October 9, 2023 to October 27, 2023. Changes made during Open Enrollment will be effective January 1, 2024.

Active Members:

• Blue Shield PPO HDHP
• Blue Shield HMO
• MetLife Dental PPO
• MetLife Vision (included with the medical plans)
• Health Equity Health Savings Account (available with the PPO HDHP Plan only)
• Body Scan (included with the medical plans)

Retiree Members Under 65:

• Blue Shield PPO HDHP
• MetLife Dental PPO
• MetLife Vision (included with the medical plans)
• Body Scan (included with the medical plans)

Retiree Members over 65 (enrolled in Medicare A & B. Paper enrollment only):

• UHC Medical - Medicare Advantage Plan
• MetLife Dental PPO
• MetLife Vision (included with the medical plans)
• Body Scan (included with the medical plans)

Retiree Members over 65 (not eligible for Medicare. Paper enrollment only):

• Blue Shield PPO HDHP
• MetLife Dental PPO
• MetLife Vision (included with the medical plans)
• Body Scan (included with the medical plans)

Below is a summary. You may access complete details by visiting the SBCFA Resources Page

Blue Shield PPO HDHP Plan (Active & Retiree under 65)

• Deductible: $3,200 single/$3,200 individual on a family plan to $6,000 for Family
• Can enroll in a tax-advantaged Health Savings Account (HSA)
• 20% coinsurance for in-network services, after deductible is met
• Rx copays:
  • $10 Generic Formulary
  • $30 Brand-Name Formulary
  • $50 Non-Formulary

Blue Shield HMO Plan (Active Only)

• No deductible
• Annual Out-of-Pocket Max $2,000 single / $4,000 family
• $20 primary office visit copay
• $0 x-ray and lab copay
• $250 copay/ per admission Inpatient Facility Services
• $200 copay/per admission Outpatient Surgery Services
• Rx copays:
  • $15 Generic Formulary
  • $30 Brand-Name Formulary
  • $45 Non-Formulary

UHC Medicare Advantage Medical Plan (Required for Retirees over 65 with Medicare)

• No deductible
• $0 primary office visit copay
• $0 x-ray and lab copay
• Nurseline – Speak to a registered nurse (RN) 24 hours a day, 7 days a week
• Virtual Doctor Visits - See and speak to specific doctors using your computer or mobile device.
• Find participating doctors online at www.UHCRetiree.com.
• For more information, please see resources page SBCFF 2021 UHC MA Plan Guide Summary.

Local 2046 provides you with an online open enrollment system for Active and Retired (under 65) employees. For Retirees over 65, you must enroll by filling out an enrollment form found on the resource page. SBCFF 2024 UHC MA Enrollment form.

Please note, for Retirees over 65 with Medicare, who want to add a dependent over 65 with Medicare, a separate UHC Medicare Advantage Enrollment Form is required for each individual enrolling. All forms must be returned to Local2046@mybenefitchoices.com.

If you have questions on how to use the online system, call us, the Benefit Service Center, at 800-842-6635.

If you do not make any changes, and you are currently enrolled in a medical (vision included) or dental plan, your coverage(s) will rollover to 2024 Blue Shield or MetLife plans.

Yes they can, only those without Medicare.

Yes. They have to have been continuously enrolled into SBCFF union for 10 years.

Yes.

Yes, upon approval by Santa Barbara County.

Dependent children can be covered until age 26.

During the annual open enrollment period or within 31 days of a life event; e.g., marriage, birth.

After completing your online enrollment elections, you will be required to submit your dependent pending documents that are listed on your Benefit Summary by the due date shown. The documents should be submitted to our office via upload through the online enrollment system, or email Local2046@mybenefitchoices.com.

Failure to provide the pending documents will result in your dependents not being added to the plans you elected.

If you are required to complete a change form to enroll dependents due to a Qualifying Life Event, your change form, proof of qualifying event, and your dependent verification documents should be submitted to our office via email Local2046@mybenefitchoices.com.

Marriage, birth/adoption, divorce/legal separation, add/remove a domestic partner, death, a spouse gaining/losing eligibility, dependent losing eligibility, court order to cover a dependent child, Medicare entitlement or disability eligibility.

For more information call us at 800-842-6635.

