UT Tyler

1
UT Tyler

• New Employee Benefits
• Enrollment Information

2
Blue Cross and Blue Shield

• Page 18
• UT System is a Self-Funded Medical Plan
• BCBS Administers the Claims
• Preferred Provider Organization (PPO)
• Largest Network in Texas with Worldwide Coverage
  (Over 60,000 Physicians and 400 hospitals)
• International SOS Program

3
Helping You Achieve A Healthier Life

• Page 19 22 (Wellness Incentives)
• Blue Care Connect helps you achieve higher levels
  of wellness
• 24/7 Nurseline (page 20)
• Special Beginnings
• Condition Management
• Blue Care Advisors
• Lifestyle Management
• Blue Access for Members (page 21)
• Personal Health Manager (Ask a Dietitian, Life
  Coach, Nurse, Trainer)
• BlueExtras Discounts for Jennie Craig, Curves,
  Hearing Aids and Davis Vision

4
Medical - BCBS

• Turn to Page 24 -25 (Summary Chart)
• Physician Office Visits
• FCP 30 Copay
• Specialist 35 Copay
• Hospital Semi Private Room and Board
• 100 Copay/Day
• (500 max/admission)
• Then 80 Plan 20 Member

5
Medical - BCBS

• Annual Deductible (September 1 August
  31) 250/person - - 750/family
• Annual Out of Pocket Maximum 1750/person - -
  5250/family
• Outpatient or Same Day Surgery 100 Copay then
  80 Plan / 20 Member
• Hospital Emergency Room 100 Copay (waived if
  admitted)

6
Medical - BCBS

• 90-day wait period before State Premium Sharing
  is provided December 1, 2009
  (Unless direct transfer from
  State Agency)
• Network providers may be viewed at
  ww.bcbstx.com/ut
• Toll Free Number 1-886-882-2034
• Temporary policy with BCBS with high deductible
• Arrangement with UTHC-Tyler discounted office
  visits, procedures, and medications (you will
  receive an email with information)

7
Medco Health Solutions

• Turn to Page 26 (Pharmacy Benefits)
• Annual Deductible 100 per person/year
• Retail Network Pharmacy up to 30 day supply
• Generic Drug Copay 10
• Preferred Drug Copay 35
• Non-Preferred Drug Copay 50

8
Medco Health Solutions

• Home Delivery - Up to 90 day supply
• Generic Drug Copay 20
• Preferred Drug Copay 87.50
• Non-Preferred Drug Copay 125

9
Medco Formulary First

• These drugs are non-preferred drugs and physician
  must approve and provide clinical explanation
  (Page 28 29)
• Prevacid Aciphex
• Zegerid Protonix
• Prilosec 40 mg Ambien CR
• Lunesta Rozerem
• Lexapro Luvox CR
• Effexor XR Pristiq

10
Medco Health Solutions

• Page 30
• www.medcohealth.com
• Toll Free Number 1-800-818-0155 24
  hours a day access

11
Medical/Prescription Cost

• Full-Time Employees
• Employee Only -0-
• Employee and Spouse 169.23
• Employee and Child(ren) 177.00
• Employee and Family 333.28
• See Benefit Cost Worksheet on page 75

12
Medical/Prescription Cost

• Part-Time Employees Only
• Premium Sharing covers 50 of premium for
• employee and up to 25 for dependents
• Employee 184.56
• Employee Spouse 440.13
• Employee Child(ren) 412.58
• Employee Family 656.57

13
WEBMD

• Page 39
• Living Well Health Manager, Powered by WEBMD
• Complete the WebMD Health Quotient to identify
  your personal health risks
• www.webmdhealth.com/ut
• 1-866-584-5745

14
Delta Dental

• Turn to Page 41
• Maximum Annual Benefit 1250
• Oral Exams, X-rays, 0 Two
  Cleanings per year
• Two Additional Cleanings
  per year are covered for members with
  Peridontal Disease
• Deductible 25
• Fillings, Extractions, Root Canals 80
• Crowns, Bridges, Dentures 50
• Orthodontics 1250 Lifetime
  Benefit

15
Delta Dental

• May use Network or Out-of-Network Dentists
• Out-of-Network Pay difference
• Delta Dentists charge contracted fees
• Two Networks Delta Provider Organization (DPO)
  and Delta Premier
• DPO gives higher discount
• www.deltadentalins.com
• 800-893-3582

16
Delta Dental Cost

• Employee 29.96
• Employee Spouse 56.87
• Employee Child(ren) 62.69
• Employee Family 89.14

