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Tulane’s Wave of Benefits. AGENDA. Eligibility Health Plan Dental Plan Life & Disability Insurance Flexible Spending Retirement Employees Assistance Program (EAP) Tuition Waiver. Eligibility. Who is eligible Regular Full-Time or Regular Part-Time with Benefits
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Tulane’s Wave of Benefits
AGENDA • Eligibility • Health Plan • Dental Plan • Life & Disability Insurance • Flexible Spending • Retirement • Employees Assistance Program (EAP) • Tuition Waiver
Eligibility • Who is eligible • Regular Full-Time or • Regular Part-Time with Benefits • Spouse (same sex domestic partner) • Unmarried dependent children, under 21 years of age or under 25 if a full time student or a disabled child. • Child is defined as the natural or adopted child, stepchild, foster child, or child whom the employee has legal custody of and resides in the home in a parent child relationship or is required to provide support due to court order.
Employee Health Coverage Long Term Disability Coverage Basic Life Insurance Dependent Health Coverage Dental Coverage Life Insurance AD&D Insurance Flexible Spending Plans Tax Deferral Plan Tuition Waiver Benefits Participation Non-Voluntary Voluntary
Enrollment Opportunities • New Employee Enrollment • The date of hire or appointment • Annual Open Enrollment • You can change plans, add/drop dependent coverage at this time. You will be notified via email and USPS mail of the dates. • Qualifying Life Event Changes • Career or family life changes may qualify as a qualifying life event change that allows you to make changes outside the annual enrollment period.
Coverage Ends • Termination of Employment • The last day of work • Dependent Ages Out • Qualifying Life Event Changes • Career or family life changes may qualify as a qualifying life event change that allows you to make changes outside the annual enrollment period.
Ineligible Dependents You must notify Human Resources when a dependent loses eligibility. The deduction will be changed for the next payroll.
HEALTH INSURANCE PROVIDED BY UNITED HEALTHCARE
United HealthCare Insurance • Basic, Plan 13 (Low Plan) • Basic Plus, Plan 09 (Medium Plan) • Basic Choice, Plan 10 (High Plan)
Benefits Plan Design Vision
Benefits Plan Design Mental Health / Substance Abuse
COVERAGE TIERS • Employee only • Employee + spouse (same sex domestic partner) • Employee + child(ren) • Family
DENTAL INSURANCE PROVIDED BY METLIFE
MetLife Preferred Dentist Program (PDP) Gives You More: Access, Savings and Options • Any dentist • Maximized savings when you visit one of the more than 77,000 participating PDP dentists • Scheduled fees typically 10-35% below community average charges • Lower out-of-pocket expenses for non-covered services • No pre-selecting necessary • Any time • Anywhere • Any specialist • No claim forms • No referrals needed
Benefits Plan Design IN-NETWORK:Percentage of Scheduled PDP Fee OUT-OF-NETWORK:Percentage of Reasonable & Customary (R&C) SERVICES PROVIDED Type A: Preventive Services Exams X-Rays Fluoride Treatment Cleanings 100%$100 Deductible for single and $300 Deductible for Family 100% No Deductible Type B: Basic Services Most Fillings Simple Extractions Sealants Services Covered at 80% Deductible Applicable Services Covered at 80% Deductible Applicable *Reasonable & Customary charges are based on the lowest of a dentist's usual, actual or community average charge as determined by MetLife.
Benefits Plan Design IN-NETWORK:Percentage of Scheduled PDP Fee OUT-OF-NETWORK:Percentage of Reasonable & Customary (R&C) SERVICES PROVIDED Type C: Major Services Inlays/Onlays Crowns Bridges/Dentures Root Canal Services Covered at 50% Deductible Applicable Services Covered at 50% Deductible Applicable $50 Individual/$150 Family $100 Individual/$300 Family Annual Deductible Annual Benefits Maximum [excluding Orthodontia] $1,500 per Person $500 per Person *Reasonable & Customary charges are based on the lowest of a dentist's usual, actual or community average charge as determined by MetLife.
Benefits Plan Design OUT-OF-NETWORK:Percentage of Reasonable & Customary (R&C) IN-NETWORK:Percentage of Scheduled PDP Fee SERVICES PROVIDED Type D: Orthodontia Orthodontic Treatment Orthodontic Appliances Services Covered at 50% Services Covered at 50% Annual Deductible NONE NONE Orthodontia Lifetime Benefits Maximum $1,500 per Dependent Child $500 per Dependent Child Non-covered services: teeth whitening, veneers, implants
MetLife Dental Coverage Rates Employee Only: $18.48 Employee + Spouse $38.21 Employee + Child(ren) $40.86 Employee + Family $67.12
Financial Security Group Basic Term Life Supplemental Term Life Voluntary Accidental Death & Dismemberment Long Term Disability Death Benefit
Financial Security DEATH BENEFIT PLAN Provides and eligible employee’s beneficiary an amount equal to one month’s salary.
