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Health Insurance 2001

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... now with Blue Cross Blue Shield. Behavioral health now ... Blue Cross Blue Shield of Georgia is the pharmacy benefit manager for the HSA PPO plan. ... – PowerPoint PPT presentation

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Title: Health Insurance 2001


1
Welcome!
HR Partners meeting September 23, 2008
Human Resources 215 S. Jackson St. 706-542-2222
2
  • Thanks to the departments supervisors who
  • Are currently hosting one or more of the 28 high
    school juniors and seniors
  • Hosted one of the 21 students ages 14-16 this
    past summer

3
  • We need your help!
  • More host sites for January
  • Mentors for all students
  • Partners to take Young Dawgs to Coile Middle
    School

4
Changing the subject
  • Employment verification process at UGA will soon
    change

5
Employment verification
  • Soon, employees will be able to obtain employment
    and salary verification 24/7!

6
  • The Work Number provides employment verification
    services to over 80 million employees
  • It is widely known to mortgage lenders, banks,
    apartment complexes, and others who may need
    proof of your employment or income, and it is
    easy for them to use

7
  • You control the process, because you authorize
    access to your information
  • No waiting on weekends or holidays to buy a car,
    rent an apartment, or make other purchases
  • No cost to you the lenders pay to use The Work
    Number

8
Employers using The Work Number
  • Universities
  • Emory University
  • University of South Carolina
  • Vanderbilt University
  • University of Pennsylvania
  • Georgetown University
  • Ohio State
  • Northwestern University
  • States
  • Colorado
  • Missouri
  • Pennsylvania
  • California

9
Basic computer training
  • Conducted in August thru September this year
  • Designed to help UGA employees use the computer
    to access basic services
  • Email
  • Self-Service site (paychecks, leave)
  • Parking
  • Etc.

10
Basic computer training
  • Who has been trained?
  • Food service employees -- 144
  • Housing employees -- 54
  • Physical Plant supervisors 61
  • Total 259
  • We will continue to conduct training on a
    scheduled basis.

11
University GED program
  • Why do we need it?
  • UGAs future depends on employing an educated
    and skilled workforce
  • To increase the potential and opportunities for
    employees for advancement within UGA
  • To increase educational opportunities for UGA
    employees
  • To increase the quality of UGA hires
  • To demonstrate UGAs commitment to education
  • To send a visible message to students, parents,
    school administrators, school counselors, and
    teachers that it is important to complete high
    school

12
Leadership Development
  • Foundations of Leadership Program (recently
    filled!)
  • 20 participants accepted into the program
  • 32 applicants
  • HR is revamping our previous leadership programs
    to be 21st Century-focused (Front Line
    Managerial)
  • Future implementation of UGA Leadership Networks
  • Leadership development network programming
  • Leadership Speaker series
  • Annual UGA leadership conference
  • Leadership events
  • Leadership newsletter
  • Leaders Web site

13
Flex-time policy
  • Policy is being reviewed by University Cabinet
  • Flex-time arrangements must benefit the unit and
    UGA
  • HR will review proposed flex-time arrangements
    for FLSA compliance

14
Background checks
15
(No Transcript)
16
Background checks
17
(No Transcript)
18
Changes in IRS regulations governing 403(b)
plans effective January 1, 2009
19
Why did the IRS issue the new 403b regulations?
  • IRS audits have identified significant compliance
    gaps when there is insufficient employer
    oversight
  • Eligibility and opportunity to enroll
  • Distributions prior to termination
  • Hardship withdrawals that exceed actual hardship
    amounts
  • Loans that exceed 50,000 in the aggregate
  • Dishonest self-certification on transfer, loans,
    hardships, distributions
  • Insufficient disclosure of fund expenses/fees

20
What is the overall impact?
  • Most substantial regulatory changes to 403b plans
    in 40 years
  • 403b plans will operate more like 401k plans,
    which require good compliance records
  • The administrative challenge Make 403b plans in
    a multi-vendor environment operate like 401k
    plans, which are typically exclusive
  • Compliance is a top IRS priority
  • Plan compliance is the employers responsibility

21
What HR has done to comply?
  • Reviewed number of participants across 24 ORP,
    403b, 457b vendors
  • Identified top 6 vendors w/ than 200
    participants, i.e., TIAA-CREF, AIG Retirement
    (VALIC), Fidelity Investments, Lincoln Financial
    Group, American Funds
  • Froze new contracts w/ all but three 403b vendors
    effective 9/27/07 to comply w/IRS regs
    (TIAA-CREF, AIG Retirement, Fidelity Investments)
  • Effective 11/1/2008, reduced number of approved
    403b 457b vendors to four TIAA-CREF, AIG
    Retirement (VALIC), Fidelity Investments,
    Lincoln Financial Group

