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Plan Year 2016-2017 University of New Haven Employee Benefits Summary

University of New Haven Benefits N… · BENEFITS AT A GLANCE enefit Provider Description Medical Page 7 Quantum Health Two plans; (1) EPO (Exclusive Provider Organization) with in-network

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Page 1: University of New Haven Benefits N… · BENEFITS AT A GLANCE enefit Provider Description Medical Page 7 Quantum Health Two plans; (1) EPO (Exclusive Provider Organization) with in-network

Plan Year 2016-2017

University of New Haven

Employee Benefits

Summary

Page 2: University of New Haven Benefits N… · BENEFITS AT A GLANCE enefit Provider Description Medical Page 7 Quantum Health Two plans; (1) EPO (Exclusive Provider Organization) with in-network

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BENEFITS

AT A GLANCE

Benefit Provider Description

Medical Page 7

Quantum Health

Two plans; (1) EPO (Exclusive Provider Organization) with in-network coverage only (2) Qualified High Deductible Health Plan (HDHP). The HDHP plan has in and out-of-network coverage. Both plans have access to the national Aetna network of providers.

Prescription Page 10

Quantum Health

All members that are enrolled in the UNH medical plans have Express Scripts as their pharmacy vendor. Members have one ID card that can be used for medical & prescription drug services.

Care Concierge / Navigation

Page 12

Quantum Health

Address all medical and prescription drug questions (one number to call—on your new ID card)

Access to Care Coordinators through UNH’s dedicated toll-free number: 1-877-219-2955 (same number on your new ID card)

Able to provide you with assistance and support for all facets of your medical care

Care Coordinators are ultimately there to help guide you through the complexities of today’s healthcare system

Dental Page 14

MetLife Voluntary benefit

Two plans to choose from: High Option Plan with orthodontia coverage or Low Option Plan

Vision Page 15

EyeMed Voluntary benefit

Provides coverage for frames and lenses

Additional discounts on services and materials above allowance amounts

FOR PHYSICAL HEALTH

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FOR FINANCIAL HEALTH

Benefit Provider Description

Health Savings Account (HSA)

Page 18

BenefitWallet (Mellon Bank)

Employees must be enrolled in the high deductible health plan (HDHP) and meet IRS eligibility criteria

Allows employees to save for future medical expenses on a pre-tax basis

Flexible Spending Account Page 20

TASC Two options available: medical FSA and dependent care FSA

Employees enrolled in the HSA are not eligible for the FSA plan but can enroll in the dependent care plan

Allows employees to save for medical/dependent care expenses on a pre-tax basis

Funds do not carry over (“use it or lose it”)

Voluntary Life and AD&D

Page 23

Prudential As a new UNH employee, you are eligible to take advantage of the guarantee issue amount offered by our voluntary life carrier, Prudential.

This means that you are eligible to enroll in higher amounts of additional life insurance without having to provide medical evidence of insurability.*

FOR PERSONAL HEALTH

Benefit Provider Description

Secure Travel Page 21

Prudential Provides assistance to employees and their families when traveling 100 miles or more away from home.

Medical, Emergency Transportation, lost passport assistance available 24/7, 365 days a year

Employee Assistance Plan

Page 22

Prudential Confidential resource for employees and their family members

Support with child care issues, elder care issues, legal matters, and more

*Coverage would begin the first of the month following one year of active service.

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Contact:

Quantum Health 1-877-219-2955 www.unhhealthplan.com

Medical Plan Options

Refer to plan summary for complete benefit details, exclusions and provisions.

Employees with scheduled authorized hours of 30 or more per week are eligible to participate in the UNH Health Plan beginning the first of the month following the date of hire or during the annual open enrollment period.

Exclusive Provider Organization (EPO) Plan

In an Exclusive Provider Organization (EPO) medical plan, members will have access to Aetna’s national network of participating providers (in-network). There is no coverage for services received from a non-participating provider (out-of-network).

Qualified High Deductible Health Plan (HDHP)

The HDHP consists of both in-network and out-of-network providers with a high deductible. It can be paired with a Health Savings Account. Please note that both medical and prescription drug costs are subject to the deductible. To be eligible for the HSA you must meet all of the following criteria:

You must be covered by an HSA-qualified high deductible health plan (HDHP).

