Insurance Benefits 2023
The County of Summit offers a comprehensive benefit package to its eligible employees and their dependents. These benefit offerings include Medical, Prescription, Dental and Vision coverages, Life Insurance, Employee Assistance Program and Wellness programs and are administered by the Department of Human Resources, Division of Employee Benefits. To obtain information about continuing coverage through COBRA - contact Kym Komaschka, (330) 643-2621, kkomaschka@summitoh.net.
Insurance Premiums
- County of Summit (PDF, 222.5 K)
- Development Finance Authority (PDF, 227.6 K)
- NEFCO (PDF, 219.3 K)
- Summit and Medina Workforce Area Council of Governments (PDF, 219.7 K)
- Summit County Public Health (PDF, 230.3 K)
- Veteran Services (PDF, 222.6 K)
- Summit County Children Services (PDF, 168.4 K)
- Summit Area Regional Council of Governments (PDF, 161.6 K)
Self Enroll Today
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Medical Plans
Summit County offers four health plans that are designed to meet your individual needs. Visit the “My Health Plan” section of the Medical Mutual website to set up a personal secure password and search for provider, order a new ID card, check the status of your claims or print a claim form, reprint an Explanation of Benefits (EOB), view a member handbook or email customer service. Through this site you can also locate SuperMed PPO or MedFlex in-network providers and access your prescription information. Medical Mutual of Ohio Customer Service: 1 (800) 315-3137.
With My Care Compare, you can obtain cost estimates for multiple services from routine lab work and office visits to minor and major surgeries, compare costs at different locations for the same medical procedure and view quality ratings of doctors and hospitals.
Summaries of benefits and coverage below:
- 2023 Health Plan Comparison (PDF, 53.6 K)
- Medical Mutual - Make the Most of Your Membership (PDF, 9.4 M)
- Top 10 Reasons to Use First Stop Health (PDF, 374.9 K)
- MedFlex Network (PDF, 145.5 K)
- MedFlex Plan SBC (PDF, 123.2 K)
- MedFlex Plan - Benefit Summary (PDF, 98.5 K)
- Maximum Value HSA Plan - Benefit Summary (PDF, 100.5 K)
- HSA Maximum Value Plan SBC (PDF, 118.9 K)
- 2023 HSA Standard Preventive Medications (PDF, 557.8 K)
- HSA Preventive Immunizations (PDF, 86.5 K)
- Advantage Plan - Benefit Summary (PDF, 133.4 K)
- Advantage Plan SBC (PDF, 128.3 K)
- Minimum Value Plan - Benefit Summary (PDF, 101.8 K)
- Minimum Value Plan SBC (PDF, 118.7 K)
- Medical Mutual Claim Form (PDF, 629.4 K)
- Chronic Condition Management Program (PDF, 1.4 M)
- 2023 May COVID Benefit Coverage Update (PDF, 83.4 K)
Prescription Plans
Summit County's prescription provider is Express Scripts (administered by Medical Mutual of Ohio). Your ID card includes both medical and prescription plan information. Once you receive your ID card you can access your prescription information via the Medical Mutual website to locate an in-network pharmacy, review prescription history, view claims, price medications, refill mail orders, check mail order status and update mail order payment information. Express Scripts Customer Service: 1 (800) 417-1961.
- 2023 Advantage and MedFlex Prescription Summary (PDF, 41.5 K)
- Smart90 Pharmacy Directory (PDF, 129.1 K)
- Specialty Drug Solutions (PDF, 69.3 K)
- Preventive Care Benefits Prescription Drugs (PDF, 65.5 K)
- 2023 Prescription Preferred Formulary (PDF, 2.8 M)
- 2023 HSA Standard Preventive Medications (PDF, 557.8 K)
- HSA Preventive Immunizations (PDF, 86.5 K)
- 2023 Prescriptions Exclusions (Non Covered) (PDF, 64.5 K)
- Prescription Mail Order Form (PDF, 737.0 K)
- Direct Reimbursement Claim Form (PDF, 83.5 K)
Dental Plans
Summit County offers you and your eligible dependents a dental program that gives you the choice of two plan options. The PPO plan offers out-of-network benefits and the Value Plan includes increased in-network benefits. Both plans offer Rollover Options. Click on Guardian Dental to register and obtain additional plan information by calling customer service 1-888-600-1600. You will need the Guardian Dental Group ID 00543971 to register.
Guardian Dental-PPO PLAN: With the PPO Plan, you can visit any dentist; but you pay less out-of-pocket when you choose an in-network PPO dentist.
Guardian Dental-VALUE PLAN: With the Value Plan, you can visit any dentist; but you pay less out-of-pocket when you choose an in-network PPO dentist. Out-of-network benefits are limited to Guardian's fee schedule and subject to balance billing.
ID and Online Access
- Guardian Dental Comparison (PDF, 116.8 K)
- Guardian Dental Plan Summary (PDF, 662.3 K)
- Guardian PPO Plan Certificate Book (PDF, 236.5 K)
- Guardian Value Plan Certificate Book (PDF, 246.4 K)
- Guardian ID Card Provider Search (PDF, 102.1 K)
- ADA Dental Claim Form (PDF, 459.6 K)
- Guardian College Tuition Program (PDF, 644.0 K)
Vision Plan
Summit County provides you and your eligible dependents a Vision Care Program through Davis Vision. Click on Davis Vision or call 1-800-999-5431 to access network providers.