22
ContWhat HR has done to comply?
  • We negotiated new 403b 457b mutual fund
    platforms w/approved vendors
  • AIG Retirements 403b 457b platform was
    effective 8/1/2008
  • Lincoln Financial Groups 403b 457b platform is
    effective 11/1/2008
  • TIAA-CREF Fidelitys 403b 457b platform will
    be effective 1/1/2009 (through 12/31/2008
    existing vendor funds)
  • Adding post-tax Roth 403b plans
  • We designed easier to use 403b 457b platforms
    that have two to four tiers
  • Tier 1 (Target/age-based retirement funds)
  • Tier 2 (Best-in-Class funds across asset
    categories)
  • Tier 3 (Vendor proprietary funds)
  • Tier 4 (Self-directed brokerage service/retail
    portal)
  • We are preparing communication to send to all
    403b participants 403b vendors
  • Participants with non-approved vendors may leave
    current contributions in existing accounts must
    direct new contributions to four approved vendors
    as of 1/1/2009
  • Participants with approved vendors may need to
    convert to new fund platform

23
What does it mean to you?
  • You will have same fund choices through fewer
    vendors
  • The new tiered 403b 457b mutual fund platforms
    are designed to make retirement and investment
    planning easier we will post quarterly fund
    performance for Tiers 1 and 2
  • With fewer vendors, you will better understand
    your choices, expenses, etc.
  • You will see more educational information on the
    HR Web site re financial planning, investment
    planning, wealth management services, education,
    etc.
  • We will provide ongoing education e.g., seminars,
    Webinars, mailings, etc.
  • Through FMEC, HR will be proactively reach out to
    faculty and staff for one-on-one appointments w/
    vendor reps and HR reps
  • We will be implementing Retirement Manager, a
    single retirement planning tool/system called for
    participants featuring on-line self-enrollment
    for 403b 457b vendors fund transfers/changes
    educational information compliance monitoring
    and processing (hardships, loans, limits,
    catch-ups, etc.)

24
FMEC has been created to help you!
  • Financial Management Education Center provides
  • Vendor choices and fund information
  • On-site counseling opportunities with reps from
    AIG, Fidelity Investments, and TIAA-CREF in the
    HR building Lincoln Financial Group has local
    office
  • Future just-in-time seminars and programs
  • Select FMEC on the HR home page

25
Four new voluntary benefits coming end of first
quarter next year
  • Short-term disability insurance Boston Mutual
  • Critical illness insurance Boston Mutual
  • Personal indemnity accident insurance AFLAC
  • Cancer insurance AFLAC
  • Special Enrollment March or April 2009

26
Benefits Open Enrollment 2008
  • Monday, October 6 -
  • Friday, November 7 at 500pm

27
Overview
  • Health plans
  • Changes to the current health plans
  • Additional HMO choice Kaiser Permanente
  • Medco and Blue Cross pharmacy programs
  • Premium increases
  • Dental plan
  • New provider MetLife
  • LTD insurance
  • Special enrollment for 2009 (no statement of
    health)
  • Lower premiums for 2009
  • Other information

28
Choices for enrollment
  • Use HRconnection for a paperless, online
    enrollment experience
  • OR
  • Submit paper enrollment forms to HR

DO NOT use HRconnection and submit paper forms!
Choose and use only one process.
4
This is the last year for paper enrollment forms!
29
Changes you can make
  • Health insurance
  • Enroll
  • Change your health insurance plan
  • Add dependents
  • Drop dependents
  • Cancel coverage

If you do not wish to make any changes to your
health insurance, no action is required on your
part
Note
30
Health insurance plans
  • Indemnity
  • PPO
  • HMO (2 plans BCBS Kaiser Permanente)
  • HSA PPO (high deductible)
  • Few changes to coverage
  • Premiums increase January 1, 2009

31
Indemnity changes for 2009
  • Dramatic rise in premiums
  • Employer contribution capped at PPO level
  • New pharmacy benefit manager Medco
  • (Replaces Express Scripts)
  • Pre-certification now with Blue Cross Blue Shield
  • Behavioral health now with BCBS
  • No coverage changes

32
PPO changes for 2009
  • The BCBS of Georgia PPO network replaces 1st
    Medical Network for in Georgia claims
  • The PPO national network (previously Beech
    Street) will be the Bluecard National Network
  • Pre-certification will be handled by Blue Cross
    Blue Shield of Georgia (previously Unicare)

33
Other PPO changes
  • Behavioral Health will be handled by Blue Cross
    Blue Shield of Georgia (previously Magellan)
  • The pharmacy benefits manager for the PPO plan
    will be Medco (previously Express Scripts)

34
Prescription Drug Benefit(Indemnity PPO) Medco
  • No changes to co-pays or quarterly out-of-pocket
    maximums

Check the Medco drug list youll find the link
on the UGA open enrollment Web page
35
HMO plans
  • New choice Kaiser Permanente
  • Review the plan booklet for details
  • Athens Regional Medical Center has joined the
    Blue Choice HMO network
  • No changes to the Blue Choice HMO coverage

