2014 Benefits Overview

The information contained in this presentation is not a contract and is subject to change by the proper authorities. It should be understood that explanations in this summary cannot alter, modify or otherwise change the controlling legal documents or general statutes in any way, nor can any right by reason of any inclusion or omission of any statement in this presentation.

2

Who’s Eligible

• Permanent (non-temporary) part-time employees working 20 – 29 hours per week are eligible for many benefit programs, typically without employer contributions

• Permanent (non-temporary) part-time employees working 30 – 39 hours per week or permanent full-time employees working 40 hours per week are considered to be benefits eligible

Health Benefits

4

Health Benefits

• State Health Plan of NC – administered by Blue Cross and Blue Shield of North Carolina (BCBSNC)

• Use any medical provider you choose– In Network: Costs are lower when you use a doctor, hospital

or other provider from the BCBSNC Blue Options network.– Out of Network: For other providers, your deductibles,

coinsurance and copays may be higher.• Choose from three plan options:

– Traditional 70/30 Plan (lower contributions, lower coverage levels)

– Enhanced 80/20 Plan (higher contributions, higher coverage levels)

– Consumer-Directed Health Plan (CDHP) (higher deductible, Health Reimbursement Account (HRA))

Traditional 70/30 Plan: Highlights

5

How Plan Coverage WorksPLAN DESIGN FEATURE IN NETWORK OUT OF NETWORK

Annual Deductible(Single/Family)

$933/$2,799 $1,866/$5,598

Coinsurance You pay 30% of eligible expenses after deductible

You pay 50% of eligible expenses after deductible, plus difference between charge and allowed amount

Preventive Care • Office visit: $35• Specialist visit: $81

Not covered

Office visits (non-preventive) • Office visit: $35• Specialist visit: $81

You pay 50% after deductible, plus difference between charge and allowed amount

Inpatient Care $291 copay, then 30% after deductible

$291 copay, then 50% after deductible

Emergency Room $291 copay, then 30% after deductible

$291 copay, then 50% after deductible

Enhanced 80/20 Plan: Highlights

6

How Plan Coverage WorksPLAN DESIGN FEATURE IN NETWORK OUT OF NETWORK

Annual Deductible(Single/Family)

$700/$2,100 $1,400/$4,200

Coinsurance You pay 20% of eligible expenses after deductible

You pay 40% of eligible expenses after deductible, plus difference between charge and allowed amount

Preventive Care Covered at 100% Not covered

Office visits (non-preventive)

• Office visit: $30 ($15 if you use the PCP on your ID card)

• Specialist visit: $70 ($60 if you use a Blue Options designated specialist)

You pay 40% after deductible, plus difference between charge and allowed amount

Inpatient Care $233 copay, then 20% after deductible; copay not applied if you use Blue Options designated hospital

$233 copay, then 40% after deductible

Emergency Room $233 copay, then 20% after deductible; copay not applied if you use Blue Options designated hospital

$233 copay, then 40% after deductible

CDHP (with HRA): Highlights

7

How Plan Coverage WorksPLAN DESIGN FEATURE IN NETWORK OUT OF NETWORK

HRA The Plan funds your Health Reimbursement Account (HRA ) annually based on coverage level you elect (Employee, Employee +1, Employee + 2 or more)

Annual Deductible(Single/Family)

$1,500/$4,500 $3,000/$9,000

Coinsurance You pay 15% of eligible expenses after deductible

You pay 35% of eligible expenses after deductible, plus difference between charge and allowed amount

Preventive Care Covered at 100% Not covered

Office visits (non-preventive)

You pay 15% after deductible You pay 35% after deductible, plus difference between charge and allowed amount

Inpatient Care You pay 15% after deductible; $50 added to HRA if a Blue Options designated hospital is utilized

You pay 35% after deductible, plus difference between charge and allowed amount

Emergency Room You pay 15% after deductible; $50 added to HRA if a Blue Options designated hospital is utilized

You pay 35% after deductible, plus difference between charge and allowed amount

8Prescription Coverage – 70/30 and 80/20 Plans

• Prescription coverage (in-network) provided by Medco:– Generic: $12 copay, up to 30-day supply– Preferred Brand-name: $40 copay, up to 30-day supply– Non-preferred Brand-name: $64 copay, up to 30-day supply– Specialty: 25% coinsurance up to $100 or $150 (depending

on the medication), 30-day supply– ACA preventive medications covered at 100% for 80/20

