CLASSIFIED

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CLASSIFIED
UW LA-CROSSE

• Fringe Benefit
• Orientation

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What does it mean to be Classified or LTE?

• CLASSIFIED
• Classified employees (C/E) are defined as
  permanent hourly employees who are paid biweekly.
• C/E can be represented by a union or non
  represented.
• LTE
• LTEs are limited-term employees who are paid by
  the hour.

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Abbreviations

• ADD Accidental Death and Dismemberment
• D/C Deferred Compensation
• ERA Employee Reimbursement Account
• ETF Employee Trust Funds
• ICI Income Continuation Insurance
• IDS Ameriprise Financial/ (IDS) Life Insurance
  Company
• TSA Tax-shelter Annuity Program
• WRS Wisconsin Retirement System

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Retirement Investment Opportunities

• Wisconsin Retirement System (WRS)
• Tax-shelter Annuity Program (TSA)
• Deferred Compensation (D/C)

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Wisconsin Retirement System(WRS)

• Retirement contribution is 11.5 of an employees
  gross wages and the State is currently paying the
  full amount as a fringe benefit.
• Earliest age to retire is 55 years old, 50 years
  old for Protective Employees
• Normal retirement age is 65 years old.
• No vesting requirement.
• Annual statements are received in April of each
  year.

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WRS Variable Participation

• Option to elect participation in the variable
  fund.
• Employee has 30 days from start date to complete
  the election form for the current year.
• Form must be submitted directly to Department of
  Employee Trust Funds (ETF).
• If employee does not elect to participate in
  variable for the year in which he or she was
  hired, election form for the next year is due by
  December 30.

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WRS Variable Participation
PLEASE COMPLETE THE AREAS HIGHLIGHTED IN PURPLE
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Tax-Shelter Annuity ProgramTSA)

• 4 Vendors to chose from
• Dreyfus
• Fidelity
• T. Rowe Price
• TIAA-CREF
• 2 Insurance Companies to chose from
• Ameriprise/RiverSource Life Insurance
• Lincoln National Life Insurance

• Supplemental retirement account.
• Voluntary employee contributions and no employer
  matching.
• 2009 Maximum amount that can be contributed is
  16,500
• Minimum amount is 8 per payroll period.
• If employee is over age 50, he or she is allowed
  to contribute an additional 5,500 for 2009.
• Complete vendor application and salary reduction
  agreement form.
• Contact Cedric Steine at 56497 for additional
  information.

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Salary Reduction Agreement
PLEASE COMPLETE THE AREAS HIGHLIGHTED IN PURPLE
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Wisconsin Deferred Compensation Program

• To enroll or for additional information, please
  contact
• - Telephone Number
• 1 (877) 457- 9327
• - Website
• http//www.wdc457.com
• ? Funds are chosen and monitored by the State
  Deferred Compensation Board.
• ? 2009 Maximum amount that can be contributed is
  16,500.
• ? If employee is over age 50, he/she is allowed
  to contribute an additional 5,500 for 2009.

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Other Pre-Tax Programs

• Employee Reimbursement Account (ERA)
• - Open Enrollment
• First 30 days and each fall during announced
  enrollment period for coming tax year.
• - Dependent Care
• 5,000 maximum (Single, Head of Household and
  Married, Filing Jointly)
• 2,500 maximum (Married, Filing Separately)
• Medical Expenses
• 100 minimum and 7500 maximum

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Employee Reimbursement Account
PLEASE COMPLETE THE AREAS HIGHLIGHTED IN PURPLE
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OptumHealth Vision Plan

• Covers one eye exam per year with a 10 co-pay.
• One pair of lenses/contacts per year.
• Frames covered once every 24 months.
• Must enroll for entire year for eligibility.
• Premiums are paid pre-tax and monthly.
• Employee only 5.83
• Emp. Spouse/Domestic Partner 11.34
• Employee Child(ren) 11.88
• Employee and Family 17.82

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OptumHealth Vision Plan
PLEASE COMPLETE THE AREAS HIGHLIGHTED IN PURPLE
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Ed-Vest College Tuition Program

• Administered by the Office of the State Treasury
  with Wells Fargo providing records management for
  all accounts
• Call toll free 1-888-338-3789 for an
  information and enrollment kit.
• Web site http//edvest.state.wi.us

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Insurance Programs Available

• Premiums are paid by payroll deduction.

