University of Memphis

New Employee Benefits Orientation 2014

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When Will Coverage Begin?

• Insurance coverage begins on the first day of the month following your hire date (unless otherwise indicated)

• For example, if you are hired on August 18th, your coverage will begin on September 1st

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Who is Eligible for Coverage?

• Generally, full time employees are eligible for health insurance coverage as well as their dependents, who may include:

• Legally married spouses

• Children up to age 26, including natural, adopted or step-children or children for whom the employee is the legal guardian

• There are special circumstances for coverage of disabled dependents after age 26

Proof of all dependent’s eligibility is required by the State of TN. Dependents must be verified by submitting a copy of the required documentation before they will be enrolled.

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Annual Enrollment Transfer Period (AETP)

During Annual Enrollment, you may: • Add insurance coverage • Cancel insurance coverage • Change insurance carriers • Switch between plans

Changes are effective January 1 of the following year

Annual Enrollment occurs each year during the fall, this year it will be

October 1 – November 1

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Adding Coverage

There are only three times you may add coverage:

1. As a new employee

2. During the Annual Enrollment Transfer Period

3. If you experience a special qualifying event A specific life change, such as marriage, the birth of a baby or something that

results in loss of other coverage Must submit paperwork within 60 days of the event or loss of other coverage

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Canceling Coverage

There are only three times you may cancel coverage: 1. During the Annual Enrollment Transfer Period

2. If you become ineligible to continue coverage

3. If you experience a qualifying event

You cannot cancel coverage during the plan year, outside of the Annual Enrollment Transfer Period, unless you have a qualifying event or lose eligibility under the plan.

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Summary of Benefits Coverage

The Summary of Benefits Coverage (SBC) describes your health coverage options. You can print a copy on the

Benefits Administration website, or ask your HR Associate for a copy.

www.tn.gov/finance/ins

1-800-253-9981

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Notice to TennCare Enrollees

• You must contact your caseworker at the TennCare within 10 days of your date of employment

• Report to TennCare your new job, salary and that you have access to medical insurance with your new employer

• Employees cannot be enrolled in both TennCare and a State Group Health Insurance plan

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Health Insurance: PPO • PPO: Preferred Provider Organization

• Visit any doctor or hospital you want • You will pay less when using an in-network provider • You will pay more for services from an out-of-network provider

• There are two plan options available:

• Partnership PPO • Standard PPO

Coverage, services and treatments are identical

• There are two network providers available: • BlueCross BlueShield of Tennessee (BCBST) – Network S • Cigna – Open Access Plus

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Comparing Your PPO Options

Partnership PPO Rewards members for taking

an active role in their health

Requires participation in a wellness program

Standard PPO No incentives for healthy

behaviors

Members pay a greater share of costs

Both options cover the same services and treatments. However, you will always pay less for services if you are enrolled in the Partnership PPO.

Choose Your PPO Option

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Health Premiums

CIGNA BCBS EMPLOYER SHARE

PARTNERSHIP PPO Employee Only $114.49 $134.49 $521.55 Employee + Child(ren) $171.73 $211.73 $782.34 Employee + Spouse $240.42 $280.42 $1,095.26 Employee + Spouse + Child(ren) $297.67 $337.67 $1,356.04

STANDARD PPO

Employee Only $139.49 $159.49 $521.55 Employee + Child(ren) $196.73 $236.73 $782.34 Employee + Spouse $290.42 $330.42 $1,095.26 Employee + Spouse + Child(ren) $347.67 $387.67 $1,356.04

2014 Monthly Premiums West Tennessee

*For West TN, BCBS is the more costly carrier; therefore, there is a cost differential premium addition of $20 for single coverage and $40 for the family coverage tiers included in the premium above. In Middle and East Tennessee, CIGNA is the more costly carrier.

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Partnership PPO

• Members are rewarded with lower costs for selecting the Partnership PPO and taking an active role in their health

• Members (and their spouses if enrolled) must commit to a “Partnership Promise” each year

• Partnership Promise is not required for covered children

• The Partnership Promise requirements may change from one year to the next

• Healthways administers the Partnership Promise

1. Online Well-Being Assessment (WBA) • Identify opportunities for members to improve their overall health • Must complete between January 1 & March 15

2. Biometric Heath Screening – if identified for Health Coaching • Includes height, weight, waist circumference, blood sugar, blood pressure and

cholesterol levels

3. Health Coaching • Must participate if identified

4. Keep contact information up to date

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2015 Partnership Promise

www.partnersforhealthtn.gov

2015 Partnership Promise – New Members

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In 2015 new members and their covered spouses must: • Complete the online Well-Being Assessment (WBA)

• Get a biometric health screening

* Both requirements must be completed within 120 days of your insurance coverage effective date

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Standard PPO

• Same services as the Partnership PPO

• Members will pay more for monthly premiums, annual deductibles, copays, medical care co-insurance and out-of-pocket maximums

• Not required to fulfill the Partnership Promise - but these members do have access to the ParTNers for Health Wellness Program

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Pharmacy Benefits • Administered by CVS Caremark

• The covered drug list is the same for both the Partnership PPO and Standard PPO, although copays differ between the two

