Your Medical Benefits
Carrier Information
Cigna
Glossary of Health Coverage and Medical Terms
Plan Information
Cigna Select HMO and Full HMO
Health Maintenance Organization (HMO) An HMO is a health insurance plan that provides health services through a network of doctors. If you seek care outside of your assigned medical group or IPA (Independent Practice Associations), you will be responsible for 100% of the bill.
Cigna OAP HDHP with HSA
The plan provides benefits both in- and out-of-network. The plan does not require a referral to see a specialist who participates in the network. The Health Savings Account (HSA) is available to all enrolled in the HDHP medical plan and is used to accumulate money by you on a federal pre-tax basis and California post-tax basis to cover medical and other qualified expenses. The account belongs to you, even if you change employers. Since there is no use-it-or-lose-it rule, the unused funds roll over at the end of each benefit year. The money deposited can be invested once it reaches a certain designated balance and grows tax-free. You choose how you want the funds to be allocated among the available funds. Funds are available as they are deposited in the account via payroll.
The Bishop’s School offers the Cigna OAP HDHP plan (for more detailed information review the Summary of Benefits and Coverage: English and Spanish). The School also contributes to the individual’s Health Savings Account (HSA) as follows:
- $500 for individual enrollment/year
- $1,000 for employee + dependent(s) enrollment/year
Cigna OAP PPO
The plan provides benefits both in- and out-of-network. The plan does not require a referral to see a specialist who participates in the Cigna network. Deductibles in and out-of-network apply respectively.
Pharmacy Rx
The Cigna 90 Now program makes it easier for you to fill your maintenance medications. These are the medications you take on a regular basis to treat an ongoing health condition like asthma, diabetes, high blood pressure ot high cholesterol
Eligibility
All regular full-time school employees working 30 hours or more are eligible for benefits on the first day of their employment or qualifying event.
2024 Employee Cost per Pay
2024 Employee Cost per Pay
Class A < $55,001 per year Base Salary
Cigna Select HMO | Cigna Full HMO | Cigna OAP PPO | Cigna OAP HDHP | |
---|---|---|---|---|
Employee Only | $15.00 | $86.50 | $200.00 | $50.00 |
Employee + Spouse | $116.50 | $266.00 | $527.00 | $153.50 |
Employee + Child(ren) | $108.00 | $246.50 | $488.50 | $142.50 |
Employee + Family | $351.50 | $469.50 | $974.00 | $232.50 |
2024 Employee Cost per Pay
Class B $55,001 – $125,000 per year Base Salary
Cigna Select HMO | Cigna Full HMO | Cigna OAP PPO | Cigna OPA HDHP | |
---|---|---|---|---|
Employee Only | $19.00 | $108.00 | $228.50 | $75.00 |
Employee + Spouse | $155.00 | $310.50 | $644.00 | $307.00 |
Employee + Child(ren) | $143.50 | $287.50 | $597.00 | $284.00 |
Employee + Family | $363.50 | $536.50 | $1,062.50 | $542.00 |
2024 Employee Cost per Pay
Class C $125,001+ per year Base Salary
Cigna Select HMO | Cigna Full HMO | Cigna OAP PPO | Cigna OAP HDHP | |
---|---|---|---|---|
Employee Only | $38.00 | $130.00 | $257.00 | $99.50 |
Employee + Spouse | $194.00 | $355.00 | $702.50 | $358.50 |
Employee + Child(ren) | $179.50 | $329.00 | $651.00 | $332.00 |
Employee + Family | $375.00 | $603.50 | $1,151.00 | $619.50 |
Your Additional Offerings
Eligibility
All regular full-time school employees working 30 hours or more are eligible for benefits on the first day of their employment or qualifying event.
Cigna Starter Kit: How to….?
