Title: Benefits Orientation Part 1
1Benefits Orientation Part 1
- NJ State Health Benefits Program
- Tax Savings Programs
- Long Term Care Insurance
- Family Leave
- Additional Benefits Services
- Benefits Processing Procedures
2Rutgers University Human Resources
3State Division of Pensions and Benefits
- http//www.state.nj.us/treasury/pensions
4Eligibility
- Regularly appointed full-time faculty or staff
- Your legal spouse
- Your same sex domestic partner
- Unmarried dependent children under age 23 who are
substantially dependent upon you for support and
maintenance
Regularly appointed FT faculty or staff Legal
spouse Unmarried dependent children under 23
5When Coverage Begins
- Academic year employees (10-month appointment)
with September 1 hire date enrolled September
1st - All others after 2 months of continuous
employment
6When Coverage Ends
- Termination prior to the 6th of the month,
coverage continues to the end of the month - Termination on or after the 6th of the month,
coverage ends the last day of the following month - Ten-month employees appointed until June 30th
continue coverage through July and August
7Medical Plan Choices
Traditional Plan (Horizon Blue Shield Blue Cross
of New Jersey One of the local Health Maintenance
Organizations (HMOs) NJ Plus (Horizon Blue Shield
Blue Cross of New Jersey)
- Health Maintenance Organizations (HMOs)
- New Jersey Plus
8Health Maintenance Organizations (HMOs)
- Aetna
- Cigna
- Oxford
- AmeriHealth
- Health Net
-
9Selecting an HMO Where You Live
- Eligibility to join a particular HMO is based on
your residential zip code - If an employee moves out of the HMOs service
area, there is a 30-day opportunity to choose
another plan
10HMO Important Features
- Significant Features of HMOs
- Covers many types of preventive and diagnostic
care - Each HMO has a unique network of physicians and
facilities - A Primary Care Physician coordinates your health
care
- No deductibles, co-insurance or claim forms to
file - No charges for medical treatment or
hospitalization other than required co-payments - Payroll deductions required
11NJ PLUS
- Administered by Horizon Blue Cross Blue Shield
of NJ - Point of service plan provides option to use
in-network or out-of-network providers - In network is similar to an HMO (only
co-payments are required) - Out of network is similar to the traditional
plan (deductibles co-insurance required)
12Dental Expense Plan
- Any licensed provider
- Diagnostic and preventive services covered 100
- After deductibles, eligible expenses covered at
80, 65, or 50 - 3,000 per person annual benefit maximum
- Payroll deductions required
- Minimum 12 months participation
- Predetermination
13Dental Plan Organizations (DPOs)
- No claim forms
- Must use network dentists
- Dentists who leave the DPO
- Diagnostic, preventative, certain restorative and
certain surgical procedures are covered 100 - Other services require co-payments
- Call dentists office to confirm participation
- Payroll deductions required
- Must remain in plan for 12 months
14DPOs
- Atlantic Southern Dental
- Community Dental Associates
- CIGNA Dental Health
- Group Dental Health Administrators
- Healthplex (International Health Care Services)
- Assurant (formerly Fortis)
- Flagship Health Systems
- Dental Group of New Jersey
- Horizon Dental Choice
- Aetna DMO
15Prescription Drug Coverage
- Caremark 1-866-881-5605 http//www.caremark.com
- Over 95 of pharmacies nationwide participate
- If pharmacy does not participate, pay up front
then file claim for reimbursement - Caremark Specialty Pharmacy Services
- (exclusive provider for specialty
pharmaceuticals) - Retail option 3 generic/10 name brand
- (30 day supply)
- Mail order program 5 generic/15 name brand
(90 day supply) - No payroll deductions required
16Vision Care Reimbursement Plan
- Administered by Rutgers University
- No cost
- Benefit covers employees, eligible dependents and
registered same sex domestic partners - Reimbursement for prescription lenses only
- Every two years
- Maximum reimbursement for single vision
corrective lenses 35.00 - Maximum reimbursement for bifocal or trifocal
lenses 40.00
17The Premium Option Plan
- Health and dental insurance premiums are deducted
from your paycheck before tax deductions occur - This option is automatic unless you sign a
waiver form within 15 days of your hire date
18The Unreimbursed Medical Spending Account
- Voluntary program
- Administered by Horizon Healthcare Insurance
- Set aside pre-tax dollars to pay for eligible
