Transcript Welcome to NEO A&M College

Welcome to NEO A&M College
Benefits & New Hire Enrollment
Presented by:
NEO Human Resources Department
Topics
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Retirement
Norse Pride
Annual Leave/Vacation/Sick Time
BCBS Health Plans
Flexible Spending Accounts
Premium Rates
Dental Insurance
Vision Insurance
Life Insurance
Long-Term Disability
Enrollment Forms
American Fidelity Supplemental Plans
NEO Retirement
• Faculty & Staff are eligible to participate in
Oklahoma Teachers Retirement (OTRS) provided
you are a full-time employee.
• After 5 years a retiree becomes vested under
OTRS.
• Retirement under OTRS at age 62 with 5 years of
service or when age plus service equals 80 or 90.
• Retirees should get estimate from OTRS at least
90-120 days prior to retirement.
NORSE PRIDE
“Keeping the Tradition Alive”
Should you wish to support a specific NEO
department on campus, athletic program, etc
you may elect to have a specific amount
withheld from your paycheck on a recurring
basis. The authorization for payroll deduction
form may be obtained in the Human
Resources office.
Administrative & Faculty Vacation
****ADMINISTRATIVE & FACULTY VACATION****
40 hr. Work Week Monthly Accumulation
Maximum Vacation Accumulation
Up through 5
10 HOURS
240 HOURS
6 through 10
13.36 HOURS
320 HOURS
11 or more
14.64 HOURS
352 HOURS
****EMPLOYEE (STAFF) VACATION****
12 MONTHS' EMPLOYMENT
40 hr. Work Week Monthly Accumulation
Maximum Vacation Accumulation
Up through 5
6.667 HOURS
160 HOURS
6 through 10
8 HOURS
192 HOURS
11 or more
10 HOURS
240 HOURS
11 MONTHS' EMPLOYMENT
40 hr. Work Week Monthly Accumulation
Up through 5
6.667 HOURS
146.67 HOURS
6 through 10
8 HOURS
176 HOURS
11 or more
10 HOURS
220 HOURS
10 MONTHS' EMPLOYMENT
40 hr. Work Week Monthly Accumulation
Up through 5
5.81 HOURS
116 HOURS
6 through 10
7.0 HOURS
140 HOURS
11 or more
8.75 HOURS
175 HOURS
9 MONTHS' EMPLOYMENT
40 hr. Work Week Monthly Accumulation
Up through 5
6.667 HOURS
120 HOURS
6 through 10
8 HOURS
144 HOURS
11 or more
10 HOURS
180 HOURS
****FACULTY & STAFF SICK LEAVE****
****ADMINISTRATIVE & FACULTY SICK LEAVE****
40.0 HOURS PER WEEK = 14.0 HOURS PER MONTH
****PROFESSIONAL, CLASSIFIED, AND HOURLY ACCRUE SICK LEAVE AT****
40.0 HOURS PER WEEK = 8.0 HOURS PER MONTH
BlueCross BlueShield
Health Insurance
Eligibility for BlueCross BlueShield
• Employee Eligibility:
6-Month Regular Appointment at least 75%
FTE
• Health Benefits:
Employee Only Coverage
Employee/Spouse Coverage
Employee/Child(ren) Coverage
Family Coverage
• Dependent Coverage:
Coverage to age 26
NEO Health Plans
• BlueOptions
Features two Network Options
Helpful Terms
• Network
Group of Providers who agreed to discount charges
• Deductible for Calendar Year
Amount you pay before benefits are paid by Plan
• Co-insurance
Amount you pay after the deductible is met
• Annual Maximum Out-of-Pocket
Maximum amount you pay each calendar year before the Plan
pays 100%
Helpful Terms
• Portability
Continuous coverage with another major
medical plan (no more than a 63-day break)
Pre-existing condition exclusion is waived
• Pre-existing Condition Exclusion
Treated, diagnosed, or medication prescribed
six months prior to beginning coverage, BCBS
excludes those conditions 12 months from
initial enrollment
BlueOptions
Health Insurance Plan
BlueOptions
Network Information
• Network Options
BluePreferred Network
BlueChoice Network
• Provider Listings
www.bcbsok.com/osu
Call: 877-258-6781
• BlueOptions PPO Discounts
Use any BluePreferred or BlueChoice Provider Freedom
to go out-of-network
BlueOptions
• $30 PCP/$50.00 Specialist office visit co-pay, innetwork
• $750 individual, $2,250 family deductible
• 80/20 co-insurance BluePreferred Network
• 70/30 co-insurance BlueChoice Network
• $3,000 per person out-of-pocket max, after
deductible, $3,500.00 per person, non-network.
