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Open Enrollment Begins May 11th-20th.
📢 Important Benefits Update: Transitioning to the Family Reimbursement Account (FRA)
We are transitioning from the Family Advantage Health Plan (FAHP) to the Family Reimbursement Account (FRA).
Family Reimbursement Account (FRA)
WHEN TO ENROLLÂ
Eligible members may enroll in the FRA:Â
During annual open enrollment period, as long as other employer coverage has same open enrollment period or allows mid-year enrollment; or
Due to a qualifying event, such as spouse’s open enrollment or change in status (e.g. marriage, birth of child, etc.).
More information regarding the FAHP plan can be found here:
PLAN BENEFITS
Reimbursement of any copays, deductibles, and coinsurance due on primary health insurance plan, up to the annual out-of-pocket maximums allowed by the Affordable Care Act. Effectively, this creates a 100% coverage plan for most participants enrolled in the FRA.
No premium contribution deducted from employee’s paycheck to enroll in the FRA.
Ongoing monthly payroll bonus of $50 per member enrolled in FRA to help offset any additional premium costs of alternative employer coverage.
ELIGIBILITY CRITERIA
To be eligible, the member (e.g. employee, spouse, and/or child) must meet two criteria:Â
Member has been enrolled on the District medical plan for at least 9 months prior to the FRA effective date.
Member has access to enroll in alternative employer-sponsored medical plan (e.g. via spouse, parent, 2nd job, etc.).
HOW TO ENROLL
If you are interested in the FRA, here is what to do next:
Verify eligibility for the FRA with the Benefits Department.
Evaluate current coverage vs combination of other employer alternative coverage + FRA.Â
Enroll applicable members in alternative employer coverage. Ensure no HSA dollars are received or contributed if the alternative employer coverage is an HDHP.
Waive coverage on the SDJ medical plans for next year and complete the FRA enrollment form.
Enrollment Forms:
Enrollment Forms:
Below is the form to enroll in the FRA. Please fill out the enrollment form and send to Brianna Parker with a copy of your plan summary, within 30 days of your eligibility date.
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