City of Chickasaw Benefits Guide - 2025-2026 VIEW ONLY

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Chickasaw City Schools Benefits Guide 2025 - 2026

Campus

CHICKASAW CITY SCHOOLS CONTACTS

Renee Reaves Accounting Assistant rreaves@chickasawschools.com

Chris Arras CFSO carras@chickasawschools.com

Tobey Sprague Central Office Accounting Clerk tsprague@chickasawschools.com

PEEHIP

Need Help? Start Here: mybenefits@campusbenefits.com 1.866.433.7661, opt 5

Eligibility

• Generally, full-time employees working 20 or more hours per week are eligible to enroll in the benefits described in this guide.

• Specific plan eligibility is listed on the top of each page. Specific employee and dependent eligibility rules are governed by each plan’s policy document/certificate, which is available on your employee benefits website, or by contacting Campus Benefits. How to Enroll

• The first step is to review your current benefit elections.

• Verify your personal information and make any changes if necessary.

• Make your benefit elections as well as list your beneficiaries.

• Once you have made your elections, you will not be able to make changes until the next Open Enrollment period unless you have a qualified life event. When to Enroll

• New Hire: Enroll within 30 days of your date of hire.

• The annual PEEHIP enrollment period is held in the summer (August - September).

• The annual Campus enrollment period is held in the summer (August - September).

When do Benefits Begin

• The effective date of coverage for benefits depends on your hire date. Typically, Campus Benefits will begin the first of the month following date of hire. PEEHIP benefits will begin either first of the month of the hire month, or first of the month following date of hire.

• Employees must be actively at work on the effective date of coverage. How to Make Changes

• Once you make your benefit elections as a new hire or during Open Enrollment, you cannot make changes to those elections until the next Open Enrollment period.

• The only exception is a qualifying life event which allows you to make eligible changes to your benefit elections during the plan year.

• To submit a qualifying life event, email: mybenefits@campusbenefits.com or call 1.866.433.7661, opt 5. INSIDE THIS GUIDE

IMPORTANT REMINDER - TAKE ACTION

• Eligibility for benefits enrollment must take place within 30 days of your hire date.

• Remember: Please review and/or update beneficiaries annually for all benefits including Voluntary Term Life & AD&D and Permanent Life policies.

• Important: Review and Understand Guaranteed Issue Options (New Hires).

• Life Events - You are required to submit any life event changes for you and eligible dependents within 30 days of an event.

• This Guide - This guide is presented for illustrative purposes only and is not intended to offer insurance advice. It is important you review each benefit’s summary plan description (SPD) and other carrier materials before making any selections.

There are two separate benefit enrollments:

1. Campus Benefits Voluntary Benefits

2. PEEHIP Medical Insurance

*Benefits enrollment must take place within 30 days of hire date 2 1

How to Enroll in Campus Benefits Voluntary Benefits

1. Visit www.chickasawbenefits.com

2. Select the “Enroll” tab or the “Campus Connect” tab

3. Follow the on-screen instructions OR

4. Contact Campus Benefits at 1.866.433.7661, opt 5

• Plan year is 10/1 - 9/30

• Annual open enrollment occurs August/ September

How to Enroll in your State Health Benefit Medical Plan

1. Visit www.chickasawbenefits.com

2. Select the “PEEHIP Enrollment” tab

3. Select “PEEHIP for New Employees” (Refer to the PEEHIP section of this guide for additional details) OR

4. Contact PEEHIP at 1.877.517.0020

• Plan year is 10/1 - 9/30

• Annual open enrollment occurs August/ September

BENEFITS PORTAL!

• Claim Forms

• Benefit Questions

• Qualified Life Events

CAMPUS BENEFITS ENROLLMENT

Website: www.chickasawbenefits.com

Company Identifier: COCBOE22

Visit: www.chickasawbenefits.com

Existing User Login

1. Enter your username

2. Enter your password

3. Click “LOGIN”

Select “Campus Connect” to log in

New User Registration

1. On Login page click on “Register as a new user” and enter information below

• First Name

• Last Name

• Company Identifier: COCBOE22

• PIN: Last 4 Digits of SSN

• Birthdate

2. Click “Next”

3. Username: Work email address or one you have provided to HR when you were hired

4. Password: Must be at least 6 characters and contain a symbol and a number

5. Click on “Register”

6. On the next page, it will show your selected Username. Click on “Login”

7. Enter Username and Password

8. Click “Start Benefits” to begin the enrollment

4. Click on the “Start Benefits” button and begin the enrollment process

Frequently Asked Questions

What is my username?

• Work email address OR

• Email address you provided to HR when hired OR

• Email address you used to previously change your username

What is my password?

To create or reset a forgotten password follow the steps on the login page using tips below.

