For the 2025-2026 plan year, we are making benefit changes that benefit YOU!
We are making slight changes to our benefits for the 2025-2026 plan year. This is a PASSIVE enrollment if you are currently enrolled in one of the BCBSIL medical plans. All of your benefit elections will carry over from the previous year.
If you live in California and are currently enrolled in the Kaiser medical plan, this is an ACTIVE enrollment. You must re-elect all coverages to continue your benefits.
Also, if you have an HSA or FSA, you must actively reelect coverage to continue your benefits. We encourage you to review your current benefit plans and decide which plans are best for you and your family.
- Medical and Prescription Drug
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- The premium increase will be 5% for Plan 1, 10% for Plan 2, and 12% for Plan 3. The Kaiser Permanente premium increase will be 5.7%. All of these increases will be regardless of the coverage tier selected.
- The Kaiser Permanente individual deductible will be increasing from $750 to $1,500, the individual Out-of-Pocket Maximum will be increasing from $3,000 to $4,000, and many copays/coinsurances will be increasing. One example is the primary care office visit copay increasing from $35 to $40. See your Benefit Guide and plan documents for all the copay/coinsurance details and for more information about the new plan design.
- First Stop Health is available for all virtual health needs if you are enrolled in a BCBSIL medical plan.
- Per ACA guidelines, the Plan 1 individual deductible will be increasing from $3,200 to $3,300. The Plan 1 family deductible will be increasing to $6,600.
- There are no changes to your current prescription drug plans.
- Dental
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- There are no changes to your dental plan design for this plan year.
- There will be a 5% increase to your weekly and bi-weekly costs for those enrolled in the dental plan.
- Vision
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- There are no changes to your vision plan design or cost for this plan year.
- Spending Accounts
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- We partner with Inspira Financial for the Health Savings Account (HSA) and Flexible Spending Accounts (FSA).
- All FSA claims need to be submitted through Inspira Financial with the exception of medical plan copays (these will be substantiated automatically). All claims should be submitted through Inspira Financial at inspirafinancial.com.
- Life and Disability
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- There are no changes to the current cost structures for any of our Life or Disability plans
- This year, we are offering current and new enrollees the option to increase your Supplemental Life Insurance by $50,000 up to a total election of $300,000 without Evidence of Insurability (EOI); anyone previously declined coverage will be required to submit EOI.
- Voluntary Benefits
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- Regardless of waiving coverage in the past, you may enroll or increase your Critical Illness election up to $30,000 without submitting EOI.
- You may also enroll in Hospital Indemnity and Accident without submitting EOI.
- 401(k) Plan
- We will continue to offer our 401(k) plan through Fidelity
Additional Information
