Employee Benefits Summary Plan Year 2014/15
WELCOME -3- Mount Ida College offers a competitive benefits package to all eligible faculty and staff. The following is a summary of the benefit plans offered. Additional information about each of these benefits may be obtained from the Office of Human Resources. Mount Ida College reserves the right to adopt, amend or terminate any policies related to the College s benefit programs as necessary. Medical Insurance... 4 Dental Insurance... 6 Vision Insurance... 7 Flexible Spending Accounts (FSA)... 7 Basic Life and Accidental Death & Dismemberment (AD&D) Insurance... 8 Supplemental Life and Accidental Death & Dismemberment (AD&D) Insurance... 8 Short Term Disability (STD) & Long Term Disability (LTD) Insurance... 8 403b Retirement and 403b Supplemental Retirement Plans... 9 Tuition Benefits... 9 Employee Assistance Program (EAP)... 10 Employee Banking Benefit and Auto & Home Insurance... 10 Paid Time Off (Staff)... 11 CONTACTS Mount Ida Human Resources (617) 928-4574 Medical Insurance: Blue Cross Blue Shield Dental Insurance: Blue Cross Blue Shield Life/AD&D/Supp Life/LTD Insurance: Unum Retirement Plans: Fidelity Investments - TIAA-CREF www.mountida.edu/about-us/humanresources (800) 262-2583 www.bluecrossma.com (800) 262-2583 www.bluecrossma.com (866) 679-3054 www.unum.com (800) 835-5097 (800) 842-2252 www.fidelity.com www.tiaa-cref.org Flexible Spending Accounts: Crosby Benefit Systems Vision Insurance: EyeMed Vision Care Auto & Home Insurance Liberty Mutual Insurance Company Employee Assistance Program: AllOne Health (866) 918-9711 www.crosbybenefits.com (866) 939-3633 www.eyemedvisioncare.com (617) 527-2048 x50324 www.libertymutual.com/ mountidacollegeemployees (800) 451-1834 www.allonehealtheap.com
-4- Medical Insurance Your Medical Plan Options The College offers two types of medical plans through Blue Cross Blue Shield: an HMO and PPO plan. All full time benefit eligible staff and faculty members are eligible to enroll in the College s health insurance plan upon date of hire. Coverage is available to employees and their dependents, including domestic partners. HMO Blue New England Enhanced Value In the HMO plan, members will be required to select a Primary Care Physician (PCP) and receive all care from participating providers (in-network). The Blue Cross HMO network covers the entire New England region. Most specialist services will require a referral from a PCP. There is no coverage for services received from a non-participating provider (out-of-network). You will be covered for Emergency treatment regardless of whether care is provided by a participating provider or non-participating provider. Preferred Blue PPO Blue Cross Medical HMO 2014/2015 Medical Rates Blue Cross Medical PPO Bi-weekly Monthly Bi-weekly Monthly Individual $64.76 $140.31 $120.57 $261.24 Family $198.62 $430.34 $365.51 $791.94 The PPO medical plan consists of a national network of participating providers. You do not need to elect a Primary Care Physician and you do not need a referral to see specialists. You are also allowed to go to any non-participating providers (out of network providers). For this option, you will pay more out of pocket and higher premiums. Check here to see if your doctor currently participates in the Blue Cross Blue Shield network: https://findadoctor.bluecrossma.com/
-5- Blue Cross Blue Shield Medical Benefit Highlights The following outlines the benefits offered. Additional information may be obtained from the Office of Human Resources. HMO PPO Individual Family Individual Family Deductible N/A N/A $250 $500 Per Plan Year Out of Pocket Maximum (includes inpatient admissions, outpatient surgery, and emergency room visits) $6,350 $12,700 $6,350 $12,700 Prescription Drug Coverage 30-Day Retail 90-Day Mail Order 30-Day Retail 90-Day Mail Order Tier 1 / Tier 2 / Tier 3 $15 / $30 / $50 $30 / $60 / $100 $15 / $30 / $50 (In -Network) $30 / $60 / $100 (Out-of-Network) $30 / $60 / $100 (In-Network) Not Covered (Out-of-Network) In Network Out-of-Network In Network Out-of-Network (after deductible) Routine Physical Exams Covered in full Not covered Covered in full Plan covers 80% Non-Routine Office Visit $20 per visit Not covered $20 per visit Plan covers 80% Well-Child Care Covered in full Not covered Covered in full Plan covers 80% Routine eye exams (1 visit every 24 months) Outpatient Day Surgery Covered in full Not covered Covered in full Plan covers 80% $20 office setting; $250 surgical facility Not covered $0 after deductible Plan covers 80% Inpatient Hospitalization $250 per admission Not covered $0 after deductible Plan covers 80% Emergency Room Visit $150 per visit $150 per visit $150 per visit after deductible
