Faculty Benefits Overview
Here’s what we will cover:
UVA Health Plan (includes medical, pharmacy and
dental benefits, as well as a vision discount program)
Davis Vision
Retirement System
Life Insurance
Disability Program
Tax –Deferred Savings Plan
Flexible Spending Accounts
The UVa Health Plan: Overview
The UVA Health Plan is a self-funded plan
Medical, Prescription, Dental and Vision discount are
bundled
Full-time employees: UVa pays a portion of the cost
Part-time employees: May join plan at their cost
Effective 1/1/2011, all new employees that do not
elect or waive coverage within 60 days of hire are
automatically enrolled in the low premium plan,
employee only.
UVa Health Plan: Premiums
2011 Cost (per month): NO CHANGES FOR 2012
Employee
High
Premium
Employee Low Employer
Premium
Premium
Single
$49
$12
$396
EE + Child
$171
$47
$710
EE + Spouse
$199
$54
$712
Family
$382
$116
$1043
Double State*
$346
$80
$1079
* Double State coverage is discounted family coverage offered
when an employee’s spouse is also a state employee.
Medical Coverage
There are 2 programs offered; High Premium and Low
Premium
See the Medical Schedule of Benefits for a
comparison between the High Premium and Low
Premium
Medical Claims Administrator: Aetna, 888-872-3862,
www.aetna.com or to find an Aetna provider:
www.aetna.com/DocFind/Custom/uva
Each employee/family will receive 2 cards (5 enrollees
per card)
Medical Coverage
Professional Services in
Office or Outpatient
Ambulance Transportation
Preventive Care and
Immunizations
Mental Health and
Substance Abuse Services
Diagnostic Laboratory and
X-ray Procedures
Speech Therapy
Urgent Care Center
Physical / Occupational
Therapy
ER Services
Chiropractic Care
Inpatient Hospital
Durable Medical Equipment
Outpatient Hospital
Home Health Services
Skilled Nursing Facility
Prescription Drugs
Quick Comparison- In Network
Low Premium
High Premium
Primary Care Office
Visits
$20 Copayment
$20 Copayment
Specialist Office Visits
$40 Copayment
$40 Copayment
100% with no limit
100% with no limit
Diagnostic lab and Xray
services
$350 Deductible + 20%
co-insurance
$100 Deductible + 10%
co-insurance
Emergency Room
$350 Deductible + 20%
co-insurance
$125 Copayment
$ 40 physician copay
Outpatient Hosp.
Procedures
$350 Deductible + 20%
co-insurance
$125 Copayment
Inpatient Hospitalization
$350 Deductible + 20%
co-insurance
$300 copayment
$3500 per person
$7000 per family
$2500 per person
$5000 per family
Wellness Testing
Medical Co-insurance
Out-of-Pocket Limits
Prescription Drug Coverage
Prescription drugs are the same for the High Premium
and Low Premium programs
Claims Administrator: CatalystRx, (877) 629-3123,
www. Catalystrx.com
Employee ID card is valid for all eligible dependents.
Drugs can be filled at retail pharmacies (30-day supply) or through mail order program (90-day supply)
Sample network pharmacies include: CVS, Wal-Mart, Giant, Kroger, Eckerd, and most local independent stores
See the Medical Schedule of Benefits for detailed information on prescription drugs
Tier
Type of Drug
Retail Co-pay (Up Mail Order Co-pay
to a 30-day
(up to 90-day
supply)
supply)
Tier 1
Most Generic Drugs
$6
$14
Tier 2
Brand name drugs
on the preferred list
Deductible and
20% co-insurance
$24 minimum
$100 maximum
20% co-insurance
$56 minimum
$300 maximum
Tier 3
Mostly brand name
drugs not on the
preferred list
Deductible and
20% co-insurance
$48 minimum
$100 maximum
20% co-insurance
$112 minimum
$300 maximum
Tier 4Specialty
Drugs
30-day supply thru
Walgreens Specialty
Pharmacy or UVa
Barringer Outpatient
Pharmacy
N/A
20% co-insurance
$50 minimum
$100 maximum
There is a 5th tier of prescription drugs
which may provide discounts on
otherwise uncovered medications
These may include:
Non-sedating antihistamines
Vitamins
Diet pills
Nicotine gum
Travel-related drugs
Cosmetic drugs
Infertility medication
Dental Coverage
Dental insurance is the same for the High Premium
and Low Premium health insurance programs
Claims Administrator: United Concordia, (866) 2152354, http://www.ucci.com/tuctcc/clients.jsp?id=13
Dental ID cards will be mailed to the employee for
each covered life
Dental Coverage
Maximum annual benefit: $1,500 per covered life
Type A, Preventative: 100%
Type B, Restorative: 80%
Type C, Complex Restorative: 50%
Orthodontia: $1000 lifetime
$50 annual deductible
See the Dental Schedule of Benefits for detailed
information
Discount Vision Program
Discount vision program is the same for the High
Premium and Low Premium programs
Program Administrator: EyeBenefits, (800) 621-7900,
www.eyebenefits.com
2 ID cards will be mailed to the employee
household
All family members living in your household are
eligible for membership benefits
Discount Vision Program
No claims to file: Present your vision card at the time
of service and receive a discount for the service
provided
Exams 5% to 20% off
Frames 20% to 50% off
Lenses 20% to 25% off
CRT 15% to 25% off
LASIK 15% to 25% off
Online Contact Lenses: Close to Wholesale Pricing
Davis Vision Insurance
Fully-insured, employee paid vision insurance program
includes:
Eye examination
Spectacle lenses and frames
Contact lenses
Monthly Premiums for Services
Employee
$5.66
Employee plus child
$9.91
Employee plus spouse
$10.20
Family
$15.86
Davis Vision Insurance
Davis Vision is actively recruiting vision providers in
the Charlottesville/Albemarle area. Check their
website at www.davisvision.com for the most current
provider information (UVA ‘Control Code’ 4680).
