Benefits Information

Lisa HodgesHuman Resources, BenefitsApril 9, 2015

Insurance

Eligibility Chart

http://hr.ufl.edu/benefits/new-employees/eligibility-and-enrollment/

http://hr.ufl.edu/benefits/new-employees

TUTORIALS

Enrollment & Changes

• New Hire– 60 calendar days from hire

• Qualifying Status Change (QSC)– 60 days from a “work or life” event– Documentation required for some events– Examples: Birth/adoption; marriage; divorce; leave/FTE

changes; dependent changes; loss of coverage, etc.

• Annual Open Enrollment– In the Fall – Changes effective January 1st

How do I enroll/make changes?

State plans

• Via the People First website with your People First ID & password (not your UF ID)

GatorCare &

UFSelect plans• Via the myUFL portal using

your UF logon & password

Be sure not to sign up for duplicate plans!

Coverage Effective Dates

• Coverage begin dates vary by plan selected and when an employee enrolls

• Generally coverage may start:– State health & basic life- 1st of mo after hire & enrollment – State supplemental -1st of the mo after 2 consecutive

deductions within the same month– GatorCare health – hire or event date– UFSelect voluntary – hire or event date

IMPORTANT NOTE

Employees should delay making doctor appointments or prescriptions until AFTER member cards have been received

State and UFHealth Plans

Health Insurance Choices

State Plans– Preferred Provider Organization (PPO)- Calendar yr deductible (CYD);

has 80/20 % co-insurance & co-pays; nationwide coverage & flexibility to select providers; & more out of pocket costs

– Health Maintenance Organization (HMO) – No CYD; co-pays; must use network providers; lower out of pocket costs

– Health Investor Plan & Health Savings Account (PPO or HMO option)- Very high CYD; choice of PPO or HMO; pay lower monthly premiums; Eligible for Health Savings Account (HSA)

– Enroll through People First portal• Pharmacy coverage with CVS/Caremark

– PPO & HMO High Deductible

$7 Generic 30% after CYD

$30 Preferred brand 30% after CYD

$50 Non-preferred brand 50% after CYD

– 30 day retail and 90 retail/mail order supply available • PPO members are required to use mail order or retail 90 day supply for certain

maintenance medications

UF GatorCare Health Plans

• Only available to certain employee groups:– Graduate Assistants on appointment– Post Doctoral Associates & Post Doc Fellows– Clinical Faculty & Residents– Employees seeking same sex spouse or domestic partner coverage

• 3 PPO options – All encourage use of UFHealth network– Prime Plus - Primarily use UFHealth providers

– After CYD, Tier 1 (UFHealth) has 90/10% co-ins; or 60/40% at Tier 2 (Florida Blue)

– Premium Plan – Provider flexibility & incentives to use UFHealth network

– After CYD; Tier 1 is 80/20% co-ins; higher co-ins for Tiers 2 and 3 – GatorGradCare & Options -PPO for GA’s on appt. and Post Docs only

– Monthly cost: Rates vary, based on Plan selection & cov. tier– Enroll in the myUFL portal. GA’s use a separate vendor portal – Pharmacy provider is with Magellan Pharmacy Solutions

– Plan works on a co-insurance basis with a minimum & maximum out of pocket cost that the employee is expected to pay

State and UFSelect Life Insurance Plans

State Basic Life

State Optional Life

UFSelect Term Life

Coverage $25,000 max 1 X salary up to lesser of 7 X or 1 million; Above $500,000 requires medical appl

Emp: $300,000SP/Partner $50,000CH: $25,000 max 

Open Enrollment increase

N/A by 1 X salary open enrollment limits

Paid by Employer for full-timePart-time pay based on FTE

Employee Employee

Pre/post tax cost Pre-tax Post-tax Post-tax

Available Coverage Employee only Employee only OPS not eligible

FamilyOPS not eligible, but some temporary employees are

Rider benefit AD&D AD&D AD&D

Additional coverage Coverage above the guarantee issue amounts may be requested by medical application

Enrollment portal People First My UFL

State & UFSelect Term Life Insurance

State and UFSelect Supplemental Insurances

Employees who enroll in the last three months of the year MUST complete 2 elections – one for the current year and one for the new plan year. Contact People First.

