New Employee Orientation: Benefits

Transcription

1 New Employee Orientation: Benefits Lisa Taylor, Sr. HR Generalist Angela Cagle, Manager of Benefits

2 AgendaGENDA FOR TODAY? Health Insurance Overview Dental Insurance Overview Optional Insurance Overview Voluntary Benefits Overview Retirement Overview Workers Compensation

3 Health Coverage Prior Service Direct Transfer from other Texas State Agency? Does a spouse or parent cover you for health, dental or dependent life through Texas GBP? Are you a 9 month employee or part time employee?

4 Health Insurance Overview Follows CALENDAR YEAR (January 1 December 31) Premiums Employee Only Health Insurance No Cost 50% State Contribution for Dependents Part-time rates (50/50 EE, 75/25 Dep) Enrollment Automatic Enrollment for full-time employees Employees must log in to ERS to customize within 60 days following first day of employment Dependent enrollment and part-time enrollment employees 60 days following the first day of employment Effective Date First of the month following the 60th day of employment

5 Health Insurance Overview State of Texas is self-insured under ERS The plan offered to State of Texas Employees The company that administers the plan

6 Health Insurance Overview Powered by Community Health Choice New option for Houston counties (Brazoria, Fort Bend, Galveston, Harris, and Montgomery) beginning 9/1/2015.

7 Health Insurance Overview * Functions on CALENDAR YEAR (January 1 December 31) * No deductible $2,000/Calendar year Coinsurance Maximum $6,450/Calendar year Out- Of-Pocket Maximum Primary Care Physician Required Specialist Referrals required Exceptions: one routine OB-GYN Ophthalmologist/Optometrist Low office visit co-pay $25 Primary Care $25 Mental Health $40 Specialist Hospital co-payments $100 Outpatient co-pay then 80/20 $150 Inpatient co-pay per day up to 5 day maximum and 80/20 $150 ER co-pay then 80/20 $50 Urgent Care then 80/20 Non-Network benefits Available.

8 Same-Sex Spouses Following the U.S. Supreme court s ruling on June 26, 2015 regarding same-sex marriage, employees will be able to enroll their same-sex spouses and dependent step children of those spouses in the same coverages and services, and at the same cost, as opposite-sex spouses.

9 Health Insurance Overview $5,000 Life Insurance policy connected with EE medical plan Tobacco Tobacco User Certification required for you and your dependents. ERS System default = tobacco user

10 Tobacco User Premium Choose to Quit Recent federal regulations require ERS to offer a new alternative to paying the tobacco-user premium, to members and their dependents enrolled in a GBP health plan and certified as tobacco-users. For additional information go to the ERS Choose To Quit Q&A.

11 PRESCRIPTION DRUG PROGRAM * Functions on CALENDAR YEAR * Prescriptions are $10, $35, $60 $50 Plan Year deductible (per family member) Generics mandatory when available (or higher copay) Maintenance medications options (long-term) 90 day supply Mail Order 90 day supply by Mail Order

12 Dental Insurance * Functions on CALENDAR YEAR * 3 plans Fully Paid By Employee 30 days to enroll Effective 1 st day of month following enrollment Humana Dental This plan works like an HMO. Prenegotiated rates. You and your eligible dependents must get your dental care within the Humana Dental HMO service area (inside the state of Texas). $9.12 EE only State of Texas Dental Choice Plan Administered by the Humana, this plan allows you to visit any dentist, and you and eligible dependents can enroll regardless of where you live. $23.58 EE only Dental Discount Plan Careington Dental The State of Texas Dental Discount plan is not an insurance, but a discount program for dental services. You can save 20% to 60% on most dental work with 20% savings on orthodontics for children and adults. Rates vary per dentist. $2.25 EE only

13 Optional Benefits Premiums: Fully paid by the employee Enrollment Deadline: 30 days from your hire date Effective Date: 1 st of the month following enrollment

14 Optional Term Life Optional Term Life Election I = 1 x annual salary Election II = 2 x annual salary Election III = 3 x annual salary* - Requires EOI approval Election IV = 4 x annual salary* - Requires EOI approval

15 Dependent Term Life Life insurance coverage for each covered family member $5,000 policy $1.38 per month ($1.38 covers EE + all dependents) *Administered by Minnesota Life

16 Voluntary Accidental Death & Dismemberment (AD&D) Accidental death In the event of your death as the direct result of an accident, your beneficiary will receive the amount of insurance you select. Office of Human Dismemberment If you have an accident and experience bodily losses as a direct result of the accident, you will receive AD&D benefits. Cost Depends on the amount of coverage you purchase Purchased in increments of $5,000 Minimum coverage available is $10,000 Maximum coverage available is $200,000 You and your dependents.02 cents per $1000 for EE only /.04 cents per $1000 for EE & Family Example: EE only for $200,000 is $4.00/mo EE + Family for $200,000 is $8.00/mo

17 Disability Insurance Office of Human Short Term Premium is.30 per $100 of monthly salary Must be fully disabled Must be off work 30 days before coverage begins Insurance pays 66% of salary for a maximum of 5 months Maximum benefit: $6,600 per month Long Term Premium is.63 per $100 of monthly salary Must be fully disabled Must be off work 180 days before coverage begins Insurance pays 60% of salary until age 65 Maximum benefit: $6,000 per month

18 TexFlex Reimbursement Accounts TexFlex Health Care Account: $2550 TexFlex Day Care Account: $5,000 NEW ADMINISTRATOR: ADP Office of Human Fees - $12 annual administrative fee (2015/2016 holiday) $15 annual debit card fee (Debit card not an option for Day Care) Reimbursement - mail, fax, or use of a debit card. Use it or Lose it - money contributed must be used during that plan year, (September 1 st - August 31 st ) or it is forfeited (grace period until November 15 th ). Eligible to rollover $ to the following plan year for TexFlex healthcare only.