• No lifetime maximum on health benefits
BlueOptions
• Receive a $250 credit towards BlueOptions
deductible each year by completing
assessment.
• Complete your Health Risk Assessment (HRA)
– Take before any claims are incurred
– Input information into BlueAccess for Members
• Available to employee and spouse, if covered
BlueOptions
• Received a $250 credit towards BlueOptions
deductible each year by completing HRA.
• Available to employee, spouse and dependents, if
covered
• Enroll in Special Beginnings Maternity Program
– Call BlueCross BlueShield to enroll
– Enroll within first trimester
Pharmacy Coverage BlueOptions
Pharmacy Coverage
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Generics $4
$50 name Brand Drugs
$100 Non-Preferred
$150 Triessent Specialty
$200 Non-Triessent Specialty
Pharmacy Extras
• No lifetime maximum for Pharmacy coverage
• Pharmacy and medication lists are available at
www.bcbsok.com/osu or call 877-258-6781
• Mail order available
• BlueCard access available
BlueCross BlueShield Information
BlueExtras and BlueRewards
• BlueAccess for Members-www.bcbsok.com/osu
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Personal Health Manager
Immediate access to healthcare information
Easy to use tools
Take health risk assessments
Set Doctor appointment reminders
Check status of claims
Obtain estimated costs for various medical procedures
24/7 Nurseline
BCBS Helpful Information
• Insurance ID Cards
– Receive in 4-6 weeks
– Mailed to home address
– Print temporary cards at www.bcbsok.com/osu
– Important phone numbers on card
• BCBS Member Services
• Pre-certification
• Keep in your wallet for proof of insurance
BCBS Helpful Information
• OSU BlueCross BlueShield Team
– 877-258-6781
• www.bcbsok.com/osu
• Need Additional Help
- Contact the HR Department
BCBS Premiums
• Please refer to your new hire materials
received upon hire or contact the Human
Resources Office for current health premiums.
Flexible Spending and Dependent
Care Accounts
Flexible Spending & Dependent Care
Accounts
• Healthcare FSA
– Out-of-pocket medical expenses, prescription drugs, deductibles, copayments, dental, and vision for you and your eligible dependents
– Pre-funded
– Minimum Annual Goal of $300.00 up to $2,500 Current Max per IRS
Regulations (Refer to IRS for updated max)
• Dependent Care FSA
– Daycare expenses for children under 13
– Not pre-funded
– Maximum of $5,000 per tax year for reimbursement of dependent
care expenses ($2,500 if you are married and file a separate return –
Per IRS Regulations – Refer to IRS for updated max)
OMES: EGID - OSEEGIB
Dental and Vision Eligibility
State Insurance Board Dental and
Vision Insurance
• Dependent Coverage
– Member must be covered before dependents are
covered
– Dependents enrolled in same plan as member
– Cover dependents until age 26
• Spouse Exclusion
– Dental coverage only
– Vision coverage requires spouse to have other group coverage
– Signature is required on enrollment form
OMES: EGID - OSEEGIB
Dental Insurance
Dental Plan Options
• Dental Plans
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HealthChoice (Has the most providers)
Assurance Freedom Preferred
Assurant Heritage Plus with SBA (Prepaid)
Assurant Heritage Secure (Prepaid)
CIGNA Dental Care Plan (Prepaid)
Delta Dental PPO
Delta Dental Premier
Delta Dental PPO Choice
 Provider listings at sib.ok.gov
Dental Coverage
• Dental Coverage
– HealthChoice
• Has the most providers
• $2,000 Calendar Calendar Year Maximum
• No Lifetime Maximum for Orthodontia
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– Pays 50%
– 12 month waiting if not covered by another group dental plan
prior to enrolling
Dental Plans Cover
Two cleanings and a set of X-rays per year
Check your Employee Benefit Options Guide or Online
HealthChoice Dental Premiums
• Refer to current rate guide for most up-todate premiums. The rate guide can be found
on the web
