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Your benefit needs are unique to you and your family. AFA is pleased to offer year-round support with electing, understanding, and using your benefits.
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YOUR HEALTH. YOUR PROTECTION. YOUR FUTURE.
OPEN ENROLLMENT: October 31 - November 23
Your Benefits.
GET YOUR QUESTIONS ANSWERED
COMPLETE PARTICIPATING EMPLOYER AGREEMENT
For a complete list of Documents & Forms available to you, click the link above.
Important Enrollment Documents
2024 Benefits Booklet
HEALTH PLAN OVERVIEW BROCHURE
Coming Soon!
BCBS Wellness Tools
4% decrease to medical premiums in 2024!
AFA has chosen benefits that we feel offer the best care for you and your family. To make your benefits enrollment easy and personalized, and to help you fully understand your options, Benefits Educators will be available during Open Enrollment to walk you through the process and help you enroll. Schedule your session beginning Thursday, October 20th, to get the best date and time that works for you. All you need to do is: OR • Call the DirectPath Benefits Service Center at 877-884-2928 . About This Year’s Enrollment: • Open Enrollment is October 31 - November 23. Your elections will be effective January 1st, 2024.
Open Enrollment begins October 31st!
Schedule your one-on-one, confidential phone appointment with a Benefits Educator starting Thursday, October 20th!
OpEN ENROLLMENT
Click Here
ELIGIBILITY
VISION BENEFITS OVERVIEW
KEY DATES AND TIMING
DENTAL BENEFITS OVERVIEW
VISION
DENTAL
MEDICAL
BENEFITS
MEDICAL BENEFITS OVERVIEW
MEDICAL RATES (MONTHLY)
DENTAL MONTHLY RATES
To find a dentist in the Access Plus Dental network, visit AlabamaBlue.com and click on “Find a Doctor” then select “Dentist” as the healthcare provider type, enter your zip code or city/state and choose “Access Plus Dental."
VISION RATES (MONTHLY)
You now have four medical plan options, Premier, Value, Value Plus Premier, & Value Plus. All plans are administered by BlueCross BlueShield (BCBS) and provide the maximum benefits when a BCBS provider is used for services. The AFA Value Plus options include both primary and secondary insurance. The secondary plans do not cover office visit or prescription drug copays or home health services. NOTE: The out-of-pocket maximum excludes office visits and prescription drug co-pays.
Coverage Tier
RATES
Employee Only
$9.78
Employee + Spouse
$13.85
Employee + Children
$14.08
Family
$20.86
BCBS Enhanced PLAN
$24.54 $47.15 $61.21 $89.93
BCBS BAsic PLAN
Premier PLAN
Value PLAN
$520.75 $1,041.51 $963.41 $1,484.15
$718.00 $1,436.03 $1,328.35 $2,046.37
$21.16 $39.21 $51.99 $76.02
Questions about the AFA Health Plan and its benefits can be directed to a Cobbs Allen Benefits Consultant: Matthew Cate | 205-874-1226 | mcate@cobbsallen.com
Frequently ASKED QUESTIONS
What are the AFA Health Plans? AFA offers four medical options through BlueCross BlueShield. The first plan has a $500 deductible and has the most copays to offset the participants out-of-pocket spend throughout the plan year. The second plan has a $4,000 deductible and is more of a catastrophic coverage. The third and fourth options include a secondary coverage through MedPlus which is designed to save both premium and out-of-pocket spend. What is secondary insurance? Secondary insurance pays most deductibles and out-of-pocket expenses up to the policy limit after your primary medical plan has paid its covered expenses. For the AFA Health Plan, your secondary coverage pays a total of $5,000 toward your deductible and out-of-pocket maximum, meaning you only have to pay $2,000 of your own money. To receive full benefits, be sure to give your doctor both your primary insurance card and your secondary insurance card. Click here to watch a video presentation explaining secondary insurance in more detail. Who is Eligible for the AFA Health Plan? All AFA members who have at least one common law employee are eligible for the AFA Health Plan. Sole proprietors without at least one common law employee are not eligible to participate in the plan. Please contact Cobbs Allen with questions. What if I’m already offering a small group health plan to my employees? You may transfer to the AFA Plan by submitting a Current Health Census to scarlisle@cobbsallen.com. Please note that you must notify all impacted employees of this change and allow them the option to opt out. Employees who wish to change their benefit election must do so by scheduling an appointment with a Benefits Educator during Open Enrollment. Who is Eligible for the AFA Health Plan? Active AFA members must have at least one common law employee to be eligible for the AFA Health Plan. Sole proprietors without at least one common law employee are not eligible to participate in the plan. Please contact Cobbs Allen with questions. Participation and Eligibility Continued Under 50 employees There is no requirement for offering coverage to all employees, nor is there a set amount of money that an employer must contribute toward health coverage. 50 or more employees An employer must offer coverage to “substantially all” of their employees, meaning a maximum of 5 employees not offered coverage. An employer must offer a plan at a cost that is no more than 9.61% of their employee’s take-home income. What if I am currently enrolled in a different Health Plan, but want to elect the AFA Health Plan? Open enrollment is a Qualifying Life Event. If your employer decides to participate and you are enrolled in another health plan, you may still be eligible to enroll in the AFA Health Plan. Credit can be given for the deductible that you and your family members have already reached on your current health plan. You may discuss credit for your deductible with the Benefits Educator during your scheduled appointment. If you are transferring from a BCBS plan, the deductible credit will happen automatically. When and how do I enroll? You have the ability to schedule an appointment with a Benefits Educator by visiting www.ALForestryBenefits.com. What if an employee who elected the benefit gets fired or quits? How is the benefit offered to new hires? Members will be responsible for submitting adds/terms/changes of any employees who elected the plan or terminated each month. This will ensure each group is billed the appropriate amount each pay period. These census updates will be submitted to AFA. How do I pay my premium? Each member company will be assigned a login to our payment portal, www.paymyhealthinsurance.com. Employers are responsible for remitting payment for their employees who participate on the plan. Invoices will be sent via email on the 5th of each month. Payment will be due on the 15th and late on the 20th. After the second late payment, a $100 late fee will be assessed. Who should I contact if I have questions? Questions about the AFA Health Plan and its benefits can be directed to a Cobbs Allen Benefits Consultant: Samantha Carlisle | 205-874-1227 | scarlisle@cobbsallen.com Questions about how to book your enrollment appointment can be directed to a DirectPath Benefits Educator at 877-884-2928.
