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  1. 1. WELCOME BENEFITS ORIENTATION
  2. 2. EMPLOYEE BENEFITS <ul><li>Phone: (713) 500-3935 </li></ul><ul><li>Fax: (713) 500-0342 </li></ul><ul><li>Address: 10th floor UCT </li></ul><ul><li>Hours: M-F 8am-5pm </li></ul><ul><li>Web: www.uth.tmc.edu/finance/benefits </li></ul><ul><li>Email: [email_address] </li></ul>Contact Information
  3. 3. <ul><li>KIM LAM </li></ul><ul><li>New Hire Benefits Advisor/Orientation Presenter </li></ul><ul><li>(713) 500-3854 </li></ul><ul><li>[email_address] </li></ul><ul><li>ASHLEY SPANO </li></ul><ul><li>Benefits Advisor/Orientation Presenter </li></ul><ul><li>(713) 500-3856 </li></ul><ul><li>[email_address] </li></ul><ul><li>TERRY CALLOWAY </li></ul><ul><li>Benefits Advisor/Orientation Presenter </li></ul><ul><li>(713) 500-3822 </li></ul><ul><li>[email_address] </li></ul>CONTACTS
  4. 4. ELIGIBILITY <ul><li>Full Time Employee </li></ul><ul><ul><li>At least 40 hours per week </li></ul></ul><ul><ul><li>Expected to continue for at least 4 ½ months </li></ul></ul><ul><ul><li>GA / GRA Titles </li></ul></ul><ul><li>Part Time Employee </li></ul><ul><ul><li>At least 20 but not over 40 hours per week </li></ul></ul><ul><ul><li>Expected to continue for at least 4 ½ months </li></ul></ul><ul><li>Cannot be currently insured by another State-sponsored insurance plan. (Applies to covered dependents as well) </li></ul><ul><li>Return to Work Retiree </li></ul>
  5. 5. BENEFITS OFFERED <ul><li>Medical </li></ul><ul><li>Dental </li></ul><ul><li>Vision </li></ul><ul><li>Life </li></ul><ul><li>Accidental Death & Dismemberment </li></ul><ul><li>Short Term & Long Term Disability </li></ul><ul><li>Long Term Care </li></ul><ul><li>Flexible Spending Accounts </li></ul><ul><li>TRS – Teachers Retirement System </li></ul><ul><li>Tax Sheltered Annuity – 403B </li></ul><ul><li>Deferred Compensation Plan – 457B </li></ul>
  6. 6. BASIC PACKAGE <ul><li>Basic Coverage Package </li></ul><ul><li>UT Select Health Plan </li></ul><ul><ul><li>Medical Insurance for Employee Only (Full-Time) </li></ul></ul><ul><ul><li>Refer to rate sheet for Part-Time premiums </li></ul></ul><ul><li>$10,000 Basic Group Life Insurance </li></ul><ul><ul><li>Employee Only </li></ul></ul><ul><ul><li>Not available if medical waived </li></ul></ul><ul><li>$10,000 Accidental Death & Dismemberment Insurance </li></ul><ul><ul><li>Employee Only </li></ul></ul><ul><ul><li>Not available if medical waived </li></ul></ul><ul><li>Optional Coverage </li></ul><ul><li>Dental </li></ul><ul><li>Vision </li></ul><ul><li>Voluntary Life Insurance </li></ul><ul><li>Voluntary AD&D </li></ul><ul><li>Short Term Disability </li></ul><ul><li>Long Term Disability </li></ul><ul><li>Long Term Care </li></ul><ul><li>UT Flex - Medical Expense </li></ul><ul><li>UT Flex – Day Care Expense </li></ul><ul><li>403B/457B </li></ul>
  7. 7. MEDICAL INSURANCE <ul><li>Provider - Blue Cross Blue Shield of Texas </li></ul><ul><li>PPO Plan </li></ul><ul><li>Only Health insurance available at UT </li></ul><ul><li>Effective the 1 st day of the month following 30 days of service </li></ul><ul><li>No out-of-pocket cost for employee only (FT) </li></ul><ul><li>31 days to elect medical coverage </li></ul><ul><li>Page 15 (Group Benefits Handbook) </li></ul>
