New Employee Orientation: Benefits Presentation

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New Employee
Orientation: Benefits
Office of Human
Resources
Tony Yardley, Sr. HR Generalist
Angela Cagle, Manager of Benefits
Denton, Texas
940/898-3555
AgendaGENDA FOR TODAY?
Health Insurance Overview
Optional Insurance Overview
Office of Human
Resources
Denton, Texas
940/898-3555
Voluntary Benefits Overview
Retirement Overview
Workers’ Compensation
Health Coverage – Prior Service
Office of Human
Resources
Denton, Texas
940/898-3555
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 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
Office of Human
employees – 60 days following the first day of
Resources
employment
• Effective Date
Denton, Texas
940/898-3555
 First of the month following the 60 the day of
employment
Health Insurance Overview
•
•
•
•
Office of Human
Resources
Denton, Texas
940/898-3555
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
•
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.
Health Insurance Overview
Tobacco
$5,000
Office of Human
Resources
Denton, Texas
940/898-3555
Life Insurance
policy connected
with EE medical
plan
Tobacco User
Certification
required for you
and your
dependents.
Certify when you
enroll for Optional
Benefits
PRESCRIPTION DRUG
PROGRAM
• Prescriptions are $15, $35, $60
• $50 Plan Year (9/1 to 8/31) deductible (per family
member)
Office of Human
Resources
Denton, Texas
940/898-3555
• Generics mandatory when available
• Maintenance medications (long-term)
- Use mail order or pay cost difference
and continue to use network pharmacy
Optional Benefits
Premiums: Fully paid by the
employee
Office of Human
Resources
Denton, Texas
940/898-3555
Enrollment Deadline: 30 days
from your hire date
Effective Date: 1st of the month
following enrollment
Dental Insurance
ERS has offers two dental plans. Each has
different costs, benefits, service areas and participating
dentists.
Office of Human
Resources
Denton, Texas
940/898-3555
Humana Dental
This 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 Plan
Administered 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
Office of Human
Resources
Denton, Texas
940/898-3555
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
Dependent Term Life
• Life insurance coverage for each
covered family member
• $5,000 policy
• $1.38 per month (all dependents)
Office of Human
Resources
Denton, Texas
940/898-3555
*Administered by Fort Dearborn Life Insurance
Company (FDL).
Voluntary Accidental
Death & Dismemberment (AD&D)
Accidental death
In the event of your death as the direct
result of an accident, your beneficiary will
receive the amount of insurance you select.
OfficeOffice
of Human
of
Resources
Human
Resources
Denton, Texas
940/898-3555
Denton, Texas
940/898-3555
Dismemberment
If 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.
Disability Insurance
Short Term
OfficeOffice
of Human
of
Resources
Human
Resources
Denton, Texas
940/898-3555
Denton, Texas
940/898-3555
– 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
TexFlex Reimbursement
Accounts
TexFlex Health Care Account: $2500
TexFlex Day Care Account: $5,000
Reimbursement - mail, fax, or use of a debit card.
OfficeOffice
of Human
of
Resources
Human
Fees - $12 annual administrative fee, $15 annual debit card fee.
Resources
Denton, Texas
940/898-3555
Denton, Texas
940/898-3555
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.
Health Insurance
Opt-Out
Opt-Out Program
 Employees who choose to not elect the State’s
health insurance due to other coverage.
OfficeOffice
of Human
of
Resources
Human
Resources
Denton, Texas
940/898-3555
Denton, Texas
940/898-3555
 Credit provided for employees to use toward
dental and Voluntary AD&D premiums.
ERS Online
To Enroll in optional coverage please visit the ERS
website:
Office of Human
Resources
Denton, Texas
940/898-3555
•
•
•
•
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 team
into ERS prior to your enrollment.
NOTE: You must certify Tobacco Use or be charged a premium
Enrollment
Deadlines
OfficeOffice
of Human
of
Resources
Human
Resources
Denton, Texas
940/898-3555
Denton, Texas
940/898-3555
•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.
Voluntary Benefits
TWU Voluntary Benefit Program: Supplemental Medical
Enrollment
 Pre-tax through payroll deduction
 30 day enrollment period for New Hires
 Subject to annual enrollment
Deadlines
OfficeOffice
of Human
of
Resources
Human
Resources
Denton, Texas
940/898-3555
Denton, Texas
940/898-3555
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
Voluntary Benefits
TWU Voluntary Benefit Program: Other Products
Enrollment
 Post-tax through payroll deduction
 Enrollment allowed throughout year
Deadlines

OfficeOffice
of Human
of
Resources
Human
Resources
Denton, Texas
940/898-3555
Denton, Texas
940/898-3555
Legal Shield:
 Identity Theft
 Legal
 ASPCA Pet Insurance
 MASA Air Ambulance
 Liberty Mutual:
 Auto
 Home
Voluntary Benefits
How to enroll: https://twu.powerbenefits.com/
OfficeOffice
of Human
of
Resources
Human
Resources
Denton, Texas
940/898-3555
Denton, Texas
940/898-3555


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
Other Voluntary Benefits
Employee Assistance Program (EAP)
OfficeOffice
of Human
of
Resources
Human
Resources
Denton, Texas
940/898-3555
Denton, Texas
940/898-3555
1-800-343-3822
Other Voluntary Benefits
Fitness & Recreation
• State-of-the art
fitness center
• Outdoor pool
• Tennis courts
• Golf course
OfficeOffice
of Human
of • $75/semester
Resources
Human • Sponsor one person
Resources per semester at
$95/semester
Denton, Texas
940/898-3555
*Payroll deduction
Denton, Texas
940/898-3555
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
•
Office of Human
Resources


•
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
•
Denton, Texas
940/898-3555
TRS standard annuity (maximum annual benefit):
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
Office of Human
Resources
Denton, Texas
940/898-3555
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
Worker’s Compensation
Notify
supervisor
immediately
Office of Human
Resources
Denton, Texas
940/898-3555
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.
Office of
Human
Resources
Office of Human
Resources
Denton, Texas
940/898-3555
Denton, Texas
940/898-3555
 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.
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.
Office of
Human
Resources
Office of Human
Resources
Denton, Texas
940/898-3555
Denton, Texas
940/898-3555
 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
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:
Office of
Human
Resources
Office of Human
Resources
Denton, Texas
940/898-3555
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: ayardley@twu.edu or 214-689-6550
e-mail: Angela Cagle: acagle@twu.edu or 940-898-3552
Denton, Texas
940/898-3555
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