My question is about... Click a circle below

Transcription

1 My question is about... Click a circle below The Cost of Benefits Enrolling in or Dropping Benefits My Benefits Card Group Number My Dental Plan Prescriptions Finding a Doctor Medicare FSA My Spouse My Dependents Child Care Retirement My 403(b) Pensions Life Insurance My Beneficiary ETO Wellness Benefits PLUS Tuition Reimbursement Leaving Jefferson

2 Questions about the cost of benefits Is there a charge if I carry dependents that are able to elect extra coverage? What are the COBRA rates? What is a Flexible Spending Account (FSA)? What are the medical rates? What are the dental rates?

3 Is there a charge if I carry dependents that are able to elect extra coverage? Costs for medical depends on the number of dependents you cover. And there is an additional charge for spouses who have the ability to get coverage from their employer. Click here to see contribution rates.

4 What are the COBRA rates?

5 What is a Flexible Spending Account (FSA)? Flexible Spending Accounts allow you to set aside money to pay for out-of-pocket expenses on a pre-tax basis. There are two types of accounts: Healthcare to a maximum of $2,600. This includes healthcare expenses for your spouse and children up to age 26. Dependent care to a maximum of $5,000 per household and $2,500 for employees who are married and file taxes separately. This is primarily used for daycare. Discovery Benefits is the company that administers our FSAs. They maintain your account(s), pay your claims and issue you a debit card to use when you purchase qualifying services. Learn more at or

6 What are the medical rates? These can be found by visiting hr.jefferson.edu, clicking Current Employees and then selecting Benefits Information from the lefthand navigation, and clicking cost of coverage under Health & Dental.

7 What are the dental rates? These can be found by visiting hr.jefferson.edu, clicking Current Employees and then selecting Benefits Information from the lefthand navigation, and clicking cost of coverage under Health & Dental.

8 Questions about the enrolling in or dropping benefits How can I enroll in benefits or change my benefits elections? Do I have to sign up for Jefferson s medical benefits? When does my coverage begin? If my dependent becomes covered for benefits, can I drop them from my plan? If my spouse becomes covered for benefits, can I drop them from my plan? I need a letter stating I have benefits in order to be removed from someone else s. When I have my baby, how long will he/she be covered under my benefits? I m leaving Jefferson when will my benefits end? I need to get in touch with one of our benefits vendors. Where can I find information about Jefferson s medical plans?

9 How can I enroll in benefits or change my benefits elections? As long as you are within the 30-day enrollment period and eligible to make changes, log into Employee Self-Service and choose Benefit Enrollment. If you have a mid-year change due to a life event, click the life event guide for guidance. Remember, you must hit "Submit" to make sure the changes go through.

10 Do I have to sign up for Jefferson s medical benefits? No, benefits are offered to you but you are not required to enroll. However, you do have to actively waive medical coverage online via Employee Self-Service. If you do not, you will be defaulted into the employee-only lowest-cost option.

11 When does my coverage begin? If you have questions, contact your HR Business Partner. You will see deductions the 1 st full pay period after effective date once you become eligible.

12 If my dependent becomes covered for benefits, can I drop them from my plan? Yes, you have 30 days from the date of their becoming covered to drop them from your plan. You must complete the request within 30 days or you will have to wait for open enrollment to make the change. Click here for a guide to help you make the update.

13 If my spouse becomes covered for benefits, can I drop them from my plan? Yes, you have 30 days from the date of their becoming covered to drop them from your plan. You must complete the request within 30 days or you will have to wait for open enrollment to make the change. Click here for a guide to help you make the update.

14 I need a letter stating I have benefits in order to be removed from someone else s. Contact the Human Resources Operations Center at or HRQuestions@jefferson.edu to confirm that you have coverage. They will then you a letter indicating that you have coverage.

