Welcome to Oklahoma State University

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Welcome to
Oklahoma State University
Benefits Enrollment
Presented by:
OSU Benefits
405-744-5449
Topics
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Retirement Plans
BCBS Health Plans
Premium Rates
Flexible Spending Accounts
Health Savings Accounts
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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
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$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
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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:
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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)
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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
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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:
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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:
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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
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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
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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!
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