|Robert Reeder||Insurance Coordinator||801-826-5448|
Canyons School District is proud to offer a comprehensive benefit package to eligible, full-time employees who work 30 hours or more per week.
Insurance Carrier Information
|Insurance Plan||Carrier||Network||Description||Phone Number|
|Health Insurance||PEHP||Advantage Network||The Advantage Network utilizes prodominetely the Intermountain Healthcare system and its assosciated physicians, hospitals and clinics||(800) 765-7347|
|Health Insurance||PEHP||Summit Network||The Summit Network Utilizes the University of Utah, Iasis, and Mountain Star heatlhcare systems and their associated physicisans, hospitals and clinics||(800) 765-7347|
|Dental Insurance||EMI HEALTH||EMI Health||EMI Health administrers four different plan designs.||(800) 662-5850|
|Vision Insurance||EMI HEALTH||VSP||EMI health administers two plan designs that Utilize the VSP provider network.||(800) 662-5850|
|Life & Disability Insurance||MetLife
||Effective January 1, 2019, MetLife will be the Life insurance administrator for the District's life & disability Insurance coverage.||(800)
|Flexible Spending /HSA||Discovery Benefits||Discovery Benefits will begin to manage the Districts Flexibles Spendings and Health Savings Accounts effective January1, 2019. They also administer the District's COBRA benefits.||(866) 451-3399|
|Employee Assistance program (EAP)||Blomquist Hale||The employee assistance program is a counseling service the assist employee and there families with a variety of counseling needs||(801)262-9619|
PEHP Pharmacy Information
Prescription Drug BenefitLooking for a dose of information about your pharmacy benefits? This section is just what the doctor ordered. Check out these online resources to help you get your medication quickly and at the lowest cost.
The Preferred Drug List is a listing of prescription medications that have been chosen by PEHP's Pharmacy and Therapeutics Committee (a team of physicians, nurses, and pharmacists from the Intermountain area). They choose medications that provide the best overall value based on quality, safety, effectiveness, and cost. The Preferred Drug List may be modified periodically with changes based on the Pharmacy and Therapeutics Committee's recommendations. The pharmacy benefit is categorized into four co-payment tiers:
- Tier 1: Preferred generic medications that are available at the lowest co-payment.
- Tier 2: Preferred brand name medications that are available at a median co-payment.
- Tier 3: Non-preferred medications that are available at the highest co-payment.
- Tier 4 - Specilaty Medications
- Tier A: Specialty medications available at the lowest specialty co-payment
- Tier B: Specialty medications available at the intermediate specialty co-payment
- Tier C: Specialty medications available at the highest specialty co-payment
Do you have additional questions about your specialty medication:
- Does my specialty medication require preauthorization?
- What Tier is my specialty medication?
- Where can I fill my prescription?
- How does manufacturer copay assistance work?
For additional information please contact the pharmacy department at 801-366-7551 or 1-888-366-7551
Flex and HSA Debit Cards
The 1095C forms are documents that the District is required to issue to all employees who are benefit eligible. These forms are tax documents and should be retained along with your annual W2 and other tax documents. For the 2018 calendar year these forms will be issued by January 31, 2019 and will be available through Skyward Employee Access. For individuals who have elected to receive these forms by mail. They will be mailed by January 31, 2019 and should be received within 7 to 10 business days.
If you have any questions or issues in regard to the 1095C forms, please contact the District Insurance Department at 801-826-5428
New Hire Enrollment
We have prepared a benefit booklet to help you make your insurance decisions. (Link to the Benefit Guide). We have made an effort to provide you with a considerable amount of choice concerning your benefit options. This Benefit Guide provides a concise overview of the plans the District offers. We suggest that you spend a few minutes becoming familiar with your options.
Before you make a decision on benefits we encourage you to take an inventory of
your medical needs and preferences for yourself and your family. The following are suggestions of things you can do to help you in deciding what benefits are right for you.
- Make a list of all the special health concerns in your family.
- Consider how frequently you and or family require medical attention.
- List your preferred doctors, dentists, clinics and hospitals.
- Estimate what you spend annually on medical expenses.
- Consider how much you can afford to pay for benefits, and how well you manage your finances.
Wellness Incentives and Activities
Employees interested in Flexible Spending Elections or HSA Elections please be advised, that Flexible Spending elections and HSA Elections must be renewed annually. If you want to make contributions to a Flexible Spending account or an HSA account you must elect a contribution amount during your open enrolllment window. All of the enrollment and benefit information can be found in the information and forms section of the Insurance Department page.
Life events Include:
- Involuntary loss of coverage
- Enrollment in other coverage
Status changing events only allow you to make changes to your benefits that are necessary to accommodate the change. For instance, adding a baby to coverage following a birth, or dropping coverage on an ex-spouse following a divorce. It doesn’t allow you to change what health plan you are enrolled in or change the carriers you have elected. If you want to change carriers or plans you will need to wait until the next open enrollment window, then the changes will take effect in the following plan year.
You have 30 days from the status changing event to make the change. Documentation that substantiates the status change, i.e. Birth Certificate, Death Certificate, Divorce Decree, adoption paperwork etc., will be required.
Status changes typically take effect as of the date of the change. For instance, if you have a baby the effective date of the change would be the date of the birth. Be aware that if changes are entered after the 10th of the month it may not be reflected on that month’s payroll deduction and would require and increased deduction in the subsequent month.
Terminated employees can continue coverage through the District if they enroll in COBRA coverage. Employee will be sent a notification once the District Coverage ends. Terminated employees have 63 days to enroll in COBRA coverage. Once enrolled the coverage will be reinstated back to the date coverage was lost. COBRA enrollees will pay the full cost of the monthly insurance premiums plus a 2% administrative fee.
Flexible Spending participants: Please be aware Flex spending cards will be deactivated upon termination with the District. Claims will need to be submitted manually for processing. Only services rendered prior to the date of termination will be eligible for reimbursement. Any unused funds at the end of the plan year will be forfeited. All of this is according to IRS Guidelines.