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Employee Benefits Retirement Health Dental Vision Life/AD&D Cafeteria Flexible Spending Long Term Disability Long Term Care Leave Holiday Savings Credit Union Additional Benefits

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Employee Benefits

Retirement

Health

Dental

Vision

Life/AD&D

Cafeteria

Flexible Spending

Long Term Disability

Long Term Care

Leave

Holiday

Savings

Credit Union

Additional Benefits

Retirement

Louisiana State Employees Retirement System (LASERS)

Participant criteria:– Full-time classified employee– Part-time classified employee, working 21 or more hours per

week– Participation is mandatory

Employees age 55 or older when hired contribute to one of the following:– LASERS– Social Security (if you are under age 60, you must have already

contributed to Social Security for at least 40 quarters)– Deferred Compensation Plan

Retirement

Retirement criteria (as of Jan. 1, 2011)– At least 5-years of service credit and age 60 or older– Disability retirement after 10-years of service

Retirement benefit formula2.5% 2.5%

X Years of Service 20 years

X Average of 5 highest years compensation $40,000

= Annual retirement amount $20,000

Retirement

Survivor Benefits– Available after 5-years of service to minor children– Available after 10-years of service to a surviving

spouse

Options at Separation of Employment– Keep your money in the plan and notify us when you

are ready to retire– Roll your contributions into an IRA or another

compatible plan– Withdraw your contributions 20% taxes and 10% penalty will be imposed!!

HCP Employee Options

Social Security – employee may contribute to Social Security at a rate determined by the Federal Government. The Agency will also contribute to Social Security at the Federal Govt. rate.

Deferred Compensation – in lieu of contributing to Social Security you can opt to contribute to this investment plan. Contributions by both the employee and agency are at the normal Social Security rate.

Write your name here Write your SSN here

Sign here Write the date here

Sign here

Write the date here

Write your name here

Write your SSN here

Benefits Department

Staff– Alisha Crowell 903-0113 Benefits Supervisor– Tonya Jackson 903-0141 Benefits Analyst– Kim Myers 903-0709 Benefits Analyst– Dolores Nehlig 903-1604 Benefits Specialist

Office Information– Butterworth Building, Rooms 204-207– 7:30 a.m. – 4:00 p.m. – Fax: 680-0221

Important Information

Dates to Remember:– Date of Hire _____________________________– Enrollment forms due in HR _________________– Coverage effective date ____________________

*Up to 30 days from date of hire to sign up for benefits

Documents– Retirement: Social Security Card and Birth Certificate– Benefits: Original Birth Certificate(s), and Marriage License

Page 1

Health Insurance

Enroll within first 30 days of employment or at any time during the year

Premiums deducted one month in advance

Pre-existing conditions apply

Four options for medical coverage– LSU First/CIGNA (two options) Nationwide

• 1-866-929-5781 www.lsufirst.org

– Blue Cross Blue Shield of LA HMO Nationwide• 1-800-392-4089 www.bcbsla.com/ogb

– Group Benefits PPO Statewide• 1-800-272-8451 www.groupbenefits.org

– United Healthcare CDHP Nationwide• 1-866-393-6765 www.myuhc.com

Network of providers to select from, utilizing CIGNA’s nationwide network, the First Choice providers, and Verity Health’s Louisiana network

LSU deposits money into a Health Reimbursement Account (HRA) No out of pocket expenses until HRA is exhausted First Choice Providers offering 100% coverage after HRA is exhausted If expenses exceed your HRA, then you are responsible for a deductible.

Once the deductible has been met, plan pays 90% in-network providers or 70% to out-of-network providers.