15 When I have my baby, how long will he/she be covered under my benefits? If you are on Jefferson's benefits, you must enroll the baby via Employee Self Service (under Benefits and Life Events ) and send supporting documentation, such as a birth record from the hospital, to the HR Operations Center within 30 days of the baby s birth. Scan and send to HRquestions@jefferson.edu or fax to Click here to access a guide on adding your baby. The baby must be the Jefferson employee's child. Grandchildren are not eligible to be covered as a dependent under an employee's benefits.

16 I m leaving Jefferson when will my benefits end? Jefferson benefit coverage ends for you upon the following events: Medical, vision & dental benefits end on the last day of the month in which your employment ends Life insurance, disability and FSA benefits end on the date your employment ends For example, if your last day worked is September 15 th, your medical coverage will end on September 30 th. Likewise if your last day worked is September 29 th, your coverage will end on September 30 th.

17 I need to get in touch with one of our benefits vendors. Click this link for a comprehensive list of our service provider contact information. If you need further assistance, please contact your HR Business Partner.

18 Where can I find information about Jefferson s medical plans? Visit the Forms & Documents page and scroll to Health Insurance.

19 Questions about my benefits ID card What is my dental Group Number? I don t have a card. How do I find my Medical Plan number? How do I request a temporary medical benefits card?

20 What is my dental Group Number? I don t have a card. You do not need a card for Delta Dental, but your Group ID Number is You can use your social security number or contact Delta for your alternative member ID number if you don t want to use your social security number.

21 How do I find my Medical Care Plan number? Please contact Independence Blue Cross to request this number. It usually takes about 24 hours for a number to be generated once enrollment has been processed. They can be reached at ASK- BLUE or

22 How do I request a temporary medical benefits card? Visit log in and you will then see an option to Print Temporary ID Card. You can also download the app and download the card on your phone s app.

23 Questions about my group number What is my dental Group Number? I don t have a card. How do I find my Medical Plan number?

24 Questions about my dental plan What is my dental Group Number? I don t have a card. What are the dental rates? Where can I find a Delta Dental Claim Form? Where can I find a Delta Dental Summary Plan Description?

25 Where can I find a Delta Dental Claim Form? Visit the Forms & Documents page and scroll to Dental Insurance.

26 Where can I find a Delta Dental Summary Plan Description? Visit the Forms & Documents page and scroll to Dental Insurance.

27 Questions about prescriptions How do I get reimbursed for my prescriptions if I paid out of pocket? How can I find out if a prescription for a specific drug is covered under our Rx plan? How do I get my prescriptions if I don t live or work near a Jefferson Pharmacy?

28 How do I get reimbursed for my prescriptions if I paid out of pocket? The claim form for Rx reimbursement can be found on the Forms & Documents page. Scroll to Health Insurance.

29 How can I find out if a prescription for a specific drug is covered under our Rx plan? Contact MedImpact, our prescription carrier, and they will be able to best assist you. You can call or check on the website at

30 How do I get my prescriptions if I don t live or work near a Jefferson Pharmacy? You can use MedImpact Home Delivery for prescriptions you do not need immediately. For immediate fills, you can get two retail pharmacy fills (at a CVS, Walgreens, etc.) then you would move to maintenance through MedImpact Home Delivery. Detailed information is available here.

31 Questions about finding a doctor How do I find a doctor in the Tier 1 network? What is JeffCare?

32 How do I find a doctor in the Tier 1 network? Visit

33 What is JeffCare? The Jefferson Medical Plans allow you to minimize your costs when you receive care from providers who participate in the JeffCare Network. is the website where you can find Tier 1 provider information.

34 Questions about Medicare I m turning 65 what do I need to do regarding my medical insurance? Should I enroll in Medicare when I turn 65? My spouse is turning 65 and is covered under my insurance. What do we need to do?

