College of Central Florida

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Welcome CF Retirees

2022 HEALTH PLAN OPEN ENROLLMENT NOTICE,
DOCUMENTS AND PLAN RATES


Important Dates and Recorded Presentations

CF Benefits Open
Enrollment for 2022

October 25, 2021 – November 5, 2021
(January 1, 2022 Effective Date)

**Enrollment is not mandatory unless you are making plan changes or adding dependents. If you choose to take no action, your current benefits will roll over to the new plan year.

Due to COVID-19, Florida Blue will not be on campus for a retiree meeting. Please click on the links below to listen to recorded presentations of 2022 insurance plan information, including plan design changes, and contact Human Resources for further assistance with benefits questions.

PPO 03769
Health Insurance Recorded Presentation

 

Retiree Health Insurance Overview Presentation

 

Blue Medicare Elite
Health Insurance Recorded Presentation

  • Zoom Informational Meetings are scheduled
  • Blue Medicare Basics

Life Insurance Recorded Presentation – The Standard Life Insurance (replacing UNUM Life Ins. effective 1/1/2020)

For Retirees Currently Enrolled in Life Insurance – if you did not elect life insurance at the time of retirement, you are unable to join the group plan during open enrollment.

The Standard Life Insurance Overview Presentation

  • Group Term Life Insurance booklet
  • Beneficiary Form

 

Plan Information & Enrollment Instructions

Plan Type

Supporting Documents

How to Enroll

Health Insurance PPO Plan 03769
Plan Design Changes
4% Increase

  • 2022 Plan Design Changes
  • Summary of Benefits
  • Teledoc

Dependent Documentation:

  • Dependent Verification Documentation Chart
  • Certificate of Dependent Eligibility Attestation
  • FBMC Retiree Enrollment form
  • Dependent Verification Documents if adding new dependents
  • Drop off or mail to Human Resources

Blue Medicare Elite PPO
Plan Design Changes
No Increase for 2022

  • 2022 Plan Design Changes
  • 2022 RX Plan Design Changes
  • Summary of Benefits
  • Blue Medicare Enrollment form (if Retiree & Spouse are both enrolling, then both must complete their own Enrollment form)
  • FBMC Retiree Enrollment form (Both Retiree & Spouse can use the same form)
  • Drop off or mail to Human Resources

Certificate of Creditable Coverage

 

 

Plan Rates

College of Central Florida

PPO
BlueOptions 03769

Blue Medicare

2021 Rate

2022 Rate

2021 Rate

2022 Rate

RETIRED EMPLOYEE

$656

$685

$271.39

$271.39

RETIREE - ONE DEPENDENT

$656

$656

$542.78

$542.78

RETIREE - TWO DEPENDENTS

$1,121

$1,171

N/A

N/A

 

Dear CF Retiree: Our open enrollment this year will be from October 25, 2021 through November 5,2021 (10/25/2021 – 11/05/2021) and during this time frame if you would like to make changes to your health insurance plan or cancel, you may do so.

There are no changes to the CF health insurance plans this year. The monthly premiums will be changing effective January 1,2022 plan year. The new rates are included in this packet.
For the upcoming health insurance open enrollment period, CF will continue to offer two health insurance plans to retirees: (1) PPO Blue Options Plan 03769, and (2) Blue Medicare. Both of these plans were offered last year and are compliant under the Affordable Healthcare Act (AHA).

PLEASE NOTE: You may find more affordable health care coverage for yourself or your eligible dependents through the Marketplace by going to http://www.HealthCare.gov.  Rates are customized to each individual based upon your personal household situation, such as annual household income, age of those covered, and tax filing status. The Marketplace can help you evaluate your coverage options, including your eligibility for coverage through the Marketplace, and its cost. Note: the plans offered through the Marketplace are not affiliated with CF.  If you cancel your health coverage through CF, you will not have the option to re-enroll at a later time.

FBMC Benefits Management will continue to be the administrator of the Retiree billing for the college:

FBMC Benefits Management
Direct Bill Department
PO Box 10789
Tallahassee, FL 32302-2789
844-236-3548

FBMC Benefits Management will ONLY be responsible for collecting your health/life insurance premium on behalf of the college.  All other matters that pertain to your health/life insurance will be handled by the college as it has always been done.

Dependent Eligibility Verification for NEW Dependents – PPO 03769 Participants Only (Does not Apply to Blue Medicare)
If you elect to add new dependents to your health insurance plan (PPO 03769), you will be required to provide documentation showing that they meet eligibility requirements. To verify your dependents, you must submit the required documentation as defined in the Dependent Verification Documentation Chart along with the signed Certificate of Dependent Eligibility Attestation (enclosed). Required documentation must be received in Human Resources by the close of business, November 5, 2021, for the January 1, 2022 effective date of coverage. Your enrollment elections, including the dependents added, are subject to review and/or modification based on the dependent documentation you supply. Please note: this requirement is only for newly added dependents taking effect January 1, 2022. If you have already submitted documents on dependents currently enrolled, you do not have to do it again. The Blue Medicare product is fully insured and Florida Blue has their own process for dependent verification.

Retiree Benefits Meeting – Open Enrollment and Plan Changes
As a result of COVID-19 and to protect the health and safety of our retirees and employees, CF will not be holding in-person benefits meetings this year.
Alternatively, we have provided other educational resources created specifically for our retiree group on the CF benefits website.
Any additional questions or inquiries can be sent to Pattie Guess at guessp@cf.edu or 352-854-2322 x 1290, or hr@cf.edu.

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