Any unused HRA balance on January 1st rolls over and can be used in future years

Generic drugs are available at no cost after HRA is exhausted. Preventive Care Covered 100% with in-network providers; annual eye

exam Critical Illness policy built into plan: $5000 for employee $25,000 term life insurance policy including AD&D coverage No lifetime maximum See Benefit Snapshot in booklet

OPTION 1Effective

DateEmployee Only Employee + Spouse

Employee + Child(ren)Employee + Family

HRA MemberResponsibil

ity

HRA MemberResponsibil

ity

HRA MemberResponsibil

ity

January 1st $1,000.00 $ 500.00 $1,500.00 $750.00 $2,000.00 $1,000.00

February 1st 916.67 458.33 1,375.00 687.50 1,833.00 916.67

March 1st 833.33 416.67 1,250.00 625.00 1,666.67 833.33

April 1st 750.00 375.00 1,125.00 562.50 1,500.00 750.00

May 1st 666.67 333.33 1,000.00 500.00 1,333.33 666.67

June 1st 583.33 291.67 875.00 437.50 1,166.37 583.33

July 1st 500.00 250.00 750.00 375.00 1,000.00 500.00

August 1st 416.67 208.33 625.00 312.50 833.33 416.67

September 1st 333.33 166.67 500.00 250.00 666.67 333.33

October 1st 250.00 125.00 375.00 187.50 500.00 250.00

November 1st 166.67 83.33 250.00 125.00 333.33 166.67

December 1st 83.33 41.67 125.00 62.50 166.67 83.33

OPTION 2Effective

DateEmployee Only Employee + Spouse

Employee + Child(ren)Employee + Family

HRA MemberResponsibil

ity

HRA MemberResponsibil

ity

HRA MemberResponsibil

ity

January 1st $1,000.00 $1, 500.00 $1,500.00 $2,250.00 $2,000.00 $3,000.00

February 1st 916.67 1,375.00 1,375.00 2,062.50 1,833.00 2,750.00

March 1st 833.33 1,250.00 1,250.00 1,875.00 1,666.67 2,500.00

April 1st 750.00 1,125.00 1,125.00 1,687.50 1,500.00 2,250.00

May 1st 666.67 1,000.00 1,000.00 1,500.00 1,333.33 2,000.00

June 1st 583.33 875.00 875.00 1,312.50 1,166.37 1,750.00

July 1st 500.00 750.00 750.00 1,125.00 1,000.00 1,500.00

August 1st 416.67 625.00 625.00 937.50 833.33 1,250.00

September 1st 333.33 500.00 500.00 750.00 666.67 1,000.00

October 1st 250.00 375.00 375.00 562.50 500.00 750.00

November 1st 166.67 250.00 250.00 375.00 333.33 500.00

December 1st 83.33 125.00 125.00 187.50 166.67 250.00

No deductibles, fixed co-payments for services– Example: $15 primary care physician; $25 specialist

50/50 pharmacy benefits; employee pays 50% of cost up to $50/prescription

Name brand covered when there is no FDA approved generic substitute

See Health Plan Summary in booklet for details

HMO

Indemnity Plan featuring a network of contracted providers and facilities

Annual deductibles of $500/person and coinsurance apply

Various levels of reimbursement based on utilization of PPO/Non-PPO provider in the region where services are received

Freedom to select from network physicians; no referrals required

50/50 pharmacy benefit; employee pays 50% of cost up to $50/prescription; $1200 max out-of-pocket

PPO

Plan year deductible:– Employee $1,250– Employee & spouse or child $2,500– Family $3,000

In Network Maximum Out of Pocket:– Employee $3250, including deductible– Employee & spouse or child $6,500, including deductible– Family $9,000, including deductible

Out of Network Maximum Out of Pocket– There is no maximum

CDHP

CDHP

After deductible is met, plan member pays:– 20% co-insurance for network providers– 30% co-insurance for non-network providers

Routine annual exams are covered at 100% with no deductible– Age limitations & timelines apply

Health Savings Account

Not Eligible to participate if you– choose a medical plan other than United CDHP– or your spouse are participating in a Flexible

Spending Plan – and your dependents have medical coverage

under another plan – have TRICARE or TRICARE for Life– used VA benefits within the previous 3 months– have Medicare Part A or B

Health Savings Account

State of Louisiana – makes the initial $100 deposit in your account– additionally matches your contributions dollar for dollar up

to $400, if made via IRS Section 125 Cafeteria plan via payroll deduction

2012 Federal Guidelines for Total Contributions: – $3,100 for individual coverage– $6,250 for family coverage– Can add $1,000 more per year for each year you are over age