19 Opt-Out Health Insurance Opt-Out Program Employees who choose to not elect the State s health insurance due to other coverage. Office of Human Credit provided for employees to use toward dental and Voluntary AD&D premiums. $60/mo full time $30/mo part time

20 ERS Online To Enroll in optional coverage please visit the ERS website: Go to Click on Enroll Register and login Click on Post-Hire Change NOTE: New hire information must be entered by the benefits team into ERS prior to your enrollment. NOTE: You must certify Tobacco Use or be charged a premium

21 Very Important Deadlines Remember employee makes choices online at Benefit Auto Enrolled 30 days from hire date 60 days from hire date 30 days from birth 30 days from event Can be added any time Can be added at Open Enroll Health Insurance for Full Time Employee Health Insurance for Part Time Employee Health Insurance for Dependents Health Insurance for New Baby Health insurance for Qualifying Life Events Tobacco User Certification (avoiding fee) Life Insurance (medical plan) for Employee Dental Insurance for Employee Optional Benefits for Employee * Optional Benefits for Dependents * Voluntary Supplemental Medical Employee Voluntary Benefits (other) for Employee TexFlex Reimbursement Accounts Texa$aver 457 / Voluntary 403b TRS Retirement * With evidence of insurability

22 Voluntary Benefits TWU Voluntary Benefits: Supplemental Medical Enrollment Office of Human Payroll Deducted - pre tax 30 day enrollment period for new hires Subject to annual open enrollment Offered by Humana: 3 policies Critical Illness / Cancer Accident Hospital Indemnity Deadlines < Based on the level you choose, it pays cash to you for life's unplanned circumstances < How to enroll:

23 Voluntary Benefits TWU Voluntary Benefits: Other Products Enrollment Payroll Deducted - post tax Enrollment allowed at any time Deadlines Office of Human LEGAL SHIELD Identity theft, Legal assistance ASPCA Insurance for pets MASA Air Ambulance services LIBERTY MUTUAL Auto coverage, Home coverage

24 Voluntary Benefits How to enroll: Office of Human Oracle ID required to enroll: This is NOT your badge ID. You will have access to this ID following your Portal Access. Contact Benefits Team for enrollment assistance

25 Other Voluntary Benefits Employee Assistance Program (EAP) Office of Human

26 Other Voluntary Benefits Fitness & Recreation Office of Human State-of-the art fitness center Tennis courts Golf course $75/semester Sponsor one person per semester at $95/semester *Payroll deduction available once per year Wellness Benefit 1.5 hours 3x per week

27 TEACHER RETIREMENT SYSTEM OF TEXAS (TRS) Defined Benefits Plan Vesting period of five years Normal Age Retirement: Vested as of 8/31/14 - Rule of 80 or Age years service Vested after 9/1/14 - Rule of 80 and Age 62 5% reduction per year prior to age 62 TRS standard annuity (maximum annual benefit): 2.3% x years of service X average of five highest fiscal year salaries: e.g., 25 yrs x 2.3% =.575 x $50,000 = $28,750/yr. ($ /mth) Contributions: Employee: 7.2% of gross salary into your account Employer/State: 6.8% to TRS fund Employee and Employer contributions will increase over next 5 years Additional benefits: Death/Survivor benefits: $10,000 - $80,000 Disability retirement benefits (based on yrs of service) Ability to purchase credit toward retirement (out-of-state service, military service)

28 Will you have enough money in retirement? Texa$aver 457 Voluntary 403b Consider a stable income for your retirement: Your pension (State retirement) Social Security (Only HigherEd gets this) Personal savings and investments (like a 401(k), 457 or IRA) Deductions on a Pre-Tax/ or Post-Tax basis Flexible enrollment throughout the year Increase/Decreased deduction amounts anytime Start/Stop deductions anytime Minimum monthly contribution - $20.00 TWU 403B Enrollment: TEXA$AVER 457 Enrollment:

29 Worker s Compensation Notify supervisor immediately 100% medical

30 Very Important Deadlines Remember employee makes choices online at Office of Human Benefit Auto Enrolled 30 days from hire date 60 days from hire date 30 days from birth 30 days from event Can be added any time Can be added at Open Enroll Health Insurance for Full Time Employee Health Insurance for Part Time Employee Health Insurance for Dependents Health Insurance for New Baby Health insurance for Qualifying Life Events Tobacco User Certification (avoiding fee) Life Insurance (medical plan) for Employee Dental Insurance for Employee Optional Benefits for Employee * Optional Benefits for Dependents * Voluntary Supplemental Medical Employee Voluntary Benefits (other) for Employee TexFlex Reimbursement Accounts Texa$aver 457 / Voluntary 403b TRS Retirement * With evidence of insurability

31 Important Reminders GET A REFERRAL - Specialist referrals ARE required. WATCH YOUR MAIL - Health Insurance Cards will be mailed to you by the effective date MAKE A CHOICE - Primary Care Physician (PCP) required. Office of Human MAKE A CALL - Call United Health Care with your PCP choice as soon as you receive your insurance cards. CERTIFY - You must certify Tobacco Use for you and dependents or be charged a $30.00 premium for you and up to $90.00 per household. KEEP SYSTEM UPDATED - Personal Information (address, etc) must be updated in ERS by you!

32 What if I Have Questions Later? ERS Benefits Information: United HealthSelect: Office of Human To Designate Primary Care Physician: Step 1: Visit - Step 2: Call United HealthCare Customer Service: Dental Humana: TWU Benefits Department: Lisa Taylor: ltaylor16@twu.edu or Angela Cagle: acagle@twu.edu or