Benefits & New Hire Enrollment
Presented by:
NEO Human Resources Department
• Retirement
• Norse Pride
• Annual Leave/Vacation/Sick Time
• BCBS Health Plans
• Flexible Spending Accounts
• Premium Rates
• Dental Insurance
• Vision Insurance
• Life Insurance
• Long-Term Disability
• Enrollment Forms
• American Fidelity Supplemental Plans
• Faculty & Staff are eligible to participate in
Oklahoma Teachers Retirement (OTRS) provided you are a full-time employee.
• After 5 years a retiree becomes vested under
OTRS.
• Retirement under OTRS at age 62 with 5 years of service or when age plus service equals 80 or 90.
• Retirees should get estimate from OTRS at least
90-120 days prior to retirement.
NORSE PRIDE
“Keeping the Tradition Alive”
Should you wish to support a specific NEO department on campus, athletic program, etc you may elect to have a specific amount withheld from your paycheck on a recurring basis. The authorization for payroll deduction form may be obtained in the Human
Resources office.
Up through 5
6 through 10
11 or more
Up through 5
6 through 10
11 or more
Up through 5
6 through 10
11 or more
Up through 5
6 through 10
11 or more
Administrative & Faculty Vacation
****ADMINISTRATIVE & FACULTY VACATION****
40 hr. Work Week Monthly Accumulation
10 HOURS
13.36 HOURS
14.64 HOURS
****EMPLOYEE (STAFF) VACATION****
12 MONTHS' EMPLOYMENT
40 hr. Work Week Monthly Accumulation
6.667 HOURS
8 HOURS
10 HOURS
11 MONTHS' EMPLOYMENT
40 hr. Work Week Monthly Accumulation
6.667 HOURS
8 HOURS
10 HOURS
10 MONTHS' EMPLOYMENT
40 hr. Work Week Monthly Accumulation
5.81 HOURS
7.0 HOURS
8.75 HOURS
9 MONTHS' EMPLOYMENT
40 hr. Work Week Monthly Accumulation
6.667 HOURS
8 HOURS
10 HOURS
Maximum Vacation Accumulation
240 HOURS
320 HOURS
352 HOURS
Maximum Vacation Accumulation
160 HOURS
192 HOURS
240 HOURS
146.67 HOURS
176 HOURS
220 HOURS
116 HOURS
140 HOURS
175 HOURS
120 HOURS
144 HOURS
180 HOURS
Up through 5
6 through 10
11 or more
****FACULTY & STAFF SICK LEAVE****
****ADMINISTRATIVE & FACULTY SICK LEAVE****
40.0 HOURS PER WEEK = 14.0 HOURS PER MONTH
****PROFESSIONAL, CLASSIFIED, AND HOURLY ACCRUE SICK LEAVE AT****
40.0 HOURS PER WEEK = 8.0 HOURS PER MONTH
BlueCross BlueShield
Health Insurance
• Employee Eligibility:
6-Month Regular Appointment at least 75%
FTE
• Health Benefits:
Employee Only Coverage
Employee/Spouse Coverage
Employee/Child(ren) Coverage
Family Coverage
• Dependent Coverage:
Coverage to age 26
• BlueOptions
Features two Network Options
• Network
Group of Providers who agreed to discount charges
• Deductible for Calendar Year
Amount you pay before benefits are paid by Plan
• Co-insurance
Amount you pay after the deductible is met
• Annual Maximum Out-of-Pocket
Maximum amount you pay each calendar year before the Plan pays 100%
• Portability
Continuous coverage with another major medical plan (no more than a 63-day break)
Pre-existing condition exclusion is waived
• Pre-existing Condition Exclusion
Treated, diagnosed, or medication prescribed six months prior to beginning coverage, BCBS excludes those conditions 12 months from initial enrollment
BlueOptions
Health Insurance Plan
Network Information
• Network Options
BluePreferred Network
BlueChoice Network
• Provider Listings www.bcbsok.com/osu
Call: 877-258-6781
• BlueOptions PPO Discounts
Use any BluePreferred or BlueChoice Provider Freedom to go out-of-network
• $30 PCP/$50.00 Specialist office visit co-pay, innetwork
• $750 individual, $2,250 family deductible
• 80/20 co-insurance BluePreferred Network
• 70/30 co-insurance BlueChoice Network
• $3,000 per person out-of-pocket max, after deductible, $3,500.00 per person, non-network.
