2021 employee benefits resource guide
TRANSCRIPT
2021 Employee Benefits Resource Guide
This Guide is intended to provide an outline of benefits for informational purposes only. It does not create any contractual rights to benefits, or otherwise,and is subject to change at any time without notice. To the extent there are any differences between this Guide and the applicable policies, plandocuments, and/or laws relating to the benefits described herein, the applicable policies, plan documents, and/or laws shall take precedence. Pleasecontact your Human Resource Department for further information. © Five Points Benefits Solutions, LLC.
Our goal is to offer the best employee benefits options possible. This includes benefits such as Health, Dental, Vision, Life, Disability, and many other supplemental insurance plans. This booklet is designed to provide you with an overview of the District’s plan options. Should you need more detailed information, governing plan documents are located on your MyBenefitsChannel portal.
When am I eligible to enroll?For existing eligible employees, the benefit choices you elect during open enrollment will be effective January 1 –December 31, 2021. New hires will be eligible to make benefit elections within 30 days of their hire date. However, it's very important to remember that you can only make changes (add, change or terminate coverage) after open enrollment or new hire enrollment if you have a qualifying event or qualified family status change (Marriage, Birth, Divorce, loss/gain of coverage, etc.).
Who is eligible?Each product may have different eligibility rules based on factors such as Full Time or Part Time status. More specific information will be provided on plan overview pages later in this Employee Benefits Resource Guideline.
To get us started, please see the chart below for all customer service contact information:
2021 Benefits Enrollment Guide
Customer Service Contact InfoCarrier Phone Website
Health Insurance State 800-253-9981 www.tn.gov/partnersforhealth
Dental Insurance BCBST 800-523-1478 BCBST.com
VisionInsurance BCBST 800-523-1478 BCBST.com
Term Life USAble Life 800-370-5856 www.usablelife.com
Supplemental Plans USAble Life 800-370-5856 www.usablelife.com
Section-125 TASC 800-422-4661 www.tasconline.com
Universal Life Insurance Trustmark 800-918-8877 www.trustmarkcompanies.com
InsuranceBroker
Five Points Benefit Solutions 844-305-6135 Ext. 2 www.MyBenefitsChannel.com
Health OptionsHealth Plan Enrollment InstructionsAnnual enrollment for the State Health plan is in October of each year.
Enrollment in Health insurance is "Passive", meaning that you do not have to login to the Edison system if you don’t want to make any changes. The Health choices that you have made from the previous year will roll forward. However, if you do need to enroll or make changes, you must access the State Benefits Administration website, "Edison" www.edison.tn.gov . To access the site, you will need your Edison ID, which can be found on the back of your Caremark Card. You can also find helpful videos at www.tn.gov/partnersforhealth/videos.html
Health Plan ChoicesWhen electing Health plans, you will make 3 main choices. What plan design do you want, what network do you want, and who do you want to cover. Dependent verification is also required to add family members to your health plan. Please see Dependent Eligibility chart on following page for list of eligible documents.
The state offers 4 Health plan designs:• Premier - 90/10• Standard - 80/20• Limited - 70/30• CDHP (Consumer Driven Health Plan) - 70/30 with High Deductible and HSA Eligibility
The state offers 3 network choices:• Blue Cross & Blue Shield of TN• Cigna Local Plus• Cigna Open Access
The state offers 4 tiers of coverage:• Employee Only• Employee + Child/ren• Employee + Spouse• Family
Important Reminder for Section-125 Dental, Vision, and Supplemental Benefits:Separate from the Health enrollment, we hold one-on-one employee meetings each year with all employees for our Section-125, Dental, Vision, and other supplemental benefits. Health insurance is the only plan enrolled via Edison, all other plans are enrolled in person with an on-site benefits counselor. Open Enrollment dates and times for these plans will be communicated separately closer to enrollment time.
Health plans offered: With all plans, you won’t pay anything for in-network preventive care. • Premier PPO: Lower premiums- lower out-of-pocket costs for
deductibles, copays and insurance.• Standard PPO: High premiums- you’ll pay more out-of-
network for deductibles, copays and coinsurance.• Limited PPO: Lower premiums than the other PPOs- but you’ll
pay more out-of-pocket for deductibles, copays and coinsurance compared to the other PPOs.
• Local CDHP/HSA: Lowest premiums- but you pay your deductible first before the plan pays anything for most services, and then you pay coinsurance, not copays.
• A health savings account or HSA can help you save for your healthcare now an din the future, and it offers tax benefits.
• Take the savings from your lower premium and put them in your HSA to cover your deductible! Your HSA balance carriers over each year.
• HSA IRS maximum contributions for 2021:• $3,600 for employee on coverage.• $7,200 for all other tiers• Members 55 or older can contribute $1,000 more per year.
Benefits: We’ve got you covered!
Choose a network of providers (doctors, hospitals, facilities) for your medical care. • BlueCross BlueShield (BCBST) Network S• Cigna LocalPlus (LP)• Cigna Open Access Plus (OAP) is a larger network. You
have a choice of more providers, but you will pay moreeach month. Monthly $40/$80 surcharge is included in thepremium.
To find out if your doctor and hospital are in a network go to tn.gov/partnersforhealth.com and click on Health Options and Carrier Information. Or, contact the carrier.Contact: BCBST, 800.558.6213, M-F, 7am – 5pm website: bcbst.com/members/tn_stateContact: Cigna, 800.997.1617, 24/7website: cigna.com/stateoftn
PharmacyAll of our health plans include comprehensive prescription drug benefits. • The health plan you choose will determine your out-of-
pocket prescription cost.Find more information about benefits, vaccines and available discounts at tn.gov/partnersforhealth.com and click on Health Options and Pharmacy. Contact: CVS/Caremark, 877.522.8679, 24/7website: info.caremark.com/stateoftn
Covered Networks
#D
I
S
INSURANCE
RATEMCS PAYS
EMPLOYEE
RATEHSA
INSURANCE
RATEMCS PAYS
EMPLOYEE
RATEHSA
$627.00 $571.41 $55.59 $640.00 $583.30 $56.70
$587.00 $521.10 $65.90 $599.00 $531.78 $67.22
$537.00 $506.35 $30.65 $548.00 $516.74 $31.26
$456.00 $456.00 $0.00 $50.00 $465.00 $465.00 $0.00 $50.00
$627.00 $571.41 $55.59 $640.00 $583.30 $56.70
$667.00 $521.10 $145.90 $680.00 $531.18 $148.82
$587.00 $521.10 $65.90 $599.00 $531.78 $67.22
$627.00 $521.10 $105.90 $639.00 $530.98 $108.02
$537.00 $506.35 $30.65 $548.00 $516.74 $31.26
$577.00 $537.10 $39.90 $588.00 $547.30 $40.70
$456.00 $456.00 $0.00 $50.00 $465.00 $465.00 $0.00 $50.00
$496.00 $463.93 $32.07 $505.00 $472.29 $32.71
$1,034.00 $703.02 $330.98 $1,055.00 $717.40 $337.60
$969.00 $521.10 $447.90 $988.00 $531.14 $456.86
$885.00 $653.95 $231.05 $903.00 $667.33 $235.67
$751.00 $521.10 $229.90 $766.00 $531.50 $234.50
$1,034.00 $703.02 $330.98 $1,055.00 $717.40 $337.60
$1,074.00 $521.10 $552.90 $1,095.00 $531.04 $563.96
$969.00 $521.10 $447.90 $988.00 $531.14 $456.86
$1,009.00 $521.10 $487.90 $1,028.00 $530.34 $497.66
$885.00 $653.95 $231.05 $903.00 $667.33 $235.67
Cigna Limited PPO Open Access $925.00 $521.10 $403.90 $943.00 $531.02 $411.98
