2024 Employee Benefit Information - Custodians

	A	B	C	D	E	F
1	Bedford Public Schools - (BCESPA) Custodians
2	Benefit Election Information
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4	2024 Employee Cost Share - Custodians
5	Medical Plan Year: January to December
6	Dental Plan Year: January to December
7	Vision Plan Year: January to December
8	2024 Employee Benefit Payments & Deductions Schedule
9	Benefit Contacts and Claims Information
10				Vi
11	Members may choose one of the following options for insurance coverage per the BCESPA Master Contract: (Click on items underlined in BLUE to view documents)
12	Plan Name/Plan Highlights	In-Network Deductible	Office Visit Copay	Co-Insurance	Prescription Plan	Blue Cross Blue Shield of MI Summary of Benefits
13	MESSA Choices II – Traditional PPO Plan	$500/$1,000	$20	0%	3Tier/Mandatory Mail	Summary of Benefits - 500-1000
14	MESSA Choices II – Traditional PPO Plan	$1,000/$2,000	$20	0%	Saver Rx Program	Summary of Benefits - 1000-2000
15	MESSA ABC Plan 1 – Health Savings Account	$1,600/$3,200	$0	0%	3Tier/Mandatory Mail	Summary of Benefits - ABC Plan 1
16	MESSA ABC Plan 3 - Health Savings Account	$3,500/$7,000	$0	10%	ABC Rx Program	Summary of Benefis - ABC Plan 3
17	Essentials by MESSA	$375/$750	$25	20%	Essentials Rx	Summary of Benefits - MESSA Essentials
18	The following benefits are provided when MEDICAL is selected:			The following benefits are provided when NO MEDICAL is selected:
19	VSP2 Vision Insurance			In Lieu of Medical Insurance - Payment of $175.00 per Month*
20	Delta Dental of MI (70/70/50/60/$600:$1,000)			VSP2 Vision Insurance
21	$5,000 Basic Term Life Insurance (w/Medical)			Delta Dental of MI (100/90/90/90/$1,500:$1,000)
22	$5,000 Negotiated Life Insurance			$10,000 Negotiated Life insurance
23	*Payment in lieu is not provided for members whos spouse works for the District and accepts health coverage whereby the BCESPA employee is covered.
24	Below are some items that you can get more detailed information regarding your benefits through the MESSA website:
25	Access your MyMESSA Account
26	MESSA - Plans & Services Detailed Information
27	MESSA - Plan Comparison Tool
28	MESSA - Medical Care Travel Information - Inside & Outside of the United States
29	MESSA - Referral Information
30	Click Here for MESSA Website Home Page
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32	Additional Resources:
33	Legal Notices
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