Transcript Tennessee State University

Tennessee State University
New Employee
Benefits Orientation
Instructions
• You may use the arrows on your keyboard to
navigate the presentation
• Go through the entire presentation. Most of your
questions will be answered
• Complete all of the forms prior to your benefits
meeting. This will expedite the process.
• Premiums begin on page 12
• If you complete the forms online, you must print
them out so they may be signed
Tennessee State University
Materials
The Eligibility & Enrollment Guide is to be used
in conjunction with this presentation.
Tennessee State University
Materials Cont.
• The Enrollment Guide gives you information on the
available coverage as well as premium costs. You
should have received this booklet in your Welcome
package.
• The Enrollment Form is what you will complete to
enroll yourself & any eligible dependents into health
coverage
• If you choose not to enroll, this form still must be
completed—select REFUSE, sign & date form
Tennessee State University
What’s Available To You
•
•
•
•
•
•
Medical – Blue Cross Blue Shield or Cigna
Dental – Delta or Assurant
Vision – EyeMed or VSP
Basic Term Life Insurance – Minnesota Life
Optional Term Life Insurance - Minnesota Life
Long Term Disability – Prudential
Tennessee State University
What’s Available To You Cont.
• Long Term Care – MedAmerica
• Aflac Products
• TNStars 529 Plan
• Retirement – Tennessee Consolidated Retirement
System (TCRS) or the Optional Retirement Plans
(ORP) TIAA-CREF, Valic, or Voya
• Empower Retirement – 401k, 401k ROTH, 403b
Tennessee State University
When To Enroll
• You have 31 days (including weekends &
holidays) from your date of hire (which may
be different from the date you signed your
contract) to enroll
• If you are NOT enrolling in coverage, you still
need to submit paper work waiving coverage
Tennessee State University
When Does Coverage Begin?
• Health, dental, vision & life insurance begin on the
first day of the month following your hire date.
• For example, if you are hired on September 15th,
your coverage would begin on October 1st.
• Premiums are deducted 1 month in advance.
• Please note that any paperwork received after the
15th of the month may cause you to incur a double
premium deduction the following month
Tennessee State University
Insurance Cards
• If you enroll in medical, dental & vision, you
will receive 4 cards.
• The 4th card you will receive is the
CVS/Caremark prescription card. This card
must be presented to your pharmacist if you
are purchasing a prescription. You may use
any pharmacy.
• You should receive cards about 2-3 weeks
after you submit your paperwork.
Tennessee State University
Who is Eligible for Coverage?
• Full time employees as well as some
temporary & part time employees who work
30 hours per week*
• Eligible employees may enroll dependents:
– Spouse (must be legally married)
– Children up to age 26 including natural, adopted
or step-children & children for whom the
employee is the legal guardian
Tennessee State University
Notice to TennCare Enrollees
• You must contact your caseworker at the
Department of Human Services (DHS) within
10 days of your date of employment
• Report to DHS your new job, salary & that you
have access to medical insurance with your
new employer
Tennessee State University
Adding or Changing Coverage
• There are only 3 times you may add health
coverage:
1. As a new employee
2. During the fall Annual Enrollment Transfer
Period (AETP)
Tennessee State University
Adding or Changing Coverage Cont.
3. If you experience a Special Qualifying Event
– A specific life change, such as marriage, birth of a
baby or something that results in loss of other
coverage
– You must submit paperwork within 60 days of the
event or loss of other coverage
Tennessee State University
Canceling Coverage
• You may only cancel health, dental or vision
coverage for yourself or your dependents:
1. During AETP (open enrollment) in the fall
2. If you become ineligible to continue coverage
3. If your experience a Special Qualifying Event
Tennessee State University
Definitions
• Premiums – the amount you pay each month for
coverage
• Co-pay – flat dollar amount you pay for services &
products such as doctor visits & prescriptions
• Deductible – set dollar amount that you pay out-ofpocket each year for services that require coinsurance (i.e. surgery)
• Co-insurance – form of payment where you pay a
percentage of the cost for a service after meeting
your deductible
Tennessee State University
Definitions Cont.
• Out-of-Pocket Maximum – the limit on the amount
of money you will have to pay each year in
deductibles & co-insurance. It limits how much you
pay for certain in-network services that require copays.
• Network – a group of doctors, hospital & other
health care providers who have contracted with a
health insurance plan to provide services to
members at pre-negotiated (& usually) discounted
fees.
Tennessee State University
Health Care Plans
• The Partnership PPO & the Standard PPO both
cover the EXACT same services (Blue Cross
Blue Shield & Cigna)
• See page 11 of the Enrollment Guide for
Partnership Promise requirements.
• See page 12 of the Enrollment Guide for
comparison costs of the Partnership Plans &
the Standard Plans
Tennessee State University
Available Options
• There are 4 premium levels to choose from in
health, dental & vision:
• Employee Only
• Employee + Child(ren)
• Employee + Spouse
• Employee + Spouse + Child(ren)
Tennessee State University
Health Care Options
• There are 2 health insurance options:
– Partnership PPO
– Standard PPO
– PPO stands for Preferred Provider Organizations
– You may visit any doctor you want, but visiting
doctors IN-NETWORK will save you money
Tennessee State University
Heath Care Options Cont.
