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2025 EMPLOYEE BENEFITS
Changes effective on 01/01/2025:
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MEDICAL PREMIUM INCREASE | Rising Cost of Healthcare
Key Changes
- Parkway is increasing the district contribution to medical premiums by 4.0% on average
- Employees can expect an average increase in their medical premiums of 2.0%
- Employees may see changes to their copay, deductible, coinsurance, and out-of-pocket max
- Click on "MEDICAL PLAN DESIGN" below for more information
- Full-time employees will continue to be covered at 100% and their dependents at 50%
- Part-time eligible employees will continue to be covered at 50% and their dependents at 25%
Why are premiums increasing?
As you may know, Parkway School District is self-insured, which means the district is directly responsible for funding medical claims. This year, we are facing an increase in healthcare costs that affects both the district and our employees.
High-cost medications have become a significant cost driver for the district and health plans across the country. Additionally, general healthcare expenses have continued to rise due to inflation and the demand for general medical services is increasing. As a result, we must adjust our premium rates accordingly to ensure we can maintain high-quality benefits for all employees.
We understand that changes like these can be upsetting. However, they are necessary so that we can continue offering comprehensive coverage and supporting the well-being of our staff.
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MEDICAL PLAN DESIGN | Base, Premium, High Deductible
As part of our ongoing efforts to manage rising healthcare costs and provide comprehensive benefits to all employees, the district is making adjustments to the plan designs for two (2) of our three (3) medical plans: the Base Plan and the High Deductible Health Savings Account (HDHSA) Plan.
The Premium plan: no changes to plan design.
The Base plan: The deductible will remain the same $650/$1300. The out-of-pocket maximum (OOP) will increase from $2,000/$4,000 to $3,000/$6,000.
The HDHSA plan: The deductible will increase from $3,200 to $3,400 to comply with updated IRS regulations for high-deductible health plans.
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EXPRESS SCRIPTS | Pharmacy Benefits Manager
Parkway School District will be transitioning from CVS to Express Scripts (ESI) for our pharmacy benefit plan. This change will result in significant cost savings for the district, which allows us to mitigate further changes to medical premiums and plan design.
We expect very little disruption during this transition.
Please contact your doctor for any questions regarding your prescriptions. After January 1, 2025, you may reach out to Express Scripts at (877) 777-8225.
Our transition to Express Scripts (ESI) may impact the coverage for certain medications. This can happen for a few reasons, but is usually a result of formulary changes.
Formulary Changes: Each pharmacy benefit provider has a list of covered medications, known as a formulary. ESI's formulary may differ from the one used by CVS. ESI’s formulary may exclude certain brands or manufacturers, but may include others that CVS does not. Additionally, some medications could require a different process for approval than you are used to with CVS.
CLICK HERE TO VIEW THE EXPRESS SCRIPTS FORMULARY
EXCLUSION LIST UPDATES AS OF JULY 1, 2025
If your medication is impacted by the transition, you will receive a letter with information on the next steps, including potential alternatives or processes to request coverage.
Additional Benefits - No Changes:
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Dental | Vision | Life
No changes to cost or plan design for Dental, Vision, or Life insurance for the 2025 plan year.
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CareATC
Continued access to the Parkway employee clinic!
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Wellness
Continued access to Wellness programs through United Healthcare and the Employee Assistance Program through PAS.
External Links
How to access Alight Worklife:
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1. Click here to make sure you are signed in to your Parkway Google account. You must be signed in to access your Alight Worklife account.
2. Click here to access your Alight Worklife portal. You will be automatically logged in with your Parkway Google account credentials.
For access issues, click here or contact: (314) 415-8181 helpdesk@parkwayschools.net
Frequently Asked Questions
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What if I want to make changes after open enrollment?
Posted by:After open enrollment, your benefits elections are generally locked until the next open enrollment period. However, there are some circumstances where exceptions to this rule are allowed; these are called Qualified Life Events (QLE).
The following are QLEs:
- Getting married or divorced
- Having a baby or adopting a child
- Spouse/Dependent loses health coverage
- Death of Spouse/Dependent
Important Note: You only have 30 days after a QLE to make changes to your benefits.
Other allowable changes:
- You can make changes to your HSA contribution at any time.
- You can cancel your coverage at any time.