Welcome to NEO A&M College. Benefits & New Hire Enrollment Presented by: NEO Human Resources Department. Topics. Retirement Norse Pride Annual Leave/Vacation/Sick Time BCBS Health Plans Flexible Spending Accounts Premium Rates Dental Insurance Vision Insurance Life Insurance
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Welcome to NEO A&M College Benefits & New Hire Enrollment Presented by: NEO Human Resources Department
Topics • Retirement • Norse Pride • Annual Leave/Vacation/Sick Time • BCBS Health Plans • Flexible Spending Accounts • Premium Rates • Dental Insurance • Vision Insurance • Life Insurance • Long-Term Disability • Enrollment Forms • American Fidelity Supplemental Plans
NEO Retirement • Faculty & Staff are eligible to participate in Oklahoma Teachers Retirement (OTRS) provided you are a full-time employee. • After 5 years a retiree becomes vested under OTRS. • Retirement under OTRS at age 62 with 5 years of service or when age plus service equals 80 or 90. • Retirees should get estimate from OTRS at least 90-120 days prior to retirement.
NORSE PRIDE“Keeping the Tradition Alive” Should you wish to support a specific NEO department on campus, athletic program, etc you may elect to have a specific amount withheld from your paycheck on a recurring basis. The authorization for payroll deduction form may be obtained in the Human Resources office.
Eligibility for BlueCross BlueShield • Employee Eligibility: 6-Month Regular Appointment at least 75% FTE • Health Benefits: Employee Only Coverage Employee/Spouse Coverage Employee/Child(ren) Coverage Family Coverage • Dependent Coverage: Coverage to age 26
NEO Health Plans • BlueOptions Features two Network Options • BlueChoice PPO
Helpful Terms • Network Group of Providers who agreed to discount charges • Deductible for Calendar Year Amount you pay before benefits are paid by Plan • Co-insurance Amount you pay after the deductible is met • Annual Maximum Out-of-Pocket Maximum amount you pay each calendar year before the Plan pays 100%
Helpful Terms • Portability Continuous coverage with another major medical plan (no more than a 63-day break) Pre-existing condition exclusion is waived • Pre-existing Condition Exclusion Treated, diagnosed, or medication prescribed six months prior to beginning coverage, BCBS excludes those conditions 12 months from initial enrollment
BlueOptions Network Information • Network Options BluePreferred Network BlueChoice Network • Provider Listings www.bcbsok.com/osu Call: 877-258-6781 • BlueOptions PPO Discounts Use any BluePreferred or BlueChoice Provider Freedom to go out-of-network
BlueOptions • $30 PCP/$50.00 Specialist office visit co-pay, in-network • $750 individual, $2,250 family deductible • 80/20 co-insurance BluePreferred Network • 70/30 co-insurance BlueChoice Network • $3,000 per person out-of-pocket max, after deductible, $3,500.00 per person, non-network. • No lifetime maximum on health benefits
BlueOptions • Receive a $250 credit towards BlueOptions deductible each year by completing assessment. • Complete your Health Risk Assessment (HRA) • Take before any claims are incurred • Input information into BlueAccess for Members • Available to employee and spouse, if covered
BlueOptions • Received a $250 credit towards BlueOptions deductible each year by completing HRA. • Available to employee, spouse and dependents, if covered • Enroll in Special Beginnings Maternity Program • Call BlueCross BlueShield to enroll • Enroll within first trimester
BlueChoice PPO Network Information • BlueChoice PPO Network • Provider Listings • www.bcbsok.com/osu • Call:877-258-6781 • BlueChoice PPO Discounts • Use any BlueChoice PPO Provider Freedom to go out-of-network
BlueChoice PPO • $25 office visit co-pay, in-network • $500 individual, $1,500 family deductible • 80/20 co-insurance • $2,800 per person out-of-pocket max, after deductible, $3,300 per person, non-network • No lifetime maximum on health benefits
Pharmacy Coverage • Generics $4 • $50 name Brand Drugs • $100 Non-Preferred • $150 Triessent Specialty • $200 Non-Triessent Specialty
Pharmacy Extras • No lifetime maximum for Pharmacy coverage • Pharmacy and medication lists are available at www.bcbsok.com/osu or call 877-258-6781 • Mail order available • BlueCard access available
BlueExtras and BlueRewards • BlueAccess for Members-www.bcbsok.com/osu • Personal Health Manager • Immediate access to healthcare information • Easy to use tools • Take health risk assessments • Set Doctor appointment reminders • Check status of claims • Obtain estimated costs for various medical procedures • 24/7 Nurseline
BCBS Helpful Information • Insurance ID Cards • Receive in 4-6 weeks • Mailed to home address • Print temporary cards at www.bcbsok.com/osu • Important phone numbers on card • BCBS Member Services • Pre-certification • Keep in your wallet for proof of insurance
BCBS Helpful Information • OSU BlueCross BlueShield Team • 877-258-6781 • www.bcbsok.com/osu • Need Additional Help - Contact the HR Department
BCBS Premiums • Please refer to your new hire materials received upon hire or contact the Human Resources Office for current health premiums.
