UCLA Health Sciences
Overview
Entities Comprising UCLA Health Sciences *
David Geffen School of Medicine at UCLA
24 Academic Departments of Instruction
5 Organized Research Units
5 Large Centers and Institutes
3 Affiliated Academic Institutions
5 Major Affiliated Medical Institutions
The UCLA Health System
UCLA Medical Group/Physician Support Services (PSS)
Community Physicians Network (CPN)/Sports Medicine
UCLA Hospital System
Ronald Reagan UCLA Medical Center
Santa Monica - UCLA Medical Center and Orthopaedic Hospital
Resnick Neuropsychiatric Hospital at UCLA
David Geffen School of Medicine Stats
• 3194 Faculty
• 2,877 Community Physicians
• 1,330 Interns & Residents
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725 Medical Students
- 46 M.D./Ph.D. Students
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483 Ph.D. Students
• 6,205 Staff
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24 Departments of Instruction
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5 Organized Research Units
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5 Large Centers & Institutes
Sources of Funding By Percentage
Year Ending June 30, 2014
Hospital Transfers*
5%
Gifts & Endowments
7%
Patient Revenues
47%
Contracts & Grants
25%
Other
4%
Sales & Service
3%
State Appropriations
6%
Indirect Cost Recovery
3%
Total: $1,630,861
(Dollars in Thousands)
Note: *Hospital Transfers include $84.9 Million in Equity Transfers from Hospital System
Trivia Game
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What is the mission of the University of California?
Who is our current UC President?
Who is our Chancellor?
Who is the Dean in the School of Medicine?
How many campuses does UC have today?
Name the Campuses:
Name the 5 Medical Centers in the UC system:
• 5 MINUTES TO ANSWER! THE GROUP THAT HAS THE
MOST CORRECT ANSWERS WINS!
Trivia Game Answers
• What is the mission of the University of California?
• Who is our current UC President?
• Who is our Chancellor?
• Who is the Dean in the School of Medicine?
• How many campuses does UC have today?
• Name the Campuses:
• Name the 5 Medical Centers in the UC system:
History
• On October 19, 1945, the University of California Board
of Regents voted to establish a medical school at UCLA.
• In 1949 construction began for the Medical Center and
school of Medicine.
• The Medical Center opened in 1955.
• The first School of Medicine class began in 1951.
– Dr. Stafford L. Warren was appointed as the first
dean
– 28 students (26 men and 2 women).
– 15 faculty members
– Lecture room and five laboratories
History
• Dr. Sherman Mellinkoff succeed as Dean in 1962.
– 1960’s – Opening of Neuropsychiatric Institute, Brain Research Institute
and Marion Davies Children’s Center. Construction began on Jules Stein
Eye Institute and Reed Neurological Research Center.
– 1970’s – Formal affiliation with Venice Family Clinic.
• Dr. Kenneth Shine succeeded as Dean in 1986.
– Initiatives in ambulatory education, community service, mathematics and
science education in public schools and the construction of new research
facilities.
• Dr. Gerald Levey succeeded as Dean in 1994.
– Human Genetics, Gonda Neuroscience and Genetics Research Center were
established.
– In 2002 Mr. David Geffen announced a $200 million unrestricted
endowment for the school.
– Instrumental in opening RRUCLA Medical Center.
Cultural Diversity
Sum total of the way of living; includes values, beliefs, language, thinking patterns,
behavioral norms and communication styles. Guides decisions and actions of groups
through time.
• Cultural awareness involves both attitude and knowledge
– It is essential to understand the way people do things may be different from
your way, but they are still equally valid.
– Knowing something about different culture’s beliefs, values and traditions is
important. This can have a positive impact on patient are and the connection
you make with your patient.
– Respect the beliefs and practices of others
– Don’t stereotype; expect variation; learn what Qs to ask
• Special considerations may include:
– Food and medical care preferences; rituals; gender role; eye contact and
communication style; decision making systems; alternative therapies
• Population-specific groups
– Considering who you serve
– Unique needs of each patient and patient group
Staff Diversity & AA/EEO Compliance
Supports the University’s mission of research, teaching and public service by:
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Providing consultative services
Enhancing the campus environment where diversity is celebrated and valued
Providing educational programs that address the needs of a diverse staff
Implementing cost-effective strategies for conflict resolution
Increasing the visibility of UCLA in the general community
Program Objectives•
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A fair workplace where everyone is treated with dignity and respect
A workplace where all employees have access to campus programs and services
A workplace where diversity is valued and celebrated
Staff Diversity & AA/EEO Compliance Office
Suite 1050, UCLA Wilshire Center
Phone 310-794-0691
Fax 310-794-2800
Mail Code 135548
13 University Holidays
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Martin Luther King Day
President’s Day
Cesar Chavez Day (Last Friday in March)
Memorial Day
July 4th
Labor Day
Veteran’s Day
Thanksgiving Day
Day After Thanksgiving
Christmas Eve
Christmas Day
New Years Eve
New Years Day
Vacation Reference Charts
Vacation Employment Service Accrual
Tier 2 (MSP
& SMG)
Hired on or
after 7/1/96
Tier 1 (PPS) (No
grace period for
EX. Hours accrued
over policy max
Years of Leave
Employee Service Accrual Approx.
Personnel Mileston Code Hrs/Month
Group
e
(LV) (fulltime) Max
<10
A
10
240
10
B
12
288
15
C
14
336
Leave
Accrual
Factor
0.057692
0.069231
0.080769
Monthly Working Hours in 2015
Month
Holiday
Dates
Working
Days in
Month
Working
Hours in
Month
January
1, 19
22
176
February
16
20
160
March
27
22
176
22
176
21
168
22
176
23
184
21
168
22
176
22
176
April
May
20
D
16
384
0.092308
<5
B
12
288
0.069231
5
C
14
336
0.080769
June
July
D
16
384
0.092308
3
August
September
10
25
7
October
November
11, 26, 27
21
168
December
24, 25, 31
23
184
Sick Leave Accrual
• Staff accrue up to 12 days per year
• Does not “expire”
• Biweekly staff
– Accrue on the leave accrual dates
– 13 leave accrual dates per year
– If REG hours for the period equals 160 hours then accrual
is 7.38 hours.
