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Employee and Retiree Benefit Information

Information & Forms for Current Employees and Retirees

Information and forms may also be obtained from the Human Resources Department. If you are seeking additional information that is not found here, please contact the Human Resources Department at 248-364-6803. You may also send us an e-mail.

Please note: Questions about retirement checks, retiree financial statements or other retirement related financial matters should be directed to the City's Finance/Treasurer's Department at 248-370-9420.

Employee Assistance Program

The City provides free, confidential counseling, assessment, and referral services to help employees deal with personal problems. Trained, certified employee assistance counselors are available 24 hours a day, 7 days a week. The Employee Assistance Program (EAP) is also available for family members who are eligible health insurance plan dependents.

Administrator: HelpNet

Contact Information: 800-969-6162

Website: www.helpneteap.com

Flexible Spending Accounts

Flexible Spending Accounts (FSA)

Administrator: isolved Benefit Services

Contact Information: 866-370-3040

Email Address: [email protected]

Website: www.isolvedbenefitservices.com

Medical FSA

The Medical Care FSA allows employees to set aside up to $3,000 on a pre-tax basis for eligible health care expenses. Prior to the beginning of each calendar year, employees estimate the amount of these expenses and agree to have that amount deducted from their annual salary on a bi-weekly basis. Employees avoid paying federal, state, and Social Security taxes on the total amount of their deferral. An employee may use a FSA debit card to pay for eligible expenses, or may submit receipts when expenses are incurred in order to be reimbursed from their account. The city offers the $660.00 carryover to the next Plan Year. A detailed description of the plan is available in the Human Resources Department.

Dependent Care FSA

The Dependent Care FSA allows employees to set aside up to $5,000 on a pre-tax basis for eligible dependent care expenses. Prior to the beginning of each calendar year, employees estimate the amount of these eligible expenses and agree to have this amount deducted from their annual salary on a bi-weekly basis. Employees avoid paying federal, state, and Social Security taxes on the total amount of their deferral. When expenses are incurred, employees submit a receipt and are reimbursed from their account. A detailed description of the plan is available in the Human Resources Department.

Name
Date Published
Files
Change in Family Status Election Form 02-27-2025

Medical Insurance Coverage

Administrator: Alliance Health and Life Insurance (HAP)

Contact Information: 888-999-4347

Website: www.hap.org

Summary of Benefits & Coverage (SBC) Information

Name
Date Published
Files
EPO - Group 1401, 2201 - Coverage Period: 01/01/2025 - 12/31/2025 01-01-2025
PPO - Groups 1700, 1701, 1901 - Coverage Period: 01/01/2025 - 12/31/2025 01-01-2025
EPO - Groups 1800, 1801, 2001 - Coverage Period: 01/01/2025 - 12/31/2025 01-01-2025

Prescription Drug Coverage

Administrator: Employee Health Insurance Management

Contact Information: 800-311-3446

Facsimile: 248-948-9904

Website: www.ehimrx.com

Email Address: [email protected]

Summary of Benefits & Coverage (SBC) Information

Name
Date Published
Files
Prescription Plan POLC (PO&PSO Retirees 2) $7/$15/$30 - Coverage Period: 1/1/2025-12/31/2025 01-01-2025
Prescription Plan POLC (PS & PSO Retirees) $5.00 - Coverage Period: 1/1/2025-12/31/2025 01-01-2025
Prescription Plan POLC (PO) - Coverage Period: 1/1/2025-12/31/2025 01-01-2025
Prescription Plan POLC Detective - Coverage Period: 1/1/2025 -12/31/2025 01-01-2025
Prescription Plan POLC Command - Coverage Period: 1/1/2025-12/31/2025 01-01-2025
Prescription Plan Non-Union Personnel PPO & EPO - Coverage Period: 1/1/2025-12/31/2025 01-01-2025
Prescription Plan IAFF - Coverage Period: 1/1/2025-12/31/2025 01-01-2025
Prescription Plan Council PPO & EPO - Coverage Period: 1/1/2025-12/31/2025 01-01-2025
Prescription Plan AFSCME - Coverage Period: 1/1/2025-12/31/2025 01-01-2025

Dental Coverage

Administrator: Delta Dental

Contact Information: 800-482-8915

Website: www.ddpmi.com

Summary of Dental Plan Benefits

Name
Date Published
Files
0008 Admin/Library 02-27-2025
0007 Command 02-27-2025
0006 Patrol 02-27-2025
0004 Detective 02-27-2025
0003 IAFF 02-27-2025
0001 AFSCME 02-27-2025

Vision Coverage

Administrator: EyeMed Vision Care

Contact Information: 866-800-5457

Website: www.eyemed.com

Name
Date Published
Files
Out of Network Vision Services Claim Form 02-27-2025
EyeMed Summary of Benefits 02-27-2025
EyeMed Vision Care Approved Doctor List 02-27-2025

Claim Submission Address

EyeMed Vision Care

PO Box 8504 Mason, OH 45040

Attn: OON Processing

Miscellaneous Forms