Enrollment in the Davis Vision plan is separate from
the UVA Health Plan.
Virginia Retirement System
Defined Benefit plan
Monthly benefit at retirement based on years of
service, age, and highest average annual salary
paid during 60 consecutive months
Plan Administrator: Virginia Retirement System, (888)
827-3847, www.varetire.org
Employees contribute the 5 percent member
contribution on a pre-tax salary reduction basis.
Virginia Retirement System: Features
Provides retirement benefits as early as age 60 with at
least 5 years of service
Full, unreduced benefit available at normal Social
Security retirement age with at least 5 years of service
credit or when age and service equal 90 (e.g. age 60
with 30 years of service credit). Plan 2
Fully vested in the Plan after 5 years of service
See the Virginia Retirement System Member
Handbook for detailed information at www.varetire.org
VRS Life Insurance
Coverage level: 2 times your annual salary
Employer paid, no employee cost
Policy underwritten by: Minnesota Life, (800) 4412258, www.varetire.org
VRS Life Insurance: Optional Coverage
Option
1
2
3
4
Optional Insurance Amounts
Employee Spouse
Child(ren)
1x Salary .5 x Salary $10,000
2x Salary 1x Salary $10,000
3x Salary 1.5x Salary $20,000
4x Salary 2x Salary $30,000
See the Optional Group Life booklet for detailed information
VSDP – Overview
Sick Leave
Family and Personal Leave
Short Term Disability
Long Term Disability
Long Term Care Insurance
See the VSDP handbook for detailed information at
www.varetire.org
VSDP – Sick Leave
First year of employment: Based on status and first date of
employment
Employment
Begin Date
Full-Time
Hours of Sick
Leave
Part-Time Hours
Of Sick Leave
Pay period that includes
Jan. 1-Jul. 9
64
32
July 10 –Last day of pay period
prior to pay period that includes
Jan.1
40
20
Subsequent years: 32-80 hours of sick leave credited each January
10 based on your service and employment status
Unused sick leave may not be carried forward from one calendar
year to the next, nor will you be paid for any unused sick leave
when you terminate
VSDP – Family and Personal Leave
First year of employment: Based on first date of employment
Employment Begin Date
Family and Personal Leave
Hours
Jan. 10 – July 9
32
July 10 – Jan. 9
16
Subsequent years: 32 hours of family leave credited each January 10
Unused family and personal leave may not be carried forward from
one calendar year to the next, nor will you be paid for any unused
family and personal leave when you terminate
VSDP – Short Term Disability (STD)
Eligible after one year of continuous employment
Income replacement benefit for the first 5 years is 60%
of pre-disability income
Plan Administrator: Unum, (800) 652-5602
Authorizations must be obtained from Unum in
order to get income replaced
VSDP – Long Term Disability (LTD)
Provides income replacement if you are unable to
return to work after 180 calendar days of STD
60% of your pre-disability income
80% of your pre-disability income for catastrophic
conditions
Return to your pre-disability position is not guaranteed
after you begin LTD
VSDP – Long Term Care Insurance (LTC)
Long term care (LTC) provides a $96 basic daily
benefit
Plan Administrator: VRS, (888) 827-3847
www.varetire.org
Additional coverage, including coverage for spouse,
parents and in-laws, is available by contacting
Genworth, (866) 859-6060
http://www.genworth.com/cov
Optional Retirement Plan (ORP)
Defined Contribution plan
Employees hired 7/1/10 or after contribute the 5 percent member
contribution on a pre-tax salary basis.
These employees also receive a fixed employer-paid contribution at
a rate currently set at 8.9 per cent; grandfathered employees receive
an employer contribution of 10.4%
You direct the investment of your account and retirement benefits
are based on market value of your account at the time of your
retirement.