• There are three drug levels:

Generic Drug (tier one) is a generic medicine that is FDA-approved and equal to the brand-name product in safety, effectiveness, quality and performance – Least expensive option

Preferred Brand (tier two) is a brand-name drug included on the drug list – More expensive option

Non-preferred Brand (tier three) is a brand-name drug not on the drug list – Most expensive option

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Members can choose between two dental options:

Dental Insurance

Assurant Prepaid Plan • Participating dentists only

• Fixed copays

• To receive benefits, you must select a dentist from the Assurant network

Delta Dental PDO Plan • Use Delta Dental’s PDO

network for maximum benefits

• Coinsurance and deductible

• Some services require waiting periods, and annual maximums apply

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Dental Comparison

Chart

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Dental Premiums

Premiums Prepaid Plan Assurant

PDO Plan Delta

Employee Only $9.92 $21.07 Employee + Child(ren) $20.60 $48.44

Employee + Spouse $17.58 $39.85 Employee + Spouse + Child(ren) $24.17 $77.98

Members pay 100% of the dental insurance premiums

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Vision Insurance

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Members can choose between two vision options:

VSP - TBR

• Two plan options: • Bronze

• Gold

• Enroll online at www.TBRVision.com

EyeMed – State of TN

• Two plan options: • Basic

• Expanded

• Enroll on insurance enrollment form

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Vision Comparison

Chart

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Basic Term Life, and Accidental Death and Dismemberment

• The State provides, at no cost to every full-time employee • $20,000 of basic term life insurance

• $40,000 of basic accidental death and dismemberment (AD&D)

• If you are enrolled in health insurance, your coverage automatically increases, based on your age and salary • Up to $50,000 of term life insurance

• Up to $100,000 of AD&D insurance

• Members are responsible for the additional cost of coverage

• Dependents enrolled in health insurance are each covered for $3,000 in basic term life, and an amount of basic AD&D based on your salary and family composition

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Additional Life Insurance

• Optional Accidental Death & Dismemberment (AD&D) • Available to members and their dependents • Low group rates – chart on page 15 of New Employee Handbook

• Optional Term Life Insurance

• Select up to five times your annual base salary • Minimum coverage level: $5,000 • Maximum coverage level: $500,000

• Must enroll in first 30 days of employment for guaranteed issue coverage, coverage is effective after 3 full months of employment

• May apply later during Annual Enrollment Transfer Period by answering health questions • Coverage available for spouses and dependent children

• Spouses: maximum level of coverage is $30,000 • Children: $5,000 or $10,000 term rider

• Premiums are based on age and the amount of coverage requested

Long Term Disability Provides partial salary replacement if you become disabled and are unable

to perform the material and substantial duties of your regular occupation

• 3 coverage options: • #1 – 180 days waiting period, 50% wage replacement • #2 – 120 days waiting period, 60% wage replacement • #3 – 90 days waiting period, 60% wage replacement

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Bi-Weekly – Non-Exempt

• Maximum benefit • #1 $6,000/month

• #2 $6,000/month

• #3 $6,000/month

Monthly – Exempt

• Maximum benefit • #1 $2,000/month

• #2 $4,000/month

• #3 $7,000/month

AFLAC Supplemental Insurance Five plans available:

• Group Hospital Indemnity

• Group Accident Insurance

• Group Critical Illness • New Hire: eligible for guaranteed amount of $20,000 • Annual Enrollment eligible for $5,000

• Personal Sickness Indemnity

• Cancer Indemnity

Guaranteed Issue only within your first 30 days of employment

Debbie Booker (901) 230-6439 26

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Long-Term Care Insurance • Covers services for those who are unable to care for themselves without

the assistance of others

• Nursing facility care • Assisted living facility care • Home care

• Employees have 90 days to enroll with guaranteed-issue coverage • Spouses, dependent children, parents and parents-in-law may apply through medical

underwriting at any time

• Premiums are based on the age of the insured at the time of enrollment

• Plan administered by MedAmerica

www.ltc-tn.com 1-866-615-5824

• Adult day care

• Hospice program service

Retirement

• All regular full time employees of the University of Memphis are required to participate in a State of TN retirement program

• Regular part time employees are eligible, but not required to participate

• Employees who are non-US citizens on F-1 or J-1 visas are not eligible for retirement membership (As soon as you gain H-1 visa status or become a permanent resident, you must contact University Benefits Administration to enroll)

• Employees who have current membership (because of previous State of TN employment) in either TCRS or the ORP may be eligible for the legacy TCRS/ORP programs

• Employees paid on an hourly basis will be enrolled in the Hybrid Tennessee Consolidated Retirement System (TCRS)

• Regular academic, executive, and administrative employees shall have the option of becoming a member of either TCRS or the ORP

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Retirement: Hybrid TCRS

Defined Benefit Defined Contribution

Employee contribution 5% (required) 2% (auto-enrolled, but optional)

Employer contribution 3.87% 5%

Vesting 5 years Immediate

Retirement Eligibility Service: rule of 90 or 65 and vested Early: rule of 80 or age 60 and vested

