Benefits Overview
The information contained in this presentation is not a contract and is subject to change
by the proper authorities. It should be understood that explanations in this summary
cannot alter, modify or otherwise change the controlling legal documents or general
statutes in any way, nor can any right by reason of any inclusion or omission of any
statement in this presentation.
Who’s Eligible
• Permanent (non-temporary) part-time
employees working 20 – 29 hours per week
are eligible for many benefit programs,
typically without employer contributions
• Permanent (non-temporary) part-time
employees working 30 to 39 hours per week
or permanent full-time employees working 40
hours per week are considered to be benefits
eligible
2
Health Benefits
Health Benefits
• State Health Plan of NC – administered by Blue Cross
and Blue Shield of North Carolina (BCBSNC)
• Use any medical provider you choose
– In Network: Your costs are lower when you use a doctor, hospital or
other provider from the BCBSNC Blue Options network.
– Out of Network: For other providers, your deductibles, coinsurance
and copays may be higher
• Choose from three plan options:
– Traditional 70/30 Plan (lower contributions, lower coverage levels)
– Enhanced 80/20 Plan (higher contributions, higher coverage levels)
– Consumer-Directed Health Plan (CDHP) (higher deductible, Health
Reimbursement Account (HRA))
4
Traditional 70/30 Plan: Highlights
How Plan Coverage Works
PLAN DESIGN FEATURE
IN NETWORK
OUT OF NETWORK
Annual Deductible
(Single/Family)
$1,054/$3,162
$2,108/$6,324
Coinsurance
You pay 30% of eligible
expenses after deductible
You pay 50% of eligible
expenses after deductible, plus
difference between charge and
allowed amount
Preventive Care
• Office visit: $39
• Specialist visit: $92
Only certain services are
covered
Office visits (non-preventive)
• Office visit: $39
• Specialist visit: $92
You pay 50% after deductible
Inpatient Care
$329 copay, then 30% after
deductible
$329 copay, then 50% after
deductible
Emergency Room
$329 copay, then 30% after
deductible
$329 copay, then 50% after
deductible
5
Enhanced 80/20 Plan: Highlights
How Plan Coverage Works
PLAN DESIGN FEATURE
IN NETWORK
OUT OF NETWORK
Annual Deductible
(Single/Family)
$700/$2,100
$1,400/$4,200
Coinsurance
You pay 20% of eligible expenses
after deductible
You pay 40% of eligible expenses
after deductible, plus difference
between charge and allowed
amount
Preventive Care
Covered at 100%
Not covered
Office visits
• Office visit: $30 ($15 if you use the
PCP on your ID card)
• Specialist visit: $70 ($60 if you use
a Blue Options designated
specialist)
You pay 40% after deductible
Inpatient Care
$233 copay, then 20% after
deductible; copay not applied if you
use Blue Options designated hospital
$233 copay, then 40% after
deductible
Emergency Room
$233 copay, then 20% after
deductible; copay not applied if you
use Blue Options designated hospital
$233 copay, then 40% after
deductible
(non-preventive)
6
CDHP (with HRA): Highlights
How Plan Coverage Works
PLAN DESIGN FEATURE
IN NETWORK
HRA
The Plan funds your Health Reimbursement Account (HRA ) annually based on
coverage level you elect (Employee, Employee +1, Employee + 2 or more)
Annual Deductible
(Single/Family)
$1,500/$4,500
$3,000/$9,000
Coinsurance
You pay 15% of eligible expenses after
deductible
You pay 35% of eligible expenses
after deductible, plus difference
between charge and allowed
amount
Preventive Care
Covered at 100%
Not covered
Office visits
You pay 15% after deductible; $25 added
to HRA if you use PCP on ID; $20 added
to HRA if you use Blue Options
designated specialist
You pay 35% after deductible
Inpatient Care
You pay 15% after deductible; $200
added to HRA if a Blue Options
designated hospital is utilized
You pay 35% after deductible
Emergency Room
You pay 15% after deductible; $200
added to HRA if a Blue Options
designated hospital is utilized
You pay 35% after deductible
(non-preventive)
OUT OF NETWORK
7
Prescription Coverage –
70/30 and 80/20 Plans
• Prescription coverage (In-Network) provided by Medco:
–
–
–
–
–
70/30-Generic: $15 copay, up to 30-day supply