$751.00 $521.10 $229.90 $766.00 $531.50 $234.50
$791.00 $521.10 $269.90 $806.00 $530.70 $275.30
$1,223.00 $767.73 $455.27 $1,247.00 $782.62 $464.38 62.76%
Blue Cross Standard PPO $1,146.00 $562.63 $583.37 $1,169.00 $573.96 $595.04 49.10%
Blue Cross Limited PPO $1,047.00 $636.53 $410.47 $1,068.00 $649.32 $418.68 60.80%
Blue Cross Health Savings CDHP $889.00 $521.10 $367.90 $907.00 $531.74 $375.26 58.63%
$1,223.00 $767.73 $455.27 $1,247.00 $782.62 $464.38 62.76%
Premier Cigna PPO Open Access $1,303.00 $588.79 $714.21 $1,327.00 $598.51 $728.49 45.10%
Cigna Standard PPO Local Plus $1,146.00 $562.63 $583.37 $1,169.00 $573.96 $595.04 49.10%
Cigna Standard PPO Open Access $1,226.00 $602.12 $623.88 $1,249.00 $612.64 $636.36 49.05%
Cigna Limited PPO Local Plus $1,047.00 $636.53 $410.47 $1,068.00 $649.32 $418.68 60.80%
Cigna Limited PPO Open Access $1,127.00 $521.10 $605.90 $1,148.00 $529.98 $618.02 46.17%
Cigna Health Savings CDHP $889.00 $521.10 $367.90 $907.00 $531.74 $375.26 58.63%
Cigna Health Savings CDHP Open Access $969.00 $521.10 $447.90 $987.00 $530.14 $456.86 53.71%
$1,630.00 $1,061.65 $568.35 $1,663.00 $1,083.28 $579.72 65.14%
Blue Cross Standard PPO $1,526.00 $750.18 $775.82 $1,557.00 $765.66 $791.34 49.18%
Blue Cross Limited PPO $1,395.00 $856.00 $539.00 $1,423.00 $873.22 $549.78 61.36%
Blue Cross Health Savings CDHP $1,184.00 $630.77 $553.23 $1,208.00 $643.71 $564.29 53.29%
$1,630.00 $1,061.65 $568.35 $1,663.00 $1,083.28 $579.72 65.14%
Premier Cigna PPO Open Access $1,710.00 $771.40 $938.60 $1,743.00 $785.63 $957.37 45.07%
Cigna Standard PPO Local Plus $1,526.00 $750.18 $775.82 $1,557.00 $765.66 $791.34 49.18%
Cigna Standard PPO Open Access $1,606.00 $789.66 $816.34 $1,637.00 $804.33 $832.67 49.13%
Cigna Limited PPO Local Plus $1,395.00 $856.90 $538.10 $1,423.00 $874.14 $548.86 61.43%
Cigna Limited Open Access $1,475.00 $664.66 $810.34 $1,503.00 $676.45 $826.55 45.01%
Cigna Health Savings CDHP $1,184.00 $630.77 $553.23 $1,208.00 $643.71 $564.29 53.29%
Cigna Health Savings CDHP Open Access $1,264.00 $569.64 $694.36 $1,288.00 $579.75 $708.25 45.01%
NEW HEALTH INSURANCE RATES EFFECTIVE JANUARY 1, 2021EM
PLO
YEE
+ S
PO
USE
+ C
HIL
D(R
EN) Premier PPO Blue Cross
Premier Cigna PPO Local Plus
Cigna Standard PPO Open Access
Cigna Limited PPO Local Plus
Cigna Health Savings CDHP
Cigna Health Savings CDHP Open Access
EMP
LOY
EE +
SP
OU
SE
Premier PPO Blue Cross
Premier Cigna PPO Local Plus
Cigna Health Savings CDHP Open Access
EMP
LOY
EE +
CH
ILD
(REN
)
Premier PPO Blue Cross
Blue Cross Standard PPO
Blue Cross Limited PPO
Blue Cross Health Savings CDHP
Premier Cigna PPO Local Plus
Premier Cigna PPO Open Access
Cigna Standard PPO Local Plus
EMP
LOY
EE O
NLY
Premier PPO Blue Cross
Blue Cross Standard PPO
Blue Cross Limited PPO
Blue Cross Health Savings CDHP
Premier Cigna PPO Local Plus
Premier Cigna PPO Open Access
Cigna Standard PPO Local Plus
Cigna Standard PPO Open Access
Cigna Limited PPO Local Plus
Cigna Limited PPO Open Access
CURRENT RATES NEW RATES
Cigna Health Savings CDHP
2020 STATE MONTHLY PLAN COST
HEALTH PLAN OPTIONS
2021 STATE MONTHLY PLAN COST
2021
Hea
lth Pl
an Co
mpa
rison
— Lo
cal E
duca
tion a
nd Lo
cal G
over
nmen
t
HEAL
THCA
RE O
PTIO
NPR
EMIE
R PP
OST
ANDA
RD P
POLI
MIT
ED P
POLO
CAL C
DHP/
HSA
Mem
ber C
osts
Mem
ber C
osts
Mem
ber C
osts
Mem
ber C
osts
COVE
RED
SERV
ICES
IN-N
ETW
ORK
[1]
OUT-
OF-N
ETW
ORK
[1]
IN-N
ETW
ORK
[1]
OUT-
OF-N
ETW
ORK
[1]
IN-N
ETW
ORK
[1]
OUT-
OF-N
ETW
ORK
[1]
IN-N
ETW
ORK
[1]
OUT-
OF-N
ETW
ORK
[1]
PREV
ENTI
VE CA
RE —
OFF
ICE V
ISIT
S•
Well
-bab
y, we
ll-ch
ild vi
sits a
s rec
omm
ende
d •
Adult
annu
al ph
ysica
l exa
m•
Annu
al we
ll-wo
man
exam
• Im
mun
izatio
ns as
reco
mm
ende
d•
Annu
al he
aring
and n
on-re
fracti
ve vi
sion s
creen
ing•
Scre
ening
s inc
luding
Pap s
mea
rs, la
bs, n
utrit
ional
guida
nce,
toba
cco ce
ssatio
n cou
nseli
ng an
d oth
er
serv
ices a
s rec
omm
ende
d
No ch
arge
$45
No ch
arge
$50
No ch
arge
$50
No ch
arge
50%
OUTP
ATIE
NT SE
RVIC
ES —
SERV
ICES
SUBJ
ECT T
O A
COIN
SURA
NCE M
AY B
E EXT
RAPr
imar
y Car
e Offi
ce Vi
sit•
Fam
ily pr
actic
e, ge
nera
l pra
ctice
, inte
rnal
med
icine
, OB
/GYN
and p
ediat
rics
• Nu
rse pr
actit
ioner
s, ph
ysici
an as
sista
nts a
nd nu
rse
midw
ives (
licen
sed h
ealth
care
facil
ity on
ly) w
orkin
g un
der t
he su
perv
ision
of a
prim
ary c
are p
rovid
er•
Inclu
ding s
urge
ry in
office
setti
ng an
d init
ial
mat
ernit
y visi
t
$25
$45
$30
$50
$35
$55
30%
50%
Spec
ialis
t Offi
ce Vi
sit•
Inclu
ding s
urge
ry in
office
setti
ng•
Nurse
prac
tition
ers,
phys
ician
assis
tant
s and
nurse
m
idwive
s (lic
ense
d hea
lthca
re fa
cility
only)
wor
king
unde
r the
supe
rvisi
on of
a sp
ecial
ist
$45
$70
$50
$75
$55
$80
30%
50%
Beha
viora
l Hea
lth an
d Sub
stanc
e Use
[2]
• In
cludin
g virt
ual v
isits
$25
$45
$30
$50
$35
$55
30%
50%
Tele
heal
th (a
ppro
ved c
arrie
r pro
gram
s onl
y)$1
5N/
A$1
5N/
A$1
5N/
A30
%N/
AAl
lerg
y Inj
ectio
n With
out a
n Offi
ce Vi
sit10
0% co
vere
d10
0% co
vere
d up t
o MAC
100%
cove
red
100%
cove
red u
p to M
AC10
0% co
vere
d10
0% co
vere
d up t
o MAC
30%
50%
Chiro
prac
tic an
d Acu
punc
ture
• Lim
it of
50 vi
sits o
f eac
h per
year
Visits
1-20
: $25
Visits
21-5
0: $4
5Vis
its 1-
20: $
45Vis
its 21
-50:
$70
Visits
1-20
: $30
Visits
21-5
0: $5
0Vis
its 1-
20: $
50Vis
its 21
-50:
$75
Visits
1-20
: $35
Visits
21-5
0: $5
5Vis
its 1-
20: $
55Vis
its 21
-50:
$80
30%
50%
Conv
enien
ce Cl
inic
$25
$45
$30
$50
$35
$55
30%
50%
Urge
nt Ca
re Fa
cility
$45
$70
$50
$75
$55
$80
30%
50%
Emer
genc
y Roo
m Vi
sit$1
50
$175
$200
30%
PH
ARM
ACY
30-D
ay Su
pply
$7 ge
neric
; $4
0 pre
ferre
d bra
nd;
$90 n
on-p
refer
red
copa
y plus
amou
nt
exce
eding
MAC
$14 g
ener
ic;
$50 p
refer
red b
rand
; $1
00 no
n-pr
eferre
d
copa
y plus
amou
nt
exce
eding
MAC
$14 g
ener
ic;
$60 p
refer
red b
rand
; $1
10 no
n-pr
eferre
d
copa
y plus
amou
nt
exce
eding
MAC
30%
50%
plus
amou
nt
exce
eding
MAC
90-D
ay Su
pply
(90-
day n
etwo
rk ph
arm
acy o
r mail
or
der)
$14 g
ener
ic;
$80 p
refer
red b
rand
; $1
80 no
n-pr
eferre
d
N/A -
no ne
twor
k$2
8 gen
eric;
$1
00 pr
eferre
d bra
nd;
$200
non-
prefe
rred
N/A -
no ne
twor
k$2
8 gen
eric;
$1
20 pr
eferre
d bra
nd;
$220
non-
prefe
rred
N/A -
no ne
twor
k30
%N/
A - no
netw
ork
90-D
ay Su
pply
(certa
in m
ainte
nanc
e med
icatio
ns fr
om
90-d
ay ne
twor
k pha
rmac
y or m
ail or
der)
[3]
$7 ge
neric
; $4
0 pre
ferre
d bra
nd;
$160
non-
prefe
rred
N/A -
no ne
twor
k$1
4 gen
eric;
$5
0 pre
ferre
d bra
nd;
$180
non-
prefe
rred
N/A -
no ne
twor
k$1
4 gen
eric;
$6
0 pre
ferre
d bra
nd;
$200
non-
prefe
rred
N/A -
no ne
twor
k20
% w
ithou
t first
havin
g to
mee
t ded
uctib
leN/
A - no
netw
ork
Spec
ialty
Med
icatio
ns (3
0-da
y sup
ply fr
om a
spec
ialty
ne
twor
k pha
rmac
y)10
%;
min
$50;
max
$150
N/A -
no ne
twor
k10
%;
min
$50;
max
$150
N/A -
no ne
twor
k10
%;
min
$50;
max
$150
N/A -
no ne
twor
k30
%N/
A - no
netw
ork
PPO
serv
ices i
n this
table
ARE N
OT su
bject
to a
dedu
ctible
. Loc
al CD
HP/H
SA se
rvice
s in t
his ta
ble AR
E sub
ject t
o a de
ducti
ble w
ith th
e exc
eptio
n of in
-net
work
prev
entiv
e car
e and
90-
day s
upply
main
tena
nce m
edica
tions
. In th
e tab
le, $
= yo
ur co
paym
ent
amou
nt; %
= yo
ur co
insur
ance
; and
100%
cove
red o
r No c
harg
e = yo
u pay
$0 in
-net
work
.
Lear
n mor
e at t
n.go
v/pa
rtner
sforh
ealth
Augu
st 20
20
2021
Hea
lth Pl
an Co
mpa
rison
— Lo
cal E
duca
tion a
nd Lo
cal G
over
nmen
tPP
O se
rvice
s in t
his ta
ble AR
E sub
ject t
o a de
ducti
ble un
less n
oted
with
a [5
]. Lo
cal C
DHP/
HSA s
ervic
es in
this
table
ARE s
ubjec
t to a
dedu
ctible
with
the e
xcep
tion o
f in-n
etwo
rk pr
even
tive c
are.