• Cigna Local Plus is available only in Middle
Tennessee
• If you select this plan, you must visit a certain
network of Cigna doctors
• You still have the opportunity to select from
Partnership PPO or Standard PPO
• In-network Cigna Local Plus doctors will save
you money
Tennessee State University
Partnership Promise
• New hires & their covered spouses must:
• Complete the online Well-Being Assessment
• Get a bio-metric screening
• Complete both requirements within 120 of your coverage
start date. You must complete these requirements every year
in which you are in the Partnership Plan
• Children do not complete the Partnership Promise
• Visit Partners for Health for more info or see page 11 of the
Enrollment Guide
Tennessee State University
Choosing an Insurance Carrier
• You may contact the insurance vendors
directly to see if your doctor participates in a
particular plan
• All phone numbers & websites are on the
inside cover of the Enrollment Guide
• The websites will have the most up-to-date
information
Tennessee State University
Premiums
• Medical premiums for Blue Cross Blue Shield,
Cigna & Cigna Local Plus can be found on page
12 of the Enrollment Guide
• Dental premiums for Delta Dental of
Tennessee & Assurant can be found on page
15 of the Enrollment Guide
• Vision premiums can be found on page 17 of
the Enrollment Guide
Tennessee State University
Premiums Cont.
• If you live in East or West Tennessee, please
note Cigna Local Plus is not available in that
area
• Please visit VSP & Aflac for the TBR plans
Tennessee State University
Pharmacy Benefits
• If you choose medical coverage, you will
receive a CVS Caremark card.
• Please submit this card to your pharmacist, as
there are no pharmacy benefits associated
with the Blue Cross Blue Shield or Cigna plans
with the State of Tennessee.
• Visit the CVS Caremark website for details on
pharmacy benefits
Tennessee State University
Mental Health & Substance
Abuse Treatment
• Employees & dependents who are enrolled in
health coverage are also eligible for mental
health & substance abuse services
– Individual & group treatment
– Hospitalization
– Aftercare
Visit Magellan for more details
Tennessee State University
Assurant Pre-Paid Dental
• Assurant Pre-Paid Dental – You must go to
participating network dentists only;
• There are fixed co-pays for services provided;
you must contact a dentist within 30 days of
eligibility to avoid delay of treatment.
• For details, please see page 16 of the
Enrollment Guide, the Assurant website or
call 800-443-2995
Tennessee State University
Dental – Delta Dental of TN
• Delta PDO (Preferred Dental Organization) you may
use any dentist who accepts Delta
• Referrals are not necessary
• One year waiting period on some services, such as
orthodontia
• Calendar year maximum of $1,500 per person
• Lifetime orthodontics maximum of $1,250 per
person
• Visit Delta’s website, page 16 of the Enrollment
Guide or call 800-223-3104
Tennessee State University
Vision
• Visit EyeMed’s website, page 17 of the
Enrollment Guide or call 855-779-5046
• Visit VSP’s website for details. If you are
interested in VSP, you must enroll on the VSP
website NOT on this enrollment form
Tennessee State University
Basic Term Life Insurance &
Accidental Death & Dismemberment
• The State provides, at no cost to the employee who
does NOT enroll in health coverage, $20,000 in basic
term life insurance & $40,000 of basic accidental
death & dismemberment (AD&D) insurance
• If you are enrolled in health insurance, there is up to
$50,000 in basic term life insurance & up to
$100,000 in AD&D insurance.
Tennessee State University
Basic Term Life Insurance &
Accidental Death & Dismemberment Cont.
• Please see the premium sheet that is attached
to the basic term life insurance beneficiary
form in your Welcome package. Find your
salary range on the left side & the subsequent
premium on the right-hand side
• If you enroll in health insurance, your eligible
dependents are also covered for $3,000 of
basic dependent term life insurance
Tennessee State University
Optional Term Life
Insurance/AD&D
• You may enroll yourself & your spouse & dependents
in additional term life insurance as well as Accidental
Death & Dismemberment (AD&D) coverage
• Visit Minnesota Life’s website for details. You enroll
online. For assistance call 866-881-0631
• If you are interested in the Optional AD&D, complete
the Optional Accidental & Dismemberment
Enrollment Form & bring it with you to your benefits
meeting
Tennessee State University
Retirement Plans for Employees Hired
After July 1, 2014
• Please note that any State of Tennessee employee hired after
July 1, 2014 will be enrolled in the Hybrid retirement plans for
the Optional Retirement Plans (ORP) & the Tennessee
Consolidated Retirement System (TCRS)
• This means 5% of your salary will be deducted & invested
toward your retirement for you.
• An additional 2% (defined contribution) will also be deducted
& invested toward your retirement, but you will have the
opportunity to opt out of this contribution.
Tennessee State University
Retirement Plans for Employees Hired
After July 1, 2014 Cont.
• Non-Exempt employees (paid semi-monthly)
may only enroll in TCRS
• Exempt employees (paid monthly) may elect
TCRS or one of the ORP’s
• You will receive a package from Empower
Retirement (formerly Great-West) which will
further explain the plans & the instructions for
opting out of the 2%
Tennessee State University
Retirement Plans - Legacy
• Employees who have worked for the State of
Tennessee or who have participated in TCRS
will be enrolled in the Legacy plan
• Under the Legacy plans, there are no
employee contributions toward retirement
• If you are interested in enrolling in the 401k
plans, you must do this separately
Tennessee State University
Almost Done!
• Click NEXT PAGE after you close this presentation.
• At the end of the New Hire Orientation website there
is a form that you must complete
• It is a checklist to ensure that you completed the
orientation & that you are bringing all necessary
forms with you
Thank you for viewing this presentation!
Tennessee State University