Faculty Benefits Overview

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Faculty Benefits Overview

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Faculty Benefits Overview. Here’s what we will cover:. UVA Health Plan (includes medical, pharmacy and dental benefits, as well as a vision discount program) Davis Vision Retirement System Life Insurance Disability Program Tax –Deferred Savings Plan Flexible Spending Accounts. - PowerPoint PPT Presentation

Transcript of Faculty Benefits Overview

Page 1: Faculty Benefits Overview

Faculty Benefits Overview

Page 2: Faculty Benefits Overview

Here’s what we will cover:UVA Health Plan (includes medical, pharmacy and dental benefits, as well as a vision discount program)

Davis Vision

Retirement System

Life Insurance

Disability Program

Tax –Deferred Savings Plan

Flexible Spending Accounts

Page 3: Faculty Benefits Overview

The UVa Health Plan: Overview

The UVA Health Plan is a self-funded plan

Medical, Prescription, Dental and Vision discount are bundled

Full-time employees: UVa pays a portion of the cost

Part-time employees: May join plan at their cost

Effective 1/1/2011, all new employees that do not elect or waive coverage within 60 days of hire are automatically enrolled in the low premium plan, employee only.

Page 4: Faculty Benefits Overview

UVa Health Plan: Premiums2011 Cost (per month): NO CHANGES FOR 2012

* Double State coverage is discounted family coverage offered when an employee’s spouse is also a state employee.

Employee High Premium

Employee Low Premium

Employer Premium

Single $49 $12 $396

EE + Child $171 $47 $710EE + Spouse $199 $54 $712Family $382 $116 $1043

Double State* $346 $80 $1079

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Medical Coverage

There are 2 programs offered; High Premium and Low Premium

See the Medical Schedule of Benefits for a comparison between the High Premium and Low Premium

Medical Claims Administrator: Aetna, 888-872-3862, www.aetna.com or to find an Aetna provider: www.aetna.com/DocFind/Custom/uva

Each employee/family will receive 2 cards (5 enrollees per card)

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Medical CoverageProfessional Services in Office or Outpatient

Ambulance Transportation

Preventive Care and Immunizations

Mental Health and Substance Abuse Services

Diagnostic Laboratory and X-ray Procedures

Speech Therapy

Urgent Care Center Physical / Occupational Therapy

ER Services Chiropractic Care

Inpatient Hospital Durable Medical Equipment

Outpatient Hospital Home Health Services

Skilled Nursing Facility Prescription Drugs

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Quick Comparison- In Network Low Premium High Premium

Primary Care Office Visits

$20 Copayment $20 Copayment

Specialist Office Visits $40 Copayment $40 CopaymentWellness Testing 100% with no limit 100% with no limit

Diagnostic lab and Xray services

$350 Deductible + 20% co-insurance

$100 Deductible + 10% co-insurance

Emergency Room $350 Deductible + 20% co-insurance

$125 Copayment $ 40 physician copay

Outpatient Hosp. Procedures

$350 Deductible + 20% co-insurance

$125 Copayment

Inpatient Hospitalization $350 Deductible + 20% co-insurance

$300 copayment

Medical Co-insurance Out-of-Pocket Limits

$3500 per person$7000 per family

$2500 per person$5000 per family

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Prescription Drug Coverage

Prescription drugs are the same for the High Premium and Low Premium programs

Claims Administrator: CatalystRx, (877) 629-3123, www. Catalystrx.com

Employee ID card is valid for all eligible dependents.

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Drugs can be filled at retail pharmacies (30-day supply) or through mail order program (90-day supply)Sample network pharmacies include: CVS, Wal-Mart, Giant, Kroger, Eckerd, and most local independent stores

See the Medical Schedule of Benefits for detailed information on prescription drugs

Tier Type of Drug Retail Co-pay (Up to a 30-day supply)

Mail Order Co-pay (up to 90-day supply)

Tier 1 Most Generic Drugs $6 $14Tier 2 Brand name drugs

on the preferred listDeductible and 20% co-insurance $24 minimum $100 maximum

20% co-insurance$56 minimum$300 maximum

Tier 3 Mostly brand name drugs not on the preferred list

Deductible and 20% co-insurance $48 minimum $100 maximum

20% co-insurance$112 minimum$300 maximum

Tier 4-Specialty Drugs

30-day supply thru Walgreens Specialty Pharmacy or UVa Barringer Outpatient Pharmacy

N/A 20% co-insurance$50 minimum$100 maximum

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There is a 5th tier of prescription drugs which may provide discounts on otherwise uncovered medications

These may include:Non-sedating antihistamines

Vitamins

Diet pills

Nicotine gum

Travel-related drugs

Cosmetic drugs

Infertility medication

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Dental Coverage

Dental insurance is the same for the High Premium and Low Premium health insurance programs