http://www.ok.gov/sib/Member/Handbooks/index.html
• Remember
– Current Premiums in Option Guide
– Cover yourself to cover dependents
– Cover one dependent, cover all dependents
OMES: EGID (OSEEGIB) Vision
Insurance
Vision Plan Options
• Vision Plans
– Vision Service Plan (VSP)
– Primary Vision Care Services
– Superior Vision Plan
– United Healthcare Vision
– Humana/Comp Benefits Vision Care Plan
– Primary Vision Care
Vision Coverage
• Vision Service Plan (VSP)
 Has the most providers
 No ID Card
• Calendar Year Benefits Include
 Exam, $10 co-pay
 Prescription Glasses, $25 co-pay
o Lenses and/or frames covered up to $120 each year
o 20% discount on remaining balance
 Contact lens covered up to $120 each year, no co-pay
o Mail order available
» Check your Employee Benefit Options Guide for further details and updated info.
Vision Service Plan Premiums (VSP)
• Please contact the Personnel Office should
you need a copy of the current monthly
premiums for VSP or any other Vision plans.
Life Insurance (ING)
ING Employee Benefits
• NEO Employee Coverage
– Provided by ING Employee Benefits/Reliastar
• NEO pays the monthly life premium as a benefit up to two
times your annualized salary
– With $200,000 maximum
– Benefits reduce at age 65
• Accidental Death and Dismemberment
- Safe Driver Benefit – 10%
- Safe Driver Benefit with Airbags – 15%
Updated each December 31
ING Employee Benefits
• NEO Employee Coverage
– Provided by ING Employee Benefits/Reliastar
– Opportunity to purchase up to two-times annualized
salary
• 5,000 increments
• Not to exceed $250,000
• With Proof of Good Health
– Employee may increase up to five times annualized salary, not to exceed
$750,000
• Portability
- If you leave NEO you may keep your Supplemental Life. However premiums
would be paid by the employee and premiums are not tax sheltered.
ING Employee Benefits Supplemental Life
• Voluntary enrollment
– Employee
– Spouse
– Dependent(s)
• Premiums paid by employee
• Premiums not tax sheltered
ING Employee Benefits Supplemental Life
• New Employee Enrollment
– Spouse guaranteed issue within first 30 days of hire
– Opportunity to purchase up to one-times employee
annualized salary
• $5,000 increments
• Not to exceed $125,000
• With Proof of Good Health
– Employee may increase spouse life, not to exceed 50% of employees
combined amounts, up to $375,000
• Cannot cover spouse if spouse is an NEO employee
Premiums are paid be employee – Premiums are not tax sheltered
ING Employee Spouse Supplemental Rates
Age as of December 31
Monthly Rate per $5,000
Under 25
0.25
25-29
0.30
30-34
0.40
35-39
0.45
40-44
0.50
45-49
0.85
50-54
1.60
55-59
2.60
60-64
3.90
65-69
7.25
70+
12.00
ING Child(ren) Supplemental Rates
Coverage Units
Cost per Month
$2,500
$0.45
$5,000
$0.90
$7,500
$1.35
$10,000
$1.80
If you and your spouse are employed by NEO, only one parent can cover
child(ren)
Beneficiaries
• Primary Beneficiary
– First in line
– Share equally
– Person/Corporation/Charitable Institution
• Contingent
– Collect in Primary Predeceases
• Keep Beneficiary Information Current
• Contact NEO Human Resources to Update
American Fidelity Assurance (AFA)
Long-Term Disability
Long-Term Disability
• Long-Term Disability
– Salary Protection Program
– 30 days to enroll
– NEO pays premium 100%
– Pre-existing condition clause
• LTD Process
– First 180 days, Elimination
– Next 6 months, Own Occupation
– After 12 months, Any Occupation
» See your AFA LTD Certificate for more details
Example for 60% LTD Cost paid by NEO:
$29,000/12=$2,417/100=$24.17 x .49 = $12.56 per month
Long-Term Disability
• Your Plan Pays A Monthly Disability Benefit
– 60% of you Monthly Compensation not to exceed:
(1) a maximum Monthly Disability Benefit of
$3,600.00; (b) a maximum covered Monthly
Compensation of $6,000.00; and (3) the amount
for which premium is being paid. If applicable,
your Disability Benefit will be reduced by
Deductible Sources of Income.
