Title: BENEFITS
1BENEFITS
- TAX SAVINGS PROGRAM Elected premiums will be
sheltered on a before-tax basis under Section 125
of the IRS Tax Code - You have thirty (30) days from your hire date to
elect these pre-tax benefits (excludes 403b) or
you must wait until open enrollment - Open Enrollment is once a year. You can make
changes to your pre-tax benefits for the
following year - Coverage is locked for calendar year unless there
is a qualified status change. You must make
changes to benefits within thirty (30) days of
the status change. - ELIGIBLE DEPENDENTS Include your spouse,
domestic partner, dependent child(ren), and
domestic partner dependent child(ren)
230 DAYS FROM HIRE
NEW HIRE TAX SAVINGS PROGRAM ELECTION FORM For
January 1 - December 31, 2003
ANY APPLICABLE ENROLLMENT FORMS Health Dental
Premium/PPO and Indemnity Voluntary Life
Insurance Cancer Insurance Heart Care
Insurance Vision Long Term Care Insurance
3HEALTH INSURANCE
- Independent College and University Benefits
Association (ICUBA) Three CIGNA PPOs - 800-244-6224 www.cigna.com
-
- College currently subsidizes 63 of the total
premium for employee and eligible dependents - Health Insurance Premiums
- Declining Insurance Now
- Pre-existing conditions- Need proof of prior
coverage to waive
4HEALTH INSURANCE
- Gold Silver Bronze
- Office Visits GP 10 15 20
- Specialist 15 20 25
- Deductible (Ind/Family) 0
- Hospital Inpatient 200 co-pay 90 after
ded 80 after ded - 100
- Outpatient 50 co-pay 75 co-pay 100 co-pay
- Procedure
- ER /Urgent Care 50 75 100
- RX (1 month) 10/25/40
- Mail Order (3 month) 20/50/80
- In Net Max Out of Pocket 2,000/4,000 2,500/
5,000 3,000/6,000 - Out of Network 70 after ded 70 after
ded 60 after ded - Out of Network Ded 500/1,000
500/1,000 1,000/2,000
5DENTAL INSURANCE
- Paragon Dental Insurance - three plans to chose
from - Indemnity Plan - Any dentist
- Preferred PPO Plan In Network or Out of Network
Providers - Premium Plan Network Providers only (except
Preventative) - Deductible and Maximum
- Orthodontia 25 Discount
- Preventative services 100 UCR (average)
- Premium Plan small scheduled amount paid on
basic and major - Preferred PPO/Indemnity Plan 50-80 UCR for
basic and major - All employees on Premium Plan at no Cost
- www.paragondental.com or 877-760-2247
- Claims go to Paragon Shenandoah and
Reliastar/Group Link process claims
6FLEXIBLE SPENDING ACCOUNTS
- Flexible Spending Reimbursement Form
- Pre-tax dollars to pay for qualified health
and/or dependent care expenses - Two types Health and Dependent Care
- Minimum and Maximum
- Use it or lose it provision
- Examples of eligible expenses for health account
- Co-pays- office visits and Rx
- Deductible on PPO and dental
- Eye care Costs
7LIFE INSURANCE
- COLLEGE PROVIDED Jefferson Pilot Financial
- 2x annual base salary
- Excess Life Tax
- Convertible
- VOLUNTARY Jefferson Pilot Financial
- Employee, Spouse and Child(ren) available
- 10,000-500,000 employee up to 100,000 spouse
- Guaranteed Issue
- Portable
- See Rate Sheet for rate per 1,000 per month
8CANCER HEARTCARE VISION
- Cancer Heart Care
- Supplemental- in addition to health insurance
- Portable
- Contact Agent Jan Hunt for details-407-677-8448
- Cancer 16.98 individual 30.32 family
- Heart Care 23.46 individual 45.64 family
- Enrollment Form
- Vision 20/20 Eyecare Plan
- Network Providers
- Eye exam lenses every 12 months
- 4 co-pay exam 10 co-pay for supplies In
Network - 85.00 Frame Allowance
- 119 Contact Lenses Allowance in Lieu of
Eyeglasses - Premiums 5.75 single 10.38 Two Person
17.10 family - Small out of network reimbursement
- Enrollment Form
9LONG TERM CARE INSURANCE
- Nursing home, home health, caregiver, adult day
care - Employee, spouse, parents, grandparents
- Premiums are after tax and do not increase with
age - Three levels of benefits- DNB Lifetime Max
- Two plans- Non-Forfeiture Benefit Account
- Life insurance built in
- Guaranteed benefit increase option
- Guaranteed Issue
- Portable
- See Rate Sheet for rates per month
1030 DAYS FROM HIRE
- HEALTH
- DENTAL
- FLEXIBLE SPENDING ACCOUNTS
- VOLUNTARY LIFE INSURANCE
- CANCER
- HEART CARE
- VISION
- LONG TERM CARE INSURANCE
- Return New Hire Tax Savings Form all applicable
enrollment forms
11403b RETIREMENT PLAN
- Voluntary Pre-tax contributions allowed anytime
- Matching from College after 1 year of service
21 yrs old - Possibly waive 1 year if from another college or
university - Two core companies TIAA/CREF Fidelity
- American Century TIAA/CREF SRA for employee
voluntary only - 100 Vested
- Employee maximum for 2003 12,000
- Catch up provisions
- Complete Salary Reduction Agreement Account
Application(s) - Sign up anytime and make changes anytime
12ADDITIONAL COLLEGE PROVIDED BENEFITS
- Long Term Disability
- Travel Accident Insurance
- Vision Discounts Outlook Vision Services, FOCUS