36
Prescription Drug Benefit(HMOs)
  • Kaiser Permanente
  • Co-pays for KP pharmacy
  • Generic 10
  • Brand name 25
  • Co-pays for network pharmacy
  • Generic 16
  • Brand name 31
  • Days supply
  • 30-day only
  • Blue Cross Blue Shield
  • Co-pays
  • Generic 10
  • Brand name 25
  • Days supply
  • 30-day only

37
HSA PPO plan
  • The HSA PPO plan was formerly called the high
    deductible plan
  • The 750 maximum has been removed from the
    wellness benefit
  • Some stipulations still apply contact BCBS for
    details

38
Health savings account (HSA)
  • You must be enrolled in the HSA PPO plan to be
    eligible for an HSA
  • The BOR has contracted with USbank to provide an
    HSA for all system institutions
  • All HSA PPO plan enrollees will receive
    enrollment information from USbank
  • If you enroll in the USbank HSA, you may
    contribute through payroll deduction on a pre-tax
    basis
  • If you arrange another HSA, no payroll deduction
    is available

39
Health premiums for 2009
40
Prescription Drug BenefitHSA PPO (high
deductible)
  • Blue Cross Blue Shield of Georgia is the pharmacy
    benefit manager for the HSA PPO plan.
  • All prescription costs apply to your deductible
    until the deductible is satisfied

41
Health change form
  • If you wish to make changes, do ONE of the
    following by 500pm Friday, November 7
  • Use the HRconnection Web site to enroll
    electronically
  • OR
  • Submit a health change form available at
    www.hr.uga.edu. Select Open Enrollment
  • Use only ONE method above. DO NOT use HR
    connection and submit a paper form!
  • This is the last year for paper enrollment forms!

42
Dental plan
  • Changes you can make
  • Enroll in dental insurance for the first time
  • Add eligible dependents
  • Drop dependents
  • Cancel coverage
  • MetLife is the plan administrator for 2009. No
    changes to the dental plan coverage or rates.

The Board of Regents makes an annual decision
whether to allow open enrollment in the dental
plan. Please give special consideration to
enrolling, with the knowledge that you may not be
able to enroll next year during the open
enrollment period.
Note
43
Flexible spending accounts
  • Health and Dependent Care
  • You must enroll each year to participate!
  • Enroll using the PayFlex Web site
  • Reduce your taxable income while paying eligible
    medical and daycare expenses
  • Use or lose it no refunds for unused
    contributions

44
Flexible spending accounts
  • PayFlex offers
  • Debit card for eligible health purchases
    (administrative fee paid by UGA)
  • Express claim submission online
  • 24/7 online account access https//www.payflex.co
    m/mypayflex/login.htm
  • Access to account balances
  • Check status of reimbursement requests
  • Toll free customer service 8am 8pm M-F
  • (800) 284-4885
  • Longer spending year (through 03/15/2010)
  • Must request direct deposit, if desired

45
Life insurance
  • You may request changes at any time during the
    year
  • there is no open enrollment deadline
  • You may request approval for optional insurance
    for yourself, your spouse, and your children
  • A statement of health is required for increases
    in
  • coverage
  • Online MetLife services www.metlife.com/mybenefit
    s
  • Change beneficiary online
  • Check coverage 24/7 online
  • Toll-free customer service 8am-11pm
    Monday-Friday
  • 1-866-492-6983

46
Accidental Death Dismemberment insurance(ADD)
Changes you can make during open enrollment
  • Enroll (no statement of health required)
  • Change amount of coverage
  • Change level of coverage (family or individual)
  • Cancel coverage
  • Change beneficiary

47
Long-Term Disability Insurance(LTD)
  • Special enrollment this year lower premiums
    increased coverage in 2009
  • You may enroll during open enrollment with no
    statement of health
  • Effective January 1, 2009, the LTD insurance
    benefit increases from 60 to 66 2/3 of your
    income if you are unable to work for at least 90
    days as a result of serious illness or injury
  • The cost of the plan is determined by your salary
    and age

48
Optional Retirement Plan
  • You may change your ORP companies during any
    payroll period (usually no more than 12 time
    p/yr) no need to wait for open enrollment
  • Change forms are available at all times on the
    Benefits Web site

49
Benefits News
You will receive a copy of Benefits News in
campus mail with information about the 2008 open
enrollment. Please read all materials
available to you before making any changes.
50
Open enrollment deadline500pm Friday, November
7
  • For health, dental, ADD, and LTD
  • Enroll online using HRconnection
  • OR
  • Submit forms to Employee Benefits, 215 S. Jackson
    Street, Athens, GA 30602
  • Flexible spending accounts
  • Enroll online using the PayFlex Web site

51
Open enrollment deadline500pm Friday, November
7
  • How to submit paper enrollment/change forms
  • Drop box in front of the Human Resources building
  • Campus mail
  • U.S. mail

52
Questions?
Health, dental, ADD, LTD, ORP
benefits_at_uga.edu or 706-542-2222
Health dependent care flexible spending accounts
https//www.payflex.com/mypayflex/ or
(Toll-free) 800.284.4885
https//mybenefits.metlife.com/ or (toll-free)
866-492-6983
Life
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