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Welcome!. Patrice Gordon, Benefits Specialist (A-D) 792-9679, [email protected] Lisa Beattie, Benefits Administrator (E-M) 792-5922, [email protected] LaDeidra Berry, Benefits Administrator (N-Z) 792-5924, [email protected]

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Welcome

Welcome!

Patrice Gordon, Benefits Specialist (A-D) 792-9679, [email protected]

Lisa Beattie, Benefits Administrator (E-M) 792-5922, [email protected]

LaDeidra Berry, Benefits Administrator (N-Z) 792-5924, [email protected]

Benefits Fax and Email 792-9533, [email protected]


Topics to be covered
Topics to be Covered

  • Retirement Plans

  • Flexible Spending Plans/MoneyPlu$

  • Health, Dental and Vision Insurance

  • Life Insurance

  • Long Term Disability Insurance

  • Long Term Care Insurance


Retirement plan participation
Retirement Plan Participation

Mandatory Participation

  • Classified Employees and Faculty

  • Employees with current SCRS accounts (active or inactive)

    Optional Participation

  • Research Grant employees

  • Residents and Postdoctoral Scholars

  • Employees with annual salaries less than $1200


Retirement plans
Retirement Plans

South Carolina Retirement System (SCRS)

  • Defined Benefit Plan

  • Benefit based on service

    Optional Retirement Plan (ORP)

  • Defined Contribution Plan

  • Benefit based on investments

    Pre-tax contribution amount of 6.5% that is determined and set by the SC Budget and Control Board.


Quick overview
Quick Overview

SCRS Plan

  • The SCRS plan pays a monthly check for life

  • Retirement eligibility with 5 yrs earned service

  • Full benefits: age 65 or 28 years of service credit

  • Reduced benefits: age 55 with 25 years or age 60

  • Disability Retirement: based upon approval

    ORP Plan

  • Employer contributes 5%, vested immediately

  • Vendor Choice: VALIC, MetLife, Hartford and TIAA CREF

  • Must be 59 ½ to withdraw funds without penalty

    Benefit With Either Plan

    • Group Life Benefit: life insurance equal to 1x salary-after 1 yr of service

    • Eligible to continue health insurance if retirement and service criteria met


Retirement plan participation1
Retirement Plan Participation

You have 30 days from your hire date to select a plan.

If you are required to participate, you will automatically default to SCRS if you do not make a selection within 30 days.

If you have the opportunity to participate and do not select a plan, you will automatically default to Non-Membership.

If you select or are defaulted to Non-Membership, you will only be eligible to select a retirement plan if you are assigned to a position that requires participation.

Per SC Code of Laws, election of membership is permanent until you separate employment.


Retirement open enrollment
Retirement Open Enrollment

  • January 1st - March 1st each year

  • If currently enrolled in ORP, may irrevocably elect to switch to SCRS if by March 1st if it is at least 12 months from your initial enrollment, but no more than 60 months

  • May switch ORP vendors


Retirement
Retirement

Please review the “Select Your Retirement” brochure on the MUSC Residents website for detailed information on each plan.

You can also watch an overview of the plans:“Its Your Choice: SCRS Plan or the State ORP”


Insurance guidelines
Insurance Guidelines

Effective Date

  • July 1 (for residents who begin employment 7/1)

    Initial New Hire Period

  • May make a change to any insurance within 31 days of your hire date

*THE INFORMATION CONTAINED IN THIS PRESENTATION IS MEANT TO BE AN OVERVIEW. EMPLOYEES ARE RESPONSBILE FOR READING BENEFIT DETAILS FOUND IN THE INSURANCE BENEFITS GUIDE


Insurance guidelines1
Insurance Guidelines

Family Covered by State Insurance

  • The State Employee Insurance Program does not allow an employee to cover their spouse or children on health, dental or life insurance if they are covered by another State Insurance Plan.

  • This guideline results in lower premiums for the entire family!

Transfer from another State Entity

  • If you have less than a 15 day break in service, you must continue the same coverage you had with your previous employer.


Documentation required for dependents
Documentation Required for Dependents

  • In an effort to control costs, the Employee Insurance Program will begin auditing subscribers who cover dependents to ensure that only eligible dependents are insured.

  • According to experts, 4 to 8 % of the dependents covered under an employer-sponsored plan are ineligible for coverage. About 187,000 dependents have health coverage through EIP. Based on these estimates, if only 4 % of dependents are ineligible, it will save our self-insured plan more than $19 million a year!


Documentation required for dependents1
Documentation Required for Dependents

  • In an effort to control costs, the Employee Insurance Program will begin auditing subscribers who cover dependents to ensure that only eligible dependents are insured.

  • According to experts, 4 to 8 % of the dependents covered under an employer-sponsored plan are ineligible for coverage. About 187,000 dependents have health coverage through EIP. Based on these estimates, if only 4 % of dependents are ineligible, it will save our self-insured plan more than $19 million a year!