35 I m turning 65 what do I need to do regarding my medical insurance? If you continue to work at Jefferson, you can remain on our benefits and decline Medicare Parts B and D. Medicare Part A provides hospitalization coverage and is usually available without cost. You should enroll in Part A. If you will be collecting retirement benefits from Social Security, you may automatically be enrolled in Part A. Your Jefferson coverage will still be primary if you are in Medicare Part A. Upon retirement, you will enroll in Medicare Part A (if you are not currently enrolled), Part B, which provides medical insurance for services such as doctor s fees, and Part D, prescription drug coverage. You should notify Medicare prior to retiring and provide them with a future date for your coverage. There are two ways to get your Medicare coverage: Original Medicare, which includes Parts A and B or Medicare Advantage (like an HMO or PPO), which combines Parts A, B and usually D. If you choose to enroll in Original Medicare you may also want to consider enrolling in Part D and a Medicare Supplement Insurance Policy (Medigap). You may obtain further information at the Official US Government Site for Medicare.

36 Should I enroll in Medicare when I turn 65? If you continue to work at Jefferson, you can remain on our benefits and decline Medicare Parts B and D. Medicare Part A provides hospitalization coverage and is usually available without cost. You should enroll in Part A. If you will be collecting retirement benefits from Social Security, you may automatically be enrolled in Part A. Your Jefferson coverage will still be primary if you are in Medicare Part A. Upon retirement, you will enroll in Medicare Part A (if you are not currently enrolled), Part B, which provides medical insurance for services such as doctor s fees, and Part D, prescription drug coverage. You should notify Medicare prior to retiring and provide them with a future date for your coverage. There are two ways to get your Medicare coverage: Original Medicare, which includes Parts A and B or Medicare Advantage (like an HMO or PPO), which combines Parts A, B and usually D. If you choose to enroll in Original Medicare you may also want to consider enrolling in Part D and a Medicare Supplement Insurance Policy (Medigap). You may obtain further information at the Official US Government Site for Medicare.

37 My spouse is turning 65 and is covered under my insurance. What do we need to do? Your spouse who is turning 65 is eligible for the same benefits as an employee who is turning 65. He or she can remain on our benefits or enroll in Medicare.

38 Questions about Flexible Spending Accounts (FSAs) What is a Flexible Spending Account (FSA)? What can I use a Flexible Spending Account for? Can I use the money in my FSA account for my dependents? Where can I access an FSA claim form?

39 What can I use a Flexible Spending Account (FSA) for? You can use the healthcare FSA for healthcare expenses not covered by insurance such as copays, deductibles, etc. The dependent care FSA can be used for day care, before or after school, camps for children under 13 or adult day care services. Learn more at , or Your spouse must be working or attending school full time in order for you to be eligible for reimbursement from dependent care FSA.

40 Can I use the money in my healthcare FSA account for my dependents? Here are the FSA Healthcare Dependent Care Guidelines: Dependent care FSA is for daycare, not health care of dependents You must use the money in the account by March 15 of the following plan year or you will lose it The healthcare FSA plan covers out-of-pocket medical expenses not covered by your health insurance plans You must re-enroll for FSA account(s) every plan year during open enrollment You cannot change the amount of your contribution during the plan year unless you have a life event such as marriage, birth, or a change of job that impacts benefits

41 Where can I find an FSA claim form? Visit the Forms & Documents page and scroll to Flexible Spending Account.

42 Questions about my spouse If my spouse becomes covered for benefits, can I drop them from my plan? My spouse is turning 65 and is covered under my insurance. What do we need to do? Can I enroll my spouse if he/she has coverage through his/her employer? My spouse no longer has access to employer coverage, how do I stop paying the premium?

43 If my spouse becomes covered for benefits, can I drop them from my plan? Yes, you have 30 days from the date of their becoming covered to drop them from your plan. You must complete the request within 30 days or you will have to wait for open enrollment to make the change. Click here for a guide to help you make the update.

44 My spouse is turning 65 and is covered under my insurance. What do we need to do? Your spouse who is turning 65 is eligible for the same benefits as an employee who is turning 65. He or she can remain on our benefits and should enroll in Medicare Part A.

45 Can I enroll my spouse if he/she has coverage through his/her employer? You can enroll your spouse. The working spouse premium of $40 per pay will apply. Click here for more information.