• Monthly staff
– Accrue once a month
– Accrual varies depending on amount of working days in
the month
Note: Effective April 1, 2000, paid jury duty service is limited to 10 days
per jury summons for non-represented employees working in the
Westwood Medical Center, the Neuropsychiatric Hospital, Santa Monica
Hospital and all entities within the UCLA Health System and the School of
Medicine.
Jury Duty
Employee Group
Reference
Career
Limited/Casual/
Contract
Casual/Restricted
Per Diem
Non-Represented
(99) EXEMPT
PPSM 46.B
Yes
Yes
Yes
No
Non-Represented
(99) NON-EXEMPT
PPSM 46.B
Yes
No
Yes
No
Clerical (CX)
CUE Article 14.F1
Yes
No
10 days
No
Research Support
Professional (RX)
UPTE Article 18.F1
Yes
No
10 days
No
Technical (TX)
UPTE Article 18.F1
Yes
No
10 days
No
Service (SX)
AFSCME Article 14.E
Yes
Yes
10 days
No
Patient Care
Technical (EX)
AFSCME Article 14.E
Yes
Yes
10 days
No
Health Care
Professional (HX)
UPTE Article 14.F1
Yes
No
10 days
No
Nurses (NX)
CNA Article 14.E
Yes
No
10 days
No
Blood Donation Program
• UCLA Blood and Platelet Center Blood Drives
• Receive up to 2 hours paid leave time to donate
blood
• Donors will receive 4 hours of paid leave (blood time
on HBS timesheet)
• More information go to the website or call:
http://gotblood.ucla.edu/
(310) 825-0888 x2
url:http://at
Search
Commonly visited
websites
• www.mednet.ucla.edu
– HIPAA Privacy and Information Security Training for New
Workforce Members
– Code of Conduct Training and Quiz
• http://atyourservice.ucop.edu
– Enroll in your benefits (during your PIE period)
– Update beneficiaries, address, tax withholding and sign up for
online W-2
– Read “news features” from UCOP
• https://hbssome.mednet.ucla.edu/
– Completing your timesheet to get paid on time!
• Full service financial institution established in 1951
at UCLA
• Main branch at 1500 S. Sepulveda Blvd (Cross street
is Ohio)
• ATMs all over campus: Ackerman Union, Anderson
School, Residence Halls, CHS Plaza at Marion Davies
Children’s Center, 300 Medical Plaza, RRUCLA by
cafeteria, SMUCLA by cafeteria, Wilshire Center by
post office
• http://www.ucu.org/index.html
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UCLA’s Staff and Faculty Counseling Center (SFCC) fosters a productive and
supportive work environment for all employees.
– Confidential counseling for employees and family members
– Management consultation
– Coaching/Training
– Retreat Facilitation
– Work-Life Programs
– Support Groups
– Community Resource Referrals
Services are free, voluntary and confidential
Campus Human Resources, Staff & Faculty Counseling Center is located at:
10920 Wilshire Boulevard, Suite 380
Los Angeles, CA 90024-6504
Mail Code: 145748
Phone: (310) 794-0245 FAX: (310) 794-0251Office Hours
Monday – Friday 8 a.m. to 5 p.m.
Saturday and Sunday Closed
Employee Privileges
• Employee Reduced Fee Enrollment – non probationary
employees who meet admission requirements of the
University are eligible for a 2/3 reduction in course fees
• University Extension Courses 25% discount
• Child Care Services http://www.childcare.ucla.edu
• Santa Monica Big Blue Bus and Culver City Bus –show your
BruinCard and ride for 50 cents
• UCLA store (Ackerman Union)
• UCLA Library
Employee Privileges
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UCLA Fowler Museum of Cultural
History www.fowler.ucla.edu
Hammer Museum of Art
http://hammer.ucla.edu
Geffen Playhouse
http://www.geffen.ucla.edu
UCLA Center for the Performing Arts
http://www.performingarts.ucla.edu
UCLA Recreation
http://www.recreation.ucla.edu
UCLA Central Ticket Office
http://www.tickets.ucla.edu
Botanical Gardens
Annual Events at UCLA
(Staff Assembly)
• All-Staff Picnic (summertime)
• Breakfast with the Chancellor (quarterly)
• Casino Night
Department of Epidemiology
Management of Bloodborne Pathogen
Exposure, UCLA WW
Management of Exposure Site:
Wound and skin: wash with soap and water
Mucous membrane: flush with water
No evidence supporting expressing fluid or using antiseptic
7:30 a.m. – 5:30 p.m. weekdays:
Go directly to OHF, 67-120 CHS or Page 93333
After hours, weekends, holidays:
Go to Emergency room and follow up next work day in OHF
Bring source name and hospital ID number
Dept. of Epidemiology
Numbers and Websites
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Office: 40187
Fax: 40195
Director: David Pegues MD X 52456
ICP: Dana Russell:
ICP: Teresa Zaroda: Pager 90339
Administrative Analyst: Carlos Acosta
On Call pager: 94040
To access Infection Control Policies:
http://www.mednet.ucla.edu/
http://infectioncontrol.mednet.ucla.edu/
CICARE
EVERYONE ON EVERY ENCOUNTER
Today’s Agenda
UCLA Health System
Mission and Vision
What is CICARE?
Practice using CICARE in
your role
What inspired you to join UCLA?
Caring for
and healing
people.
What We Do
 We INNOVATE
to improve
quality of life
 We EDUCATE
& RESEARCH
the future of
healthcare

We TREAT People
 We Save
UCLA Health’s Mission and Vision
Mission: Delivering leading edge patient care,
research and education.
Vision: Healing humankind, one patient at a
time, by improving health, alleviating suffering,
and delivering acts of kindness.
Service Goal: To create a welcoming, healing,
caring, safe, and professional environment for
our patients, their families, visitors and each
other.
CICARE
everyone on every encounter
Putting CICARE into Action
Connect
Introduce
Communicate
Ask
Respond
Exit
…with Compassion
…with Integrity
…with Clarity
…with Action
…with Respect
…with Empathy
Connecting
“The secret of success in life isn’t
very hard to figure out. The better
you are at connecting and
communicating with other people,
the better the quality of your life.
