Open Enrollment 2023 MEDICA Insurance – HSA and Flex Spending Contribution Forms

Open Enrollment is now open for anyone who would like to make changes to their insurance coverage effective January 1, 2023.

If you do not plan to make any changes to your health insurance you do not need to complete any forms for health insurance.

Changes will not be made to the plan unless an employee completes the attached forms and indicates a change in enrollment.  The HSA Election form must be completed if enrolling or already enrolled in an HSA-Health Savings Account and you would like to make changes to contributions to your HSA plan.

HSA Employee Contribution Election Form – This form must be completed if you would like to enroll or make changes to your HSA account through a payroll deduction.

2023 Medica Insurance Election Form– This form must be completed only if changes are needed for change of coverage Single/Family and VEBA or HSA Election.

Employer Contribution Options:
100% VEBA
100% HSA
50% VEBA/50% HSA

Unless a new designation is made all employer contributions will continue to be made to your current VEBA or HSA plan.


FLEXIBLE SPENDING ACCOUNT – Completed the attached form and you would like to contribute to a FLEX account for Medical or Dependent Care in 2023.

Keep the following in mind:

  • Your entire election amount is available to you at the start of the plan year, even if you haven’t contributed funds from your paycheck yet. This means that if you have medical expenses early on, you can use your funds in advance to pay for them.
  • Any unused funds over $550 in your account at the end of the plan year will be forfeited.
  • You cannot change your election amount throughout the year, unless there has been a qualifying life event.

Please review the attached forms and submit any changes to Denise Nichols by November 11, 2022.

HSA Employee Contribution Election Form – This form must be completed if you would like to enroll or make changes to your HSA account through a payroll deduction.

Flu Shot Clinic Reminder – September 29th 7:30 – 10:00 a.m.

Hy-Vee Pharmacy is providing a flu shot clinic.  Employees that have signed up for a flu shot on September 29th, should plan to stop in to get their vaccination. 

We are asking if possible that everyone plan to stop in before 9:00 a.m.

Remember the location for the Clinic is in the City Council Chambers.

Bring your Medica Insurance card and the attached consent form.

If you have any questions please call Cheryl at 832-8651 or email cheryl.ulferts@windommn.com

Informed Consent Form

HSA Funds are now available with the WEX System

Hello,

 We are happy to announce that the Health Savings Account (HSA) transfer process is now complete. Your existing HSA funds should now be available and visible in your new WEX HSA.

 GET THE MOST OUT OF YOUR ACCOUNT

Log in to your online account at benefitslogin.wexhealth.com

Sign up for text alerts and/or email notifications

Add your beneficiaries

Manage your investments

Set up direct deposit

We are excited to help you realize the benefits of your HSA. Please contact the WEX Participant Services team if you have any questions.

 customerservice@wexhealth.com

866-451-3399

Please reach out to us if you have any questions.

Thank you!

Implementation Team
WEX
700 26th Ave. E, West Fargo, ND 58078
www.wexinc.com
Office: (877) 765-8810 Option 3

 

VEBA funds should now be available within the WEX system

Hello,

 We are happy to announce that the VEBA transfer process is now complete. Your existing VEBA funds should now be available within the WEX system.

 GET THE MOST OUT OF YOUR ACCOUNT

 

  • Log in to your online account at benefitslogin.wexhealth.com
  • Sign up for text alerts and/or email notifications
  • Manage your investments (Manage My VEBA)
  • Set up direct deposit

 

As a reminder, your VEBA balances may appear different in the WEX system vs the BPAS system. 

We are excited to help you realize the benefits of your VEBA. Please contact the WEX Participant Services team if you have any questions.

 customerservice@wexhealth.com

866-451-3399

Please reach out to us if you have any questions.

WEX Flexible Spending Accounts are now live

Hello, we are happy to share that your benefit plans with WEX are now live. If you are enrolled in a notional plan (FSA or HRA), your funds are available in the WEX system. If you are enrolled in an HSA or VEBA, these funds will become available later in September. To get the most of your account, see the information below:

○     Sign up for text alerts and/or email notifications

As always, please let us know if you have any questions.

Thank you! 

Implementation Team

WEX

700 26th Ave. E, West Fargo, ND 58078

www.wexinc.com

WEX Member Transition and FAQ Sheet

WEX Member Info FAQ Sheet

IMPORTANT NOTICE REGARDING FURTHER/WEX DEBIT CARDS

Due to the transition to WEX the Further debit cards will no longer work after 5:00 p.m. today.

New WEX cards will be in the mail on September 1st and everyone should receive their card by September 6th.  Please be sure to watch for your card in the mail.

Any FLEX/VEBA/HSA claims from today at 5:00 p.m. to September 1, 2022 will need to processed manually by the employee.

Additional information regarding setting up your new WEX account will be coming soon!

Healthier Living August 2022

Healthier Living August 2022

Skin Screening

Wellness Event – 10 Minute Chair Massage at Revitalize Massage

Enjoy this opportunity to complete a Wellness event for 2022.
Take a 15 minute break and enjoy a relaxing chair massage.

Friday, July 29th. Time slots are from 9:00-9:45 and 2:00 to 2:30

Sign up with Cheryl 832-8651 for a 10 minute Chair Massage at Revitalize Massage, 1450 N Hwy 60/71, Ste #3.