• No lifetime maximum on health benefits
• Receive a $250 credit towards BlueOptions deductible each year by completing assessment.
• Complete your Health Risk Assessment (HRA)
– Take before any claims are incurred
– Input information into BlueAccess for Members
• Available to employee and spouse, if covered
• Received a $250 credit towards BlueOptions deductible each year by completing HRA.
• Available to employee, spouse and dependents, if covered
• Enroll in Special Beginnings Maternity Program
– Call BlueCross BlueShield to enroll
– Enroll within first trimester
• Generics $4
• $50 name Brand Drugs
• $100 Non-Preferred
• $150 Triessent Specialty
• $200 Non-Triessent Specialty
• 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
• BlueAccess for Members-www.bcbsok.com/osu
– Personal Health Manager
– Immediate access to healthcare information
– Easy to use tools
– Take health risk assessments
– Set Doctor appointment reminders
– Check status of claims
– Obtain estimated costs for various medical procedures
– 24/7 Nurseline
• Insurance ID Cards
– Receive in 4-6 weeks
– Mailed to home address
– Print temporary cards at www.bcbsok.com/osu
– Important phone numbers on card
• BCBS Member Services
• Pre-certification
• Keep in your wallet for proof of insurance
• OSU BlueCross BlueShield Team
– 877-258-6781
• www.bcbsok.com/osu
• Need Additional Help
- Contact the HR Department
• Please refer to your new hire materials received upon hire or contact the Human
Resources Office for current health premiums.
Flexible Spending and Dependent
Care Accounts
Flexible Spending & Dependent Care
Accounts
• Healthcare FSA
– Out-of-pocket medical expenses, prescription drugs, deductibles, copayments, dental, and vision for you and your eligible dependents
– Pre-funded
– Minimum Annual Goal of $300.00 up to $2,500 Current Max per IRS
Regulations
(Refer to IRS for updated max)
• Dependent Care FSA
– Daycare expenses for children under 13
– Not pre-funded
– Maximum of $5,000 per tax year for reimbursement of dependent care expenses ($2,500 if you are married and file a separate return –
Per IRS Regulations – Refer to IRS for updated max)
OMES: EGID - OSEEGIB
Dental and Vision Eligibility
State Insurance Board 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
OMES: EGID - OSEEGIB
Dental Insurance
• Dental Plans
– HealthChoice
(Has the most providers)
– Assurance Freedom Preferred
– Assurant Heritage Plus with SBA (Prepaid)
– Assurant Heritage Secure (Prepaid)
– CIGNA Dental Care Plan (Prepaid)
– Delta Dental PPO
– Delta Dental Premier
– Delta Dental PPO Choice
Provider listings at sib.ok.gov
-
–
• Dental Coverage
– HealthChoice
• Has the most providers
• $2,000 Calendar Calendar Year Maximum
• No Lifetime Maximum for Orthodontia
– Pays 50%
– 12 month waiting if not covered by another group dental plan prior to enrolling
Dental Plans Cover
Two cleanings and a set of X-rays per year
Check your Employee Benefit Options Guide or Online
• Refer to current rate guide for most up-todate premiums. The rate guide can be found on the web http://www.ok.gov/sib/Member/Handbooks/index.html
• Remember
– Current Premiums in Option Guide
– Cover yourself to cover dependents
– Cover one dependent, cover all dependents
OMES: EGID (OSEEGIB) Vision
Insurance
• Vision Plans
– Vision Service Plan (VSP)
– Primary Vision Care Services
– Superior Vision Plan
– United Healthcare Vision
– Humana/Comp Benefits Vision Care Plan
– Primary Vision Care
• 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, no co-pay o Mail order available
» Check your Employee Benefit Options Guide for further details and updated info.
Vision Service Plan Premiums (VSP)
• Please contact the Personnel Office should you need a copy of the current monthly premiums for VSP or any other Vision plans.
• NEO Employee Coverage
– Provided by ING Employee Benefits/Reliastar
• NEO pays the monthly life premium as a benefit up to 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
• NEO Employee Coverage
– Provided by ING Employee Benefits/Reliastar
– Opportunity to purchase up to two-times annualized salary
• 5,000 increments
• 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 NEO you may keep your Supplemental Life. However premiums would be paid by the employee and premiums are not tax sheltered.