You cannot be covered by any other medical plan that is not an HSA-compatible health plan. This would include being enrolled in your spouse’s plan as secondary coverage, or an executive medical plan. Note: Federal law requires minimum deductible levels for individual and family coverage for HSA-compatible health plans.

You must not be enrolled in Medicare.

You must not be eligible to be claimed as a dependent on another individual’s tax return.

You must be a U.S. resident, and not a resident of Puerto Rico or American Samoa.

If you are a veteran, you may not have received veterans’ benefits within the last three months.

You must not be active military.

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Medical Plan Comparison

Refer to plan summary for out of network benefits and complete benefit details, exclusions and provisions.

EPO HDHP

In-Network In-Network Out-of-Network

Deductible $0 Individual / $0 Family

$1,500 Individual / $3,000 Family

Routine Preventive Care $0 You pay $0 You pay 30% (after satisfying your deductible)

Office visit co-pay $25 You pay 10% (after satisfying your deductible)

You pay 30% (after satisfying your deductible)

Allergy Testing, Evaluation & Treatment co-pay

$35 You pay 10% (after satisfying your deductible)

You pay 30% (after satisfying your deductible)

Specialist visit co-pay $35 You pay 10% (after satisfying your deductible)

You pay 30% (after satisfying your deductible)

Inpatient hospital services co-pay $500 per individual; $1,000 per family

You pay 10% (after satisfying your deductible)

You pay 30% (after satisfying your deductible)

Outpatient hospital services co-pay $150 You pay 10% (after satisfying your deductible)

You pay 30% (after satisfying your deductible)

Emergency Room co-pay $100 (waived if admitted)

You pay 10% (after satisfying your deductible)

You pay 10% (after satisfying your deductible)

Chiropractic benefit (limitation of 20 visits)

$35 You pay 10% (after satisfying your deductible)

You pay 30% (after satisfying your deductible)

Out of pocket Maximum $6,350 Individual / $12,700 Family

$2,500 Individual / $5,000 Family

$3,000 Individual / $6,000 Family

Prescriptions (30-day retail supply)

$15 Generic / $30 Preferred /

$40 Non-preferred

Must satisfy the deductible first then copays apply: In-Network: $15 Generic / $30 Preferred / $40 Non-Preferred after

deductible

Prescriptions (90-day mail order supply)

$30 Generic / $60 Preferred /

$80 Non-preferred

Must satisfy the deductible first then copays apply: In Network: $15 Generic / $60 Preferred / $80 Non-preferred after

deductible

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Prescription Coverage

Mail Order Prescriptions — EPO plan

Is Mail Order Right for YOU? If you are on a maintenance drug, or would simply like to save money on regular monthly refills, then the mail order is your answer! The Mail Order Rx program provides an opportunity for you to save one month’s copay for a 90 day supply. When you sign up for the program, you will receive your 90 day supply by mail for the SAME amount as a 60 day supply at the local pharmacy.

For example, a Generic Brand Rx at the pharmacy (for 30 day supply) would be $15, however for the same Generic Brand Rx through the Mail Order Program (for 90 day supply) would be $30. So the savings to you would be $15! We encourage you to look into the Mail Order Rx program to see if it is right for you.

EPO Co-pays: $15 (Tier 1), $30 (Tier 2), $40 (Tier 3) copayments for up to a 30-day supply at the retail pharmacy for each prescription or refill; or $30 (Tier 1), $60 (Tier 2), $80 (Tier 3) copayments for up to a 90-day supply through the mail order program for each prescription or refill.

Mail Order Prescriptions — HDHP plan

Mail order is available under the HDHP plan. Your prescription would be subject to the deductible. Once you have satisfied the deductible, the applicable copay would apply.

For example, a Preferred Brand Rx at the pharmacy (for 30 day supply) would be $30 after deductible, however for the same Preferred Brand Rx through the Mail Order Program (for 90 day supply) would be $60 after deductible. So the savings to you would be $30 after deductible! We encourage you to look into the Mail Order Rx program to see if it is right for you.