- Davis Vision Summary (PDF, 655.4 K)
- Davis ID Card (PDF, 575.7 K)
- Davis Mobile App (PDF, 2.4 M)
- Exclusive Collection True Value (PDF, 560.4 K)
- Glasses.com Online Retail (PDF, 198.7 K)
- 1 800 Contacts Online Retailer (PDF, 239.3 K)
- Davis Vision Lasik Services (PDF, 514.1 K)
- Davis Vision Out of Network Claim Form (PDF, 53.0 K)
- Hearing Health Care Plan (PDF, 810.0 K)
- Hearing Aid Discount (PDF, 827.7 K)
- Warranty Policy Versant Health (PDF, 71.9 K)
Life Insurance
The County of Summit provides Life Insurance and Accidental Death and Dismemberment coverage for full time employees. Additional Voluntary Life and AD&D may be purchased in amounts from $10,000 to $300,000 in increments of $10,000 at the employees own expense through payroll deductions.
You can update your beneficiary during open enrollment, or anytime during the year using the beneficiary forms posted below. Completed forms should be submitted to Kym Komaschka, Employee Benefits in the Russell M. Pry Building, Suite 378 or email kkomaschka@summitoh.net.
- Guardian Voluntary Life Summary (PDF, 1.5 M)
- Guardian Voluntary AD&D Summary (PDF, 80.3 K)
- Guardian Voluntary Life & AD&D Application (PDF, 94.7 K)
- Guardian Basic Life Beneficiary Form (PDF, 20.0 K)
- Guardian Life Evidence of Insurability Form (PDF, 377.1 K)
- Guardian Voluntary Beneficiary Form (PDF, 20.0 K)
- Travel Aid (PDF, 128.2 K)
- Will Prep Information (PDF, 556.8 K)
Flexible Spending and Health Reimbursement (Wellness Rewards) Accounts
Summit County offers employees a Flexible Spending Account (FSA) program. These accounts set aside funds, on a pre-tax basis, through payroll deduction, to pay eligible out-of-pocket medical, dental, and dependent care costs. Participating employees are issued a debit card to make payments for eligible items or employees can file paper claims.
The Flexible Spending Account program is administered by TASC. If you have questions or concerns about your account, please contact TASC at (800) 422-4661 or www.tasconline.com.
- TASC FSA Participant Benefits (PDF, 1.6 M)
- TASC Universal Benefit Account Access (PDF, 1.3 M)
- TASC FSA Eligible Expenses (PDF, 494.7 K)
- TASC Dependent Care FSA Qualifications (PDF, 522.4 K)
- TASC Mobile App Guide (PDF, 660.6 K)
- MyCash Account (PDF, 907.1 K)
- TASC Card Transaction Dispute Form (PDF, 347.7 K)
- TASC Prescription Order Form (PDF, 229.1 K)
- 2023 TASC Summary Plan Description HSA, FSA & HRA (PDF, 1.1 M)
Health Savings Account
The County’s Maximum Value Plan also offers a Health Savings Account (HSA). An HSA is a personal savings account you can use to pay for qualified out-of-pocket medical expenses with pretax dollars. Both you (through pretax funds from your paycheck) and the county (through Virgin Pulse wellness dollars) can make contributions to your account, but you own and control the account.
Contributions are not taxed, and you can invest the balance in a variety of options. Your account (including interest and investment earnings) grows tax-free and if the funds are used to pay for qualified medical expenses, they are spent tax-free.
You can use the money in your HSA to pay for qualified medical expenses now or in the future. Your HSA can be used for your expenses and those of your spouse and dependents even if they are not covered on the HDHP.
You are eligible to open and fund an HSA if you:
- Are enrolled in an HSA-Eligible HDHP
- Are not covered by other non-high deductible health plans, such as your spouse’s health plan, Health Care Flexible Spending Account, or Health Reimbursement Account
- Are not eligible to be claimed as a dependent on someone else’s tax return
- Are not enrolled in Medicare
- Have not received Veterans Administration benefits
Employee HSA Enrollment Link: www.tasconline.com
If you have questions or concerns about your account, please contact TASC at (800) 422-4661 or www.tasconline.com.
- TASC Universal Benefit Account Access (PDF, 1.3 M)
- TASC Mobile App Guide (PDF, 660.6 K)
- MyCash Account (PDF, 907.1 K)
- TASC HSA Participant Benefits (PDF, 1.2 M)
- Participant Request Reimbursement (PDF, 163.2 K)
- TASC Card Transaction Dispute Form (PDF, 347.7 K)
- TASC Direct Deposit Authorization (PDF, 194.7 K)
- TASC HSA Distribution Request Form (PDF, 270.1 K)
- TASC HSA Transfer Form Accountholder (PDF, 233.0 K)
- TASC Prescription Order Form (PDF, 229.1 K)
- 2023 TASC Summary Plan Description HSA, FSA & HRA (PDF, 1.1 M)
Plan Description Certificates
Medical and Prescription Plans
- County of Summit Medical/Prescription Summary - Advantage Plan
- County of Summit Medical/Prescription Summary - MedFlex Plan
- County of Summit Medical/Prescription Summary - Maximum Value/HSA Plan
- County of Summit Medical/Prescription Summary - Minimum Value Plan
- Summit County Children Services Board & Summit County Public Health - Medical/Prescription Summary - Advantage Plan
- Summit County Children Services Board & Summit County Public Health - Medical/Prescription Summary - MedFlex Plan
- Summit County Children Services Board & Summit County Public Health - Medical/Prescription Summary - Maximum Value/HSA Plan
- Summit County Children Services Board & Summit County Public Health - Medical/Prescription - Minimum Value Plan
Dental Plan
- Dental Certificate PPO
- Dental Certificate Value Plan
Vision Plan Certificate
Life Insurance Certificates
The County of Summit provides Life Insurance and Accidental Death and Dismemberment coverage for certain full-time employees. If you would like a copy of this policy, please email you request to kkomaschka@summitoh.net.
Amendments/Notices
© 2023 County of Summit Executive Shapiro, Div. of Employee Benefits.
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