California TSRI Grad Student Benefit Enrollment Slides

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California TSRI Grad Student Benefit Enrollment Slides

  1. 1. The Scripps Research Institute Welcome to Benefit Enrollment for TSRI Graduate Students
  2. 2. TSRI Grad Student Benefits <ul><li>Medical, Dental, Prescription, Vision and </li></ul><ul><li> Mental Health Plans </li></ul><ul><li>Welfare Benefits </li></ul><ul><li>Fitness Benefits </li></ul><ul><li>Wellness Benefits </li></ul>
  3. 3. Human Resources Department <ul><li>Benefits Administration </li></ul><ul><ul><li>(858) 784-8487 </li></ul></ul><ul><ul><li>[email_address] </li></ul></ul><ul><li>Benefits Web Site </li></ul><ul><ul><li>www.scripps.edu/hr/benefits </li></ul></ul><ul><li>Claims Questions or Concerns </li></ul><ul><ul><li>Paige Gearhart, Sr. Benefits Analyst </li></ul></ul><ul><ul><ul><li>858-784-8058 </li></ul></ul></ul><ul><ul><ul><li>New Hire Website </li></ul></ul></ul><ul><li>www.scripps.edu/hr/benefits/newhire </li></ul>
  4. 4. Health Plan Card <ul><li>Health Plan cards will be mailed to your home address in less than 2 weeks. </li></ul><ul><li>Make sure we have your correct address </li></ul><ul><li>Your ID# will show on your card and not your SS# </li></ul><ul><li>Your name will appear on the health plan card not your dependents. </li></ul>
  5. 5. Medical Plan <ul><li>Principal Financial Group </li></ul><ul><ul><li>Claims Administrator </li></ul></ul><ul><ul><li>Preferred Provider Organization (PPO) </li></ul></ul><ul><ul><li>Policy Number ASOP90844 </li></ul></ul><ul><ul><li>(858) 484-6534 </li></ul></ul><ul><li>Aetna Signature Administrators </li></ul><ul><ul><li>Network of Doctors </li></ul></ul><ul><ul><li>www.principal.com </li></ul></ul><ul><ul><li>(866) 484-6534 </li></ul></ul>
  6. 6. Medical Plan Service PLAN 7 None None 70% None 100% 100% 100% 100% Other Services Well Baby Care Physical Exam Cancer Screening Immunizations $200 70% $0 100% Inpatient Services Deductible (per admit) Hospital Charges NON-NETWORK $200 70% 70% 70% IN–NETWORK $0 100% 100% 100% Outpatient Services Deductible Office Visit Surgery Lab/X-Ray
  7. 7. Medical Plan Helpful Hints <ul><li>NO Co-Pay </li></ul><ul><li>Chiropractic and Acupuncture coverage </li></ul><ul><ul><li>100% coverage </li></ul></ul><ul><ul><li>Limited to 20 visits a year </li></ul></ul><ul><li>Be sure to keep your Explanation of Benefits (EOB’s) </li></ul><ul><ul><li>Sample EOB </li></ul></ul>
  8. 8. Dental Plan <ul><li>Delta Dental Insurance </li></ul><ul><ul><li>PPO Delta Dental option </li></ul></ul><ul><ul><li>Policy # 8593 </li></ul></ul><ul><ul><li>www.deltadentalins.com </li></ul></ul><ul><ul><li>(800) 335-8227 </li></ul></ul>
  9. 9. Dental Plan <ul><li>PPO Delta Dentists </li></ul><ul><ul><li>100% coverage for 2 cleanings a year (every 6 months), </li></ul></ul><ul><ul><li>$50 deducible is NOT applied. </li></ul></ul><ul><li>Premier and All Other Dentists </li></ul><ul><ul><li>80% coverage for 2 cleanings a year </li></ul></ul><ul><ul><li>After, $50 deductible. </li></ul></ul><ul><li>Orthodontic benefit </li></ul><ul><ul><li>For child dependents up to age 19. (Maximum benefit for orthodontia is $1,500) </li></ul></ul>
  10. 10. Dental Plan Service PPO Delta Dentists Delta Premier Dentists All Other Dentists * Reasonable and Customary Charges $1500 $1500 $1500 Maximum Benefit (Per year per person) 50%* 50% 50% Orthodontic Benefits (Dependents to age 19) 50%* 50% 50% Major Benefits Crowns, Jackets, Implants, and Cast Restorations 80%* 80% 80% Basic Benefits Oral Surgery, extractions & fillings 80%* 80% 100% Diagnostic & Preventative Services Two per 12-month period $50.00 $50.00 $50.00 (Not Applied to Diagnostic and Preventative Services) Deductible (Per Person)
  11. 11. Prescription Plan <ul><li>Caremark </li></ul><ul><ul><li>Prescription Benefit Service </li></ul></ul><ul><ul><li>Group # K011-0001 </li></ul></ul><ul><ul><li>www.caremark.com </li></ul></ul><ul><ul><li>(800) 966-5772 </li></ul></ul><ul><li>Savon, Longs Drugs, Ralph's, Rite Aid… </li></ul><ul><li>Generic Co-Pay = $10 </li></ul><ul><li>Formulary Brand Name Co-Pay = $25 </li></ul><ul><li>Non-Formulary Brand Name Co-Pay = $50 </li></ul>
  12. 12. Vision Plan <ul><li>Medical Eye Services </li></ul><ul><ul><li>MES Network of Providers </li></ul></ul><ul><ul><li>www.mesvision.com </li></ul></ul><ul><ul><li>(800) 877-6372 </li></ul></ul><ul><li>Must have a Claim Form </li></ul><ul><li>$10 Co-pay </li></ul>