HDHP Co-pays, after deductible: $15 (Tier 1), $30 (Tier 2), $40 (Tier 3) copayments after deductible for up to a 30-day supply at the retail pharmacy for each prescription or refill; or $15 (Tier 1), $60 (Tier 2), $80 (Tier 3) copayments after deductible for up to a 90-day supply through the mail order program for each prescription or refill.

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Quantum Health

CONTROL YOUR HEALTHCARE JOURNEY Who is Quantum Health?

Quantum Health is a leading care coordination and consumer navigation company that exists to guide

members through their unchosen healthcare journey. The Care Coordinators at Quantum Health are a team of

empathetic, resourceful and highly responsive team of nurses, social workers, patient service representatives

and benefits experts who will be dedicated to serving you and your family’s healthcare needs.

The Care Coordinators serve as our single go-to resource for all our medical and prescription drug

customer service needs. You will only need to contact one toll-free number or visit the dedicated UNH

member website to chat with Care Coordinators when you have questions about the UNH medical or

prescription drug plan, claims or healthcare in general. Quantum’s toll-free number and website will be

printed on your new ID card. With the Care Coordinators, you can rely on one source to resolve issues and

eliminate confusion.

How does this work?

The Care Coordinators will help you and your family get the most out of our benefits while simplifying the

healthcare process. All you need to do is contact Quantum, and they will handle the rest! The Care

Coordinators will fight hard to help you save money and make sure you get quality care.

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Quantum Health

What other type of resources will be available?

Find all the tools and information you need to manage your health online: find in-network providers, check

status of claims, request ID cards, chat live with a Care Coordinator, search the HealthWise Knowledgebase.

Download the Your Care Coordinators mobile app!

You can use the mobile app to find in-network providers, access your ID card, check

claims information, schedule a call with a Care Coordinator, and much more!

Need to confirm if your doctor participates in the Aetna network?*

Log onto www.unhhealthplan.com

Select the Find-A-Provider tool

Make sure to select Aetna Choice POS II as this is the name of our network when

searching for your doctor

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Contact:

MetLife 800-942-0854 www.metlife.com

Dental

Insurance

Refer to MetLife plan summary for complete benefit details, exclusions and provisions.

Eligibility

Rules:

2016-2017 High Option Low Option

Deductible Single $25 $25

Deductible Family $75 $75

Preventive Care Paid at 100% 100%

Basic Restorative Paid at (subject to deductible)

80% 80%

Major Restorative Paid at (subject to deductible)

50% Not covered

Orthodontics Paid at ($1,500 lifetime maximum)

50% Not covered

Calendar Year Maximum per person for all services other than Orthodontia

$1,500 $750

As a new hire, you may elect to enroll in either the High or Low option plan.

If you are electing dental benefits for the first time (not a new hire) you must

enroll in the low option plan for at least one year. Once you have been on the

low option plan for one year you may change to the high option plan at the next

open enrollment.

Employees with scheduled authorized hours of 30 or more per week are eligible to participate in the MetLife Voluntary Dental Plan beginning the first of the month following the date of hire or during the annual open enrollment period.

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Vision Insurance

Contact:

EyeMed Vision Care 888-9EYEMED www.eyemedvisioncare.com

Refer to EyeMed plan summary for complete benefit details, exclusions and provisions.

Employees with scheduled authorized hours of 30 or more per week are eligible to participate in the EyeMed Voluntary Vision Plan beginning the first of the month following the date of hire or during the annual open enrollment period. This plan saves you money on your eye care purchases and is available through thousands of provider locations participating on the EyeMed SELECT network.

Standard Features— In Network

Standard Features— Out of Network

Frames (once every 24 months)

$0 co-pay, $160 allowance, 20% off balance over $160

Up to $80 reimbursement

Standard Plastic Lenses (once every 12 months) - Single Vision - Bifocal - Trifocal - Standard Progressive - Premium Progressive

$10 co-pay $10 co-pay $10 co-pay $10 co-pay

80% of charge less $110 allowance

Up to $42 reimbursement Up to $78 reimbursement

Up to $130 reimbursement Up to $130 reimbursement Up to $130 reimbursement

Other Lens Options Network Discounts (Employee Pays)

UV Coating - $15 co-pay Tint (solid and gradient) - $15 co-pay

Standard Scratch Resistance - $15 co-pay Standard Polycarbonate - Covered in full