55

Health Savings Account

IRS “use-or-lose” rule does not apply

Funds roll over from year to year

Money in your HSA grows tax free

If you change health plans or jobs, or retire, HSA is yours to keep

From age 65 on, you can use your HSA dollars for any healthcare or non-healthcare expenses with no penalty

Health Insurance Rates

Option 1 Option 2

Employee $143.98 $136.02 $111.76 $143.98 $126.28

Employee+Spouse $467.66 $441.74 $363.00 $375.06 $324.28

Employee+Child(ren) $207.22 $195.74 $160.94 $207.22 $193.94

Family $501.10 $473.30 $388.92 $476.96 $418.76

August 2012 - December 2012 monthly deductions

Living Well Louisiana Program - OGB

Health coaches (nurses, dietitians, pharmacists and respiratory therapists) available to assist with healthcare needs 24/7

Eligible to enroll if you participate in the BCBS-HMO or OGB-PPO and diagnosed with: – asthma– diabetes– heart disease– heart failure – chronic obstructive pulmonary disease (COPD)

You pay $15 for brand drugs and $0 for genericTo enroll call 1-800-383-0115

Diabetic Sense Program - OGB

Eligible to enroll if you participate in the BCBS-HMO or OGB-PPO

Get test supplies for free

Free Glucometer

Sign up by calling 1-888-341-8582

Provided by CatalystRx

Dental Insurance

Two Options (Basic or Enhanced)Service Basic Plan Enhanced Plan

Type 1 ProceduresPreventative

100% of Usual and Customary

100% of Usual and Customary

Deductible$100 Lifetime

(excludes preventative services/Type 1)

None

Type 2 ProceduresBasic Filings, Oral Surgery (extractions

& impacted teeth), Root Canal, Dentures and Crown Repair

Fee Schedule 80% of Allowable Expense

Type 3 ProceduresInlays and Crowns, Dentures and

Bridges, Periodontal SurgeryFee Schedule 50% of Allowable

Expense

Orthodontic Not Covered $1,500 Lifetime

Implants Not Covered $2,000 Lifetime

Maximum Plan Year Benefits $1,250 $1,500

www.dearbornnational.com 1-888-758-6979

Dental Insurance

  Basic Enhanced

Employee Only $16.56 monthly $26.26 monthly

Employee + Spouse $31.11 monthly $51.37 monthly

Employee + Child(ren) $43.01 monthly $62.44 monthly

Family $57.56 monthly $87.55 monthly

Vision Insurance

Service LSU First Members Non-LSU First Members

Eye Exams (once per year) $0 $10

Lenses (once per year)

Single/Bi-focal/Tri-focal $0 $0

Lenticular $0 $0

Frames (once per year)Choose from Davis Vision

Designer Frames, or receive 20% discount after $130

Choose from Davis Vision Designer Frames, or receive 20%

discount after $100

Contact Lenses (once per year)

Elective, formulary Up to 4 boxes of disposables Up to 4 boxes of disposables

Elective, non-formulary Up to $130, +15% discount Up to $130, +15% discount

Medically necessary Paid in full with prior approval Paid in full with prior approval

*if LSU 1st member, receive UV coating, scratch protection & progressive lenses at no additional

cost

1-877-923-2847 www.davisvision.com (LSU 1st Client Control 4884) (Non LSU 1st Client Control 4885)

Vision Insurance

  Monthly

Employee Only $7.66

Employee + Spouse $12.90

Employee + Child(ren) $13.18

Family $21.24

Office of Group Benefits/PrudentialLife Insurance

– Employees guaranteed coverage if enroll within 1st 30 days of employment– State pays half the premiums; employee pays dependent life premium– Plan includes AD&D coverage on employee– Reduction of 25% in coverage and appropriate reduction in premiums, July 1st

following ages 65 and 70. Children’s coverage ends at age 26.