And it all begins with trust.”
- Nicholas Boothman
What ways can we make a connection with others?
 Make eye contact and smile
 Engage by using the person’s preferred name
Introduce
Communicate
 What you are going to do
 How long it will take
 How it impacts the person
Not all communication is created equal!
EXERCISE
“Welcome to UCLA.
My name is ____.
How may I help
you?”
Ask and Anticipate
Ask and anticipate the needs of the individual you are
speaking with.
 Being engaged in the moment means you are paying
attention to subtle communication signals
 What’s missing?
Respond
Respond to questions and requests with immediacy.
What would you do if you don’t know the answer to
a patient’s question?
Exit
Close the encounter courteously, letting the person
know what will come next.
Always ask if there is anything additional you can do
to help
Follow up—do what you say that you are going to do
The Practice of CICARE
 Connect with Compassion by addressing the patients as Mr./Ms. or by the
name that they prefer.
 Introduce yourself
with Integrity by stating your name and your role.
 Communicate with Clarity what you are going to do, how long it is going
to take, and how it will impact the patient.
 Ask and Anticipate with Action the patient needs, questions, or concerns.
 Respond with Respect to patient questions or requests with immediacy.
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Exit with Empathy by ensuring all of the patient’s needs are met.
Quote
“I've learned that people will forget
what you said, people will forget what
you did, but people will never forget
how you made them feel.”
– Maya Angelou
Nondiscrimination in Employment
• It is the policy of the University not to engage in
discrimination against or harassment of any person
employed by or seeking employment with the
University of California on the basis of race, color,
national origin, religion, sex, gender identity,
pregnancy, physical or mental disability, medical
condition, genetic information, ancestry, marital
status, age, sexual orientation, or service in the
uniformed services.
Email Policy and Guidelines
• The University of California encourages the use of
electronic communications to share information and
knowledge in support of the University’s mission.

Link to policy:
http://www.adminpolicies.ucla.edu/app/Default.aspx?&id=45
5
• Email shall not be used for:
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Unlawful activities
Commercial purposes not under auspices of the University
Personal financial gain
Uses that violate policies or guidelines
Sexual Harassment
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Definition: unwelcome sexual advances, requests for sexual favors, and other
verbal, nonverbal, or physical conduct of a sexual nature. Sexual harassment is
conduct that explicitly or implicitly affects a person’s employment or
education or interferes with a person’s work or educational performance or
creates an environment such that a reasonable person would find the conduct
intimidating, hostile, or offensive. Sexual harassment includes sexual violence.
Every member of the community should be aware that the University prohibits
sexual harassment and sexual violence, and that such behavior violates both
law and University policy. The University will respond promptly and effectively
to reports of sexual harassment and sexual violence, and will take appropriate
action to prevent, to correct, and when necessary, to discipline behavior that
violates this policy on Sexual Harassment and Sexual Violence.
Sexual Harassment
Complaint Resolution
• The University will provide a prompt and effective response to
reports of any such conduct.
• The HR Dept. provides assistance in investigating and
resolving complaints of sexual harassment. Emphasis is on
prevention, education and early resolution.
• Online tutorial required for all managers administered
through the Learning Management System (LMS).
Smoke-Free Environment Policy
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Smoking is prohibited inside or outside any:
– University-owned, occupied or leased buildings, including stairwells, loading
docks and outdoor areas
– University vehicles including buses, shuttles, trucks, vans and automobiles
– For UCLA Health System and Health Sciences:
• Indoor and outdoor areas of our hospitals and health-sciences campuses
in Westwood (bounded by Gayley to Tiverton Avenues and Le Conte
Avenue to Charles E. Young Drive South).
• Indoor and outdoor areas of our hospitals and health-sciences campuses
in Santa Monica (bounded by Wilshire Boulevard to Arizona Avenue and
15th to 16th Streets).
• Buildings along the Charles E. Young Drive South research corridor.
Tobacco-Free Environment Policy
• Tobacco Use is not permitted on any University Owned or Leased Property,
including any portions of such Property that may have been previously
designated smoking areas. The sale, advertising, promotion, or
distribution of Tobacco Products is also prohibited on all University Owned
or Leased Property.
– Tobacco Product means any form of tobacco, including but not limited to
cigarettes, cigars, pipes, water pipes (hookah), smokeless tobacco products
and unregulated nicotine products (e.g., “e-cigarettes”).
– Tobacco Use means the act of using any Tobacco Product, including smoking,
chewing, spitting, inhaling, ingesting, burning, or carrying any lighted or
heated Tobacco Product.
Substance Abuse
in the Workplace
• Substance Abuse Policy – Employees are required to
report to work physically and mentally able to perform
their duties and carry out their responsibilities optimally
without endangering own health or safety of others.
– Employees are encouraged to seek assistance as
appropriate.
– Staff and Faculty Counseling Center (310) 794-0245
UCLA Workplace Violence
Prevention Policy
• University is committed to maintaining a campus free
from intimidation and acts or threats of violent behavior
• Violent or threatening behavior includes, but is not limited to:
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Weapons in the UCLA Community
Physically aggressive acts towards others
Stalking
Communicated threats of harm
Intimidating behavior raising concern for personal safety
Willful or intentional behavior which causes damage to property
Suicide threats
Hotline and Reporting Process
To report concerns, make suggestions, raise questions and
seek guidance, employees should:
– Discuss with their immediate supervisor or higher level manager
– Discuss with Employee Relations
– Contact the Confidential Compliance Hotline (1-800-296-7188) or log
on at www.universityofcalifornia.edu/hotline which provides:
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Anonymous and confidential reporting
Outside Telephone service sends reports to the Compliance Officer
Call back date for response and report number for reference
Protection policy prohibits University officials with interfering and
retaliating.
Security Precautions:
(HIPAA)
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Lock your computer desktop screen when you walk away,
even if only for a few moments
Use only encrypted laptops, mobile devices and flash drives.
Ensure information on computer screens is not visible to
passersby (privacy screen is recommended)
Create a “strong” password and do not share passwords with
anyone else
Ensure paper charts are returned to applicable areas in
nursing station, medical records, or designated file rooms
Patient Privacy Requirements:
(HIPAA)
• Access only information that you need to do your job
• Access or disclose only the minimum information necessary
• Discuss patients only within the context of your work flow and only with
those who need the information to do their jobs.
