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Frequently Asked Questions about Open Enrollment

Questions

1. Why is Open Enrollment only two weeks and in November this year?

2. Is two weeks enough time to make Open Enrollment elections?

3. I forgot my People First password. What should I do?

4. When should I call People First?

5. If I like the plans I have right now, do I need to do anything during Open Enrollment?

6. My HMO is going away in my county for 2012. What do I need to do?

7. When should I receive my personalized Open Enrollment package?

8. Will I get a Benefits Guide in the mail this year?

9. Do I need to send documentation to enroll or remove dependents?

10. I'm a new employee. Do I need to do anything special for Open Enrollment?

11. How many times can I make changes during Open Enrollment?

12. Will I get a confirmation statement?

13. When do my Open Enrollment elections take effect?

14. When will I get my health insurance ID cards?


Answers


1. Why is Open Enrollment only two weeks and in November this year?

In July 2011, the Department of Management Services (Department) recommended the award of new HMO service area contracts. Some HMOs, disappointed with the recommendation, protested, which caused the Open Enrollment timeline to shift. The Department carefully evaluated options to provide the most time for a conclusion to the legal proceedings so that employees would have the best information available to make choices during Open Enrollment.

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2. Is two weeks enough time to make Open Enrollment elections?

Absolutely! You can use the information on this website, read the online Benefits Guide, or attend a benefit fair to research your options now, giving you plenty of time to be informed and prepared to make elections when Open Enrollment begins November 7 (ends November 18 at 6 p.m. EST) . Make changes online in People First to avoid long phone hold times. The People First website is available every day and most evenings, except when payroll runs.

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3. I forgot my People First password. What should I do?

From People First website, click Forgot Your Password? Complete the fields and reset your password yourself - easy, convenient and no phone hold times. Do it today so you'll be set for Open Enrollment!

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4. When should I call People First?

We anticipate that call volumes could be high this year, so here are some tips to avoid long hold times.
  • See the other Frequently Asked Questions to learn more about changes to the HMOs and the new pharmacy benefits manager, Medco.
  • If you have questions about how a plan works or what is covered, you should call the insurance company directly or visit its website.
  • For questions about the State Employees' Prescription Drug Plan coverage, call Medco toll-free at (877) 531-4793 or visit Medco.
  • If you need help making online changes in People First, watch this step-by-step video.
If you are unable to find the answer you need on this website, call People First weekdays from 8 a.m. to 6 p.m. EST at (866) 663-4735.

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5. If I like the plans I have right now, do I need to do anything during Open Enrollment?

Yes! You should always read the materials in your Open Enrollment package see what's changing for the new plan year. Log in to People First to confirm that:
  • What you have today will be available next year
  • If you have questions about how a plan works or what is covered, you should call the insurance company directly or visit its website.
  • You are enrolled in the correct coverage level
  • Your eligible dependents are enrolled in the right plans and ineligible dependents are removed
  • You can budget for any premium rate changes
Take time and take action. Use this once-a-year opportunity to plan for what you need and choose what you want. Remember, it's your health, your benefits, and your decision.
Verify your address in People First before October 20 to be sure you receive your personalized Open Enrollment package.

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6. My HMO is going away in my county for 2012. What do I need to do?

The HMO in which you are currently enrolled will no longer be an option for you. As a convenience and to ensure you have coverage, you will be enrolled in a different health insurance plan for 2012 based on one of the following: (1) If only one HMO option is available to you, you will be enrolled in that HMO effective January 1, 2012; (2) If you are eligible for more than one HMO, you will be enrolled in the State Employees' PPO Plan effective January 1, 2012. You can always change this during Open Enrollment. Read your personalized Open Enrollment package to see your available options.

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7. When should I receive my personalized Open Enrollment package?

People First will begin mailing packages the week of October 24. As long as your address is correct in People First, you should receive your package before the start of Open Enrollment.

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8. Will I get a Benefits Guide in the mail this year?

Based on feedback from Open Enrollment surveys, to be more eco-friendly, cut costs and allow for legal proceedings to conclude, the Department opted to publish this year's Benefits Guide solely online. This year's guide has all the great information about the State Group Insurance Program, plans, companies, eligibility and more in an easy-to-read online format. You can print key sections or come back to this website anytime to read the guide.

You will find a short summary of changes in your Open Enrollment package this year, along with your personalized benefits statement.

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9. Do I need to send documentation to enroll or remove dependents?

You must always send the appropriate dependent documentation to People First to add dependents. Fax documentation to (800) 422-3128 or mail to PO Box 6830, Tallahassee, Florida 32314. For Open Enrollment changes, you are not required to send documentation to remove dependents.

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10. I'm a new employee. Do I need to do anything special for Open Enrollment?

Make your new hire elections online in People First then make your Open Enrollment elections. If you have questions, call People First at (866) 663-4735.

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11. How many times can I make changes during Open Enrollment?

You can make as many changes as you want. The last change you make before the 6 p.m. EST deadline on November 18 is the one you will have for 2012.

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12. Will I get a confirmation statement?

If you make changes during Open Enrollment online, you will get an instant confirmation statement to save or print. People First will also mail confirmation statements to anyone who makes a change or to anyone was "mapped" from an HMO to another health insurance plan (see next question).

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13. When do my Open Enrollment elections take effect?

Open Enrollment elections always take effect at the beginning of the plan year. For the State of Florida, the plan year is a calendar year - January 1 through December 31.

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14. When will I get my health insurance ID cards?

Health insurance companies will mail your ID cards as quickly as possible once Open Enrollment and the Correction Period end in mid-December to account for all health plan election changes. If you need medical services in January, but have not yet received your card, you may call the insurance company from your doctor's office to confirm your insurance coverage.

All health insurance members, except Medicare Advantage Plan members, will have a Medco prescription drug ID card, so Medco will mail those cards in early December. HMO plan members must remember to show their Medco ID card when they have a prescription filled at a retail pharmacy.

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