october 24 – november 7, 2011
DESCRIPTION
MIAMI DADE COLLEGE 2012 BENEFITS OPEN ENROLLMENT. October 24 – November 7, 2011. New benefit elections are effective from January 1st through December 31, 2012 Add or Change your benefits: Health Dental Term Life Flexible benefits (yearly renewal) Disability. Group Legal - PowerPoint PPT PresentationTRANSCRIPT
October 24 – November 7, 2011
MIAMI DADE COLLEGE
2012 BENEFITS
OPEN ENROLLMENT
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What is open enrollment? New benefit elections are effective from January
1st through December 31, 2012
Add or Change your benefits:
• Health
• Dental
• Term Life• Flexible benefits (yearly
renewal)
• Disability
• Group Legal
• Long Term Care
• Sick Leave Pool
• Metro Rail
• Tax Shelter Annuity
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ENROLLMENT Changes outside the plan year are not allowed unless
you experience a qualifying change in family status such as:
• Marriage, divorce, legal separation, or termination of domestic partnership*
• Birth or Adoption of a child*• Death of a spouse, domestic partner or child*• Change in dependent eligibility*• Significant changes in your spouse’s health coverage
due to his/her employment**(Enrollment forms with required proof must be submitted to HR within 31 days of
qualifying event date)
ENROLLMENT
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Aetna Healthcare
√ Health Maintenance Organization (HMO)
√ Point of Service (POS)
There are no benefit changes to the plans for 2012.
Health Care Coverage
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AETNA HMO & POS
For additional information, please visit http://www.mdc.edu/hr/Benefits/Aetna/default.asp
• Open access
• No referrals needed
• Extensive Network
• Vision: In network only
• Prescriptions: $10/$35/$60
• Certain preventive care services are now free
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HMO
• In network coverage only
• $25 PCP/ $45 Specialist
POS
•In & out of network coverage
•$30 PCP/ $50 SpecialistDeductible for in-network
$500 single
$1,000 family
AETNA HMO & POS COMPARISON / DIFFERENCES
Deductible for out of network
$1,000 single
$2,000 family
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Health Care Rates - AETNA HMO Coverage Premium
EmployerContribution
EmployeeContribution
(Month)
*EmployeeContribution
(Per Paycheck)
Employee $651.72 $ 651.72 $0.00 $0.00
Employee & Spouse $1,207.61 $ 651.72 $555.89 $277.95
Employee & Child(ren) $1,123.58 $ 651.72 $471.86 $235.93Employee Spouse &
Child(ren) $1,388.60 $ 651.72 $736.88 $368.44
DUAL $1,303.44 $85.16 $42.58
POS Coverage
Employee $987.02 $ 651.72 $335.30 $167.65
Employee & Spouse $1,830.30 $ 651.72 $1,178.58 $589.29
Employee & Child(ren) $1,702.83 $ 651.72 $1,051.11 $525.56Employee Spouse &
Child(ren) $2,104.87 $ 651.72 $1,453.15 $726.58
Dual $1,303.44 $801.43 $400.72
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Humana
Dental Health Maintenance Organization (DHMO)
Dental Preferred Provider Organization (DPPO)
Dental Coverage
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Humana Dental Coverage – DHMO
• No deductibles
• Co-payments apply
• Coverage of most preventive services
• Dentist assigned
• Referrals required
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Humana Dental Coverage – DPPO
• No referrals needed
• In and out of network coverage
• Deductibles:
• $ 50 single
• $150 family
• $1,500 benefit maximum per calendar year/ per person
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Dental Care Rates - Humana
* Paid on a pre-tax basis.