Plan; not applicable for 70/30 Plan• Prescription coverage (out-of-network) provided by Medco:

– Applicable copay and the difference between charge and allowed amount

– ACA preventive medications covered at 100% for 80/20 Plan; not applicable for 70/30 Plan

Prescription Coverage – CDHP

• Prescription coverage (in-network) provided by Medco:– Generic, Preferred Brand-name, Non-Preferred Brand-

name: 15% coinsurance after deductible– ACA preventive medications covered at 100%– CDHP Preventive Medications covered at 15%, no

deductible• Prescription coverage (out-of-network) provided by Medco:

– Generic, Preferred Brand-name, Non-Preferred Brand-name: 35% coinsurance after deductible

– ACA preventive medications covered at 100%– CDHP Preventive Medications covered at 15%, no

deductible

9

10

Additional Health Plan Resources

• NC HealthSmart: voluntary program offering tools and resources to help you live a healthier life such as:

– Member Focus newsletter, information on the 24-hour nurse line, the Stork Rewards program, Eat Smart, Move More, Weigh Less program

• Sign up for the State Health Plan Member Newsletter at www.shpnc.org

Monthly Rates for Health Coverage

11

Medical Coverage

PLANEMPLOYEE

ONLYEMPLOYEE+ CHILDREN

EMPLOYEE+ SPOUSE

EMPLOYEE + FAMILY

Traditional 70/30 Plan $0.00 $205.12 $528.52 $562.94

Enhanced 80/20 Plan $63.56 $336.36 $692.10 $729.94

CDHP $40.00 $224.60 $515.68 $546.64

• If you are enrolled in the Enhanced 80/20 Plan or the Consumer-Directed Health Plan, you will have the opportunity to earn wellness premium credits each year, which will reduce your monthly premiums

• Health insurance premiums are paid one month in advance of coverage (i.e., January premiums pay for February coverage)

• No pre-existing condition exclusion

NCFlex Health & Other Insurance Programs

NCFlex Health & Other Insurance Programs

• These voluntary programs provide a variety of plans to meet the needs of you and your family

• You pay the full cost of coverage through payroll deductions on a pre-tax basis

• Programs include: Dental, Vision, Health Care Flexible Spending Account, Dependent Day Care Flexible Spending Account, Cancer, Critical Illness, Group Term Life Insurance, Core AD&D and Voluntary AD&D Insurance

13

14

Dental Coverage

• Coverage provided through United Concordia• Choose from two plan options:

– High Option: Includes orthodontia for children under 19– Low Option: Does not include orthodontia

• Under both options:– Visit any provider– You are responsible for deductibles– You or your dentist may file claims– You may be subject to a waiting period before certain

benefits are payable under the plan (see “Benefit Waiting Period” chart under Dental coverage on NCFlex website)

Dental Coverage

15

How Plan Coverage Works Under Each OptionPLAN DESIGN FEATURE HIGH OPTION LOW OPTION

Annual Deductible $50 person/$150 family $25 person/$75 family

Preventive/Diagnostic Services• Exams, cleanings, X-rays, etc.

Plan pays 100% on eligible expenses, no deductible

Plan pays 100% on eligible expenses after deductible

Basic Services• Fillings, extractions, endodontics,

periodontics

• Most services: You pay 20% after deductible

• Periodontic: You pay 50% after deductible

• Fillings and simple extractions: You pay 20% after deductible

• Periodontic and other services: You pay 50% after deductible

Major Services• Crowns, inlays, dentures, bridges

You pay 50% after deductible Not covered

Maximum Annual Benefit $1,250 per person (excluding orthodontia)

$1,000 per person

Orthodontia for dependent children under age 19

Plan pays 50% up to $1,500 lifetime benefit per person

Not covered

Monthly Rates for Dental Coverage

16

Dental Coverage

PLANEMPLOYEE

ONLYEMPLOYEE + SPOUSE

EMPLOYEE + ONE CHILD

EMPLOYEE + TWO OR MORE

CHILDREN FAMILY

High Option $37.40 $75.00 $71.96 $90.96 $132.42

Low Option $21.34 $43.04 $41.30 $52.62 $73.68

17

Vision Coverage

• Coverage provided through Superior Vision Services (SVS)• Choose from three coverage options:

– Core Wellness Plan– Basic Plan– Enhanced Plan

• Under all options, can visit any provider but may pay lower expenses with in-network SVS provider

