Affordable Care Act

This document summarizes key features of the ACA that may affect you as a clergy person or lay employee of The United Methodist Church (UMC).

Local churches and other salary-paying units (SPUs) in The United Methodist Church (UMC), as employers, need to understand an important employee notice requirement (Notice) this year under the Patient Protection and Affordable Care Act (ACA), the national health care reform law. This summary is intended to help local churches and SPUs understand their responsibilities with respect to this Notice requirement.

Link to the General Board of Pension and Health to read the most up to date communication regarding the ACA: http://www.gbophb.org/center-for-health/health-care-reform/

Employers must have provided this Notice to all current employees before October 1, 2013 (regardless of whether you offer a health plan to your employees or not). This date was also the first day of open enrollment for the Health Insurance Marketplaces, also called “Exchanges” (for coverage to begin January 1, 2014). For employees hired between October 1, 2013, and December 31, 2013, the Notice must be provided on the employee start date. For employees hired on or after January 1, 2014, the Notice must be provided within 14 days of hire.

Please review the documents below:


oneexchange - formerly Extend Health

Effective 2/18/14, Extend Health will now be known as OneExchange (PDF)

OneExchange Newsletter-Spring 2014 Issue

OneExchange Website

Important Information for Retirees Regarding OneExchange:

  • No HealthFlex premium payments or deductions from pension checks
  • Conference will provide a monthly stipend (HRA) to retirees which will be deposited in a tax advantaged (tax free) Health Reimbursement Account to be used for medical related expenses such as premiums, co-pays and deductibles. (Any money not used in one calendar year automatically rolls over for future year use). You must work through OneExchange for your supplemental to receive the HRA.
  • The Conference Board of Pension & Health will review the monthly stipend (HRA) every 2 years. The current amounts are as follows:

$1,800/year - Retired eligible participants with 20 or more years of Pre-82 service.
$1,200/year - Retired eligible participants with less than 20 years of Pre-82 service.

  • With the assistance and support of Licensed Benefit Advisors at OneExchange, retirees can purchase a health plan most suited to their individual needs and, in general, at a lower cost.
  • Your Board has established a “safety net” fund to assist with unanticipated “outlier” medical costs incurred by retirees.

OneExchange Brochure

OneExchange HRA (PDF)

Virgin HealthMiles for OneExchange Participants (PDF)

OneExchange FAQs

2013 Annual Conference Petitions - See AC09 (PDF)

Benefits

Health Premium Rates

Wellness Programs/Guidelines

The PDF versions, as well as JPG versions of the documents below are available on the General Board’s extranet: https://extranet.gbophb.org under “HealthFlex Tools & Resources.” If you cannot find your personal username and password, you can use the generic username: extranet and password: gbop!123

Medical and Pharmacy -- Active -- United Health Care(UHC)

Medical and Pharmacy--Retirees

Retirees and/or their enrolled spouses of Medicare age will enroll through Extend Health. Retirees and/or their enrolled spouses not of Medicare age will continue to be covered under the active plan until they reach Medicare age.

Dental--Active and Retiree

United Behavioral Health (UBH)

 

Other Important Information

Reimbursements

 

Electronic Funds Transfer/Online payments

PROSPER

The Conference Office is no longer processing EFT payments. You now have the option to make Online Payments through the Prosper website. The direct link to Prosper is http://rmc.umconline.org/. If you do not have your Prosper Username and/or Password, please contact Cheri Griggs ( This e-mail address is being protected from spambots. You need JavaScript enabled to view it , 303-325-7049).



Some Abbreviations:
  • EPO = Exclusive Provider Organization
  • HMO = Health Maintenance Organization
  • MRA = Medical Reimbursement Account
  • OOA = Out of Area
  • PCP = Primary Care Physician
  • PPO = Preferred Provider Organization
  • UBH = United Behavioral Health
  • UHC = United Health Care
  • VSP = Vision Service Plan
  • EAP = Employee Assistance Program

If a form that you need is not here, please contact Jana Collins at 303-325-7050.


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Helpful Links

General Board of Pension and Health

United Healthcare

United Behavioral Health

Express Scripts Pharmacy


Cigna Dental