Standard Anti-reflective Coating - $45 co-pay Other Add-Ons - 20% off retail price

N/A N/A N/A

Up to $26 N/A N/A

Contact Lenses (in lieu of eyeglass lenses, includes materials only)

Conventional - $0 co-pay, $175 allowance, 15% off balance over $175

Disposable - $0 co-pay, $175 allowance, plus balance over $175

Up to $140 reimbursement

Laser Vision Correction 15% off retail or 5% off promotional price form U.S. Laser Network

No coverage

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Medical

Employee Contributions

2016-2017 Monthly Dental Premium Contribution

MetLife Dental Low Plan High Plan

Individual $30.88 $52.08

Dual $61.00 $101.89

Family $110.34 $177.92

Dental & Vision

Employee Contributions

2016-2017 Monthly Vision Premium Contribution

EyeMed Vision Care

Individual $7.83

Dual $14.87

Family $21.79

Full Time Employee Monthly Medical Premium Contribution

Base salary

Class of Coverage

Monthly premium

< or = $40,000

$40,001 -$50,000

$50,001 -$70,000

$70,001 -$90,000

$90,001 -$110,000

$110,001 -$130,000

$130,001 -$150,000

$150,001 -$170,000

>$170,000

High Deductible Health Plan

I Single $779.46 $46.78 $58.46 $70.16 $85.74 $101.34 $116.92 $132.50 $148.10 $194.86

II 2 People $1,680.16 $100.82 $126.01 $151.22 $184.82 $218.42 $252.02 $285.64 $319.24 $420.04

III Family $2,174.08 $130.44 $163.06 $195.68 $239.16 $282.64 $326.10 $369.60 $413.08 $543.52

EPO

I Single $893.20 $160.52 $172.20 $183.90 $199.50 $215.08 $230.66 $246.24 $261.84 $308.60

II 2 People $1,931.60 $352.26 $377.46 $402.66 $436.26 $469.86 $503.48 $537.08 $570.68 $671.48

III Family $2,498.78 $455.16 $487.76 $520.36 $563.86 $607.34 $650.80 $694.30 $737.76 $868.22

QUALIFIED HIGH DEDUCTIBLE HEALTH PLAN AS UNIVERSITY BASE PLAN

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Online Enrollment Process

All of the University’s enrollment transactions will be processed through our online benefit administration system,

Choicelinx. You may access our employee portal by logging onto www.yourbenefitschoices.com/newhaven and

clicking the ‘Register Now’ link to begin the enrollment process.

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HSA Account

Refer to Section 213 (d) of the Internal Revenue Code for complete listing of eligible expenses.

Eligible Medical Expenses Over-the-Counter (OTC) Expenses Other Qualified Expenses

Blood Tests

Hospital Bills / Physician Visits

Prescription: Eyeglasses, Medicines, Vitamins

Ophthalmologist

Specialist Visits

Surgeon

Vaccines

X-Rays

Antacids

Allergy & Cold Medicines

Pain Relievers

First Aid Creams

Cough Drops

Sinus Medication and Nasal Sprays

Pedialyte

Antibiotic Ointments As of 1/1/11, most OTC medication requires a doctor’s prescription to be eligible for reimbursement using a HRA or HSA.

Dental Treatment

Dental X-Rays

Home Diagnostic Tests

Non-medicated Band-Aids

Rolled bandages/dressings

Reading Glasses

Braces and Supports

Contact Lens Solution

For FINANCIAL HEALTH

Facts About an HSA

A Health Savings Account is a tax-advantaged savings account that an individual may establish and put

money into on a tax-advantaged basis to save for current and future qualifying medical expenses such as doctor visits and prescriptions.

HSA’s are portable – individuals can keep their HSA’s if changing jobs or becoming unemployed

No “Use-it-or-lose-it” – unused contributions roll over each year, with interest and/or investment earnings

compounding on a tax-free basis, like an IRA or 403(b).

Can be used for future healthcare expenses, such as Medicare premiums and certain long-term care expenses and insurance premiums.

No income limitations to participate in an HSA.

How to Open a HSA/BenefitWallet Account?

