2012 Open Enrollment Moves Into Next Phase
Online enrollment for 2012 health, dental, vision and flexible spending accounts (FSA) started on November 1 and ended on November 28. The next Phase of Open Enrollment will be to review your deductions on your first paycheck of 2012 (January 13, 2012) against your 2012 Confirmation Statement To view or print a copy of your 2012 Confirmation Statement, click on 2012 Confirmation Statement under Resources and log into the online system with the same information used to complete your online enrollment. 2012 Confirmation Statements will be available online through January 31, 2012. Any discrepancies between your 2012 Confirmation Statement and January 13th pay stub deductions should be reported to Employee Benefits Services in writing right away to be researched and resolved. Discrepancies can be emailed to benefits@broward.org or faxed to 954-728-2777.
New Health Provider - Humana
Humana will replace Coventry as our sole health provider in 2012, providing the same plan designs as well as some enhancements. See WHAT’S NEW in your open enrollment newsletter.
Pharmacy
No changes to benefits, name change transitioning from Walgreens Health Initiatives to Catalyst Rx. New ID Cards WILL NOT be issued for 2012, continue to use your current ID Card.
Pharmacy Provider
Catalyst Rx (formerly known as Walgreens Health Initiatives)
Pharmacy benefits are provided under the County's self-insured pharmacy plan through Catalyst Rx (formerly Walgreens Health Initiatives, Inc, (WHI)). The plan includes:
- An open formulary with three tiers of coverage (generic, brand preferred, and non-preferred) at very affordable copays
- 90 day mandatory maintenance medication program through mail order or at your local participating pharmacy (CVS, Target, Publix, Walgreens, etc). See list of maintenance medications below.
- Restricted generic policy (generics will be dispensed if available unless the doctor indicates (Dispense As Written” on the prescription.
- 30 day Specialty pharmacy home delivery
| Type |
30 Day Supply*
(at any participating retail pharmacy) |
90 Day Supply
(at a local participating retail pharmacy or mail service) |
| Generic Preferred |
$5 |
$10 |
| Brand Preferred |
$25 |
$50 |
| Non-Preferred |
$40 |
$80 |
| Specialty Pharmacy |
$25 or $40
based on tier |
N/A, 30 day supply only |
Clinical Prior Authorization Program
Certain prescriptions require “clinical prior authorization,” or approval from your plan, before they will be covered. The categories/medications that require clinical prior authorization may include, but are not limited to: Acne (topical-after age 24), ADHD/Narcolepsy (after age 19) Botulinum Toxins, Lamisil/Sporanox, Obesity and Penlac. Upon receipt of a prescription falling into a covered category, Catalyst Rx/WHI will contact your doctor's office and request the documentation needed for Prior Authorization. To verify in advance, members may contact Catalyst Rx/WHI at 877-665-6609.
Website Registration
Walgreens offers a secure website where you can set up your secure account and have access to your pharmacy records and other pharmacy related information and tools such as:
- Access to your pharmacy benefit information
- Order refills through mail service
- Medication costs
- Discover lower-cost and generic alternatives for your medications
- Locate your nearest participating network pharmacy
- Access and print your medication claims history
Click on the item below to view details:
Health Reimbursement Account (HRA)
The County-funded HRA accounts for employees enrolled in one of the Consumer Driven Health (CDH) plans will continue to be administered by FBMC. Balances from 2011 will rollover in mid-January and will be added to your 2012 allotment. You can submit eligible 2011 and/or 2012 health and pharmacy expenses to your 2012 HRA for reimbursement.
Dental
DHMO through CompBenefits – no changes
PPO through The Standard – 5% premium reduction across all tiers, no plan design changes
Vision through CompBenefits – currently in RLI process, will rollover for three months.
For assistance, please contact Human Resources, Employee Benefit Services at:
Phone: 954-357-6700
Email: benefits@broward.org
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