BASIC LIFE (MONTHLY RATES)

Maximum Insurance Total Premium with AD&D Employee Share

$5,000.00 $5.00 $2.50

BASIC AND SUPPLEMENTAL LIFE

Annual Salary Maximum Insurance Total Premium with AD&D Employee Share

$19,333.34 - $20,000.00 $30,000.00 $30.00 $15.00

$20,000.01 - $20,666.66 $31,000.00 $31.00 $15.50

$20,666.67 - $21,333.33 $32,000.00 $32.00 $16.00

$21,333.34 - $22,000.00 $33,000.00 $33.00 $16.50

$22,000.01 - $22,666.66 $34,000.00 $34.00 $17.00

$22,666.67 - $23,333.33 $35,000.00 $35.00 $17.50

$23,333.34 - $24,000.00 $36,000.00 $36.00 $18.00

$24,000.01 - $24,666.66 $37,000.00 $37.00 $18.50

$24,666.67 - $25,333.33 $38,000.00 $38.00 $19.00

$25,333.34 - $26,000.00 $39,000.00 $39.00 $19.50

$26,000.01 - $26,666.00 $40,000.00 $40.00 $20.00

$26,666.01 - $27,333.33 $41,000.00 $41.00 $20.50

$27,333.34 - $28,000.00 $42,000.00 $42.00 $21.00

$28,000.01 - $28,666.66 $43,000.00 $43.00 $21.50

$28,666.67 - $29,333.33 $44,000.00 $44.00 $22.00

$29,333.34 - $30,000.00 $45,000.00 $45.00 $22.50

$30,000.01 - $30,666.66 $46,000.00 $46.00 $23.00

$30,666.67 - $31,333.33 $47,000.00 $47.00 $23.50

$31,333.34 - $32,000.00 $48,000.00 $48.00 $24.00

$32,000.01 - $32,666.66 $49,000.00 $49.00 $24.50

$32,666.67 - And Over $50,000.00 $50.00 $25.00

LSU Voluntary Life Insurance (The Hartford)

Guaranteed issue when enrolling during the first 30 days Guarantee issue amount for employee coverage is five (5)

times annual base salary up to $500,000Spouse coverage is guaranteed up to $100,000.  Spouse is

eligible for up to 50% of employee coverage; amounts over $100,000 require approval

Accidental death and dismemberment coverage for employee/spouse available

Child(ren) are eligible for $5,000, $10,000 or $20,000 of life up to age 26 (AD&D not available)

Spouse and children are not eligible for coverage if they are an active member of the armed forces.

May apply for coverage at any time, yet coverage is subject to underwriting approval

LSU Voluntary Life Insurance (Monthly Rates)

Employee Coverage

AgeEmployee Rate/$10,000

Spouse Rate/$5,000

<25 $0.55 $0.28

25-29 $0.65 $0.33

30-34 $0.75 $0.38

35-39 $0.95 $0.48

40-44 $1.19 $0.60

45-49 $1.68 $0.84

50-54 $2.85 $1.43

55-59 $4.35 $2.18

60-64 $6.60 $3.30

65-69 $10.90 $5.45

70-74 $20.50 $10.25

75-79 $34.30 $17.15

80-84 $60.90 $30.45

85+ $115.10 $57.55

AD&D CoverageEmployee $0.31 per $10,000

Spouse $0.16 per $5,000

Child(ren) CoverageCoverage Amount Monthly Rate

$5,000 $0.75

$10,000 $1.49

$20,000 $2.98

Accidental Death and Dismemberment

Covered Amount Employee Only* Employee & Family*

$27,500 $1.00 $1.50

$55,000 $2.00 $3.00

$82,500 $3.00 $4.50

$110,000 $4.00 $6.00

$165,000 $6.00 $9.00

$220,000 $8.00 $12.00

$275,000 $10.00 $15.00

$300,000 $10.90 $16.36

– Benefits are paid for loss of life, disability or dismemberment resulting from a covered accident.

– Coverage is effective 1st of month following enrollment.– Employee's spouse and unmarried eligible dependents (14 days up to age 21, up to

age 24 if a full-time student) are also eligible for coverage:• Spouse coverage = 50% of principal sum or 40% if you have eligible children• Children coverage = 15% of principal sum or 10% if your spouse is eligible for

coverage

* Monthly Rate

Tax Saver Flexible Benefit Plan

Cafeteria Plan– Premiums for medical, dental, vision and Group Benefits life

insurance are deducted from your check pre-tax. – Must enroll within 30 days of appointment date; otherwise, must

wait until October Annual Enrollment period – No cost to participate– You can only cancel or lower coverage during Annual Enrollment

unless you have a qualifying event. Change must be made within 30 days of event.

