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Benefits Orientation Part 1

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Title: Benefits Orientation Part 1


1
Benefits Orientation Part 1
  • NJ State Health Benefits Program
  • Tax Savings Programs
  • Long Term Care Insurance
  • Family Leave
  • Additional Benefits Services
  • Benefits Processing Procedures

2
Rutgers University Human Resources
  • http//uhr.rutgers.edu

3
State Division of Pensions and Benefits
  • http//www.state.nj.us/treasury/pensions

4
Eligibility
  • 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
5
When Coverage Begins
  • Academic year employees (10-month appointment)
    with September 1 hire date enrolled September
    1st
  • All others after 2 months of continuous
    employment

6
When 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

7
Medical 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

8
Health Maintenance Organizations (HMOs)
  • Aetna
  • Cigna
  • Oxford
  • AmeriHealth
  • Health Net

9
Selecting 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

10
HMO 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

11
NJ 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)

12
Dental 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

13
Dental 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

14
DPOs
  • 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

15
Prescription 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

16
Vision 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

17
The 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

18
The 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

19
The 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

20
New 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

21
LTC 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/

22
Family 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

23
Rutgers 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

24
Other 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/

25
Benefit Processing Procedures
  • Certain benefits changes can be made during the
    year
  • Other changes can be made only during open
    enrollment
  • Coordination of benefits
  • COBRA

26
Enrollment 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
28
Benefits Orientation - Part 2
  • Pension Plans
  • Disability Insurance
  • Optional Investment Plans
  • Tuition Benefits

29
Public 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

30
PERS Formula
Years in system x Final
55 Average Salary average
of 3 highest years of base salary
31
PERS 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)

32
Alternate 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

33
Investment Companies
Investment Companies
  • AIG-VALIC
  • AXA Equitable
  • The Hartford
  • ING Financial
  • TIAA-CREF
  • Travelers (administered by CitiStreet)

34
ABP 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

35
Temporary 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

36
Long 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)

37
Long 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

38
ACTS 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

39
SACT 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

40
NJ 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

41
Optional Investment Plans for Members of ABP
  • Voluntary additional contributions
  • NJ State Deferred Compensation Plan

42
Tuition 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
44
Benefits Orientation Part 3
  • Paid Time Off (Staff)

45
Paid 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

46
Paid 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

47
Sick 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

48
Bereavement 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

49
Jury 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

50
Compassionate 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
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