70/30-Preferred Brand-name: $46 copay, up to 30-day supply
70/30-Non-preferred Brand-name: $72 copay, up to 30-day supply
70/30-Specialty: 25% coinsurance up to $100 per 30-day supply
70/30-ACA preventive medications: not applicable
–
–
–
–
–
80/20-Generic: $12 copay, up to 30-day supply
80/20-Preferred Brand-name: $40 copay, up to 30-day supply
80/20-Non-preferred Brand-name: $64 copay, up to 30-day supply
80/20-Specialty: 25% coinsurance up to $100 per 30-day supply
80/20-ACA preventive medications: covered at 100%
8
• Prescription coverage (Out-of-Network) provided by Medco:
• Applicable copay and the difference between charge and allowed
amount for both the 70/30 & the 80/20 Plan
• ACA preventive medications covered at 100% for 80/20 Plan; not
applicable for 70/30 Plan
Prescription Coverage – CDHP
• Prescription coverage (in-network) provided by Medco:
– Generic, Preferred Brand-name, Non-Preferred Brand-name: 15%
coinsurance after deductible
– ACA preventive medications covered at 100%
– CDHP Preventive Medications covered at 15%, no deductible
• Prescription coverage (out-of-network) provided by Medco:
– Generic, Preferred Brand-name, Non-Preferred Brand-name: 35%
coinsurance after deductible
– ACA preventive medications covered at 100%
– CDHP Preventive Medications covered at 15%, no deductible
10
Additional Health Plan Resources
• NC HealthSmart: voluntary program offering
tools and resources to help you live a healthier
life such as:
– Member Focus newsletter, information on the 24-hour
nurse line, the Stork Rewards program, Eat Smart, Move
More, Weigh Less program
• Sign up for the State Health Plan Member
Newsletter at www.shpnc.org
11
Lower Your Premiums with Wellness Premium Credits—
Complete up to Three Wellness
Activities
80/20 Plan
Premium Credits
CDHP Plan
Premium Credits
Subscriber attests to being a nonsmoker/commits to a cessation
program
and attests for spouse if applicable
$40 per month
$40 per month
Subscriber (only) completes a
confidential
Health Assessment (HA)
$25 per month
$20 per month
Subscriber and any covered
dependents selects a Primary Care
Provider
$25 per month
$20 per month
$90 per month
$80 per month
Reduce your premium by up to…
Consumer-Directed Health Plan (CDHP) with HRA
A different kind
of health plan
with two
components

High-Deductible Health Plan

Health Reimbursement
Account (HRA)
• Covers the same services as other
Plan options through the same PPO
network
• The Plan funds the members’
Health Reimbursement Accounts
(HRA) annually
• The deductible is higher than other
Plan options, but the coinsurance is
lower
• HRA funding is based on the
number of family members covered
• In-network: $1,500 Individual/
$4,500 Family
• Out-of-Network: $3,000 Individual/
$9,000 Family
• After the deductible is met, the
member only pays the 15%
coinsurance
• The deductible applies to both
Pharmacy and Medical expenses
• If the member reaches his or her
deductible and coinsurance out-ofpocket maximum, the Plan pays
100% of the covered expenses for the
rest of the benefit year (medical and
pharmacy)
• $600 for employee/retiree only
• $1,200 for employee/retiree + 1
$1,800 for employee/retiree + 2
or more dependents
• HRA funds are used to pay a portion
of the members’ deductibles &
coinsurance
• Once the HRA is depleted, the
member must pay the remaining
deductible & coinsurance
• Incentives available to add value to
HRA
• Unused HRA funds are available the
following year
How The HRA Helps The Member Meet Their Deductible
Coverage Type
HRA Pays
You Pay
Total Deductible
Employee Only
Remaining Deductible $900
In-Network
First $600
Out-of-Network
Remaining Deductible $2,400
$1,500
$3500
Employee + One
Family Member
In-Network
Remaining Deductible $1,800
First $1,200
Out-of-Network
Remaining Deductible $4,800
$3000
$7000
Employee + Two or more
Family Members
In-Network
Out-of-Network
Remaining Deductible $2,700
First $1,800
Remaining Deductible $7,200
*The HRA is a pooled account and is available to whichever family member needs it first. It is possible
for one family member to use all the funds before another family member has a claim.
