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.

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 to 39 hours per week or permanent full-time employees working 40 hours per week are considered to be benefits eligible

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Health Benefits

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: Your 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 two plan options:– Basic 70/30 Plan (lower contributions, lower coverage

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

levels)

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Basic 70/30 Plan: Highlights

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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% after deductible

You pay 50% 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 You pay 30% after deductible and $291 copay

You pay 50% after deductible and $291 copay

Emergency Room You pay 30% after deductible and $291 copay

You pay 30% after deductible and $291 copay

Standard 80/20 Plan: Highlights

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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% after deductible

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

Preventive Care • Office visit: $30• Specialist visit: $70

Not covered

Office visits (non-preventive) • Office visit: $30• Specialist visit: $70

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

Inpatient Care You pay 20% after deductible and $233 copay

You pay 40% after deductible and $233 copay

Emergency Room You pay 20% after deductible and $233 copay

You pay 20% after deductible and $233 copay

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Both PPO Plans – More Details• Prescription coverage provided by ExpressScripts:

– Generic: $12 co-pay, up to 30-day supply– Preferred Brand-name: $40 co-pay, up to 30-day supply– Non-preferred Brand-name: $64 co-pay, up to 30-day supply– Specialty: 25% coinsurance up to $100, 30-day supply

• 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

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Medical Coverage

PLANEMPLOYEE

ONLYEMPLOYEE+ CHILDREN

EMPLOYEE+ SPOUSE

EMPLOYEE + FAMILY

Basic PPO $0.00 $198.06 $510.32 $543.54

Standard PPO $22.76 $286.16 $629.64 $666.18

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

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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)

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Dental Coverage

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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%, no deductible

Plan pays 100% after deductible

Basic Services• Fillings, extractions, endodontics,

periodontics

• Most services: You pay 20% after deductible

• Periodontic: You pay 50% after deductible

• Fillings and extractions: You pay 50% 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

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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

Vision Coverage

• Coverage provided through Superior Vision Services (SVS)

• Choose from three coverage options:– Exam and Materials– Materials Only– Enhanced Exam and Materials

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

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Vision Coverage: Exam and Materials Plan and Enhanced Exam and Materials Plan

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How Plan Coverage WorksPLAN DESIGN FEATURE IN NETWORK OUT OF NETWORK

Routine Eye Exam Plan pays 100% after $20 copay

Plan pays up to $44 for ophthalmologist; up to $39 for optometrist

Frames – once every 12 months

Plan pays up to $100 ($150 for Enhanced Plan); 20% discount on coverages

Plan pays up to $50 ($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)

Plan pays up to $100

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

Vision Coverage: Materials Only Plan

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How Plan Coverage WorksPLAN DESIGN FEATURE IN NETWORK OUT OF NETWORK

Routine Eye Exam Not covered Not covered

Frames – once every 24 months

Plan pays up to $100; 20% discount on coverages

Plan pays up to $50

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 Plan pays up to $100

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

Monthly Rates for Vision Coverage

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Vision CoveragePLAN EMPLOYEE ONLY FAMILY

Exam and Materials $6.84 $17.38

Materials Only $5.14 $12.72

Enhanced Exam and Materials $9.98 $25.10

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 $5,000 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, 2012 and March

15, 2013, provided you remain actively employed for all of 2012. Prior year claims must be submitted by April 30, 2013.

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Dependent 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, 2012 and

March 15, 2013, provided you remain actively employed for all of 2012. Prior year claims must be submitted by April 30, 2013.

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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

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Monthly Rates for Cancer Coverage

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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

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Critical Illness CoverageAGE EMPLOYEE SPOUSE

Less than 25 $1.50 $1.50

25-29 $1.80 $1.80

30-34 $2.84 $2.84

35-39 $5.10 $5.10

40-44 $9.14 $9.14

45-49 $16.04 $16.04

50-54 $25.80 $25.80

55-59 $40.34 $40.34

60-64 $61.20 $61.20

65-69 $93.14 $93.14

70-74 $134.84 $134.84

75-79 $190.94 $190.94

80-84 $239.70 $239.70

85 and older $257.54 $257.54

Employees may also cover eligible dependent children. Employee will pay one flat rate ($0.92) no matter how many children are covered.

Voluntary Group Term Life Insurance

• Group Term Life provided through ING: coverage in $10,000 increments, from $20,000 to $500,000 (limited to five times your base annual earnings)

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

• Coverage available for yourself only

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Monthly Rates for Life Insurance Coverage

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Voluntary Group Term Life InsuranceYOUR AGE RATE PER $1,000 OF COVERAGE

Under 24 $0.049

25-29 $0.059

30-34 $0.079

35-39 $0.089

40-44 $0.139

45-49 $0.198

50-54 $0.337

55-59 $0.564

60-64 $0.840

65-69 $1.730

70-74 $2.520

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

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Monthly Rates for Accident Insurance

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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

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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

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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

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Retirement Programs

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

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TSERS Plan Highlights

• Defined benefit plan

• State controls the investment

• 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

• The University contribution is determined by the General Assembly. The current percentage is 8.33%

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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)

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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 there are limits to the amount you can contribute

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Enrolling in Your Benefits

When Coverage Becomes Effective

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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 date

TSERS Employment date

ORP Employment date

Supplemental Retirement Plans May enroll at anytime

Enrollment for Health Benefits

• You must enroll within 30 days of your employment date

• To enroll follow the instructions in the Employee Instructions for Completing Your Benefit Enrollment Online:

– http://shpnc.org/library/pdf/ebenefitsnow-enrollment-inst.pdf

• Link to UNC Asheville’s dedicated enrollment site– http://unca.hrintouch.com/

• Health insurance premiums are paid one month in advance of coverage

– (i.e., January premiums pay for February coverage)

• No pre-existing condition exclusion or waiting periods if you enroll when first eligible

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Enrollment for NCFlex Programs

• To enroll visit the NCFlex Enrollment Website– http://www.ncflexonline.org

• All employees must complete online enrollment within 30 days of their employment date.

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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

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Enrollment in TSERS

• Choose the TSERS option on the “Enrollment in a Mandatory Retirement Program” form and return it to Human Resources.

• You must designate a beneficiary by completing the following forms AFTER your first contribution/payroll deduction:

– 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

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Enrollment in the ORP

• You must complete the following forms:– Choose the ORP on the “Enrollment in a Mandatory

Retirement Program” form.– 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

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Enrollment 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

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Enrollment 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

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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 www.hr.unca.edu or contact Amy Owenby at 828.250.2357 or via email at aowenby@unca.edu

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