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Most King County offices will be closed on Thursday and Friday, Nov. 23-24, 2017, for the Thanksgiving holiday.  
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Open Enrollment is your opportunity to evaluate your benefit options and make changes for the upcoming year. This is an important year for King County employees, as you now have three different medical plans to choose from for next year: Kaiser Permanente's SmartCare Connect, KingCare Select, and KingCare. Watch the Open Enrollment Lunch & Learn presentation for an overview of your plan choices and other benefits-related changes.

Follow the steps below to prepare for Open Enrollment.

1

Review the three medical plan options


Your 2018 medical plan options

King County employees now have three different medical plans to choose from. New for 2018 is the option to join KingCare Select. Employees who choose KingCare Select will choose one of four network options. Note: At this time, the KingCare Select medical plan is not available to Deputy Sheriffs, Sheriff Captains, and TEA-Transit employees.

At-a-glance comparison by employee group

Select your employee group below:

Regular Employees

SmartCare Connect

Kaiser Permanente

Download cost comparison chart

Deductible: (Gold, Silver and Bronze) Single: $0 - Family: $0

Max out-of-pocket cost:

Gold:
Single: $1,000
Family: $2,000

Silver:
Single: $2,000
Family: $4,000

Bronze:
Single: $3,000
Family: $6,000

Provider choice: A primary care provider coordinates care through the plan network. You may self-refer to Kaiser of Washington specialists. No coverage for out-of-network care unless approved/referred.

Download a list of Kaiser locations

Out-of-area coverage: Covered care is available at out-of-area Kaiser Permanente facilities—call Member Services to set up access. If outside the Kaiser area, urgent and emergency care is covered at any provider.

Benefit Access Fee: $0

Other highlights
  • Lowest out-of-pocket costs (no deductible)
  • Broad network of Kaiser Permanente providers
  • Top scores for quality mean better health for members
  • Care is coordinated for ease and convenience

KingCare Select New!

Regence BlueShield

Download cost comparison chart

In-network deductible: Single: $200 - Family: $600
$200 will be waived in 2018

In-network max out-of-pocket cost:

Single:
$1,100

Family:
$2,400

Provider choice: You must choose one of four networks. A primary care doctor helps you coordinate your care within your network. Referrals are not required. You save the most by staying in-network, but you can go out-of-network for a higher cost.

Find doctors in each network:

Out-of-area coverage: When seeking care outside your network, covered services are reimbursed at the out-of-network benefit level, which is significantly lower. Emergency care is covered the same anywhere.

Benefit Access Fee: $0

Other highlights
  • Lower out-of-pocket costs than the traditional KingCare plan
  • Choice of four accountable health networks (AHNs) in the Puget Sound region (you choose one):
    • EvergreenHealth Partners – Overlake AHN
    • The Everett Clinic AHN
    • MultiCare Connected Care AHN
    • UW Medicine AHN
  • AHNs help coordinate your care

KingCare

Regence BlueShield

Download cost comparison chart

In-network deductible:

Gold:
Single: $300
Family: $900

Silver:
Single: $600
Family: $1,800

Bronze:
Single: $800
Family: $2,400

In-network max out-of-pocket cost:

Gold:
Single: $1,100
Family: $2,500

Silver:
Single: $1,600
Family: $3,800

Bronze:
Single: $2,000
Family: $4,800

Provider choice: You may choose any qualified provider, but your out-of-pocket costs are lowest when you use network providers.

Out-of-area coverage: Same coverage as when home, through Regence and CVS Caremark® national provider networks.

Benefit Access Fee: $100 per month

Other highlights
  • Highest out-of-pocket cost
  • Traditional, broad preferred provider organization (PPO) network of doctors and specialists across the U.S. and worldwide
  • You may need to coordinate more of your care

Transit Employees

SmartCare Connect

Kaiser Permanente

Download cost comparison chart

Deductible:
Single: $0 - Family: $0

Max out-of-pocket cost:

Single:
$1,000

Family:
$2,000

Provider choice: A primary care provider coordinates care through the plan network. You may self-refer to Kaiser of Washington specialists. No coverage for out-of-network care unless approved/referred.

Download a list of Kaiser locations

Out-of-area coverage: Covered care is available at out-of-area Kaiser Permanente facilities—call Member Services to set up access. If outside the Kaiser area, urgent and emergency care is covered at any provider.

Benefit Access Fee: $75

Other highlights
  • Lowest out-of-pocket costs (no deductible)
  • Broad network of Kaiser Permanente providers
  • Top scores for quality mean better health for members
  • Care is coordinated for ease and convenience

KingCare Select New!

Regence BlueShield

Download cost comparison chart

In-network deductible: Single: $250 - Family: $750
$125 will be waived in 2018

In-network max out-of-pocket cost:

Single:
$1,250

Family:
$2,750

Provider choice: You must choose one of four networks. A primary care doctor helps you coordinate your care within your network. Referrals are not required. You save the most by staying in-network, but you can go out-of-network for a higher cost.

Find doctors in each network:

Out-of-area coverage: When seeking care outside your AHN network, covered services are reimbursed at the out-of-network benefit level, which is significantly lower. Emergency care is covered the same anywhere.