medical and dental expenses not paid by insurance - Any unused benefits at the end of the year will
be forfeited if not claimed for reimbursement - Maximum election is 2,000 per year
19The Dependent Care Spending Account
- Voluntary program
- Administered by Horizon Healthcare Insurance
- Set aside pre-tax dollars to pay for eligible day
care expenses. - Any unused benefits at the end of the year will
be forfeited if not claimed for reimbursement - Maximum election 5,000 per year
20New Jersey Long Term Care (LTC) Insurance Plan
- Voluntary program
- Administered by Prudential
- Covers broad range of services for anyone who has
lost ability to function independently - Can help protect assets
- Eligible family members include spouse,
children, parents and grandparents - (includes step and in-law relationships)
- Cost determined by age at time of enrollment
- Payroll deductions available
21LTC Insurance Underwriting Rules
- Full-time employees who apply within 90 days of
hire date, will complete short-form application
(requires limited health information) - After 90 days will be required to complete
long-form application (with medical
questionnaire) - Call Prudential LTC Customer Service Center
- 1-800-732-0416
- LTC website https//gltc.prudential.com/gltc/
22Family Leave
- The New Jersey Family Leave Act and the Federal
Family and Medical Leave Act entitles eligible
employees to unpaid family leave in certain
circumstances - May be taken up to 12 weeks in a 12 or 24 month
period - Health coverage continues as long as employee
contributions are paid in advance to Payroll
Services
23Rutgers Faculty and Staff Assistance Program
- Service offered at no cost to all University
faculty and staff and their family members - Services include a hotline, individual or group
counseling, crisis intervention and referral
assistance - Call 732-932-7539
24Other Services
- Work Place Banking
- http//uhr.rutgers.edu/work-place-banking.html
- Direct Deposit
- Parking at Rutgers
- http//parktran.rutgers.edu/
- (732-932-7744)
- Commuter Taxave
- http//www.mycommutertaxsave.com/
- ID cards
- http//www.rci.rutgers.edu/ruconxn/
- Recreational Services and Programs
- http//recreation.rutgers.edu/
25Benefit Processing Procedures
- Certain benefits changes can be made during the
year - Other changes can be made only during open
enrollment - Coordination of benefits
- COBRA
26Enrollment Forms
- State Health Benefits Program Application
- Copy of marriage license, if applicable
- Affidavit of Dependency, if applicable
- Certificate of Domestic Partnership, if applicable
27 END OF PART ONE
28Benefits Orientation - Part 2
- Pension Plans
- Disability Insurance
- Optional Investment Plans
- Tuition Benefits
29Public Employees Retirement System (PERS)
Public Employees Retirement System (PERs)
- Defined benefit retirement plan
- Employee contributes 5 (pre-tax) and Rutgers
contributes - Employee contributions are tax deferred
- Vesting 10 years
- Purchase of service credit
30PERS Formula
Years in system x Final
55 Average Salary average
of 3 highest years of base salary
31PERS Group Life Insurance
- Group life insurance underwritten by Prudential
- Payable to a named beneficiary
- Noncontributory portion 1-1/2 times actual
salary paid - Contributory portion additional benefit of 1-1/2
times annual base salary - Employee contribution rate .0050 of salary
- May cancel contributory portion after one year
(irrevocable decision)
32Alternate Benefit Program (ABP)
- Defined contribution plan
- Employees contribution 5 of base salary
(pre-tax) - Rutgers contribution 8 of base salary
- Noncontributory life insurance 3-1/2 times the
prior 12 months base salary - Vesting
33Investment Companies
Investment Companies
- AIG-VALIC
- AXA Equitable
- The Hartford
- ING Financial
- TIAA-CREF
- Travelers (administered by CitiStreet)
34ABP Enrollment Forms
- Mandatory
- ABP Enrollment Application
- (provided)
- Carrier Allocation Form
- (provided)
- Carriers unique enrollment application (not
provided, contact carrier directly or Human
Resources)
- Optional
- Salary Reduction Agreement
- Complete voluntary (TSA 403-b) part of carriers
unique enrollment form - If enrolling in TIAA-CREF, complete separate SRA
enrollment form
35Temporary Disability Insurance
- Coverage begins immediately
- Employees must use all accrued sick time before
receiving this benefit - Provides income replacement up to 66 of average
weekly wage up to an annual maximum limit - Maximum benefit of 26 weeks
- File claims within 30 days of the start of the
disability
36Long Term Disability (PERS, PFRS)
- Optional insurance
