Hamilton County Schools Employee Benefit Plans Benefits at no cost - - PowerPoint PPT Presentation

Hamilton County Schools

Employee Benefit Plans

Benefits at no cost to the Employee

• Board Paid Life Insurance
• Dental
• Long Term Disability

Benefits with a cost to the Employee

• Medical
• EyeMed Vision Care
• Supplemental Life Insurance
• Voluntary Benefits

Benefits – Personal Finance

• Flexible Spending Accounts
• 403B Retirement Savings

Life Insurance/Long Term Disability

• $20,000 Life and Accidental Death and

Dismemberment policy at no cost to employee

• Long term disability insurance at no cost to

employee

Dental Reimbursement Program

• Employee may elect coverage for self and family
• Licensed dentist of choice
• Reimburses 80% of the first $250 of dental

expenses then 50% of the next $1,600, maximum

• f $1,000 per fiscal year
• Fiscal year starts July 1st ends June 30th
• Member pays first for the dental services then

submits completed claim form. Claim must be made within 180 calendar days of dental service

• Claim form may be downloaded at

http://www.hcde.org/dental

Employee Contributions

BlueCross BlueShield PPO or CIGNA HMO Plan EyeMed Voluntary Vision Plan

EE Only $ 46.15 per pay period EE + Spouse $225.34 per pay period EE Child(ren)

$129.97 per pay period

Family

$246.28 per pay period

EE Only $2.57 per pay period EE + Spouse $4.88 per pay period EE + Children $5.14 per pay period Family $7.55 per pay period

Supplemental Life Insurance

See rates at http://www.hcde.org/life

Medical Plans

BlueCross BlueShield PPO In-Network

• $450 calendar year deductible
• Plan pays 90% you pay 10%
• Individual out of pocket $1,750
• Family out of pocket $4,750

Out of Network

• $800 calendar year deductible
• Plan pays 70% you pay 30%
• Individual out of pocket $3,000
• Family out of pocket $9,000

Prescriptions (CVS Caremark)

$5 Generic/$20 Brand/$30 Non-Preferred Brand 90 day supply with one co-pay at mail order

Medical Plans

In-Network Providers Only

• Office visit co-pay family doctor $15
• Office visit co-pay specialist $20
• In-patient hospital co-pay $100
• Emergency room co-pay $100
• Out patient surgery co-pay $50
• Urgent Care Facility co-pay $50
• Plan pays 100% after co-pays
• External Prosthetics $200 deductible then

plan pays 100%

Prescriptions

$10 Generic/$20 Brand $40 non-preferred brand Mail order 90 day supply $25 generic $55 brand $115 non-preferred brand

CIGNA HMO

Medical Plans

CIGNA High Deductible Plan

In-Network

• $5,000 calendar year deductible
• Plan pays 80% you pay 30%
• Individual out of pocket $6,300
• Family out of pocket $12,600

Out of Network

• $10,000 calendar year deductible
• Plan pays 60% you pay 40%
• Individual out of pocket $12,600
• Family out of pocket $25,200

Prescriptions 30% Generic/40% Preferred Brand/50% Non- Preferred Brand

Employee Contributions

CIGNA High Deductible Health Plan

EE Only $ 23.08 per pay period EE + Spouse $120.00 per pay period EE Child(ren)

$ 69.23 per pay period

Family

$138.46 per pay period

Medical Plans All Medical Plans cover Preventative Services at 100%

EyeMed Voluntary Vision Plan

• Wide network of Independent and national

retail providers such as LensCrafters, Pearle Vision, Sunglass Hut, Sears, JCPenney and Target Optical.

• $10 copay for annual eye exam
• $15 copay for lenses
• Frames 100% up to $120 and 20% discount
• ver this amount

Supplemental Life Insurance

• Employees earning more than $20,000

annually may purchase in increments of $10,000 to a max of $300,000 without medical questions and $500,000 with medical underwriting

• $5,000 or $10,000 policy options for your

spouse

• $5,000 per child policy available
• Rate information available at

http://www.hcde.org/life

Voluntary Benefits

• Offered by Washington National

Insurance Company and Liberty National

• Call Nick Barratini at 1-800-628-6428
• ext. 7251or Wanda Sear at 443-2480
• Life
• Cancer
• Short Term Disability
• Heart/Stroke
• Hospital Indemnity
• Intensive Care

Health Care and Dependent Care Flexible Spending Accounts (FSA’s)

• Calendar year election
• Money is deducted from paycheck pre-tax
• Money in the health care account may be

used to pay for medical/dental services that are not reimbursed by insurance (example, deductibles or co-pays)

• Money in dependent care account may be

used to pay child care expenses

• Plan regulated and subject to IRS rules
• More information available at

http://www.hcde.org/fsa

403B Retirement Savings

• Retirement Savings in addition to

TCRS pension plan

• Enroll by contacting the vendor of

your choice

• Vendor list at

http://www.hcde.org/403bvendors

Enrollment

• Full-time employees enroll 1st of month

following the 60th day of employment

• Must complete benefit enrollment form

even if declining health/dental coverage to receive Board provided benefits (life insurance and long term disability)

• Beneficiary required on enrollment form

in the event of death

Life Status Changes

• Benefit changes not allowed during the

year except in the event of a life status change such as – Birth/adoption of a child (even if you already have family coverage) – Marriage – Legal Separation – Divorce – Change in spouse’s employment Must notify and submit proof of life event to Benefits Department within 30 days of event. Changes submitted past 30 days are not accepted.

Open Enrollment Period

Open enrollment held the month of October allows employees to make benefit changes such as:

• elect new coverage
• change or delete coverage
• add or delete dependents

Elections/changes made during the open enrollment period are effective January 1st of The following year. Elections/changes are done via Employee Online. Employees are notified of open enrollment via Global e-mail.

Benefits Department Contact Information

• Phone: (423) 209-8566
• Fax: (423) 209-8649
• Address: 3074 Hickory Valley

Road, Chattanooga, TN 37421

• Email: Torrance_K@hcde.org

Benefits Information Available

• n Website

http://www.hcde.org/benefits