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About Enrollment

Annual Enrollment Dates for 2018

  • Oct. 1-12 for State and Higher Education
  • Oct. 1-26 for Local Education, Local Government and Retirees

This is your chance to choose or make benefit changes that will be effective Jan. 1, 2019. Networks and benefits may change and impact you. Even if you don’t make changes during Annual Enrollment, it’s good to review your enrollment each year. You can enroll or make changes online in Edison ESS.

Attention retirees: Visit the For Retirement Annual Enrollment page customized just for you.

Important for 2019

  • Health premiums are changing for active employees:
    • State and higher education will decrease 9.4%
    • Local education will increase 2.5%
    • Local government will increase 2.0%
  • Health options and network options are not changing.
  • Copays, coinsurance and deductibles are staying the same for all health plans, except for the Limited PPO (local education and local government only) and the deductibles and out-of-pocket maximum will increase.
    • With the Limited PPO, there will no longer be a $100 pharmacy deductible.
  • Voluntary products premiums:
    • MetLife DPPO dental plan will increase 2%.
    • Cigna DHMO (prepaid) dental plan will stay the same.
    • Davis Vision plans will stay the same.
    • MetLife disability plans (state and higher education only) will stay the same.
    • Basic term life, basic accidental death & dismemberment (AD&D) and voluntary AD&D insurance (state and higher education only) will decrease.

Benefit Improvements

  • Physical therapy benefit: PPO members no longer have to meet their deductible first for physical therapy, occupational therapy and speech therapy that is in-network and outpatient. They will only have to pay coinsurance. CDHP/HSA members must meet the deductible first and pay coinsurance.
  • Cardiac rehab benefit: PPO members will not pay any costs for in-network, outpatient cardiac rehab. CDHP/HSA members must meet the deductible first before the coinsurance is waived.
  • Bone anchored hearing devices: Will be covered when deemed medically necessary (subject to plan benefits).
  • Certain medications used to treat opioid dependency: Members won’t have to pay for some of these medications. Find more information on the Pharmacy page.
  • Members can work with their pharmacists to coordinate refills for maintenance medications so that multiple medications are filled on the same day. For PPO members, the medications being filled to get you “synced” will have pro-rated copays. This applies to statins for high cholesterol, high blood pressure, coronary artery disease, congestive heart failure, diabetes, depression and asthma/COPD medications.

Want to Learn More?

  • You’ll find Annual Enrollment newsletters and more on the Enrollment Materials page.
  • On the Videos page, you can learn more about PPOs, CDHP/HSAs, dental, vision, disability and FSAs. 
  • You can ask our help desk a Question?
  • Click the green Help? button at the bottom of the page to chat with an agent.
  • You can also attend a webinar:

State and higher education (all Central time)

Monday, Oct. 1, 10-11 a.m.

Wednesday, Oct. 3, 1-2 p.m.

Monday, Oct. 8, 9-10 a.m.

Local education and Local government (all Central time)

Thursday, Oct. 4, 1-2 p.m.

Wednesday, Oct. 10, 3:30-4:30 p.m.

 Thursday, Oct. 18, 10-11 a.m.

Wednesday, Oct. 24, 3:30-4:30 p.m.

Click here for instructions on how to join.

If Eligible, During Annual Enrollment you can:

  • Choose your health insurance option
  • Choose or change your health insurance carrier and network
  • Enroll in or cancel health insurance for yourself or your eligible dependents
  • Enroll in, cancel or transfer between dental options (if offered by your agency)
  • Enroll in, cancel or transfer between vision options (if offered by your agency)
  • Enroll in or cancel voluntary accidental death and dismemberment (AD&D) coverage (state plan only)
  • Apply for, cancel, increase or decrease voluntary term life coverage amounts (state plan only)
  • Enroll in Short Term and/or Long Term Disability Insurance (state employees only)
  • Enroll in Short Term Disability Insurance (higher education employees only)
  • Enroll in flexible benefits (state and higher education employees only)

Enroll or Make Changes in Edison

You will use Employee Self Service (ESS) in Edison to add/make changes to benefits. When using Edison ESS, Internet Explorer 11 is the preferred browser. You may not be able to enroll if you use another browser, a mobile device or a tablet.

  • Click here for ESS instructions. 
  • Videos will help you:
    • Retrieve your Edison ID
    • Log in to Edison for the first time
    • Reset your Edison password
    • Select/enroll in benefits in Edison

Enrolling new Dependents?

We need documents to prove their relationship to you. A list of required documents is found on the Enrollment Materials page.

  • You can upload your documents in Edison or fax to 615.741.8196.
  • The dependent documents deadline is your same Annual Enrollment deadline.

Caremark ID Sample

ID Cards

  • Employees new to coverage and employees who change or transfer plans will receive new ID cards. Current members who don’t make plan changes will use their same ID cards.
  • For 2019, Limited PPO members will receive new pharmacy cards due to the change in the pharmacy deductible.
  • Because there are no changes to dental and vision coverage, current members who continue their coverage can use the same ID cards.
  • CDHP/HSA, medical FSA and limited purpose FSA (L-FSA) members who continue coverage will use the same debit card. If you are a new CDHP/HSA, medical FSA or limited purpose FSA enrollee, you will receive a new debit card from PayFlex.
  • Members can always request additional cards by contacting their carrier network or vendor(s).