MHS New Hire Orientation Welcome to Emory!

Transcription

1 MHS New Hire Orientation Welcome to Emory!

2 Employee Benefits Office 1599 Clifton Road 1 st Floor (404) Monday, Tuesday, Thursday and Friday 8:00 a.m. to 5:00 p.m. Wednesday 8:00 a.m. to 3:00 p.m.

3 Agenda Introduction Benefits Elections Dependent Eligibility Family Status Change PeopleSoft Self Service How To Enroll Medical Dental Vision Flexible Spending Accounts Life and Disability Insurance Retirement

4 Benefit Elections You will have 31 days from July 1, 2014 to make your elections for the following benefits: Health Insurance Dental Insurance Vision Insurance Life Insurance Flexible Spending Accounts Your current election is for the plan year. Your current Healthcare and Dependent Care FSA elections are for July December 2014.

5 Eligible Dependents Spouse* Same Sex Domestic Partner (SSDP)** Children up to age 26 Eligible children include: Foster children Step children Disabled children Adopted children SSDP s children Legal custody, in a parent/child relationship * $50 per month Spouse/SSDP Medical Charge applies if eligible for coverage through his/her employer. You must complete the certification. ** Proof of their eligibility as a dependent is required required documentation can be found in the Benefits Interactive Guide available online.

6 Family Status Change Changes can be made each annual enrollment or within 31 days of a qualified Family Status Change. Examples of Family Status Changes include: Marriage Divorce Birth, adoption, legal guardianship or Qualified Medical Child Support Order (QMCSO) Death of a spouse or dependent Start or termination of your spouse s employment Spouse s Annual Enrollment A dependent becomes or ceases to be eligible Please refer to the online Benefits Guide for other common Family Status Changes. For a complete listing, visit

7 PeopleSoft Self Service PeopleSoft Self Service You need your network ID to access the system Call to obtain or to reset your network ID Services Available through PeopleSoft: Enroll for benefits Enroll in or change your contributions to the retirement plan Name or change your life insurance beneficiaries Create a Family Status Change Change your address, phone number, and/or emergency contact information View your compensation Review pay advice Change your federal or state withholding and direct deposit

8 Medical Insurance Coverage for you (single) is paid in full by Emory You pay the monthly cost to cover any dependents (Spouse, Same Sex Domestic Partner, Child(ren)) Emory offers one option for medical insurance to Medical House Staff: POS Plan A conventional medical plan that protects you in the event you have significant medical expenses during the year. The Plan allows members to receive services from a national network of providers and facilities on an open access basis. Note: If no election is made for health, employee is defaulted to the POS plan Single coverage ONLY

9 Know Your Medical Plan: Aetna POS POS Plan Deductible Single/ Family Co-Insurance Out-of-Pocket Maximum Single/ Family EPN $800/ $2,400 10% after deductible $2,300/ $4,600 In-Network $900/ $2,700 20% after deductible $2,500/ $5,000 Preventive Care $0 $0 Primary / Specialist Office Visits $25/$35 co-pay $25/$50 co-pay Urgent Care Provider $50 co-pay $50 co-pay Emergency Room $150 co-pay $150 co-pay

10 Pharmacy Benefit Tier Zero Generics for specific conditions 1 Most Generics 2 Preferred Brands/some Generics 3 Non preferred Brands/some Generics 4 Personal Choice Co Insurance Retail Minimum (30-day) Retail Maximum (30-day) 0% $0 $0 10% $10 $25 20% $30 $50 30% $55 $75 40% $85 $105 Administered by Express Scripts Mandatory Generic Mail order minimum and maximum payments are 2 ½ x the retail amount

11 Spouse/SSDP Medical Surcharge Online Certification REQUIRED $50/month if spouse/ssdp has access to coverage through their employer Charge automatically applied to those who don t certify

12 Tobacco Surcharge Online Certification REQUIRED Surcharge automatically applied to those who don t certify $50 per month per covered adult ($100 if both employee and spouse/ssdp use tobacco products) Tobacco users may waive the surcharge by: Providing a Physician Affidavit if medically unable to quit Free tobacco cessation programs Classes (web site) Tier Zero drugs

13 Employee Medical Plan Contributions Monthly Rates Aetna POS Employee Only $0.00 Employee/Child(ren) $ Employee/Spouse/SSDP $ Family $ Rates do not include the Spouse/SSDP Surcharge or Tobacco Surcharge.

