Medical Plan Options

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1 PAK A/Choices II PPO Medical insurance plan Medical Plan Options PAK A - MESSA Choices II PPO Single: $87.78/pay 2 Person: $245.59/pay Family: $264.59/pay Deductible (Deductibles are per calendar year) In Network Deductible Individual $300 Family $600 Out of Network Deductible Individual $600 Family $1,200 Preventative Care covered at 100% In Network Only $10/$40 brand name drug co-pay * You must meet the FULL deductible before the co-pay would apply* The plan includes required pre-admission review for all inpatient procedures & mandatory second opinion for certain surgeries PAK C/ABC 1 HSA Medical insurance plan PAK C - MESSA ABC 1 HSA Single: $36.72/pay 2 Person: $130.69/pay Family: $121.60/pay Deductible (Deductibles are per calendar year) In Network Deductible Individual $1350 Family $2700 Out of Network Deductible Individual $2700 Family $5,400 Preventative Care covered at 100% In Network Only * You must meet the FULL deductible before the co-pay would apply*

2 PAK D/Choices II PPO Medical insurance plan PAK D - MESSA Choices II PPO Single: $70.34/pay 2 Person: $206.35/pay Family: $215.75/pay Deductible (Deductibles are per calendar year) In Network Deductible Individual $500 Family $1,000 Out of Network Deductible Individual $1,000 Family $2,000 Preventative Care covered at 100% In Network Only Home delivery of prescription medications through Express Scripts- for more information; go to messa.org to log in to your member account and link to the Express Scripts website. * You must meet the FULL deductible before the copay would apply* PAK B/Opt - Out Opt-Out Medical option PAK B Medical Opt Out Single: $0.00/pay 2 Person: $0.00/pay Family: $0.00/pay Plus Medical Opt Out $64.00 per pay reimbursement* *Please note: If your spouse works for Ferris and you are covered under their Ferris Medical Plan, you will not be eligible for the Opt Out credit.

3 Dental Delta Dental benefit level $1,100 maximum per person per year $1,100 lifetime is maximum orthodontic rider Orthodontic coverage is available to age 19 Vision MESSA VSP 3 Coverage allows for an exam and a pair of lenses and frames or pair of lenses at a participating provider each plan year. Applicable co-pays may apply.

4 Other Benefits Available Medical- Reimbursement Account Dependent Care Reimbursement Account Long Term Disability Life Insurance - Employee Life Insurance - Family Retirement Schedule of Vesting Time 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. 90 day elimination period plan. After elimination period, benefit is 66 2/3% of monthly salary, maximum of $2,500 per month to age 65 or until the end of disability, whichever occurs first. $30,000 Group Term Life Insurance at no cost to the employee; additional amounts may be purchased at the employee s cost. Evidence of insurability may be required. $2,000 coverage for spouse and each dependent child at the employee s cost. 10% of gross salary is contributed to either TIAA-CREF or Fidelity Investments for retirement purposes. A contribution of 4% is required by the employee. See the enrollment packet for the appropriate company for more information. Employees who have had prior university service in the Michigan Public Schools Employees Retirement Systems 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. After one year: After two years: After three years: After four years: After five years: After six years: After seven years: After eight years: 12.5% vested 25% vested 37.5% vested 50% vested 62.5% vested 75% vested 87.5% vested 100%vested 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 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 Straight Line s services, call or info@myrplan.com Employees injured in a work-related accident may be eligible for compensation.

5 Unemployment Compensation Tuition Waiver Employee Tuition Waiver Spouse/Dependent 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, 24 maximum per year, under-graduate or graduate, at no cost. Classes taken must 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. May take up to nine (9) FSU credits per semester, under-graduate or graduate, at no cost. Classes taken must have appropriate administrative approval. Graduate level classes are taxable based on current IRS guidelines. Note: To submit a TW go to: MyFSU/FORMS/HRFORMS/TUITION WAIVER Holidays After 10 days of employment, twelve month, full time employees are granted holiday pay for the following holidays: New Year s Day Good Friday Memorial Day July 4th Labor Day Thanksgiving Day Day after Thanksgiving Christmas Eve Christmas Day New Year s Eve Additional paid holiday time may be granted by the President. Vacation Sick Leave Personal Leave Bereavement Leave Medical/Maternity Paternity Leave Military Leave Dining Services Accrues based on the following schedule and may be used after completing six (6) months of service: 1-3 years 12 days 4-8 years 15 days 9-14 years 19 days 15 years or more 20 days Accrues at the rate of 4 hours per pay (maximum accrual is 200 days) and is available for use by employee upon employment. Two (2) personal days are granted. Eligibility for the first day is after 6 months of continuous employment. The second personal day that is chargeable to sick leaves is available after 12 months of continuous employment. 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 your current bargaining unit agreement for definition of immediate and extended family. Handled in accordance with University Family and Medical Leave Act (FMLA) policy. (See also your current collective bargaining unit agreement and the 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. Sporting News Grill offers FSU employees a 25% discount Monday-Friday from 11 am- 3 pm.

6 Computer Purchases FORD Partner Recognition Plan Employee Assistance Services Court Required Services Credit Union Direct Deposit MESP Michigan Education Savings Plan 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. Any 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. 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.

7 If you have any questions about your benefits, contact the Human Resources Prakken Building, Room 150, Phone Number (231) The CTA contract can be found at: 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 Clerical-Technical Association

Medical Plan Options

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