Medical Plan Options

Transcription

1 Medical Plan Options Plans New rates start on 8/31/18 check With coverage running through 8/31/19 PPO Ferris 1 Family: $ $ Single: $ EPO (HMO) Ferris 2 Family: $ $ Single: $ PPO Ferris 3 Family: $ $ Single: $39.67 PPO/HSA Ferris 4 Family: $ $ Single: $32.49 PPO/HSA Ferris 5 Employee Share: Family: $41.47 $ Single: $17.81 Ferris 1 Time Contribution To HSA N /A N / A $500 Single $1,000 2 Person $1,250 Family N / A In Network Deductible Deductible runs per Plan Year (July-June) $250 Single $500 Family $250 Single $500 Family $500 Single $1,000 Family $1,500 Single $3,000 Family $4,000 Single $8,000 Family Out of Network Deductible $500 Single $1,000 Family $2,000 Single $4,000 Family $3,000 Single $6,000 Family $8,000 Single $16,000 Family *Inpatient Services & Non-co-pay Medical Services 90% after 90% after 80% after Coinsurance Maximum $1,000 Single $2,000 Family $2,500 Single $5,000 Family $1,000 Single $2,000 Family $1,500 Single $3,000 Family $2,500 Single $5,000 Family $750 Single $1,500 Family = $2,000 Single $4,000 Family $2,000 Single $4,000 Family = $4,000 Single $8,000 Family Office Visit Co-Pay $10 In Network= $10 $20 Urgent Care Co-Pay $25 $25 = $40

2 E.R. Visit $100 copay (copay waived if admitted) $100 copay (copay waived if admitted) $100 copay (copay waived if admitted) Chiropractic Care $10 $10 (30 visit Out of Network= $20 Prescriptions $10 ($20 min/$50 Non- 20% ($35 min/$50 20% Non- 20% $10 ($20 min/$50 Non- 20% ($35 min/$50 20% Non- 20% 20% copay ($5 min/$30 ($30 min/$60 Non- 20% ($50 min/$75 20% Non- 20% 10% copay ($5 min/$30 10% ($30 min/$60 Non- 10% ($50 min/$75 10% Non- 10% Medtipsterfree = 20% copay ($5 min/$30 ($30 min/$60 Non- 20% ($50 min/$75 20% Non- 20%

3 Medical Plan Opt Out In addition to your three medical options, you have a fourth choice and that is no coverage at all through Ferris. Obviously, medical coverage is far too important to be without it. However, if you have coverage elsewhere for example, through your spouse s employer you may not need coverage through Ferris-Flex. If you select no medical coverage, you will receive a credit of $64/pay up to $1664/yr (this amount would be based on your job assignment dates), which you can use to purchase other benefits that your family may need, or you may take it as part of your taxable income. Dental-ASR Benefit Cost to Employee Dental Plan 1 $0 Single, 2 Person, or Family Dental Plan 2 Single $8.37/pay 2 Person $12.63/pay Family $29.42/pay Oral Exams, X-rays, Fluoride Treatments Extractions, Root Canals, Filling Crowns, Gold Fillings 80% 100% 60% 80% 50% 80% Dentures, Bridges 50% 80% Annual Per Person Maximum for above services $1,000 $1,200 Orthodontics 50% (coverage to age 19 only) 50% (coverage provided at any age) Lifetime Maximum for Orthodontics (per covered person) $1,000 $1,500 Dental Plan Opt-Out In addition to your three dental options, you have a fourth choice and that is no coverage at all through Ferris. If you have coverage elsewhere for example, through your spouse s employer you may not need coverage through Ferris. If you select no dental coverage, you will receive a credit of $163/yr ($6.27 per pay), which you can use to purchase other benefits that your family may need, or you may take it as part of your taxable income.

4 Vision-EyeMed Benefit Cost to Employee $0 Single, 2 Person, or Family Eye Exam Frames Maximum Benefit Paid By Plan Coverage-In Network $0 Standard Contact Lenses Fit & Follow-up: Up to $55. Premium Contact lenses: 10% off retail price $0 $130 maximum per set, 20% off balance over $130 Coverage- $40 for standard eye exam, no reimbursement for contact lens exam $91 Allowance Lenses Single Vision Bi-Focal Tri-Focal Lenticular Standard Progressive Premium Progressive $75-copay Addition Pricing Applies $30 $50 $70 $70 $50 $50 Lens Options UV Treatment Tint (Solid and Gradient) Standard Plastic Scratch Coating Standard Polycarbonate-Adults Standard Polycarbonate-children under 19 Standard Anti-Reflective Coating Polarized Photocromatic/Transitions Plastic Premium Anti-Reflective Other Add-Ons Contact Lenses (Contact lens allowance includes materials) Conventional Disposable Medically Necessary $15 $15 $15 $40 $40 $45 20% off retail price $75 Additional Pricing Applies 20% off retail price $0 copay, $110 allowance, 15% off balance over $110 $0 copay, $110 allowance, plus balance over $110 $0 copay, paid in full $110 $110 $210 Laser Vision Correction 15% off Retail Price or 5% off promotional price. Members also receive a 40% discount off an additional pair of lenses and frames, and a 15% discount off conventional contact lenses once the funded benefit has been used. In network only. Eligible for one exam, a pair of lenses and frames OR one exam and one pair of contact lenses every 12 months, subject to applicable co-pays for each person covered under the vision plan.