• Password must be at least 6 characters

• It must contain a symbol and a number

• Using uppercase, numbers and symbols greatly improves security

Need Help? Start Here: mybenefits@campusbenefits.com 1.866.433.7661, opt 5

PREPARE FOR ENROLLMENT

Prepare for your New Hire Enrollment or Open Enrollment by asking yourself the following questions:

• How did my benefits work for me this year?

• Which plans will meet my needs?

• Do I have any health changes that need to be addressed?

• Do I have any family health history that I should be considering?

• Any family changes on the horizon?

• Are there any questions I have on what is offered or how to use the benefits offered?

Keeping P.A.C.E. with Your Benefits

• Participate

Attend a benefits meeting to learn about the benefits and resources available to you

• Assess

Carefully evaluate your options and determine what best fits the needs of you and your family

• Complete

Make your benefit elections for the upcoming plan year or as part of your new hire process

• Embrace

Fully embrace the process by documenting your choices, sharing key information with your family, and keeping your benefit details in a safe place for future reference.

SERVICE HUB/ SUPPORT CENTER

Campus Benefits is your dedicated advocate for all your voluntary benefits.

When to contact the Campus Benefits Service Hub

• Portability/Conversion

• Benefits Education

• Evidence of Insurability

• Qualified Life Event Changes

How to File a Claim

• Claims

• Card Requests

• Benefit Questions

1. Contact Campus Benefits via phone or email

2. Work with Campus Benefits’ claims specialist to complete the necessary paperwork

• Employee Portion

• Physician Portion

• Employer Portion

• COBRA Information The Campus Benefits team understands the claims process and leverages the necessary carrier relationships to expedite the paperwork efficiently, ensuring claims are not delayed due to improper paperwork completion.

3. Submit the necessary paperwork to Campus Benefits via the secure upload

• Secure upload located at www.chickasawbenefits.com/contact-campus

Frequently Asked Questions (FAQs):

Q: When must a qualifying life event change be made?

A: Please notify Campus Benefits within 30 days of the life event date. All PEEHIP life events must be made directly through the PEEHIP website.

Q: Am I required to contact Campus Benefits to file a claim?

A: No. However, in our experience the number one reason for claim denial or delay is due to incomplete or inaccurate paperwork. By working with Campus Benefits’ claim specialist, we can advocate on your behalf.

Q: How can I access the group dental card or vision card?

A: Your Campus Benefits group dental and vision plan information is available at: www.chickasawbenefits.com

EMPLOYEE ASSISTANCE PROGRAM

What is an EAP? A program offered to provide guidance with personal issues, planning for life events or simply managing daily life which can affect your work, health and family. Provided at no cost to eligible employees.

Eligibility: Eligible Chickasaw City Schools employees

• Coverage through One America and paid for by Chickasaw City Schools at no cost to employees

• Provides support, resources, and information for personal and work-life challenges

• CALL 1.855.387.9727 or visit www.guidanceresources.com, Web ID: ONEAMERICA3

Confidential Counseling

• Helps employees address stress, relationship and other personal issues for you and your family

• Sessions with highly trained master’s and doctoral level clinicians

• Receive 3 Sessions per issue per year (includes dependents) for:

• Stress anxiety and depression

• Relationship/marital conflicts

• Problems with children

Financial Information and Resources

• Job pressures

• Grief and loss

• Substance abuse

• Speak by phone with a Certified Public Accountant and Certified Financial Planners on a wide range of financial issues including:

• Getting out of debt

• Credit card or loan problems

• Tax questions

Work-Life Solutions

• Retirement planning

• Estate planning

• Saving for college

• Work-Life Specialists will do the research for you, providing qualified referrals and customized resources for:

• Child and elder care

• Moving and relocation

• Making major purchases

Guidance Resources Online

• College planning

• Pet care

• Home repair

• One stop for expert information on relationships, work, school, children, wellness, financial, and more

• Timely articles, HelpSheets, tutorials, streaming videos and self-assessments

• “Ask the Expert” personal responses to your questions

• Child care, elder care, attorney and financial planner searches

Free Online Will Preparation

• EstateGuidance lets you quickly and easily write a will on your computer

• Go to www.guidanceresources.com and click on EstateGuidance link

• Follow the prompts to create and download your will at no cost

• Name an executor to manage your estate

• Choose a guardian for your children

• Specify your wishes for your property

• Provide funeral and burial instructions

SHORT - TERM DISABILITY

What is Short-Term Disability Insurance? A type of coverage that replaces a portion of your income if injury or illness prevents you from working. It provides financial security for you and any loved ones who may depend on your ability to earn a paycheck. You may also hear disability insurance referred to as disability income insurance or income protection.

Eligibility: Eligible full-time employees working 20+ hours/week

• Coverage provided by One America

• Must be actively at work on the effective date

• No Health Questions - EVERY YEAR! (Pre-existing condition will apply for new participants)

• Employees can choose to start/stop their sick leave at the end of the elimination period. Must notify Human Resources at the beginning of leave.