After you enroll in your High Deductible Health Plan (HDHP), BenefitWallet will send you an HSA Welcome Kit with all the banking documentation and instructions for how to activate your Health Savings Account.

To activate your HSA, you will need to complete a simple signature process – either online or by mail.

As soon as the date your insurance is effective, you can register with BenefitWallet as a member at

www.mybenefitwallet.com and give your electronic “signature” to activate your HSA online.

Once you register as a BenefitWallet member, you can activate your HSA and electronically sign for your

debit card by:

- Logging on to www.mybenefitwallet.com

- Click “First Time User”

- Complete E-Registration

- Navigate through the screens to Accept the Terms and Conditions to open the account.

You need to return a hard copy of the signature card to receive a check book

What are HSA Qualified Expenses?

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HSA Account

My spouse has a traditional Health Flexible Spending Account (FSA) through her employer. Does that program affect my HSA eligibility?

Yes, A traditional Health FSA provides coverage to the subscriber (employee) and the subscriber’s spouse and dependents, regardless of any other

health insurance coverage. In this case, you have coverage through your health plan and your spouse’s traditional Health FSA, which is not a qualified HDHP (because it pays benefits without your satisfying a deductible). You therefore cannot gain HSA eligibility before the end of your spouse’s traditional Health FSA plan year (or longer if it has a grace period).

Am I allowed to have other insurance like dental and vision and still be HSA eligible?

Yes, Section 223 of the Internal Revenue Code describes “permitted coverage” and “permitted insurance” from which you can receive benefits without losing your HSA eligibility, including dental insurance, vision insurance and long-term care insurance.

How much can I contribute annually to my HSA?

The IRS sets the statutory maximum annual contribution each calendar year. For 2016 the maximum limit is $3,350 for Self-only coverage and $6,750 for Family coverage. (The IRS considers 2+ people as a Family.)

Who can contribute to my HSA?

Anyone can contribute to your HSA. While usually the source of contributions will be either your employer or you (through pre-tax payroll contributions or after-tax personal deposits), anyone can make a contribution on your behalf to your HSA. However, be sure that the contributions don’t exceed your maximum for that year.

What happens to my HSA if I leave UNH?

Your HSA is your personal bank account. They are portable so individuals can keep their HSA’s if changing jobs or becoming unemployed.

For what purpose can my HSA funds be used?

Funds can be withdrawn for any purpose, at any time. However, if funds are withdrawn for reasons other than to pay for qualified medical expenses by someone under age 65, the amount withdrawn is taxable and subject to a 10% penalty by the IRS. After age 65, there is no penalty for non-qualified withdrawals but amounts are taxable.

Frequently Asked HSA Questions

Questions on your HSA account?

Contact

BenefitWallet at

877-472-4200

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15 Refer to TASC plan summary for complete benefit details, exclusions and provisions.

Contact: TASC Phone: 800-422-4661 www.tasconline.com

Flexible Spending

Accounts

Flexible Spending Accounts (FSAs) are tax advantaged plans that allow you to save money on a tax free basis to be used towards out-of-pocket healthcare expenses (co-pay’s, deductibles, coinsurance), along with Dependent/Child-Care costs or daycare, some summer day camps, etc. Save

money on expenses you already incur for both Health Care Savings and Dependent/Child-Care Savings through the Flexible Spending Account plans.

Whatever money you set aside through payroll deductions will be deducted BEFORE taxes—reducing the amount of income you are taxed upon. This savings is on the first dollar you set aside. For example—if you were to set aside the Plan Year maximum of $2,550 and you are taxed at 15% (Federal)—your immediate savings is $383 for the year!

Debit Card Feature: The TASC Card—will allow you to pay for eligible expenses at the time of expense just like a credit card and having those monies deducted from your savings account automatically. What does this mean? No more waiting for reimbursement on claims!

Maximum Amounts for Saving:

HealthCare FSA: $2,550/year

Dependent/Child-Care FSA: $5,000/year

Use your TASC Card to pay for:

Co-pays on medical insurance

Co-pays on prescription drugs

Eye glasses / contact lenses

Dental deductibles / coinsurance / orthodontia

To check your account balance go to www.tasconline.com or call 1-800-422-4661.