• Qualifying events include:– Change in marital status– Birth/Adoption– Change in employment status of spouse– Change in eligibility of a dependent

Flexible Spending Account

You can set aside a portion of your earnings, tax-free, for everyday expenses you may have:

– Dependent day care expenses – Out-of-pocket medical expenses including medical, dental, vision, over-

the-counter medications or prescription drugs

How it works– The amounts you elect are automatically deducted from your paycheck

on a pre-tax basis.– The money is held until you have a qualified expense– You will receive a credit card to pay for qualifying expenses or you can

email your claims and receipts to [email protected] – If emailed, the claim is reviewed and tax-free reimbursements are made

to you by direct deposit.

*IF YOU DON’T USE THE MONEY, YOU LOOSE IT!!

Flexible Spending Account

Dependent Care FSA– Who is eligible?

• Child under 13 (over 13 if physically incapable of self care)• Spouse or parent who resides with you and incapable of self care

– Eligible Expenses• Day care facility• Before/After School Care• Summer Day Camp• Nursery school or preschool, if child is too young for Kindergarten

(Private school tuition K4 and above is not eligible.)• In home babysitting fees, if claimed as income by care provider and

not provided by dependent

Flexible Spending Account

Health Care FSA – Eligible Expenses

• Co-payments• Deductibles• Prescription Drugs• Dental Services• Braces• Eye examinations• Contacts/Eyeglasses

Healthcare FSA Dependent Care FSA

Maximum Contribution $4,000.00/year $5,000.00/year

Minimum Contribution $100.00/year $100.00/year

Administrative Fee $5.10/month

• Hospitalizations• Surgery Expenses• Chiropractors• Podiatrists• Hearing Aids• Laboratory Fees• Acupuncture

Flexible Spending Account

Example:Assuming an employee has an Annual Gross Income of $30,000

and is in the15% tax bracket:

With FSA Without FSA

Gross Monthly Pay $2,500.00 $2,500.00

Minus FSA Contribution -$360.00 N/A

Taxable Income $2,140.00 $2,500.00

Minus Taxes -$321.00 -$375.00

Net Income $1,819.00 $2,125.00

Plus FSA Reimbursement +$360.00 N/A

Total Monthly Pay $2,179.00 $2,125.00

Monthly tax saving = $54.00; Annual tax savings = $648.88

Note: Savings are greater for persons in higher tax brackets

Long-Term Disability

– Affordable financial protection against a disabling illness or injury

– 60% of salary is insured

– Payable once 90 consecutive days of work are missed & sick leave is exhausted

– Employee is guaranteed coverage if enrolled within the first 30 days of employment.

– Monthly salary X .00553 = monthly premium (see right)

– Deductions are immediate and are taken from all 26 checks.

 Annual Salary

 Monthly Salary

 Monthly Amount

Bi-Weekly Amount

 $12,000  $1,000  $5.53  $ 2.55

 $15,000  $1,250  $6.91  $3.19

 $18,000  $1,500  $8.30  $3.83

 $20,000  $1,667  $9.22  $4.25

 $25,000  $2,083  $11.52  $5.32

 $30,000  $2,500  $13.83  $6.38

 $35,000  $2,917  $16.13  $7.44

 $40,000  $3,333  $18.43  $8.51

 $45,000  $ 3,750  $20.74  $9.57

 $50,000  $4,167  $23.04  $10.63

 $55,000  $4,583  $25.35  $11.70

 $60,000  $5,000  $27.65  $12.76

 $65,000  $5,417  $29.95  $13.83

 $70,000  $5,833  $32.26  $14.89

 $75,000  $6,250  $34.56  $15.95

 $80,000  $6,667  $36.87  $17.02

 $90,000  $7,500  $41.48  $19.14

 $100,000  $8,333  $46.08  $21.27

Long-Term Care

Guaranteed issue for employee and spouse if elected within first 30 days of employment

Choose a benefit amount of $1,000 to $4,000 per month, in increments of $1,000, with a benefit duration of either three or six years

May elect coverage for parents and grandparents after medical underwriting

Benefits paid for a cognitive loss or when person can no longer perform 2 of the 6 “Activities of Daily Living”

Before benefits are payable, a 60-day waiting period requirement must be met.