In th
e tab
le, %
= yo
ur co
insur
ance
.
HEAL
THCA
RE O
PTIO
NPR
EMIE
R PP
OST
ANDA
RD P
POLI
MIT
ED P
POLO
CAL C
DHP/
HSA
Mem
ber C
osts
Mem
ber C
osts
Mem
ber C
osts
Mem
ber C
osts
COVE
RED
SERV
ICES
IN-N
ETW
ORK
[1]
OUT-
OF-N
ETW
ORK
[1]
IN-N
ETW
ORK
[1]
OUT-
OF-N
ETW
ORK
[1]
IN-N
ETW
ORK
[1]
OUT-
OF-N
ETW
ORK
[1]
IN-N
ETW
ORK
[1]
OUT-
OF-N
ETW
ORK
[1]
PREV
ENTI
VE CA
RE —
OUT
PATI
ENT F
ACIL
ITIE
S•
Scre
ening
s inc
luding
colon
osco
py, m
amm
ogra
m,
color
ecta
l, bon
e den
sity s
cans
and o
ther
serv
ices a
s re
com
men
ded
No ch
arge
[5]
40%
No ch
arge
[5]
40%
No ch
arge
[5]
50%
No ch
arge
50%
OTHE
R SE
RVIC
ESHo
spita
l/Fac
ility
Serv
ices [4
]
• In
patie
nt ca
re; o
utpa
tient
surg
ery
• In
patie
nt be
havio
ral h
ealth
and s
ubsta
nce u
se [2
] [6]
10%
40%
20%
40%
30%
50%
30%
50%
Mat
erni
ty•
Glob
al bil
ling f
or la
bor a
nd de
liver
y and
rout
ine
serv
ices b
eyon
d the
initi
al offi
ce vi
sit
10%
40%
20%
40%
30%
50%
30%
50%
Hom
e Car
e [4]
• Ho
me h
ealth
; hom
e inf
usion
ther
apy
10%
40%
20%
40%
30%
50%
30%
50%
Reha
bilit
atio
n and
Ther
apy S
ervic
es•
Inpa
tient
and s
killed
nursi
ng fa
cility
[4] ; o
utpa
tient
• Ou
tpat
ient I
N-NE
TWOR
K phy
sical,
occu
patio
nal a
nd
spee
ch th
erap
y [5]
10%
40%
20%
40%
30%
50%
30%
50%
X-Ra
y, La
b and
Dia
gnos
tics (
not i
nclud
ing ad
vanc
ed
x-ra
ys, s
cans
and i
mag
ing) [5
]10
%20
%30
%30
%50
%
Adva
nced
X-Ra
y, Sc
ans a
nd Im
agin
g•
Inclu
ding M
RI, M
RA, M
RS, C
T, CT
A, PE
T and
nucle
ar
card
iac im
aging
stud
ies [4
]
10%
40%
20%
40%
30%
50%
30%
50%
All R
eadi
ng, I
nter
pret
atio
n and
Res
ults
[5]
10%
20%
30%
30%
Ambu
lanc
e (air
and g
roun
d)10
%20
%30
%30
%Eq
uipm
ent a
nd Su
pplie
s [4]
• Du
rable
med
ical e
quipm
ent a
nd ex
tern
al pr
osth
etics
• Ot
her s
uppli
es (i
.e., o
stom
y, ba
ndag
es, d
ressi
ngs)
10%
40%
20%
40%
30%
50%
30%
50%
Also
Cove
red
Certa
in lim
ited D
enta
l ben
efits,
Hos
pice C
are a
nd O
ut-o
f-Cou
ntry
Char
ges a
re al
so co
vere
d sub
ject t
o app
licab
le de
ducti
ble an
d coin
sura
nce.
See s
epar
ate s
ectio
ns in
the M
embe
r Han
dboo
k for
deta
ils.
DEDU
CTIB
LEEm
ploye
e Onl
y$5
00$1
,000
$1,00
0$2
,000
$1,80
0$3
,600
$2,00
0$4
,000
Emplo
yee +
Child
(ren)
$750
$1,50
0$1
,500
$3,00
0$2
,500
$4,80
0$4
,000
$8,00
0Em
ploye
e + Sp
ouse
$1,00
0$2
,000
$2,00
0$4
,000
$2,80
0$5
,500
$4,00
0$8
,000
Emplo
yee +
Spou
se +
Child
(ren)
$1,25
0$2
,500
$2,50
0$5
,000
$3,60
0$7
,200
$4,00
0$8
,000
OUT-
OF-P
OCKE
T MAX
IMUM
– M
EDIC
AL A
ND PH
ARM
ACY C
OMBI
NED
– EL
IGIB
LE EX
PENS
ES, IN
CLUD
ING
DEDU
CTIB
LE, C
OUNT
TOW
ARD T
HE O
UT-O
F-PO
CKET
MAX
IMUM
Emplo
yee O
nly
$3,60
0$4
,000
$4,00
0$4
,500
$6,80
0$1
0,400
$5,00
0$8
,000
Emplo
yee +
Child
(ren)
$5,40
0$6
,000
$6,00
0$6
,750
$13,6
00$2
0,800
$10,0
00$1
6,000
Emplo
yee +
Spou
se$7
,200
$8,00
0$8
,000
$9,00
0$1
3,600
$20,8
00$1
0,000
$16,0
00Em
ploye
e + Sp
ouse
+ Ch
ild(re
n)$9
,000
$10,0
00$1
0,000
$11,2
50$1
3,600
$20,8
00$1
0,000
$16,0
00
Only
eligib
le ex
pens
es w
ill ap
ply to
ward
the d
educ
tible
and o
ut-o
f-poc
ket m
axim
um. C
harg
es fo
r non
-cov
ered
serv
ices a
nd am
ount
s exc
eedin
g the
max
imum
allow
able
char
ge (M
AC) w
ill no
t be c
ount
ed. F
or PP
O Pla
ns, n
o sing
le fam
ily m
embe
r will
be su
bject
to a
dedu
ctible
or ou
t-of-p
ocke
t max
imum
grea
ter t
han t
he “e
mplo
yee o
nly”
amou
nt. O
nce t
wo or
mor
e fam
ily
mem
bers
(dep
endin
g on p
rem
ium le
vel)
have
met
the t
otal
dedu
ctible
and/
or ou
t-of-p
ocke
t max
imum
, it w
ill be
met
by al
l cov
ered
fam
ily m
embe
rs. Fo
r Loc
al CD
HP Pl
an, t
he de
ducti
ble an
d out
-of-p
ocke
t max
imum
amou
nt ca
n be m
et by
one o
r mor
e per
sons
, but
mus
t be m
et in
full b
efore
it is
cons
idere
d sat
isfied
for t
he fa
mily
. No o
ne fa
mily
mem
ber m
ay co
ntrib
ute
mor
e tha
n $8,5
50 to
the i
n-ne
twor
k fam
ily ou
t-of-p
ocke
t max
imum
tota
l. Se
e the
“Out
of Po
cket
Max
imum
s” se
ction
in th
e Mem
ber H
andb
ook f
or m
ore d
etail
s. Fo
r Loc
al CD
HP Pl
an, c
oinsu
ranc
e is a
fter d
educ
tible
is m
et un
less o
ther
wise
note
d.[1
] Su
bject
to m
axim
um al
lowab
le ch
arge
(MAC
). The
MAC
is th
e mos
t a pl
an w
ill pa
y for
a co
vere
d ser
vice.
For n
on-e
mer
gent
care
from
an ou
t-of-n
etwo
rk pr
ovide
r who
char
ges m
ore t
han t
he M
AC, y
ou w
ill pa
y the
copa
y or c
oinsu
ranc
e PLU
S the
diffe
renc
e bet
ween
MAC
and a
ctual
char
ge.
[2]
The f
ollow
ing be
havio
ral h
ealth
serv
ices a
re tr
eate
d as “
inpat
ient”
for t
he pu
rpos
e of d
eter
mini
ng m
embe
r cos
t-sha
ring:
resid
entia
l tre
atm
ent,
parti
al ho
spita
lizat
ion/d
ay tr
eatm
ent p
rogr
ams a
nd in
tens
ive ou
tpat
ient t
hera
py. In
addit
ion to
serv
ices t
reat
ed as
“inpa
tient
,” prio
r aut
horiz
ation
(PA)
is re
quire
d for
certa
in ou
tpat
ient b
ehav
ioral
healt
h ser
vices
inclu
ding,
but n
ot lim
ited t
o, ap
plied
beha
viora
l ana
lysis,
tran
scran
ial m
agne
tic st
imula
tion,
elec
troco
nvuls
ive th
erap
y, ps
ycho
logica
l tes
ting,
and o
ther
beha
viora
l hea
lth se
rvice
s as d
eter
mine
d by t
he Co
ntra
ctor’s
clini
cal s
taff.
[3]
Appli
es to
certa
in an
tihyp
erte
nsive
s for
coro
nary
arte
ry di
seas
e (CA
D) an
d con
gesti
ve he
art f
ailur
e (CH
F); o
ral d
iabet
ic m
edica
tions
, insu
lin an
d diab
etic
supp
lies;
statin
s; m
edica
tions
for a
sthm
a, CO
PD (e
mph
ysem
a and
chro
nic br
onch
itis),
depr
essio
n and
oste
opor
osis
med
icatio
ns.
[4]
Prior
auth
oriza
tion (
PA) r
equir
ed. W
hen u
sing o
ut-o
f-net
work
prov
iders,
bene
fits f
or m
edica
lly ne
cessa
ry se
rvice
s will
be re
duce
d by h
alf if
PA is
requ
ired b
ut no
t obt
ained
, sub
ject t
o the
max
imum
allow
able
char
ge. If
serv
ices a
re no
t med
ically
nece
ssary,
no be
nefit
s will
be pr
ovide
d.[5
] Fo
r PPO
Plan
s, th
e ded
uctib
le DO
ES N
OT ap
ply.