State Reimbursement Accounts

TypeExpenses

ReimbursedTime Frame Contribution Limit

Medical Reimbursement

Medical, dental, vision, co-pays & deductibles Debit cards (Use or Lose)

Expenses from 1/1 – 12/31 of the plan yr + Grace pd. From 1/1 - 3/15 of following year to submit by 4/15 annual deadline

$2,550

Limited Medical Reimbursement

(Must have a High Ded. plan)

Dental, vision, preventive care; medical expenses not included. Debit cards (Use or Lose)

Same as above $2,550

Dependent Care Reimbursement

Child or Elder care expenses(Use or Lose)

Same as above $5,000

Health Savings Account

(Must have a High Ded. plan)

Medical, dental, vision, co-pays & deductibles. Debit cards Portable & carries over

N/A

UF contributes $500 Ind.$1,000

Fam./year

*Employee additional

contribution$2,850 Ind.

$5,650 Fam./year

Enrollment Portal People First

*Participants 55 and older can contribute an extra $1,000/year

Pre-

tax

State & UFSelect Dental PlansPlan Type Indemnity/PPO Prepaid

Deductible Yes No

Maximum Benefit

Yes No

Pre-existing Conditions

Yes No

ProviderIndemnity-Any Dentist

PPO- In or Out of networkNetwork Dentist Only

Plans

• State Humana Preferred Plus (4054)• State Assurant Freedom Advance (4074)• State Ameritas Preventive Plus (4064) • State Humana Schedule B (4084)

• UFSelect Eagles Dental Reimbursement

• State Humana Network Plus (4004)• State United Solstice S700 (4014)• State CIGNA Dental (4034)• State Assurant Prepaid 225• State Humana Select 15 (4044)

Enrollment portal

State – via People FirstUF – via myUFL portal

State – via People First

• Which plan is best for me?– Review company brochures– Compare cost & coverage– Dentist appointment availability– State plans are pre-tax; UFSelect is post-tax– Questions? Call dental provider or office

State & UFSelect Vision Plans In network cost State Humana

Exam & Materials 3004UFSelect HumanaExam & Materials

Exam Every 12 months 12 months

Lenses Every 12 months 12 months

Frames Every 24 months 24 months

Exam co-pay $10.00 $10.00

Contact lens (can be substituted for lenses; coverage is applied to one or the other, not both)

Lenses/Frames co-pay $10.00 $15.00

Frame allowance $75 wholesale (approx. $187.50 retail) $50 wholesale (approx. $125 retail)

Elective contact lenses allowance $150 $150

Pre or post tax Pre-tax Post-tax

Dependent coverage Family including same sex-spouse Family including domestic partners

Enrollment portal People First myUFL

State & UFSelect Disability Insurance

State Short Term(Pre-Tax)

UFSelect Long Term(Post-Tax)

Elimination Period Various -Based on plan selected 30 or 90 day elimination periods

Payment Duration

3-24 months, based on plan selected

Pays from 31st or 91st day until Normal Social Security Retirement

Age (NSSRA) with continuing disability

Payment Amount

Based on plan selected$500-$3,000/month,

up to 2/3 Salary Regardless of Other Income

Pays 2/3 Salary, Un-taxed benefits, Reduced by Other Income

Enrollment portal

People First & contact Jennifer Lopez, Agent at

352-335-5016myUFL

Supplemental/Voluntary Plans

• These plans offer additional coverage to help with out of pocket medical expenses

• Coverage independent of health insurance

• State Supplemental plans– Accident Coverage (Colonial)– Cancer/Intensive Care plans (Aflac &Colonial)– Hospital Supplementals (New Era and Chlic)– Must enroll via People First & sign up with an agent

• UFSelect Voluntary plans– Preferred Legal plan (enroll via the myUFL portal)– VPI Pet insurance – call 1-877-PETS-VPI for quotes & to enroll

Salary/FTE Employees & OPS Eligibility

Eligibility for State Plans

• Who is eligible at hire?– New Salary (which are TEAMS & Faculty) employees hired at any FTE*– New OPS hired to work at least 30hrs or more/week*– *Important note: A prior state job (OPS or Salary) even if it was

with UF, may affect eligibility at the time of hire

• What are measurement periods?– A period of 12 consecutive months in which hours are measured by the

state to determine eligibility for insurance coverage

• Who is measured?– New Hire/Initial period – Only for PT Salary employees less

than .75FTE & OPS who are not expected to 30 hrs/wk

– Annual period - All Salary employees and OPS who are continuously employed as of the 1st day in the measurement window through the last day of that same period

Eligibility for State Plans

• When are they measured?– New Hire Measurement Period (NHMP) – Begins 1st of the month after hire

through 12 months. (Example: hired 4/9/15 @ PT (less than .75FTE). The NHMP is 5/1/15 to 4/30/16)

– NHMP does not re-start if a PT employee is rehired or accepts a 2nd state job, unless there is a qualified Break In Service

– Essentially the clock starts ticking based on the initial job unless there is a Break In Service

– Open Enrollment Measurement Period (OEMP) – Begins 10/3 through the following 10/2 of each year. (Example: this year’s OEMP is 10/3/14 to 10/2/15)

• As a general rule, the state defines Break In Service when: – More than 26 weeks between a term and rehire– Use this rule for employees

moving between OPS to Salary jobs & vice versa – More than 1 full calendar month between a term and rehire - Use this rule for

employees moving between Salary to Salary jobs – A break between 4-26 weeks, if the time of service prior to termination is

less than the period of the break

Eligibility for State Plans• How does Break In Service work?

