Salt Lake County offers two networks (IHC or non-IHC) for medical insurance and two types of plans (Traditional PPO or High Deductible).  The County also pays a significant portion of the premium for employees.  

2019 New Employee Benefit Guide

 

 

• PEHP Member Guide: How to Maximize your Benefits
• Find a Summit Provider
  Know Before You Go: Maximize your savings
• PEHP 2019 Traditional PPO Benefit Overview
• PEHP 2019 High Deductible Plan Benefit Overview
• High Deductible Summary of Benefit Coverage (SBC)
• Traditional PPO Summary Benefit Coverae (SBC)
• PEHP Preferred Drug  List (includes preventive prescriptions)
• PEHP Enhanced Rx Program and Enhanced Rx Form
  
  PEHP SBC Glossary

• SelectHealth Medical Providers
• High Deductible 
• Traditional PPO 
• SelectCare Plus PPO (For those residing outside Utah)
• 2019 MedPlus PPO Summary Plan Description
• 2019 MedPlus HDHP Summary Plan Description
• 2019 CarePlus PPO Summary Plan Description
• 2019 CarePlus HDHP Summary Plan Description
• High Deductible Summary of Benefit Coverage  (SBC) MedPlus
• Traditional PPO Summary of Benefit Coverage (SBC) MedPlus
• High Deductible Summary of Benefit Coverage (SBC) CarePlus*
• Traditional PPO Summary of Benefit Coverage (SBC) CarePlus*
• SelectHealth PHI form for Health Savings Account
• Preventive Prescription List
• Preventive Care Services
• SelectHealth mail order pharmacy
• SelectHealth mail order enrollment form
• SelectHealth Pregnancy Program
• Need an ID Card? Visit www.selecthhealth.org>Log in to "My Health">Insurance>Coverage > View
  
  *SelectCarePlus Network is exclusively for those living outside Utah

 Summary of Benefit Coverage (SBC)

2019 PEHP Summit Traditional PPO SBC

2019 PEHP Summit HDHP SBC

2019 SelectHealth MedPlus Traditional PPO SBC

2019 SelectHealth MedPlus HDHP SBC

2019 SelectHealth CarePlus Traditional PPO SBC

2019 SelectHealth CarePlus HDHP SBC

SBC Glossary

 Medicare D Notice

Cigna Dental will not send you a dental card in the mail. 

You can obtain your ID number by calling 800-244-6224, or your provider can do that for you when you schedule your appointment.  Salt Lake County group number is 3341161 

Cigna Dental PPO offers a national network and competitive discounts.  Get the highest annual benefit and the lowest out-of-pocket cost by using a Cigna PPO Advantage provider.

 Dental Benefits

Access your card online

Cigna Providers

Cigna Dental:  How to find a Network Dentist

Cigna DPPO Guide

Cigna Oral Health Benefits

Cigna Cyber Security

Alcohol and your Oral Health

Stress on your Oral Health

 

 

Salt Lake County offers a pro-rated cash contribution into your HSA along with free or reduced insurance premiums.   Within two payroll periods after enrollment, county contributes up to $600 for single coverage and up to $1,200 for family coverage.  In addition, you can earn up to an additional $225 Employee)/$550 (Employee +Spouse/Adult Designee) in contributions for participating in wellness activities such as a flu shot, your annual exam, and completing the Healthy Lifestyles PHA.  Remember, in order to receive the additional wellness incentives, you must be a HealthyLifestyles participant and consent to share your PHI (Protected Health Information).  

• Learn about the County's Health SavingsAccount
• Optum H S A Calculators
• Optum HSA User Guide
• HSA: A Smart Way to Save
• HSA Check-up
• HSA FAQ
• Decide if an HSA is right for you
• Optimize your HSA
• HSA example
• IRS Publication 969

 

Flexible Spending (FSA) allows you to pay for qualified medical, dental and vision expenses using pre-tax dollars. FSA plans come with precautions. You can elect up to $2,700 annually, and need to substantiate  your expenses with an EOB (Explanation of Benefits) and the "use-or-lose" provision.