[6]
Selec
t Sub
stanc
e Use
Trea
tmen
t Fac
ilities
are p
refer
red w
ith an
enha
nced
bene
fit -
PPO
mem
bers
won’t
have
to pa
y a de
ducti
ble or
coins
uran
ce fo
r fac
ility-
base
d sub
stanc
e use
trea
tmen
t; CD
HP m
embe
rs m
ust m
eet t
heir d
educ
tible
first,
then
coins
uran
ce is
waiv
ed. C
opay
s for
PPO
and d
educ
tible/
coins
uran
ce fo
r CDH
P will
apply
for s
tand
ard o
utpa
tient
trea
tmen
t se
rvice
s. Ca
ll 855
-Her
e4TN
for a
ssista
nce.
Lear
n mor
e at t
n.go
v/pa
rtner
sforh
ealth
Augu
st 20
20
Never send original documents. Please mark out or black out any social security numbers and any personal financial information on the copies of your documents BEFORE you return them.
Dependent Eligibility Documents
TYPE OF DEPENDENT DEFINITION REQUIRED DOCUMENT(S) FOR VERIFICATION
Spouse A person to whom the participant is legally married
You will need to provide a document providing marital relationship AND a document proving joint ownershipProof of Marital Relationship
• Government issued marriage certificate or license• Naturalization papers including marital status
Proof of Joint Ownership• Bank Statement issued within the last six months
with both names; or• Mortgage Statement issued within the last six
months with both names; or• Residential Lease Agreement within the current
terms with both names; or• Credit Card Statement issued within the last six
months with both names; or• Property Tax Statement issued within the last 12
months with both names; or• The first page of most recent Federal Tax Return
filed showing “married filed jointly” (if marriedfiling separately, submit page 1 of both returns or form 8879 (electronic filing)
If just married in the previous 12 months, only a marriage certificate is needed for proof of eligibility
Natural (biological) child under age 26 A natural (biological) child The child’s birth certificate; or
Certificate of Report of Birth (DS-1350); or
Consular Report of Birth Abroad of a Citizen of the United States of America (FS-240); orCertification of Birth Abroad (FS-545)
Adopted child under age 26 A child the participant has adopted or is in the process of legally adopting
Court documents signed by a judge showing that the participant as adopted the child; orInternational adoption papers from country of adoption; or
Papers from the adoption agency showing intent to adopt
Child for whom the participant is legal guardian
A child for whom the participant is the legal guardian
Any legal document that establishes guardianship
Stepchild under age 26 A stepchild Verification of marriage between employee and spouse (as outlined above) and birth certificate of the child showing the relationship to the spouse; orAny legal document that establishes relationship between the stepchild and the spouse or the member
Child for whom the plan has received a qualified Health child support order
A child who is named as an alternate recipient with respect to the participant under a qualified Health child support order (QMCSO)
Court documents signed by a judge; orHealth support orders issued by a state agency
Disabled dependent A dependent of any age (who falls under one of the categories previously listed) and due to a mental or physical disability, is unable to earn a living. The dependent’s disability must have begun be- fore age 26 and while covered under a state- sponsored plan.
Documentation will be provided by the insurance carrier at the time incapacitation is determined.
CDHPhttps://www.youtube.com/watch?v=f5hKB1hLljE
HSAhttps://www.youtube.com/watch?v=DLraj1qtH9I
PPOhttps://www.youtube.com/watch?v=2-NeqqgrzFw
Pharmacyhttps://www.youtube.com/watch?v=gnknyQGvUug
Insurance 101https://www.youtube.com/watch?v=gkLNUCZPOHQ
Network vs Planhttps://www.youtube.com/watch?v=I5aWmz4qgOgl
****You will be warned on a couple of the sties that they may contain viruses. Please note that all the sites have been taken from the State’s website and are safe. Also in order to access the videos, you will need access to YouTube.
2021 Medical Insurance YouTube Video’s
BENEFITS CONTACT PHONE WEBSITE
Plan Administrator
Benefits Administrator
800.253.9981 M-F8:00am - 4:30pm
tngov/financepartnersforhealthtn.gov Email: [email protected]
Health Insurance BCBS of TN
Cigna
800.558.6213 M-F7:00am – 5:00pm800.997.1617 24/7
bcbst.com/members/tn_stateCigna.com/state oftn
Health Savings Account
PayFlex 855.288.7345 M-F7:00am – 7:00pmSat 9:00am-2:00pm
Stateoftn.payflexdirect.com
Pharmacy Benefits
CVS/Caremark 877.522.8679 24/7
Info.caremark.com/stateoftn
Behavioral Health, Substance Abuse and Employee Assistance Program
Optum 855.HERE4TN(855.437.3486)24/7
here4TN.com
Wellness and Nurse Advice Line
Healthways 888.741.3390 M-F8:00am – 8:00pm
Partnersforhelathtn.gov (wellnesstab)
EAP & Behavioral Health
EMPLOYEE ASSISTANCE PROGRAM
Your EAP is also administered by Optum. It is available to all local education state group insurance members and their eligible dependents, as well as COBRA participants. Receive 5 EAP counseling visits per situation, per year at no cost to you.
Master’s level specialists are available around the clock to assist with stress, legal, financial, mediation and work/life services. They can even help you find a network provider, a plumber who works nights, find services for your elderly parents, theater tickets, all-night pharmacies and so much more.
Optum knows you are busy, and they want to provide you with information when you need it. All you have to do is call 855.437.3486.
HERE4TN BEHAVORIAL HEALTH & SUBSTANCE USE SERVICES
Whether you are dealing with a mental health or substance use condition, support is available through your behavioral health coverage. Behavioral health benefits are only available to those enrolled in Health insurance. Your enrolled dependents can use these benefits too.
Optum is your behavioral healthcare vendor. To receive maximum benefit coverage, participants must use a network provider. For assistance finding a provider, call 855.Here4TN (855.437.3486).
In addition to office visits, this benefit includes virtual visits. What does that mean? You can meet with a provider throughprivate, secure video conferencing. Virtual visits allows you to get the care you need sooner and in the privacy of your home. The cost for virtual visits is the same as an office visit. To get started, go to Here4TN.com, scroll down, select provider search, and click on virtual visits to find a provider licensed in Tennessee, or call 855.Here4TN (855.437.3486) forassistance. Learn more about your behavioral health benefit by visiting Here4TN.com
Telehealth
24/7 Care — When You Need ItAll health plan members have access to the state-sponsored Telehealth program. It is available as a part of your health insurance. You can talk to a doctor by phone or computer from anywhere, at any time. It is 24/7 care, when you need it.
When to use TelehealthTelehealth is good for non-emergency Health issues (allergies, asthma, bronchitis, cold &flu, infections, fever, ear aches, nausea, pink eye, sore throat)
• 24 hours a day, seven days a week — including nights, weekends and holidays• Your doctor or pediatrician is unavailable• It’s not convenient to leave your home or work• You are traveling and need Health care
Here are the costs for members:• PPO Members: Copay is $15• CDHP Members: You pay the negotiated rate per visit until you reach your deductible, then theprimary care office visit coinsurance applies
Important: You must pre-register with your network carrier (BCBST or Cigna) and go through the network carrier programs (PhysicianNow, MDLive, Amwell) to use the state sponsored Telehealth program for Health services. The costs listed above do not apply to Telemedicine services received from a different program or provider. There is no coverage for telephone consultations, unless you use PhysicianNow, MDLive or Amwell through your network carrier.
Network vendor information is below:BlueCross BlueShield of Tennessee Members• Log into BlueAccess at bcbst.com• Look for PhysicianNow• Or, call 888.283.6691
Cigna Members• Log into MyCigna.com• Look for MDLive or Amwell and select the vendor of your choice• Or, call 888.726.3171 for MDLive or 855.667.9722 for Amwell
WellnessIn 2021, two voluntary wellness programs will be offered to enrolled local education employees, spouses and adult dependents. Note: members must meet certain criteria to qualify for these programs:
Disease management: ActiveHealth Management is your new wellness program vendor. There are programs available for members with chronic diseases that include asthma, diabetes, coronary artery disease (CAD), congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD) to better manage your chronic condition. If you qualify for any of these programs, ActiveHealth will contact you about enrolling in telephonic or group coaching. You will also have access to ActiveHealth Management’s website and mobile app which includes a variety of educational resources and tools such as a health assessment as well as a health education library with videos and articles. You are encouraged but not required to participate. For more information, go to http://go.activehealth.com/wellnesstn.
Diabetes Prevention Program: Classes for those who are pre-diabetic. Members must pre-qualify for this program.For more about who is eligible and how to access these two programs, visit the ParTNers for Health website at https://www. tn.gov/partnersforhealth.html, under Other Benefits and Wellness.In addition to these programs, you will have access to ActiveHealth Management’s website and mobile app which includes a variety of educational resources and tools.
Notice Regarding Wellness ProgramThe ParTNers for Health Wellness Program is a voluntary wellness program. The program is administered according to federal rules permitting employer-sponsored wellness programs that seek to improve employee health or prevent disease, including the Americans with Disabilities Act of 1990, the Genetic Information Nondiscrimination Act of 2008 and the Health Insurance Portability and Accountability Act, as applicable, among others.
Wellness Discounts
Dental Option: 1Effective Date: January 1, 2021
Deductible Calendar Year Individual Family
Applies to Coverage B only $50 $150
Benefit Maximums
Applies to Coverage A, B, and C (per Calendar Year)
Benefit Percentages apply to
Covered Services
Coverage A
Exams, X-rays
Cleanings, Fluoride
Sealants, Space Maintainers
Coverage B
Basic Restorative Services
Basic and Major Endodontics
Basic and Major Periodontics
Basic and Major Oral Surgery
Coverage C
Major Restorative and Prosthodontics
Coverage D
Orthodontics
Choice Option
National Network
Blue365
*Members may see any dentist. We have contracted dentists in our network that have agreed to limit their charges to our fee schedule. Because we have no contract with non-network dentists, members may be responsible for any billed charges that exceed our Maximum Allowable Charge.