– Break In Service-- treat as a new hire to enroll, however employee must meet other eligibility criteria

– No Break In Service-- other factors are evaluated to determine whether to treat as newly eligible, transfer prior benefits or discontinue. Some of the factors include but are not limited to:

– Was employee eligible & enrolled in prior job? Does the rehire job meet eligibility criteria?

– Was employee previously eligible, but not enrolled in any benefits?– Was the OPS previously ineligible due to hours, but rehired at 30hrs/wk or

more? Are they in the NHMP or OEMP?

• Departments may refer the state’s Qualified Status Change (QSC) matrix as a guide when processing job hires/changes

• Review QSC & Measurement Matrix at: http://mybenefits.myflorida.com/health/making_changes_to_your_plans/making_plan_changes_with_a_qualifying_status_change_qsc_event

• http://www.dms.myflorida.com/content/download/114638/633750/Measurement_Matrix_02-18-2015.pdf

Eligibility for State Plans

• Even if OPS hours increase or they accept a 2nd state job, doesn’t necessarily mean immediate eligibility for benefits

– Here’s some examples:

– If a PT OPS (less than .75 FTE) is in the NHMP and has an increase in hours, they will have a QSC to enroll

– If a PT OPS (less than .75 FTE) is in the OEMP and has an increase in hours, they do not have a QSC to enroll

– If a PT OPS is not expected to work 30 hrs upon hire, but is later measured by the end of the NHMP as meeting the 30 hrs, they will then become eligible at the end of the NHMP as a QSC to enroll

Eligibility for State Plans

• How are hours reported?– OPS hours reported for payroll are sent biweekly to People First – Salary employee hours are calculated by People First on FTE

• What happens when an employees goes on leave?– Any type of FMLA, medical leave(non-FMLA), jury duty or military leave

should be processed in Job Data timely. Unprocessed leave actions may affect an employee’s measurement period & later their eligibility

– Employees & Depts. should call the Benefits Office immediately for premium payments or options to cancel if any

– OPS on medical, jury duty or military leave are not handled in Job Data. Employees & Depts. must notify the Benefits Office immediately to report time with People First. Unreported leave may count against the measurement periods & later their eligibility

Eligibility for State Plans

• What happens on a personal leave of absence that is without pay (LWOP)? – Former guidelines -- option to cancel or keep benefits within 60 days of

LWOP. Cost to keep benefits was a 100% of the employee + employer

– New guidelines – employee must keep coverage paying only the employee portion. UF must pay the employer contribution through the employee’s stability period. Refer to matrix for stability periods

– Employees may have the option to cancel if they meet other criteria on the state’s QSC matrix

– LWOP will not be measured in the employee’s next measurement period. UF is seeking clarification on how the LWOP may impact future eligibility for Salary vs OPS employees--- more to come

Eligibility for State Plans

• When does coverage begin? – If eligible immediately upon hire

– 1st of month after hire date and completed enrollment for health– All others plans vary on the pay cycle

– If eligible after the NHMP and meets the 30 hr requirement– 1st of the second month following the NHMP & completed

enrollment – All others plans vary on the pay cycle

• When does coverage end?– Salary & OPS who maintain eligibility –coverage ends if cancelled in

Open Enrollment for 1/1 or earlier with their QSC date

– Employees who don’t meet the 30 hr requirement when measured in the OEMP will have coverage end on 12/31 in the OEMP calendar year

Eligibility for State Plans

• What is the associated stability period? – Employees in the NHMP – 1st of the second month, following the NHMP

and ends the last day of the 12th month of health coverage Example – NHMP ends 4/30/16– Employee is measured eligible– Can enroll for coverage 6/1/16 (1st of second month after NHMP)– Stability period is 6/1/16 thru 5/30/17- benefits locked in even if the

employee later has a reduction in hours. The employee is also eligible to continue at the full-time rates