• When speaking about patients make sure you are in a discreet area when
possible
• Take special care to protect your passwords
• Place paper documents with PHI in locked shedder bins only, as well as
reasonably keep them concealed while in the work space (placing paper
documents face-down or locked away when unattended)
• For any patient privacy or computer security concerns contact your
supervisor or Privacy Officer Bob Gross.
Your Safety at UCLA
David Geffen School of Medicine
New Employee Orientation
2014
Alex Norris
Safety Specialist, Injury Prevention Division
UCLA Office of Environment, Health & Safety
www.ehs.ucla.edu
Today’s Discussion
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Injury and Illness Prevention Program (IIPP)
Injury Prevention
Emergency Preparedness
Next Steps: Your Safety Training
Injury and Illness Prevention Program
• CCR Title 8, Section 3203
• Department Specific
• Covers:
– Hazard Identification,
Control, and
Communication
– Injury Reporting and
Investigation
– Compliance
Injury and Illness
Prevention Program (IIPP)
Manual
IIPP – Injury Reporting
If you’re injured at work…
• Inform supervisor
• Fill out Incident Report & Referral for Medical
Treatment Form and DWC-1 Claim Form
• Get medical attention
– Occupational Health Facility (OHF) – CHS 67-120
– Ronald Reagan Medical Center (after hours)
– Students: Arthur Ashe
IIPP – Injury Reporting
If the injury is SERIOUS…
• Call 911 immediately
• Immediately call EH&S 310825-9797 and notify
supervisor ASAP
• What constitutes a serious
injury?
IIPP Injury Reporting
• ALL Biological
exposures and
spills – call 310825-9797
• This includes
needle sticks, fluid
exposures, animal
bites, etc.
IIPP – Hazard Identification & Control
• Inspections
– Office, Laboratory,
Machine Shop
• Standard Operating
Procedures (SOPs)
• Hazard
Notification/Safety
Recommendation Form
IIPP – Safety Communication
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Safety Manuals
Safety Committees
Safety Bulletin Boards
Postings/Placards
Injury Prevention
DGSOM FY 2013-14
Injury Prevention
• Always wear proper
Personal Protective
Equipment (PPE)
• Comply with CDC
sharp safety
guidelines
• Complete required
training
Injury Prevention – Slips, Trips & Falls
• Stairs
– Use handrails
• Walking Surfaces
– Wet/uneven surfaces
– Footwear
• Be aware
– Don’t text and walk
Injury Prevention - Ergonomics
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RMI/RSI/MSD
Posture
Proximity
Equipment
Breaks/stretching
Injury Prevention – Back Safety
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Staggered stance
Keep it close
Build a bridge
Feet first
Ask for help if you
need it!
Emergency Preparedness
• Anchor furniture
over 5 feet
• Store hazardous
items properly
• Identify danger
spots
• Participate in drills
• Practice drop, cover
and hold
Emergency Preparedness - Evacuation
• Always use the stairs
• Use the nearest
identified exit to
evacuate
• Report to evacuation
spot for accountability
Emergency Preparedness – Fire Alarms
• Evacuate immediately
– Do not wait for
someone to tell you to
leave
– Use the stairs
Emergency Preparedness – Fire Safety
Rescue – rescue/remove
anyone who is in immediate
danger
Alarm – activate the fire
alarm
Contain – close any doors
you can to contain the fire
Extinguish – attempt to
extinguish the fire if it is safe
to do so
Emergency Preparedness– Fire Safety
Fire Extinguishers:
• To use: PASS
• Types:
– Class A: combustible
materials
– Class B: flammable
liquids
– Class C: electrical
– Class D: combustible
metals
Emergency Preparedness – Fire Safety
Know where to go:
• Evacuation route
• Meeting spot
If you’re on fire…
• Stop, drop and roll!
• Eyewash/shower stations
located within 10 seconds
of every lab/shop
Emergency Preparedness
• Emergency Response Plan
– Review departmental
program/evacuation
procedures
• BruinAlert
– Sign up for text alerts
(https://www.emergency.uc
la.edu/bruinalert)
Off-Campus Ambulatory Clinics
• Off-Campus Clinics fall under the oversight
of the Health System Safety Dept. and
have a clinic specific Health System IIPP
• Familiarize yourself with your site specific
information & resources
• Health System Safety Dept. Contact info:
Carolyn Genovese, Safety Specialist
Email: cgenovese@mednet.ucla.edu
Off-Campus Ambulatory Clinics
Reporting SERIOUS Injuries
at off-site clinics…
• Call 911 immediately
• Immediately page Health
System Safety
Department at 310-2068477, pager ID# 90248
Next Steps: Your Safety Training
• Employee Safety Handbook
– https://ucla.app.box.com/ehs-employee-safetyhandbook
• Classroom Training
– https://www.ehs.ucla.edu/training/schedule
– training@ehs.ucla.edu
• Ergo Evaluation
– ergonomics.ucla.edu
• General Questions
– injuryprevention@ehs.ucla.edu
Security
Violence in the Workplace
OVERVIEW
SECURITY
• Report suspicious activities/persons or request
assistance from Security at x77100. Available 24/7.
• Escort Service: x77100 (Security Dispatch)
• Always wear your ID badge when on hospital property.
• After Hours Access: Reagan/Westwood & Resnick
entrance, security checkpoint 9pm-6am
• Panic Alarms
• Keep secure or sensitive areas limited to auth. personnel
• Safety Tips:
– Be aware of your surroundings.
– Don’t bring valuables to work. Lock up all belongings.
– Park in well-lit area; don’t linger in parking structures.
• Stairwells:
– Building Core Stairwells = Communicating stairwells
– Unit/Pod/Tower Stairwells = Emergency Exit stairwells
OVERHEAD CODE PAGES
Emergency overhead pages are used at the hospital to
alert staff to potential emergency situations and to
summon staff who are responsible for responding to
specific emergency situations.