Discounts on health and wellness services including routine vision care, Lasik surgery, weight loss and fitness centers, and more
This document serves as a summary of the benefits that are detailed in the Evidence of Coverage. These benefits are subject to the Covered Services and Limitations on Covered Services, Exclusions From Coverage, and Schedule of Benefits sections of the Evidence of Coverage.
When applicable, benefits will be paid based on the Benefit Percentages listed above. Members will be responsible for co-insurance (when benefit percentages are less than 100%), deductible(s), and all other charges when benefit maximums have been met.
$750
Benefit Percentages
Any Dentist*
Murfreesboro City Schools
DentalBlue Standard Plan
0%
100%
Included
Summary of Benefits
Network Dentists paid at PPO fee schedule; non-network dentists paid at 70th percentile of UCR
80%
Not Available
BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association® Registered marks of the BlueCross BlueShield Association, an Association of Independent BlueCross BlueShield Plans.
Dental Option: 2Effective Date: January 1, 2021
Deductible Calendar Year Individual Family
Applies to Coverage B and C only $50 $150
Benefit Maximums
Applies to Coverage A, B, and C (per Calendar Year)
Coverage D (per Lifetime)
Benefit Percentages apply to
Covered Services
Coverage A
Exams, X-rays
Cleanings, Fluoride
Sealants, Space Maintainers
Coverage B
Basic Restorative Services
Basic and Major Endodontics
Basic and Major Periodontics
Basic and Major Oral Surgery
Coverage C
Major Restorative and Prosthodontics
Coverage D
Orthodontics-Child to age 19
Choice Option
National Network
Blue365
Included
Summary of Benefits
Network Dentists paid at PPO fee schedule; non-network dentists paid at 70th percentile of UCR
80%
50%
Murfreesboro City Schools
DentalBlue Standard Plan
50%
100%
$1,500
$1,250
Benefit Percentages
Any Dentist*
*Members may see any dentist. We have contracted dentists in our network that have agreed to limit their charges to our fee schedule. Because we have no contract with non-network dentists, members may be responsible for any billed charges that exceed our Maximum Allowable Charge.
Discounts on health and wellness services including routine vision care, Lasik surgery, weight loss and fitness centers, and more
This document serves as a summary of the benefits that are detailed in the Evidence of Coverage. These benefits are subject to the Covered Services and Limitations on Covered Services, Exclusions From Coverage, and Schedule of Benefits sections of the Evidence of Coverage.
When applicable, benefits will be paid based on the Benefit Percentages listed above. Members will be responsible for co-insurance (when benefit percentages are less than 100%), deductible(s), and all other charges when benefit maximums have been met.
BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association® Registered marks of the BlueCross BlueShield Association, an Association of Independent BlueCross BlueShield Plans.
Effective Date: 1/1/2021
Benefit Category In-Network Out-of-Network
Exams (Limited to one exam and one contact lens fitting/follow-up within a 12-month period)
Comprehensive Eye Exam $10 Copay Up to $35
Retinal Imaging Up to $39 Not Covered
Contact Lens Fitting and Follow-up - Standard $55 Copay Not Covered
Contact Lens Fitting and Follow-up - Premium 10% off retail Not Covered
Vision MaterialsStandard Plastic Lenses (Limited to one set of standard plastic lenses within a 12-month period)
Single $20 Copay Up to $30
Bifocal $20 Copay Up to $45
Trifocal $20 Copay Up to $60
Frames (Limited to one pair of frames within a 12-month period) $0 Copay up to $120 allowance* Up to $60
Contacts (Limited to one set of lenses within a 12-month period in lieu of eyeglasses)
Conventional $0 Copay up to $120 allowance** Up to $96
Disposable $0 Copay up to $120 allowance Up to $96
Medically Necessary Covered at 100% Up to $200Lens Options (Limited to one set of lenses within a 12-month period)
Standard Polycarbonate $40 Not CoveredStandared Polycarbonate (For covered dependent children under age 19) No Copay Up to $5
UV Treatment $15 Copay Not Covered
Tint $15 Copay Not Covered
Standard Plastic Scratch Coating $15 Copay Not Covered
Standard Progressive Lenses (add on to Bifocal) $65 Copay $0 Additional***
Premium Progressive Lenses (add on to Bifocal)
$65 Copay, 20% Discount Off of Retail Price, Less $120 Allowance $0 Additional***
Standard Anti-reflective Coating $45 Copay Not Covered
Diabetic Care Services****Office Service Visit (Medical Follow-up Exam) Covered 100% $77Retinal Imaging Covered 100% $50Extended Ophthalmoscopy Covered 100% $15Gonioscopy Covered 100% $15Scanning Laser Covered 100% $33Notes
* 20% off balance over allowance ***$45 maximum reimbursement ****Up to 2 additional per year
** 15% off balance over allowance
Murfreesboro City Schools
1. This document serves as a summary of the benefits that are detailed in the Evidence of Coverage. These benefits are subject to the Covered Services and Limitations onCovered Services. Exclusions from Covered Services, and Schedule of Benefits Sections of the Evidence of Coverage.2. When applicable, benefits are paid after the copay listed above and to the allowance listed. Members are responsible for amounts exceeding the allowance.
3. Members may see any vision care provider. However, contracted providers in our network have agreed to limit certain charges and provide additional discounts once the allowance has been reached. Because we have no contract with non-network providers, members are responsicble for all charges that exceed the out-of-network reimbursement.
Summary of Benefits
VisionBlue
BlueCross BlueShield of Tennessee, Inc., an Independent Licensee of the BlueCross BlueShield Association® Registered marks of the BlueCross BlueShield Association, an Association of Independent BlueCross BlueShield Plans.
Dental and Vision Rates
BCBS Dental and Vision Group Number 125200
Effective Date 01/01/2021
Please note there will be a 6 month waiting period for Coverage C; Major Restorative and Prosthodontics Implants and 12 month waiting period for Coverage D; Orthodontics.
BCBST Dental Base Plan:
• Rates: 2020 2021 o Employee only $0.00 $0.00 o Employee + Dependent $22.73 $22.73 o Family $35.57 $35.57
BCBST Dental Buy-Up Plan:
• Rates: 2020 2021 o Employee Only $16.03 $16.03 o Employee + Dependent $56.70 $56.70 o Family $112.29 $112.29
BCBST Vison:
• Rates 2020 2021 o Employee Only $8.20 $8.20 o Employee + Spouse $16.08 $16.08 o Employee + Child $16.87 $16.87 o Family $23.97 $23.97
Section 125 Benefits
Section-125 is also referred to as the “Cafeteria Plan”. This has nothing to do with food, rather itrefers to the “choices” you can make within the Section 125 guidelines. It is a program that allowsemployees to have certain eligible benefits deducted from your paycheck tax free. You can chooseto participate in all, part, or non of the options available.
Once elections are made, you must remain in the plan until the end of the plan year, or an eligiblequalifying event occurs that would give you a 30 day window to make certain changes. Qualifyingevents include but are not limited to:
• Marriage / Divorce
• Dependent eligibility change
• Loss of coverage
• Change in spouse or employee employment
Below is additional information on the Premium Only Plan (POP), Medical Reimbursement FSA,Dependent Care Reimbursement.
• Premium Only Plan (POP) – This is the part of the Section-125 plan that allows you tohave certain eligible plans deducted from your check before taxes are taken. Deductionssuch as Health, Dental, Vision, and certain supplemental benefits like Accident and Cancerplans are eligible to be run through the Section-125 POP plan. By lowering your taxableincome, you are able to pay your premiums, but save on taxes!
• FSA – Flexible Spending Accounts are a great way to put money aside, tax free, to covereligible medical, dental, and vision expenses. The total annual election is available on thefirst day of the new plan year and the IRS has even added a carry over provision thatallows you to rollover up to a max of $500. If you have out of pocket medical, dental, orvision expenses that are not covered by insurance, this could be a great program for youand your family. Annual contribution limits for 2019 are set by the IRS at $2,650.
• Dependent Care – This part of the Section-125 plan allows employees with certaindependent care expenses, such as daycare to be run through payroll tax free. Funds areonly available after they have been deducted and posted to your account. The advantageis that the deduction comes out tax free, up to $5,000 per year per family, which saves alot on taxes.
Supplemental Plan Options
Accident Elite coverage helps with the costs associated with accidents. Indemnity payments help to provide assurance that those expenses are being addressed. Different plan options are available based on employee need and budget. Plan highlights include portability, spouse and/or dependent coverage, annual wellness benefits, and the fact that benefits are paid directly to you. Coverage Included but not limited to:
• Emergency treatment• Cuts, Burns, Broken Bones, etc.• Physical Therapy/Follow Up Visits
Critical Illness coverage helps with the costs associated with the diagnosis of such critical illnesses listed below. Lump sum payment helps to provide assurance that those expenses are being addressed. You can choose policy amounts in $5,000 increments up to $50,000. Plan highlights include portability, spouse and/or dependent coverage, annual wellness benefits, and the fact that benefits are paid directly to you. Coverage Includes but not limited to:
• Cancer• Hearth Attack / Stroke• Major Organ Transplant• End State Renal Failure
Cancer Elite coverage helps with the non-medical costs associated with the diagnosis of cancer. Indemnity payments help to provide assurance that those expenses are being addressed. You can choose between three different options that increase from basic, mid, and high coverage. Plan highlights include portability, spouse and/or dependent coverage, annual wellness benefits, and the fact that benefits are paid directly to you. Coverage includes but not limited to:
• Inpatient Hospital Stay• Radiation & Chemotherapy• Surgery• Travel Expenses
Educators Disability helps employees protect their most valuable asset; their ability to earn an income. In the event that you are injured or sick and cannot come to work, you still need a check to cover your monthly obligations. For covered disability claims, this plan pays directly to you a monthly amount not to exceed 66 2/3% of your salary.