A Dependent Daycare Spending Account (DCAP) is a great way to save tax dollars on daycare expenses for your qualified dependents. By using your DCAP you can elect pre-tax deductions of up to $5,000 annually per household.  

• Complete the Claim form and have your daycare provider sign it.  You only need to do this once per benefit year, so make sure to list the correct dates.
• Complete the Direct Deposit Form

Limited Purpose Flex Spending (LFSA) allows additional tax savings for those enrolled in the HSA. You can contribute up to $2,700 to this account.  The LFSA is restricted to dental and vision expenses only, and works best for those who know they have dental and/or vision cost in addition to their HSA contributions.

In many cases, ASI Flex will ask for documentation to substantiate a claim.  If you receive a request or notification that information is needed, please send appropriate documentation for the claim.  A claim form with an itemized receipt or an EOB from the provider which details the expense.  You can forward the documentation to:

•  asi@asiflex.com
• ASI Flex Claim Form

Flex Spending Plans are regulated by the IRS, and you should keep your documentation for every expense.

Group Term Life Insurance

Salt Lake County offers group term life insurance through PEHP.  To enroll, change beneficiaries or apply for additional coverage, please visit PEHP.org.

• PEHP Life Insurance Premium and Brochure
• PEHP Life Insurance Change Form
  
  

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  Short-Term Disability

  Salt Lake County offers Short-Term on a voluntary basis, where employees pay 100% of the premium.  For more information about enrollment, coverage, or how to file a claim, contact The Hartford at 800-549-6514 and reference Policy Number 402832

  • Enroll through "Self Service" through PeopleSoft
  • My Tomorrow
  • Cost Calculator
  • Short-Term Disability FAQ
  • How to file a Short-Term Disability claim
  • Short-Term Disability Rate Sheet
  • Short-Term Disability is available during open enrollment.  For newly hired employees, you may enroll without a waiting period for most claims within 31 days of your hire date.

Long-Term Disability is offered to County employees and 100% of premium is paid by Salt Lake County. For more information or to apply for the program, contact The Hartford at 800-549-6514.

• What is LTD?
• Application for Hartford LTD
• ERISA Disability Claims Procedures

Hartford offers other benefits too!

• Hartford Travel Assist
• Hartford Ability Assist
• Hartford Benefit Highlights
• Hartford Mobile App
  
  

Salt Lake County offers a competitive benefits package which includes a wellness program for employees and their spouse or adult designee.  Visit HealthyLifestyles for ways to earn cash throughout the year, an additional cash contribution to your Health Savings Account (HSA), and more information.

COBRA coverage is offered to employees who leave Salt Lake County because of voluntary resignation, retirement, or termination from the plan (due to divorce, age, or death of an employee). For more information about COBRA rates, coverage, or how to enroll, contact  ASI at 877-388-8331

Salt Lake County offers coverage to a non-spouse or adult designee.  An adult designee can be your significant other to whom you are not married or a family member with whom you share a relationship.  In order to qualify, you and your designee must meet certain criteria which includes neither of you being married to someone else, over age 18, and joint expenses .  Remember, the IRS taxes an "imputed value" to this benefit, which will include an additional cost to your paycheck.  For more information please email benefits@slco.org or call 385-468-0580.

Imputed income is the taxable amount an employee is pays when adding an adult designee or the children of an adult designee to coverage.

• Adult Designee Form 5500

If your most recent hire date is prior to December 31, 2012, you may be eligible for a county subsidy for the PEHP Medicare Supplement plan when you retire. 

The Benefits Team is unable to give you advice about Medicare eligibility or coverage, but here are several resources.

• Salt Lake County Aging Services
• Medicare and You
• Medicare.gov
• My Medicare
• PEHP Medical Supplement Program - 2019
• Medicare Part A and Part B when you turn age 65
  • Not sure about Medicare?  Contact 800-633-4227.  You may be automatically enrolled in Medicare if you are receiving Disability benefits through Social Security OR are receiving Social Security benefits.  If you're not sure, we advise you to contact Medicare at the number above or contact County Aging and Adult Services.