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Welcome To TWU!. Every job is a self-portrait of the person who does it, autograph your work with excellence. --Author Unknown . Office of Human Resources Denton, Texas 940/898-3555. What’s the Agenda for Today THE AGENDA FOR TODAY?. Health/ Dental Overview Enrollment Deadlines

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slide1

Welcome To TWU!

Every job is a self-portrait of the person who does it, autograph your work with excellence.

--Author Unknown

Office of Human Resources

Denton, Texas

940/898-3555

what s the agenda for today the agenda for today
What’s the Agenda for Today THE AGENDA FOR TODAY?
  • Health/ Dental Overview
  • Enrollment Deadlines
  • Optional Coverage & Flexible Benefits
  • Retirement Overview
  • Worker’s Compensation
  • Questions and Answers /Dental

Office of Human Resources

Denton, Texas

940/898-3555

slide3

DO YOU MEET THESE CRITERIA?

  • Are you a Direct Transfer from another Texas state agency?
  • Does your spouse or parent work for a Texas state agency and if so, does that relative cover you for health, dental or dependent life insurance through the Texas GBP?
  • Are you a 9 month employee, or part-time?

If you meet one of these conditions, please let the Benefits Representative know.

This could possibly waive your 90 day waiting period for health coverage.

Office of Human Resources

Denton, Texas

940/898-3555

health insurance overview
Health Insurance Overview

Coverage is effective the First day of the month after your 90th day of employment.

Office of Human Resources

Denton, Texas

940/898-3555

  • No deductible
  • $2,000/Calendar year Coinsurance Maximum
  • Primary Care Physician Required
  • Specialist Referrals required (except for routine eye exam and OB-GYN)
  • Low office visit co-pay
    • $25 Primary Care Physician
    • $40 Specialist
  • Hospital co-payments
    • $100 Outpatient co-pay then 80/20
    • $150 Inpatient co-pay per day up to 5 day maximum and 80/20
    • $150 ER co-pay then 80/20
    • Non-Network benefits

Available.

slide5

PRESCRIPTION DRUG PROGRAM

  • Prescriptions are $15, $35, $60
  • $50 Plan Year (9/1 to 8/31) deductible (per family member)
  • Generics mandatory when available
  • Maintenance medications (long-term)- Use mail order or pay cost difference and continue to use network pharmacy

Office of Human Resources

Denton, Texas

940/898-3555

dental insurance
Dental Insurance

ERS has offers two dental plans. Each has

different costs, benefits, service areas and participating dentists.

Humana Dental

This plan works like an HMO. You and your eligible dependents must get your dental care within the Humana Dental HMO service area (inside the state of Texas).

State of Texas Dental Choice Plan

Administered by the Humana, this plan allows you to visit any dentist, and you and eligible dependents can enroll regardless of where you live.

To compare and see which is right for you, use the dental comparison chart provided or visit plan descriptions available online.

Office of Human Resources

Denton, Texas

940/898-3555

slide7

Enrollment

Deadlines

Office of Human Resources

Denton, Texas

940/898-3555

  • 90 days from your hire date to add a dependent(s) to your health insurance.
  • 30 days from your hire date to enroll in dental coverage.
slide8

WHAT ELSE CAN I CHOOSE?

(Must enroll within your first 30 days of employment)

  • Optional Term Life*
  • Dependent Term Life*
  • Voluntary Accidental Death & Dismemberment (AD&D)
  • Short-Term Disability*
  • Long-Term Disability*
  • TexFlex Reimbursement Accounts
  • Long Term Care*
  • Opt-Out
  • *Generally EOI required outside of initial enrollment period.

Office of Human Resources

Denton, Texas

940/898-3555

optional term life
Optional Term Life
  • Optional Term Life
    • Election I = 1 x annual salary
    • Election II = 2 x annual salary
    • Election III = 3 x annual salary* - Requires EOI approval
    • Election IV = 4 x annual salary* - Requires EOI approval

*Administered by Fort Dearborn Life Insurance Company (FDL).

Office of Human Resources

Denton, Texas

940/898-3555

slide10

Dependent Term Life

  • This policy provides life insurance coverage for each covered family member, and requires you to pay a monthly premium.
  • An employee is eligible to sign up for a $5,000 policy.

*Administered by Fort Dearborn Life Insurance

Company (FDL).

Office of Human Resources

Denton, Texas

940/898-3555

slide11

Voluntary Accidental Death & Dismemberment (AD&D)

Accidental death

In the event of your death as the direct

result of an accident, your beneficiary will

receive the amount of insurance you select.

