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Employee Benefits

Employee Benefits

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PFT NEW CONTRACT CHANGES

As you are aware, the Philadelphia Federation of Teachers (PFT) recently ratified a new Union contract on 6/19/2017. The new contract will be in effect through August 31, 2020. As a result, please note the following changes to the benefit plans effective 10/1/2017.

Forms will not be available or accepted until August 1 for the Special Open Enrollment period for PFT members. 

Special Enrollment Period

There will be Special Enrollment Period from August 1 to August 31 for all PFT represented employees. This will be your opportunity to change medical plans, add or remove a dependent(s), complete a spousal letter of attestation or change Wage Continuation elections. Changes will be effective October 1, 2017. Please continue to check the Benefits website and your District email for updates.

Plan Design Changes

The $20/$30/70% Personal Choice plan has been amended to reflect changes in specific copayments and out of network coinsurance. The new plan is the $25/$35/50% Personal Choice plan.

The In-Network copay changes are as follows:

·       All copays that were formerly $20 will now be increased by $5 to $25 including but not limited to Primary Care, Maternity and certain Therapy Services. Additionally, Specialist copays that were formerly $30 will be increased to $35 including but not limited to Outpatient X-Ray and Radiology Services, Durable Medical Equipment and Chiropractic Care.

·       The Emergency Room copay has been increased from $40 to $100. In keeping with the current plan administration, the emergency room copay will be waived if you are admitted to the hospital.

The Out-of-Network (OON) changes are as follows:

·       The OON deductibles formerly $500 Single /$1,000 Family will be increased to $2,000 Single/$6,000 Family.

·       The OON coinsurance has been reduced from 70% to 50%.

 

Please note if you are currently enrolled in the $20/$30/70% plan, you will be automatically enrolled in the $25/$35/50% plan and NO FURTHER ACTION IS REQUIRED ON YOUR PART. Should you choose to select the new Keystone plan as described below, please refer to the School District website and upcoming District emails for further instructions.  You will be required to submit a PFT Special Open Enrollment form. The deadline to select the Keystone Plan is August 31, 2017.

The Keystone 15 plan has been amended to reflect changes in specific copayments. The new plan is the Keystone 20 plan. 

·       All routine Primary Care Office Visits copays that were formerly $15 will now be increased by $5 to $20. Additionally, Referred Specialist copays, copays for home visits by your Primary Care Doctor, Non-Routine after hours visits and initial Maternity visits that were formerly $25 will be increased by $5 to $30.

·       All Mental Health and Substance Abuse related benefits that were formerly $25 will be increased by $5 to $30. 

·       The Emergency Room copay has been increased from $35 to $100. In keeping with the current plan administration, the emergency room copay will be waived if you are admitted to the hospital.

Please note if you are currently enrolled in the Keystone 15 plan, you will be automatically enrolled in the Keystone 20 plan and NO FURTHER ACTION IS REQUIRED ON YOUR PART.  If you are eligible and wish to  elect the new $25/$35/50% Personal Choice plan as described above, please refer to the School District website for more information You will be required to submit a PFT Special Open Enrollment form.  Applicable Personal Choice premiums will apply in addition to your 1.25% salary cost. The deadline to select the $25/$35/50% plan is August 31, 2017.

 

Member Payroll Contributions:

All employees will be required to contribute 1.25% of salary towards the cost of medical coverage.

All eligible employees enrolling in Personal Choice coverage after September 1, 2014, will have a 5% of Personal Choice premium payroll deduction in addition to 1.25% of salary. 

 

Current employees making payroll premium contributions for Personal Choice medical coverage will continue to make payroll contributions in addition to 1.25% of salary.

Please refer to the website for costs of the Personal Choice plans.

Spousal Surcharge

Effective 10/01/2017, employees covering a spouse or domestic partner will be subject to a $50 monthly  surcharge if their spouse/domestic partner is eligible for employer group coverage and continues to be enrolled in District medical coverage.  If they are not eligible for employer coverage or your spouse is a District employee, you must sign and submit an attestation to waive the surcharge by August 31, 2017.  This attestation is on the reverse side of the special enrollment application available on the Benefits website.

Wage Continuation

Wage Continuation’s benefit period is changing from 52 weeks to 26 weeks of coverage. Existing PFT employees will only be allowed to enroll or cancel coverage during the Special Election period in August 2017 or during the annual Open Enrollment period held May 1 to May 31.

 

If you have any questions, please contact benefits@philasd.org or 215-400-4630.




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Welcome

Welcome to the School District of Philadelphia's Employee Benefits department.

You can find useful information about your benefits package in the programs & services section. You can also find contact information and download forms to make changes or additions to your plan coverage.

As of January 4, 2016, the Office of Employee Benefits offers after-hours services by advanced appointment. If you are unable to visit our office during regular business hours, please contact benefits@philasd.org to schedule an appointment. We will do our best to accommodate you to ensure you are able to get the support you need.

Customer Service Walk-in Hours are:

  • Monday through Thursday: 9AM to 5PM.
  • Fridays and after hours: By advanced appointment only.

 

 

Quick Links to Popular Programs

 

 

 

 

 

 

 

 

 

 

Visit our Programs and Services page for more information and other plans

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UPDATES: Please check this section periodically for important announcements, deadlines, updates, and new programs.

7/10/2017

All PFT represented employees received the notice of change for medical plans, spousal surcharge and Wage Continuation coverage. 

The Special PFT Open Enrollment period will be held from August 1 to August 31 for an October 1 effective date. 

Forms will be made available on August 1. 

All forms can be submitted to benefits@philasd.org or faxed to 215-400-4631 or in person Monday through Thursday from 9-5 in Suite G-10 in the 440 N. Broad Street central office. 

 

5/2/2017

If you traveling and have Personal Choice medical coverage, learn about the Blue Card Program

 

05/01/2017

Open Enrollment begins May 1 and ends May 31. Check your District email and the Open Enrollment page for more details. 

 

 

1/27/2017

1095 forms were mailed to all employees by January 31. PLEASE note you do not need your 1095 to file your taxes. Pease refer to your tax preparer for specific IRS rules.

If you are represented by District 1201 32BJ, you will receive a second notice from your national listing your enrolled dependents.

Requests for corrections/adjustments must be submitted by email to us at 1095-CForms@philasd.org. Please allow 14 days for the form to be updated, audit and re-issued.

More information can be found here