Medical premiums will increase by two percent as SMU prepares for its 2017 Open Enrollment period. University faculty and staff members will be able to make benefits changes for 2017 from Friday, Oct. 14 to Monday, Oct. 31, 2016.
SMU Human Resources will hold several information sessions at Expressway Tower and SMU-in-Plano. Faculty and staff members are encouraged to attend and become more familiar with the University’s health plans. You may review your options online before your session.
Notable among this year’s changes is the discontinuation of the University’s $1,000 deductible plan effective Jan. 1, 2017, originally announced in 2015. Benefits-eligible employees will have the opportunity to choose a new plan at the $2,000, $2,600 or $5,000 deductible levels.
All copays will remain the same for all plans in 2017, including Primary Care Physician (PCP) and specialist office visits as well as emergency room and Urgent Care Center (UCC) visits.
Prime Therapeutics, the University’s pharmacy benefits manager, is integrated with BlueCross BlueShield of Texas. Plan members have one customer service number and one online portal (BCBSTX) for all medical and pharmacy information. SMU’s DFW-area network of retail pharmacies include, but are not limited to, chains such as Costco, CVS, Kroger, Sam’s Club, Target, Tom Thumb, Walmart and Walgreens. In addition, many locally owned, independent pharmacies throughout the area, including compounding pharmacies, are included in the network.
The open enrollment period is the only opportunity for SMU employees to make changes to benefits elections for the coming year, unless you have a qualified life event such as marriage or the birth of a child.
For 2017 open enrollment, you must take action if:
- You are currently enrolled in the $1,000 deductible medical plan. If you are, and don’t make a new election, you will be enrolled in the $2,000 deductible medical option.
You want to make other changes to your current coverage, including adding or dropping dependents (eligible dependents include legal spouses and children).
- You want to participate in one or both of the Flexible Spending Accounts (FSAs) or the Health Savings Account (HSA) in 2016. You must re-enroll in the FSAs or the HSA even if you participated in 2016.
In order to comply with the reporting requirements of the Affordable Care Act (ACA), a Social Security number (SSN) is required for every individual enrolled in the SMU Medical Plan. If you have a spouse or dependent child enrolled in the plan, it is important that you enter a SSN for each.
SMU uses a secure online open-enrollment application available through My.SMU.edu. To make your benefits elections for 2017:
- Enter your My.SMU.edu user ID and password as you normally would to review your pay statement.
- Click Benefits in the Employee Self-Service navigation on the right, then choose Benefits Enrollment to access your personalized Open Enrollment record.
- Be sure to read all instructions carefully before making elections for 2017.
You will receive a confirmation statement summarizing your 2017 benefits elections in early December 2016.