Documentation required
Documentation Required

  • Legal Spouse: Marriage license

  • Former Spouse: Copy of divorce decree ordering subscriber to cover former spouse

  • Common Law Spouse: Common Law Marriage Affidavit

  • Natural Child: Copy of birth certificate (long form) showing subscriber as the parent

  • Step Child: Copy of birth certificate showing the name of the natural parent (long form), plus proof the natural parent and subscriber are married (see Legal Spouse/Common Law Spouse)

  • Adopted Child: Court documentation verifying completed adoption or letter of placement from an adoption agency, an attorney or the S.C. Dept of Social Services, verifying the adoption is in progress

  • Foster Child: A court order or other legal document placing the child with the subscriber, who is a licensed foster parent

  • Other Children: For other children for whom a subscriber has legal custody, a court order or other legal document granting custody of the child to the subscriber. Documentation must verify the subscriber has guardianship responsibility for child, not merely financial responsibility.

  • Incapacitated Child: Incapacitated Child Certification Form plus proof of relationship. See the appropriate child type (natural, step, adopted, foster or other) in the above list for acceptable proof of relationship.


Moneyplu
MONEYPLU$

Enables you to deduct certain expenses before Federal, State, and FICA taxes are calculated-

resulting in higher take home pay and lowering your taxable income!


Moneyplu1
MONEYPLU$

Pre-tax Insurance Premiums (Eligible Immediately)

  • Pays health, dental, and optional life* premiums before taxes

  • ($.28 monthly administration fee)

    • *Pre-tax premiums up to $50,000 in optional life coverage

      Dependent Care Spending Account (Eligible Immediately)

  • Allocate pre-tax funds to reimburse for dependent care expenses for children age 12 and younger($5,000 maximum)

  • $3.50 monthly administration fee

  • Expenses incurred in the calendar year and money not reimbursed is lost

    Medical Spending Account (Eligible after 1 year of employment and must wait until October of that year to enroll)

  • Allocate pre-tax funds to pay for you/family’s eligible

    medical, dental, and prescription expenses ($5,000 maximum)

  • $3.50 monthly administration fee

  • All remaining funds at calendar year-end not used by

    March 15th of the following year are forfeited.


  • Moneyplu2
    MONEYPLU$

    Health Savings Account

    • Only eligible if enrolled in the SHP Savings Plan

    • Save money for qualified medical expenses with an interest bearing checking account with NBSC

    • ($20/yr or $2.00 /month admin fee)

    • Account funds roll from year to year

    • May make a change to the contribution amount at any time

    • May keep this account if you leave employment with MUSC

    • Employees may also use a Limited-Use Medical Spending Account annually to pay for dental and vision expenses.

    • To enroll complete Section A on the FBMC form in your packet. You must also enroll online, complete the application and mail to the completed application to the appropriate address.

      APPLY FOR YOUR HSA


    Insurance guidelines2
    Insurance Guidelines

    • The State Savings and Standard Health Plans require notification within 24 hours of any specific diagnosis, injury or illness. It is the subscribers responsibility to call Medi-Call to notify the insurance. There are monetary penalties for failure to obtain certification when required. You must also notify them within the 1st trimester of pregnancy.

    • All of the HMO Plans require specialist referrals. HMO subscribers should contact their insurance plan when they receive their card to select a Primary Care Physician.

    • The Consolidated Omnibus Budget Reconciliation Act of 1985 (COBRA) requires employers to offer all employees and/or their eligible dependents continuing group health and dental insurance for up to 18 months if they meet specific qualifications.

      • COBRA coverage requires payment of full premiums

      • Letter of COBRA coverage sent to all new employees and exiting employees

    • Pre-existing Conditions

      • Conditions diagnosed within 6 months prior to the effective date of coverage will not be covered for 12 months, UNLESS…

      • a certificate of health coverage is provided showing 12 months of prior coverage (with less than a 62 day break)


    Health plans information to consider when choosing a health insurance plan
    Health PlansInformation to consider when choosing a health insurance plan:

    1. Consider the monthly premium rates

    2. How often do you go to your physician and or hospital (Physical Exams) ?

    3. Do you prefer freedom of choice with the provider or having a Primary Care Physician?

    4. How often and where do you travel?


    Health Plans

    Please review the “Comparison of Health Plan Benefits” on the MUSC Residents website

    Detailed information on each plan

    may also be found in the

    Insurance Benefits Guide.


    Tobacco Surcharge

    Effective January 1, 2010, the SC Budget and Control Board has approved a

    monthly surcharge be added to the health insurance premiums of tobacco users.