5 Other Benefits Available Medical Reimbursement Account Dependent Care - Reimbursement Account Life Insurance Employer Retirement Tax Shelter Retirement Programs: 403(b) Plan Allows the employee to set aside up to $2,550 per plan year on a pre-tax basis to pay for health care expenses not covered by other insurance plans. Some restrictions apply Allows the employee to set aside up to $5,000 per plan year on a pre-tax basis to pay for dependent care expenses (baby-sitters). Some restrictions apply $20,000 Group Term Life Insurance at no cost to the employee 10% University contribution to employee s choice of TIAA-CREF or Fidelity Investments. See enrollment packet for the appropriate company for more details. Employees who have had prior university service in the Michigan Public Schools Employees Retirement System are eligible to continue their MPSERS retirement plan. Some restrictions apply.. Employee will need to go on Retirement@Work and set their account up for FSU to make this contribution into their account. Go into MyFSU and click the piggy bank to get started. If you do not set this account up, you will default to TIAA. Voluntary 403(b) Retirement Plans are also available through payroll deductions with any of the following companies: Fidelity Investments or TIAA-CREF. The following companies also participate in a voluntary 457(b) Retirement Plan: Fidelity Investments or TIAA-CREF. Please note: These plans are subject to applicable IRS guidelines. 457(b) Plan StraightLine Workers Compensation Unemployment Compensation Tuition Waiver Employee Tuition Waiver Spouse/Dependent Provides managed account services to 403(b) and 457(b) plan participants. Participation is voluntary and is funded by the employee. To request information about StraightLine s services, call or info@myrplan.com Employees injured in a work-related accident may be eligible for compensation. Former FSU employees unable to obtain suitable work under State of Michigan regulations may be eligible for compensation. May take up to nine (9) FSU credits per semester (maximum of 24 per academic year) undergraduate or graduate, at no cost. Classes taken must be taken in a semester in which the instructor has an active assignment and have appropriate administrative approval. This benefit may be taxable based on current IRS guidelines OR May transfer up to nine (9), maximum of 24 per year, of the employee s available tuition waiver credits to a spouse and/or child each semester OR spouse and/or child may receive a 30% tuition discount. This benefit applies only to FSU credit classes and may be taxable based on current IRS guidelines. Note: To submit a TW go to: MyFSU/FORMS/HRFORMS/TUITION WAIVER

6 Holidays Not expected to report to work on University approved holiday or holiday shut down period. New Year s Day Thanksgiving Day Good Friday Day after Thanksgiving Memorial Day Christmas Eve July 4th Christmas Day Labor Day New Year s Eve Additional paid holiday time may be granted by the President. Sick Leave A total of thirteen sick days (104 hours) will be established for each employee at the beginning of each plan year (no carry-over from prior plan year on July 1 st ). The amount may be prorated if a contract does not extend through the full plan year. These days may be used for casual illness/injury of self or an immediate family member in accordance with the current FSU Board of Trustees Personnel Policies. Bereavement Leave Up to four (4) days of leave will be granted for the death of an immediate family member. One (1) day of leave will be granted for extended family members. See the Personnel Policies book for definition of immediate and extended family. Medical/Paternity Leave Military Leave Dining Services Computer Purchases FORD Partner Recognition Plan Employee Assistance Services Court Required Services Credit Union Direct Deposit Handled in accordance with University Family and Medical Leave Act (FMLA) policy. (See also University Personnel Policies) When ordered by State or Federal Government, military leave will be granted on an individual basis in accordance with applicable State/Federal laws. Employees will receive a 25% discount (10% discount at Starbucks and the University Center Food Court) with ID at any of the food units on campus. All employees can receive a discount for Dell Computer personal purchases. Ferris State University in cooperation with Ford Motor Company provides an educational discount to full time employees of Ferris State University. For more information visit the Ferris web site at: Select Faculty/Staff; Office of Human Resources; Benefits; and click on the Ford symbol. User ID is FSUNV Employee Assistance Services 7 free visits per plan year available to employee and/or dependents for Counseling needs. An employee serving jury duty will be paid the difference between his/her pay for jury duty and his/her regular pay. Payroll deductions and other banking services are available through West Michigan State Employee s Credit Union (WMSECU). Available to any bank associated with the Federal Reserve.

7 MESP Michigan Education Michigan Education Savings Plan (MESP) is an opportunity for family and friends to invest in the educational future of a beneficiary. MESP provides the following advantages: No Income Limits Parents, grandparents, relatives, and friends at any income level may open an account and contribute to the MESP on behalf of a beneficiary. Tax Advantages The amount you contribute each year can be deducted from you Michigan taxable income up to a maximum of $10,000 for joint filers and $5,000 for individual. Account earnings grow on both a Federal and State tax-deferred basis. Earnings used to pay for qualified higher education are exempt from federal and Michigan state income tax. Flexibility Funds in the account may be used at any eligible educational institution in the nation. The savings may also be applied to other required educational expenses such as books, supplies, etc. For additional information please contact HR at or visit the MESP website at NOTE: Benefit coverage begins the first of the following month after employment start date. Adjunct Instructor 3: Benefits eligibility is September 1st through August 31 st. Summer premiums are rolled into the figures above and paid over the academic year. If you have any questions about your benefits, contact Human Resources Prakken Building, Suite 150, Phone Number (231) The FNTFO contract can be found at: actwithattachments.pdf Additionally, the contract can be accessed by: o Going to o Select Faculty and Staff at the bottom o Under Gov Rel/General Counsel, select Labor Relations o Open the contract by choosing Ferris Non Tenure-Track Faculty Organization