Supplemental Plan Options Cont’d
Voluntary Group Term Life is available if you need additional term life protection for you and your eligible family members, think about low cost Voluntary Group Term Life coverage. You select the benefit amounts to suit your specific situation, and premium payments are made through payroll deduction.
Voluntary Accidental Death & Dismemberment coverage allows you to purchase benefits to provide protection in the event of an unexpected loss of accidental death or dismemberment. Protection is issued on a 24-hour basis for you and your eligible family members and covers you as the result of a covered accident anywhere in the world.
Term Life is the least expensive form of life insurance coverage you can purchase. It provides life insurance for a stated time period, or term and is guaranteed renewalable for subsequent term periods.
Permanent Life w/ Long-Term Care
State of Tennessee DeferredCompensation Program
401(k) Plan Features and Highlights
Gett ing Started
W h y should I participate in the Program?By participating in your traditional 401(k), you can save and invest additional money for retirement and/or reduce the amount of current state and federal income tax you pay each year. Your State of Tennessee 401(k) Plan can be an excellent tool to help make your future more secure.
You may also qualify for a federal income tax credit by participating in this Plan. For more information about this tax credit, please contact your RetireReadyTN advisor.1
The Program also offers a Roth contribution option, which allows you to contribute on an after-tax basis. This may be an attractive feature if you expect to be in a higher taxbracket during your retirement. The “qualified” distributions of Roth contributions and earnings from the 401(k) account are generally tax-free if they satisfy the five-year minimum deposit restriction. Please refer to the Distributions and Taxes sections for additional information.
What is a 401(k) plan?• A voluntary retirement savings plan• Allows eligible employees to complement any existing
retirement and pension benefits• Lets you save and invest before-tax dollars• Defers tax on contributions and any earnings on
contributions until money is withdrawn
What is a Roth 401(k) Contribution?• Allows eligible employees to complement any existing
retirement savings and defined benefit plans• Lets you save and invest after-tax dollars• Distributions and any potential earnings are tax-free
upon reaching the age of 59½ (if taken after the requiredfive-year holding period)
• Allows you to designate all or a portion of your 401(k)elective deferrals as Roth contributions
W h o is eligible to enroll?All current employees of the following are eligible to participate in the 401(k) plan:
• State of Tennessee• All Tennessee Public Colleges and Universities• Local Education Agencies
(including K-12 Public Schools)• Local Government Employees
Employees are eligible to enroll if the plan is adopted byyour governing body.
Check with your HR/Benefits Specialist to determine the availability of plan options and your eligibility to participate.
Ho w d o I enroll?If you are eligible to participate in the Program, you can enroll on a voluntary basis by:
1. Enrolling online at www.RetireReadyTN.gov. Click on theRegister button. You will need your Social Securitynumber and either a personal identification number (PIN)or personal identifying information to enroll.2
2. Calling RetireReadyTN at ( 8 0 0 ) 922-7772;representatives are available between the hoursof 8 a.m. and 7 p.m. Central time.
3. Completing a paper enrollment form. Enrollment forms areavailable through your RetireReadyTN advisor. Mail thecompleted form to the appropriate address on the form.
If you wish to make changes, you may do so by logging on to the website or by calling RetireReadyTN or the TDD line at ( 8 0 0 ) 766-4952.3
Important Notice: Local government employees should note that plan availability m a y vary b y employer. C h e c k with your HR/Benef its Special ist to determine the availability of plan options and your eligibility to participate.
The State of Tennessee 401(k) Deferred Compensation Program is a powerful tool to help you reach your retirement dreams. It complements other retirement benefits or savings that you may have, and allows you to save and invest extra money for retirement.
You may choose to defer taxes immediately or pay the taxes now and watch potential earnings grow tax-free. You may build extra savings consistently and automatically, select from a variety of investment options and learn more about saving and investing for your financial future.
Re a d these highl ights to learn more about your Program and how simple it is to enroll.If there are any discrepancies between this document and the Plan Document, the PlanDocument will govern.
Is there an employer match?
State of Tennessee and Employees of Tennessee Public Colleges and UniversitiesYour employer may match your 401(k) contributions up to an annually appropriated limit.
Check with your HR/Benefits Specialist or campus resource office for current information on employer contributions.
Local Education Agency Employees and Local Government EmployeesFor K-12 Public School teachers, the employer match does not apply. For local government employees, check with your HR/Benefits Specialist to determine the availability of a plan match.
What are the contribution limits?In 2018, the maximum contribution amount is 100% of your includible compensation, less any mandatory before-tax contributions to a governmental pension plan, or $18,500, whichever is less. It may be indexed for inflation in $500 increments after 2018.
If you turn age 50 or older in 2018, you may contribute an additional $6,000.
C a n I make Roth 401(k) contributions?The Roth 401(k) option will give you the flexibility to designate all or part of your 401(k) elective deferrals as Roth 401(k) contributions.
In 2018, the maximum limit for 401(k) elective deferrals, for both traditional pre-tax and Roth 401(k) contributions combined, is 100% of your compensation or $18,500, whichever is less.
The maximum contribution amount may then be indexed for inflation in $500 increments in subsequent years.
Roth contributions are made with after-tax dollars, as opposed to the pre-tax dollars you contribute traditionally to a 401(k). In other words, with the Roth option, you’ve already paid taxes on the money you contribute.
C a n employees contribute to multiple plans?Yes; however, if an employee contributes to another plan, such as a 403(b) plan, the combined total of allcontributions cannot exceed the maximum limit of $18,500 in 2018, or $24,500 if age 50 or older. Governmental 457(b) plans have separate deferral limits, so employees who contribute to a 457(b) plan may be able to contribute an additional $18,500 to that plan in 2018 (plus any applicable catch-up contributions). For more information about contribution limits for multiple plans, visit www.irs.gov.
Managing your accounts
Ho w d o I keep track of m y accounts?Your quarterly account statement from Empower Retirement is delivered electronically, showing your account balances and activity. Or, you may choose to receive your statements in paper form by opting out of electronic delivery. You canchoose to be notified by email when statements are issued by adding a current email address to your online profile. Please read the special messages when your statement arrives.
You can also check your account balances and move money among investment options by accessing your account on the website or by calling RetireReadyTN.
Ho w d o I make investment option changes?Use your username and PIN to access the RetireReadyTN website. You can also use your Social Security number and PIN to contact RetireReadyTN. You can move all or aportion of your existing balances among investment options (subject to Program rules) and change how your payroll contributions are invested.3
Ho w d o I make contribution changes?Once enrolled in the Program, access your account on the website and click the Edit slider bar in the Plan savings section of the landing page.
You may also contact RetireReadyTN at ( 8 0 0 ) 922-7772.
Rollovers
May I roll over m y account from m y former employer’s plan?Yes, but only approved balances from an eligible governmental 457(b), 401(k), 403(b) or 401(a) plan or an Individual Retirement Account (IRA) may be rolled over to the 401(k) plan.
Distributions from these plans may be subject to a 10% early withdrawal federal tax penalty. Please check with your RetireReadyTN advisor regarding any applicable fees on the rollover account.
You are encouraged to discuss rolling money from one account to another with your financial advisor/planner, considering any potential fees and/or limitations of investment options.
What are m y account options if I leave m y current employment?You can leave your entire account balance in your State of Tennessee 401(k) Program account. If you severemployment with your current employer, you may also roll over your account balances to another eligible governmental 457(b), 401(k), 403(b) or 401(a) plan, if your new employer’s plan accepts such rollovers, or to an IRA.
Always compare fees, commissions, trading expenses and other transaction costs before making a decision.
Please contact your RetireReadyTN advisor or your tax advisor for more information.1
You are encouraged to discuss rolling money from one account to another with your financial advisor/planner, considering any potential fees and/or limitations of investment options.
Vesting
When a m I vested in the 401(k) plan?Vesting refers to the percentage of your account you are entitled to receive from the Program upon the occurrence of a distributable event.
For the following agencies:• State of Tennessee• All Tennessee Public Colleges and Universities• Local Education Agency Employees
Your contributions to the Program, the employer matchand any earnings they generate are always 100% vested(including rollovers from previous employers).
For local government employeesThe vesting schedule on any matching contributionsis determined by your employer. Please contact yourHR/Benefits Specialist.
Distributions
When can I receive a distribution from m y accounts?Pre-Tax Contributions
401(k) qualifying distribution events are as follows:
• Retirement• Disability retirement (allowed but is defined by the Social
Security Administration or TCRS)• Financial hardship (401(k) plan only, as defined by the
Internal Revenue Code)
• Attainment of age 59½ (for participantcontributions only)
• In-service distribution at retirement age of 60 (all moneytypes allowed)
• Severance of employment (as defined by the InternalRevenue Code provisions)
• Death (upon which your beneficiary receivesyour benefits)
• Purchase of service creditEach distribution of pre-tax contributions is subject toordinary income tax. Distributions taken before age 59½from the 401(k) plan may also be subject to a 10% earlywithdrawal federal tax penalty.
Roth 401(k) ContributionsIf you withdraw your Roth 401(k) contributions and earnings after you’ve reached age 59½ or severed employment due to death or disability and have held the account for at least five years, the distribution is income tax-free and penalty-free.
If you take a distribution of your Roth 401(k) contributions before age 59½, death, disability retirement, or the five-year period beginning with your first Roth 401(k) contribution, you will pay income taxes plus a 10% penalty tax onany earnings that are distributed. There is no income or penalty tax due on qualified distributions of Roth 401(k) contributions because contributions are made with after-tax dollars.
What are m y distribution options?1. Leave the value of your accounts in the Program until a
future date.2. Receive:
• Periodic payments,• Partial lump sum with remainder paid as
periodic payments,• A lump sum.