Group Life Insurance PROVIDED BY METLIFE
Basic Term Life Insurance • Employer paid • Coverage amount 1.5 times base annual salary to maximum of $50,000 • For spouse (same sex domestic partner) $2000 • Dependent children up to $2000
Supplemental Term Life Insurance • Coverage in $10,000 increments up to a maximum of $500,000 • Coverage amounts above the lesser of 2 times annual salary or maximum of $100,000 require a Statement of Health form • After 31 days of employment, all coverage amounts require a Statement of Health • Premium based on age as of October 1st
Dependent Spouse Term Life Insurance • Coverage in $10,000 increments up to a maximum of $150,000 • Coverage amounts above $10,000 require a Statement of Health form • After 31 days of employment, all coverage amounts require a Statement of Health • Premium based on age as of October 1st
Dependent Child Term Life Insurance • $10,000 for children 6 months or older • $500 for children under 6 months of age
Voluntary Accidental Death & Dismemberment Life Insurance • Coverage amount $10,000 to $500,000 in increments of $10,000.
Long Term Disability PROVIDED BY CIGNA
Long Term Disability(CIGNA) • All eligible employees are automatically enrolled • 100% employee paid • Premiums based on monthly salary • 90 day benefit waiting period • Coverage is 66.67% of the monthly salary to maximum of $8000 • Benefits received are offset by: • Workers Compensation, Social Security, and other sources of income • Income received is not taxable
Flexible Spending Accounts administered by Benefit Concepts
Health Care Spending Account • Enrollment – 31 days of hire or open enrollment period • Eligible expenses – vision care, out of pocket deductibles, co-insurance, co-pays, over-the-counter drugs and weight loss programs (excluding food) • $4,800 maximum • Annual enrollment required • All money not used will be forfeited, there are no refunds or credits • Additional information including enrollment form in benefits packet
Dependent Care Spending Account • Enrollment – 31 days of hire or open enrollment period • Regulations • $5,000 maximum or • $2,500, if married filing separate tax returns or your spouse uses a separate dependent care spending account • Children under the age of 13, unless physically or mentally handicapped • Disabled or elderly dependent • Each parent must work outside the home • All money not used will be forfeited, there are no refunds or credits • Annual enrollment required • Additional information including enrollment form in benefits packet
Tax Deferral Plan • Eligible to participate upon hire • 403b Plan • No company match • Pre-taxed which will lower taxable income • Contribution does not show in W-2 earnings • Refer to the retirement summary in benefits packet • Online enrollment • Additional information including the Salary Reduction Form is available upon request • For more information contact Celeste Wertz at cwertz@tulane.edu • Deferred Compensation • 457b Plan (based on earnings qualifications)
University Retirement Plan • Eligible to participate after 2 years of service • 403b Plan • Contributions: • Base salary $80,000 or more: • Tulane contributes amount equal to 10% of base salary • Faculty member is required to contributes 2% of base salary • Base salary less than $80,000: • Tulane contributes 8% of salary base salary • If faculty member voluntarily contributes up to 2% of base salary, then Tulane will match up to 2% • 100% owned by employee • Online enrollment • For more information refer to the retirement summary in benefits packet
Retirement PlanInvestment Options sponsored by TIAA-CREF www.tiaa-cref.orgFidelity Investments www.fidelity.com
EMPLOYEE ASSISTANCE PROGRAM • Immediate help during a crisis • Tips and guidance to help balance work and family • Three (3) free in-person counseling sessions • Confidential • Accessible 24 hours a day, 365 days a year • Available to your dependents and all members of your household • To access service call CIGNA Behavioral Health at 1-888-371-1125 • For more information see brochure in benefits packet
Tuition Waiver Program Employee Waivers • Full-time faculty are eligible date of hire • Waiver is applied to two classes or six hours which ever is greater • Graduate waivers that exceed $5,250 are taxable Dependent Waivers • Dependents of faculty are eligible date of hire • Must submit most recent copy of Federal Income Tax Return to prove dependency • Waiver applied to tuition and not University fees.
Thank You Human Resources Benefits Section 200 Broadway Street, Suite 120 New Orleans, LA 70118 (504)865-5280