  8. 8. MEDICAL INSURANCE DEPENDENTS <ul><li>Out-of-pocket cost </li></ul><ul><li>Semi-monthly pre-tax paycheck deduction </li></ul><ul><li>31 days to elect medical coverage </li></ul><ul><li>WHO IS ELIGIBLE? </li></ul><ul><li>Legally married spouse </li></ul><ul><li>Unmarried dependent children under 25 </li></ul><ul><li>Unmarried dependent grandchildren under 25 </li></ul><ul><li>Submit proof of dependency </li></ul><ul><ul><li>Within 31 days of enrollments </li></ul></ul><ul><li>Page 5 (Group Benefits Handbook) </li></ul>
  9. 9. MEDICAL PLAN SUMMARY In – Network, Out of Network, Out of Area, Page 22 (GBH) In – Network Annual Deductible $250/person $750/family Annual Out of Pocket Max $1750 p/person $5,250 p/family Hospital –Semi Private Room $100/day copay Max $500/admission Output/Same Day Surgery $100 copay then 20% member Physician Office Visits FCP- $30 Specialist - $35 Prenatal/Postnatal Care Visits $25 per visit Hospital Obstetrical Care Same as Hospital Stay above Laboratory Services Included in office visit copay Diagnostic X-Rays Included in office visit copay Emergency Room $100 copay (waived if admitted) Ambulance Service 80% plan / 20% member Immunizations Up to age 6, no charge for injection only
  10. 10. ADDITIONAL WELLNESS BENEFITS <ul><li>Lifestyle Management </li></ul><ul><li>Tobacco Cessation </li></ul><ul><li>Weight Management </li></ul>Health Risk Assessment Jenny Craig Membership Discounts Curves Membership Discounts 24/7 Nurseline Blue Points Incentives Communications Wellness Discounts: -Complementary Alternative Medicine -Vision -Hearing Aids Fitness and Weight Centers Personal Health Manager -Ask A Features -Meal Plans -Fitness Plans
  11. 11. PRESCRIPTION DRUG PLAN <ul><li>Included with your medical coverage </li></ul><ul><li>Effective the same day as medical coverage </li></ul><ul><li>Provider – Medco Health Solutions </li></ul><ul><ul><li>In conjunction with Blue Cross Blue Shield PPO Plan </li></ul></ul><ul><li>No out-of-pocket premium </li></ul><ul><li>Retail and Mail Order prescriptions included </li></ul><ul><li>Page 25 (Group Benefits Handbook) </li></ul>
  12. 12. PRESCRIPTION DRUG PLAN $100 Annual Deductible Per Person/Per Plan Year <ul><li>Retail </li></ul><ul><li>Max 30-Day Supply </li></ul><ul><li>$10 Generic </li></ul><ul><li>$35 Name Brand </li></ul><ul><li>$50 Non-Preferred </li></ul><ul><li>Mail Order </li></ul><ul><li>Max 90-Day Supply </li></ul><ul><li>$20 Generic </li></ul><ul><li>$87.50 Name Brand </li></ul><ul><li>$125 Non-Preferred </li></ul>
  13. 13. DENTAL INSURANCE <ul><li>Out-of-pocket cost </li></ul><ul><li>Semi-monthly pre-tax paycheck deduction </li></ul><ul><li>31 days to elect dental coverage </li></ul><ul><li>Effective date – hire date or 1 st of following month </li></ul><ul><li>WHO IS ELIGIBLE? </li></ul><ul><li>Legally married spouse </li></ul><ul><li>Unmarried dependent children under 25 </li></ul><ul><li>Unmarried dependent grandchildren under 25 </li></ul><ul><li>Submit proof of dependency </li></ul><ul><ul><li>Within 31 days of enrollment </li></ul></ul>
  14. 14. DENTAL OPTIONS <ul><li>Delta Dental </li></ul><ul><ul><li>PPO </li></ul></ul><ul><li>Assurant </li></ul><ul><ul><li>DMO </li></ul></ul><ul><li>Comparison </li></ul><ul><ul><li>Page 38 (GBH) </li></ul></ul>
  15. 15. DELTA DENTAL - PPO <ul><li>Self-funded plan </li></ul><ul><li>Network and Out-of-Network dentists </li></ul><ul><li>Pre-approvals or referrals not required </li></ul><ul><li>No primary care dentist needed </li></ul><ul><li>No claim forms </li></ul><ul><li>No balance billing </li></ul><ul><li>Credentialed dentist network </li></ul><ul><li>$25 annual deductible per person </li></ul><ul><li>$1,250 maximum annual benefit per person </li></ul><ul><li>$1,250 maximum lifetime benefit for orthodontics </li></ul>
