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City Of Lake Elmo <br />September 20, 2024 <br />Page 3 <br /> <br /> <br /> <br />During open enrollment, your insurance eligible employees will have the opportunity to change health plans and <br />carrier networks. (As a reminder, there is no open enrollment for dental coverage). Please have your open <br />enrollment completed by November 15. Updated plan summaries and other enrollment information is included <br />in your email. Forms can also be found on PEIP’s website at www.innovomn.com. <br /> <br />Individual Medicare Advantage and Cost policies are available for your retirees over age 65. Please call Innovo <br />Benefits Administration at 1-800-829-5601 or visit our website at www.innovomn.com. <br /> <br />Employees and dependents who wish to change health plans or networks must complete an Enrollment Form <br />(or online enrollment) for the change. A primary care clinic number for each member is required. Participants <br />staying with the same carrier who wish to change their primary care clinic must contact the carrier directly. <br /> <br />All employees currently enrolled in the Value plan must complete a new enrollment form for 1/1/2025. If <br />these employees do not complete an enrollment form by November 15, they will be auto enrolled into the HSA <br />plan. Please refer to your last premium invoice to determine who is currently on the Value plan. <br /> <br />Primary care clinics can be changed at any time by calling the customer service number on the member’s ID <br />card. The PEIP 2025 clinic directory will be available on the PEIP website approximately October 14. <br />IMPORTANT: Please be sure members review their clinics for any cost level changes. <br /> <br />All completed enrollment forms and any changes to your group's eligibility requirements must be submitted to <br />Innovo Benefits Administration, PEIP's administrator, by November 15, 2024. Please plan your open enrollment <br />to meet this deadline. No form is required for those employees maintaining current coverage. <br /> <br />As the sponsor of the group insurance, you may change or add additional PEIP product options (e.g. life and <br />dental coverages) and change your eligibility requirements at this time. Eligibility criteria includes the number of <br />hours worked per week to be eligible, new employee waiting periods before coverage becomes effective, etc. <br />Any changes made to your current eligibility policy must be made in writing and sent to Innovo. <br /> <br />Please submit all forms via fax, email or mail to: <br /> <br />Innovo Benefits Administration <br />Attn: PEIP <br />7805 Telegraph Road, Suite 110 <br />Bloomington, MN 55438 <br />Secure Fax: 952-746-3108 <br />Email: service@innovomn.com <br /> <br />Please forward the renewal rate information to your COBRA, Minnesota continuation, disabled, and early retiree <br />participants (if any). If PEIP manages your COBRA, Innovo will send out the information to these participants. <br />