-6- The College offers a dental plan through Blue Cross Blue Shield. With the Blue Cross Dental Blue Plan, eligible employees will have access to Blue Cross expansive national network of dentists. All full time benefit eligible staff and faculty members are eligible to enroll in the College s dental insurance plan upon date of hire. Coverage is available to employees and their dependents, including domestic partners. Blue Cross Dental Blue Benefit Highlights The following outlines the benefits offered. Additional information may be obtained from the Office of Human Resources. Individual Family Deductible (per calendar year) $50 $150 Calendar Year Coverage Maximum Dental Insurance 2014/2015 Dental Rates Bi-weekly Blue Cross Dental Monthly Individual $6.63 $14.37 Family $19.43 $42.10 $1,500 per person Diagnostic & Preventive Care (Deductible Waived) In- Out-Of- Periodic Oral Exam Once every 6 months 100% 100% X-Rays Frequency dependent upon type of X-Ray 100% 100% Teeth Cleaning Once every 6 months 100% 100% Fluoride Treatments Once every 6 months for members under age 19 100% 100% Restorative Care, Oral Surgery, Periodontics, Endodontics, Prosthetic Maintenance, Emergency Dental Care Fillings Once every 12 months 80% 80% Simple & Surgical Extractions Once per tooth 80% 80% Root Canal Treatment Once per tooth 80% 80% Bridge or Denture Repair Once within 12 months, same repair 80% 80% Rebase or Reline of Dentures Once within 36 months 80% 80% Recement of Crowns & Onlays Once every 12 months 80% 80% Prosthodontics & Major Restorative Care Dentures, Fixed Bridges & Crowns, Implants Once within 60 months 50% 50% Orthodontics Covered at 50% of maximum plan allowance charges to age 19. $1,000 separate lifetime maximum Dependent Eligibility Eligible dependents are covered up to age 26.
-7- The College offers a vision plan through EyeMed Vision Care. Under the EyeMed Select Plan, you will have access to EyeMed s national network of doctors and vision care providers. All full time benefit eligible staff and faculty members are eligible to enroll in the College s vision insurance plan upon date of hire. Coverage is available to employees and their dependents, including domestic partners. Coverage is fully paid by the employee. Frames Standard Plastic Lenses: Vision Plan 2014/2015 Vision Rates Bi-weekly EyeMed Vision Plan Benefit Highlights The following outlines the benefits offered. Additional information may be obtained from the Office of Human Resources. In-Network Member Cost $0 Copay, $150 Allowance; 20% off balance over $150 Out-of-Network Reimbursement Up to $90 Single Vision / Bifocal / Trifocal $25 Copay Up to $42/$78/$130 Contact Lenses (Contact Lens allowance includes materials only; in lieu of Standard Plastic Lenses): Conventional $0 Copay, $150 Allowance; 15% off balance over $150 Up to $120 Disposables $0 Copay, $150 Allowance; balance over $150 Up to $120 Medically Necessary $0 Copay, Paid in Full Up to $200 LASIK and PRK Vision Correction Procedures: 15% off retail price OR 5% off promotional pricing N/A Frequency: Frames Once every 24 months Standard Plastic Lenses or Contact Lenses Once every 12 months Flexible Spending Accounts (FSA) The College offers a Flexible Spending Account program through Crosby Benefit Systems that allows eligible employees to use pre-tax dollars to pay for qualified out-of-pocket medical expenses and dependent care expenses. All full time benefit eligible staff and faculty members are eligible to enroll in the College s Flexible Spending Account program upon date of hire. The maximum contributions to the Mount Ida FSA plans are: Medical FSA $2,000 per calendar year Dependent Care FSA $5,000 per calendar year Employee Cost Monthly Individual $2.93 $6.35 Family $7.48 $16.20
-8- Basic Life and Accidental Death & Dismemberment (AD&D) Insurance The College provides all full time benefit eligible staff and faculty members with a life insurance and AD&D benefit through Unum of 1.5 times base salary up to a maximum of $250,000. Coverage is fully paid by the College and is effective as of the first of the month following date of hire. Supplemental Life and Accidental Death & Dismemberment Insurance All full time benefit eligible staff and faculty members are eligible to elect supplemental life and accidental death and dismemberment insurance. Eligible employees may elect up to five times their base salary to a maximum of $500,000. Coverage is fully paid by the employee. Eligible employees also have the option of enrolling their spouse, domestic partner, and/or dependent children in the College s supplemental life and AD&D plan. Employees must be enrolled in the supplemental life and AD&D plan to enroll their spouse, domestic partner, and/or dependent children. Spouse coverage is available in $5,000 increments up to 2.5 times the employee's annual salary (rounded to the next higher $5,000), not to exceed 50% of the employee's elected supplemental life and AD&D amount. Proof of insurability may be required. Child coverage is available in $2,500 increments up to $10,000. Please contact Human Resources for rates. Short Term Disability Insurance (STD) Full time benefit eligible staff and faculty members who have completed one year of service are eligible for the College s short term disability (STD) benefit. This benefit provides salary continuation for nonwork related, short-term disabilities lasting more than two weeks in length and up to six months, with proof of disability. Salary continuation payments begin after an employee has utilized all accumulated sick and vacation time (if applicable). For more information contact Human Resources. Long Term Disability Insurance (LTD) The College provides Long Term Disability insurance through Unum to all full time benefit eligible staff and faculty members. This benefit provides for two-thirds of salary up to a maximum of $8,500 per month after 180 days of complete disability. This coverage is fully paid by the College and is effective as of the first of the month following date of hire.