Vision Coverage: Core Wellness Plan

18

How Plan Coverage WorksPLAN DESIGN FEATURE IN NETWORK OUT OF NETWORK

Annual Comprehensive Eye Exam

Plan pays 100% after $20 copay

Not covered

Frames and Lenses Discounts available Not covered

Vision Coverage: Basic and Enhanced Plan

19

How Plan Coverage WorksPLAN DESIGN FEATURE IN NETWORK OUT OF NETWORK

Routine Eye Exam $20 copay • Up to $44 allowance for ophthalmologist

• Up to $39 allowance for optometrist

Frames – once every 24 months

Up to $125 allowance ($175 allowance for Enhanced Plan) plus 20% discount on coverages

Up to $50 allowance ($81 for Enhanced Plan)

Lenses Plan pays 100% Plan pays up to:• Single vision: $34• Bifocal: $48• Trifocal: $64• Lenticular: $88

Contact Lenses (elective) Plan pays up to $120 ($150 for Enhanced Plan) allowance

Plan pays up to $100 allowance

Contact Lenses (necessary) Plan pays 100% Plan pays up to $210 allowance

Monthly Rates for Vision Coverage

20

Vision CoveragePLAN EMPLOYEE ONLY FAMILY

Core Wellness Plan $0.00 N/A

Basic Plan (Exams and Materials) $5.76 $15.98

Enhanced Plan (Enhanced Exams and Materials)

$8.88 $23.62

21

Health Care Flexible Spending Account

• Coverage provided through P&A Group• Set aside money through pre-tax contributions to pay for

eligible out-of-pocket medical, dental and vision expenses:– Deductibles– Co-pays and coinsurance– Out-of-network expenses– Uncovered procedures

• Contribute from $120 to $2,500 per year• Convenience card (debit card) for all participants• “Use it or lose it” rule; you forfeit any unused contributions

– Expenses can be incurred between January 1, 2014 and March 15, 2015, provided you remain actively employed for all of 2014. Prior year claims must be submitted by April 30, 2015.

22Dependent Day Care Flexible Spending Account

• Set aside money through pre-tax contributions to pay eligible child care and adult day care expenses so you (and your spouse) can work or attend school full-time:

– Care of dependent children under age 13– Care of dependent adult who lives with you at least 8

hrs/day• You may contribute from $120 to $5,000 per year• “Use it or lose it” rule: you forfeit any unused contributions

– Expenses can be incurred between January 1, 2014 and March 15, 2015, provided you remain actively employed for all of 2014. Prior year claims must be submitted by April 30, 2015.

23

Other NCFlex Health Programs

• Cancer Insurance provided through American Heritage Life: pays benefits for cancer-related expenses

– Employee Only or Employee + Family Coverage– Low, High and Premium options

• Critical Illness Insurance provided through Met Life: pays lump-sum benefit in event of certain health conditions

– Employee, Spouse, Children or Family Coverage– Three categories of coverage available

Monthly Rates for Cancer Coverage

24

Cancer InsurancePLAN EMPLOYEE ONLY EMPLOYEE + FAMILY

Low Option $6.78 $11.26

High Option $15.68 $26.06

Premium Option $21.64 $35.96

Monthly Rates for Critical Illness Coverage

25

Critical Illness CoverageAGE EMPLOYEE SPOUSE

Less than 25 $1.42 $1.4225-29 $1.64 $1.6430-34 $2.78 $2.7835-39 $4.56 $4.5640-44 $7.70 $7.7045-49 $13.00 $13.0050-54 $20.04 $20.0455-59 $30.34 $30.3460-64 $45.46 $45.4665-69 $68.28 $68.2870-74 $99.64 $99.6475-79 $157.68 $157.6880-84 $197.64 $197.64

85 and older $213.62 $213.62

Employees may also cover eligible dependent children. Employee will pay one flat rate ($0.90) no matter how many children are covered.