Claims Administrator: United Concordia, (866) 215-2354, http://www.ucci.com/tuctcc/clients.jsp?id=13

Dental ID cards will be mailed to the employee for each covered life

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Dental Coverage

Maximum annual benefit: $1,500 per covered life

Type A, Preventative: 100%

Type B, Restorative: 80%

Type C, Complex Restorative: 50%

Orthodontia: $1000 lifetime

$50 annual deductible

See the Dental Schedule of Benefits for detailed information

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Discount Vision ProgramDiscount vision program is the same for the High Premium and Low Premium programs

Program Administrator: EyeBenefits, (800) 621-7900, www.eyebenefits.com

2 ID cards will be mailed to the employee household

All family members living in your household are eligible for membership benefits

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Discount Vision ProgramNo claims to file: Present your vision card at the time of service and receive a discount for the service provided

Exams 5% to 20% off

Frames 20% to 50% off

Lenses 20% to 25% off

CRT 15% to 25% off

LASIK 15% to 25% off

Online Contact Lenses: Close to Wholesale Pricing

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Davis Vision InsuranceFully-insured, employee paid vision insurance program includes:

Eye examination

Spectacle lenses and frames

Contact lensesMonthly Premiums for Services

Employee $5.66

Employee plus child $9.91

Employee plus spouse $10.20

Family $15.86

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Davis Vision InsuranceDavis Vision is actively recruiting vision providers in the Charlottesville/Albemarle area. Check their website at www.davisvision.com for the most current provider information (UVA ‘Control Code’ 4680).

Enrollment in the Davis Vision plan is separate from the UVA Health Plan.

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Virginia Retirement SystemDefined Benefit plan

Monthly benefit at retirement based on years of service, age, and highest average annual salary paid during 60 consecutive months

Plan Administrator: Virginia Retirement System, (888) 827-3847, www.varetire.org

Employees contribute the 5 percent member contribution on a pre-tax salary reduction basis.

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Virginia Retirement System: FeaturesProvides retirement benefits as early as age 60 with at least 5 years of service

Full, unreduced benefit available at normal Social Security retirement age with at least 5 years of service credit or when age and service equal 90 (e.g. age 60 with 30 years of service credit). Plan 2

Fully vested in the Plan after 5 years of service

See the Virginia Retirement System Member Handbook for detailed information at www.varetire.org

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VRS Life InsuranceCoverage level: 2 times your annual salary

Employer paid, no employee cost

Policy underwritten by: Minnesota Life, (800) 441-2258, www.varetire.org

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VRS Life Insurance: Optional Coverage

See the Optional Group Life booklet for detailed information

Optional Insurance AmountsOption Employee Spouse Child(ren)1 1x Salary .5 x Salary $10,0002 2x Salary 1x Salary $10,0003 3x Salary 1.5x Salary $20,0004 4x Salary 2x Salary $30,000

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VSDP – OverviewSick Leave

Family and Personal Leave

Short Term Disability

Long Term Disability

Long Term Care Insurance

See the VSDP handbook for detailed information at www.varetire.org

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VSDP – Sick LeaveFirst year of employment: Based on status and first date of employment

Subsequent years: 32-80 hours of sick leave credited each January 10 based on your service and employment status

Unused sick leave may not be carried forward from one calendar year to the next, nor will you be paid for any unused sick leave when you terminate

Employment Begin Date

Full-TimeHours of Sick Leave

Part-Time HoursOf Sick Leave

Pay period that includes Jan. 1-Jul. 9

64 32

July 10 –Last day of pay period prior to pay period that includes Jan.1

40 20

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VSDP – Family and Personal LeaveFirst year of employment: Based on first date of employment

Subsequent years: 32 hours of family leave credited each January 10

Unused family and personal leave may not be carried forward from one calendar year to the next, nor will you be paid for any unused family and personal leave when you terminate

Employment Begin Date Family and Personal Leave Hours

Jan. 10 – July 9 32

July 10 – Jan. 9 16

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VSDP – Short Term Disability (STD)Eligible after one year of continuous employment

Income replacement benefit for the first 5 years is 60% of pre-disability income

Plan Administrator: Unum, (800) 652-5602

Authorizations must be obtained from Unum in order to get income replaced

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VSDP – Long Term Disability (LTD)Provides income replacement if you are unable to return to work after 180 calendar days of STD

60% of your pre-disability income

80% of your pre-disability income for catastrophic conditions

Return to your pre-disability position is not guaranteed after you begin LTD

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VSDP – Long Term Care Insurance (LTC)Long term care (LTC) provides a $96 basic daily benefit

Plan Administrator: VRS, (888) 827-3847 www.varetire.org

Additional coverage, including coverage for spouse, parents and in-laws, is available by contacting Genworth, (866) 859-6060 http://www.genworth.com/cov

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Optional Retirement Plan (ORP)Defined Contribution plan

Employees hired 7/1/10 or after contribute the 5 percent member contribution on a pre-tax salary basis.These employees also receive a fixed employer-paid contribution at a rate currently set at 8.9 per cent; grandfathered employees receive an employer contribution of 10.4%You direct the investment of your account and retirement benefits are based on market value of your account at the time of your retirement.Immediately 100% vested. Investment options are available through Fidelity Investments, or TIAA-CREF

Enrollment in ORP also means participation in the Standard Group Term Life Insurance, Long-Term Disability Insurance, and optional Personal Accident Insurance.