3. Roll over your account balances to an eligiblegovernmental 457(b), 401(k), 403(b), or 401(a) plan oran IRA.
What happens to m y account when I die?Your designated beneficiary(ies) will receive the remaining value of your accounts, if any. Your beneficiary(ies) must contact a RetireReadyTN representative to request a Death Benefit Claim Form.
Expenses
What are the administrative costs for participating in the 401(k) plans?The annual administration fee is 0.23% (23 bps) with a minimum fee of $12 per year (deducted quarterly).
For example, if you have a $10,000 account balance, your total annual fee would be $23. This would be assessed quarterly at $5.75 per quarter.
Some investment options give voluntary and/or contractualfee reimbursements. These reimbursements are given at theend of each quarter or month, depending on the fund.
Reimbursements may offset the plan administrative fees, depending on the investment options in which youare invested.
Each investment option has an investment management fee that varies by investment option.
These fees are deducted by each investment option’s management company before the daily price or performance is calculated. Fees pay for trading individual securities in the underlying investment options and other management expenses.
Funds may impose redemption fees on certain transfers, redemptions or exchanges resulting from presumed market timing. Asset allocation and balanced investment options and models are subject to the risks of the underlying funds, which can be a mix of stocks/stock funds and bonds/bond funds. For more information, see the prospectus and/or disclosure documents. Funds are subject to the risks of the underlying funds.
To participate in the Self-Directed Brokerage Account (SDBA) option, there is a $50 annual administrative fee, charged at $12.50 quarterly, and a 0.23% recordkeeping fee, charged at 0.0575% quarterly. In order to start an SDBA, you must have a balance of $20,000 in core investments, with a minimum initial deposit of $5,000. There must be $15,000 remaining in core investments. Additional SDBA deposits must be a minimum of $1,000.Loans
May I take a loan from m y account?The 401(k) plan allows you to borrow the lesser of$50,000 or 50% of your total account balance (employee contributions only). Employer dollars are not eligible for loans. The minimum loan amount is $2,000, and you have up to five years to repay your loan—up to 15 years if the money is used to purchase your primary residence. There is also a$50 origination fee for each loan, which is deducted from the loan proceeds, plus a quarterly fee of $6.25. Loanpayments are made through payroll as after-taxdeductions. For more information about loans, pleasecontact your RetireReadyTN advisor.1
Taxes
Ho w do es m y participation in the Program affect m y taxes?Pre-Tax 401(k) ContributionsYour contributions are taken out of your paycheck before taxes are calculated, so you pay less in current income tax. Distributions from the plans are taxable as ordinaryincome during the years in which they are distributed. Anywithdrawals taken before age 59½ from the plan may alsobe subject to a 10% early withdrawal federal tax penalty.
Roth 401(k) ContributionsRoth contributions are made with after-tax money. Distributions of earnings and contributions are not taxable if you have reached age 59½ or severed employment due to death or disability retirement and have held the account for at least five years. Income taxes and a 10% early withdrawal federal tax penalty may apply to any earnings distributed before age 59½, death, disability retirement or the five-year period beginning with your first Roth contribution.
Investment Assistance
C a n I get help with m y investment decisions?Employees of Empower Retirement and the State of Tennessee cannot give investment advice. There are financial calculators and tools on the website that can help you determine which investment options might be best for you if you would like to manage your Program accounts yourself.
Your Program offers access to three different levels of investment advisory tools and services called Empower Retirement Advisory Services, offered by Advised Assets Group, LLC (AAG), a registered investment adviser. You can have AAG manage your retirement account for you through the Managed Account service. Or if you prefer to manage your retirement account on your own, you can use Online Investment Guidance or Online Investment Advice. These tools and services provide a personalizedretirement strategy for you based on your investment goals, time horizon and tolerance for risk. There is no guarantee provided by any party that participation in any of the Advisory Services will result in a profit or that the related account will outperform a self-managed portfolio invested without assistance.
For more detailed information, log in to your Program account by visiting www.RetireReadyTN.gov and clicking on the tabs in the Investment section at the bottom of the page. Or you may call ( 8 0 0 ) 888-4952, ext. 41066, to speak to an AAG investment adviser representative.
Acco unt Balance Annual Fee Quarterly Fee
$10,000 $23 $5.75$20,000 $46 $11.50
What expenses d o I pay to participate in Em po wer Retirement Adv isory Services?Online Investment Guidance and Online Investment Advice are available at no additional cost to you. If you chooseto have AAG manage your account for you, the annual Managed Account service fee will be assessed in quarterly installments based on a percentage of your account balance, as follows:
For example, if your account balance is $50,000, the maximum quarterly fee will be 0.1125% of the account balance. If your account balance is $500,000, the first$100,000 will be subject to a maximum quarterly fee of 0.1125%; the next $150,000 will be subject to a maximum quarterly fee of 0.0875%; the next $150,000 will be subject to a maximum quarterly fee of 0.0625%; and any amounts more than $400,000 will be subject to a maximum quarterly fee of 0.0375%.
Ho w d o I get more information?Visit the website at www.RetireReadyTN.gov or call RetireReadyTN, toll-free, at ( 8 0 0 ) 922-7772 or the TDD line at ( 8 0 0 ) 766-4952 for more information. The website provides information regarding your Program and financial education, as well as financial calculators and other tools to help you manage your accounts.
Abo ut Em po wer RetirementEmpower Retirement specializes in servicing government deferred compensation retirement plans. Headquartered in Greenwood Village, Colorado, Empower helps more than8 million people work towards replacing — for life — the income they made while working.
After a comprehensive selection process, Empower Retirement was chosen by RetireReadyTN to provide administrative, education and communication services. In conjunction with RetireReadyTN, Empower is committed to helping you understand and evaluate your financial situation by providing you with the information you need to help you make financial decisions to and through retirement.
1GWFS Equities, Inc. registered representatives may also be investment adviser representatives of GWFS affiliate, Advised Assets Group, LLC. Representatives do not offer or provide investment, fiduciary, financial, legal or tax advice or act in a fiduciary capacity for any client unless explicitly described in writing.
2 The account owner is responsible for keeping their PIN/passcode confidential. Please contact Client Services immediately if you suspect any unauthorizeduse.
3 Transfer requests received on business days prior to close of the New York Stock Exchange (4 p.m. Eastern time or earlier on some holidays or in other special circumstances) will be initiated at the close of business the same day the request was received. The actual effective date of your transaction may vary depending on the investment option selected.
Brokerage services provided by TD Ameritrade Inc., member FINRA/SIPC/NFA. TD Ameritrade is a trademark jointly owned by TD Ameritrade IP Company, Inc. and The Toronto-Dominion Bank. All rights reserved. Used with permission. Additional information can be obtained by calling TD Ameritrade at (866) 766-4015. TD Ameritrade and GWFS Equities, Inc. are separate and unaffiliated.Securities offered or distributed through G W F S Equities, Inc., Member F I N R A / S I P C and a subsidiary of Great-West Life & Annuity Insurance Company.
Great-West Financial®, Empower Retirement and Great-West InvestmentsTM are the marketing names of Great-West Life & Annuity Insurance Company, Corporate Headquarters: Greenwood Village, CO; Great-West Life & Annuity Insurance Company of New York, Home Office: New York, NY, and their subsidiaries and affiliates, including registered investment advisers Advised Assets Group, LLC and Great-West Capital Management, LLC.©2018 Great-West Life & Annuity Insurance Company. All rights reserved. 98986-02-BRO-1271-1801(11201) AM318113-0118
Call or visit your local RetireReadyTN office at:545 Mainstream Drive, Suite 407
Nashville, TN 37228(800) 922-7772
TDD line: (800) 766-4952
Local RetireReadyTN advisors are available to meet with you one-on-one or in a group setting.
To schedule an appointment:• Call your local advisor1
(visit www.RetireReadyTN.gov to find yourrepresentative)
• Contact RetireReadyTN at ( 8 0 0 ) 922-7772between the hours of 8 a.m. and 7 p.m.Central time
Participant Account Balance
Managed Acco unt Service Quarterly Fee
Up to $100,000 0.1125%
Next $150,000 0.0875%
Next $150,000 0.0625%
Greater than $400,000 0.0375%
Tennessee Consolidated Retirement System Hybrid Plan
(Effective July 1, 2014)
Overview
The Tennessee Consolidated Retirement System (TCRS) is the defined benefit portion of the state retirement plan, providing retirement benefits for employees of state government, higher education, public school teachers, and certain local governments. The plan is designed to provide three types of benefits: (1) retirement benefits, (2) disability benefits, and (3) death benefits.
The retirement plan for state employees and teachers hired on or after July 1, 2014 provides a combination of a defined benefit plan and a defined contribution plan. The defined benefit portion of the plan will be managed by TCRS. The defined contribution assets will be deposited into the state’s 401(k) plan where you will manage the investments within the 401(k) plan. Several local governments have also joined this plan.
Portability is a key in TCRS. Service and salary earned with any employer in TCRS will count toward your eligibility for retirement and benefit calculation.
TCRS is a well-funded, secure pension plan with plan assets over $43 billion. Your total retirement benefit will be based on TCRS benefits and your defined contribution plan investments.
Defined Benefit Explained
• Five-year vesting requirement for state employees and teachers. A vested member is one who has accrued enough years of services toreceive a retirement benefit once all eligibility requirements are met. Most local governments have also adopted this provision.
• Lifetime monthly benefits payable to vested members at retirement.• Benefits are determined by a set formula: Accrual Factor (1.0%) x Average Final Compensation (average highest five consecutive year
salaries) x Years of Service = Monthly Benefit
AccrualFactor
Average Final
Compensation
Years of Creditable
Service
Annual
Benefit
Regular MonthlyBenefit
1.00% x $25,000 x 30 = $7,500 ÷ 12 = $625.00
Retirement Eligibility
• Service Retirement: age 65 and vested or “Rule of 90” (years of service + age = 90 or greater)• Early Retirement: age 60 and vested or “Rule of 80” (years of service + age = 80 or greater)
Creditable Service
Creditable service is membership service under the plan for which you made contributions, if required, plus any other periods of service credited to you by TCRS. Service credit may be accrued for full-time service as a state employee, higher education employee, a public school teacher in Tennessee or an employee of certain local governments in Tennessee. In addition, you may be entitled to establish credit for other types of service. The types of service that may be established include the following:
• Previously withdrawn service;• Military Service which interrupted your public employment;• Military Service rendered prior to May 1975 during a period of armed conflict of peacetime service as defined in Tennessee Code
Annotated, Section 8-34-605;• Education leave of absence which interrupted your employment; and• Unused accumulated sick leave at retirement
(If you are a municipal or county employee, please refer to your human resources department to determine if this provision has been adopted by your employing entity.)
