Welcome to Open Enrollment! May 1 – May 31, 2018

1 Open Enrollment is your annual opportunity to review and make changes to your District benefits to fit your health care needs. The benefits you chose will be effective July 1, 2018 June 30, 2019, unless you have a qualifying status change. Be sure to review your 2018 2019 Benefits Booklet available at to understand all of your benefits s New for 2018 Our new medical plan carrier: AetnaStarting July 1, we will move from Blue Shield to Aetna for administration of our PPO and HMO medical plans. Plan features including co-pays, co-insurance, deductibles, out-of-pocket limits, covered services, prescription coverage, and prescription formularies will remain the Medical Plan Names:FromToBlue Shield PPO planAetna Choice POS II (Open Access) planBlue Shield PPO $aver plan Aetna Choice POS II (Open Access) HDHP planBlue Shield HMOA etna HMO planIf your current medical plan is meeting your needs, you do not have to do anything. This May s open enrollment will be passive, meaning that your current plan-type election will roll over from Blue Shield to Aetna.

2 Our benefits enrollment system has the record of your current plan, and if you are in the HMO plan, we are obtaining your current Primary Care Physician (PCP) information from Blue Shield, both of which will be transmitted to Aetna for you and your dependents, so your enrollment is completed, and your new ID card(s) will be issued in June, for the July 1 effective date. Note: This change will not affect the Kaiser HMO to Open Enrollment! May 1 May 31, 2018 Most major doctor groups are fully in Aetna s network: Alamitos, AppleCare, Brookshire, Cedars Sinai, Good Samaritan, Harriman Jones, HealthCare Partners, Hoag, Lakeside, Lakewood, Long Beach Memorial, Memorial Care, Orange Coast Memorial, PrimeCare, Prospect, Regal, Riverside, St. Joseph, St. Mary, Torrance, UC Irvine, and UCLA, among many of CareOn the off chance that you are currently receiving care or treatment for a condition described below from a doctor or provider who is not part of the Aetna network, a waiver may be available for the following: Pregnancy, if confirmed prior to July 1, 2018 Cardiac rehabilitation Physical therapy, occupational therapy or speech therapy Radiation treatment or chemotherapy Post-surgical care for surgery that was performed prior to July 1, 2018 Terminal Illness where life expectancy is six months or less Carryover hospitalizationsTo find out if you are eligible for transitional care, you must call Aetna at (888) 290-6620 prior to July !

3 NEW ID Cards If on an Aetna plan, a new ID card will be mailed to your home address. Please show your new card to providers for any services you receive on or after July 1, 2018. If you don t show your new card, your claims could be Spending Account Enrollment and Plan YearWe re moving FSAs to a midyear benefits cycle this year starting July 2018. Our new FSA plan year will be July 1 June 30. Enroll for FSAs during this Open Enrollment period. If you don t enroll now, your next opportunity will be in May 2019 for the July 1, 2019 June 30, 2020 plan year. Due to IRS rules, your current FSA elections do not carry over to the next ConciergeIn-Touch CareAetna concierge helps you make sense of the big and complex world of health care by: Walking you through tools to help you make great decisions Finding network providers based on your medical needs Helping you schedule appointments to save you some stress Your concierge will listen to you, understand your needs and find solutions that are right for you.

4 You can chat with your concierge online or by phone: Log in at and chat online or call (888) 290-6620 Monday through Friday from 8 to 6 you are managing an acute or chronic health condition, the Aetna In Touch Care program gives you powerful resources. With both on-call and online support, you ll get the expertise and flexibility you need from a registered nurse including: One-on-one phone calls with a nurse who serves as a trusted resource for you and your family Digital support that provides a variety of resources to help you better manage your health Customized health action plans based on your needs and preferencesSimple Steps Wellness CoachingPersonal Health RecordAetna s online wellness coaching offers disease prevention, healthy living, and health promotion programs. It provides an easy approach to creating a health assessment profile that generates a health summary, leading to healthy lifestyle changes. Simple Steps can help you: Understand your health and health risks Take action to be as healthy as you can be Track your health history in one easy-to-access placeChoose from online wellness programs based on the information you share.

5 The programs can help you target health and wellness goals. Each program includes interactive online home for your health information can: Help provide better, safer and more cost-effective care Scan the information in your personal health record and compare it to thousands of the latest medical guidelines Spot potential medical problems, possible drug interactions or gaps in care, and post a message to you. The doctor treating you will also get an alert if it s urgentSimply go to and create a user name and password on the secure member website. Then go to the Health Records tab and click on Personal Health Record. Find more information about these programs online at and or by calling (888) Tools and ResourcesIn addition to efficient benefits administration, we chose Aetna because they offer enhanced personalized services to help you achieve your health and wellness goals. Check out some of the services included with your Aetna plan.

6 Remember! It s Easy to be Healthy with Weight Watchers In addition to these Aetna health services, we continue to partner with Weight Watchers to help you maintain healthy habits. Here are some of the great resources offered by Weight Watchers : Easy, healthy recipes Webinars Points calculators Meetings Phone consultations4 Your Benefits ResourcesYou can find everything you need at ! Our benefits and wellness website offers you information and resources to help you get the most out of your District benefits: Benefits Resources: The 2018 2019 Benefits Booklets (for active employees and retirees), and other important information are available on the site. You can download the information to read and print whenever you need them. Wellness Tips: As a part of the District wellness program, you ll find monthly wellness tips, newsletters, resources from Kaiser and Aetna, and information about our Weight Watchers program. Frequently Asked Questions: Get answers to questions about Open Enrollment, in-network providers, prescription drug coverage, and the website from your mobile phone, too!

7 Don t delay, visit today!ONLINE1. Go to and log-in with your user ID and your unique Click Enrollment under the Steps to Enroll Review your current benefits by selecting Review Employee Coverage. 4. Select Open Enrollment at the top of the For each benefit, select the plan and coverage level you want then click Next to move to the next Once you complete the enrollment process, you can print a confirmation statement. You ll also receive a confirmation statement in the mail. If there is an error, contact the Employee Service Center or Risk Management immediately. Your next opportunity to make a change will be open enrollment in May 2019 for July 1, 2019 effective PHONEIn addition to using the online enrollment system, you may enroll through the Employee Service Center. Speak with an Employee Service Center representative by calling (866) 844-9744, option 4. Employee Service Center representatives are available Monday through Friday from 5 5 , Pacific for your LBUSD BenefitsBefore you begin enrollment, make sure you have: Your dependent s Social Security numbers; and Your primary care provider s (PCP s) name and PCP ID, if enrolling in the Aetna HMO plan and/or the DeltaCare DHMO dental plan.

8 (If you don t provide a PCP ID, you ll automatically be assigned a PCP.)Once you enroll, you ll also be required to send the Employee Service Center the required documentation for any newly added dependents. How to EnrollYou have two ways to enroll for benefits through the District online or by phone. The District does not accept faxed or mailed benefits worksheets. Those are for your reference only.