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CODE PINK
CODE PURPLE
CODE GRAY
CODE SILVER
Infant Abduction
Child Abduction
Abusive or Combative Person
Person with Weapon/Hostage
Situation
VIOLENCE IN THE WORKPLACE
• Staff Code of Conduct
“SOM and the UCLA Hospital System strive to
maintain an environment free from intimidating,
disruptive, threatening, bullying and violent
behavior.”
Zero Tolerance
VIOLENCE IN THE WORKPLACE
• Response To Worse Case Scenario
• Plan Ahead Using Situational Awareness
– Always be mentally prepared
– Know your surroundings
– Pre-plan an exit
• Strategize to Survive an Active Shooter Event
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Get Out! ESCAPE
Take Cover - Get behind something that will stop a bullet
Hide and don't bunch up
Play Dead
LOOK FOR CHANCES TO ESCAPE
VIOLENCE IN THE WORKPLACE
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UCPD Dispatch: (310) 825-1491
Crime Prevention Officer: (310) 825-6111
CSO Escort Service: (310) 794-WALK
Center for Women and Men: (310) 825-3945
Staff and Faculty Counseling Center
(310) 794-0245
• UCPD website: www.ucpd.ucla.edu
• L.A County District Attorney’s Office Victim
Witness Assistance Program
Your UC Benefits
Health & Welfare
Benefits Eligibility
Health and Welfare Benefits, Eligibility
• Employee:
- Full Benefits: Assigned to work at least 50% time for one year
or more
- Mid Level Benefits: Assigned to work 100% time for less than
one year
- CORE: Assigned to work at least 43.75% – 99% time
• Dependents:
Refer to Your Group Insurance Plans booklet for definition of
Spouse, Domestic Partners, children, grandchildren, legal ward,
& overage disabled child.
NOTE: California is not a common law state.
Health and Welfare Benefits, Eligibility
Special Note:
UC Office of the President (UCOP)
- Secova will request documentation to verify
eligibility of dependents
- conducts annual Family Member Verification audit
of dependents
Health and Welfare Benefits, Eligibility
• “Period of Initial Eligibility” (PIE) is a limited
timeframe to enroll
• For new hires 31 days from hire date
• Usually 31 days from date of an eligible Family Status
Change, e.g. marriage date, adoption of a child, etc.
• If PIE is missed – default coverage for employee
• Annual Open Enrollment to enroll or change plans
• HIPAA for late medical enrollment
Medical Plans
Medical Salary Bands
• Please refer to handout titled:
2015 UC and Employee Monthly Costs
Medical, Dental, Vision and Legal Plans
Medical Plans
• Health Maintenance Organizations (HMOs)
Kaiser and Health Net Blue & Gold
• Preferred Provider Organization (PPO):
UC Care PPO
Health Savings PPO (aka HSA PPO)
• Fee for Service:
Core – Default Plan (Catastrophic Coverage)
UC medical plans do not have pre-existing condition clauses.
HMO vs. PPO overview
HMO
• Restricts medical provider
access (PCP/medical group or
Kaiser).
• Care starts with PCP; PCP
refers to specialists; medical
group authorizes most care
outside of PCP’s office.
• Only ER and urgent care
covered outside of medical
group.
• Fixed costs – most services
have flat copayments.
• Must live in service area.
PPO
• Access to larger network of
doctors. Not assigned to a
doctor or group.
• Self-refer to doctors and
specialists; no authorization
requirement to see doctors.
• Health plan must authorize
surgery and some services and
medications in advance.
• Costs vary depending on
whether provider is
participating with plan and
other factors. Out-of-network
providers cost you more.
Health Net Blue & Gold and Kaiser HMOs
• Primary Care Physicians (PCP) coordinates all care
• Cost containment:
– $20 doctor office visit co-pay
– $20 office co-pay Chiropractic/Acupuncture American Specialty Health,
maximum 24 aggregate visits annually
– $20 office co-pay; PCP coordinates with Optum Behavioral Health
– $100 co-pay, outpatient surgery
– $250 co-pay, hospitalization (100%)
– $75 co-pay, ER (waived if admitted)
• No claim forms, no deductibles
• Must live or work within plans service area, 30 miles
• Prescription Drug Coverage (see slide #20)
•
•
UC Care PPO
UC Care PPO – no PCP or medical group, no referrals or authorizations to see
specialists. Blue Shield processes claims.
Select tier includes UC providers and set co-pays for many services.
– $20 copays for office visits; $200-250 ER; $250 hospital and skilled nursing unit in
hospital admission; $100 outpatient surgery in hospital.
– Some services not covered on Select tier (including stand-alone skilled nursing facility,
home health, hospice, prosthetics/orthotics, acupuncture, chiropractic, outpatient
surgery at freestanding ambulatory surgery center).
•
•
•
•
•
Preferred tier includes Blue Shield PPO network and worldwide coverage;
deductibles and coinsurance apply, up to annual maximums.
Services outside the US covered as Preferred PPO.
Non-preferred providers covered; higher out-of-pocket costs.
Set co-pays for prescriptions, except specialty drugs.
Read summary grid for more details of plan coverage, and review full plan
coverage booklet on UCNet,
http://ucnet.universityofcalifornia.edu/forms/category.html
UC Care PPO
Member Responsibility
UC Select
Preferred
Out-of-Network^
None
$250 / $750
$500 / $1,500
OOP Maximum: Medical
$1,500 / $4,500
$3,000 / $9,000
$5,000 / $15,000
OOP Maximum: Drugs
$3,600 / $4,200 (network pharmacy only)
Deductible
Doctor/Urgent Care/Physical Therapy
No OON OOP max
$20
20%
50%
Not covered
20%
50%1
Outpatient surgery in Hospital
$100
20%
50%1
Hospitalization non-Emergency
$250
20%
50%2
$200 or $250~
$200 or $250~
$200 flat
$200 or $250~
$200 flat
Chiropractic*
N/A
20%
50%
Acupuncture*
N/A
20%
20%
Ambulatory Surgery Center
ER Facility & ER Physicians~
Ambulance
Mental Health Benefits
Prescriptions3
TeleDoc (phone, mobile, online)
Carved out to Optum (see slide #21)
Copayments or coinsurance (specialty rx) subject to Rx OOP (see slide #20)
$20 (24/7/365) copay does not apply to deductible, does apply to OOP
*Up to 24 visits aggregate between chiropractic and acupuncture
^Balance billing not applied to OOP
3Not applied to OOP
~$200 ER co-pay otherwise $250 if admitted to the hospital
Plan Pays maximum of:
1 50% on $350/day facilities
2 50% on $600/day facilities
UC Care – Be Aware of Limitations
• Services with non-preferred providers (providers who are not
contracted and do not have a fee agreement with the plan)
are paid by plan based on allowed amounts (not billed
charges).
