Table of Contents

Table of Contents

Section Contents Cover Page Table of Contents Contact Phone numbers and website Information

Section 1 New and Important Information What's New for 2020!

Important Information About 2020 Benefits 2020 Plan Information at a Glance Enrolling Eligible Dependents

Medicare Information for Active Employees "NEW "Flexible Spending Account (FSA) plans Family Status Change information WWaaiivveerrCCrreedditits (MAPS employee's increase)

NEW" Enrollment Process- How to Enroll

Visit Alex

Section 2 Premium Deductions Weekly Medical Premium Bi-Weekly Medical Premium 21-Pay Medical Premium Monthly Medical Premium Prescription Drug Premiums Dental Premiums Cobra Premiums for Active Employees

Section 3 Benefits Information Prescription Drug Co-Pay and Out of Pocket Max National Vision Administrators Schedule of Benefits United Concordia DHMO Benefits Information United Concordia DPPO Benefits Information MetLife Life Insurance Information

Section 4 Medical Plan Comparison BlueChoice Advantage High Option PPO HMO Plan Comparisons (Aetna Select Open Access, Kaiser)

Back Page

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Provider

BlueChoice Advantage PPO

Employee Contacts

Phone Numbers & Websites

Phone Number

Website

Insurance Companies

1-800-535-2292



Aetna HMO

Kaiser Permanente HMO CareFirst Caremark/CVS Silver Script Medicare D

Rx Plan National Vision Administrators (NVA)

MetLife TASC FSA

United Concordia Dental

1-800-900-7562 1-866-248-0715 1-800-241-3371 1-877-878-1678

1-800-672-7723

1-866-492-6983 1-800-422-4661 1-866-851-7568







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mybenefits



WageWorks COBRA

7E. Redwood Street, 20th FL

Baltimore, MD 21202

1-800-526-2750

Office of Employee Benefits

Phone: 410-396-5830 Fax: 410-396-5216

benedirect.

Wellness Program

Office of Employee Benefits (TTY)

Document Upload to Employee Benefits

Baltimore City Retirement System (ERS) Fire & Police Retirement

(FPR) Maryland State

Retirement (Pension Information) Retirement Savings Plan

(RSP)

410-396-3872 TTY 711 (Maryland)



410-396-5830

Retirement Agencies

1-877-273-7136

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1-888-410-1600



1-800-492-5909

sra.state.md.us/

443-984-2389



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Section 1

New and Important Information

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