• Pays in addition to sick leave (Above 100% of pre-disability earnings)

• Employee does not have to exhaust sick leave prior to receiving a benefit

Short Term Disability Quick Summary

Pre-existing condition 3/6

Any illness or injury for which you received treatment the 3 months prior to your effective date will not be covered for the first 6 months (Applies to new enrollees only)

Monthly Rate Calculation

Step 1

Step 2

Step 3

Step 4

Divide your annual salary by 52. This is your weekly salary.

Multiply weekly salary in Step 1 by 60%. If 60% of weekly salary exceeds $1,500, then enter $1,500. This is your maximum weekly benefit amount.

Divide weekly amount in Step 2 by $10

Multiply Step 3 by the rate factor listed below. This is your monthly premium.

*Enrollment system will calculate based on payroll information provided by employer

LONG - TERM DISABILITY

What is Long-Term Disability Insurance? A type of coverage that replaces a portion of your income if injury or illness prevents you from working. It provides financial security for you and any loved ones who may depend on your ability to earn a paycheck. You may also hear disability insurance referred to as disability income insurance or income protection.

Eligibility: Eligible full-time employees working 20+ hours/week

• Coverage provided by One America

• Must be actively at work on the effective date

• No Health Questions - EVERY YEAR! (Pre-existing condition will apply for new participants)

• Employees can choose to start/stop their sick leave at the end of the elimination period. Must notify Human Resources at the beginning of leave.

See important claims information on Service Hub Page.

Elimination Period (Calendar Days) Benefits begin on the 91st day of an injury or illness

Benefit Duration

Covers accidents and sicknesses up to Social Security Normal Age of Retirement (Please note exclusions or limitations may apply; see plan certificate for details)

Benefit Percentage (monthly) 60% of your gross monthly salary

Maximum Benefit Amount (monthly) $5,000 per month

Pre-existing condition 3/3/12

Any illness or injury for which you received treatment the 3 months prior to your effective date will not be covered for the first 12 months, unless you go treatment free for 3 consecutive months (Applies to new enrollees only)

Monthly Rate Calculation

Step 1

Step 2

Step 3

Divide your annual salary by 12. This is your monthly salary.

Divide monthly amount in Step 1 by $100

Multiply Step 2 by the rate factor listed below. This is your monthly premium.

*Enrollment system will calculate based on payroll information provided by employer

Long-Term Disability Rate Factors

Long-Term Disability Quick Summary

LIFE INSURANCE 101

TERM LIFE INSURANCE

Term Life insurance is illustrated on the bell curve below. The term life offered is a group policy which allows you to get more benefit for less premium.

• Term life insurance is for the unexpected death

• Includes an Accidental Death & Dismemberment Benefit

• Term life insurance is flexible and allows changes to your benefit amount each year depending on life changes. For example, as you get married and have children the need for term insurance often increases. As you near retirement, the need for term life insurance often decreases.

• Coverage is portable at retirement or if you leave the employer (premium will increase when ported)

• Premiums are based on age and increase as you get older

PERMANENT LIFE INSURANCE

• Permanent Life Insurance is illustrated above along the bottom of the graph with a straight blue arrow.

• Permanent life insurance offers a stable premium along the lifetime of the policy

• Permanent life offers a level premium and is meant to take into retirement

• Permanent life is an issue age policy and is based on the age when the policy is issued

• This is an individual plan you can take with you regardless of where you work

VOLUNTARY TERM LIFE & AD&D INSURANCE

What is Voluntary Term Life Insurance? A financial protection plan which provides a cash benefit to the beneficiary upon death of the insured. Proceeds can be used to replace lost potential income during working years and help ensure your family’s financial goals will be met; goals like paying off a mortgage, keeping a business running, and paying for college. AD&D coverage is included as part of life insurance benefits and will pay out a lump-sum death benefit if the insured dies accidentally or passes away later as the direct result of the accident. The dismemberment benefit provides an additional lump sum payment if an insured becomes dismembered in an accident.

Eligibility: Eligible full-time employees working 20+ hours/week, spouse and unmarried children* (up to age 26)

• Coverage provided by One America

• Must be actively at work on the effective date

• Guaranteed Issue amounts are available during the new hire open enrollment period

• If electing for the first time outside of the initial new hire enrollment period, health questions will be required

• Employee must elect coverage on yourself in order to cover spouse and/or children

• Attention: This benefit requires a beneficiary! Assign and update beneficiaries as necessary * Child marital status impacts benefit eligibility

Voluntary Term Life & Accidental Death and Dismemberment Quick Summary COVERAGE DETAILS

Employee

Spouse

Child(ren)

Up to $500,000 (not to exceed 5 times annual salary) (minimum amount of $10,000)

Up to $100,000 (not to exceed 50% of the employee amount) (minimum amount of $5,000)

$10,000 (Rate applies to all children)

Accidental Death and Dismemberment (AD&D) Matches Life Amounts

NEW HIRE - GUARANTEED ISSUE AMOUNTS

Employee

Spouse

Child(ren)

GUARANTEED INCREASE

IN BENEFIT

(at annual enrollment period)

Age Reduction

Additional Plan Features

$150,000

$50,000

$10,000

Additional Plan Features

If currently enrolled, employees can increase by $20,000 and spouse can increase by $10,000 up to Guaranteed Issue amount with no health questions.