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Life Insurance – ORPThe Standard Group Term Life Insurance

Coverage level: $75,000 of coverage for each participant until age 65 when coverage reduces by 35 % and at age 70 reduces by 50%.

Participants may purchase supplemental insurance based on a multiple of salary (1 to 4 times salary) up to the maximum benefit of $1,000,000.

Additional coverage is also available for spouse (maximum benefit of $100,000) and/or dependents (maximum benefit of $10,000).

Upon retirement, ORP members receive $10,000 of life insurance.

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ORP Personal Accident Insurance

If you elect the ORP, optional Personal Accident Insurance is availableAdditional coverage is available for employee or employee plus family

Long Term Care Insurance (LTC)

Coverage, including coverage for spouse, parents and in-laws, is available by contacting Genworth, (866) 859-6060 http://www.genworth.com/cov

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Short-term disability is generally described as a type of "sick" leave for absences of more than five days, including maternity leave.

Faculty employees will retain the 100% salary continuation for the approved leave period with no waiting period.

Eligible for 6 months

To initiate a claim call The Standard’s Disability Claim Reporting Service at 800-378-2395

ORP – Short-Term Disability Leave

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ORP - Long-Term DisabilityThe Standard Group Long-Term Disability Program

66 2/3% income replacement when unable to perform own occupation (2 years) or any occupation (until Normal Social Security Retirement Age (1/1/12) after a six-month waiting period.

During the waiting period, members will continue to receive 100% of income.

During disability, Standard will provide contributions to your retirement account on your behalf.

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403(b): FeaturesYou choose:

How much money to invest

A vendor:Fidelity, (800) 343-0860, www.fidelity.comTIAA-CREF (800) 842-2776, www.tiaa-cref.org

Contributions can be made to both vendors

FundsFund information can be obtained from the Benefits Office, the vendor website or by calling the vendor directly

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457 Plan: FeaturesInvestment vendor: ING, (877) 327-5261, www.varetire.org

You choose:

How much money to invest

Funds

Fund information can be obtained by calling ING or visiting the website: www.varetire.org

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Flexible Spending Accounts - (FSA)

Pre-tax deductions, up to $5,000 per calendar year for each plan, can be used to reimburse you for healthcare and dependent care expenses

Each pay period, money will be deducted in a pre-tax basis in equal increments and contributed to your health and/or dependent care spending account

All monies in your account at the end of the plan year’s grace period will be forfeited

Plan Administrator: Chard Snyder, (800) 982-7715, www.chard-snyder.com

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Flexible Spending Accounts - (FSA)All members will receive a pre-paid benefits debit card that will provide an automatic way to pay for qualified expenses. It is still important to keep ALL receipts.

Claim forms (if needed) as well as account balance, reimbursement and plan information are available on Chard Snyder’s website

There is a $2.75 per month administration fee deducted from your paycheck

Paper claims must be direct deposited into your bank account

Each year you must re-enroll during Open Enrollment

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Flexible Spending Accounts – Dependent Care FSA

Minimum: $240, Maximum: Depends on tax status

Used for children under 13 who qualify as dependents on your federal tax return

Can be used for:

Before & after school programs

Nursery school, preschool, in-home care

Summer camp (not overnight)

Adult daycare

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Flexible Spending Accounts – Dependent Care FSA

Can not be used for:

Child support payments

Educational supplies or activity fees

Private school tuition (after preschool)

Overnight camps

Funds for dependent care are available only after the money has been deducted from your paycheck and you have incurred the dependent care expense

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Flexible Spending Accounts – Health Care FSA

Minimum: $240, Maximum:$5000

Will reimburse you for a variety of healthcare expenses not reimbursed by the healthcare plan

See Chard-Snyder website for eligible and ineligible expenses

All funds for healthcare expenses are available after your first payroll deduction

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Backup Care OptionsAll employees eligible for 10 days of care per calendar year for self, children or family members

Co-pay applies when care is used:- Center based care: $15/day per child

- In-Home care: $30/day – up to 3 dependents

You can pre-register at http://backup.brighthorizons.com

Bright Horizons– 877-242-2737

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Education BenefitsFull and Part-time employees with one year of benefits-eligible service are eligible for centrally-funded benefit up to $2,000 per year

Education benefits may be used for academic degrees or courses at UVA and other accredited institutions, and non-credit courses, certificates and licenses at UVA and other education providers