new employee orientation: benefits

New Employee Orientation: Benefits

Office of Human Resources

Denton, Texas940/898-3555

Tony Yardley, Sr. HR Generalist

Angela Cagle, Manager of Benefits

AgendaGENDA FOR TODAY?

Health Insurance Overview

Optional Insurance Overview

Voluntary Benefits Overview

Retirement Overview

Workers’ Compensation



Direct Transfer from other Texas State Agency?

Does a spouse or parent cover you for health, dental or dependent life through Texas GBP?

Are you a 9 month employee or part – time employee?

Health Coverage – Prior Service



Health Insurance Overview• Premiums

Employee Only Health Insurance – No Cost 50% State Contribution for Dependents Part-time rates (50/50 EE, 75/25 Dep)

• Enrollment Deadline Automatic Enrollment for full-time employees Dependent enrollment and part-time enrollment employees –

60 days following the first day of employment

• Effective Date

First of the month following the 60 the day of employment




• Hospital co-payments– $100 Outpatient co-pay

then 80/20– $150 Inpatient co-pay per

day up to 5 day maximum and 80/20

– $150 ER co-pay then 80/20– $50 Urgent Care then 80/20– Non-Network benefits Available.

• No deductible• $2,000/Calendar year

Coinsurance Maximum• Primary Care Physician

Required• Specialist Referrals required

(except for one routine OB-GYN & Ophthalmologist/Optometrist)

• Low office visit co-pay• $25 Primary Care

Physician• $40 Specialist




Tobacco Tobacco User Certification

required for you and your

dependents. Certify when you

enroll for Optional Benefits

$5,000 Life Insurance

policy connected with EE medical

planOffice of Human

Resources


• Prescriptions are $15, $35, $60

• $50 Plan Year (9/1 to 8/31) deductible (per family member)

• Generics mandatory when available

• Maintenance medications (long-term)- Use mail order or pay cost difference and continue to use network pharmacy

PRESCRIPTION DRUG PROGRAM



http://www2.caremark.com/ers/index.asp



Optional Benefits

Premiums: Fully paid by the employee

Enrollment Deadline: 30 days from your hire date

Effective Date: 1st of the month following enrollment

Dental InsuranceERS has offers two dental plans. Each has different costs, benefits, service areas and participating dentists.

Humana DentalThis plan works like an HMO. You and your eligible dependents must get your dental care within the Humana Dental HMO service area (inside the state of Texas). $9.12 EE Only

State of Texas Dental Choice PlanAdministered by the Humana, this plan allows you to visit any dentist, and you and eligible dependents can enroll regardless of where you live. $23.58 EE only



Optional Term Life

• Election I = 1 x annual salary• Election II = 2 x annual salary• Election III = 3 x annual

salary* - Requires EOI approval

• Election IV = 4 x annual salary* - Requires EOI approval

Optional Term

LifeOffice of Human

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• Life insurance coverage for each covered family member

• $5,000 policy• $1.38 per month (all dependents)*Administered by Fort Dearborn Life Insurance Company (FDL).

Dependent Term Life



Accidental deathIn the event of your death as the direct result of an accident, your beneficiary will receive the amount of insurance you select.

DismembermentIf you have an accident and experience bodily losses as a direct result of the accident, you will receive AD&D benefits.

Cost The cost of Voluntary AD&D coverage depends on the amount of coverage you purchase. Coverage is purchased in increments of $5,000: the minimum coverage available is $10,000, and the maximum coverage available is $200,000 and is available for you and your dependents. .02 cents per $1000 for EE only. .04 cents per $1000 for EE & Family.

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Voluntary Accidental Death & Dismemberment (AD&D)



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Disability Insurance

Short Term– Premium is .30 per

$100 of monthly salary– Must be fully disabled– Must be off work 30

days before coverage begins

– Insurance pays 66% of salary for a maximum of 5 months

– Maximum benefit: $6,600 per month

Long Term– Premium is .63 per $100 of

monthly salary– Must be fully disabled– Must be off work 180 days

before coverage begins– Insurance pays 60% of

salary until age 65– Maximum benefit: $6,000

per month



Reimbursement - mail, fax, or use of a debit card.

Fees - $12 annual administrative fee, $15 annual debit card fee.

Use it or Lose it - money contributed must be used during that plan year, (September 1st-August 31st) or it is forfeited (grace period until November 15th).

Effective 09/01/14: Eligible to rollover $500.00 to the following plan year for TexFlex healthcare only. No claims may be incurred during grace period.

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TexFlex Reimbursement Accounts



TexFlex Health Care Account: $2500TexFlex Day Care Account: $5,000

Opt-Out

Employees who choose to not elect the State’s health insurance due to other coverage.

Credit provided for employees to use toward dental and Voluntary AD&D premiums.

Office of Human

Resources


Health Insurance Opt-Out Program



ERS OnlineTo Enroll in optional coverage please visit the ERS website: • Go to http://www.ers.state.tx.us/login/• Click on “Enroll”• Register and login • Click on “Post-Hire Change”

NOTE: New hire information must be entered by the benefits teaminto ERS prior to your enrollment.NOTE: You must certify Tobacco Use or be charged a premium



http://www.ers.state.tx.us/login/

http://www.ers.state.tx.us/login/

Enrollment

Deadlines

• 60 days from your hire date to add a dependent(s) to your health insurance.

