2021 Open Enrollment for Retirees & COBRA

Dear Benefits Eligible EVSC Retiree or COBRA participant,

It is time for the annual Benefits Open Enrollment. This is your once a year opportunity to evaluate and make necessary changes to your insurance benefits. If you do not want to make any plan changes, you do not need to do anything. If you want to waive coverage or make changes to your current insurance benefits, please review the following information and instructions.

The Open Enrollment period is Monday, November 9, 2020 – Friday, November 27, 2020.

All coverage elected during this period is effective 1/1/21.

Important Information for 2021

More information about changes to the plans will come in your packet via US mail. If you have moved in the past year and not provided EVSC with your new mailing address please email your current address to [email protected] so your Open Enrollment information goes to the correct address.

Paperwork will be sent to you by US mail in order to make any changes. Please complete and return prior to November 27, 2020 if you intend to change you plan.

If you are happy with your current elections no action is needed.

2021 Benefit Summaries and Rx Information

Medical Plan Comparison
Plan A
Plan C
Plan E
Plan F
Plan G
Plan H

Dental Summary

Vision Summary

Rx Tiered Network Pharmacy List

Prescription 4 Tiers (Searchable)

Enrollment Process and Adding Eligible Dependents

See the enrollment form mailed to you for details on what actions you can take during open enrollment. If you have additional questions contact HR Generalist-Benefits-Lisa Schum at 812-435-8410 or [email protected].

If you are able and add a new dependent to your plans, you will need to fill out the Eligible Dependents section and submit eligibility documentation in order to add that dependent. This documentation includes copies of marriage certificate and social security card for a spouse and copies of birth certificate and social security card for a child. See the chart here for more information.

This eligibility documentation and your completed EVSC 2021 Enrollment Form must be received in the Office of Human Resources by the close of the open enrollment period, Friday, November 27, 2020 at 4:00pm.

Mailing Address:
EVSC Administration Building
Attn: Insurance Coordinator
951 Walnut St
Evansville, IN 47713

If you do not wish to make any changes to your plan then no action is necessary.

Benefits Q&A

When is the Open Enrollment Period?

• The EVSC’s Annual Human Resources Benefits Open Enrollment period to make changes or enroll in coverage will be November 9, 2020 through November 27, 2020.

What benefits can I add or change during open enrollment?

• See your election form for details.

What if I do not want to make any changes to my benefits? Do I need to do anything?

• No, you do not need to do anything.

Can I make corrections to my insurance elections once I have submitted them?

•Yes, as long as it is during the Open Enrollment period.

Can I change my insurance benefit elections at any time?

• No, you may only make changes during Open Enrollment or if you have a Qualifying Change in Status and are eligible to make changes (i.e. marriage, birth, divorce, etc.). Please note, you must notify the Human Resources Benefits Office of any changes within 30 days of the date of the event. EVSC determines eligibility for qualifying life events and whether they are allowed or not dependent upon contract language. Please contact our office to inquire. 

How do I find out if my doctors or hospital participate in the health insurance plan?

• You can access the health plans’ provider directories via the Anthem Medical website www.anthem.com, HRI Dental at www.insuringsmiles.com and VSP Vision at www.vsp.com.

Who should I call if I have specific questions regarding the benefit plans?

• You may contact the Human Resources Benefits Office at (812) 435-8410.

Why do I need to provide EVSC with my social security number and the social security numbers of my spouse and children? Is there a reason why they need our social security numbers?

The Affordable Care Act, also known as health care reform, requires EVSC to collect the Social Security numbers of each person enrolled in our health plan - that includes your covered dependents. EVSC is required to provide the Health Coverage tax form 1095-B to you and the Internal Revenue Service (IRS). You will use information from the form to prepare your individual income tax return. The law required SSNs to be reported on form 1095-B.

If one of your dependents does not yet have a Social Security number, just go to http://socialsecurity.gov/forms/ss-5.pdf and complete the form. Applying for a Social Security card is free.