DHMO MonthlyPer Pay Period
Employee $14.41 0.00
Family 30.77 $8.18
DUAL $1.95 $0.97
DPPO Monthly MDC Pays DifferencePer Pay Period*
Employee $34.15 $14.41 $19.74 $9.87
Family $87.86 $14.41 $73.45 $36.73
DUAL $59.04 $29.52
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Term Life InsuranceThe Hartford
• College portion : Face value : 1X base salary AD &D : 2X base salary Employee must designate beneficiaries
• Employee Optional: Face Value: additional 1X, 2X or 3X base salary AD & D: additional 2X base salary
• Premiums are based on age rate schedule• Age reduction of 8% applies starting at age 60• Approval required for any additional coverage
purchased
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Dependent Life InsuranceThe Hartford
• Face Value: – Spouse
• $15,000 up to age 65
– Dependent: • $7,500, 6 months to age 25 or married• $500, 14 days-6 months
• Rate: $3.50 per month /$1.75 per check
• Voluntary program
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Disability Insurance - ASSURANT• Income protection program• Employee elects monthly benefit amount • 6 plans offered
– Elimination period: 14, 30 or 60 days– Benefit duration: up to 5 years or retirement age (65)
• Election maximum, 66 2/3 of salary, medical questionnaire not needed for benefit amounts up to $5000 per month.
• Voluntary program
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Health & Dependent Care Reimbursement Accounts (AMERIFLEX)• Employee elects pre-tax amount for health care (not
covered by insurance) and dependent care expenses. Healthcare amount may be used up front
• Amount divided in 24 deductions • Expenses incurred 1/1/12 – 3/15/13• Last day to submit claims – 03/31/2013• Maximum contribution: $5,000/year• Renewal required every year• Use it or lose it benefit• Voluntary program
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Examples of reimbursable items:
HEALTH SERVICES:
• Ambulance • Chiropractic• Emergency Room• Eye exam/eye glasses• Hospital admission• Injections and Insulin treatments• Pre-natal and post-natal treatments• Physician / Specialist co-pays• Psychotherapy• Sterilization• Urgent Care• X-ray treatments• MRI/Scans
Health & Dependent Care Reimbursement Accounts (AMERIFLEX)– cont’d
DENTAL SERVICES• Cleaning of teeth, • Dental x-rays, • Filling of teeth• Extraction of teeth, gum treatments• Oral surgery
Due to changes as a result of Health Care Reform, over the counter medication is no longer eligible for reimbursement through the health care reimbursement account
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Group Legal Insurance - ARAG
• Access to attorneys and/or preventive legal care
• Monthly Rates: $16.30 single $21.03 family
• Premiums paid one month in advance
• Services include: court adoption, specific document preparation, bankruptcy, ID theft, etc.
• Voluntary program
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Long Term Care Insurance -CNA
Covers benefit for: Home care Assisted living And nursing home care
May cover: Employee Parents and parents-in-law Grandparents and grandparents-in-law
Premiums determined based on benefit selected
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Metro/Tri-Rail Pass
• Discounted rate through payroll deductions
• Paid one month in advance
• Paid with pre-tax dollars (changes can only be
made during open enrollment)
• Tri-rail available at a 25% discount rate
• Voluntary program
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Tax Shelter Annuity (TSA) / 403(b)
• Defer taxes of income up to $17,000 in 2012• Additional $5,500 per year for employees age 50
and above• Consult with financial advisor for special 15 year
service catch up provision eligibility• Changes are permitted every quarter for semi-
monthly deductions• Voluntary benefit
Eligibility:• 1 year of full time continuous employment• Available balance : 10 sick days (by 10/31/11)
• Donation upon entry : 5 sick days• Participating members : No sick day donation
this year
Benefit: 30 sick days available • Must exhaust all paid leave time • Must provide proof of illness
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SICK LEAVE POOL
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For Questions: • www.mdc.edu • “Get Help” • “AskHR”
Benefits Website: http://www.mdc.edu/hr/Benefits/default.asp
Benefits contact: EMAIL: [email protected]: (305) 237-2010
ADDITIONAL INFORMATION
START YOUR OPEN ENROLLMENT ELECTION HERE!
Click on this link: http://benefitsenrollment.mdc.edu
THANK YOU