46 My spouse no longer has access to employer coverage, how do I stop paying the premium? Click here to access the form to complete your request.

47 Questions about my dependents Can I use the money in my FSA account for my dependents? If my dependent becomes covered for benefits, can I drop them from my plan? Is there a charge if I carry dependents that are able to elect extra coverage? How do I add my baby to my benefits? Where can I get a dependent care spending account claim form? I'm looking for an Adoption Assistance Plan Reimbursement Request form.

48 Can I use the money in my FSA account for my dependents? Here are the FSA Healthcare Dependent Care Guidelines: Dependent care FSA is for daycare, not health care of dependents You must use the money in the account by March 15 of the following plan year or you will lose it The healthcare FSA plan covers out-of-pocket medical expenses not covered by your health insurance plans You must re-enroll for FSA account(s) every plan year during open enrollment You cannot change the amount of your contribution during the plan year unless you have a life event such as marriage, birth, or a change of job that impacts benefits

49 If my dependent becomes covered for benefits, can I drop them from my plan? Yes, you have 30 days from the date of their becoming covered to drop them from your plan. You must complete the request within 30 days or you will have to wait for open enrollment to make the change. Click here for a guide to help you make the update.

50 Is there a charge if I carry dependents that are able to elect extra coverage? Costs for medical depends on the number of dependents you cover. And there is an additional charge for spouses who have the ability to get medical coverage from their employer.

51 How do I add my baby to my benefits? If you are on Jefferson's benefits, you must enroll the baby via Employee Self Service (under Benefits and Life Events ) and send supporting documentation, such as a birth record from the hospital, to the HR Operations Center within 30 days of the baby s birth. Scan and send to HRquestions@jefferson.edu or fax to Click here to access a guide on adding your baby. The baby must be the Jefferson employee's child. Grandchildren are not eligible to be covered as a dependent under an employee's benefits.

52 Where can I get a dependent care spending account claim form? Visit the Forms & Documents page and scroll to Flexible Spending Account.

53 I'm looking for an Adoption Assistance Plan Reimbursement Request form. Visit the Forms & Documents page and scroll to Adoption Assistance.

54 Questions about child care Where can I get information on Jefferson s child care benefits? Can I extend my child care benefit to my grandkids and extended family? Can I use a Flexible Spending Account for child care?

55 Where can I get information on Jefferson s child care benefits? Visit to get child care information. You can also learn more by visiting hr.jefferson.edu, selecting Current Employees, then Support Services.

56 Can I extend my child care benefit to my grandkids and extended family? Unfortunately, no. Jefferson's child care benefit is only for Jefferson employees' dependents.

57 Can I use a Flexible Spending Account for child care? The dependent care FSA can be used for day care, before or after school, camps for children under 13 or adult day care services. Learn more at , or Your spouse must be working or attending school full time in order for you to be eligible for reimbursement from dependent care FSA.

58 Questions about retirement How do I retire? How can I sign up for or make changes to my retirement savings plan? How much money do I have in my TIAA retirement account? Who do I call for retirement account questions? What happens to my benefits when I retire? How can I schedule a counseling or information session with a TIAA representative?

59 How do I retire? Please click here to access a retiree checklist. If you need further assistance, please contact your HR Business Partner.

60 What happens to my benefits when I retire? Upon retirement, you will enroll in Medicare Part A (if you are not currently enrolled), Part B, which provides medical insurance for services such as doctor s fees, and Part D, prescription drug coverage. You should notify Medicare prior to retiring and provide them with a future date for your coverage. There are two ways to get your Medicare coverage: Original Medicare, which includes Parts A and B or Medicare Advantage (like an HMO or PPO), which combines Parts A, B and usually D. If you choose to enroll in Original Medicare you may also want to consider enrolling in Part D and a Medicare Supplement Insurance Policy (Medigap). You may obtain further information at the Official US Government Site for Medicare.