• Members are responsible for coinsurance and any amounts
in excess of allowed amounts.
• Amounts in excess of allowed amounts do not apply to
deductibles or out-of-pocket maximums.
• Services with day or visit limit accrue to the limit even if the
deductible has not been met.
Read summary grid for more details of plan coverage, and
review full plan coverage booklet online.
UC Care PPO
• UC Select - www.uc-care.org
• UC Care Concierge 855.201.2087
• UC medical centers, facilities and physicians
• Additional select Blue Shield providers in areas where UC
medical centers and physicians may not be accessible
• Blue Shield Preferred Network - blueshieldca.com/uc
•
•
•
•
•
855.201.8375
• 88% of providers in California are in the
Blue Shield Preferred network
376 hospitals
22,061 primary care physicians
50,197 specialists
BlueCard Network coverage outside of CA and the U.S.
• Out-of-network providers
• Select an out-of-network provider
•
Have a higher deductible; pay a higher share of costs
UC Care PPO, UC Select
UC Select Providers
Citrus Valley Medical Center - Queen of the Valley
Downey Regional Medical Center
Garfield Medical Center (San Gabriel Valley)
Glendale Adventist Medical Center
Good Samaritan Hospital (Los Angeles)
Henry Mayo Newhall Hospital (Santa Clarita Valley)
Huntington Memorial Hospital (Pasadena)
Providence Little Company of Mary (Torrance and San Pedro)
Providence Tarzana Medical Center
Simi Valley Adventist Hospital
(Dignity) St. Mary Medical Center (Long Beach)
Torrance Memorial Medical Center
UCLA: Mattel Children's Hospital, Resnick Neuropsychiatric Hospital, Ronald Reagan Medical
Center, Santa Monica UCLA Medical Center
White Memorial Medical Center
Whittier Hospital Medical Center
San Antonio Community Hospital
Health Savings Account PPO
PPO plan with a Health Savings Account
– HDHP = High deductible health plan, Blue Shield
• Plan works like a PPO; once deductible is met, co-insurance begins
– Use money in HSA to pay for expenses applied to deductible
– Use money in HSA to pay for member responsibility to co-insurance
– HSA = Health Savings Account, Health Equity
•
•
•
•
•
•
UC contributes $500 Single / $1,000 Family (prorated for midyear hires)
Employee contributes up to $2,850 Single / $5,650 Family
Can change election mid-year
Catch-up contribution up to $1,000 for participants age 55 or older
Employee responsible for not over-contributing
Tax Savings:
– No FICA & Federal taxes on contributions and growth (CA taxes apply)
– No taxes on distributions when use for eligible health expenses
– Can use money for any reason; taxes will apply if not used for health
» 20% early age penalty applies if non-health money is used before age 65
HSA PPO (cont’d)
Contribution
Individual
Family (2+)
UC
$500
$1,000
Enrollee
Up to $2,850
Up to $5,650
Services /Co-Insurance
Network
Non-network^
Annual Deductible
$1,300 / $2,6003
$2,500 / $5,0003
Out-of-pocket max.
$4,000 / $6,400
$8,000 / $16,000
Physicians & Specialists, Pregnancy &
Maternity, Rx & Chiropractic*
20%
40%
ER Services / Acupuncture*
20%
20%
Outpatient Surgery ASC
20%
40%1
Hospitalization
20%
40%2
Preventive
No Charge
40%
Mental Health Benefits
Carved out to Optum (see slide #21)
Contraceptives
No Charge~
Not Covered
Prescription Drugs
20% retail & mail
40% retail only; no specialty drugs
~ participating pharmacies only
^Balance billing not applied to OOP
*Up to 24 visits aggregate between
chiropractic and acupuncture/year
Plan Pays maximum of:
1 50% on $350/day facilities
2 50% on $600/day facilities
3 Individual deductible/OOP does not apply if you have family coverage.
HSA PPO (tidbits)
• Services with non-preferred providers are paid by plan based on allowed
amounts. Members are responsible for coinsurance and any amounts in
excess of allowed amounts. Amounts in excess of allowed amounts do not
apply to deductibles nor out-of-pocket maximums.
• Contributions FDIC insured; can invest excess >$2,000 in mutual fund
• If 2 or more members are enrolled, family deductible and OOP apply
• Not an FSA plan; no “use it or lose it” provisions
• Take HSA with you if you separate
• Cannot be enrolled in FSA or use with an FSA
• Cannot have spouse participate in FSA if enrolled in this plan
• Cannot be covered by another insurance plan, including Medicare
• If age 65 or older, beware of retroactive enrollment into Medicare Part A
• Cannot be claimed as a tax dependent by another person
• Must have valid US address; no postal boxes
CORE Medical
•
•
•
•
•
•
•
•
•
•
•
Annual Deductible
Out-of-pocket max.
Preventative Health Benefits
Physicians
Outpatient facilities
Hospitalization facilities
ER Services
Chiropractic
Acupuncture
Mental Health Benefits
Prescriptions
*Up to 24 visits aggregate between chiropractic and
acupuncture per year.
Home health, hospice, bariatric surgery, durable medical
equipment and mail order rx not covered out of network.
$3,000 / individual
$6,350 / $12,700^
No Charge
20%
20%1
20%2
20%
20%*
20%*
20%
20%
Non-network member responsibility:
1 20% on $350/day plus balance over $350
2 20% on $600/day plus balance over $600
^Balance billing not applied to OOP.