Immediately 100% vested. Investment options are available through
Fidelity Investments, or TIAA-CREF
Enrollment in ORP also means participation in the Standard Group Term
Life Insurance, Long-Term Disability Insurance, and optional Personal
Accident Insurance.
Life Insurance – ORP
The Standard Group Term Life Insurance
Coverage level: $75,000 of coverage for each participant
until age 65 when coverage reduces by 35 % and at age 70
reduces by 50%.
Participants may purchase supplemental insurance based on a
multiple of salary (1 to 4 times salary) up to the maximum
benefit of $1,000,000.
Additional coverage is also available for spouse (maximum
benefit of $100,000) and/or dependents (maximum benefit of
$10,000).
Upon retirement, ORP members receive $10,000 of life
insurance.
ORP Personal Accident Insurance
If you elect the ORP, optional Personal Accident Insurance is available
Additional coverage is available for employee or employee plus family
Long Term Care Insurance (LTC)
Coverage, including coverage for spouse, parents and in-laws, is
available by contacting Genworth, (866) 859-6060
http://www.genworth.com/cov
ORP – Short-Term Disability Leave
Short-term disability is generally described as a type of "sick"
leave for absences of more than five days, including maternity
leave.
Faculty employees will retain the 100% salary continuation
for the approved leave period with no waiting period.
Eligible for 6 months
To initiate a claim call The Standard’s Disability Claim
Reporting Service at 800-378-2395
ORP - Long-Term Disability
The Standard Group Long-Term Disability Program
66 2/3% income replacement when unable to perform
own occupation (2 years) or any occupation (until
Normal Social Security Retirement Age (1/1/12) after a
six-month waiting period.
During the waiting period, members will continue to
receive 100% of income.
During disability, Standard will provide contributions to
your retirement account on your behalf.
403(b): Features
You choose:
How much money to invest
A vendor:
Fidelity, (800) 343-0860, www.fidelity.com
TIAA-CREF (800) 842-2776, www.tiaa-cref.org
Contributions can be made to both vendors
Funds
Fund information can be obtained from the Benefits
Office, the vendor website or by calling the vendor
directly
457 Plan: Features
Investment vendor: ING, (877) 327-5261,
www.varetire.org
You choose:
How much money to invest
Funds
Fund information can be obtained by calling
ING or visiting the website: www.varetire.org
Flexible Spending Accounts - (FSA)
Pre-tax deductions, up to $5,000 per calendar year for
each plan, can be used to reimburse you for healthcare
and dependent care expenses
Each pay period, money will be deducted in a pre-tax
basis in equal increments and contributed to your
health and/or dependent care spending account
All monies in your account at the end of the plan
year’s grace period will be forfeited
Plan Administrator: Chard Snyder, (800) 982-7715,
www.chard-snyder.com
Flexible Spending Accounts - (FSA)
All members will receive a pre-paid benefits debit card
that will provide an automatic way to pay for qualified
expenses. It is still important to keep ALL receipts.
Claim forms (if needed) as well as account balance,
reimbursement and plan information are available on
Chard Snyder’s website
There is a $2.75 per month administration fee deducted
from your paycheck
Paper claims must be direct deposited into your bank
account
Each year you must re-enroll during Open Enrollment
Flexible Spending Accounts – Dependent Care FSA
Minimum: $240, Maximum: Depends on tax status
Used for children under 13 who qualify as dependents
on your federal tax return
Can be used for:
Before & after school programs
Nursery school, preschool, in-home care
Summer camp (not overnight)
Adult daycare
Flexible Spending Accounts – Dependent Care FSA
Can not be used for:
Child support payments
Educational supplies or activity fees
Private school tuition (after preschool)
Overnight camps
Funds for dependent care are available only after the
money has been deducted from your paycheck and you
have incurred the dependent care expense
Flexible Spending Accounts – Health Care FSA
Minimum: $240, Maximum:$5000
Will reimburse you for a variety of healthcare
expenses not reimbursed by the healthcare plan
See Chard-Snyder website for eligible and
ineligible expenses
All funds for healthcare expenses are available after
your first payroll deduction
Backup Care Options
All employees eligible for 10 days of care per calendar
year for self, children or family members
Co-pay applies when care is used:
-
Center based care:
$15/day per child
In-Home care:
$30/day – up to 3 dependents
You can pre-register at
http://backup.brighthorizons.com
Bright Horizons– 877-242-2737
Education Benefits
Full and Part-time employees with one year of
benefits-eligible service are eligible for centrallyfunded benefit up to $2,000 per year
Education benefits may be used for academic degrees
or courses at UVA and other accredited institutions,
and non-credit courses, certificates and licenses at
UVA and other education providers