– Employees in the OEMP – the stability is 1/1 thru 12/31 Example – OEMP 10/3/14 to 10/2/15– Employee is measured eligible– Employee enrolls in open enrollment with coverage starting 1/1/16 – Stability period is 1/1/16 thru 12/31/16- benefits locked in even if the

employee later has a reduction in hours. The employee is also eligible to continue at the full-time rates

Retirement

State Retirement Plans

• Florida Retirement System (FRS)– Pension Plan– Investment Plan

• State University System (SUS) – Optional Retirement Program

– Eligibility determined by position classification

FRS Pension Plan• Defined Benefit Plan• 3% mandatory employee contribution• Vesting

– 6 years if enrolled prior to July 1, 2011– 8 years if enrolled on or after July 1, 2011

• Normal retirement– Age 62 & vested or 30 years of service (any age) if

enrolled prior to July 1, 2011– Age 65 & vested or 33 years of service (any age) if

enrolled on or after July 1, 2011

• Deferred Retirement Option Program (DROP)• Benefit based on years of service, earnings, and

service credit value (1.60-1.68%)

FRS Investment Plan• Defined Contribution Plan• 6.3% monthly contribution to individual account

– 3% mandatory employee contribution– 3.3% employer contribution

• One-year vesting requirement• Benefit based on account balance at termination

of employment• 2nd Election

– One time election to switch between the FRS Plans– Contact MyFRS and speak with the unbiased financial

planners for assistance.

SUS Optional Retirement Program

• TEAMS-A & Faculty positions are eligible– Determined by position classification– TEAMS-A = Administrative and Professional positions

• Defined contribution plan– 403(b) tax-sheltered annuity plan per IRC

• 8.14% biweekly contribution to individual account– 3% mandatory employee– 5.14% employer

• Immediate vesting• Benefit based on account balance at termination

of employment

Understanding Your Paycheck

Employer Paid Benefits• The Unfunded Actuarial Liabilities (UAL) & administrative

fees are included in the employer’s contribution. This results in a slightly higher amount reflected on the paycheck than what is actually contributed to your account.

OPS Employee Plans

FICA Alternative Plan• Who participates?

– Adjunct Faculty– Post Docs– Housestaff– OPS Employees (Both Exempt and Non-Exempt)

• Defined Contribution Plan authorized under Section 401(a) of the Internal Revenue Code.

• Employees in certain temporary positions are mandated to participate in lieu of earning credit for Social Security.

• Mandatory Employee: 7.5% of biweekly earnings• VALIC is the investment company

– VALIC Microsite

Supplementing your Retirement

Voluntary Savings Plans

• Designed to help meet long-term financial and retirement goals

• Funded by voluntary employee contributions made through payroll deduction

• Before tax (TDA) and After Tax (Roth)

• Available to all employees at any time!

Tax-Deferred Plans• Before-tax elective salary deferral

• UF 403(b) Plan– Establish a contract with participating investment

provider– Complete Salary Reduction Agreement and submit to

UF Benefits– Payroll deduction may be changed at any time– 2015 elective deferral limit: $18,000

– Additional $6,000 if age 50 or over– The Calendar Year 2015 Worksheet to maximize

voluntary retirement savings contributions is located on the Voluntary 403(b) Plans web page.

Tax-Deferred Plans

• State of Florida 457 Plan– Deferred Compensation Plan– 2015 elective deferral limit: $18,000

– Additional $6,000 if age 50 or over– www.myfloridadeferredcomp.com

Roth 403(b) Plan

• After-tax elective salary deferral

• Contributions apply to the 403(b) deferral limit

• Establish contract with company and submit Salary Reduction Agreement form to UF Benefits

• Financial Literacy And Retirement Education• www.hr.ufl.edu/retirement/flare• Compiled wealth of information in one convenient

location– Narrowed down resources from vast array available– Help make educated decisions regarding personal

finances– Resources to make ends meet today and plan for the

future• Subscribe to the Listserv to receive FLARE related

information

Resources• UF Benefits

• www.hr.ufl.edu/retirement• benefits@ufl.edu • (352) 392-2477

• MyBenefits (Insurance)• http://mybenefits.myflorida.com/• 1-866-663-4735

• MyFRS (Retirement)• www.myfrs.com• (866) 446-9377

Resources• FRS Online Login

• https://www.rol.frs.state.fl.us/login.aspx

• Investment Provider Contact Information• Investment Provider & Representative List

• MyUFL (to logon for UF Insurance plan enrollment)

• https://my.ufl.edu

• People First (state insurance enrollment)

• https://peoplefirst.myflorida.com/

• Salary Reduction Agreement• Tax-Deferred 403(b)• Roth 403(b)

Questions?