14 Dental Plan The dental election is NOT defaulted! An active election must be made! Aetna Traditional PPO Coverage Summary In Network Out of Network* Preventive Services (routine cleanings, X rays) Basic Services (fillings, simple extractions, etc.) Major Restorative (crowns, bridges, etc.) $0 $0 10% 20% 50% 50% Calendar Year Deductible $50/person $150/family $50/person $150/family Annual Maximum $1,500/person $1,500/person Orthodontia Deductible None None Co insurance 50% 50% Lifetime Maximum $1,500 $1,500 * Member is responsible for charges which exceed the Reasonable and Customary amount.

15 Employee Dental Contributions Aetna Traditional Dental (PPO) Monthly Employee $ Person $49.00 Family $75.00

16 Vision Plan Voluntary vision plan with EyeMed Vision Care Offers the following once each 12 months Routine Eye Exams for $0 co-pay Standard Single, Bifocal, Trifocal and Lenticular lenses for $0 co-pay Standard Progressive lenses for $65 co-pay Frames - up to $150 allowance Conventional and Disposable contact lenses - up to $200 allowance (including exam and fitting) Emory Eye Center is in-network

17 Vision Plan Employee Contributions Monthly Employee Only $10.16 Employee/Child(ren) $20.30 Employee/Spouse/SSDP $19.28 Family $29.87

18 Flexible Spending Accounts (FSA) Contributions taken on pre tax basis to pay for qualified out of pocket Healthcare and/or Dependent Daycare expenses Contribution Amounts Contribute up to $2,500 to the Healthcare FSA Contribute up to $5,000 per year to the Dependent Care FSA The IRS restricts the amount that can be set aside under the Dependent Care FSA to $5,000 per household $200 minimum contribution under each account The election you will make now will cover expenses from July 1, 2014 December 31, You will have an opportunity to elect FSA for 2015 in the Fall. Availability of Funds Healthcare FSA Immediate access to full annual pledge amount Dependent Daycare FSA Funds are only available up to the account balance Participate wisely Use the online FSA Calculator to estimate savings:

19 Flexible Spending Accounts Continued.. Healthcare FSA You can use the Healthcare Flexible Spending Account for eligible: Medical expenses co pays, deductibles, co insurance Dental expenses deductibles and co insurance Vision expenses prescription glasses and contact lenses Prescription drug costs Dependent Care FSA Eligible for qualified expenses for Children under age of 13 Physically or mentally disabled parent or child Eldercare Expenses must be incurred to allow employee and spouse to work, look for work, or attend school.

20 Life Insurance Provided by Emory Employer Provided $50,000 Basic Life Insurance $50,000 Accidental Death and Dismemberment Employer Provided Must Be Elected $25,000 Spouse $5,000 Child(ren) Please designate beneficiaries for the employee Basic Life and Accidental Death insurance benefits online in Employee Self Service. You are automatically the beneficiary for any life insurance on your spouse or children.

21 Long Term Disability Insurance Paid in full by Emory Provides 60% of salary following a 90 day waiting period if you are unable to perform the material duties of your regular occupation (specialty or sub specialty in which you practice). Benefits are not paid for disabilities that arise from an illness or injury that took place within 3 months before your coverage begins.

22 Retirement Plan Contributions can be made to Fidelity, Vanguard or TIAA CREF Pre tax contributions can be made to the Traditional 403(b) Retirement Plan After tax contributions can be made to the Roth 403(b) Retirement Plan There will be NO Employer contributions or match while in the Medical House Staff Program. To enroll log on to the Employee Self Service at Select Benefits and then click 403(b) Savings Plan Election. Complete Vendor Enrollment Online IRS Contribution Limits for 2014 $17,500 if under age 50 and $23,000 for age 50 and over

23 In Closing.. Use available resources: Benefits Enrollment Guide (Online) Online tools MHS Annual Enrollment Site: MyBenefits announcements Aetna website PeopleSoft Self Service online enrollment Make sure to update your address in PeopleSoft to ensure you get an ID card. Retirement Plan elections/changes can be made at any time. Remember to complete the Tobacco and Spouse Certifications by July 31 st. Health, Dental and Flexible Spending Account elections must be made by July 31 st. Mid Year changes can be made within 31 days of a qualified Family Status Change. The changes made to benefits must be consistent with the event.

24 Conclusion Emory reserves the right to terminate, suspend, withdraw, amend or modify the Plan in whole or in part at any time. Further, Emory reserves the right to terminate or modify coverage for any group of employees, active or retired, and their dependents or a class of dependents at any time.

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