Health Insurance / Benefits

2023 Health Insurance

Effective January 1, 2023, is the City’s new Third-Party Administrator for health insurance will be UMR, a UnitedHealthcare company. Summary of Benefits and other documents will be posted here when available.

• Find a Provider (in or out of our network) Tool
• See the 1st Presentation about 2023 Insurance
• See the 2nd Presentation about 2023 Insurance
• 2023 Open Enrollment Presentation Slides (PDF)
• Preventative Medication List (100% Covered) (PDF)
• UMR Member Booklet (PDF)
• UMR HDHP Summary of Benefits and Coverage (PDF)
• UMR HDHP Summary of Benefits (PDF)
• UMR OptumRx Pharmacy Benefits Booklet (PDF)
• UMR On The Go Mobile App (PDF)

2022 Health Insurance

Third Party Administrator: Security Administrative Services

• 2022 Schedules and Summaries of Benefits and Coverage
• 2022 Annual Health Law Notice Disclosures (PDF)
• 2022 Prescription Drug Coverage and Medicare Notice (PDF)
• Deductible Illustration (PDF)
• Employee Welfare Benefit Plan (PDF)
• National Access Program Card
• Preventative Medication List for HDHP until 12/31/22 (PDF)

Security Health Plan Machine Readable File

Security Administrative Services is a third-party administrator of a self-funded health plan for City of Stevens Point. As part of compliance with the No Surprises Act Transparency in Coverage Final Rule, the machine-readable file containing our health plan's pricing information for covered items and services can be accessed at the URL below. Our company's file contains City of Stevens Point in the filename.

• Security Health Plan - Machine-Readable Pricing Information

Dental & Vision Insurance (Voluntary)

• Summary: Dental & Vision Insurance (PDF) 
• Dental Enrollment Guide (PDF)
• Dental CheckUp Plus (PDF)
• Vision Enrollment Guide (PDF)
• Enrollment/Change/Waiver Form for Dental/Vision (PDF)
• Website: Delta Dental of Wisconsin
• COVID-19 & Dental Office Visits (PDF)
  
  
• 2023 Delta Dental Enrollment Guide (PDF)
• 2023 Delta Dental Summary (PDF) 
• 2023 Delta Dental Smarter Dental Plans (PDF) 
• 2023 Delta Dental Smarter Dental Plans - CheckUp Plus (PDF)
• 2023 Delta Vision Enrollment Guide (PDF) 
• 2023 Delta Vison Summary (PDF)
  
  
• 2023 Dental & Vision Monthly Premiums (PDF)

Accident, Critical Illness, Hospitalization Insurance

• 2022 Accident Insurance Policy (PDF)
• 2022 Accident Insurance Summary (PDF)
• 2022 Critical Illness Insurance Policy (PDF)
• 2022 Critical Illness Insurance Summary (PDF)
• 2022 Hospitalization Insurance Policy (PDF)
• 2022 Hospitalization Insurance Summary (PDF)
  
  
• 2023 Metlife Insurance Plan Highlights (PDF)
• 2023 Accident Insurance Summary (PDF)
• 2023 Critical Illness Insurance Summary (PDF)
• 2023 Hospitalization Insurance Summary (PDF)

Health Savings Accounts

• HSA Info on the Nicolet Bank Website
• Nicolet Bank Online Banking Website
• Pre-Tax HSA Deposits Memo
• 2022 HSA Enrollment-Change Form (PDF)
• 2023 HSA Enrollment-Change Form (PDF)
• Examples of HSA Eligible Expenses (PDF)

Section 125 / Flex / Benefit Advantage

• FSA Claims Filing Options Brochure (PDF)
• Flexible Spending Account (FSA) Claim Form (PDF)
• Section 125 Flexible Benefit Plan Notice of Privacy Practices (PDF) 
• FSA Expense Worksheet (PDF)
• Over the Counter Product Guide (PDF)
• Debit Card Carryover Provision FAQs (PDF)
• Dependent Care FSA (PDF)
• Health Care FSA (PDF)
• Limited Purpose FSA (PDF)
• DBS Mobile App Infomation (PDF)

Other Resources

• 24 Hour Nurse Line (PDF)
• Care My Way from Marshfield Clinic (PDF)
• Contact Information (HSA, CVMIC, Insurance Claims, etc.)
• Deferred Compensation Programs (PDF)
• Group Life Insurance Booklet (PDF)
• Health Care Reform Act (Obamacare) Questions & Answers (PDF)
• Medicare, Individual Health Plans, & Financial Services Contacts (PDF)
• MedImpact Tool to Look Up Prescription Drug Prices

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Paper copies of many of the documents listed here are available from the Human Resources Department.