YOUR ENROLLMENT - Miami-Dade County Public Schools

1 your ENROLLMENT . GUIDE 2014. Benefits Made Easier! E= MC 2 Check out our new, clickable links for easy access to your benefits! > Full-Time > Part-Time B,E,F,L. > Part-Time Food Service > Retiree > COBRA. Directory Benefits Helpline: ENROLLMENT Help Line Florida Retirement System (FRS). MEDICARE. ENROLLMENT Website or , 6 - 10 ET / 7 days a week 24 hours/ Seven days a week TTY: Benefits Inquiry Social Security Administration FBMC Service Center Mon - Fri, 7 - 8 ET TTY: ( ) Paper ENROLLMENT Form Assistance for Florida Kidcare Retirees COBRA Part-Time (B,E,F,L): Office of Risk and Benefits Management 1501 NE 2nd Avenue, Suite 335.

2 Mon - Fri, 8 - 4:30 ET Flexible , Benefits Providers Dental Plans SafeGuard MetLife DHMO Plans Customer Service/Claims Mon - Thur, 8 - 8 (All Zones). Healthcare Humana hours of service for all other Fri, 8 - 5 (All Zones). questions: Providers Seven days a week from 8 to 8 Under Age 65 (Not Medicare Eligible) Our automated phone system will answer Healthcare Plans your call after 6 , and on Saturdays, Cigna Healthcare Sundays, and some holidays; leave a MetLife Indemnity Plans 24-hours/Seven days a week message and we'll return your call by the Customer Service/Claims end of the next business day.

3 Mon - Thur, 8 - 8 (All Zones). Fri, 8 - 5 (All Zones). HumanaFirst 24 Hour Nurse Advice Over Age 65 Healthcare Plans Humana Humana Customer Service Line (TTY: 711) (TTY: 711). Hours of service for questions 24 hours a day, seven days a week before ENROLLMENT : If you have questions about symptoms 8 8 , Monday Friday you're experiencing, but aren't sure if you need to see your doctor, call the HumanaFirst Nurse Advice Line. 2 To Table of Contents Directory Vision Plan Identity Theft Plan Other UnitedHealthcare Vision ID Watchdog, Inc.

4 Customer Service Customer Service Important Mon - Fri, 8 - 11 ET Phone Sat 9 - 6:30 ET Mon - Fri, 8 - 6 (MST). Numbers For general benefit and ENROLLMENT LEGAL PLANS Hospital Indemnity Coverage information throughout the year. ARAG Legal Plan Customer Care Life Insurance Co. of North America Mon - Fri, 8 - 8 ET Customer Service/Claims Miami-Dade County Public Schools Mon - Fri, 7 - 8 ET Office of Risk and Benefits Management ( ) Automated Phone System Access Code: 10287mds Mon - Fri, 8 - 4:30 ET. Voluntary Life Insurance and Accidental ARAG SeniorAdvocate Plan Death and Dismemberment (AD&D) Mon - Fri, 8 - 8 ET MetLife Voluntary Life Claims FAX.

5 Customer Service , Office of Retirement/Leave/. Access Code: 10287mds Mon - Thurs, 8 - 8 ET Unemployment Fri, 8 - 5 ET US Legal , option #2. Family Defender Payroll Deduction Control Customer Service Flexible Spending Accounts Automated Phone System TASC Mon - Fri, 8 - 4:30 ET. Available 24/7 Customer Service (FAX). Mon - Fri, 8 - 5 Senior Defender Life Insurance Customer Service MetLife Group Life Claims Customer Service 401(k). Available 24/7 VISTA 401(k) Plan Box 1878 Mon - Thurs, 8 - 8 ET. The Short-Term & Long-Term Disability Tallahassee, FL 32302-1878 Fri, 8 - 5 ET.

6 Plans Customer Service , option #2. Hartford Life and Accident Insurance Company (FAX). Customer Service (IVR). To File a Claim E-mail: Medical Underwriting To Table of Contents 3. Table of Contents 2 Directory RETIREE BENEFITS. 5 Open ENROLLMENT Frequently Asked 34 Retiree Benefits Update Questions 37 Retiree Payment Method & Cancellation FULL-TIME EMPLOYEES 39 Retiree Frequently Asked Questions 6 Full-Time Employee Benefits Update ENROLLING ONLINE. 10 Full-Time Employee Frequently Asked Questions 42 Before You Enroll Online 15 New Full-Time Employee Frequently 43 Benefits through the Employee Portal Asked Questions 45 Before You Start your Web ENROLLMENT 17 New Employee (hired after 1/1/14).

7 Frequently Asked Questions 46 How to Enroll Online PART-TIME (B,E,F,L) EMPLOYEES DEPENDENT INFORMATION. 20 Part-Time (B,E,F,L) Employee Benefits 52 Dependent Eligibility Update 54 Dependent Documentation Requirements 22 Part-Time (B,E,F,L) Frequently Asked 55 Domestic Partner Eligibility Questions 56 Affidavit of Domestic Partnership PART-TIME FOOD SERVICE (AFSCME)) 57 Adult Child Notice EMPLOYEE. 58 Adding/Dropping your Dependents 23 AFSCME Part-Time Food Service During the Plan Year Employee Benefits Update 60 Change in Status Events (CIS).

8 26 AFSCME Part-Time Food Service Frequently Asked Questions 61 Change in Status Cut-Off Effective Dates COBRA PARTICIPANTS NOTICES. 28 COBRA Participant Benefits Update 62 Beyond your Benefits 30 COBRA Frequently Asked Questions 63 Creditable Coverage Disclosure Notice/. Medicare Enrollees 64 Social Security Notice NOTE: The product descriptions in this benefits guide do not constitute an insurance certificate or policy. The information provided is intended only to assist in the selection of benefits. Final determination of benefits, exact terms and exclusion of coverage for each benefit plan are contained in the certificates of coverage.

9 Certificate(s) of Coverage for your insurance benefits are available to you online throughout the year. A hard copy of these certificates will not be mailed to you automatically. your Certificate(s) of Coverage are document(s) issued by the insurance company for benefits registered with the State of Florida. These documents are available for the benefits you selected during Open ENROLLMENT or as a new employee. To view or print a copy of a Certificate of Coverage for any benefit, log on to If you prefer to have a hard copy mailed to your home address, please contact the appropriate insurance company directly.

10 Their phone numbers are listed on the M-DCPS website under Important Phone Numbers.. 4 To Table of Contents This information page is for all Employees, Retirees and COBRA Participants. Open ENROLLMENT Frequently Asked Questions Get answers to commonly-asked Open ENROLLMENT questions! 1Q. What is the Open ENROLLMENT Period? 5Q. What do I need to submit to ensure A. The Open ENROLLMENT period is a period of time, determined by that my dependents have coverage? your employer, during which you are allowed to make any changes to A.