Welcome to Oklahoma State University Benefits Enrollment Presented by: OSU Benefits 405-744-5449 Topics • • • • • Retirement Plans BCBS Health Plans Premium Rates Flexible Spending Accounts Health Savings Accounts • • • • • Dental Insurance Vision Insurance Life Insurance Long-Term Disability Enrollment Forms OSU Retirement Program • Oklahoma Teachers’ Retirement System • Alternate Retirement Plan (ARP), TIAA-CREF • Irrevocable retirement plan election Retirement Presentation OSU Retirement Program Voluntary Retirement Options 1. 403(b) Tax Deferred Annuity and 457(b) Tax Deferred Annuity •before tax contributions •reduces taxable income 2. 403(b) Roth • after tax contribution • based on today’s taxes QUESTIONS? BlueCross BlueShield of Oklahoma BlueOptions BlueOptions • • • • • $30 PCP/$50 Specialist office visit co-pay, in-network $750 individual, $2,250 family deductible 80/20 co-insurance BluePreferred Network 70/30 co-insurance BlueChoice Network $4,250 per person out-of-pocket max, $4,750 per person, non-network; $12,700 family out-of pocket max • Co-payments and deductible apply to out-of-pocket max No lifetime maximum on health benefits BlueOptions • Enroll in Special Beginnings Maternity Program Call BlueCross BlueShield to enroll Enroll within first trimester • Receive a $250 credit towards BlueOptions deductible • Available to employee, spouse and dependents, if covered BlueOptions • Diabetes Management Program – BlueOptions members receive reduction in pharmacy cost • Preferred name brand copays reduced to $10.00 for one month supply – Enrollment required(call BCBS directly) to receive pharmacy benefit • Coronary Artery Disease Condition Management Program – BlueOptions members receive reduction in pharmacy cost • Preferred name brand copays reduced to $10.00 for one month supply – Enrollment required(call BCBS directly) to receive pharmacy benefit Pharmacy Coverage BlueOptions Pharmacy Coverage • • • • • Generics $4 $50 Preferred Name Brand Drugs $100 Non-Preferred $150.00 Prime Specialty $200 Non-Prime Specialty Pharmacy Extras • No lifetime maximum for Pharmacy coverage • Pharmacy and medication lists are available at www.bcbsok.com/osu or call 877-258-6781 • Mail order available • BlueCard access available BlueEdge High Deductible with Health Savings Account (HSA) BlueEdge HDHP • No office visit co-pay; you pay 100% of allowable until deductible is met • $1,500 individual deductible or $3,000 family (one or more) deductible • 80/20 co-insurance • $4,000 individual, $8,000 family out-of-pocket max, deductible included • BlueChoice network of Providers No lifetime maximum on health benefits BlueEdge HDHP • Generic is the Preferred Medication Medications are subject to calendar year deductible, co-insurance and out-of-pocket max Member pays full allowable until deductible is met BCBS will process claim according to deductible, co-insurance, and out-of-pocket max 80/20 co-insurance after deductible is met Catapult Health Screening • Employees can receive a one-time $50 cash incentive for completing a Catapult Health Screening • Register online www.timeconfirm.com/okstate or call 877-803-2447. • Available to employees enrolled in either of the OSU BlueCross BlueShield health plans BlueCross BlueShield Information BlueAccess for Members (BAM) • BlueAccess for Members - ww.bcbsok.com/osu Immediate access to healthcare information View and print an Explanation of Benefits (EOB) statement Obtain estimated costs for various medical procedures 24/7 Nurseline Request a new or replacement member ID card BCBS Well onTarget • Well onTarget can be accessed through your BlueAccess for Members - ww.bcbsok.com/osu • The Liveon Member Wellness Portal is a gateway to a suite of innovative programs: – – – – – – onmywayTM Health Assessment onmytime Self-directed Online Courses Member Dashboard Targeted Wellness Content & Resources Tools and Trackers Life Points Reward Program BCBS Information • Receive Insurance ID Cards 4-6 Weeks Mailed to home address Print temporary cards from BAM • OSU BlueCross BlueShield Team 877-BLU-OSU1 (877-258-6781) www.bcbsok.com/osu • Need Additional Help Contact OSU Benefits Office (405) 744-5449 Flexible Spending and Dependent Care Accounts Flexible Spending Accounts • Health FSA Pre-tax contributions Out-of-pocket medical expenses, prescription drugs, deductibles, co-payments, dental, and vision for you and your eligible dependents Pre-funded $2,550 annual maximum Use it or lose it plan Minimum Annual Goal $120 Dependent Care Spending Account • DCA is separate from health FSA • Pre-tax contributions • Eligible Children under the age of 13 • Before and after school care is acceptable • $5000 annual maximum – $2500 per parent if both are contributing • Not pre-funded Health Savings Account (HSA) available for BlueEdge only Health Savings Account • Health Savings Accounts (HSA) – – – – – – – – – Account administered by BenefitWallet Pre-tax contributions Not pre-funded $3,350 annual individual maximum $6,650 annual family maximum $1,000 catch up for age 55 and over Use for qualified out-of-pocket medical expenses Keep receipts or statements Not a use it or lose it plan • Funds available at the end of the Plan Year roll over • Minimum Annual Goal $120 www.mybenefitwallet.com Opening Health Savings Account • • • • • www.mybenefitwallet.com Register as “first time user” Welcome letter sent to home address Debit card/checkbook mailed separately Failure to open could result in Employer forfeitures Healthcare Premiums HealthCare Premium Chart Employee Only Employee/ Spouse Employee/ Child(ren) Employee Monthly Employee Monthly Employee Monthly Cost Cost Cost BlueOptions $40.00 BlueEdge HSA *$(80.46) **$20.00 Waive *$ (41.67) Family Employee Monthly Cost $389.14 $287.20 $505.66 $137.60 $105.16 $174.42 Money goes to a health FSA **BlueEdge HSA will incur a $20 premium for Employee-Only and $80.46 will be placed in a Health Savings Account Waiving OSU Health Insurance • Request and complete additional waiver form • Provide copy of health insurance verification • Due to federal regulations, individuals with Medicare will not receive the incentive • Must re-certify waiver each year during annual enrollment HealthCare Premium Incentive • Certify that you are tobacco free: – You have never used tobacco products or have not used tobacco products within the past 90 days; or – You have completed a tobacco-cessation program • And receive a monthly $20 credit towards your HealthCare Premium Lets Take A Break! EGID Dental and Vision Eligibility EGID - Dental and Vision Insurance • Dependent Coverage Member must be covered before dependents are covered Dependents enrolled in same plan as member Cover dependents until age 26 • Spouse Exclusion Dental coverage only Vision coverage requires spouse to have other group coverage Signature is required on enrollment form Cover One – Cover All Dental Plan Options • Health Choice – Provider listings at www.ok.gov/sib/ • Delta Dental PPO • Delta Dental Premier • Delta Dental PPO – Choice – Provider listings for all Delta plans at www.deltadentalok.org/client/ok/ Dental Coverage • HealthChoice $2,500 Calendar Year Maximum No Lifetime Maximum for Orthodontia o Pays 50% o 12 month waiting period Dental Plans Cover o Two cleanings and a set of X-rays per year Check your Employee Benefit Options Guide HealthChoice Dental Premiums 2015 Employee Only $32.00 Employee/Spouse $64.00 Employee/Child $59.40 Employee/Children $100.20 Employee/Spouse/Child $91.40 Family $132.20 Remember Premiums in Option Guide Cover yourself to cover dependents Cover one dependent, cover all dependents Vision Coverage • Vision Service Plan (VSP) Has the most providers No ID Card • Calendar Year Benefits Include Exam, $10 co-pay Prescription glasses, $25 co-pay o Lenses and/or frames covered up to $120 each year o 20% discount on remaining balance Contact lens covered up to $120 each year o Mail order available • Check your Employee Benefit Options Guide Vision Service Plan Premiums 2015 Employee Only $9.50 Employee/Spouse $15.86 Employee/Child $15.62 Employee/Children $23.22 Employee/Spouse/Child $21.98 Family $29.58 Remember Premiums in Option Guide Cover yourself to cover dependents Cover one dependent, cover all dependents Spouse can’t be excluded unless other group vision coverage QUESTIONS? Life Insurance Voya Employee Benefits • OSU Employee Coverage Provided by Voya Employee Benefits/Reliastar • OSU pays two times your annualized salary With $200,000 maximum Benefits reduce at age 65 • Accidental Death and Dismemberment Safe Driver Benefit - 10% Safe Driver Benefit with Airbags – 15% Updated each December 31 Voya Employee Benefits Supplemental Life • Voluntary enrollment Employee Spouse Dependent(s) • Premiums paid by employee • Premiums not tax sheltered Voya Employee Benefits Supplemental Life • New Employee Enrollment Guaranteed issue within first 30 days of hire Opportunity to purchase up to two-times annualized salary o $5,000 increments o Not to exceed $250,000 • With Proof of Good Health Employee may increase up to five times annualized salary, not to exceed $750,000 • Portability If you leave OSU you may keep your Supplemental Life Premiums paid by employee - Premiums not tax sheltered Voya Employee Benefits Spouse Supplemental Life • New Employee Enrollment Spouse guaranteed issue within first 30 days of hire Opportunity to purchase up to one-times employee annualized salary o $5,000 increments o Not to exceed $125,000 • With Proof of Good Health Employee may increase spouse life, not to exceed 50% of employees combined amounts, up to $375,000 • Cannot cover spouse if spouse is an OSU employee Premiums paid by employee - Premiums not tax sheltered Voya Supplemental Rates Age as of Dec 31 Monthly Rate per $5,000 Under 25 .25 25-29 .30 30-34 .40 35-39 .45 40-44 .50 45-49 .85 50-54 1.60 55-59 2.60 60-64 3.90 65-69 7.25 70+ 12.00 Voya Child(ren) Supplemental Rates Coverage Units Cost per Month $ 2,500 $0.45 $ 5,000 $0.90 $ 7,500 $1.35 $10,000 $1.80 If you and your spouse are employed by OSU, only one parent can cover child(ren) Beneficiaries • Primary Beneficiary First in line Share equally Person/Corporation/Charitable Institution • Contingent Collect if Primary Predeceases • Keep Beneficiary Information Current Contact OSU Benefits Office to update Premiums paid by employee - Premiums not tax deferred American Fidelity Assurance (AFA) Long-Term Disability Long-Term Disability • Salary Protection Program • 30 days to enroll • Pre-existing condition clause – Must be insured for 12 months or longer • Non occupational policy – Workers’ Compensation claims are excluded • Receive OSU benefits – For first 2 years of disability – Must continue to prove disability Long-Term Disability Coverage Options & Costs 50% @ $.26/$100 of covered monthly salary. o$50,000 additional Accidental Life Insurance o$6,000 maximum monthly benefit 60% @ $.62/$100 of covered monthly salary. o$6,000 maximum monthly benefit Annual Salary X Rate Factor = $__________ 0.0026 (50%) 0.0062 (60%) Annual Premium ÷ Pay Period = Premium/pay period $___________ 26 (bi-weekly) 12 (monthly) $___________ Employee pays premium, not tax sheltered Long-Term Disability • OSU LTD Process Elimination Period, first 180 days o Use sick and annual leave if available o May qualify for supplemental pay based on coverage o Benefits continue Next 6 months, if approved o AFA begins paying based on policy After 2 years, on disability o AFA continues to prove disability from any occupation o OSU separates or retires you based on your status at onset Long-Term Disability • Less Income From Other Sources AFA will ask you to apply for: o Social Security Disability o Oklahoma Teachers’ Retirement Disability o Unemployment Compensation AFA will calculate your salary guarantee Example of 60% LTD pay out: AFA salary guarantee: $1,400.00 SS = $600.00 $1,550.00 OTR = $950.00 -$ 150.00 $1550.00 AFA will pay $100 minimum benefit Long-Term Disability • Health Care, Dental, Vision, and Voluntary Coverage Premium cost remain the same as if active employee Premiums are billed to the Bursar First 2 years • Voya Life Premium If disabled before age 60, can apply for waiver • Monthly Retirement Benefit OSU retirement program 7% of base pay per month Long-Term Disability Monthly Monthly Monthly Retirement Income Cost Contribution LTD Coverage Hourly Wage Monthly Salary Annual Salary 50% $11.54 $2,000 $24,000 $5.20 $1,000 $70 60% $11.54 $2,000 $24,000 $12.40 $1,200 $84 See your AFA LTD Certificate and OSU LTD Policy for more details American Fidelity Assurance (AFA) Cancer Protection Cancer Protection • Offers financial help for out-of-pocket expenses Annual Screenings Travel and Lodging Loss of income Child care expenses • Limitations, exclusions, and waiting periods apply • Employee pays premiums • Answer medical questions One-on-one appointment contact: Kacey Boothe (405) 416-8810 ext. 8813 Wellness Services Include: • • • • • • Access to 3 workout facilities Colvin Recreation Center, Seretean Wellness Center, Atherton Fitness Room More than 160 group fitness classes per week at: Colvin Rec Center, Seretean Wellness Center, and Student Union Monthly Wellness Wednesday Luncheons Nutrition Education Classes Intramural Sports Sponsored Programs Services available for a reasonable fee include: • • • • • • Massage Therapy Personal Training (Individual and Small Group) Cowboy Cooking School Nutrition Counseling Outdoor Adventure Pilates Reformer Sessions (Private and Semi-Private) Benefits-eligible OSU-Stillwater employees receive many wellness services in their benefits package. OSU Wellness •Employee Assistance Program –24/7 Telephonic Support: 855.850.2397 –24/7 Website Support: guidanceresources.com; ID Code: OKSTATEEAP •Confidential Counseling –for marital, relationship and family –stress, anxiety and depression –grief and loss, job pressures and substance abuse •Work-Life Solutions –ComPsych will do the research for you •child care, moving, home repair, buying a car, buying or selling a home •Legal Support –On-staff licensed attorneys about legal concerns •divorce, custody, adoption, real estate, debt and bankruptcy. Opportunities for Enrollment Changes Annual Benefit Enrollment Period • • • • Opportunity to make changes to benefits Email notifications News You Can Use notifications Changes effective January 1 Plan year January 1-December 31 Mid-Year Changes • Qualifying Event Examples Marriage, Divorce Birth, Adoption Child reaching age 26 Custody Judgment Gain or loss of other group coverage • Must be made within 30 days of the event If not within 30 days, must wait for Annual Enrollment • Contact OSU Benefits Office for instructions Things to Remember When Completing Enrollment Forms • • • • • You have 30 days from your hire date to submit Submit documentation of dependent eligibility Exclusion certification signature Sign and date forms Submit to OSU Benefits Office Enrollment Forms Thank you for attending!