  13. 13. Vision Plan <ul><li>One comprehensive exam every 12 months </li></ul><ul><li>One standard frame up to $110 every 24 months </li></ul><ul><li>One pair of standard lenses every 12 months </li></ul><ul><ul><li>(additions such as scratch resistance, UVA protection, ect., are out of pocket expenses) </li></ul></ul><ul><li>OR </li></ul><ul><li>One pair of contact lens up to $100 every 12 months </li></ul><ul><ul><li>Only buy “$100” worth of contacts not a “year’s” worth. </li></ul></ul>
  14. 14. Mental Health Plan <ul><li>United Behavior Health </li></ul><ul><ul><li>Mental Health Network </li></ul></ul><ul><ul><li>www.liveandworkwell.com </li></ul></ul><ul><ul><li>(800) 888-2998 </li></ul></ul><ul><li>Call for an in-network provider </li></ul><ul><li>No Co-Pay </li></ul><ul><li>100% In-Network Benefit </li></ul><ul><ul><li>Maximum of 40 visits a year </li></ul></ul><ul><li>50% Out-of-Network Benefit </li></ul><ul><ul><li>Maximum of 40 visits a year </li></ul></ul>
  15. 15. Employee and Graduate Student Counseling Department <ul><li>No cost, confidential, professional counseling services for employees, graduate students, and family members </li></ul><ul><ul><li>Jan Hill, LCSW </li></ul></ul><ul><ul><li>784-2950 or janhill@scripps.edu </li></ul></ul><ul><ul><li>Daphne Lurie, PhD </li></ul></ul><ul><ul><li>784-7915 or [email_address] </li></ul></ul>
  16. 16. Making Changes to your Medical and Dental Plans <ul><li>Must have a Qualified Status Change </li></ul><ul><ul><li>Birth, Marriage, Divorce </li></ul></ul><ul><ul><li>Loss of other Coverage, and Obtaining other Coverage (must provide proof) </li></ul></ul><ul><li>Coverage Change Form must be filled out and turned into HR within… 31 DAYS!!! </li></ul><ul><li>Open Enrollment </li></ul><ul><ul><li>Two weeks in November to make any changes to your medical and dental plans. </li></ul></ul><ul><ul><li>Elections are made through a secure web-based system. </li></ul></ul><ul><ul><li>All changes will be made effective January 1, 2009. </li></ul></ul>
  17. 17. Voluntary Life Insurance <ul><li>Adams Group Insurance (AGI) </li></ul><ul><li>You may purchase supplementary life insurance during Open Enrollment </li></ul><ul><li>Spouses and children are eligible </li></ul><ul><li>Minimum $10,000 </li></ul><ul><li>Maximum $500,000 </li></ul><ul><li>Rates are based on age </li></ul>
  18. 18. Workers Compensation <ul><li>Emergency, Dial 77 </li></ul><ul><li>Report injury to your Supervisor and </li></ul><ul><li>Human Resources. </li></ul><ul><li>Sharp Rees-Stealy is our Occupational Medical Provider. </li></ul><ul><ul><li>Located on Activity Road in Mira Mesa </li></ul></ul><ul><ul><li>Directions are posted in all labs </li></ul></ul>
  19. 19. Fitness Benefit <ul><li>Shiley Health and Fitness Center </li></ul><ul><li>24 Hour Fitness </li></ul><ul><li>UCSD’s RIMAC Center (Recreation, Intramural, Athletic, Complex) </li></ul><ul><li>Memberships for Both Facilities are Paid for by the Graduate Student Office </li></ul><ul><ul><li>Contact Marylyn Rinaldi for more details, 4-2877. </li></ul></ul>
  20. 20. Wellness Benefits <ul><li>Yoga – Pia Weber </li></ul><ul><ul><li>(858) 623-0318 </li></ul></ul><ul><li>Tai Chi – Jesse Tsao </li></ul><ul><ul><li>858-793-8939 </li></ul></ul><ul><li>Massage </li></ul><ul><ul><li>On-Site Seated Massage every other Friday. Contact HR for more info, 4-8487. </li></ul></ul><ul><li>Lunch & Learn Seminars </li></ul><ul><ul><li>Watch your emails for the upcoming seminar </li></ul></ul><ul><li>Spring Health Fair </li></ul><ul><ul><li>Every year in May. </li></ul></ul>
  21. 21. Discount Tickets <ul><li>Avis Car Rental </li></ul><ul><ul><ul><li>Corporate Discount </li></ul></ul></ul><ul><ul><ul><ul><li>AWD# A708200 </li></ul></ul></ul></ul><ul><ul><ul><ul><li>Ask for promotions </li></ul></ul></ul></ul><ul><li>Local Attractions such as: </li></ul><ul><ul><ul><li>Sea World Tickets on Sale </li></ul></ul></ul><ul><ul><ul><li>San Diego Zoo </li></ul></ul></ul><ul><ul><ul><li>Wild Animal Park </li></ul></ul></ul><ul><ul><ul><li>Discount Movie Tickets on Sale </li></ul></ul></ul><ul><ul><ul><li>Disneyland Tickets on Sale </li></ul></ul></ul><ul><ul><ul><li>And many more….. </li></ul></ul></ul>
  22. 22. THANK YOU !

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