however, you must incur theeligible expenses prior to your last day ofemployment.May I keep FCPS health and/or dentalcoverage as a retiree?Yes! As long as you are retired from FCPSemployment and meet enrollment or tenurerequirement as shown below:Date of Hire*Enrollment or TenureRequirementActively employedas of 12/31/18without a break inservice, andCovered under the FCPS medicaland/or dental plans for 60 or morecontinuous months at the time ofretirement-orCovered under the FCPS medicaland/or dental plan at time ofretirement and employed with FCPSfor 15 or more years in a benefitseligible positionHired or rehiredon or after 1/1/198Covered under the FCPS medicaland/or dental plan at time ofretirement and employed with FCPSfor 15 or more years in a benefitseligible position at the time ofretirement*Employees retired prior to 12/31/18 are subject to different eligibility criteria.Office of Benefit Services · Fairfax County Public SchoolsImportant considerations for retiree healthcoverage: If you or any covered dependent is eligiblefor Medicare and you are covered underan FCPS medical plan as a retiree, youmust elect Medicare Parts A and B whenfirst eligible. For most retirees, eligibilityoccurs at age 65, but may occur earlierdue to disability. If you will be changing plans at timeof retirement and your new plan has adeductible, you will be required to meet anew deductible with the new plan. If you meet the eligibility criteria to retainmedical and/or dental coverage as aretiree and choose to cancel FCPScoverage (either at time of retirement orafter retirement), you may re-enter theplan(s) only upon reaching Medicareeligibility. If covering dependents uponre-entry, your dependents must also beeligible for Medicare. If eligible, you may only re-enter the type ofcoverage (i.e. medical or dental) that wasin effect at the time coverage was dropped.For example, if you did not have dentalcoverage in place at time of retirement,you will not be able to add that coverage attime of retirement.Employees are strongly encouraged to attendpre-retirement planning sessions offered byERFC and the Fairfax County Employees’Retirement System (FCERS). For additionaldetails about maintaining your health carebenefits in retirement, please review theFCPS Employee Benefits Handbook (visitwww.fcps.edu, search keywords “benefitpublications”).

Important RemindersWhen to Notify Sedgwick ofExtended AbsencesYour FCPS benefits package provides mostbenefit eligible employees with incomeprotection benefits through short-term, longterm disability, and workers’ compensation.Please remember that you must notifySedgwick (FCPS’ administrator for disabilitybenefits) if you are: absent for five (5) consecutive workdaysdue to illness or injury; or absent for 5 or more days within a30-calendar day period for the samemedical condition; or you experience an on the job injury orillness (regardless if you miss time fromwork).Failure to notify Sedgwick in a timelymanner could result in loss of benefits.You can file a claim by calling 855-937-1387or online at www.mySedgwick.com/FCPS.Additionally, you should contact Sedgwick assoon as possible if you’re diagnosed with aserious personal illness or injury that couldlead to an extended absence.For more information about your FCPSdisability and leave benefits, please visit theTime Away from Work website(www.fcps.edu, search “time away”).DON’T FORGET!All employees are required to report theirCovid-19 vaccination status. If you havenot already done so, please respond tothe survey issued on 8/26 or click here toaccess.Remember, you need to use yourusername@fcpsschools.net email accountand network password to login.Email HRConnection@fcps.edu or call571-423-3000 with any questions.NEW! Designate VRSBeneficiaries OnlineVirginia Retirement System (VRS) memberscan now designate beneficiaries online fortheir Defined Benefit member contributionsand VRS Basic and Optional Group LifeInsurance. Any changes made to yourbeneficiaries online will override and revokeprevious designations. If you submitted a(VRS-2) paper form before July 1, 2021,VRS cannot display that information inyour myVRS online account. Beneficiariesdesignated on the paper form will remainin effect until you update your designationsonline.If you do not designate beneficiaries, thenthe order of precedence established bylaw will be followed. VRS members mayupdate their beneficiaries by logging intotheir VRS account, then select the “ManageMy Benefits” tab and then “ManageBeneficiaries” from the drop-down list.As a reminder, major life events such asmarriage, birth/adoption of children, ordivorce may warrant review or updatesto your beneficiary designations. Keep inmind you may have different beneficiariesdesignated for your life insurance, retirementplan, and deferred compensation benefits.If you are unsure if your beneficiaries areup to date we recommend you place newdesignations on file. Instructions for updatingyour beneficiaries can be found on the FCPSwebsite (www.fcps.edu, search keyword“beneficiary”).Have you talked to ALEX?Get 24/7 personalized benefitsassistance! ALEX, your onlineBenefits Counselor, will explainyour FCPS benefits optionsand make the decision-makingprocess easier.Visit www.myalex.com/fcps/2022.Office of Benefit Services · Fairfax County Public Schools9