Eligible dependents are:

• Legally married spouse
  • Photocopy of your official marriage certificate containing your name, along with the complete name of your spouse and the date of marriage
• Registered domestic partner
  • Your city, county or state domestic partner registration
• Dependent child(ren) under age 26 that are:
  • Yours or your domestic partners natural child(ren):
    • Photocopy of the official birth certificate containing the parents' first and last names for each dependent child(ren)
  • Yours or your domestic partner's adopted or foster child(ren):
    • Photocopy of the official birth certificate containing the parents' first and last names for each dependent child(ren)
    • Photocopy of the adoption or foster documentation
  • Child(ren) you or your domestic partner are the legal guardian of:
    • Photocopy of the official birth certificate containing the parents' first and last names for each dependent child(ren)
    • Photocopy of legal guardianship

Click below to download the forms. After you complete the form(s), email the completed form(s) and supporting documents to Local2046@mybenefitchoices.com.

• Local 2046 Blue Shield Enrollment Form
• Local 2046 Metlife Dental Enrollment Form
• Local 2046 UHC Medicare Advantage Health Enrollment Form

Use the blueshieldca.com website to find a doctor and the metlife.com website to find a dentist.

You can call the Benefit Service Center at 800-842-6635 and we can provide you with a list of doctors in whatever zip code you choose.

You can call the Benefit Service Center (BSC) at 800-842-6635 to request a duplicate medical or dental ID card.

You do not need to have a vision ID card. Your eligibility can be verified at your vision care provider by providing them with your social security number;
Or, If you want more information about your vision benefits, you can log on to the metlife.com website and print out your member reference card if you wish.

Call us, the Benefit Service Center (BSC) at 800-842-6635.

Our business hours are 8:30 AM to 5:00 PM (Pacific Time), Monday through Friday. Voicemail is available to take a message during non-business hours and calls are returned by the next business day. We are closed from 12:00 PM to 12:45 PM for lunch.

We can. The Benefit Service Center has dedicated representatives that can help you with these types of issues, call us at 800-842-6635.

The Benefit Service Center. Call us at 800-842-6635.

You can review it online, save a digital copy of it or print one from the mybenefitchoices.com/Local2046 website.

Multi-Factor Authentication (MFA) is an authentication method in which a user is granted access to a website only after successfully presenting two or more pieces of evidence (or factors) to an authentication mechanism, such as a verification code sent to an email address or phone after providing the username and password. This decreases the likelihood of a successful cyber attack.

To make changes to your MFA settings on this site:

1. Log in and go to your 'My Profile' tab.
2. Click the pencil next to 'User Email' and 'User Phone' to edit your email address and phone number.
3. Click 'Edit Security Info' to enable/disable MFA and manage other security settings.

1. Click on the following link mybenefitchoices.com/Local2046
2. Click on the grey Not registered? Click here to register as a new user button.
3. You will need the following to register:
   • Employee # 6 digits required - if needed add leading '0'
     • Your 7 digit Union ID/Employee number is assigned to you by the Union.
   • Last 4 of your Social Security Number
   • Create a Username
   • Create Password
   • Email (you will need to have access to it in order to activate your account)
4. Confirm your registration - You will receive a system generated account activation email (to the email that you registered with). Click on the link to confirm your registration. The link will take you to the log in screen.
5. Log in to the secure benefits website using the user name and password that you just created.

1. When logged in, click on the 'My Documents' tab on the top of the screen.
2. If you have any missing documents to submit, there will be a 'Pending/Missing Documents' section listing what you are missing.
3. In the 'Upload Document' section, click the dropdown menu and select which document you wish to submit.
   • If your document is not listed, select 'Unlisted Document'.
4. Select the file you are uploading from your computer.
   • Allowed files extensions: PDF, BMP, GIF, PNG, JPG.
   • File size limit: 20MB.
5. Click 'Upload' to submit the file.
6. If there are no problems, you will get a message saying the file was uploaded successfully and the document will be marked pending.
7. It may take at least 2 business days for a Benefit Specialist to review your submitted documents and accept/deny them.
8. If the document is denied, the pending status will go away and the file will remain in the 'Pending/Missing Documents' section. If the file is accepted, it will move to the 'Received Documents' section.