Dismemberment

If you have an accident and experience bodily losses as a direct

result of the accident, you will receive AD&D benefits.

Cost

The cost of Voluntary AD&D coverage depends on the amount of coverage you purchase. Coverage is purchased in increments of $5,000: the minimum coverage available is $10,000, and the maximum coverage available is $200,000 and is available for you and your dependents.

Office of Human Resources

Denton, Texas

940/898-3555

slide12

Disability Insurance

Short Term

Long Term

Premium is .63 per $100 of monthly salary

Must be off work 90 days before coverage begins

Insurance pays 60% of salary until age 65

Maximum benefits $6,000 per month

  • Premium is .26 per $100 of monthly salary
  • Must be off work 30 days before coverage begins
  • Insurance pays 66% of salary for a maximum of 5 months
  • Maximum benefits $6,600 per month

Office of Human Resources

Denton, Texas

940/898-3555

slide13

TexFlex Reimbursement Accounts

  • Make an annual pledge that is deducted pre-tax from your paycheck.
  • The pledge is deposited into your personal account, which you use to reimburse yourself for medical, dental, and day care expenses.
  • File for reimbursement via mail, fax, or use of a debit card.
  • $12 annual administrative fee, $15 annual debit card fee.
  • Money contributed must be used during that plan year, (September 1st-August 31st) or it is forfeited (grace period until November 15th).

Office of Human Resources

Denton, Texas

940/898-3555

opt out
Opt-Out

Health Insurance Opt-Out Program

  • The Health Insurance Opt-Out Credit is for employees who do not elect the State’s health insurance because they have other health insurance that is as good as or better than GBP health coverage.
  • A credit is provided for employees that they may use toward dental and Voluntary AD&D premiums.

Office of Human Resources

Denton, Texas

940/898-3555

ers online
ERS Online

To Enroll in optional coverage please visit the ERS

website:

  • Go to www.ers.state.tx.us
  • Click on ERS Online
  • Click the gray sign in button in order to set up a
  • user name and pass word
  • Click on “Post-Hire Change”

NOTE: You can’t access online enrollment until the benefits

department staff inputs your new hire information.

Office of Human Resources

Denton, Texas

940/898-3555

slide16

Enrollment

Deadlines

Office of Human Resources

Denton, Texas

940/898-3555

  • 90 days from your hire date to add a dependent(s) to your health insurance.
  • 30 days from your hire date to enroll in optional coverage.
teacher retirement system of texas trs
TEACHER RETIREMENT SYSTEM OF TEXAS (TRS)

Office of Human Resources

Denton, Texas

940/898-3555

  • Defined benefits plan-based upon TRS formula
  • TRS standard annuity (maximum annual benefit) = 2.3% x years of service X average of five highest fiscal year salaries: e.g., 25 yrs x 2.3% = .575 x $50,000 = $28,750/yr
  • Vesting period of five years
  • Contributions

-Employee: 6.4% of gross salary into your account

-Employer/State: 6.0% to TRS fund

  • Additional benefits

-Death/Survivor benefits: $10,000 - $80,000

-Disability retirement benefits (based on yrs of service)

-Ability to purchase credit toward retirement

(e.g., out-of-state service, military service)

slide18

Will you have enough money in retirement?

A balanced financial plan is like a three-legged stool.  All three legs are needed to provide stable income security in retirement: Your pension (State retirement) Social Security Personal savings and investments (like a 401(k), 457 or IRA)Depending on how long you live, your debt level, health, and lifestyle choices, you may need up to 120% of your current income in retirement. Texa$aver 457 and TWU’s 403b can help you build that stash of cash.It’s a program that takes money from your monthly paycheck and saves it for your retirement nest egg – before income taxes are taken out.

Office of Human Resources

Denton, Texas

940/898-3555

worker s compensation
Worker’s Compensation
  • Notify supervisor immediately
  • 30 days to submit paperwork
  • 100% medical

Office of Human Resources

Denton, Texas

940/898-3555

what if i have questions later
What if I Have Questions Later?
  • Access your insurance plan booklets at www.ers.state.tx.us
  • Call your insurance carrier’s member services:

Blue Cross Blue Shield Health Select:800-252-8039 or visit www.bcbstx.com/hsDental Choice Plan – GEHA: 800-618-2389 or visit www.txdentalchoice.comDental Maintenance Plan (DMO) - Humana: 800-275-1794 or visit www.aetna.com/members/ersGroup Life & Health (Optional Coverage):800-778-2281TWU Benefits Department (940) 898-3555

e-mail: acagle@twu.edu;

Office of Human Resources

Denton, Texas

940/898-3555