* IMPORTANT NOTICE *

FSA requires an annual election – you must enroll online through Choicelinx and indicate the amount

you wish to contribute for the year.

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Prudential has partnered with AXA Assistance USA, Inc. to provide the AXA Travel Assistance Program. It is available to employees and their families when traveling 100 miles or more away from home on company business or vacation. Services are available 24 hours a day, seven days a week, 365 days a year.

It's a comprehensive program of information, referral, assistance, transportation and evacuation services designed to help you respond to medical care situations and many other emergencies that may arise during travel. The AXA Travel Assistance Program can help with:

Pre-trip planning - passport and visa requirements, currency exchange information, embassy/consular referrals, travel/tourist advisories, immunization requirements

Medical Assistance Services - locating medical care, translation and interpreter services, prescription drug assistance

Emergency Transportation Services - emergency evacuation, family or friend travel arrangements, return of dependent children

Travel Assistance Services - emergency cash, legal referrals to local attorneys, embassies and consulates, assistance with lost or stolen items

Prudential Secure Travel

Contact: Prudential 800-565-9320 (Inside the U.S.) 1-312-935-3654 (Outside the U.S. Collect)

Refer to Prudential plan summary for complete benefit details, exclusions and provisions.

ID cards are available in the Human Resources Office

For

PERSONAL HEALTH

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Contact: Prudential 800-311-4327 www.guidanceresources.com

Web ID: GEN311

Your

Deductible

& Prescription

Drugs

Employee Assistance

Program

Take advantage of your Employee Assistance Program (EAP) for support and information on parenting and children's health, tips on elder issues, assistance to help you deal with legal matters, resource referrals on budgeting and money management, and more. The EAP is confidential and voluntary. It offers professional assessment, short-term counseling, and a referral service for you and your eligible household family members 24 hours a day, 7 days a week.

Vision Insurance Hearing Discount

If you are enrolled in the EyeMed voluntary vision plan, take advantage of the hearing discount that will be available as part of your enrollment in the voluntary vision plan. 1 in 9 Americans has hearing loss. Did you know there’s also a connection between hearing and vision loss? In fact, mature adults and diabetics are more likely to experience both. EyeMed offers a hearing discount through Amplifon, the world’s largest distributor of hearing aids and services. Call 1-844-526-5432 to find a hearing care provider near you.

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Life and Disability Insurance

GUARANTEE ISSUE AMOUNTS FOR

VOLUNTARY LIFE AND AD&D

Employee $100,000

Spouse* $25,000

Child $10,000

Voluntary Life and AD&D Insurance

Employees with scheduled authorized hours of 20 hours or more per week or 12 credit teaching hours are eligible for

Voluntary Life and AD&D Insurance beginning the first of the month following one year of active service. Employee Voluntary

Life and AD&D Insurance is available in increments of $10,000 up to a maximum of $300,000. Spouse Voluntary Life

Insurance is available in increments of $5,000 up to a maximum of $150,000. Child Voluntary Life Insurance is available in

increments of $1,000 up to a maximum of $10,000 (beginning 14 days to age 19, age 25 if a full-time student).

As a new UNH employee, you are eligible to take advantage of the guarantee issue amount offered by our voluntary life

carrier, Prudential. This means that you are eligible to enroll in higher amounts of coverage without having to provide

medical evidence of insurability. The following guarantee issue amounts are available for voluntary life and AD&D:

Remember, this is your only chance to elect these higher

amounts of coverage without having to provide medical

evidence of insurability, so please consider taking advantage

of this special enrollment opportunity!

Please note that if you would like to enroll in employee

voluntary AD&D, you must also enroll in employee voluntary life

coverage. You must also enroll in employee voluntary life in

order to enroll in spouse life and or dependent child life

coverage.