50% at age 70 (Based on employee’s age)

Portability available prior to age 70 (Rates will increase when employment ends) Conversion Privilege Included Accelerated Life Benefit

Plan Rates

Cost of coverage is based on the level of benefit you choose and your age. Please consult with a Benefits Counselor or log into the enrollment system for rate details.

PERMANENT LIFE INSURANCE

What is Permanent Life Insurance? Coverage that provides lifelong protection, and the ability to maintain a level premium.

Eligibility: Eligible full-time employees working 20+ hours/week, spouse and children* (up to age 26)

• Coverage provided by Colonial Life

• Must be actively at work on the effective date

• If electing for the first time outside of the initial new hire enrollment period, health questions will be required

• Permanent Life offers the flexibility to meet a variety of personal needs while allowing employees the choice of benefit and premium amounts which fit their paycheck and life style

• Keep your coverage at the same cost even if you retire or change employers

* Child marital status does not impact benefit eligibility on a standalone policy

Child (0 - 17) Juvenile Policy

Child (18-26 if a full-time student) Adult Policy Grandchildren (0 - 17)

ADDITIONAL FEATURES

of coverage is based on the level of benefit you choose and your age. Please consult with a Benefits Counselor or log into the enrollment system for rate details.

VISION INSURANCE

Eligibility: Eligible full-time employees working 20+ hours/week, spouse and dependent children* (up to age 26)

• Coverage provided by MetLife

• Claims must be submitted within 90 days of service

• No waiting periods or late entrant penalties

• In-Network Provider Directory: www.mymetlifevision.com Network: Superior Vision

• The chart below is a sample of covered services. Please see Plan Certificate for a detailed listing of services in their entirety which can be found on your benefits website.

* Child marital status impacts benefit eligibility

Contact Lens Fit and Follow-Up

$25 Copay

Retinal Imaging Up to $39 Copay

Frames

Single/Lined Bifocal & Trifocal/Lenticular

What is Vision Insurance? A health and wellness plan designed to reduce your costs for routine preventive eye care including eye exams and prescription eyewear (eyeglasses and contact lenses). Monthly Vision Plan Rates

$150 allowance + 20% off balance (Additional discount not available at Costco, Walmart, Sam’s Club)

Lenses and Lens Options

$10 Copay

Standard Progressive Lens Up to $55

Ultraviolet Coating Up to $12

Polycarbonate (child up to age 18) Covered in Full

Tint (variable by type) Up to $18

Scratch-Resistant Coating Up to $15 - $30

Anti-Reflective Coating (variable by type) Up to $15 - $120

Elective Contacts

Contact Lenses

$150 allowance

Medically Necessary Contacts Covered in Full

Frequencies

Exams/Lenses or Contact Lenses/Frames Exam/Lens/Frames - Every 12 months based on date of service

2nd Pair Benefit

(Allowance must be submitted on two separate invoices)

Each covered person can get one of the options below: 2 pairs of prescription glasses OR 1 pair of prescription glasses and contact lens allowance OR Double contact lens allowance

Superior Vision

City of Chickasaw BOE 5397063

This card is not a guarantee of coverage or eligibility. Access specific plan information at metlife.com/mybenefits.

1.800.438.6388 metlife.com/mybenefits

*Click on id card for more information and printable version

DENTAL INSURANCE

What is Dental Insurance? A health and wellness plan designed to pay a portion of dental costs associated with preventive, basic, and some major dental care, as well as orthodontia.

Eligibility: Eligible full-time employees working 20+ hours/week, spouse and dependent children (up to age 26)

• Coverage provided by MetLife

• Claims must be submitted within 90 days of service

• Typically, utilizing an in-network provider will reduce out of pocket costs. On the low plan it is recommended to use an in-network MetLife provider. On the high plan, you can visit any provider.

• In-Network Provider Directory: www.metlife.com/insurance/dental-insurance (Network: PDP Plus)

• Orthodontics available for children (Up to age 19) (subject to takeover provision)

• No waiting periods

• 2 in 12 months (no separation period); All services are based on a calendar year, not the plan year

• The chart below is a sample of covered services. Please see plan certificate for a detailed listing of services in their entirety which can be found on your benefits website.

