Shawnee State University

1
Shawnee State University

• Health and FSA
• Overview for Open Enrollment
• November 2008

2
Health Insurance

• Comprehensive Plan
• Medical
• Prescription
• Dental
• Vision
• Preferred Provider Organization (PPO)
• No Waiting Periods or Pre-existing Conditions
• Single and Family Coverage Available
• Dependents covered until age 25 if IRS eligible

3
Health Insurance

• Employee Premiums (Biweekly)

• Insurance Waiver Option
• Monthly Opt-out payments 100 Single 200
  Family
• Must be able to show proof of other coverage

4
Health Insurance

• Largest Network in the Area
• Low Annual Deductibles
• 100 Individual
• 200 Family
• Limited Copays
• 60 Emergency Room Visit
• Generous Benefit Coverage
• 90 In-Network Providers
• 75 Out-Network Providers

5
Health Insurance

• Annual Out-of-Pocket Maximums

Including Deductible

• Lifetime Maximum Benefit
• 5,000,000 per covered person
• Enrollment Periods
• Initial 30 days of employment
• Within 30 days of a Qualifying Event
• Annual Open Enrollment in November

6
Prescription Drug Coverage

• No Deductible
• Low Co-payment
• Medco Network and Formulary

Denotes SEA-CBA Faculty Rx Copay Structure -
Effective Jan. 1, 2009
7
Dental Benefits

• Annual Deductibles

• Dental Coverage

Out-Network Members pay above RC Fees
8
Dental Benefits

• Annual Max. Benefit
• 1,000 per Person
• Orthodontics
• 60 coverage
• 1,000 lifetime max
• Preventative Services
• 100 covered No Deductible
• Free Cleaning every 6 months

9
Vision Benefits
Discounts for costs above Standard Benefit
Reimbursed from Claim Receipt

• VSP Network
• Additional Special Discounts

10
Flexible Spending Accounts

• Allows you to make Pre-Tax contributions from
  your salary to be used for Eligible,
  Out-of-Pocket Expenses.
• Health Care FSA - 240-3000 Annual Limit
• Dependent Care FSA - 240-5000 Annual Limit
• Must be Incurred within the Plan Year (Jan.1 -
  Dec.31) or Grace Period Extension (March 15th).
• IRS Use-It or Loose-It Provision Unused funds
  are forfeited if not submitted according to Plan
  Provisions.
• Multiple Elected Reimbursement Methods
• AmeriFlex Convenience Debit MasterCard
• Reimbursement Claim Submission
• Initial Employment (30 days) or Open Enrollment
  Period

11
Questions???

• Contact
• Denise Gregory
• Phone 3481
• Email dgregory_at_shawnee.edu
• Chris Nourse
• Phone 3163
• Email cnourse_at_shawnee.edu
• Or Stop by
• Human Resources Office
• Administrative Building Rm 021
• Monday Friday, 800am 500pm