$4,500*
$9,000
How the Consumer-Directed Health Plan with HRA Works
#6
#5
At end of the
month, $25
credited to
member’s HRA
for visiting PCP
on ID Card
Member presents
HRA ID Card at
Office Visit Total office visit of
$175 submitted to
BCBSNC by
provider
#1
Member's Individual Deductible
Claim processes
in primary claims
system and
applies towards
$1,500
deductible –
EOB/EOP issued
Pharmacy claim
automatically
submitted to
HRA
Member
reimbursed $65
Claim
automatically
rolls over to HRA
for adjudication $175 remitted to
providerMember picks up
prescription at
pharmacy and
pays $65 because
deductible has not
been met
#4
#2
#3
Beginning Deductible
Office Visit
Rx
Remaining Deductible
$1,500
($175)
($65)
$1,260
HRA Account
First Medical Cost of the Year
Beginning Balance
$600
Office Visit
($175)
Rx
($65)
Remaining HRA Balance
$360
PCP Incentive Reward
$25
New HRA Balance
$385
To monitor HRA balance and claim’s payments,
members may go online to www.shpnc.org and
click on My Member Services.
Monthly Rates for Health Coverage
Medical Coverage
EMPLOYEE
ONLY
Wellness
Premium
Credits*
Net Monthly
Premium
Employee
Only*
EMPLOYEE
+ CHILDREN
EMPLOYEE
+ SPOUSE
EMPLOYEE
+ FAMILY
Traditional
70/30 Plan
$0.00
N/A
$0.00
$210.92
$543.46
$578.86
Enhanced
80/20 Plan
$104.20
$90.00*
$14.20*
$294.72*
$660.52*
$699.42*
CDHP
$80.00
$80.00*
$0.00*
$189.82*
$489.14*
$520.96*
PLAN
• If you are enrolled in the Enhanced 80/20 Plan or the Consumer-Directed
Health Plan, you will have the opportunity to earn wellness premium credits
each year, which will reduce your monthly premiums
• Health insurance premiums are paid one month in advance of coverage (i.e.,
January premiums pay for February coverage)
• No pre-existing condition exclusion
*Assumes completion of three wellness activities
16
NCFlex Health & Other
Insurance Programs
NCFlex Health & Other Insurance
Programs
• These voluntary programs provide a variety of plans
to meet the needs of you and your family
• You pay the full cost of coverage through payroll
deductions on a pre-tax basis
• Programs include: Dental, Vision, Health Care
Flexible Spending Account, Dependent Day Care
Flexible Spending Account, Cancer, Critical Illness,
Group Term Life Insurance, Core AD&D and Voluntary
AD&D Insurance
18
Dental Coverage
• Coverage provided through United Concordia
• Choose from two plan options:
– High Option: Includes orthodontia for children under 19
– Low Option: Does not include orthodontia
• Under both options:
–
–
–
–
Visit any provider
You are responsible for deductibles
You or your dentist may file claims
You may be subject to a waiting period before certain
benefits are payable under the plan (see “Benefit Waiting
Period” chart under Dental coverage on NCFlex website)
19
Dental Coverage
How Plan Coverage Works under Each Option
PLAN DESIGN FEATURE
HIGH OPTION
LOW OPTION
Annual Deductible
$50 person/$150 family
$25 person/$75 family
Preventive/Diagnostic
Services
Plan pays 100% on eligible
expenses, no deductible
Plan pays 100% on eligible
expenses after deductible
• Fillings, extractions, endodontics,
periodontics
• Most services: You pay
20% after deductible
• Periodontic: You pay 50%
after deductible
• Fillings and extractions: You
pay 50% after deductible
• Periodontic and other
services: You pay 50% after
deductible
Major Services
You pay 50% after deductible
Not covered
Maximum Annual Benefit
$2,500 per person (excluding
orthodontia)
$1,000 per person
Orthodontia for dependent
children under age 19
Plan pays 50% up to $1,500
lifetime benefit per person
Not covered
• Exams, cleanings, X-rays, etc.