City of Chickasaw BOE PDP

PROVIDERS LIST

In-Network Dental Providers within a 30 mile radius

*You are highly encouraged to utilize an In-Network provider in order to maximize the benefits of your plan*

Current providers list as of 7.8.2025. Providers are subject to change. Refer to the In-Network Provider Directory for a full list of providers.

Provider Directory: www.metlife.com/insurance/dental-insurance (Network: PDP Plus)

<5 Mile radius

• JONATHAN SMITH

Address: 107 E LOVE JOY LOOP MOBILE, AL 36610

Phone Number: (972) 668-0520

• CARL HUMPHRIES

Address: 1097 INDUSTRIAL PKWY STE E SARALAND, AL 36571

Phone Number: (251) 675-3070

• JAMES LOWMAN

Address: 1097 INDUSTRIAL PKWY STE E SARALAND, AL 36571

Phone Number: (251) 675-3070

• ALLISON MAULDEN

Address: 1097 INDUSTRIAL PKWY STE E SARALAND, AL 36571

Phone Number: (251) 675-3070

• MITRA WAITE

Address: 1097 INDUSTRIAL PKWY STE E SARALAND, AL 36571

Phone Number: (251) 675-3070

• JOHN WEAVER

Address: 1097 INDUSTRIAL PKWY STE E SARALAND, AL 36571

Phone Number: (251) 675-3070

<10 Mile radius

• SHAUN KERN

Address: 1754 GOVERNMENT ST MOBILE, AL 36604

Phone Number: (251) 471-1516

• GARRETT GRANTHAM

Address: 3620 SPRINGHILL MEMORIAL DRIVE S MOBILE, AL 36608

Phone Number: (251) 344-7888

• KEVIN WHITE

Address: 2727 PLEASANT VALLEY RD MOBILE, AL 36606

Phone Number: (251) 470-1283

JOEL WELFORD

Address: 4732 AIRPORT BLVD MOBILE, AL 36608

Phone Number: (251) 342-5979

• DAVID ADAMS

Address: 821 S UNIVERSITY BLVD MOBILE, AL 36609

Phone Number: (251) 343-3214

<20 Mile radius

• DAVID BOGAN

Address: 2020 ROSEDALE RD MOBILE, AL 36605

Phone Number: (251) 478-1181

• TIMOTHY BYRD

Address: 5920 GRELOT RD STE B MOBILE, AL 36609

Phone Number: (251) 343-5974

• STEPHEN GREENLEAF

Address: 1105 HILLCREST RD MOBILE, AL 36695

Phone Number: (251) 634-3835

• CARRIE TOMBRELLO

Address: 1100 HILLCREST RD STE A MOBILE, AL 36695

Phone Number: (251) 776-6878

• SHAUN KERN

Address: 6593 SPANISH FORT BLVD SPANISH FORT, AL 36527

Phone Number: (251) 300-6100

<30 Mile radius

• KIMBERLY WINBORN

Address: 108 PROFESSIONAL PARK DR FAIRHOPE, AL 36532

Phone Number: (251) 928-0620

• JESSICA BREWER

Address: 2122 S HICKORY ST LOXLEY, AL 36551

Phone Number: (251) 964-2671

• FRITZ HARSHBERGER

Address: 20252 STATE HIGHWAY 181 STE A FAIRHOPE, AL 36532

Phone Number: (251) 210-1777

Disclaimer: The Benefits Guide is provided for illustrative purposes only and actual benefits and/or premiums may change after printing. Eligibility, benefits, limitations, services, premiums, claims processes and all other features & plan designs are offered and governed exclusively by the insurance provider or vendor contract and associated

CANCER INSURANCE

What is Cancer Insurance? Cancer insurance is a form of supplemental insurance meant to offset cancer related expenses.

Eligibility: Eligible full-time employees working 20+ hours/week, spouse and children* (up to age 26)

• Coverage provided by Colonial Life

• Attention New Hires: No health questions required if enrolling within your new hire enrollment period

• If electing outside of the initial new hire enrollment period, increasing from the low to high plan, or adding a dependent to a current plan, will require health questions

• Keep your coverage even if you retire or change employers

• The chart below is a sample of covered services. Please see Plan Certificate for a detailed listing of services in their entirety which can be found on your benefits website.

* Child marital status does not impact eligibility

Cost

(see Wellness Incentives page)

Plan Rates

&

CRITICAL ILLNESS

What is Critical Illness Insurance? Supplemental coverage that protects families from additional costs associated with unforeseen catastrophic illnesses. It does not coincide with health insurance – payments are made directly to you.

Eligibility: Eligible full-time employees working 20+ hours/week, spouse and dependent children* (up to age 26)

• Coverage provided by MetLife

• Attained Age - Rates increase as you age

• No health questions – Every Year! (No pre-existing condition limitation)

• No waiting period and no age reduction of benefits

• Keep your coverage even if you retire or change employers

• The chart below is a sample of covered services. Please see Plan Certificate for a detailed listing of services in their entirety which can be found on your benefits website.