- Your Insurance ID Cards & MyCigna Account
- Pharmacy Cigna 90-Day Now Program
- Find a doctor
- Virtual Care
Mental Health & More
Transition & Continuity of Care
International Travel Assistance
- International Travel
- See for more information and assistance under Ancillary Benefits and Travel Assistance tab
Active & Fit Program
Health Savings Account (HSA)
Carrier Information
Wex HSA Services
Health Savings Account (HSA)
The Health Savings Account (HSA) is available to all enrolled in the HDHP medical plan and is used to accumulate money on a federal pre-tax basis and California post tax basis to cover medical and other qualified expenses. The account belongs to you, even if you change employers. Since there is no use-it-or-lose-it rule, the unused funds roll over at the end of each benefit year. The money deposited can be invested once it reaches a certain designated balance and grows tax-free. You choose how you want the funds to be allocated among the available funds. Funds are available as they are deposited in the account. The school contributes $500.00 (Employee only Coverage) and $1,000.00 (Employee + Dependents Coverage) to each account over 24 pay periods throughout the benefit year.
You can contribute pre-tax money up to the following 2024 IRS maximums for the 2024-2025 benefit year, inclusive of the school contributions:
Individuals age 55 or older can contribute an additional $1,000 on a pre-tax basis per year to their Health Savings Account (HSA).
Helpful Resources
- Log into your Wex Account.
- Eligible HSA Expenses.
- Wex offers a Mobile App for your convenience.
- Review the FSA Store for qualifying purchases.
If you need more information on HSAs, these HSA FAQs and this webinar (long) or video (short) are helpful resources.
Eligibility
Employees enrolled in the HDHP medical plan are eligible to participate in the HSA benefits.
Benefits 101
Your Flexible Spending Account (FSA)
Carrier Information
Wex
Eligibility
All regular full-time school employees working 30 hours or more are eligible for benefits on the first day of their employment or qualifying event.
Health Care Flexible Spending Account (FSA)
A Flexible Spending Account (FSA) provides you with the opportunity to pay out-of-pocket medical, dental, vision, and dependent care expenses with pre-tax dollars. When you participate in an FSA, (depending on your tax bracket), you can save approximately 25% of each dollar spent on these expenses. The Bishop’s School offers a Health Care FSA and a Dependent Care FSA, administered by Wex. Your FSA plan year is March 1 through February 28.
Please note: If you are enrolled on the HDHP and contributing to the Health Saving Account or accepting the Bishop’s HSA contribution, you cannot participate in the Health Care FSA plan and cannot have any roll over funds into the plan year beginning March 1, 2024. During this plan year, you may set aside up to $3,200.00 pre-taxed dollars into a Health Care FSA Plan. This money can be used to pay for qualified medical, vision and dental expenses. For a full list of qualifying expenses, refer to IRS Publication 502 at irs.gov or contact Wex at 866-451-3399.
Dependent Care FSA
If you are single or married and file a joint tax return annually you can set aside up to $5,000 pre-taxed dollars during this plan year. If you are married but file a separate tax return, the maximum you can annually set aside is $2,500 pre-taxed dollars. This account is used for qualified daycare expenses for the care of a dependent. A dependent is defined as a person who is under 13 years of age who you claim as a dependent on your tax return or a person who is physically or mentally incapable of caring for himself or herself, regardless of age, who you claim as an exemption on your tax return. Refer to IRS Publication 503 for specific regulations.
Helpful Resources
- What is FSA? See a quick video
- Login HERE to your Wex Account (same as HSA)
- Eligible FSA Expenses
- Wex Mobile App
- FSA Store
2024 FSA Rollover
It is important to budget appropriately and use all of your funds within the plan year (March 1 –February 28). If you do not use all of your Health Care FSA money in the course of the plan year, you will lose all monies in excess of $640 for the 2024 – 2025 plan year. Any Health Care funds over this amount will be fortified. Any unused funds in the Dependent Care FSA will not rollover into the next plan year.
FSA elections do not automatically continue from year to year; you must enroll or re-enroll during your annual open enrollment each year. Once you have made your Annual Elections, further changes to your Health Care FSA plan cannot be made unless you experience a Qualified Life Event.