  16. 16. DELTA BENEFITS SUMMARY In – Network Diagnostic and Preventive (oral exams, x-rays, cleanings and fluoride to age 19) 100% Basic Restorative (fillings and stainless steel crowns) 80% Major Restorative (porcelain, resin and gold crowns) 50% Endodontic (root canals) 80% Basic Periodontics (scalings, root planing and treatment of gum disease) 80% Basic Oral Surgery (extractions) 80% Major Prosthodontics (bridges and dentures) 50% Orthodontic (braces and retainers) 50% (Max lifetime benefit of $1,250) Maximum Annual Benefit Annual Deductible $1,250 $ 25
  17. 17. ASSURANT DENTAL - DMO <ul><li>DMO Plan </li></ul><ul><li>Must select a primary care dentist </li></ul><ul><li>Discount service plan </li></ul><ul><li>Variable co-payment schedule </li></ul><ul><li>No claim forms </li></ul><ul><li>No deductible </li></ul><ul><li>No coverage for non-participating providers </li></ul><ul><li>No maximum annual benefit </li></ul><ul><li>No maximum lifetime benefit for orthodontics </li></ul><ul><li>Work in progress not covered </li></ul>
  18. 18. ASSURANT BENEFITS SUMMARY In – Network Diagnostic and Preventive (oral exams, x-rays, cleanings and fluoride to age 18) $0-5 Basic Restorative (fillings and stainless steel crowns) $8-60 Major Restorative (crowns) $275 (lab fees may also apply) Endodontic (root canals) $90-175 Basic Periodontics (scalings, root planing and treatment of gum disease) $0-200 Basic Oral Surgery (extractions) $9-80 Major Prosthodontics (bridges and dentures) $295-350 (lab fees may also apply) Orthodontic (braces and retainers) Members receive a discount of 25% off of the Dentist Retail Fee. Benefits are available for adults and children with no lifetime maximum benefit. Maximum Annual Benefit No Annual Maximum
  19. 19. VISION <ul><li>Superior Vision </li></ul><ul><li>Semi-monthly pre-tax paycheck deduction </li></ul><ul><li>31 days to elect coverage </li></ul><ul><li>Page 43 (Group Benefits Handbook) </li></ul>
  20. 20. VISION BENEFITS SUMMARY Covered Services Network Benefits Out-of-Network Benefits Comprehensive eye exam by an ophthalmologist or optometrist Covered in full after $35 deductible including a contact lens exams or fitting fees Up to $42 (ophthalmologist) Up to $37 (optometrist) Standard lenses (per pair) Plastic (CR39), clear, uncoated Covered in full Up to $32 (Single vision) Up to $46 (Bifocal) Up to $61 (Trifocal) Up to $84 (Lenticular) Frames Covered in full up to $140 Up to $53 Contact lenses (per pair) Covered in full (non-elective) Up to $125 retail (elective) Up to $210 (medically necessary) Up to $95 retail (cosmetic or elective)
  21. 21. <ul><li>Emp Only Emp/Sp Emp/Child Emp/Fam </li></ul><ul><li>UT Select $ 0.00 $169.23 $177.00 $333.28 </li></ul><ul><li>Delta Dental $29.96 $56.87 $62.69 $89.14 </li></ul><ul><li>Assurant Dental $10.05 $19.10 $21.11 $30.15 </li></ul><ul><li>Superior Vision $ 6.80 $10.76 $10.96 $17.40 </li></ul>PREMIUM OVERVIEW
  22. 22. FLEXIBLE SPENDING ACCTS <ul><li>Pay Flex Systems </li></ul><ul><li>Set aside tax-free dollars </li></ul><ul><li>Reduces your taxable income </li></ul><ul><li>31 days to elect coverage </li></ul><ul><li>Page 55 </li></ul><ul><li>Must re-enroll every year </li></ul><ul><li>TWO TYPES </li></ul><ul><li>Medical Expense </li></ul><ul><li>Dependent Care Expense </li></ul>