• 30 days from your hire date to enroll in optional coverage.

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Enrollment

Deadlines

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Voluntary Benefits



TWU Voluntary Benefit Program: Supplemental Medical

Pre-tax through payroll deduction 30 day enrollment period for New Hires Subject to annual enrollment

Offered by Humana: 3 Policies Critical Illness/Cancer Accident Hospital Indemnity

*Based on the level you choose pays cash to you for life’s unplanned circumstances

How to enroll: https://www.in-roll.com/Common/Login.aspx

https://www.in-roll.com/Common/Login.aspx

https://www.in-roll.com/Common/Login.aspx

Enrollment

Deadlines

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Voluntary Benefits



TWU Voluntary Benefit Program: Other Products

Post-tax through payroll deduction Enrollment allowed throughout year

Legal Shield: Identity Theft Legal

ASPCA Pet Insurance MASA Air Ambulance Liberty Mutual:

Auto Home

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Voluntary Benefits



Oracle ID required to enroll: This is NOT your badge ID. You will have access to this ID following your Portal Access.

Contact Benefits Team for enrollment assistance

How to enroll: https://twu.powerbenefits.com/

https://twu.powerbenefits.com/

1-800-343-3822

Other Voluntary Benefits Employee Assistance Program (EAP)

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Other Voluntary Benefits Fitness & Recreation



• State-of-the art fitness center

• Outdoor pool• Tennis courts• Golf course• $75/semester• Sponsor one person

per semester at $95/semester

*Payroll deduction available once per year

Wellness Benefit

1.5 hours per week

TEACHER RETIREMENT SYSTEM OF TEXAS (TRS)

• Defined Benefits Plan• Vesting period of five years• Normal Age Retirement:

Rule of 80 or Age 65 + 5 years service for employees vested as of 08/31/14 Rule of 80 and age 62 for all other employees, 5% reduction per year prior to age 62

• TRS standard annuity (maximum annual benefit): 2.3% x years of service X average of five highest fiscal year salaries: e.g., 25 yrs x 2.3% = .575 x $50,000 = $28,750/yr. ($2395.83/mth)

• Contributions: Employee: 6.4% of gross salary into your account Employer/State: 6.8% to TRS fund Employee and Employer contributions will increase over next 5 years

• Additional benefits: Death/Survivor benefits: $10,000 - $80,000 Disability retirement benefits (based on yrs of service) Ability to purchase credit toward retirement

(e.g., out-of-state service, military service)



Will you have enough money in retirement?



Texa$aver 457 Voluntary 403b

Consider a stable income for your retirement: Your pension (State retirement) Social Security Personal savings and investments (like a 401(k), 457 or IRA)

Deductions on a Pre-Tax/ or Post-Tax basis Flexible enrollment throughout the year Increase/Decreased deduction amounts anytime Start/Stop deductions anytime Minimum monthly contribution - $20.00

TWU 403B Enrollment: https://www.myretirementmanager.com/?twu

TEXA$AVER 457 Enrollment: https://texasaver.gwrs.com/login.do

https://www.myretirementmanager.com/?twu

https://www.myretirementmanager.com/?twu

https://texasaver.gwrs.com/login.do

Worker’s Compensation

Notify supervisor immediatel

y

100% medical



Important Takeaways

Full Time employees are automatically enrolled in health coverage at no cost. The effective date is the first of the month following 60 days of employment.

Part time employees and dependents must be self-enrolled online by you within 60 days of your hire date.

Optional Benefit premiums are paid fully by the employee and must be self-enrolled online by you within 30 days of your hire date. The effective date is the first of the month following your enrollment.

You must choose a Primary Care Physician (PCP). Specialist referrals ARE required.

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Important Takeaways

Health Insurance Cards will be mailed to you by the effective date

Call United Health Care with your PCP choice as soon as you receive your insurance cards.

You must certify Tobacco Use for you and dependents or be charged a $30.00 premium for you and up to $90.00 per household. If you will be choosing optional benefits certify your tobacco use at the same time. Otherwise you may certify prior to the 60 day deadline.

Personal Information including address must be updated in ERS by you

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What if I Have Questions Later?

ERS Benefits Information: www.ers.state.tx.us

United HealthSelect: http://healthselectoftexas.welcometouhc.com/index.html

To Designate Primary Care Physician: Step 1: Visit - http://healthselectoftexas.welcometouhc.com/physicians-facilities.html Step 2: Call United HealthCare Customer Service: 866-336-9371

Dental Humana: http://www.humana.com/custom_clients/ers/

TWU Benefits Department:e-mail: Tony Yardley: [email protected] or 214-689-6550

e-mail: Angela Cagle: [email protected] or 940-898-3552

Office of Human

Resources




http://www.ers.state.tx.us/

http://healthselectoftexas.welcometouhc.com/index.html

http://healthselectoftexas.welcometouhc.com/physicians-facilities.html

http://healthselectoftexas.welcometouhc.com/physicians-facilities.html

http://www.humana.com/custom_clients/ers/



mailto:[email protected]

mailto:[email protected]

new employee orientation: benefits

Documents

life insurance coverage

maximum coverage available

dental care

minimum coverage available

day maximum

nonnetwork benefits

parttime enrollment

employee enrollment