Employee Age Rate per $1,000

Under 25 $0.051

25 to 29 $0.051

30 to 34 $0.051

35 to 39 $0.071

40 to 44 $0.109

45 to 49 $0.169

50 to 54 $0.264

55 to 59 $0.460

60 to 64 $0.512

65 to 69 $0.869

70 to 74 $1.545

75+ $5.858

Spouse Age Rate per $1,000

Under 25 $0.051

25 to 29 $0.051

30 to 34 $0.051

35 to 39 $0.071

40 to 44 $0.109

45 to 49 $0.169

50 to 54 $0.264

55 to 59 $0.460

60 to 64 $0.512

65 to 69 $0.869

70 $1.545

Below are the monthly rates for Employee, Spouse, and Child Voluntary Life and Employee Voluntary AD&D coverage:

The monthly rate for employee AD&D coverage is $.02 per $1,000 The monthly rate for child life coverage is $.06 per $1,000

Basic Life and AD&D Insurance

Employees with scheduled authorized hours of 20 hours or more per week or 12 credit teaching hours are eligible for Basic

Life and AD&D Insurance beginning the first of the month following one year of active service. The Basic Life and AD&D

benefit consists of 1.5 times your salary up to a maximum of $400,000 and is provided to you at no cost by UNH. Our Basic

Life and AD&D carrier is Prudential.

Long Term Disability

Employees with scheduled authorized hours of 20 hours or more per week or 12 credit teaching hours are eligible for Long

Term Disability Insurance beginning the first of the month following one year of active service. The Long Term Disability

benefit consists of 60% of your pre-disability income up to a monthly maximum of $10,000 and is provided to you at no cost

by UNH. Our Long Term Disability carrier is Prudential.

*Spouse coverage amount cannot exceed 100% of the

employee’s own Voluntary coverage amount

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Medical Plan Discounts Fitness Discounts

Save on gym memberships and name-brand home fitness and nutrition products that support your healthy lifestyle with services provided by GlobalFit.

Regular exercise can help you maintain a healthy weight. It can also lower your risks for:

Alzheimer’s disease

Depression and anxiety

Diabetes

Heart disease

High blood pressure

You can join a gym in the GlobalFit network and get:

Access to thousands of gyms in the U.S., including national chains and independent local facilities.

Free guest passes1 to try gyms before you join.

Guaranteed lowest prices2 .

Flexible membership options.

Convenient billing options, including automatic payments to a credit card or from a bank account.

Use of gyms for your spouse or domestic partner and your dependent children

Guest privileges1 at participating network gyms when you travel

You can also get discounts on the following through GlobalFit:

At-home weight-loss programs

Home exercise products and equipment

One-on-one health coaching services3

How to get your discount

Visit www.unhhealthplan.com, or you may contact the Care Coordinators at Quantum Health by calling 1-877-219-2955 for more information.

Notes:

You may pay a one-time activation fee. Check with the Quantum Care Coordinators for details.

Make all payment arrangements with GlobalFit using their convenient billing options.

1 Not available at all gyms

2 Participation in GlobalFit is for new gym members only. If you belong to a gym now or belonged recently, call GlobalFit to see if a discount applies.

3 Provided by WellCall, Inc., through GlobalFit

Hearing Discounts

You can take care of your hearing and save money with Hearing Care Solutions and HearPO.

Hearing Care Solutions has over 2,000 providers at more than 1,300 locations and offers you:

A discounted rate of $42 for hearing exams.

Hundreds of hearing aid models at low prices. Save up to 63 percent.

A two-year supply of batteries (up to 96 cells). After that, you can join a discount battery mail-order program.

Free in-office service of hearing aids for one year after purchase.

Free routine services (cleanings, checks and battery door replacements) for the life of the hearing aid

How to get your discount

Contact the Care Coordinators at Quantum Health by calling 1-877-219-2955 and they will put you in contact with Hearing Care Solutions.

Identify yourself as a Meritain Health member.

Hearing Care Solutions will help you find a provider located near you and schedule an appointment.

Before your appointment, you will receive a welcome packet that includes:

Information on hearing loss.

Information on hearing aids.

What to expect at your appointment.

HearPO has more than 1,600 participating locations and offers you:

A discounted rate of $48 for hearing exams.

Savings on many hearing aid styles.

A cost break on the newest hearing aid technologies, including programmable and digital instruments from leading manufacturers.

Discounts on hearing aid repairs.

Free follow-up services for one year.

Free batteries (up to 160 cells per hearing aid).

How to get your discount

Contact the Care Coordinators at Quantum Health by calling 1-877-219-2955 and they will put you in contact with HearPO.

Identify yourself as a Meritain Health member

When you receive the packet, make an appointment with a provider.

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