* See plan certificate/policy document for dependent eligibility requirements

Critical Illness with Cancer Quick Summary

Employee (Guaranteed Issue)

Spouse & Dependent Children

(Guaranteed Issue; Rates based on employee age)

CONDITIONS

$15,000 or $30,000

50% of Employee Amount

of Ability to Speak, Hearing, or Sight

of 2 or more limbs

Childhood Disease Category (Cerebral Palsy, Cleft Lip or Cleft Palate, Cystic Fibrosis, Diabetes (Type 1), Down Syndrome, Sickle Cell Anemia, Spina Bifida) 100% of Child Benefit

Infectious Disease Category (Bacterial Cerebrospinal Meningitis, Diphtheria, Encephalitis, Legionnaire’s Disease, Malaria, Necrotizing Fasciitis, Osteomyelitis, Rabies, Tetanus, Tuberculosis)

Progressive Disease Category (ALS, Alzheimer’s Disease, Multiple Sclerosis, Muscular Dystrophy, Parkinson’s Disease (Advanced), Systemic Lupus Erythematosus (SLE))

WELLNESS INCENTIVE (see Wellness Incentives page) $50

Plan Rates

Cost of coverage is based on the level of benefit you choose and your age. Please consult with a Benefits Counselor or log into the enrollment system for rate details.

WELLNESS INCENTIVES GET REWARDED FOR PREVENTIVE CARE

What are Wellness Benefits? An annual reimbursement for covered members who complete one of the eligible screening procedures on your critical illness and cancer insurance plans.

Eligibility: Eligible full-time employees, spouse and dependents who are covered on the critical illness or cancer plans

How it works:

• If you or a covered dependent get one of the eligible screenings, you can file a wellness claim

• Once approved, you will receive a check for the wellness benefit amount

• The wellness benefit can be filed annually as long as your critical illness and cancer plans are in force

Includes:

• Annual physical exam

• Biopsies for cancer

• Blood test to determine total cholesterol/triglycerides

• Bone marrow testing

• Breast MRI, ultrasound, sonogram

• Cancer antigen 15-3 and 125 blood test for breast cancer (CA 15-3)/ovarian cancer (CA 125)

• Carcinoembryonic antigen blood test for colon cancer (CEA)

• Carotid doppler

• Chest x-rays

• Clinical testicular exam

• Colonoscopy; Digital rectal exam (DRE)

• Doppler screening for cancer

• Doppler screening for peripheral vascular disease

• Echocardiogram; Electrocardiogram (EKG)

• Endoscopy

• Fasting blood glucose/plasma test

• Flexible sigmoidoscopy

• Hemoccult stool specimen

• Hemoglobin A1C

• Human papillomavirus (HPV) vaccination

• Lipid panel

• Mammogram

• Oral cancer screening

• Pap smears or thin prep pap test

• Prostate-specific antigen (PSA) test

• Serum cholesterol test to determine LDL or HDL

• Serum protein electrophoresis

• Skin Exam; Skin cancer biopsy; screening

• Stress test on bicycle or treadmill

• Successful completion of smoking cessation program

• Tests for sexually transmitted infections (STIs)

• Thermography

• Two hour post-load plasma glucose test

• Ultrasounds for cancer detection

• Ultrasound screening of the abdominal aorta for abdominal aortic aneurysms

• Virtual colonoscopy

• Blood test for triglycerides

• Bone marrow testing

• Breast ultrasound

• CA 15-3 (blood test for breast cancer)

• CA 125 (blood test for ovarian cancer)

• Carotid Doppler

• CEA (blood test for colon cancer)

• Chest X-ray

• Colonoscopy

• Echocardiogram (ECHO)

• Electrocardiogram (EKG, ECG)

• Fasting blood glucose test

• Flexible sigmoidoscopy

• Hemoccult stool analysis

• Mammography

• Pap smear

• PSA (blood test for prostate cancer)

• Serum cholesterol test for HDL and LDL levels

• Serum protein electrophoresis (blood test for myeloma)

• Skin cancer biopsy

• Stress test on a bicycle or treadmill

• Thermography

• ThinPrep pap test

• Virtual colonoscopy

• Cancer Wellness includes an additional invasive diagnostic test or procedure benefit - Visit your employee benefits portal for additional information

How to submit a claim?

HOSPITAL INDEMNITY INSURANCE

What is Hospital Indemnity Insurance? Supplemental coverage that helps offset costs associated with hospital stays, whether for planned or unplanned reasons. Payments made directly to you and benefits do not offset with medical insurance.

