State of New Mexico Health Benefits SHORT/LONG TERM ...

1 State of New Mexico Health Benefits SHORT/LONG TERM DISABILITY 31 days from date of event to make any necessary changes. Please note: on-line enrollment form must be The State of NM (SoNM), Risk Management Division (RMD) Disability is an employee-only benefit paid 100% by the submitted for any requested change, and Proof-of- administers the self-funded Health Care Benefits Fund. The employee. Employee must have paid 12 consecutive months Dependency documentation must accompany submitted Health Care Benefits package offered to employees is a of premiums to qualify for short term disability Benefits . request. competitive and valuable Health care package. SoNM/Local While out of work, Employee will receive 60% of his/her base Public Body (LPB) employee participation in the Benefits salary on short-term, and 40% while on long-term disability. For more enrollment information, forms, etc., please go program serves to help reduce overall costs and improve Go to for complete to: the Health of both our members, as well as the fund.

2 Information regarding the SoNM's Disability Program. It is IMPORTANT: When employee is on LWP, FML, Disability, Members play an important part in keeping the fund important to read, fully understand, and adhere to ALL or Workers' Compensation (WC), it is the employee's solvent by utilizing the offered Benefits and many offered requirements of the Disability Policy. Failure to do so may responsibility to ensure premium payments are made. tools to obtain and maintain good Health . result in losing current, as well as future access to this benefit. Please contact your HR Representative for guidance. TERM-LIFE INSURANCE Failure to pay will result in loss of coverage . EMPLOYEE ASSISTANCE PROGRAM (EAP). The Hartford is the provider for Employee Term Life Insurance IMPORTANT: It is the employee's responsibility to notify The Well-Being Solutions Program (EAP) is an automatic offering: Basic Life, Additional Supplemental Life, and the SoNM within 31 days of a dependent ceasing eligibility benefit available to any SoNM/LPB employee, their Dependent Life coverage .

3 All coverages include a matching ( , ex-spouse, ex-Domestic Partner (DP), stepchildren household family members, and eligible dependents, with Accidental Death & Dismemberment (AD&D) rider. All who were not legally adopted, etc.) by completing an on- no need to enroll. The benefit offers five (5) FREE. Employees are automatically enrolled with $50K coverage at line enrollment/change form. If employee fails to remove counselling sessions per issue, is completely confidential no cost. Employees may purchase additional coverage such ineligible dependent(s) from coverage , access to ALL. and is available by phone 24/7, 365 days a year. as supplemental or dependent life insurance. Certified law Benefits will be PERMANENTLY REVOKED. Call to make an appointment, and be sure to enforcement or correctional officers/specialists receive $75K FLEXIBLE SPENDING ACCOUNTS. visit for more information, Basic Life, $75K AD&D, and $25K Line of Duty; undercover Flexible Spending Accounts (FSA), or reimbursement recorded webinars and additional resources.

4 Agents receive $50K Basic Life, $50K AD&D, and $250K Line of account , is an employer-sponsored benefit that allows PARTICIPATION ELIGIBILITY Duty. employees to pay eligible Health expenses on a pre-tax Employees who are hired as classified, Governor-exempt, PREMIUM ONLY PLAN basis. FSAs save money by reducing taxes on income. probationary, temporary, term or hourly, and scheduled to Contributions made to FSAs are deducted from employee's The Premium Only Plan (POP) is a pre-tax conversion plan that work a minimum of 20 hours/week (and meets the pay BEFORE taxes are applied, and are not reported to the allows SoNM employees to have medical, dental, and vision prospective employers waiting period), are eligible to elect IRS. Employee's taxable income decreases, and spendable insurance premiums deducted from wages before taxes are coverage . Elected Officials of the State or Local Public income increases.

5 This can potentially save the employee calculated. All employees are enrolled in the POP benefit Bodies (LPB) are considered eligible and not required to hundreds, or even thousands of dollars a year. For more unless a waiver is submitted to Erisa at time of hire, during meet the work schedule of 20 hours/week. information, go to: the two-week Open Enrollment period, or with an approved SoNM Health CARE PACKAGE INCLUDES: Qualifying Event to have premiums deducted post-tax. ERISA. Medical: BlueCross BlueShield of NM (HMO/PPO)* NEW HIRES Erisa is the Third Party Administrator for the SoNM. Any Cigna Health Plan (OAP/OAPIN) New Hires have 31 days from date of hire to elect coverage . questions regarding Health Benefits , FSA, COBRA, and Presbyterian Health Plan (HMO) Otherwise, employee will need to wait until the next annual Disability should be directed to Erisa at Pharmacy: Express Scripts Open Enrollment or Qualifying Event to secure Benefits .

