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Benefits Update for 2014. Thomas R. Tomberlin Director, District Human Resources Services thomas.tomberlin@dpi.nc.gov (919) 807-3440. Parental Involvement Leave. § 95-28.3. Leave for parent involvement in schools . The statute does apply to school personnel (including classroom teachers).

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benefits update for 2014

Benefits Update for 2014

Thomas R. Tomberlin

Director, District Human Resources Services

thomas.tomberlin@dpi.nc.gov

(919) 807-3440

parental involvement leave
Parental Involvement Leave
  • § 95-28.3. Leave for parent involvement in schools.
  • The statute does apply to school personnel (including classroom teachers).
  • Mutually agreed upon time – 48 hour notice
  • Employer may require documentation of visit.
  • LEA is not required to pay for this leave time.
annual leave bonus
Annual Leave Bonus
  • Eligibility:
    • Any person who is eligible to earn annual leave

AND

    • was a permanent employee of LEA on July 1st, 2013

OR

    • was under contract to be employed for the 2013-2014 school year on July 1st, 2013.
annual leave bonus1
Annual Leave Bonus
  • The bonus leave cannot be paid out except for a retiring employee.
  • The bonus leave can be used for any purpose for which regular annual leave is used.
  • Bonus leave may not be used on an instructional day if the employee requires a substitute.
  • Bonus leave cannot be donated as Voluntary Shared Leave (VSL).
  • Bonus leave can be applied to negative leave balance but not if the negative leave was incurred prior to July 1st, 2013.
annual leave bonus2
Annual Leave Bonus
  • LEAs may designate 5 of the built-in annual leave days in the calendar as bonus leave, but they should provide clear communication to employees to avoid any confusion.
  • Bonus Leave is coded to 29 – “2013-14 Bonus Leave”
  • The bonus leave does not count toward the maximum rollover balance at December 31st.
slide6

Embracing a Healthy Lifestyle through the State Health PlanNew Plan Options and Incentives for 2014

health plan options for 2014
Health Plan Options for 2014

Enhanced 80/20 Plan

NEW: Consumer-Directed Health Plan (CDHP) with HRA

Traditional 70/30 Plan

  • The current Standard 80/20 Plan with a new name to match the new features
  • $0 ACA Preventive Services
  • $0 ACA Preventive Medications
  • New Wellness Incentives
    • Reduced medical copay opportunities
  • A new health plan option
  • A high-deductible medical plan
  • A Health Reimbursement Account (HRA) to help offset the deductible
  • 85/15 Coinsurance
  • $0 ACA Preventive Services
  • $0 ACA Preventive Medications
  • CDHP Preventive Medication List ($0 deductible)
  • New wellness incentives
    • Additional HRA funds for visiting certain providers
  • The current Basic 70/30 Plan with a new name
  • No incentives available
  • No $0 ACA Preventive Services
  • No $0 ACA Preventive Medications

Open Enrollment will be conducted October 1 – 31, 2013. You must complete enrollment—otherwise, you and your covered family members will be enrolled in the Traditional 70/30 Plan effective January 1, 2014.

a new focus on wellness
A New Focus On Wellness

Enhanced 80/20 Plan

NEW: Consumer-Directed Health Plan (CDHP) with HRA

Traditional 70/30 Plan

  • Wellness premium credits when:
    • Subscriber completes a Health Assessment
    • Subscriber attests for him/herself and spouse (if applicable) to not smoking...or to being in a smoking cessation program
    • Selecting a Primary Care Provider (PCP) for self and all dependents
  • Additional wellness incentives
    • $15 copay reduction for utilizing the PCP (or someone in that practice) listed on the ID card
    • $10 specialist copay reduction for utilizing a Blue Options Designated Specialist
    • $0 inpatient hospital copay for utilizing a Blue Options Designated Hospital
  • Wellness premium credits when:
    • Subscriber completes a Health Assessment
    • Subscriber attests for him/herself and spouse (if applicable) to not smoking...or to being in a smoking cessation program
    • Selecting a Primary Care Provider (PCP) for self and dependents
  • Additional wellness incentives
    • $15 added to the HRA when the PCP (or someone in that practice) listed on the ID card is seen
    • $10 added to the HRA when a Blue Options Designated Specialist is seen
    • $50 added to the HRA when a Blue Options Designated Hospital is utilized for inpatient services
  • No incentives available
  • No $0 ACA Preventive Services
  • No $0 ACA Preventive Medications
the consumer directed health plan cdhp with hra
The Consumer-Directed Health Plan (CDHP) with HRA

High-Deductible Health Plan

Health Reimbursement Account (HRA)

  • Covers the same services as other Plan options through the same PPO network
  • The deductible is higher than other Plan options, but the coinsurance is lower
  • In-network: $1,500 Individual/$4,500 Family
  • Out-of-Network: $3,000 Individual/ $9,000 Family
  • After the deductible is met, the member only pays the 15% coinsurance
  • The deductible applies to both Pharmacy and Medical expenses
  • If the member reaches his or her deductible and coinsurance out-of-pocket maximum, the Plan pays 100% of the covered expenses for the rest of the benefit year (medical and pharmacy)
  • The Plan funds the members’ Health Reimbursement Accounts (HRA) annually
  • HRA funding is based on the number of family members covered
    • $500 for employee/retiree only
    • $1,000 for employee/retiree + 1
    • $1,500 for employee/retiree + 2 or more dependents
  • HRA funds are used to pay a portion of the members’ deductibles & coinsurance
  • Once the HRA is depleted, the member must pay the remaining deductible & coinsurance
  • Incentives available to add value to HRA
  • Unused HRA funds are available the following year

A different kind of health plan with two components

the traditional 70 30 plan
The Traditional 70/30 Plan
  • Traditional 70/30 Plan – The new name for the current 70/30 Basic Plan; there are no changes to the Plan’s benefits for 2014
  • Copays and Deductibles – The copays and deductibles on the Traditional 70/30 PPO plan are the same as they are today on the 70/30 Basic Plan. There will be no opportunities for copay reductions on the Traditional 70/30 Plan.
  • Network Services – Members may visit any provider, but they will pay less when they go to a BCBSNC network provider
  • Preventive Services – Copays still apply to preventive services.
salary and benefits statement
Salary and Benefits Statement
  • Pursuant to Session Law 2009-63, House Bill 1221, DPI will maintain a website for school employees to calculate their full compensation (salary and benefits) package.
  • http://apps.schools.nc.gov/benefitstatement
salary and benefits statement2
Salary and Benefits Statement
  • Districts are responsible for keeping their local benefits updated.
  • DPI will update the page with current information
  • Please contact me if you need to update your local benefits provider on the webpage.
questions comments
Questions/Comments

Thomas R. Tomberlin

thomas.tomberlin@dpi.nc.gov

919-807-3440