Voluntary Group Term Life Insurance

• Group Term Life provided through ING• Coverage available for yourself, your spouse and

child(ren). You must be enrolled to cover your spouse/child(ren)

• Employee only and Employee & Spouse coverage in $10,000 increments, from $20,000 to $500,000 (limited to five times your base annual earnings); spouse coverage cannot exceed 100% of employee’s elected amount

• Coverage over $100,000 subject to Evidence of Insurability (EOI)

• Dependent child(ren) coverage for $5,000 or $10,000

26

Monthly Rates for Life Insurance Coverage

27

Voluntary Group Term Life Insurance for Employee Only and Employee & Spouse

YOUR AGE RATE PER $1,000 OF COVERAGE

Under 24 $0.048

25-29 $0.058

30-34 $0.078

35-39 $0.088

40-44 $0.12

45-49 $0.18

50-54 $0.28

55-59 $0.512

60-64 $0.764

65-69 $1.56

70-74 $2.28

75 and above $2.28

Monthly Rates for Life Insurance Coverage

28

Voluntary Group Term Life Insurance for Child(ren)Per Dependent Unit

$5,000 $0.68

$10,000 $1.36

29

Accident Insurance

• Core Accidental Death and Dismemberment (AD&D) Insurance provided through A.C. Newman

– Elect coverage of $10,000 for yourself only– University pays full cost of coverage; however, you must

enroll for coverage– Payment to your beneficiaries in case of your accidental

death– Payment to you in case of your accidental dismemberment

• Voluntary AD&D Insurance provided through A.C. Newman– Elect coverage up to $500,000 for you and your family– You pay the full cost of coverage

Monthly Rates for Accident Insurance

30

Accidental Death & Dismemberment (AD&D) Insurance (Examples)BENEFIT AMOUNT EMPLOYEE ONLY COVERAGE EMPLOYEE + FAMILY COVERAGE

$50,000 $0.96 $1.50

$75,000 $1.42 $2.26

$100,000 $1.90 $3.00

$125,000 $2.38 $3.74

$150,000 $2.86 $4.50

$175,000 $3.32 $5.26

$200,000 $3.80 $6.00

$250,000 $4.76 $7.50

$300,000 $5.70 $9.00

$350,000 $6.64 $10.50

$400,000 $7.60 $12.00

$500,000 $9.50 $15.00

Income Protection Programs

Income Protection Programs

• Programs designed to provide you and/or your family with financial protection in the event of your death, disability or long-term illness

• Some are offered at no cost to you; others require you to pay for coverage

32

33

Disability Plans

• Disability coverage provided under the Disability Income Plan of North Carolina (DIP-NC)

• Short-Term Disability – Provided to eligible employees at no cost

• After one year of contributing membership to TSERS or participation in the ORP.

– Pays 50% of base compensation up to $3,000/month– Payable up to 365 days, after 60-day waiting period

• Long-Term Disability – Provided to eligible employees at no cost

• After five years of contributing membership to TSERS or participation in ORP

– Pays 65% of base compensation up to $3,900/month– Payable as long as you remain permanently disabled, until

eligibility for unreduced service retirement

34

Supplemental Disability Plans

• Can help fill gaps in State coverage – Replacement income while you are ineligible for state

Short-Term Disability Plan– Waiting period: 90 days– Pays 66-2/3% of gross monthly salary up to $10,000

• Voluntary benefit; you pay full cost of coverage after-tax • Coverage through The Standard if you elect ORP

– Includes continuing ORP contributions into your ORP account on your behalf

• Coverage through Liberty Mutual if you elect TSERS

Retirement Programs

36

Retirement Programs

• Participation in a retirement program is mandatory• You may choose between:

– The North Carolina Teachers' and State Employees' Retirement System (TSERS), a defined benefit plan or

– The UNC Optional Retirement Program (ORP), a defined contribution plan

• You must make your election between TSERS and ORP within 60 days of your date of hire

• Once you make the choice it cannot be changed; it is irrevocable

TSERS Plan Highlights

• Defined benefit plan• State controls the investments• Benefit you receive is based on a formula (factors include

your age, your average final compensation and your years/months of creditable service)

• You must contribute 6% of your pay on pre-tax basis

37

ORP Plan Highlights

• Defined contribution plan• You control your investments• The benefit you receive at retirement is based on

investment performance and payment option chosen• Program serves as an alternate option to TSERS for

certain faculty and EPA non-faculty and other employees as approved by the UNC Board of Governors

• You must contribute 6% of your pay on a pre-tax basis• The University contributes 6.84%• Choose from four investment providers (Fidelity

Investments, Lincoln Financial Group, TIAA-CREF and VALIC)

38

Retirement Plan Resources

39

To review the booklet in greater detail, click on the picture to open the document.

Your Retirement, Your Choice Video

40

Retirement Plan Resources

41

Two more resources to assist you in making a decision between TSERS and the ORP. Click on the either image to open a link to that tool.