We know that your benefits are important to you and your family. We also know that understanding how your benefits work can sometimes be confusing. That is why we offer assistance with your benefits-related questions and enrollment. This assistance is a 30-minute, confidential phone call with a Benefits Educator and an opportunity to make sure you understand all the Company has to offer you and your family. It's simple, quick, and our way of making this an easy process for you. To schedule your appointment, click the button below:
New Hire EnroLLmENT
Schedule Your New Hire Appointment
PARTICIPATING EMPLOYER AGREEMENT
Active employer members of AFA who wish to participate in the AFA Health Plan must sign and submit a Participating Employer Agreement prior to being eligible to enroll. If your company is already participating in the plan, there is no need to sign and submit another agreement. Click the button below to view and sign the Participating Employer Agreement. Once signed, please return to Samantha Carlisle, scarlisle@cobbsallen.com.
DOWNLOAD THE PARTICIPATING EMPLOYER AGREEMENT
EMPLOYEE ELIGIBILITY Employees who work are eligible to participate in <2022> benefits. DEPENDENT ELIGIBILITY Eligible employees may also cover any legal* dependents, including: • Your legally married spouse • Your children, up to age 26, regardless of student or marital status • Any children who have a mental or physical disability that meets the Social Security definition of “Disabled” and depend on you for support *A copy of a birth certificate or other applicable legal document may be required as proof of dependent eligibility.
AS A NEW HIRE Employees who work are eligible to participate in <2022> benefits. AS PART OF OPEN ENROLLMENT Coverage elected during the Open Enrollment period is effective . .
DESCRIPTION
• Change in coverage for you or your dependent • Qualified Medical Child Support Order (QMSCO) • Loss of coverage and/or eligibility under Medicare • Medicaid or a Children’s Health Insurance Program
You cannot change your benefit elections during the plan year unless you have a Qualified Life Event in your immediate family. Qualified Life Events include: • Marriage, divorce, or legal separation • Birth, death, or adoption of a dependent • Dependent reaching age limit • Change in employment status of you or your spouse If you have a life status change event, you must report the change to your human resource department within 30 days of the event if you want to change coverage. Changes will become effective on the day of the event. If you do not make your changes during the 30-day change-in-status period, your changes cannot be made until the next Open Enrollment period.
1. Click the button below to download and complete the Qualifying Life Event Form.. 2. Submit the completed form to scarlisle@cobbsallen.com within 30 days from the date of the event.
PROCESS
DOWNLOAD THE QUALIFYING LIFE EVENT FORM
DOCUMENTS & RESOURCES
BCBS Premier Plan SPD
BCBS PREMIER PLAN SBC
BCBS VALUE PLAN SPD
BCBS VALUE PLAN SBC
DENTAL ENHANCED PLAN DOCUMENTS
BCBS DENTAL ENHANCED PLAN HIGHLIGHTS
VISION PLAN DOCUMENTS
AFA BENEFITS GUIDE
AFA ELECTRONIC BENEFITS GUIDE
AFA HEALTH PLAN OVERVIEW
OVERVIEW
Participating Employer Agreement
FORMS
QUALIFYING LIFE EVENT FORM
DENTAL BASIC PLAN DOCUMENTS
BCBS DENTAL BASIC PLAN HIGHLIGHTS
DENTAL BENEFIT HIGHLIGHTS
BCBS Value Plus Premier MedPlus Secondary Guide
BCBS Value Plus MedPlus Secondary Guide
BCBS Value Plus MedPlus SECONDARY COI
BCBS Value plus Premier MedPlus SECONDARY COI