Basic Services
• Crowns, inlays, dentures, bridges
20
Monthly Rates for Dental Coverage
Dental Coverage
EMPLOYEE
ONLY
EMPLOYEE
+ SPOUSE
EMPLOYEE
+ ONE CHILD
EMPLOYEE
+ TWO OR MORE
CHILDREN
FAMILY
High Option
$36.88
$73.96
$70.96
$89.70
$130.58
Low Option
$21.22
$42.78
$41.04
$52.28
$73.22
PLAN
21
Vision Coverage
• Coverage provided through Superior Vision Services (SVS)
• Choose from three coverage options:
• Core Wellness
• Basic Plan
• Enhanced Plan
• Under all options, visit any provider but may pay lower
expenses with in-network SVS provider
22
Vision Coverage: Core Wellness Plan
How Plan Coverage Works
PLAN DESIGN FEATURE
IN NETWORK
OUT OF NETWORK
Annual Comprehensive Eye
Exam
Plan pays 100% after $20
copay
Not covered
Frames and Lenses
Discounts available
Not covered
23
Vision Coverage: Basic and Enhanced Plan
How Plan Coverage Works
PLAN DESIGN FEATURE
IN NETWORK
OUT OF NETWORK
Routine Eye Exam
$20 copay
•
Up to $44 allowance for
ophthalmologist
•
Up to $39 allowance for
optometrist
Frames – once every 24 months
Up to $125 allowance ($175
allowance for Enhanced Plan)
plus 20% discount on
coverages
Up to $50 allowance ($81 for
Enhanced Plan)
Lenses
Plan pays 100%
Plan pays up to:
•
•
•
•
Single vision: $34
Bifocal: $48
Trifocal: $64
Lenticular: $88
Contact Lenses (elective)
Plan pays up to $120 ($150 for
Enhanced Plan) allowance
Plan pays up to $100
allowance
Contact Lenses (necessary)
Plan pays 100%
Plan pays up to $210
allowance
24
Monthly Rates for Vision Coverage
Vision Coverage
PLAN
EMPLOYEE ONLY
FAMILY
Core Wellness
$0.00
N/A
Exam and Materials
$5.56
$15.46
Enhanced Exam and Materials
$8.58
$22.88
25
Health Care Flexible Spending Account
• Coverage provided through P&A Group
• Set aside money through pre-tax contributions to pay for eligible out-ofpocket medical, dental and vision expenses:
– Deductibles
– Co-pays and coinsurance
– Out-of-network expenses
– Uncovered procedures
• Contribute from $120 to $2,550 per year
• Convenience card (debit card) for all participants
• “Use it or lose it” rule; you forfeit any unused contributions
– Expenses can be incurred between January 1, 2016 and March 15, 2017,
provided you remain actively employed for all of 2016. Prior year claims
must be submitted by April 30, 2017.
26
Dependent Day Care
Flexible Spending Account
• Set aside money through pre-tax contributions to pay eligible
child care and adult day care expenses so you (and your
spouse) can work or attend school full-time:
– Care of dependent children under age 13
– Care of dependent adult who lives with you at least 8
hrs/day
• You may contribute from $120 to $5,000 per year
• “Use it or lose it” rule: you forfeit any unused contributions
– Expenses can be incurred between January 1, 2016 and
March 15, 2017, provided you remain actively employed
for all of 2016. Prior year claims must be submitted by
April 30, 2017.
