• Health Insurance Benefit


    Aetna will remain the medical insurance carrier for the 2020 plan year. Plan designs will remain unchanged. Please review the Schedule of Benefits for plan details.
     
    Express-Scripts (administered by RxBenefits, Inc.) will remain the pharmacy vendor. See Express-Scripts tab for detailed information on the prescription coverage.
     

    For benefit details, click on the links below

     

     

    PREMIUM INFORMATION

    Premiums will increase 3.1% for the 2020 Plan Year.  100% of the Low POS Plan "Employee-Only" premium will be covered for current enrolled employees.

    AETNA POS LOW PLAN

    COVERAGE TIER

    EMPLOYER
    MONTHLY COST

    EMPLOYEE
    MONTHLY COST

    TOTAL PREMIUM

    EMPLOYEE ONLY

    668.00

    0.00

    668.00

    EMPLOYEE - ONE CHILD

    837.00

    169.00

    1,006.00

    EMPLOYEE - CHILDREN

    998.50

    330.50

    1,329.00

    EMPLOYEE - SPOUSE

    1,039.00

    371.00

    1,410.00

    EMPLOYEE - FAMILY

    1,271.00

    603.00

    1,874.00

     
    **NOTE: Children can be enrolled in your health insurance plan until they turn 26.
     
    For employees previously enrolled in the POS High Plan, Click here for 2020 Premiums
     
     
    ENROLLMENT INFORMATION
     
    During open enrollment, you have the opportunity to add, terminate or change coverage tiers.   A completed online enrollment must take place no later than Tuesday, November 19, 2019.  Instructions for online enrollment are located on the Open Enrollment tab for Plansource. Mandatory notices pertaining to health insurance, are located in the table below:
     
     
    NOTICES
     
     
     
     
    IF YOU WISH TO ELECT SPOUSE COVERAGE, REMEMBER:
     

    Employees who elect health insurance for their spouse must complete a spousal mandate affidavit during the enrollment process. If a working spouse has access to group health insurance through their employer, they must accept their own insurance rather than join the Augusta County Public School's plan.

     FOR SPOUSE AFFIDAVIT, WHAT IS AFFORDABLE COVERAGE?

    A job-based health plan covering only the employee that costs 9.66% or less of the employee’s household income. If a job-based plan is “affordable,” and meets the “minimum value” standard, you're not eligible for a premium tax credit if you buy a Marketplace insurance plan instead.
     
    • The plan used to define affordability is the lowest priced “self-only” plan the employer offers — meaning a plan covering only the employee, not dependents. This is true even if you’re enrolled in a plan that costs more or covers dependents.
    • The cost is the amount the employee would pay for the insurance, not the plan’s total premium.
    • The employee’s total household income is used. Total household income includes income from everybody in the household who’s required to file a tax return.
    EXAMPLE: Employee’s monthly household income = $4,083 (about $49,000 per year)
    • 9.66% of the employee’s monthly household income = $394
    • Monthly cost to the employee of the lowest-priced plan the employer offers for self-only coverage = $300
    • Is the plan affordable? YES. The employee’s share of the lowest cost self-only plan ($300) is less than 9.66% of the employee’s household income ($394).