  23. 23. MEDICAL EXPENSE <ul><li>Reimbursement Account </li></ul><ul><li>Uses: </li></ul><ul><ul><li>Co-payments </li></ul></ul><ul><ul><li>Deductibles </li></ul></ul><ul><ul><li>LASIK </li></ul></ul><ul><ul><li>Over the counter items </li></ul></ul><ul><li>Debit Card Available </li></ul><ul><ul><li>$9 Annual Fee </li></ul></ul><ul><ul><li>No claim forms to submit </li></ul></ul><ul><ul><li>Keep receipt copies </li></ul></ul>
  24. 24. DEPENDENT CARE EXPENSE <ul><li>Reimbursement Account </li></ul><ul><li>Must have funds set aside prior to submitted a claim </li></ul><ul><li>Custodial care for qualified dependents up to age 13 </li></ul><ul><li>Uses: </li></ul><ul><ul><li>Before/After School Care </li></ul></ul><ul><ul><li>Preschool/Nursery School </li></ul></ul><ul><ul><li>Day Care expenses </li></ul></ul><ul><ul><li>Nanny Care expenses </li></ul></ul><ul><li>Review IRS Guidelines to confirm </li></ul><ul><li>expenses are allowable </li></ul>
  25. 25. <ul><li>Contribution Limitations </li></ul><ul><ul><li>Minimum - $15 per month </li></ul></ul><ul><ul><li>Maximum - $416 per month </li></ul></ul><ul><li>Must have a current SS# to enroll </li></ul><ul><li>UNUSED DOLLARS WILL BE FORFEITED AT THE END OF THE PLAN YEAR </li></ul><ul><li>(September 1 – August 31) </li></ul>FLEXIBLE SPENDING ACCTS www.utflex.com
  26. 26. LIFE INSURANCE <ul><li>Fort Dearborn Life Insurance, Page 45 (Group Benefits Handbook) </li></ul><ul><li>31 days to elect additional coverage </li></ul><ul><li>Employee must have at least 1x in order to elect dependent coverage. </li></ul>Member Basic Life Plan Voluntary Term Life Plan Employee $10,000 (provided as part of the Basic Package) 1-6 times Basic Annual Earnings up to a maximum of $1,500,000 1-3 times, within first 31 days of employment (no EOI required) 4-6 times (EOI required) Spouse N/A $10,000 (no EOI required) $25,000 or $50,000 (EOI required) Dependent Children N/A $10,000 (no EOI required)
  27. 27. AD&D <ul><li>Fort Dearborn Life Insurance, Page 47 (Group Benefits Handbook) </li></ul><ul><li>31 days to elect additional coverage </li></ul><ul><li>Employee must have at least $20K voluntary to elect dependent coverage. </li></ul>Member Basic AD&D Voluntary AD&D Employee $10,000 (provided as part of the Basic Package) $0.16 per $10,000 additional Spouse N/A Cannot exceed 50% of employee’s coverage Dependent N/A $10,000
  28. 28. <ul><li>Fort Dearborn, Page 49 (Group Benefits Handbook) </li></ul><ul><li>Provides replacement income in the event you become disabled due to injury or illness </li></ul><ul><li>Must satisfy 14 day elimination period </li></ul><ul><li>Exhaust all sick leave </li></ul><ul><li>Pays out 60% of weekly income, not to exceed $693 per week </li></ul><ul><li>Payable for up to 22 weeks </li></ul><ul><li>EOI required if not elected at time of hire </li></ul><ul><li>After-tax paycheck deduction </li></ul>SHORT TERM DISABILITY
  29. 29. <ul><li>Fort Dearborn, Page 51 (Group Benefits Handbook) </li></ul><ul><li>Provides replacement income in the event you become disabled due to injury or illness </li></ul><ul><li>Must satisfy 90 day elimination period </li></ul><ul><li>Exhaust all sick leave </li></ul><ul><li>Pays out 60% of former base income </li></ul><ul><li>Payable until age 65 or no longer disabled </li></ul><ul><li>EOI required if not elected at time of hire </li></ul><ul><li>After-tax paycheck deduction </li></ul>LONG TERM DISABILITY