27
Other NCFlex Health Programs
• Cancer Insurance provided through American
Heritage Life: pays benefits for cancer-related
expenses
– Employee Only or Employee + Family Coverage
– Low, High and Premium options
• Critical Illness Insurance provided through
Met Life: pays lump sum benefit in event of
certain health conditions
– Employee, Spouse, Children or Family Coverage
– Three categories of coverage available
28
Monthly Rates for
Cancer Coverage
Cancer Insurance
PLAN
EMPLOYEE ONLY
EMPLOYEE + FAMILY
Low Option
$6.38
$10.56
High Option
$15.18
$25.16
Premium Option
$20.28
$33.54
29
Monthly Rates for
Critical Illness Coverage
Critical Illness Coverage
AGE
EMPLOYEE
SPOUSE
Less than 25
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70-74
75-79
80-84
85 and older
$1.30
$1.40
$2.60
$4.10
$7.40
$12.00
$18.60
$27.80
$42.60
$64.20
$84.40
$101.40
$119.50
$119.50
$1.30
$1.40
$2.60
$4.10
$7.40
$12.00
$18.60
$27.80
$42.60
$64.20
$84.40
$101.40
$119.50
$119.50
Employees may also cover eligible dependent children.
30
Voluntary Group Term Life
Insurance
• Group Term Life provided through ING
• Coverage available for yourself, your spouse and child(ren).
You must be enrolled to cover your spouse/child(ren)
• Employee only and Employee & Spouse coverage in $10,000
increments, from $20,000 to $500,000 (limited to five times
your base annual earnings); spouse coverage cannot exceed
100% of employee’s elected amount
• Coverage over $100,000 subject to Evidence of Insurability
(EOI)
• Dependent child(ren) coverage for $5,000 or $10,000
31
Monthly Rates for Life Insurance
Coverage
Voluntary Group Term Life Insurance
YOUR AGE
RATE PER $1,000 OF COVERAGE
Under 24
$0.050
25-29
$0.060
30-34
$0.080
35-39
$0.090
40-44
$0.100
45-49
$0.150
50-54
$0.250
55-59
$0.460
60-64
$0.720
65-69
$1.480
70-74
$2.200
32
Monthly Rates for Life Insurance
Coverage
Voluntary Group Term Life Insurance for Child(ren)
Per Dependent Unit
$5,000
$0.68
$10,000
$1.36
33
Accident Insurance
• Core Accidental Death and Dismemberment (AD&D)
Insurance provided through A.C. Newman
– Elect coverage of $10,000 for yourself only
– University pays full cost of coverage; however, you must
enroll for coverage
– Payment to your beneficiaries in case of your accidental
death
– Payment to you in case of your accidental dismemberment
• Voluntary AD&D Insurance provided through A.C. Newman
– Elect coverage up to $500,000 for you and your family
– You pay the full cost of coverage
34
Monthly Rates for Accident
Insurance
Accidental Death & Dismemberment (AD&D) Insurance (Examples)
BENEFIT AMOUNT
EMPLOYEE ONLY COVERAGE
EMPLOYEE + FAMILY COVERAGE
$50,000
$0.96
$1.50
$75,000
$1.42
$2.26
$100,000
$1.90
$3.00
$125,000
$2.38
$3.74
$150,000
$2.86
$4.50
$175,000
$3.32
$5.26
$200,000
$3.80
$6.00
$250,000
$4.76
$7.50
$300,000
$5.70
$9.00
$350,000
$6.64
$10.50
$400,000
$7.60
$12.00
$500,000
$9.50
$15.00
35
Income Protection Programs
Income Protection Programs
• Programs designed to provide you and/or your
family with financial protection in the event of
your death, disability or long-term illness
• Some are offered at no cost to you; others
require you to pay for coverage
37
Disability Plans
• Disability coverage provided under the Disability Income Plan of
North Carolina (DIP-NC)
• Short-Term Disability
– Provided to eligible employees at no cost
• After one year of contributing membership to TSERS or participation
in the ORP.
