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Contact Numbers/ Links /Forms| Schedule of Benefits | Benefits Focus Group
8
Employee Benefits


The City's group insurance plan year is January 1 through December 31.

The City offers the health insurance through CIGNA. The two medical plan options are:

Gold Plan - Open Access Plus In-Network Plan (OAPIN)
Teal Plan - Open Access Plus Plan (OAP)

Members of the Gold Plan must receive services from the network of participating providers in the Open Access Only network. There are no out-of-network benefits on the Gold Plan except for emergency care when outside of the service area.

Members of the Teal Plan may receive services from the network of participating providers in the Open Access Only network OR can receive services from out-of-network providers (providers that do not participate in the network. Members are then responsible for coinsurance based on the plan's discounted fee (the allowable amount). In addition to coinsurance, out-of-network providers may also "balance bill", which is the difference between the plan's allowable amount and the out-of-network provider's retail fee for any particular service. Therefore, members have the potential to maximize their benefits when services are received by in-network providers.

There is a calendar year deductible that needs to be met on both plans; $500.

Below are links to a quick summary of benefits for each plan. For complete details of coverage, please refer to links to the SPDs (Summary Plan Descriptions) at the top of this page.

Summary of Benefits - Gold (OAPIN) Open Access In-Network Plan

Summary of Benefits - Teal (OAP) Open Access Plan

Summary of Benefits - Dental Plan

On-Site CIGNA Representative

For help with specific claim questions, a CIGNA representative is working on-site in the Human Resources Department Monday, Tuesday, Thursday & Friday from 10:00 am to 3:30 pm. You may contact Gail Nowacky by phone at 941-951-3631 or by email at gail.nowacky@sarasotagov.com.

 

CAFETERIA PLAN OPTIONS
 

As an employee of the City of Sarasota, you are entitled to receive medical and dental benefits. You will also receive $10,000 worth of term life insurance at no cost through Standard Life Insurance. Coverage will commence the first of the month following your hire date. See chart below for single and dependent rates. If you choose to cover your dependents on your medical/dental insurance plan, there is a premium for employee + 1 dependent or employee + family, which is 2 or more dependents. The City offers two health insurance plans; an in-network Gold Plan (OAPIN) and a in and out of network Teal Plan (OAP). Claims for all plans are processed through CIGNA. The bi-weekly premium will be deducted from each paycheck.

MEDICAL EMPLOYEE/DEPENDENT RATES (Bi-Weekly Deduction):
 

Gold
(OAPIN)

Teal
(OAP)
Employee Only
(For PBA represented employees ONLY)
$24.00
$24.00
Employee Only
(For Teamster represented employees and non-represented employees ONLY)
1% of base annual wage÷26
1% of base annual wage÷26
Employee + 1
(For PBA represented employees ONLY)
$137.68
$165.66
Employee + 1
(For Teamster represented employees and non-represented employees ONLY)
$139.74
$168.14
Employee + Family
(For PBA represented employees ONLY)
$166.22
$193.54
Employee + Family
(For Teamster represented employees and non-represented employees ONLY)
$168.71
$196.44

Spousal Surcharge: If a City employee carries their spouse on his/her medical coverage and the spouse is employed with access to insurance coverage through their employer AND declines that coverage, the City employee will be charged $11.54/wk in order to carry that spouse on City coverage as Primary. A Spousal Surcharge form must be completed and submitted with enrollment forms.

You may click on the links above to view an explanation of the benefits listed.

You may also wish to purchase other optional coverages which are explained in detail for you on this web site.

 
 
   
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