    The State Health Plan, BlueChoice HMO and CIGNA HMO are self-insured. All

    premiums are placed in a fund and used to pay claims. Illnesses caused and

    contributed to by tobacco use cost this fund an estimated $75 million each year.

    The subscriber is charged based on the level of health insurance.

    • Enrollee Only: $40/ month

    • Enrollee/Child(ren): $60/month

    • Enrollee/Spouse: $60/month

    • Family: $60/month

      Employees are required to certify whether they, or anyone covered on their

      insurance, are tobacco users.  A non-tobacco user is someone who has not

      used tobacco within the past six months.  Tobacco use is smoking tobacco in

      such forms as a cigarette, pipe or cigar, or using smokeless tobacco, such as

      snuff or chewing tobacco (nicotine chewing gum is excluded).


    Tobacco surcharge
    Tobacco Surcharge

    If you fail to complete the certification you will automatically be charged the tobacco-user premium based on your level of health insurance coverage. Once the certification is completed, the lower premium will be effective the first of the month after the certification is received.

    -If a subscriber certifies that all dependents covered are non-tobacco users and it is determined that you or any of your covered dependents have used tobacco products within the past six months or started using tobacco products after the date of your certification as non-tobacco user(s), and you did not notify EIP, you will be subject to penalties including, but not limited to:

    -Payment of the additional surcharge, plus a 10-percent penalty, for each month since your last certification

    -Elimination of the out-of-pocket maximum for the current and the subsequent year.


    Mental health substance abuse
    Mental Health & Substance Abuse*

    • Must use In-Network Providers

    • Each health plan has a specific network

    • Visits are subject to co-payments

    • Pre-Authorization is necessary

    * included in medical premiums


    Prescription drug benefits
    Prescription Drug Benefits*

    31 day supply (retail)

    • Generic

    • Preferred Brand

    • Non preferred Brand

      Mail Order Available- Extended 90 day supply

      of prescriptions for a discounted rate

      The Ashley Avenue and Rutledge Tower Pharmacy will honor the 90 day rate for the Standard Health Plan.

      * included in medical premiums


    Vision care discount program
    Vision Care Discount Program

    Vision Care Discount Program

    • Is free for all State Employees and their dependents.

    • The program offers you discounted vision care services. Participating providers have agreed to charge no more than $60 for a routine eye examination and give a 20% discount on all eyewear (except disposable contact lenses).


    State vision plan
    State Vision Plan

    Employees may access network providers at:

    www.eyemedvisioncare.com.


    The State Dental Plan

    Class I - Preventive Services:

    • 100% of Allowable Charges

      Class II - Basic Services:

    • 80% of Allowable Charges with $25 deductible

      Class III - Prosthetics:

    • 50% of Allowable Charges with $25 deductible (excludes implants)

      Class IV – Orthodontia

    • 50% of Fee Schedule

    • $1000 Lifetime Benefit (dependents under age 19)

  • The yearly maximum for each dependent is $1,000.

  • Allowable Charge - The maximum

    amount paid for a covered service.


  • Dental plus
    Dental Plus

    • Raises the allowable charge to an amount higher than on the basic plan

    • Combined benefit year maximum benefit is now $2,000 per dependent

    • Same coverage as carried on State Dental Plan

    • NO additional orthodontia benefits

    • Employee must pay the basic and plus premiums


    Dental premiums
    Dental Premiums

    Please review the Classes of Dental Procedures in the

    Insurance Benefits Guide.

    Dental premiums can be found in the

    MUSC Residents Website.


    Basic life insurance
    Basic Life Insurance

    • Free with enrollment in any health plan

    • $3,000 coverage


    Optional term life insurance
    Optional TermLife Insurance

    • As a new hire, an employee may select up to 3 times their current salary, without providing medical evidence

    • Employee may select up to $500,000 if medical evidence is approved

    • Premiums based on coverage and age

    • Accidental Death and Dismemberment Benefits

      • Accidental Death equal to amount of life insurance

      • Dismemberment Benefits (see IBG for schedule of benefits)

      • Seat Belt (25% ) and Air Bag (5%) Riders for automobile accidental death

      • Felonious Assault Benefit

      • Day Care Benefit- the lesser of 5% of the face value or $10,000 per year, 2-year max

      • Education Benefit- the lesser of 5% of the face value or $5000 per year, 4-year max

  • Repatriation Benefit

  • Accelerated Death Benefit (under age 60)

  • Will preparation and estate resolution services at no charge


  • Optional life premiums
    Optional Life Premiums

    Life insurance premiums can be found on the

    MUSC Residents website.


    Dependent life insurance
    Dependent Life Insurance

    • Spouse

    • With Employee Coverage

    • $10,000 or $20,000-with no medical evidence needed

    • May increase up to 50% of employee’s coverage or $100,000 -if medical evidence is approved

    • Without Employee Coverage

    • Only $10,000 or $20,000

    • Premium is based on amount of coverage and employee’s age

    • Dependent Child(ren)

    • $15,000

    • Premium is $1.24 for any number of children


    Dependent life premiums
    Dependent Life Premiums

    Dependent life insurance premiums can be found

    on the MUSC Residents website.