– Pays 50% of base compensation up to $3,000/month
– Payable up to 365 days, after 60-day waiting period
• Long-Term Disability
– Provided to eligible employees at no cost
• After five years of contributing membership to TSERS or participation
in ORP
– Pays 65% of base compensation up to $3,900/month
– Payable as long as you remain permanently disabled,
until eligibility for unreduced service retirement
38
Supplemental Disability Plans
• Can help fill gaps in State coverage
– Replacement income while you are ineligible for state
Short-Term Disability Plan
– Waiting period: 90 days
– Pays 66-2/3% of gross monthly salary up to $10,000
• Voluntary benefit; you pay full cost of coverage after-tax
• Coverage through The Standard if you elect ORP
– Includes continuing ORP contributions into your ORP account on
your behalf
• Coverage through Liberty Mutual if you elect TSERS
39
Retirement Programs
Retirement Programs
• Participation in a retirement program is mandatory
• You may choose between:
– The North Carolina Teachers' and State Employees'
Retirement System (TSERS), a defined benefit plan or
– The UNC Optional Retirement Program (ORP), a defined
contribution plan
• 5 year vesting
• You contribute 6% of your pay on pre-tax basis
• You must make your election between TSERS and ORP
within 60 days of your date of hire
• Once you make the choice it cannot be changed;
it is irrevocable
41
TSERS Plan Highlights
• Defined benefit plan
• State controls the investment
• Benefit you receive is based on a formula
(factors include your age, your average final
compensation and your years/months of
creditable service)
42
ORP Plan Highlights
• Defined contribution plan
• You control your investments
• The benefit you receive at retirement is based on
investment performance and payment option chosen
• Each provider has a four-tier structure for their fund
lineup.
• Choose from two investment providers:
• Fidelity Investments
• TIAA-CREF
43
Retirement Plan Resources
To review the booklet in greater detail, click on the picture to open the document.
Or copy and paste these addresses:
http://www.northcarolina.edu/hr/Mandatory_Retirement_Plan_Decision_Guide.pdf
http://www.northcarolina.edu/hr/Guide_to_Investing.pdf
Your Retirement, Your Choice
Video
45
Retirement Plan Resources
Two more resources to assist you in making a decision between TSERS and the ORP.
Click on the either image to open a link to that tool.
46
Supplemental Retirement Plans
• Allows you to put money away on a pre-tax basis for your retirement in
addition to the 6% you contribute to TSERS or the ORP
• There are three types of plans available
– 403(b) plan administered by two different vendors, Fidelity
and TIAA-CREF, and sponsored by the University
– A 401(k) plan administered through Prudential and
sponsored by the State of North Carolina
– A 457 plan administered through Prudential and sponsored
by the State of North Carolina
• You may elect to begin, change the amount you contribute or stop your
participation at anytime
• You may elect to participate in the 403(b), 401(k) and the 457 at the
same time, however there are limits to the amount you can contribute
47
WCU Employee Tuition Waiver
Full-time faculty and staff who are eligible for
membership in the retirement system are eligible
to enroll in (3) three courses per academic year at a
reduced rate, subject to approval by the
employee's supervisor and Human Resources.
Tuition Assistance Site
http://www.wcu.edu/about-wcu/campus-services-and-operations/humanresources-and-payroll/general-hr-resources/benefits/tuition-assistance.asp
Health Services
University Health Services (UHS) provides convenient care for
faculty and staff in the Bird Building. UHS does not replace
primary care services, but compliments that care by providing
quick assessment and treatment of common complaints such
as colds, sore throats, and headache. Health Center Information
Center for Family Medicine located in the Health and Human
Sciences Building. Clinic open to anyone in need of primary
care. Patti Sparling, a family nurse practitioner who received
her advanced practice nursing degree from WCU, provides
excellent care and will mentor nurse practitioner students
rotating through the clinic.