Eligibility: Eligible full-time employees working 20+ hours/week, spouse and dependent children* (up to age 26)

• Coverage provided by MetLife

• No health questions – Every Year! (No pre-existing condition limitation)

• No waiting period and no age reduction of benefits

• Keep your coverage even if you retire or change employers

• See plan certificate/policy document for dependent eligibility requirements at www.chickasawbenefits.com

* Child marital status does not impact benefit eligibility

ACCIDENT INSURANCE

What is Accident Insurance? This coverage is designed to help offset medical and outof-pocket costs associated with unforeseen accidents. Payments made directly to you and benefits do not offset with medical insurance.

Eligibility: Eligible full-time employees working 20+ hours/week, spouse, and dependent children* (up to age 26)

• Coverage through MetLife (24 hour coverage - on and off the job coverage)

• No health questions – Every Year!!

• Keep your coverage even if you retire or change employers

• See plan certificate/policy document for dependent eligibility requirements at www.chickasawbenefits.com * Child marital status impacts benefit eligibility

INJURIES

SERVICES & TREATMENT

Hospital Coverage (Accident)

Accidental Death Common Carrier

LEGAL PLAN

What is a Legal Plan? A plan which provides valuable legal and financial educational resources for a variety of life events and needs.

Eligibility: Eligible full-time employees working 20+ hours/week, spouse and unmarried children (up to age 26)

• Coverage through MetLife

• Elder Care extends to parents and in-laws

• Visit www.legalplans.com/why-enroll or call 1.800.821.6400 for additional information

• Non-members & members create an account and select Employer for plan information (creating an account doesn’t enroll you in plans)

• High Plan: For non-covered matters that are not otherwise excluded, your plan provides four hours of network attorney time and services per year

• Plan Certificate available on your Employee Benefits Website at www.chickasawbenefits.com

Low Plan Quick Summary

• Identity Theft Defense

Money Matters

Home & Real Estate

Estate Planning

• Negotiations with Creditors

• Promissory Notes

• Debt Collection Defense

• Tax Collection Defense

• Deeds

• Mortgages

• Foreclosure

• Tenant Negotiations

• Eviction Defense

• Security Deposit Assistance

• Simple and Complex Wills

• Healthcare Proxies

• Living Wills

• Codicils

• Powers of Attorney (Healthcare, Financial, Childcare, Immigration)

• Guardianship

• Conservatorship

• Name Change

Family & Personal

Civil Lawsuits

• Review of ANY Personal Legal Document

• School Hearings

• Demand Letters

• Affidavits

• Personal Property Issues

• Garnishment Defense

• Domestic Violence Protection

• Disputes over Consumer Goods & Services

• Administrative Hearings

• Incompetency Defense

Consultation & Document review for issues related to your (or spouses) parents:

• Medicare

• Medicaid

Elder Care

Issues

Vehicle & Driving

Disclaimer:

• Prescription Plans

• Nursing Home Agreements

• Leases

• Promissory Notes

• Deeds

• Wills

• Power of Attorney

• Repossession

• Defense of Traffic Tickets

• Driving Privileges Restoration

• License Suspension due to DUI

High Plan Quick Summary

• Identity Theft Defense

• Negotiations with Creditors

• Promissory Notes

• Debt Collection Defense

• Tax Collection Defense

• Deeds

• Mortgages

• Foreclosure

• Tenant Negotiations

• Eviction Defense

• Security Deposit Assistance

• Simple and Complex Wills

• Healthcare Proxies

• Living Wills

• Codicils

• Powers of Attorney (Healthcare, Financial, Childcare, Immigration)

• Guardianship

• Conservatorship

• Name Change

• Review of ANY Personal Legal Document

• School Hearings

• Demand Letters

• Affidavits

• Personal Property Issues

• Garnishment Defense

• Domestic Violence Protection

• Disputes over Consumer Goods & Services

• Administrative Hearings

• Incompetency Defense

• Personal Bankruptcy

• LifeStages Identity Management

• Tax Audit Representation

• Financial Education Workshops

• Sale or Purchase (Primary or Vacation Home)

• Refinancing & Home Equity

• Property Tax Assessments

• Boundary & Title Disputes

• Zoning Applications

• Revocable & Irrevocable Trusts

• Juvenile Court Defense (Including Criminal Matters)

• Parental Responsibility Matters

• Review of Immigration Documents

• Prenuptial Agreement

• Adoption

• Civil Litigation Defense & Mediation

• Small Claims Assistance

• Pet Liabilities

Consultation & Document review for issues related to your (or spouse’s) parents:

• Medicare

• Medicaid

• Prescription Plans

• Nursing Home Agreements

• Leases

• Promissory Notes

• Deeds

• Wills

• Power of Attorney

• Repossession

• Defense of Traffic Tickets

• Driving Privileges Restoration

• License Suspension due to DUI

PUBLIC EDUCATION EMPLOYEES’ HEALTH INSURANCE PLAN

City of Chickasaw Schools offers eligible employees health insurance through the Alabama State Health Benefit Plan.