Benefit Access Fee: $75

Other highlights
  • Lower out-of-pocket costs than the traditional KingCare plan
  • Choice of four accountable health networks (AHNs) in the Puget Sound region (you choose one):
    • EvergreenHealth Partners – Overlake AHN
    • The Everett Clinic AHN
    • MultiCare Connected Care AHN
    • UW Medicine AHN
  • AHNs help coordinate your care

KingCare

Regence BlueShield

Download cost comparison chart

In-network deductible:

Single:
$350

Family:
$1,050

In-network max out-of-pocket cost:

Single:
$1,350

Family:
$3,050

Provider choice: You may choose any qualified provider, but your out-of-pocket costs are lowest when you use network providers.

Out-of-area coverage: Same coverage as when home, through Regence and CVS Caremark® national provider networks.

Benefit Access Fee: $150 per month

Other highlights
  • Highest out-of-pocket cost
  • Traditional, broad preferred provider organization (PPO) network of doctors and specialists across the U.S. and worldwide
  • You may need to coordinate more of your care

Deputy Sheriff Employees

SmartCare Connect

Kaiser Permanente

Download cost comparison chart

Deductible: (Gold, Silver and Bronze) Single: $0 - Family: $0

Max out-of-pocket cost:

Gold:
Single: $1,000
Family: $2,000

Silver:
Single: $2,000
Family: $4,000

Bronze:
Single: $3,000
Family: $6,000

Provider choice: A primary care provider coordinates care through the plan network. You may self-refer to Kaiser of Washington specialists. No coverage for out-of-network care unless approved/referred.

Download a list of Kaiser locations

Out-of-area coverage: Covered care is available at out-of-area Kaiser Permanente facilities—call Member Services to set up access. If outside the Kaiser area, urgent and emergency care is covered at any provider.

Benefit Access Fee: $0

Other highlights
  • Lowest out-of-pocket costs (no deductible)
  • Broad network of Kaiser Permanente providers
  • Top scores for quality mean better health for members
  • Care is coordinated for ease and convenience

KingCare

Regence BlueShield

Download cost comparison chart

In-network deductible:

Gold:
Single: $100
Family: $300

Silver:
Single: $600
Family: $1,800

Bronze:
Single: $800
Family: $2,400

In-network max out-of-pocket cost:

Gold:
Single: $900
Family: $1,900

Silver:
Single: $1,600
Family: $3,800

Bronze:
Single: $2,000
Family: $4,800

Provider choice: You may choose any qualified provider, but your out-of-pocket costs are lowest when you use network providers.

Out-of-area coverage: Same coverage as when home, through Regence and CVS Caremark® national provider networks.

Benefit Access Fee: $75 per month

Other highlights
  • Highest out-of-pocket cost
  • Traditional, broad preferred provider organization (PPO) network of doctors and specialists across the U.S. and worldwide
  • You may need to coordinate more of your care
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2

Review your other Open Enrollment choices


Benefits changes for next year

Check over the 2018 Key Benefit Changes for your employee benefit group.

Other choices you can make during Open Enrollment

  • Select the appropriate Benefit Access Fee—or exemption—if covering a spouse or domestic partner on your medical plan next year. A Benefit Access Fee is automatically applied if you cover a spouse or domestic partner on your medical plan. If you qualify for an exemption, you must confirm this each year. For details, see the Benefit Access Fee flyer.
  • Enroll in a Health Care or Dependent Care Flexible Spending Account to reduce your taxable income. For details and enrollment instructions, go to the FSA Quick Reference Guide.
  • Change medical plans. Consider Kaiser Permanente's SmartCare Connect or the new third plan option—KingCare Select.
  • Add or discontinue dependent coverage.
  • Add, discontinue, increase, or decrease supplemental AD&D insurance.
  • Decrease or discontinue supplemental life insurance.
  • Discontinue supplemental long-term disability insurance.
  • Contribute to the Employee Giving Program during the Annual Giving Drive.

How to choose a medical plan

Now’s the time to look at your current plan and make sure you’re getting the best combination of care, coverage, and convenience for you and your family.


Have your health care needs or family situation changed in the last year? A different plan might give you easier ways to manage your health, or access to additional programs and tools to help you get and stay healthy. Take time before open enrollment begins to review your options and choose the plan that’s best for you.


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3

Get more information & go to PeopleSoft Nov. 1—15


Complete Open Enrollment in PeopleSoft

PeopleSoft Sign-on Instructions 

Go to Open Enrollment (Nov. 1 - 15 only)

For help with your password, go to Forgot My Password.

For other PeopleSoft help, call the IT Service Center: 206-263-4357

What if I don't participate in Open Enrollment?

The Benefit Access Fee associated with your medical plan and benefit group will be automatically be deducted if you cover your spouse or state-registered domestic partner.

You will not be enrolled in a Flexible Spending Account

You will remain enrolled in your current medical plan and benefits choices.

Summary Plan Descriptions

How to get help making a choice

Call 206-684-1556 9 a.m. – 4 p.m. weekdays

Closed on Veterans Day: Nov. 10

Visit Benefits, Payroll and Retirement Operations:

Chinook Building, 2nd Floor, Mailstop CNK-ES-0240
401 Fifth Avenue, Seattle, WA 98104

Closed on Veterans Day: Nov. 10

For recorded benefits information

Call: 1-800-347-8046
Option 1 – Open Enrollment overview
Option 2 – New medical plan option
Option 3 – Benefit Access Fee
Option 4 – $ave with Kaiser and Flexible Spending Accounts

Open Enrollment mailers

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