Long-Term Disability
• Less Income From Other Sources
– AFA will ask you to apply for:
• Social Security Disability
• Oklahoma Teachers’ Retirement Disability
• Workers’ Compensation
• Unemployment Compensation
• AFA will calculate your salary guarantee
Example of 60% LTD pay out:
AFA salary guarantee:
SS = $600.00
OTR = $950.00
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$1,550.00
AFA will pay $100 minimum benefit
American Fidelity Assurance (AFA)
*Cancer Protection*
*Accident Only Insurance Plan*
*AF Term Life Insurance*
*Short Term Disability*
*AF Critical Choice*
Cancer Protection
• Offers financial help for out-of-pocket expenses
– Annual Screenings
– Travel and Lodging
– Loss of Income
– Child care expenses
• Limitations, exclusions, and waiting periods apply
• Employee pays premiums
• Answer medical questions
One-on-one appointment contact:
Diane Czachowski
800-365-2782 ext. 405
Cancer Protection
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Screening & Follow-up Benefits
Treatment & Procedures Benefits
Facilities & Equipment Benefits
Care & Consultation Benefits
Transportation & Lodging Benefits
Additional Benefits
Accident Insurance Plan
• Provides one-time cash payment when
suffering a covered accident diagnosed by a
physician.
– Basic Plan
– Enhanced Plan
• Accident Benefit Enhancement Rider
Accident Insurance Plan
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Hospital ER Treatment Benefit
Accident Follow-up Treatment Benefit
Medical Imaging Benefit
Hospital Confinement Benefits
Wellness Benefit
Ambulance Benefit
Transportation Benefit
Family Member Lodging & meals Benefit
Appliances Benefit
Blood, Plasma and Platelets Benefit
Burns Benefit
Skin Graft Benefit
Dislocations Benefit
Exploratory Surgery Without Surgical Repair Benefit
Eye Injury Benefit
Fractures Benefit
Internal Injuries Benefit
Physical Therapy Benefit
Prosthesis Benefit
Ruptured Disc or Torn Knee Cartilage Benefit
Tendons, Ligaments and Rotator Cuff Benefit
Emergency Dental Work Benefit
Paralysis Benefit
Concussion Benefit Benefit
Opportunities for Enrollment Changes
Annual Benefit Enrollment Period
• Open Enrollment held October 1st – 31st
• Opportunity to make changes to benefits
• E-mail notifications, posters and
announcements on campus
• Changes effective January 1
– Plan year January 1-December 31
Mid-Year Changes
• Qualifying Event Examples
– Marriage, Divorce
– Birth, Adoption
– Child reaching age 26
– Custody Judgment
– Gain or loss of other group coverage
• Must be made within 30 days of the event
– If not within 30 days, must wait for Annual Enrollment
• Contact the Human Resources Office for instructions
Questions?
• Please feel free to contact the Benefit Provider
directly
• If you need assistance, please don’t hesitate
to contact the Human Resources Department