• Income Continuation Insurance (ICI)
• Health Insurance
• Life Insurances
• State Group Life
• Individual Family Life Ins.
• Country Life
• Accidental Death Dismemberment
• Epic Life Insurance
• Dental Insurance
• Represented
• Non-represented
• Long-term Care Insurance

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Income Continuation Insurance (ICI)

• You need to submit an application indicating
  whether you elect or decline the insurance.
• Application must be received in Human Resources
  within 30 days after completing 6 months in WRS.
• Protects your income during periods of illness or
  disability by paying up to 75 of your monthly
  gross income up to age 65.
• Your biweekly earnings and category determine the
  premium. You will begin at category 1.

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Income Continuation Insurance
PLEASE COMPLETE THE AREAS HIGHLIGHTED IN PURPLE
ALSO, COMPLETE THE AREAS HIGHLIGHTED IN YELLOW IF
APPLICABLE
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Group Health Insurance

• Two Enrollment Periods.
• - You must submit an application form indicating
  whether you elect or decline the insurance.
• First Open Enrollment
• Application must be received in Human Resources
  within 30 days from the date of eligibility for
  WRS participation.
• Insurance becomes effective the first of the
  month which occurs on or after the date the
  application is received, for which you pay full
  cost.
• Second Open Enrollment
• Application must be received in Human Resources
  BEFORE completing 2 months in WRS.
• Insurance becomes effective the first of the
  month which occurs on or after completion of 2
  months in WRS, for which you pay the premium with
  state share.

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Group Health Choices

• HMO Plans
• Health Tradition
• Gundersen Lutheran
• Standard Plan (Preferred Provider Plan)

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HMO Plans

• HMO medical care must be received in selected
  Medical Center except for emergency care or when
  referred.
• Health Tradition
• Provider Franciscan Skemp
• www.franciscanskemp.org
• Gundersen/Lutheran
• Provider Gundersen Lutheran Medical Center
• www.gundluth.org
• Pre-tax deduction
• Single 31.00
• Family 78.00

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HMO Plans (continued)

• Premiums are based upon the county where the HMO
  provider is located.
• Limited dental coverage is available
• - Preventive Diagnostic No deductible,
  100 coverage
• - Primary (basic) Service No deductible,
  80 coverage
• - Maximum Benefit up to 500 per person
  per year

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Standard Plan(Preferred Provider Plan)

• No dental coverage available.
• Freedom to choose physician and location of
  service.
• If in-network provider chosen, plan pays 100 for
  benefits.
• If out-of-network provider chosen, plan pays only
  80 for most benefits.
• There is a 100 in-network/500 out-of network
  deductible per person in a calendar year maximum
  of 200 or 1,000 per family.
• See Its Your Choice booklet for additional
  information.
• Advantage Program requires prior notice of
  non-emergency admissions, or within 48 hours
  after an emergency admission.
• Pre-tax deduction is
• 164.00 (Single)
• 412.00 (Family)
• 69.00 (Single and out-of-state)
• 173.00 (Family and out-of-state)

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Prescriptions

• Administered by Navitus Health Solutions
• 3 Tiers for Co-Payments
• Tier 1 5.00
• Tier 2 15.00
• Tier 3 35.00
• Tier 3 prescription drugs do not count toward the
  annual out-of-pocket maximum.
• Annual prescription drug out-of pocket maximum is
  385 for an individual and 770 for family.
  Standard Plan has 1,000 for individuals and
  2,000 for family.
• For additional information, please contact
  1-866-333-2757 or visit the website
• www.navitushealth.com

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Health Insurance Application
PLEASE COMPLETE THE AREAS HIGHLIGHTED IN PURPLE
ALSO, COMPLETE THE AREAS HIGHLIGHTED IN YELLOW IF
APPLICABLE
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Life Insurance Programs

• State Group Life Insurance
• (Minnesota Mutual Life)
• University of WI Employees, Inc. Group Life
• (Country Life)
• Individual Family Group Life
• (Minnesota Mutual Life)

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State Group Life Insurance

• You must submit an application form indicating
  whether you elect or decline the insurance.
• Application must be received in Human Resources
  within 30 days after completing 6 months in WRS.
  
• Coverage becomes effective the first of the month
  after the application is received, and 6 months
  in WRS are completed.
• Term life insurance program.
• Basic amount is based upon your annual earnings
  rounded up to the nearest 1000.00.
• The cost per month is based upon your age and
  coverage selection.
• Pays for coverage two months in advance.