401(k) administered by Great West; eligibility follows IRS regs for 401(k)

• Two components, Defined Benefit plan and Defined Contribution plan

Retirement: ORP

• Defined Contribution plan with added auto-enroll 401(k)

ORP Defined Contribution Employee contribution 5% (required) 2% (auto-enrolled, but optional)

Employer contribution 9% Up to $50 match

Vesting Immediate Immediate

Retirement Eligibility Based on IRS regs 401(k) administered by Great West; eligibility follows IRS regs for 401(k)

• Choice of 3 companies: • ING • VALIC • TIAA-CREF

• Employee chooses investment options

• One-time transfer option to Hybrid TCRS after 5 years

• Refund if less than $15k upon termination (2014)

Retirement: ORP

Tax Deferred Annuity & Deferred Compensation Plans • Traditional 401(k)

• Great-West

• ROTH 401(k) • Great-West

• 457 • Great-West

• 403(b) • Choice of ING, VALIC, and TIAA-CREF

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Holidays • New Year’s Day

• Martin Luther King, Jr. Day

• Last Day of Spring Break

• Memorial Day

• Independence Day

• Labor Day

• Thanksgiving Day & the day after

• Christmas Day & 4-5 Administrative Closing Days

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Annual Leave, Sick Leave and Sick Leave Banks Annual Leave: • Exempt – 15 hours/month • Non-Exempt – 7.5 hours/month (increases based on years of service) • Nine, ten, and eleven-month faculty are not eligible to accrue annual leave

Sick Leave: • Sick Leave – 7.5 hours/month

Sick Leave Banks: • Provides sick leave to members of the bank after their personal annual and

sick leave has been exhausted • Membership requires donation of 22.5 hours of sick leave into the bank • Pre-existing conditions and waiting periods apply

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Longevity

Bonus for years of service with the State of Tennessee

• Begins after 3 years of service

• $100 per year, up to a max of $3,000

• Paid during your anniversary month (Bi-weekly is paid on the second pay period of your anniversary month)

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Flexible Benefits

• Medical & Dental insurance premiums pre-taxed

• Medical Expense Flexible Spending Account • Calendar year election • $2,500 maximum

• Dependent Care Expense Flexible Spending Account • Calendar year election • $5,000 maximum

Medical/Dependent Care: Must re-enroll each year during the Annual Enrollment Transfer Period

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Educational Assistance Tuition assistance can be used at the University of Memphis, any TBR or UT institution

• Staff Scholarship • Up to 6 credit hours per semester • At least 6 months of service as of 1st day of class • Faculty may only audit or take non-credit job related courses

• PC-191 • 1 course per semester • Eligible upon 1st day of employment • May register for course only at specific times

• Spouse/Dependent Tuition Discount • 50% Discount for spouse/dependents of full time employees (pro-rated for part-time) • Undergraduate coursework only

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Employee Assistance Program (EAP) Support tool to help employees and family members deal with both workplace and personal issues

• All services are confidential and available at no cost, 24/7

• Employees and their eligible dependents may get up to five, no cost counseling sessions per problem episode, per year

• The EAP also offers work-life services, financial and legal services, assistance finding eldercare and dependent care services and much more

• Contact ParTNers EAP:

• 1.855.HERE4TN (1.855.437.3486)

• www.Here4TN.com

Family Medical Leave Act (FMLA) Provides eligible employees up to 12 work-weeks of job-protected leave during a twelve month period for specified family and/or medical reasons.

• Eligibility: • Worked 1250 hours during the previous 12 months • Worked 1 year at the University of Memphis

• Qualifying Events: • Serious illness of employee, spouse, child, or parent • Birth or adoption of a child • Military Caregiver provision (up to 26 weeks)

• Non-Paid leave: • Must use personal Sick/Annual Leave to be paid while on FMLA

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Workers’ Compensation

• Any job-related injury must be reported immediately to your supervisor

• Contact HR as soon as possible

• Complete both 1st Report of Injury forms & submit to the Benefits office:

• #1 – The University of Memphis First Report of Injury or Illness • #2 – Accident Report - State of Tennessee • Forms can be found on the benefits web site under “Related Resources &

Links” and “Forms”

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COBRA

• Provides insurance continuation for up to 18 months

• COBRA notifications are mailed from the State Benefits Administration office

• Notifications are generated, then mailed, to the employee’s home address approx. 7-10 days after insurance coverage has terminated (not employment)

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Your Privacy • Your personal health information is strictly confidential

• Your health privacy rights are protected through the federal law, “HIPAA”

• Benefits Administration can only discuss benefits information with the head of contract (HOC)

• The Authorization for Release of Protected Health Information form must be completed before Benefits Administration can discuss benefits information with your spouse or any other authorized representative

To print and complete a release form, visit http://www.tn.gov/finance/ins/forms.html

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University Benefits Administration benefits@memphis.edu

(901) 678-3573

Director:

Amanda Clarkson aclarksn@memphis.edu 678-2884 HR Associates:

Glenie Wilson gwilson5@memphis.edu 678-3571

Kate Sims srawlins@memphis.edu 678-2885

Patricia Polania probando@memphis.edu 678-2708