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Open Enrollment is your opportunity to evaluate your benefit options and make changes for the upcoming year. Make informed decisions for you and your family—use the tools and resources below to learn about your benefit choices, including 2019 Key Benefit Changes, before going into Open Enrollment.

Follow the steps below to prepare for Open Enrollment.

1

Review your medical plan options


How to choose a medical plan

Now’s the time to look at your current medical 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 watch the video Choosing a Medical Plan and review your options. 

Most King County employees have three different medical plans to choose from:

KingCare Select was introduced last yearsee what your coworkers have to say about their experiences with it in the KingCare Select Employee Testimonial video. 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.

Medical plan changes for next year 

  • Gold for all: KingCare and SmartCare Silver and Bronze medical plans will be eliminated.
  • Male contraceptives: Added coverage for male condoms and sterilization.
  • Travel vaccines: Added coverage for: Japanese encephalitis, yellow fever, typhoid, and cholera.

At-a-glance medical plan comparison by employee group

To see how the key features of your medical plan choices match up side-by-side, select your employee benefit group below. For complete plan details, go to Benefits summaries.

Regular 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: $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

Regence BlueShield

Download cost comparison chart

In-network deductible:
Single: $200, Family: $600 $200 waived in 2019

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):
    • Eastside Health Network
    • The Everett Clinic
    • MultiCare Connected Care
    • UW Medicine
  • AHNs help coordinate your care

KingCare

Regence BlueShield

Download cost comparison chart

In-network deductible:
Single: $300, Family: $900

In-network max out-of-pocket cost:
Single: $1,100, Family: $2,500

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
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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

Regence BlueShield

Download cost comparison chart

In-network deductible:
Single: $250, Family: $750

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):
    • Eastside Health Network
    • The Everett Clinic
    • MultiCare Connected Care
    • UW Medicine
  • 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
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Deputy Sheriff 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: $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:
Single: $100, Family: $300

In-network max out-of-pocket cost:
Single: $900, Family: $1,900

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 benefit choices


New short-term disability plan

  • This optional employee-paid benefit is offered only to the Regular employee benefit group, only during Open Enrollment this year.
  • For details about this plan, go to Short-term disability
  • Short-term disability will work in tandem with long-term disability coverage provided by King Countynewly-enriched for the Regular employee benefit group.
  • Disability benefits offer you the peace of mind of knowing a portion of your income will be replaced if you cannot work due to a covered injury or illness. For more information, go to Life and Disability Insurance and see Frequently Asked Questions.
  • To estimate your costs, use the Life and Disability Rate Calculator.

Benefit Access Fee and exceptions

  • If you are covering a spouse or state-registered domestic partner on your medical plan next year, select the appropriate Benefit Access Fee—or exemption.
  • A monthly Benefit Access Fee may be automatically applied, depending on the plan you choose and your benefit group.
  • If you qualify for an exemption, you must confirm this each year during Open Enrollment.
  • Benefit Access Fees are now a pre-tax payroll deduction.
  • For details, see the Benefit Access Fee flyer.

Flexible Spending Accounts

  • Enroll in a Health Care or Dependent Day Care Flexible Spending Account (FSA) to reduce your taxable income.
  • The maximum annual Health Care FSA contribution increases to $2,650.
  • Use the Tax Savings Calculator to find out how much you can save with FSAs.

Other Open Enrollment options

  • Add or discontinue dependent coverage.
  • Add, discontinue, increase, or decrease supplemental AD&D insurance.
  • Decrease or discontinue supplemental life insurance.
  • Regular and Transit ATU 587 employee benefit groups only: Increase supplemental life by one level.
  • Regular and Transit ATU 587 employee benefit groups only: Vision plan allowance for frames and contacts increases to $200.
  • Contribute to the Employee Giving Program during the Annual Giving Drive. If you currently participate, you must resubmit your pledge every year.

See 2019 Key Benefit Changes for your employee benefit group.

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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.

Medical plan details

For more information about each medical, go to Benefits Summaries.

Open Enrollment support

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

Closed on Veterans Day: Nov. 12

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. 12

Recorded benefits information

Call: 800-347-8046
Option 1 – Regular employee benefit group
Option 2 – Transit ATU 587 employee benefit group
Option 3 – Deputy Sheriff employee benefit group

Open Enrollment mailers

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