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State Group Life Insurance(continued)

• You may choose coverage at the following amounts
• No Coverage
• Basic (100 of Salary)
• Basic Supplemental (200 of Salary)
• Basic Supplemental Additional Units 1 (300
  of Salary)
• Basic Supplemental Additional Units 1 2
  (400 of Salary)
• Basic Supplemental Additional Units 1, 2, 3
  (500 of Salary)
• Dependent rider
• 2.00/month provides 10,000 spouse coverage,
  5,000 for each child
• 4.00/month provides 20,000 spouse coverage,
  10,000 for each child

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State Group Life Insurance
PLEASE COMPLETE THE AREAS HIGHLIGHTED IN PURPLE
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UW Employees Life Insurance Application is
Optional

• Must apply within 30 days of employment and be
  eligible to participate in the State Group Health
  Insurance Program. Coverage begins on the first
  of the month on/after the Benefits Office
  receives timely application.
• Late enrollment requires medical evidence of
  insurability.
• Benefits You Receive
• Decreasing term insurance
• Coverage amount based on age
• Ranges from 25,000 to 3,000

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UW Employees Life Insurance
PLEASE COMPLETE THE AREAS HIGHLIGHTED IN PURPLE
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Individual Family Group Life Application is
Optional

• Must apply within 30 days of employment.
  Coverage begins the first of the month on/after
  the Benefits Office receives timely application.
• Late enrollment requires medical evidence of
  insurability.
• Each spring, participants have an opportunity to
  increase coverage.
• You may choose coverage at the following amounts
• Themselves 5,000, 10,000, or 20,000
• Spouses 5,000 or 10,000
• Children 2,500 or 5,000
• Maximum coverage is
• 200,000 - employees
• 100,000 - spouse
• 10,000 - child

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Individual Family Group Life
PLEASE COMPLETE THE AREAS HIGHLIGHTED IN PURPLE
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Accidental Death Dismemberment (ADD)
Application is Optional

• Open enrollment anytime insurance is effective
  date application received.
• Coverage is for accidental death only, not
  natural death includes an education and training
  benefit.
• Coverage options range from 25,000 - 250,000
  for single and family coverage.
• Coverage available for employee, spouse, Domestic
  Partners and dependents.

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Accidental Death Dismemberment
PLEASE COMPLETE THE AREAS HIGHLIGHTED IN PURPLE
ALSO, COMPLETE THE AREAS HIGHLIGHTED IN YELLOW IF
APPLICABLE
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EPIC LIFE INSURANCE(Major Medical) - Optional

• Open enrollment period - first 30 days of
  employment.
• Pays 50 of covered, non-routine dental charges
  including orthodontia up to 1000 per year after
  a 75 per person deductible is satisfied.
• MONTHLY PREMIUMS
• - Single 16.70
• - Employee one dependent 33.40
• - Family 50.10
• ? This does not replace Health Insurance.

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Major Medical Insurance (EPIC LIFE)
PLEASE COMPLETE THE AREAS HIGHLIGHTED IN PURPLE
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DentalBlue Non-Represented Optional

• Open enrollment period-first 30 days beginning of
  employment.
• Must apply within 31 days of initial WRS
  eligibility or prior to the effective date of
  employer contribution.
• Three plans to choose from
• - Dentacare HMO
• - Preferred PPO
• - Supplemental Plan
• A dental provider must be selected from those
  associated with the plan. A plan orthodontist
  must be used.
• Coverage for a domestic partner and his or her
  dependent is available.

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Dentacare HMO

• If your medical plan does not include dental
  benefits OR has a limited selection of dentists.
• Must use a Dentacare Center
• Monthly Premiums
• - Employee 28.78
• - Employee 1 57.56
• - Employee 2 92.10
• ? Many diagnostic and preventive services are
  covered with a 10 office co-pay. Other services
  such as crowns and orthodontia require
  co-payments.

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Preferred PPO

• If your medical plan does not include dental
  benefits OR you want flexibility to use any
  dentist of your choice.
• ? Freedom to chose any Dentist
• Monthly Premiums
• Employee 23.51
• Employee 1 47.01
• Employee 2 77.56
• A 3 month waiting period for Basic Services and
  Major Services is applied for new enrollees only.

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Supplemental Plan

• If your medical plan has a dental benefit AND you
  want additional comprehensive benefits.
• Freedom to chose any Dentist
• Monthly Premiums
• - Employee 16.59
• - Employee 1 33.19
• - Employee 2 49.80
• ? A 3 month waiting period for Basic Services and
  Major Services is applied for new enrollees only.

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DentalBlue
PLEASE COMPLETE THE AREAS HIGHLIGHTED IN PURPLE
ALSO, COMPLETE THE AREAS HIGHLIGHTED IN YELLOW IF
APPLICABLE
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Long-term Care Insurance - Optional

• All employees may apply at any time, subject to
  medical underwriting.
• Spouses and parents of employees may also apply.
• Visit the ETF website for additional information
  www.etf.wi.gov/ben/benl3p25.html

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US Savings Bonds

• Complete Enrollment Form
• National Bond Trust Co.
• PO Box 1558
• Crown Point IN. 46308
• Allow 15 days for Processing

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Classified Earnings StatementSample