61 How can I sign up for or make changes to my retirement savings plan? Information can be found at tiaa.org/jefferson

62 How much money do I have in my TIAA retirement account? You will need to contact TIAA directly to obtain this information. They can be reached at (follow phone menu or press 0 for live voice), Monday-Friday from 8am to 10pm and Saturday from 9am to 6pm (ET) or visit

63 Who do I call for retirement account questions? For Defined Contribution - 403(b) questions, call TIAA at For Defined Benefit Pension questions, contact Your Pension Resources (Alight Solutions LLC) at

64 How can I schedule a counseling or information session with a TIAA representative? Call TIAA at to schedule your appointment.

65 Questions about 403(b) How can I schedule a counseling or information session with a TIAA representative?

66 Questions about pensions How can I sign up for a retirement savings plan?

67 Questions about life insurance How can I make a change to my life insurance beneficiaries?

68 How can I make a change to my life insurance beneficiaries? This change should be made through Employee Self-Service (we recommend using Google Chrome). Select Benefits, then Insurance Summary. You will then click on the insurance/s you want to update on the left column. Scroll to the bottom and press Edit. Change your allocations on this screen and press Save. Return to Life Insurance Main to update additional insurances.

69 Questions about my beneficiaries How can I make a change to my life insurance beneficiaries?

70 Questions about ETO How do I find out how much ETO I have? I ve resigned from Jefferson how do I get paid for my unused ETO? I am an ETO-eligible employee. How much time off am I allowed to take when I have my baby? How will I be paid while I m on leave?

71 How do I find out how much ETO I have? Log in to MyTime using Google Chrome. Click on My Time then click on Leave Balances to view your ETO balance.

72 I ve resigned from Jefferson how do I get paid for my unused ETO? To be reimbursed for unused ETO, you will need to provide advance notice greater than or equal to your basic ETO or vacation allowance per the Voluntary Resignations policy. Once notice is provided, you are expected to work during the notice time to be eligible to receive payment of unused ETO time. You will receive accrued ETO up to the max payout or vacation at the time of your next scheduled pay. It will be a live check that will be mailed to your home address of record. Please ensure your address is up-to-date in Employee Self Service (using Google Chrome) before your last day of work.

73 I am an ETO-eligible employee. How much time off am I allowed to take when I have my baby? Depending on your situation, below are the types of leave that may be available to you. You can also reference this FAQ, which addresses preparing for medical leave for birth of a child. Family Medical Leave (FMLA) Eligible if employed for at least 12 months and 1,250 hours worked in the 12 months immediately preceding the commencement of leave. Eligible for no more than 12 workweeks of FMLA in any 12 month rolling period. Medical Leave of Absence MLOA may be granted to employee who either exhausted available leave under FMLA or has not qualified for FMLA Dependent Care Leave of Absence (Baby Bonding) Must have completed at least 1 year of continuous full or part time service. Eligible for up to additional 12 weeks beyond disability time covered under FMLA. May not exceed 24 weeks when combined with FMLA. Runs concurrent to Family Medical Leave. Must complete Non-FMLA application once FMLA exhausts or if not eligible for FMLA.

74 How will I be paid while I m on short term disability? All employees must contact Cigna for short term disability approval. Faculty, clinical faculty, senior administrators, and house staff are eligible for up to 6 months of salary continuation while on an approved leave of absence. For all other employees: The first seven calendar days of leave will be paid from ETO time based on your normal work schedule. If Extended Illness Bank (EIB) hours are available to you, you may access that time until the balance is exhausted or until the medical portion of your leave is over. Once EIB hours are exhausted or if you do not have EIB hours, full time employees will begin receiving Short Term Disability (STD) benefits. STD benefits are 50% of base salary paid by Jefferson. Additional STD benefits of 66 2/3% of salary are available as a benefit option at time of hire or during open enrollment each year. Pre-existing conditions apply to the optional plan. If you have received medical treatment, consultations, diagnostic services or have taken prescription drugs for a condition in the three month period before your effective date, the optional STD will be paid for the first 4 weeks of disability; then basic STD benefits will be paid. ETO hours will be used to supplement short term disability to make you whole until ETO is exhausted.