Prescription Drugs
• 30-day supply (pharmacy)
UC Care PPO**^
Generic
$ 5.00
Brand
$25.00
Non Formulary
$40.00
Specialty
30% up to $150/fill
Blue & Gold
Kaiser
$ 5.00 $ 5.00
$25.00
$25.00
$40.00
N/A
$20.00
$25.00
• 90-day supply (mail-order and select network pharmacies for maintenance meds)
UC Care PPO^
Generic
$10.00
Brand
$50.00
Non Formulary
$80.00
Blue & Gold Kaiser
$10.00
$10.00
$50.00
$50.00
$80.00
N/A
HSA PPO and CORE members: Rx subject to deductible and coinsurance, up to OOP max.
Mandatory generic drugs formula; non-generic drugs require medical necessity.
^Rx subject to Rx OOP max.
**Some adult vaccines are covered under pharmacy benefits with no copayment (tetanus, pertussis,
pneumococcal, meningococcal, HPV, shingles). Must use contracted pharmacies.
Behavioral Health Outpatient Benefits^
• Kaiser HMO (Kaiser or Optum, no out-of-network coverage)
– Optum: First 3 visits no member co-pay, then $20 co-pay/visit
– Kaiser Providers
• $20 co-pay/individual therapy
• $10 co-pay/group therapy
• Health Net Blue and Gold HMO (Optum only, no O-o-N coverage)
– First 3 visits no member co-pay, then $20/visit co-pay
• UC Care PPO (Optum, in- and out-of-network coverage*)
– In-network first 3 visits no co-pay, then $20/visit co-pay
– Out of network:
• subject to $500 deductible and 50% coinsurance*
• Prior auth requirements for some services (e.g. 60 minute+ sessions)
• Health Savings PPO (Optum, in- and out-of-network coverage*)
– Subject to in- or out-of-network deductible and coinsurance, up to max*
• CORE (Blue Shield) – subject to deductible/coinsurance, up to max.*
^Behavioral health plan coverage levels track to medical plan for inpatient and outpatient services.
*Balance billing may apply; plan will process out of network claims based on allowance, not billed charges.
Dental Plans,
www.deltadentalca.org
Delta Dental PPO
• Premium paid by UC
• Worldwide coverage -- may use any dentist
– Use any PPO dentist
– Higher benefits with Premier dentists
• Maximize benefits with Delta dentists
• $1,500 annual maximum benefit
– Preventive dentistry covered in full 100%
• Twice a year cleanings
• Once a year bite wing x-rays
– Dental work
• $50 deductible then coinsurance
• 25% coinsurance on minor work
• 50% coinsurance on major work
DeltaCare USA
• Premium paid by UC
• Must use PMI dentists only ) otherwise no coverage
– Except in emergencies
• California network only (limited)
– UCLA Faculty Group Practice does not accept Delta Care
– UCLA School of Dentistry does not accept Delta Care
• No annual maximum benefit
• Preventive dentistry covered in full 100%
– Once a year bite wing x-rays
– Twice a year cleanings
• Co-pays required for Basic dentistry
Vision
www.vsp.com
Vision Service Plan - VSP
• Premium paid by UC
• One exam per year
– Higher benefits with Choice network providers
• Prescription Glasses
– One set of lenses per year
• $40/$60/$80 single/bifocal/trifocal lenses
– One set of frames every other year
• $130 frame allowance
• $70 frame allowance at COSTCO
– $10 co-pay on exam; $25 co-pay on materials
• Cosmetic contact Lenses, $110 lens benefit
– Contact lens benefit in lieu of glass lenses
– $10 co-pay on exam
ARAG Legal Plan
• Administered by ARAG Group –
– 800-828-1395
– http://members.araggroup.com/ucop
• Refer to “Your Group Insurance Plans” booklet for details
• Only available to new employees
• Domestic, consumer, misdemeanor defense, IRS, major trial
representation, and identity thief issues
• Online Directory of Participating Attorneys
• Monthly Premium Rates:
– Self - $10.02
– Self & Child(ren) or Self & Adult- $13.78
– Self, Adult & Child(ren) - $15.03
Disability Insurance
Short Term Disability
• UC employees DO NOT participate in California State
disability nor Paid Family Leave
• UC pays entire premium for Short-Term Disability
• Basic coverage for disabilities not related to work
• Pays 55% of monthly salary up to $800/month
maximum (taxable)
• Maximum of 26 weeks
• Waiting period 7 calendar days (will assume
supplemental disability waiting period)
Supplemental Disability
• Employee paid plan
– Cost based on age, salary & wait period
– Rates found on UC Net
http://ucnet.universityofcalifornia.edu/compensation-andbenefits/disability-life-accident/premium-calculator.php
• Benefit:
– First 12 months, 70%
– 12 months+, 70% if offsets apply (e.g. Social Security, UCRP
Disability, Workers’ Comp, etc.)
– 50% if offsets do not apply
– $100/month min. benefit (up to age 65 if disabled pre-age 60)
• Maximum monthly benefit 70%, combined with other
sources, up to $15,000
– Integrates UC Short Term Disability benefits
• Wait period of 7, 30, 90, or 180 days
Life Insurance and AD&D
Life Insurance and AD&D
• UC offers a variety of Life Insurance and Accidental
Death & Dismemberment insurance for you and your
family members
• Please refer to At Your Service website for coverage
levels and costs
– http://ucnet.universityofcalifornia.edu/compensation-andbenefits/disability-life-accident/premium-calculator.php
• Designate beneficiaries at UC At Your Service
website; click on Your Benefits Online then log in
• Note: If you enroll in Supplemental Life Insurance, or
Dependent Life Insurance, during your PIE, there are
no pre-existing conditions
Pre-Tax Flexible Spending Accounts,
Conexis
Health & DepCare Flexible Spending Accounts
(FSAs)
• Set aside pre-tax dollars for eligible expenses:
– FICA, federal and state tax free
– Health expenses (medical, dental, vision); costs that exceed
insurance limits, co-pays, chiropractic/acupuncture, etc. OTC
drugs require prescriptions; OTC medical supplies do not.