42

Supplemental Retirement Plans

• Allows you to put money away on a pre-tax basis for your retirement in addition to the 6% you contribute to TSERS or the ORP

• There are three types of plans available– 403(b) plan administered by two different vendors, Fidelity and TIAA-

CREF, and sponsored by the University – A 401(k) plan administered through Prudential and sponsored by the

State of North Carolina – A 457 plan administered through Prudential and sponsored by the

State of North Carolina • You may elect to begin, change the amount you contribute or stop

your participation at anytime• You may elect to participate in the 403(b), 401(k) and the 457 at the

same time; however the IRS limits the amount you can contribute

Enrolling in Your Benefits

When Coverage Becomes Effective

44

Coverage Effective DatesPLAN NAME COVERAGE EFFECTIVE

Health Benefits First of the month or first of the second month following employment

date

NCFlex Benefits First of the month following employment date

Short-Term Disability After one year of contributing membership to TSERS or ORP

Long-Term Disability After five years of contributing membership to TSERS or ORP

Supplemental Disability Plan Employment dateTSERS Employment dateORP Employment dateSupplemental Retirement Plans May enroll at anytime

Enrollment for Health & NCFlex Benefits• You must enroll within 30 days of your employment date• To enroll, follow these simple steps:

– Log on to  https://unc.hrintouch.com/ (Note: For some locations, your login instructions are different. Be sure to look for special login instructions on the home page to access the site)

– Enter your Login ID and Password– Select the “Enroll Now” button – Select “Get Started” and follow the prompts– At the end, you will see a Summary screen. Review your

information and click “Save” to save your elections– Print a copy of your Benefit Summary before logging out

45

Enrollment for Income Protection Programs

• All employees must complete online enrollment within 60 days of their employment date

• Enroll for Supplemental Disability Insurance (after tax) through The Standard, if you choose the UNC ORP, by completing the enrollment forms located online at http://www.northcarolina.edu/hr/unc/benefits/financial/index.htm

• Enroll for Supplemental Disability Insurance (after tax) through Liberty Mutual, if you choose TSERS, by completing the enrollment forms located online at http://www.northcarolina.edu/hr/unc/benefits/financial/index.htm

46

47

Enrollment in TSERS

• You do not need to complete an enrollment form for TSERS, but will be automatically enrolled.

• You must designate a beneficiary by completing the following forms:

– Form 2DB - Designating Beneficiary(ies) for the Death Benefit

– Form 2RC - Designating Beneficiary(ies) for The Retirement System Return of Contributions

– For these two forms visit https://orbit.myncretirement.com/Orbit/Info/Pages/ListAllForms.aspx?formCat=F3BENDESG

48

Enrollment in the ORP

• You must complete the following forms:– Form ORP-1 The University of North Carolina Optional

Retirement Program (ORP) Election And Forfeiture Agreement

– ORP Carrier Enrollment Application (Complete the ORP Carrier form(s) for the carrier you want for your contributions and the University contributions.)

• Follow the instructions provided by your campus Human Resources/Benefits Office for instructions on where to return forms

• You must enroll within 60 days of your date of hire or you will automatically be enrolled in TSERS

49Enrollment in theSupplemental Retirement Plans

• 403(b) Plan– Visit

www.northcarolina.edu/hr/ga/benefits/retirement/Suppmtl-Ret/403bMain.htm

– Complete a Salary Reduction Agreement (form and instructions available on the website)

– Enroll in the Plan with Fidelity and/or TIAA-CREF• 457 Plan

– Visit www.retirement.prudential.com/cws/ncplans– Complete an NC 457 Deferred Compensation Plan Enrollment

Form (forms and instructions available on the website)– Send the form to:

• NC Plans Processing Center, PO Box 5340, Scranton, PA 18505, or fax to 1-866-439-8602

50Enrollment in the Supplemental Retirement Plans

• State 401(k) Plan– Visit www.retirement.prudential.com/cws/ncplans– Complete an NC 401(k) Plan Enrollment Form (forms and

instructions available on the website– Send the form to:

• NC Plans Processing Center,PO Box 5340 Scranton, PA 18505, or fax to 1-866-439-8602

For More Information

• Visit www.northcarolina.edu/hr/unc/benefits/index.htm for more information about the benefits provided by the University

• You can also check your campus’ website for additional details and HR/Benefit Office contacts

51