75 Questions about Wellness I m having trouble with my wellness portal, what do I do?

76 I m having trouble with my wellness portal, what do I do? Call or log into your wellness portal at and select Contact Us" at the bottom of your portal homepage.

77 Questions about Benefits PLUS What is LegalEASE? How do I contact LegalEASE? How do I enroll in LegalEASE?

78 What is LegalEASE? LegalEASE provides pre-paid legal services.

79 How do I contact LegalEASE? You can contact LegalEase at or online at

80 How do I enroll in LegalEASE? You can enroll in LegalEASE within 30 days of hire or during Open Enrollment.

81 Questions about Tuition Reimbursement What is the tuition reimbursement policy? What is the application process for tuition reimbursement? How much tuition assistance can I receive? Where can I find the Jefferson Tuition Assistance Application?

82 What is the tuition reimbursement policy? Many of your tuition reimbursement questions can be answered by visiting hr.jefferson.edu. Select Current Employees, then click Benefits Information and select Tuition Assistance on the left side of the page. You can also access the policy online.

83 What is the application process for tuition reimbursement? Please visit hr.jefferson.edu, select Current Employees, then Benefits Information, then select Tuition Assistance on the left to obtain the application. The application is detailed and walks you through all the information you will need to apply. Completed applications are to be sent to

84 How much tuition assistance can I receive? TUITION ASSISTANCE Calendar Year Maximum INTERNAL 90% of eligible tuition charges up to $5,000 undergraduate/$7,500 graduate for full-time employees 90% of eligible tuition charges up to $2,500 undergraduate/$3,750 graduate for benefitseligible part-time employees EXTERNAL 80% of eligible tuition charges up to $3,200 undergraduate/$5,000 graduate for full-time employees 80% of eligible tuition charges up to $1,600 undergraduate/$2,500 graduate for benefitseligible part-time employees

85 Where can I find the Jefferson Tuition Assistance Application? Visit the Tuition Assistance webpage at hr.jefferson.edu. Select Current Employees, then click Benefits Information and select Tuition Assistance on the left side of the page.

86 Questions about leaving Jefferson I m leaving Jefferson when will my benefits end? I ve resigned from Jefferson how do I get paid for my unused ETO? I m resigning how much notice do I have to give? I m resigning what do I need to do? I have a question about unemployment, who can I contact? I did not receive my ETO payout. What should I do? My employee is leaving Jefferson, what do I do in Manager Self-Service? What are the COBRA rates? How do I retire?

87 I m leaving Jefferson when will my benefits end? Jefferson benefit coverage ends for you upon the following events: Medical, vision & dental benefits end on the last day of the month in which your employment ends Life insurance, disability and FSA benefits end on the date your employment ends For example, if your last day worked is September 15 th, your medical coverage will end on September 30 th. Likewise if your last day worked is September 29 th, your coverage will end on September 30 th.

88 I m resigning how much notice do I have to give? To see how much notice you have to give, which is based on your ETO or Vacation, please reference the Voluntary Resignations Policy. For example if you currently accrue 33 ETO days per year, you must give four weeks notice to receive accrued maximum payout.

89 I m resigning what do I need to do? Please inform your manager, who will be responsible for completing the necessary termination action in Manager Self-Service. Make sure your mailing address is up to date in Employee Self-Service (access using Google Chrome) so that you can received your eligible accrued ETO time, which will be sent to your house.

90 I have a question about unemployment, who can I contact? You can reach out to your Manager or the HR Business Partner.

91 My employee is leaving Jefferson, what do I do in Manger Self-Service? Using Google Chrome, visit Employee Self-Service (using Google Chrome), select Manager Self-Service, select Job and Personal Information, select Terminate Employee. Select the individual you would like to terminate. Insert the termination date (which should be the day AFTER the last day worked). Check the box if the employee provided adequate notice.

92 What are the COBRA rates?

93 How do I retire? Please click here to access a retiree checklist. If you need further assistance, please contact your Manager.