  30. 30. LONG TERM DISABILITY <ul><li>“ Catastrophic” accident - additional 10% </li></ul><ul><li>Catastrophic is defined as: </li></ul><ul><ul><li>Not being able to perform two or more Activities of Daily Living. </li></ul></ul><ul><ul><li>Ex. bathing, dressing, etc . </li></ul></ul><ul><li>Pre-Existing Condition – no benefits payable </li></ul><ul><li>Does not cover if caused by: </li></ul><ul><ul><li>War </li></ul></ul><ul><ul><li>Attempted Suicide </li></ul></ul><ul><ul><li>Riot </li></ul></ul><ul><ul><li>Felony </li></ul></ul><ul><ul><li>Loss of Professional License </li></ul></ul>
  31. 31. LONG TERM CARE <ul><li>CNA, Page 53 (Group Benefits Handbook) </li></ul><ul><li>Covers costs associated with long term care </li></ul><ul><li>May be community based or nursing home facility </li></ul><ul><li>Available for: </li></ul><ul><ul><li>Employees </li></ul></ul><ul><ul><li>Spouses </li></ul></ul><ul><ul><li>In-laws </li></ul></ul><ul><ul><li>Parents </li></ul></ul><ul><ul><li>Adult children (over age 25) </li></ul></ul><ul><ul><li>Grandparents </li></ul></ul><ul><li>EOI required if not elected at time of hire </li></ul><ul><li>Must contact CNA directly </li></ul>
  32. 32. TRS <ul><li>Teacher Retirement System of Texas </li></ul><ul><li>Mandatory participation for all benefit eligible employees </li></ul><ul><ul><li>Excluding Students </li></ul></ul><ul><li>Withdrawn semi-monthly, pre-tax </li></ul><ul><li>Employee Contribution – 6.4% </li></ul><ul><li>Employer Contribution – 6.4% </li></ul><ul><li>Vested after 5 creditable years of service </li></ul><ul><li>Vested allows you to receive a monthly annuity upon retirement </li></ul><ul><li>Page 63 (Group Benefits Handbook) </li></ul>
  33. 33. TRS DEATH BENEFIT <ul><li>Beneficiaries will receive a determined amount </li></ul><ul><li>In addition to Fort Dearborn Life Policy </li></ul><ul><li>Beneficiary information will be sent in regular mail by TRS </li></ul><ul><li>Contact Info: </li></ul><ul><ul><li>1-800-223-8778 </li></ul></ul><ul><ul><li>www.trs.state.tx.us </li></ul></ul>
  34. 34. UT RETIREMENT BENEFITS <ul><li>Must be 65 years of age </li></ul><ul><li>Must have 10 cumulative years of service </li></ul><ul><li>Insurance Benefits: </li></ul><ul><ul><li>Medical </li></ul></ul><ul><ul><li>Dental </li></ul></ul><ul><ul><li>Vision </li></ul></ul><ul><ul><li>Life – up to $50,000 </li></ul></ul>
  35. 35. VOLUNTARY RETIREMENT <ul><li>Tax Sheltered Annuity </li></ul><ul><ul><li>403 B </li></ul></ul><ul><ul><ul><li>Traditional (Pre-Tax) </li></ul></ul></ul><ul><ul><ul><li>Roth (After-Tax) </li></ul></ul></ul><ul><ul><li>457 B </li></ul></ul><ul><ul><ul><li>DCP (Pre-Tax) </li></ul></ul></ul><ul><li>Contribution limits - $16,500 </li></ul><ul><li>Over age 50 Catch up Contribution - $5,500 </li></ul><ul><li>May begin participation at any time </li></ul><ul><li>Page 65 (Group Benefits Handbook) </li></ul>
  36. 36. RETIREMENT PROVIDERS <ul><li>AIG Retirement/VALIC </li></ul><ul><li>Fidelity </li></ul><ul><li>ING </li></ul><ul><li>Lincoln Financial </li></ul><ul><li>MetLife </li></ul><ul><li>TIAA – CREF </li></ul><ul><li>Page 70 (GBH) </li></ul>http://www.utretirement.utsystem.edu/
  37. 37. <ul><li>Turn in: </li></ul><ul><ul><li>Fort Dearborn Beneficiary Form </li></ul></ul><ul><ul><li>FT/PT New Hire/Rehire Form </li></ul></ul><ul><li>Complete enrollment within 31 days of hire </li></ul><ul><li>Obtain copies of proof of dependencies if adding dependents to coverage elections </li></ul><ul><li>Plan year is Sept 1 – Aug 31 </li></ul><ul><li>Annual enrollment is in July </li></ul><ul><li>www.utsystem.edu/benefits </li></ul>REMINDERS
  38. 38. <ul><li>QUESTIONS </li></ul>?

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