You may update your Dependent Care contributions at any time you experience a change in need or facility access throughout the year.
Contact Wex at 866-451-3399 or visit wexinc.com for more information on eligible expenses, set up your online account, submit claims and check on your reimbursement status.
Account Type | Examples of Eligible Expenses | Annual Contribution Limits | Access to Funds | Pre-Tax Benefit |
---|---|---|---|---|
Health Care FSA | Medical plan deductibles, copays, and prescriptions. Vision exam copays, glasses, contacts, laser eye surgery and dental services. | There is no minimum contribution per year. Maximum contribution is $3200 per year per employee. | Allows immediate access to the entire contribution amount from the 1st day of the benefit year, before all scheduled contributions have been made. | Save 20–40% on your health care expenses. Save on purchases not covered by insurance. Reduce your taxable income. |
Dependent Care FSA | Daycare Day camp Eldercare before and after school programs. | There is no minimum contribution per year. Maximum contribution is $5000 per year per employee. | You will be able to submit claims up to you year-to-date accumulated amount in your account. You will only be reimbursed based on your accumulated contribution amounts. | Save 20–40% on your dependent care expenses. Reduce your taxable income. |
Benefits 101
Your Dental Benefits
Carrier Information
Cigna
Plan Information
The school offers Dental benefits through Cigna with two options: a DHMO (in-network only) plan (for more detailed information review the Summary of Benefits and Coverage English and Spanish) and a DPPO (In/Out-of-Network) plan (for more detailed information review the Summary of Benefits and Coverage English and Spanish). Dental plan election is made annually and employees may not switch between DMO and PPO plans without a qualifying event.
Eligibility
All regular full-time school employees working 30 hours or more are eligible for benefits on the first day of their employment or qualifying event.
Contributions
2024 Employee Cost per Paycheck for All Employees
Cigna DHMO | Cigna DPPO | |
---|---|---|
Employee Only | $2.50 | $10.00 |
Employee + Spouse | $7.50 | $24.00 |
Employee + Child(ren) | $9.00 | $30.00 |
Employee + Family | $12.50 | $50.00 |
Your Vision Benefits
Carrier Information
Unum
Plan Information
The Bishop’s School offers a comprehensive Vision Plan through Unum. For more detailed information review the Benefit Summary: English and Español.
Login to Unum to create your member account, review claim status and see available special offers for vision care and services.
Eligibility
All regular full-time school employees working 30 hours or more are eligible for benefits on the first day of their employment or qualifying event.
Contributions
2024 Employee Cost per Paycheck for All Employees
Unum | |
---|---|
Employee Only | $1.50 |
Employee + Spouse | $3.00 |
Employee + Child(ren) | $2.50 |
Employee + Family | $5.50 |
Section 125 and Benefit Election Changes
Section 125 and Benefit Election Changes
Under Section 125 of the Internal Revenue Service (IRS) code, you are allowed to pay certain group insurance premiums with tax-free (pre-tax) dollars. This means your premium deductions are taken before federal income and Social Security wages are calculated.
The Bishop’s School plan year (benefit year) is March 1 through February 28 of the succeeding year. You must make your benefit elections carefully, including the choice to waive coverage. Your pre-tax elections will remain in effect until the next annual open enrollment period unless you experience an IRS-approved qualifying change in status (life event).
Qualifying change in status events include, but are not limited to:
- Marriage, divorce, or legal separation
- Death of spouse or other dependent
- Birth or adoption of a child
- A spouse’s employment begins or ends
- A dependent’s eligibility status changes due to age, student status, marital status, or employment
- You or your spouse experience a change in work hours that affect benefit eligibility
- Relocation into or outside of your plan’s service area
The Bishop’s School Eligibility
All regular full-time school employees working 30 hours or more are eligible for benefits on the first day of their employment or qualifying event.
Waiting period: no waiting period for benefits eligible upon hire or work event.