Page 6 - 2022 Active Open Enrollment
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Some frequently asked questions                           You can do this as many times as you need to between October 4-
                                                                  28, 2021. It is important for you to complete all your changes before
        How do I...                                               midnight October 28. Please save your email confirmation
                                                                  statements until you receive the final confirmation letter that has
                                                                  been posted to your account once Open Enrollment closes.

        ... add or remove dependents?                             ... pay for my benefits?

        You can add or remove dependents during Open Enrollment without   You and SRNS/BSRA share the cost of your benefit coverage. The
        a qualifying life status change. Review your dependents carefully. If   amount deducted from your paycheck depends on the options and
        you missed an enrollment period earlier in the year, now is the time   coverage level you elect for each plan.
        to add them. You will need to provide documentation to support that   • Employee only
        the dependent meets the eligibility requirements of the plan (spouse,
        eligible dependent child under the age of 26, etc.).      • Employee + one
                                                                  • Employee + two or more
        To delete a dependent: Do not select them for coverage.   Terms you really should know

        To add a dependent: You must add any new dependent(s)
        through the SRNS Service Center before you can enroll them in the   What is a deductible?
        PeopleSoft eApplications Module online. During Open Enrollment,
        you can complete the OSR 5-377, but during the calendar year for a   The amount you owe for health care services or supplies before the
        life event you will complete the OSR 5-200.To do this, go to Forms   plan begins to share costs with you
        on InSite and use Form OSR 5-200 (Health Care Programs
        Enrollment/ Change Form). To complete the process, email the   What is coinsurance?
        signed OSR 5-200 and supporting documentation to service-
        center@srs.gov or mail it to: SRNS Service Center, Building 730-1B   The percentage you and the plan pay after reaching your deductible
        Savannah River Site, Aiken, SC 29808                      What is a copay?
        Outside of the Open Enrollment period,                    A fee you pay for services such as office visits and prescription drugs

        there must be a Qualifying Life Status Change             What is an out-of-pocket maximum?

        A few examples of qualified life status changes include:   The maximum amount you will have to pay out of pocket before the
        • Marriage or divorce                                     plan pays 100% of allowable costs for the remainder of the plan year
        • Birth, adoption or placement for adoption of a child
        • A dependent losing eligibility for coverage (child reaches maximum
        age, or spouse loses coverage or retires from his or her company)
        • Death of a spouse or dependent
        • You or your spouse become eligible or ineligible for Medicare or
        Medicaid Adding or deleting a dependent will require you to provide a
        copy of the official documents confirming your status change.
        Examples include birth and marriage certificates, divorce decrees or
        legal guardianship documentation. A list of the acceptable
        documentation can be found at
        https://srsgov.sharepoint.com/sites/HumanResources/Medical/accept
        able_dependet.pdf.
        If you experience a qualified life status change, contact the SRNS
        Service Center at (803) 725-7772, (800) 368-7333 service-
        center@srs.gov or email service-center@srs.gov within 60 days of
        the qualifying event to request your change.
        ... receive a confirmation statement?


        After you complete your enrollment, you will receive an immediate
        confirmation email to your SRS email account, so please be sure to
        look for it. Please review the confirmation email to ensure your
        selections are correct. If the email confirmation does not show the
        changes you intended, you can go back into the PeopleSoft self-
        service e-Applications make corrections and resubmit your changes.

        Page | 5                 Open Enrollment Benefits Guide for SRNS/BSRA Active Employees
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