ING Employee Benefits Supplemental Life
• Voluntary enrollment
– Employee
– Spouse
– Dependent(s)
• Premiums paid by employee
• Premiums not tax sheltered
ING Employee Benefits Supplemental Life
• New Employee Enrollment
– Spouse guaranteed issue within first 30 days of hire
– Opportunity to purchase up to one-times employee annualized salary
• $5,000 increments
• 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 NEO employee
Premiums are paid be employee – Premiums are not tax sheltered
ING Employee Spouse Supplemental Rates
Age as of December 31
Under 25
25-29
30-34
35-39
40-44
45-49
50-54
55-59
60-64
65-69
70+
Monthly Rate per $5,000
0.25
0.30
0.40
0.45
0.50
0.85
1.60
2.60
3.90
7.25
12.00
Coverage Units
$2,500
$5,000
$7,500
$10,000
Cost per Month
$0.45
$0.90
$1.35
$1.80
If you and your spouse are employed by NEO, only one parent can cover child(ren)
• Primary Beneficiary
– First in line
– Share equally
– Person/Corporation/Charitable Institution
• Contingent
– Collect in Primary Predeceases
• Keep Beneficiary Information Current
• Contact NEO Human Resources to Update
American Fidelity Assurance (AFA)
Long-Term Disability
• Long-Term Disability
– Salary Protection Program
– 30 days to enroll
– NEO pays premium 100%
– Pre-existing condition clause
• LTD Process
– First 180 days, Elimination
– Next 6 months, Own Occupation
– After 12 months, Any Occupation
» See your AFA LTD Certificate for more details
Example for 60% LTD Cost paid by NEO:
$29,000/12=$2,417/100=$24.17 x .49 = $12.56 per month
• Your Plan Pays A Monthly Disability Benefit
– 60% of you Monthly Compensation not to exceed:
(1) a maximum Monthly Disability Benefit of
$3,600.00; (b) a maximum covered Monthly
Compensation of $6,000.00; and (3) the amount for which premium is being paid. If applicable, your Disability Benefit will be reduced by
Deductible Sources of Income.
• Less Income From Other Sources
– AFA will ask you to apply for:
• Social Security Disability
• Oklahoma Teachers’ Retirement Disability
• Workers’ Compensation
• Unemployment Compensation
• AFA will calculate your salary guarantee
Example of 60% LTD pay out:
AFA salary guarantee:
SS = $600.00
OTR = $950.00
____________________
$1,550.00
AFA will pay $100 minimum benefit
American Fidelity Assurance (AFA)
*Cancer Protection*
*Accident Only Insurance Plan*
*AF Term Life Insurance*
*Short Term Disability*
*AF Critical Choice*
• 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:
Diane Czachowski
800-365-2782 ext. 405
• Screening & Follow-up Benefits
• Treatment & Procedures Benefits
• Facilities & Equipment Benefits
• Care & Consultation Benefits
• Transportation & Lodging Benefits
• Additional Benefits
• Provides one-time cash payment when suffering a covered accident diagnosed by a physician.
– Basic Plan
– Enhanced Plan
• Accident Benefit Enhancement Rider
• Hospital ER Treatment Benefit
• Accident Follow-up Treatment Benefit
• Medical Imaging Benefit
• Hospital Confinement Benefits
• Wellness Benefit
• Ambulance Benefit
• Transportation Benefit
• Family Member Lodging & meals Benefit
• Appliances Benefit
• Blood, Plasma and Platelets Benefit
• Burns Benefit
• Skin Graft Benefit
• Dislocations Benefit
• Exploratory Surgery Without Surgical Repair Benefit
• Eye Injury Benefit
• Fractures Benefit
• Internal Injuries Benefit
• Physical Therapy Benefit
• Prosthesis Benefit
• Ruptured Disc or Torn Knee Cartilage Benefit
• Tendons, Ligaments and Rotator Cuff Benefit
• Emergency Dental Work Benefit
• Paralysis Benefit
• Concussion Benefit Benefit
Opportunities for Enrollment Changes
• Open Enrollment held October 1 st – 31 st
• Opportunity to make changes to benefits
• E-mail notifications, posters and announcements on campus
• Changes effective January 1
– Plan year January 1-December 31
• 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 the Human Resources Office for instructions
• Please feel free to contact the Benefit Provider directly
• If you need assistance, please don’t hesitate to contact the Human Resources Department