– Daycare expenses for child(ren) up to age 16, parents
• Refer to Conexis FSA website for more details, eligible
expenses
• Coverage is effective the first of the month following the
month of eligibility (subject to pay compute deadlines)
Health & DepCare FSAs
• Enrollment allowed upon initial hire; during annual
Open Enrollment period, or within 31 days of a Family
Status change
• IRS imposed “use it or lose it” accounts
• Eligible expenses must be incurred between January 1
thru December 31
– New rule for 2015 Health FSA contributions; “carry over”
provision for up to $500 of money not used within
participation year; no grace periods
– Any money over $500 not used by December 31st will not
carry over and will be lost
• Requires positive re-enrollment during Open
Enrollment periods
Health & DepCare FSAs
• Health FSA Annual
Maximum
$2,500 per eligible
employee
• Health FSA Annual
minimum
$180 per person
• Debit Card convenience
• DepCare FSA Annual
Maximum
$5000 per household, or
$2500 if married but
filing a separate income
tax return
• Does not have Debit
Card convenience
Work Life Benefits (subject to HEERA)
(Premium paid by UC)
• UC Living Well
– Wellness initiation program, Optum provider
– Incentive
• $75 gift card
• Point system; 7,500 points to earn gift card
• Many UC and vendor activities to earn points
• Bright Horizons Care Advantage
– Provider service website
• Nannies, babysitters, eldercare, pets (walkers/care), tutors
and housekeepers
– Participant responsible for all hiring arrangements and
payments for services
– www.careadvantage.com/universityofcalifornia
ucnet.universityofcalifornia.edu
Enroll Online at UCnet
UC Retirement Plan – UCRP
pension plan
UCRP Pension Benefits
• Membership automatic based on appointment
• Member contributions required
• Vested after 5 full years of UCRP service credit
– No partial vesting
– Elect a refund of contributions if vested status not attained; refund negates
associated service credit
• Defined Benefit Plan; pension benefit is based on formula, not
contributions:
– Age Factor at Retirement
– UCRP service credit (does not include “limited” or student time)
– HAPC (highest average 36-consecutive month plan compensation, full
time equivalent)
– Multi-Tier status for some members
UCRP Pension Benefits
2013 Tier
• Employee contributions 7%
• Covers non-represented
and certain unions
– CX, LX, A7, GS, M6 and Ks
• Age factors
– 55 = 1.1%
– 65 = 2.5%
• No Lump Sum Cashout
option
2013 “A” Tier
• Employee contributions 9%
- $19/month
• Covers certain unions
– NX, HX, TX, RX, SX, EX,
AFSCME
• Age factors
– 50 = 1.1%
– 60 = 2.5%
• Lump Sum Cashout option
UCRP Age Factors
Age in Years
Tier
2013A/2013
Prorated age factor; months from last birthday to retirement date
0
1
2
3
4
5
6
7
8
9
10
11
50
55
.0110
.0111
.0112
.0114
.0115
.0116
.0117
.0118
.0119
.0121
.0122
.0123
51
56
.0124
.0125
.0126
.0128
.0129
.0130
.0131
.0132
.0133
.0135
.0136
.0137
52
57
.0138
.0139
.0140
.0142
.0143
.0144
.0145
.0146
.0147
.0149
.0150
.0151
53
58
.0152
.0153
.0154
.0156
.0157
.0158
.0159
.0160
.0161
.0163
.0164
.0165
54
59
.0166
.0167
.0168
.0170
.0171
.0172
.0173
.0174
.0175
.0177
.0178
.0179
55
60
.0180
.0181
.0182
.0184
.0185
.0186
.0187
.0188
.0189
.0191
.0192
.0193
56
61
.0194
.0195
.0196
.0198
.0199
.0200
.0201
.0202
.0203
.0205
.0206
.0207
57
62
.0208
.0209
.0210
.0212
.0213
.0214
.0215
.0216
.0217
.0219
.0220
.0221
58
63
.0222
.0223
.0224
.0226
.0227
.0228
.0229
.0230
.0231
.0233
.0234
.0235
59
64
.0236
.0237
.0238
.0240
.0241
.0242
.0243
.0244
.0245
.0247
.0248
.0249
60+
65+
.0250
UCRP Pension Benefits
• UCRP Pension calculation:
Age factor x UCRP Service credit = Benefit %
Benefit % x HAPC = Basic Retirement Income
Generate estimates on At Your Service (UCnet) once you
have received 3 monthly paychecks
UC Retirement SaVings Program
(UC RSVP):
DCP, 403(b) and 457(b)
UC RSVP: DCP, 403(b) and 457(b)
• Record keeping and transactions administered by Fidelity
Retirement Services
• Fidelity online at www.netbenefits.fidelity.com, click on New
User Registration, or call 1-866-682-7787
• Must establish PIN# with Fidelity
• May invest contributions in:
- UC Core Funds, Fidelity Mutual Funds, Calvert Mutual Funds,
Vanguard Funds and one Dimensional Fund
DCP
• Mandatory Pre-Tax Employee Contributions:
– Limited Appointment employees during 1000 qualifying
hours pay 7.5% to the DCP Safe Harbor and 1.45% to
Medicare. No OASDI taxes and no UCRP credit.
– Contributions automatically invested in UC Savings Fund. To
redirect contribution to another investment fund contact
Fidelity.
• Voluntary After-Tax Contributions
– 100% up to $52,000 year max., worksheet required
– Contributions are after-tax, earnings and interest are pretaxed. Early age distribution penalties apply.
403(b) & 457(b)
• Voluntary pre-tax savings plans. Can enroll anytime.
• No employer matching contributions.
• 2014 annual contribution limit to each:
– $17,500 if under age 50
– $23,000 if age 50 or over.
• Enroll by contacting Fidelity.
• May concurrently contribute to both 457(b) and 403(b)
plan.
– 403(b) has a loan feature; money can be withdrawn while
employed if age 59½ or older.
– 457(b) does not have early age distribution penalties (except on
monies rolled into the plan).
Online References
• http://ucnet.universityofcalifornia.edu
- designate Life Insurance and AD&D beneficiaries
- view New Employee Orientation video
- look up health & welfare plan info.
- find a Primary Care Physician
- run a UCRP pension estimate
• www.netbenefits.fidelity.com
- UC RSVP enrollments, balances and transactions
- designate UC RSPV beneficiaries
- may call Fidelity at 1-866-682-7787
- must establish a Fidelity PIN#
Welcome to the UCLA family!