6 COBRA. Dental: Delta Dental PPONewMexico QUALIFYING EVENTS COBRA is a continuation- coverage for employees and their Vision: EyeMed Outside of annual Open Enrollment, an employee may dependents who would otherwise lose their Health Life Ins.: The Hartford enroll or make changes to their Benefits if they experience Benefits due to termination or loss of eligibility. COBRA is Disability: SHORT/LONG Term Disability - Erisa any of the following Qualifying Events (QE): birth, adoption, available only to those individuals previously covered FSA: Flexible Spending Accounts ( Health legal guardianship, marriage, cessation of domestic under the SoNM. COBRA coverage mirrors the previously Care/Dependent Care/Transportation). partnership (DP), divorce, termination of domestic held SoNM coverage however, COBRA is not automatic, Voluntary Benefits : Accident, Cancer, Critical Illness, partnership (DP), dependent turning 26 yrs.

7 Old, change in enrollment is required and the individual is now Whole Life. job status (part-time to full-time or vice versa), Family responsible for 100% of the premium. For more *Please note: BCBS-HMO does not have providers in every State . Medical Leave (FML), Leave Without Pay (LWOP), loss/gain information, contact Erisa at Please confirm coverage with BCBS Customer Svc: of other coverage , or death of dependent. Employee has Important benefit information is continually communicated to employees by the Employee THE STAY WELL Health CENTER (SWHC) State of New Mexico Benefits Bureau (EBB) via the EBB website ( ), EBB Newsletter, Round Located at the Joseph Montoya Bldg., 1100 St. Francis Drive in Santa Fe, the SWHC is an additional benefit available to the Roundhouse, DoIT emails, HR emails, and employees and dependents (2 yrs. & older), covered under agency point-of-contacts. Please utilize these a SoNM medical plan.

8 The SWHC focuses on prevention and sources to ensure all information/deadlines are wellness while providing excellent Health Care services. received, reviewed and understood . With your scheduled appointment there is little to no EMPLOYEE PAMPHLET. waiting time to be seen. We work to accommodate sick BENEFIT PLAN CONTACT NUMBERS members by fitting them in as soon as possible. STAY WELL. BLUE CROSS BLUE SHIELD Health CENTER. Need lab work done? Lab orders can be completed FREE at Serving SoNM/LPB Employees the SWHC. Simply fax your Doctor's order to the SWHC at Covered Under a SoNM. Employee Medical Plan CIGNA (505) SWHC will send the results to your doctor. You can then schedule your appointment to review. PRESBYTERIAN Health PLAN Make the SWHC your Primary Care Facility Primary Care Physicals/Wellness Immunization EXPRESS SCRIPTS 7AM 6PM Contraceptive MON FRI. Child Well Visits (2yrs+).

9 EYEMED Women's Health Exams Personal Health Coaching Sports Physicals DELTA DENTAL The SWHC's Health and Wellness Coach is available to educate, motivate and support members seeking assistance in understanding and managing any of the WELL-BEING SOLUTION/EAP PRGM following conditions: Diabetes/Prediabetes ERISA ADMIN SVCS Hypertension (High Blood Pressure). Dyslipidemia (High Cholesterol). FLEXIBLE SPENDING ACCOUNTS The Stay Well Health Center (SWHC) provides high quality, no cost, and convenient Health care. The SWHC is here to help you and your families live a The Hartford healthy, comfortable life with zero co-pays, never a deductible and medication dispensed through the Center is FREE! Voluntary Benefits : Aflac STAY WELL. Globe Life Health CENTER. Serving SoNM/LPB Employees Employee Benefits Bureau Covered Under a SoNM. Met Life 855-862-3912. Employee Medical Plan Risk Management Division The Hartford 855-796-6574 General Services Department