    Spouse life insurance premiums are based on the employee’s age.


    Basic long term disability
    Basic Long Term Disability

    • Free with enrollment in any health insurance plan

    • Monthly benefits

      • 62.5% of base salary

      • Maximum monthly benefit is $800 per month (annual salaries over $15,000 will exceed the monthly benefit)

    • 90 day waiting period

    • Benefits are coordinated with other group benefits - Sick Leave, Annual Leave, Retirement, Social Security, Workers’ Compensation, etc.

    • Pre-existing conditions will not be covered for 12 months from date of coverage.


    Supplemental long term disability
    Supplemental Long Term Disability

    • Premium based on salary and age.

    • Monthly benefits

      • 65% of base salary up to $147,692/year.

      • Maximum monthly benefit is $8,000 per month.

      • Minimum monthly benefit is $100 per month.

    • 90 or 180 day waiting period

    • Benefits are coordinated with other group benefits - Sick Leave, Long Term Disability, Retirement, Social Security, Workers’ Compensation, etc.

    • Pre-existing conditions will not be covered for 12 months from date of coverage.


    Supplemental benefits
    Supplemental Benefits

    • Additional benefits not provided by the state Employee Insurance Program available through supplemental providers

    • Benefits include Short Term Disability, Whole Life Insurance, Hospitalization Benefits, Cancer Insurance, Accident Insurance

    • Premiums are available for payroll deduction

    • Visit the Benefits website at for list of approved companies

    • May enroll at any time of the year


    Long term care insurance
    Long Term Care Insurance

    • Coverage available for self, spouse, or parents

    • No medical evidence needed for employee if enrolled within the first 31 days of hire

    • Cost of coverage based on the age and benefit of insured

    • Eligibility is based on the inability to perform two of six (two of five with the Disability Model) activities of daily living - bathing, dressing, eating, transferring, continence & toileting, or have a severe cognitive impairment such as Alzheimer’s

    • Choose a daily benefit amount. This is the maximum amount of coverage your plan will pay for each day.

    • Benefits begin after a once-in-a-lifetime 90 day period

    • Benefits may be used towards the cost of at home care, in an assisted living facility, adult day care, nursing home or hospice.

    • May continue coverage at the same group rates if you change jobs.

    • Please contact your Benefits Counselor for more information.


    Changes to employee benefits must be made within 31 days
    Changes to Employee Benefits(Must be made within 31 Days)

    Initial Changes

    • (31 Days from Date of Employment)

    • Change Health Insurance Carrier

    • Add/Drop health or dental coverage for yourself or dependents

    • Add/Drop Optional and Dependent Life, Supplemental Long Term Disability, or Long Term Care Insurance

      Qualifying Event Changes

    • (31 Days from Date of Event)

    • Marriage

    • Separation/Divorce

    • Birth or Adoption

    • Death

    • Employment/Insurance Change of Dependent

    • Dependency Change for Children-eligible to be covered on health, dental and vision until age 26 (until age 19, or age 25 if a FT student for life insurance)


    Year round allowable changes
    Year Round Allowable Changes

    The following changes are allowed anytime during the year with medical evidence of good health:

    • Add/Increase Dependent Spouse Life Insurance

    • Add/Increase Supplemental Long Term Disability

    • Add/Increase Long Term Care

      The following changes are allowed anytime during the year:

    • Enroll in or change HSA contributions

    • Change H.M.O. Physician

    • Drop Dependent Life, Supplemental Long Term Disability, or Long Term Care Insurance

    • Change beneficiaries


    Insurance enrollment periods
    Insurance Enrollment Periods

    OCTOBER 1st– OCTOBER 31st

    Changes made during October will be effective January 1st of the following year, including any premium changes

    ANNUAL ENROLLMENT-every year

    • Change health insurance carriers

    • Add/drop state vision plan

    • Enroll/re-enroll in MoneyPlu$ Dependent Care, and/or Medical Spending Accounts for the following year

    • Any special changes allowed for the year

      OPEN ENROLLMENT-odd numbered years

    • Add/drop health or dental coverage for yourself

    • Add/drop dependents from coverage

    • Add/drop Dental Plus


    Checkout
    CHECKOUT

    Please return all forms in the packet you receive from Human Resources as directed in the instructions. Even if you are undecided on some selections, please sign and return the forms to the Benefits Office. Our counselors will process your paperwork and meet you at your Orientation to obtain information that was incorrect or omitted. If you need assistance selecting your benefits, please do not hesitate to contact your counselor for more information. We look forward to meeting you in person at Orientation!


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