- Available to certain employees holding
administrative, professional or supervisory
titles - Underwritten by UNUM Life Insurance Company
- Employee pays 100 of the premium
- (rate salary x .0079)
- Benefits payable after 90 days of disability
- Enroll during initial eligibility to avoid proof
of insurability - Disability benefits 66 2/3 of base monthly
salary up to a 5,000/month maximum (reduced by
social security, PERS retirement, or other income)
37Long Term Disability (ABP)
- Effective after one year of participation in ABP
- Enrollment is automatic
- Noncontributory
- Underwritten by Prudential
- Benefits paid are 60 of base monthly salary
(reduced by social security) - Benefits start after 6 months of disability
38ACTS Program
- Additional Contributions Tax-Sheltered Programs
(ACTS) - Employees in PERS or PFRS may participate
- Additional retirement savings and tax shelter
- May not exceed legal maximum contribution amount
- Employees set up accounts directly with
investment carriers
39SACT Program
- Supplemental Annuity Collective Trust (SACT)
- Employees in PERS or PFRS may participate
- Additional retirement savings and tax shelter
- Contribute a percentage of salary up to a maximum
limit - Common stock portfolio
- Pre-tax or post-tax contribution programs
available - Enrollments processed quarterly
40NJ State Employees Deferred Compensation Plan
The Deferred Compensation Plan
- Employees in PERS, PFRS and ABP may participate
- Administered by Prudential Retirement
(1-866-657-3327) - http//www.retirement.prudential.com/njsedcp
- Additional retirement savings and tax shelter
- Contribute a percentage of salary up to a maximum
limit - Broad array of investment options
41Optional Investment Plans for Members of ABP
- Voluntary additional contributions
- NJ State Deferred Compensation Plan
42Tuition Benefits
- Regularly appointed faculty and staff may qualify
for tuition remission - The entire range of courses for credit are
available to employees - Dependent children must be enrolled full time in
an undergraduate program - Employee must be regularly appointed on a
full-time basis as of the first day of class
43 END OF PART TWO
44Benefits Orientation Part 3
45Paid Time Off for Staff Employees
- Vacation Days
- Vacation accrues at a rate of 1 day per whole
calendar month during the remainder of the first
fiscal year of hire and 1-1/4 days per month
thereafter (beginning July 1st) - Vacation accrued during a fiscal year (July 1
June 30) must be taken during the following
fiscal year - Future increases in accrual rates are based on
employee classification
46Paid Time Off (continued)
- Administrative Leave (AL)
- New staff employees accrue ½ AL day for each
month of full service up to maximum of 3 AL days - Must be used by June 30
- Personal Holidays (PH)
- New staff employees receive 2 PH days after 6
months of employment - Must be used by June 30
- 12 University Holidays per year
47Sick Leave for Staff Employees
- Sick Time is used when you are ill and unable to
work - Sick Leave is used to provide emergency
attendance to an immediate family member who is
seriously ill - Up to five days of Sick Leave are allowed per
fiscal year - Accrual rate is 1 day per whole calendar month
during the first fiscal year of hire - Accrual rates after the first fiscal year may
vary according to employment category (consult
the bargaining unit agreement and/or the
University Regulations and Procedures Manual for
details) - Accrued but unused sick days are carried over
from year to year
48Bereavement Leave
- Bereavement leave is absence from work due to
death in the immediate family - The allowable amount of time without loss of pay
is based on employee classification and the
family relationship - Consult the bargaining unit agreement and/or the
University Regulations and Procedures Manual for
details
49Jury Duty
- Staff members required to serve on a jury during
scheduled working hours are granted necessary
time off without loss of pay - If jury duty does not require attendance for the
full day, it is expected that the employee will
return to work
50Compassionate Leave Program
- Donated leave bank benefit for qualifying A/P/S
and Confidential employees who experience a
catastrophic health condition and exhaust their
paid leave - Eligible employees may request donated leave by
completing Application for Use form - Eligible employees may donate paid leave by
completing Donation to Bank form - Forms are available on the University Human
Resources website http//uhr.rutgers.edu/benefit-
forms.html