17
Superior Vision

• Turn to Page 46
• Comprehensive Eye Exam by Ophthalmologist or
  Optometrist Covered in Full
  after 35 Copay
• Standard Lenses Covered in Full
• Frames Up to 140
• Contact Lenses Up to 125 (Elective)
• Non-Elective Covered in Full

18
Superior Vision

• Out of Network Benefits
• Ophthalmologist Up to 42
• Optometrist Up to 37
• Single Lenses 32
• Bifocal 46
• Trifocal 61
• Lenticular 84
• Frames 53
• Contact Lenses 100 Elective
• 210
  Non-Elective

19
Superior Vision

• Upgrades Discounts (pages 43-44)
• Lasik Surgery discount depending on
  provider
• Upgrades Add-ons 20
• Additional Eyeglasses 30
• Additional Non-Disposable Contact Lenses
  20
• Additional Disposable Contact Lenses 10

20
Superior Vision

• Page 48
• www.superiorvision.com
• [phone]
• M-F 700 am 800 pm CT
• Sat 1000 am 300 pm CT

21
Term Life Insurance

• Turn to Page 49
• Fort Dearborn Life Insurance Co (FDL)
• 10,000 coverage provided cost covered by
  premium sharing after your 90 day wait
• May choose additional 1 to 6 times annual
  earnings up to a max of 1,500,000
• 1 3x salary is Guaranteed Issue
• 4 6x salary requires Evidence of Insurability
• Rate is determined by Age Bracket and amount of
  coverage located in your Cost Worksheet

22
Term Life Insurance (page 76)

• Age Rate per 1000
  Coverage
• lt 35 .041
• 35 39 .053
• 40 44 .074
• 45 49 .114
• 50 54 .177
• 55 59 .278
• 60 64 .422
• 65 69 .760
• 70 and over .792

23
Term Life Insurance

• Spouse is eligible for 10,000, 25,000, or
  50,000 - (25,000 50,000 requires EOI)
• Dependent child(ren) are eligible for 10,000
• Cost 10,000 for spouse child(ren) 2.87
• Additional amount for spouse is based on Spouse
  Rate Chart in Cost Worksheet (15,000 or
  40,000)

24
Term Life Insurance

• Other Features (see page 50 for details)
• Accelerated Payment You may receive up to 50 of
  your coverage amount if you become terminally ill
• Automatically Raised with salary increase 09/01
• Waiver of Premium if you become totally disabled
  for more than six continuous months before age 60
• May convert Term Life Insurance including spouse
  and children coverage if you leave employment
• Complete the Beneficiary Form in your packet
• www.fdl-life.com/ut [phone]

25
Accidental Death Dismemberment

• Turn to Page 51
• Fort Dearborn Life Insurance Co. is also the
  insurer
• 10,000 coverage provided by premium sharing
  after 90-day wait
• May choose 20,000 up to 10X annual salary
  (1,000,000 maximum)
• Spouse coverage 50 of
  employees coverage up to 500,000
• Dependent child(ren) 10,000
• Cost .16 per each 10,000
• Additional Features explained on Page 51 52)

26
Short Term Disability

• Fort Dearborn Life Insurance Co. (page 53)
• Plan gives income protection if you become
  disabled due to illness or a non-occupational
  injury
• Elimination Period 14 days
• Weekly Benefit 60 of weekly earnings
  up to a maximum of 693.00 per week
• Max Period Payable 22 wks 4 wks for
  pre-existing conditions
• Cost .00267 X monthly salary
• See enrollment book for definition of Disability

27
Long Term Disability

• Fort Dearborn Life Insurance Co. (Go to Page 55)
• Provides income protection should you become
  disabled
• Elimination Period 90 days
• Monthly Benefit 60 of monthly earnings
  up to maximum benefit 12,025
  per month subject to deductible
  sources of income or other disability
  earnings
• Sick Leave Must exhaust all sick leave
• Cost .00397 X monthly salary
• See enrollment booklet for
  definition of disability

28
Short Term and Long Term Disability

• www.fdl-life.com/ut
• [phone]

29
Long Term Care

• Turn to Page 57
• Offered through Continental Casualty Company,
  subsidiary of CNA
• Available for you, your spouse, adult children
  (25 or older), parents, grandparents
• EOI required on spouse, children, parents and
  grandparents

30
Long Term Care

• Daily Maximum Benefit 100, 125, 150, 200
• Lifetime Max Benefit
  100 182,500 125 228,125 150 273,7
  50 200 365,000
• Plan B provides an Automatic Benefit Increase
  (5) that can lead to a significantly higher
  Lifetime Maximum
• Rates Cost Worksheet Page 78
• Complete enrollment forms that are in your packet
  and mail directly to CNA