To make an appointment, call 828-631-8800.
Enrolling in Your Benefits
When Coverage Becomes Effective
Coverage Effective Dates
PLAN NAME
COVERAGE EFFECTIVE
Health Benefits
First of the month or first of the
second month following
employment date
NCFlex Benefits
First of the month following
employment date
Short-Term Disability
After one year of contributing
membership to TSERS or ORP
Long-Term Disability
After five years of contributing
membership to TSERS or ORP
Supplemental Disability Plan
Employment date
TSERS
Employment date
ORP
Employment date
Supplemental Retirement Plans
May enroll at anytime
51
Enrollment for Health Benefits
• You must enroll within 30 days of your employment date
• Link to enrollment site: https://shp-login.hrintouch.com/
• Health insurance premiums are paid one month in advance of
coverage (i.e., January premiums pay for February coverage)
• No pre-existing condition exclusion or waiting periods if you enroll
when first eligible
52
Enrollment for Income Protection
Programs
• All employees must complete online enrollment within
60 days of their employment date
• Enroll for Supplemental Disability Insurance (after-tax)
through The Standard, if you choose the UNC ORP, by
completing the enrollment forms located online at
http://www.northcarolina.edu/hr/unc/benefits/financial/index.htm
• Enroll for Supplemental Disability Insurance (after-tax)
through Liberty Mutual, if you choose TSERS, by
completing the enrollment forms located online at
http://www.northcarolina.edu/hr/unc/benefits/financial/index.htm
53
Enrollment in TSERS
• You do not need to complete an enrollment form for
TSERS, but will be automatically enrolled.
• You must designate a beneficiary by completing the
following forms:
– Form 2DB - Designating Beneficiary(ies) for the Death Benefit
– Form 2RC - Designating Beneficiary(ies) for The Retirement
System Return of Contributions
– For these two forms visit
https://orbit.myncretirement.com/Orbit/Info/Pages
/ListAllForms.aspx?formCat=F3BENDESG
54
Enrollment in the ORP
• You must complete the following forms:
– Form ORP-1 The University of North Carolina Optional
Retirement Program (ORP) Election And Forfeiture
Agreement
– ORP Carrier Enrollment Application (Complete the ORP
Carrier form(s) for the carrier you want for your
contributions and the University contributions.)
• Follow the instructions provided by your campus
Human Resources/Benefits Office for instructions on
where to return forms
• You must enroll within 60 days of your date of hire or
you will automatically be enrolled in TSERS
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Enrollment in the
Supplemental Retirement Plans
• 403(b) Plan
– Visit www.northcarolina.edu/hr/ga/benefits/retirement/SuppmtlRet/403bMain.htm
– Complete a Salary Reduction Agreement (form and instructions
available on the website)
– Enroll in the Plan with Fidelity and/or TIAA-CREF
• 457 Plan
– Visit www.retirement.prudential.com/cws/ncplans
– Complete an NC 457 Deferred Compensation Plan Enrollment Form
(forms and instructions available on the website)
– Send the form to:
• NC Plans Processing Center, PO Box 5340, Scranton, PA 18505,
or fax to 1-866-439-8602
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Enrollment in the
Supplemental Retirement Plans
• State 401(k) Plan
– Visit www.retirement.prudential.com/cws/ncplans
– Complete an NC 401(k) Plan Enrollment Form
(forms and instructions available on the website
– Send the form to:
• NC Plans Processing Center,
PO Box 5340
Scranton, PA 18505,
or fax to 1-866-439-8602
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For More Information
• Visit www.northcarolina.edu/hr/unc/benefits/index.htm
for more information about the benefits
provided by The University of North Carolina
system.
• You may also check http://www.wcu.edu/aboutwcu/campus-services-and-operations/human-resources-andpayroll/contact-human-resources-and-payroll.asp for
WCU’s HR and Payroll Office contacts.
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