Your Benefits and the LawMedicare Prescription Drug (Medicare D) PlanInformation for covered employees/dependents age 65or older. All FCPS medical plans include prescriptiondrug coverage that is currently more comprehensivethan the Medicare prescription drug plan. As an activeemployee, your FCPS medical coverage is primary toMedicare and you do not need to enroll in a MedicareRx (Medicare D plan). For more information, see“Important Notice from Fairfax County Public Schoolsabout Your Prescription Drug Coverage and Medicare”in the Employee Benefits Handbook.Summary of Benefits and CoverageAn updated Summary of Benefits and Coverage foreach medical plan is available on the FCPS website.Go to www.fcps.edu and search "SBC" for moreinformation. These documents are also available oneach medical vendor’s website.Women’s Health and Cancer Rights ActIf you have had or are going to have a mastectomy,you may be entitled to certain benefits under theWomen’s Health and Cancer Rights Act of 1998(WHCRA). For individuals receiving mastectomyrelated benefits, coverage will be provided (in amanner determined in consultation with the attendingphysician and the patient) for: All stages of reconstruction of the breast on whichthe mastectomy was performed Surgery and reconstruction of the other breast toproduce a symmetrical appearance Prostheses Treatment of physical complications of themastectomy, including lymphedemaThese benefits are subject to the same deductibleand coinsurance applicable to other medical andsurgical benefits provided under the plan. Refer to thesummary plan documents available on each vendor'swebsite for more information.Medicaid & the Children’s Health InsuranceProgram (CHIP) Offer Premium Assistance forHealth Coverage for Children and FamiliesIf you or your children are eligible for Medicaid orCHIP and you are eligible for health coverage fromyour employer, your state may have a premiumassistance program that can help pay for coverage,using funds from their Medicaid or CHIP programs.If you or your children are not eligible for Medicaidor CHIP, you will not be eligible for these premiumassistance programs but you may be able to buyindividual insurance coverage through the HealthInsurance Marketplace. For more information, visitwww.healthcare.gov.10Office of Benefit Services · Fairfax County Public SchoolsIf you or your dependents are already enrolled inMedicaid or CHIP and you live in a state offeringpremium assistance, contact your State Medicaidor CHIP office to find out if premium assistance isavailable.If you or your dependents are NOT currentlyenrolled in Medicaid or CHIP, and you think you orany of your dependents might be eligible for eitherof these programs, contact your State Medicaidor CHIP office at 1-877-KIDS NOW or visitwww.insurekidsnow.gov to find out how to apply. Ifyou qualify, ask your state if it has a program thatmight help you pay the premiums for an employersponsored plan.If you or your dependents are eligible for premiumassistance under Medicaid or CHIP, as well aseligible under your employer plan, your employermust allow you to enroll in your employer plan if youare not already enrolled. This is called a “specialenrollment” opportunity, and you must requestcoverage within 60 days of being determined eligiblefor premium assistance.If you have questions about enrolling in youremployer plan, contact: Department of Labor:www.askebsa.dol.gov or call 1-866-444-EBSA(3272) Medicaid:www.coverva.org/programs premiumassistance.cfm or call 800-432-5924 CHIP:www.coverva.org/programs premiumassistance.cfm or call 855-242-8282Financial Benefit NoticesFairfax County Public Schools 403(b) UniversalAvailability NoticeAll Fairfax County Public Schools employees(contracted and temporary hourly) are eligible toparticipate in the FCPS 403(b) plan. It is a taxdeferred retirement savings plan available toemployees of public educational institutions andcertain tax-exempt organizations. Go to www.fcps.edu and search keyword “403b” for m

college tuition, moving, and much more. Whether your request is small or large, they can help reduce your stress plus save you . time and effort! The EAP services are free, confidential, and available 24/7 for you and your household . members by calling the FCPS-dedicated lin