Benefit payments are made directly to you, to be used at your discretion

Classified Leave

– All job appointment, probationary and permanent classified Civil Service employees earn sick and annual leave.

– Part-time Civil Service employees earn a pro-rated amount based on their hours worked.

– There is no maximum amount of leave an employee may accumulate.– When leaving state service, up to 300 hours of annual leave will be paid

out; sick leave will not be paid out.– If you return to state service within 5 years, unpaid annual and sick time

will be restored.– At retirement, leave can be converted to service credit or paid out.

Civil Service Accrual System

Years of ServiceSick and Annual Hours

Earned Per Pay PeriodApproximate Days Earned

Per Year

0-3 3.688 12 days annual/12 days sick

3-5 4.608 15 days annual/15 days sick

5-10 5.536 18 days annual/18 days sick

10-15 6.456 21 days annual/21 days sick

15+ 7.384 24 days annual/24 days sick

Savings Plans

LA Deferred Compensation(457b) & 403b– Both are defined by the IRS as retirement savings accounts.– Your contributions are made pre-tax.– You pay taxes on the money when you make a distribution after

retirement.– IRS limits: $17,000/year and an additional $5,500/year if 50+– You decide how the money is invested.– You can roll money into account from other retirement plans, – To sign up for 403(b) you must contact the individual vendor.

Savings Plans contacts

Daniel G. Misse

(504) 620-5569

(504) 710-7766 (cell)

[email protected]

Cliff Lloyd

(985) 969-2839 (cell)

(225) 300-1528

[email protected]

Mark DiGiovanni

504-644-5013

[email protected]

Mitchell Tabor

(225) 201-1009

(504) 810-8626 (cell)

[email protected]

DEFERRED COMPENSATION-457

C. David Arriaza

(985) 445-6642

(800) 937-7604

(225)-926-8082

KeyTalk

1-800-701-8255

www.LouisianaDCP.com

Credit Unions

Credit Unions Address Phone/Web-Site

Campus Federal Credit Union

433 Bolivar St. New Orleans, LA 70112

504-568-8425888-769-8841

www.campusfederal.org

Fleur De Lis Federal Credit Union

1450 Poydras St. 6th Floor, Room 628

New Orleans, LA 70112

433 Metairie Rd.Suite 114

Metairie, LA 70005

504-838-5456 800-256-9072

www.fdlfcu.com

LA Capitol Federal Credit Union

3197 Richland Ave.Metairie, LA 70002

504-888-4290www.lacapfcu.org

Additional Benefits

LA Start Saving Program– Saving money for college expenses for your children’s or

grandchildren’s college or vocational education– Earnings enhancements between 2% and 14%– Up to $2,400 per year may be excluded from taxable income

reported on the account owner’s Louisiana tax return– Earnings are tax deferred while in the account and are exempt

from state and federal taxes when used to pay qualified higher education expenses

– http://www.startsaving.la.gov

BEFORE LEAVING FOR LUNCH

All Employees must :

Turn in your completed Benefits forms in the back of the room.If not electing to take benefits you need to turn in the forms declining them. Pool Employees may leave for lunch if they turned in their forms after the pool

benefits presentation.

All employees may go to lunch when finished with your Benefits paperwork.

If you have not already done so, contact your manager to find out what time to report to work after orientation.

The afternoon session begins promptly at 12:00 pm. Kindly return by 11:50 am so you can be settled and ready to begin the first afternoon presentation. The lecture on Prisoner Safety is from 12:05pm – 12:10. If you are late you will miss it.

Thank you and enjoy your lunch.

The afternoon session begins at 12:00 p.m. Please return by 11:55 a.m. so you will be seated and ready to start on time.

LUNCH