Contributions
• Employee Contributions: 5% of salary for teachers and state employees; local government employees whose employer has adopted thehybrid plan may also have an employee contribution
• Employer Contributions: 4% of payroll for covered employees
Disability Benefits
An active member who is not eligible for service retirement, but who can no longer engage in any type of substantial gainful employment due to a total and permanent medically determinable disability, may be entitled to TCRS disability benefits. The member must submit an“Application for Disability Benefits” and furnish objective medical records that conclusively document the claim. A disability retiree is subject to annual medical re- evaluation and to an annual review of earnings until age 60. TCRS provides coverage for two kinds of disability: (1) ordinary disability and (2) job-related accidental disability.
Disability benefits are equal to 90% of the service retirement benefit that would have been payable. To be eligible for ordinary disability retirement benefits, you must have a minimum of five years of creditable service. There is no minimum service requirement for accidental disability benefits; however, the accident must have occurred in the performance of duty.
Death Benefits
The beneficiary of an active member who dies prior to retirement may be entitled to one of four survivor benefits:(1)lump-sum refund, (2) line-of-duty benefit, (3) 100% joint and survivor annuity for spouse after 10 years of service, or (4) 100% joint and survivor annuity for any beneficiary after reaching early retirement eligibility. Factors determining the type of benefit payable to yourbeneficiary include relationship to beneficiary, age, and length of service. Any annuity benefits payable may be reduced by the earlyretirement reduction factor and/or the appropriate option factor.
Deferred Compensation Program
For employees covered by the Hybrid TCRS Plan, the State of Tennessee 401(k) Plan is an important component of your retirement benefit. The 401(k) Plan receives the following contributions:
• Employee Contributions: 2% auto-enrollment (Member may increase or opt-out at any time)• Employer Contributions: 5% of salary
Both the 401(k) and 457 Plans are participant – directed with regard to investments, and participants may choose at what contribution level they wish to participate.
Benefits at retirement are determined by the amount of contributions made to the plans, and the investment experience of those contributions and any earnings thereon. Distribution options include but are not limited to lump sum and rollover options. More information is availablethrough the plan’s record keeper, Empower Retirement
For More Information
Please contact RetireReadyTN at 800-922-7772 or at www.retirereadytn.gov
Tennessee Consolidated Retirement System Legacy Plan
Overview
The Tennessee Consolidated Retirement System (TCRS) is the defined benefit portion of the state retirement plan, providing retirement benefits for employees of state government, higher education, public school teachers, and certain local governments. The plan is designed to provide three types of benefits: (1) retirement benefits, (2) disability benefits, and (3) death benefits.
Portability is a key in TCRS. Service and salary earned with any employer in TCRS will count toward your eligibility for retirement and benefit calculation.
TCRS is a well-funded, secure pension plan with plan assets totaling over $43 billion. Retirement benefits are based on a formula that includes salary and service.
Defined Benefit Explained
• Five-year vesting requirement for state employees and teachers. A vested member is one who has accrued enough years of services toreceive a retirement benefit once all eligibility requirements are met. Most local governments have also adopted this provision.
• Lifetime monthly benefits payable to vested members at retirement.• Benefits are determined by a set formula: Accrual Factor (1.5%) x Average Final Compensation (average highest five consecutive year
salaries) x Years of Service = Monthly Benefit with/without Benefit Improvement Percentage (BIP)
AccrualFactor
Average Final
Compensation
Years of Creditable
Service
Annual
Benefit
Regular MonthlyBenefit
1.50% x $25,000 x 30 = $11,250 ÷ 12 = $937.50(with BIP = 1.05%) $984.38
Retirement Eligibility
• Service Retirement: age 60 and vested or 30 years of service regardless of age (unreduced benefit)• Early Retirement: age 55 and vested (reduced benefit)• 25-Year Early Retirement: upon completion of 25 years of services, but have not reached age 55 (reduced benefit)
Creditable Service
Creditable service is membership service under the plan for which you made contributions, if required, plus any other periods of service credited to you by TCRS. Service credit may be accrued for full-time service as a state employee, higher education employee, a public school teacher in Tennessee or an employee of certain local governments in Tennessee. In addition, you may be entitled to establish credit for other types of service. The types of service that may be established include the following:
• Previously withdrawn service;• Military Service which interrupted your public employment;• Military Service rendered prior to May 1975 during a period of armed conflict of peacetime service as defined in Tennessee Code
Annotated, Section 8-34-605;• Education leave of absence which interrupted your employment; and• Unused accumulated sick leave at retirement
(If you are a municipal or county employee, please refer to your human resources department to determine if this provision has been adopted by your employing entity.)
Contributions
• Employee Contributions: 5% of salary for teachers; 0% for state employees; local government employees may be contributory or non-contributory, or a combination of both
• Employer Contributions: an amount actuarially determined each year
Disability Benefits
An active member who is not eligible for service retirement, but who can no longer engage in any type of substantial gainful employment due to a total and permanent medically determinable disability, may be entitled to TCRS disability benefits. The member must submit an“Application for Disability Benefits” and furnish objective medical records that conclusively document the claim. A disability retiree is subject to annual medical re- evaluation and to an annual review of earnings until age 60. TCRS provides coverage for two kinds of disability: (1) ordinary disability and (2) job-related accidental disability.
Disability benefits are equal to 90% of the service retirement benefit that would have been payable. To be eligible for ordinary disability retirement benefits, you must have a minimum of five years of creditable service. There is no minimum service requirement for accidental disability benefits; however, the accident must have occurred in the performance of duty.
Death Benefits
The beneficiary of an active member who dies prior to retirement may be entitled to one of four survivor benefits:(1) lump-sum refund, (2) line-of-duty benefit, (3) 100% joint and survivor annuity for spouse after 10 years of service, or (4) 100% joint and survivor annuity for any beneficiary after reaching early retirement eligibility. Factors determining the type of benefit payable to yourbeneficiary include relationship to beneficiary, age, and length of service. Any annuity benefits payable may be reduced by the earlyretirement reduction factor and/or the appropriate option factor.
Deferred Compensation Program
For state and teacher employees covered by the Legacy TCRS Plan, the State of Tennessee 401(k) Plan is available for employee contributions on a voluntary basis. In addition, state employees, and certain school district employees, may also contribute to the State of Tennessee 457 Plan.
Both the 401(k) and 457 Plans are participant – directed with regard to investments, and participants may choose at what contribution level they wish to participate.
Benefits at retirement are determined by the amount of contributions made to the plans, and the investment experience of those contributions and any earnings thereon. Distribution options include but are not limited to lump sum and rollover options. More information is available through the plan’s record keeper, Empower Retirement.
For More Information
Please contact RetireReadyTN at 800-922-7772 or at www.retirereadytn.gov
Tennessee Department of Treasury
Tennessee Consolidated Retirement System Hybrid Plan with Cost Controls
New Hires on or after July 1, 2014
Legacy Plan Hybrid Plan with Cost ControlsDefined Benefit Defined Benefit
1.575% benefit formula 1.0% benefit formula5 year vesting 5 year vestingRetirement eligibility: Retirement eligibility:
Service: age 60 and vested Service: rule of 90 or 65 and vestedEarly: age 55 and vested Early: rule of 80 or age 60 and vested
Employee contributions: 5% or 0% Employee contributions: 5%Employer contributions: actuarially determined Employer contributions: 4%
Defined Contribution Defined ContributionEmployee contributions: optional Employee contributions: 2% auto-enrollment with opt-out
featureEmployer contributions: optional Employer contributions: 5%
Total Contributions DB + DC Total Contributions DB + DCEmployee contributions: 5% or 0% Employee contributions: 7% (including 2% auto-enrollment)
Employer contributions: actuarially determined Employer contributions: 9%
Employees impacted Employees impactedState, Teacher, Higher Education, and Local Government employees
Current employees are “grandfathered” into the legacy plan unless they lose membership
State, Teacher, Higher Education, and employees working with a Local Government agency that chooses to adopt the plan via resolution**
• Effective for State, Teacher, and Higher Ed newhires on or after 7/1/14
• Effective for Local Government employeesnewly-hired after the effective date ofadoption
**not recommended for local government agencies with fewer than 100 employees
For more information, including a new employee brochure and FAQs, refer to the tab labeled “Hybrid Plan - Cost Controls” via http://tcrs.tn.gov.
Legacy Plan vs. Hybrid Plan Quick Reference Guide Page 1 of 1
RETIREt)READ VTENNESSEE'S RETIREMENT PROGRAM ►
A program of the Tennessee Treasury Department I David H. Lillard, Jr., Treasurer --------------------------------- -----
To access your Program's website, go to
.www.RetireReadyTN.gov
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Notes
Notes
Five Points Benefits Solutions, LLCPO Box 680325
Franklin, TN 37068800.435.5023 office
This Guide is intended to provide an outline of benefits for informational purposes only. It does not create any contractual rights to benefits, or otherwise,and is subject to change at any time without notice. To the extent there are any differences between this Guide and the applicable policies, plan documents,and/or laws relating to the benefits described herein, the applicable policies, plan documents, and/or laws shall take precedence. Please contact yourHuman Resource Department for further information. © Five Points Benefits Solutions, LLC.
For questions regarding your benefits:
Kathleen HunsickerBenefits Coordinator
Email: [email protected]