Eligibility: Please review the PEEHIP Decision Guide for plan eligibility rules

• Health insurance coverage through Blue Cross Blue Shield of Alabama (PPO), VIVA Health Plan (HMO) as well as Group Medicare Advantage Plans (PPO) through Humana

• Flexible Spending Accounts through Health Equity

• During the annual open enrollment, employees have the opportunity to review all available options and make elections for the upcoming plan year

Important Contact Information

PEEHIP

Phone: 877.517.0020

Email: peehipinfo@rsa-al.gov

Website: www.rsa-al.gov

Enroll in PEEHIP coverage online: www.mso.rsa-al.gov

Flexible Spending Accounts

Phone: 877.517.0020

Website: www.earn.healthequity.com/peehip/fsa

Hospital Medical Plans

Blue Cross Blue Shield of Alabama (PPO)

Phone: 800.327.3994

Website: www.alabamablue.com/peehip

VIVA Health Plan (HMO)

Phone: 800.294.7780

Website: www.vivahealth.com/peehip

Wellness Programs

Wellness Screening and Flu Shots

Alabama Department of Public Health (ADPH)

Website: www.alabamapublichealth.gov/ worksitewellness

Flu Shots: 844.842.2954

Tobacco Cessation Quitline: 800.QUIT.NOW

BCBS Health Coaching

Phone: 800.327.3994, option 3

Pack Health

Phone: 855.255.2362

Website: www.packhealth.com/peehip

Wondr Health (formerly Naturally Slim)

Website: www.wondrhealth.com/peehip

Visit Chickasaw City Schools Benefits Website for additional PEEHIP Information to include:

• The Active Member Decision Guide

• Additional Wellness Information

• Links to Hospital Health Medical Plans

• Information on Optional Coverage Plans (Cancer, Dental, Indemnity, and Vision)

• Pharmacy Programs

• Group Medicare Advantage (PPO) Plans

• Flexible Spending Account Links

www.chickasawbenefits.com/peehip-programs

PUBLIC EDUCATION EMPLOYEES’ HEALTH INSURANCE PLAN TELECONSULTATION

Eligible PEEHIP members enrolled in the PEEHIP Hospital Medical plan Group #14000,VIVA Health Plan, or UnitedHealthcare Group Medicare Advantage (PPO) Plan have access to teleconsultation benefits.

Important Contact Information

BCBS (PPO)

Phone: 855.477.4549

Website: www.teladoc.com/alabama

VIVA Health Plan (HMO)

Phone: 800.835.2638

Website: www.teladoc.com

UHC (PPO)

Phone: 877.298.2341

Website: www.retiree.uhc.com/peehip

Consider using telemedicine for non-emergency issues anywhere and anytime you need.

Availability Nationwide 24/7/365: phone, web and mobile app

Video/Telephonic

Needed for sign Up

Video and telephonic consults available

Video consults are available except for telephonic consults

Member ID card along with basic identifying information

Copay Medical: $0

Behavioral Health: N/A Medical: $25

Behavioral Health: $40 Medical: $0 Mental/Behavioral Health: $0

Apps

Doctor Types

Common Conditions Treated

Teladoc, Amwell, Doctors on Demand & MDLive available on App Store or Google Play

PCP, Pediatrician & Family Medicine

Cold, Flu, Allergies, Bronchitis, UTI, Respiratory Infection, Sinus and more

PCP, Pediatrician, Family Medicine & Behavioral Health

Cold, Flu, Allergies, Bronchitis, UTI, Respiratory Infection, Sinus, Behavioral Health and more

www.rsa-al.gov/peehip/teleconsultation

BCBS (PPO) VIVA Health (HMO)
UHC (PPO)

ADDITIONAL BENEFITS INFORMATION

Employer Contributions to Retirement Systems of Alabama:

• Tier 1 Employees 14.57% • Tier 2 Employees 13.61%

Employer Paid portion (allocation) toward PEEHIP:

• $800/month

RSA-1 Deferred Compensation Plan

• Offered in addition to the mandatory pension plan

• Visit: www.rsa-al.gov/rsa-1

NOTES

• Portability/Conversion

• Benefits Education

• Evidence of Insurability

Qualified

mybenefits@campusbenefits.com

The 2025-2026 Benefits Enrollment Guide is provided for illustrative purposes only. Actual benefits, services, premiums, claims processes and all other features and plan designs for coverage offered is governed exclusively by the insurance contract and associated Summary Plan Description (SPD). In case of discrepancies between this document and the insurance contract and SPD, the contract and SPD will prevail. We reserve the right to change, modify, revise, amend or terminate these plan offerings at any time. Updates, changes and notices are all located at www.chickasawbenefits.com. These should be reviewed fully prior to electing any benefits.

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City of Chickasaw Benefits Guide - 2025-2026 VIEW ONLY by campusleadership - Issuu