-9-403b Retirement Plan The College offers a 403b retirement plan to all staff and faculty who have worked a minimum of 1,000 hours in a calendar year and have completed at least one year of service. The College will contribute three percent (3%) of an employee s eligible earnings after eligibility has been met. The College s 403b Retirement Plan is currently serviced through TIAA-CREF. 403(B) Supplemental Retirement Plan The College offers a 403(B) Supplemental Retirement Plan to all staff and faculty upon date of hire. This plan provides all employees the opportunity to save for retirement on a voluntary pre-tax basis. Employees may contribute up to the annual IRS allowable maximum. The College s 403(B) Supplemental Retirement Plan is currently serviced through TIAA-CREF and Fidelity. Tuition Benefits Mount Ida College encourages and supports the continuing education of our staff and faculty and their families and therefore provides several tuition programs. Each family member may receive a benefit from only one program per semester. The College provides the following tuition programs: Tuition Remission - Full time, benefit eligible employees, their spouse, domestic partner and/or dependent children are eligible to participate in the Tuition Remission Program. The Tuition Remission program provides eligible employees 100% tuition remission for undergraduate courses or up to $2,000 per calendar year for graduate courses taken at Mount Ida College. Spouses, domestic partners and/or dependent children receive 100% tuition remission for undergraduate courses taken at Mount Ida College. Tuition Reimbursement - Tuition reimbursement benefits are available for job related courses taken at accredited colleges and universities other than Mount Ida College. Full time, benefit-eligible employees who meet eligibility requirements may participate in the Tuition Reimbursement program. The College will reimburse up to $1,000 per semester for tuition fees of courses taken at other institutions, up to a maximum of $2,000 per calendar year. Tuition Exchange Program - Mount Ida College participates in the Tuition Exchange Program, Inc. (TE). Full time employees, faculty and staff, who meet eligibility requirements may apply for the Tuition Exchange Program on behalf of their dependent child.
-10- Employee Assistance Program (EAP) The College provides an Employee Assistance Program to all employees at no cost, through AllOne Health. The EAP provides an array of services to employees and their dependents and/or household members for personal or work-related issues and includes the following services: Up to three (3) short-term counseling sessions (includes assessments, referrals, and follow-up sessions) Legal Consultation (includes an initial 30-minute consultation per issue, 25% discount off of an attorney s normal hourly rate if needed after consultation) Budget and Debt Counseling (available by phone thru American Consumer Credit Counseling. Service includes access to certified and professionally trained debt counselors) New Parents Partner Program (includes up to three (3) 60-minute coaching sessions designed to provide assistance and support to expecting parents as they progress through pregnancy, maternity leave, and their transition back to work) Online Work/Life Resources (access to over 12,000 articles, videos, tip sheets, calculators, and searchable provider directories. Please contact Human Resources for the user name and password to the website) The College has partnered with Santander to bring you a unique banking benefit Santander At Work. It combines educational tools and resources along with a choice of banking packages to suit your needs. This partnership program is designed to provide you with the access and knowledge you need to manage your finances now and in the future. To learn more, please call Santander Bank at 888-875-3523, stop by any Santander branch, or visit them on the web at www.santanderbank.com/saw. Available 24/7 by Phone: 1-800-451-1834 Website: www.allonehealtheap.com Employee Banking Benefit Santander
-11- Group Auto & Homeowners Insurance The College sponsors a group auto and homeowners/renters insurance program through Liberty Mutual. As an employee of Mount Ida College, you can take advantage of special savings on car and home insurance with Liberty Mutual. To learn more, visit the Mount Ida College custom site www.libertymutual.com/mountidacollegeemployees! Paid Time Off (Staff) The College provides eligible employees with paid time off including vacation time, sick time, and personal time. Vacation Time Employees in full time positions or in part time regular positions (.43 FTE or greater) are eligible for paid vacation time after completion of a 90 day introductory period. Vacation time is pro-rated for regular part time and academic year employees. Vacation accrues as follows: Years of Service Time Accrued Maximum Carryover 0-3 years 15 days 5 days 3 years or more 20 days 10 days Sick/Personal Time Full time staff members receive ten (10) sick days each calendar year; up to three of those days may be used as personal days. Regular part time employees (.43 FTE or greater) receive pro-rated sick time based on the number of hours they are scheduled to work per year. Sick time is available beginning the first of the month following the date of hire.
The information in this Employee Benefit Summary is presented for illustrative purposes and is based on information provided by the employer. The text contained in this Summary was taken from various summary plan descriptions and benefit information. While every effort was taken to accurately report your benefits, discrepancies or errors are always possible. In case of discrepancy between the Summary and the actual plan documents, the actual plan documents will prevail. All information is confidential, pursuant to the Health Insurance Portability and Accountability Act of 1996. If you have any questions about this Summary, please contact Human Resources. Prepared by: