health insurance
1-1-21 : Update on benefits for 2020-2021:
You will now have the option of choosing a PPO or HMO plan.
Both plans have the same coverage as you have now in terms of deductibles, coinsurance, out of pocket medical and services.
However, with the HMO plan we are able to maintain the same level of employee contribution as you have now.
If you choose to stay with the current PPO plan we will need to increase your employee contribution for the coverage.
So, what is the difference between PPO and HMO plans?
· PPO (Preferred Provider Organization) allows you to use providers in or out of the PHP network without referrals.
· HMO (Health Maintenance Organization) requires you to use providers in the PHP network and have referrals from your designated primary care physician to see other doctors.
The HMO option is allowing LCS to deliver the same benefits we currently have at the same cost to you by utilizing PHP HMO member doctors. This is the first change or adjustment to health insurance at LCS in several years. However, we understand that some of you (or your family members) may be utilizing doctors that are not part of the HMO and therefore we wanted to continue the PPO option
As mentioned, the HMO’s cost to you will be the same as the PPO has been. If you choose to remain with the PPO plan the payroll deductions, per paycheck will increase effective January 1, 2021.
HMO PPO
Single $70 $95
Double $155 $205
Family $175 $245
You will now have the option of choosing a PPO or HMO plan.
Both plans have the same coverage as you have now in terms of deductibles, coinsurance, out of pocket medical and services.
However, with the HMO plan we are able to maintain the same level of employee contribution as you have now.
If you choose to stay with the current PPO plan we will need to increase your employee contribution for the coverage.
So, what is the difference between PPO and HMO plans?
· PPO (Preferred Provider Organization) allows you to use providers in or out of the PHP network without referrals.
· HMO (Health Maintenance Organization) requires you to use providers in the PHP network and have referrals from your designated primary care physician to see other doctors.
The HMO option is allowing LCS to deliver the same benefits we currently have at the same cost to you by utilizing PHP HMO member doctors. This is the first change or adjustment to health insurance at LCS in several years. However, we understand that some of you (or your family members) may be utilizing doctors that are not part of the HMO and therefore we wanted to continue the PPO option
As mentioned, the HMO’s cost to you will be the same as the PPO has been. If you choose to remain with the PPO plan the payroll deductions, per paycheck will increase effective January 1, 2021.
HMO PPO
Single $70 $95
Double $155 $205
Family $175 $245
Short Term Disability - this used to be included with your pension but with the pension changes we are buying directly through Christian School International. It should work the same though. Linda sent information out earlier this week on this plan along with a form you need to fill out.
Pension - The CSI pension plan is in legacy status. Any benefits you have earned are not being eliminated but they are frozen at their current value. The school has to continue to fund the plan but there are no additional benefits to you.
401(k) - This is new for 19-20. You are able to contribute to this plan and the School will also contribute to the plan an amount to be determined annually.
Time off, PTO, sick time, paid days - This has not changed from prior years. Your time off is stipulated in your contracts or memos of understanding. Salaried teachers' school year is considered 190 days. Other salaried staff are considered year round employees. Feel free to contact the business office if you have questions.
Long Term Disability and Life Insurance - this continues through CSI. No changes.
Pension - The CSI pension plan is in legacy status. Any benefits you have earned are not being eliminated but they are frozen at their current value. The school has to continue to fund the plan but there are no additional benefits to you.
401(k) - This is new for 19-20. You are able to contribute to this plan and the School will also contribute to the plan an amount to be determined annually.
Time off, PTO, sick time, paid days - This has not changed from prior years. Your time off is stipulated in your contracts or memos of understanding. Salaried teachers' school year is considered 190 days. Other salaried staff are considered year round employees. Feel free to contact the business office if you have questions.
Long Term Disability and Life Insurance - this continues through CSI. No changes.