31
PayFlex Systems

• Turn to Page 60 65
• The UT Flex Plan lets you set aside money from
  your paycheck to pay for your out of pocket
  medical expenses with tax-free dollars (income
  tax and social security tax)
• Two Accounts
• Medical Expense Reimbursement Acct
• Day Care Reimbursement Acct

32
PayFlex

• Medical Expense 15 - 416 per month
• Day Care 15 - 416 per month
  208/month maximum if married filing
  separate federal income tax returns
• In any given calendar year (Jan 1 Dec 31)
  the dependent day care deductions cannot exceed
  5,000 for tax-filing purposes

33
PayFlex

• Examples of Eligible Medical Expenses on page 61
• Deductibles, co-pay, coinsurance
• Prescription drugs, allergy shots, insulin and
  syringes
• Chiropractor treatments
• Smoking cessation programs
• Wheelchair/crutches or other durable equipment
• Dental Exams, x-rays, fillings, crowns, etc
• Eye Exams, prescription eyeglasses and
  sunglasses, LASIK surgery
• Contact Lenses and cleaning solutions
• Hearing aids and batteries

34
PayFlex

• Certain over-the-counter items will be eligible
  for reimbursement
• Some Examples on page 61
• Antacids First Aid Antibiotic Ointments
  Cold Remedies, Eye Drops
  Pain Relievers Stop- smoking programs gums
  and patches Bandaids Contact lenses and cleaning
  solution Pain relievers
• Website gives several pages of eligible items

35
PayFlex

• Flex Convenience Card is available to use as a
  debit card (9.00 per year). Fee is deducted
  at the beginning of the year from your annual
  elected amount
• Reimbursement Check can be mailed to your home or
  Directly Deposited into your bank account
• 72 hour turnaround when claims/receipts are
  mailed
• Or use the Express Claim claim form on website
  bar coded, make copy.faxed by 200 out by 500

36
PayFlex

• UT Flex Grace Period (page 62)
• Based on changes made recently to the Internal
  Revenue Code, you may be reimbursed for eligible
  health care expense incurred through November 15
  (additional 2 ½ months)
• You can still use your debit card or send in
  receipts
• All claims must be submitted by November 30
• Use it or lose it. Any amounts you do not use
  throughout the plan year and during the grace
  period will be forfeited. Plan wisely.

37
PayFlex

• Decide how much your out of pocket expenses will
  be and complete UT Flex Salary Conversion
  Agreement form
• Plan carefully Any amount left in your account
  at the end of the grace period will be forfeited
• Amount deducted from your paycheck is sent to
  PayFlex
• When you have an expense, use your debit card,
  use Express Claim, or mail or fax claim form with
  receipts

38
PayFlex

• www.utflex.com
• Info Line 866-887-3539 (UTS-FLEX)
• Fax [phone]

39
RETIREMENT PROGRAM INFORMATION

• Pages 66 71
• An Overview of TRS ORP for Employees Eligible
  to Elect ORP can be found on the Human Resources
  Website
• http//www.uttyler.edu/ohr
• Click on Retirement Links
• and then click on
• Overview of TRS ORP

40
Enrollment Important Dates

• Pay Option Form must be dated before 09/01/2009
  to have salary spread over 12 months
• 09/01/2009 or ASAP Section 1 (W-4, I-9,
  Policies, etc.)
• 09/11/09 Insurance coverages UTFlex
  (medical, dental, vision, TL, ADD, STD,
  LTD) to begin September 1, 2008
• 09/11/09 Complete beneficiary form for TL
  ADD
• 10/01/09 30 days to elect coverages to
  begin 10/01)
• 12/01/2009 Medical/Prescription effective
  date

41
Important Dates For Retirement Selection

• Retirement Manager Last date to enroll in ORP
  through RM is Monday, September 14
• 90 days to make an irrevocable retirement
  selection (ORP or TRS)
• If selection is not made by 09/14, you will be
  automatically enrolled in TRS for the month of
  September and will receive an enrollment packet
  from TRS to complete and return to them
• Can enroll in a Tax Sheltered Annuity,
  Roth IRA or Deferred Compensation account or make
  a change at any time

42
Any Questions?

• Please call at any time
• Lynne Bandy
• Benefits Manager
• 903.566.7358
• Joe Vorsas
• Director, Human Resources
• 903.566.7294
• Mark Clements
• Human Resources Rep
• 903.566.7391
• Human Resources is located in the Administrative
  Building, Room 108.