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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: Premiums2011 Cost (per month): NO CHANGES FOR 2012
* Double State coverage is discounted family coverage offered when an employee’s spouse is also a state employee.
Employee High Premium
Employee Low Premium
Employer Premium
Single $49 $12 $396
EE + Child $171 $47 $710
EE + Spouse $199 $54 $712
Family $382 $116 $1043
Double State* $346 $80 $1079
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 CoverageProfessional 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
Wellness Testing 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
Medical Co-insurance Out-of-Pocket Limits
$3500 per person$7000 per family
$2500 per person$5000 per family
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 to a 30-day supply)
Mail Order Co-pay (up to 90-day 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 4-Specialty 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) 215-2354, 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: FeaturesProvides 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) 441-2258, www.varetire.org
VRS Life Insurance: Optional Coverage
See the Optional Group Life booklet for detailed information
Optional Insurance Amounts
Option Employee Spouse Child(ren)
1 1x Salary .5 x Salary $10,000
2 2x Salary 1x Salary $10,000
3 3x Salary 1.5x Salary $20,000
4 4x Salary 2x Salary $30,000
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 LeaveFirst year of employment: Based on status and first date of employment
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
Employment Begin Date
Full-TimeHours of Sick Leave
Part-Time HoursOf 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
VSDP – Family and Personal LeaveFirst year of employment: Based on first date of employment
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
Employment Begin Date Family and Personal Leave Hours
Jan. 10 – July 9 32
July 10 – Jan. 9 16
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 – ORPThe 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
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 – Short-Term Disability Leave
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.comTIAA-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 centrally-funded 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