Flexible Spending & Dependent Care Accounts • Healthcare FSA • Out-of-pocket medical expenses, prescription drugs, deductibles, co-payments, dental, and vision for you and your eligible dependents • Pre-funded • Minimum Annual Goal of $300.00 up to $2,500 Current Max per IRS Regulations (Refer to IRS for updated max) • Dependent Care FSA • Daycare expenses for children under 13 • Not pre-funded • Maximum of $5,000 per tax year for reimbursement of dependent care expenses ($2,500 if you are married and file a separate return – Per IRS Regulations – Refer to IRS for updated max)
State Insurance Board Dental and Vision Insurance • Dependent Coverage • Member must be covered before dependents are covered • Dependents enrolled in same plan as member • Cover dependents until age 26 • Spouse Exclusion • Dental coverage only • Vision coverage requires spouse to have other group coverage • Signature is required on enrollment form
Dental Plan Options • Dental Plans • HealthChoice(Has the most providers) • Assurance Freedom Preferred • Assurant Heritage Plus with SBA (Prepaid) • Assurant Heritage Secure (Prepaid) • CIGNA Dental Care Plan (Prepaid) • Delta Dental PPO • Delta Dental Premier • Delta Dental PPO Choice • Provider listings at sib.ok.gov
Dental Coverage • Dental Coverage • HealthChoice • Has the most providers • $2,000 Calendar Calendar Year Maximum • No Lifetime Maximum for Orthodontia • Pays 50% • 12 month waiting if not covered by another group dental plan prior to enrolling • Dental Plans Cover Two cleanings and a set of X-rays per year - Check your Employee Benefit Options Guide or Online
HealthChoice Dental Premiums • Refer to current rate guide for most up-to-date premiums. The rate guide can be found on the web http://www.ok.gov/sib/Member/Handbooks/index.html • Remember • Current Premiums in Option Guide • Cover yourself to cover dependents • Cover one dependent, cover all dependents
Vision Plan Options • Vision Plans • Vision Service Plan (VSP) • Primary Vision Care Services • Superior Vision Plan • United Healthcare Vision • Humana/Comp Benefits Vision Care Plan
Vision Coverage • Vision Service Plan (VSP) • Has the most providers • No ID Card • Calendar Year Benefits Include • Exam, $10 co-pay • Prescription Glasses, $25 co-pay • Lenses and/or frames covered up to $120 each year • 20% discount on remaining balance • Contact lens covered up to $120 each year, no co-pay • Mail order available • Check your Employee Benefit Options Guide for further details and updated info.
Vision Service Plan Premiums (VSP) • Please contact the Personnel Office should you need a copy of the current monthly premiums for VSP or any other Vision plans.
ING Employee Benefits • NEO Employee Coverage • Provided by ING Employee Benefits/Reliastar • NEO pays the monthly life premium as a benefit up to two times your annualized salary • With $200,000 maximum • Benefits reduce at age 65 • Accidental Death and Dismemberment • Safe Driver Benefit – 10% • Safe Driver Benefit with Airbags – 15% Updated each December 31
ING Employee Benefits • NEO Employee Coverage • Provided by ING Employee Benefits/Reliastar • Opportunity to purchase up to two-times annualized salary • 5,000 increments • Not to exceed $250,000 • With Proof of Good Health • Employee may increase up to five times annualized salary, not to exceed $750,000 • Portability - If you leave NEO you may keep your Supplemental Life. However premiums would be paid by the employee and premiums are not tax sheltered.
ING Employee Benefits Supplemental Life • Voluntary enrollment • Employee • Spouse • Dependent(s) • Premiums paid by employee • Premiums not tax sheltered
ING Employee Benefits Supplemental Life • New Employee Enrollment • Spouse guaranteed issue within first 30 days of hire • Opportunity to purchase up to one-times employee annualized salary • $5,000 increments • Not to exceed $125,000 • With Proof of Good Health • Employee may increase spouse life, not to exceed 50% of employees combined amounts, up to $375,000 • Cannot cover spouse if spouse is an NEO employee Premiums are paid be employee – Premiums are not tax sheltered
ING Child(ren) Supplemental Rates If you and your spouse are employed by NEO, only one parent can cover child(ren)
Beneficiaries • Primary Beneficiary • First in line • Share equally • Person/Corporation/Charitable Institution • Contingent • Collect in Primary Predeceases • Keep Beneficiary Information Current • Contact NEO Human Resources to Update
Long-Term Disability • Long-Term Disability • Salary Protection Program • 30 days to enroll • NEO pays premium 100% • Pre-existing condition clause • LTD Process • First 180 days, Elimination • Next 6 months, Own Occupation • After 12 months, Any Occupation • See your AFA LTD Certificate for more details Example for 60% LTD Cost paid by NEO: $29,000/12=$2,417/100=$24.17 x .49 = $12.56 per month
Long-Term Disability • Your Plan Pays A Monthly Disability Benefit • 60% of you Monthly Compensation not to exceed: (1) a maximum Monthly Disability Benefit of $3,600.00; (b) a maximum covered Monthly Compensation of $6,000.00; and (3) the amount for which premium is being paid. If applicable, your Disability Benefit will be reduced by Deductible Sources of Income.
Long-Term Disability • Less Income From Other Sources • AFA will ask you to apply for: • Social Security Disability • Oklahoma Teachers’ Retirement Disability • Workers’ Compensation • Unemployment Compensation • AFA will calculate your salary guarantee Example of 60% LTD pay out: AFA salary guarantee: SS = $600.00 OTR = $950.00 ____________________ $1,550.00 AFA will pay $100 minimum benefit