- 1. The Scripps Research Institute Welcome to Benefit Enrollment
for TSRI Graduate Students
2. TSRI Grad Student Benefits
- Medical, Dental, Prescription, Vision and
3. Human Resources Department
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- www.scripps.edu/hr/benefits
- Claims Questions or Concerns
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- Paige Gearhart, Sr. Benefits Analyst
- www.scripps.edu/hr/benefits/newhire
4. Health Plan Card
- Health Plan cards will be mailed to your home address in less
than 2 weeks.
- Make sure we have your correct address
- Your ID# will show on your card and notyour SS#
- Your name will appear on the health plan card not your
dependents.
5. Medical Plan
- Principal Financial Group
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- Preferred Provider Organization (PPO)
- Aetna Signature Administrators
6. Medical Plan ServicePLAN 7 None None 70% None 100% 100% 100%
100% Other Services Well Baby Care Physical Exam Cancer Screening
Immunizations $200 70% $0 100% Inpatient Services Deductible (per
admit) Hospital Charges NON-NETWORK $200 70% 70% 70% INNETWORK $0
100% 100% 100% Outpatient Services Deductible Office Visit Surgery
Lab/X-Ray 7. Medical Plan Helpful Hints
- Chiropractic and Acupuncture coverage
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- Limited to 20 visits a year
- Be sure to keep your Explanation of Benefits (EOBs)
8. Dental Plan
9. Dental Plan
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- 100% coverage for 2 cleanings a year (every 6 months),
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- $50 deducible isNOTapplied.
- Premier and All Other Dentists
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- 80% coverage for 2 cleanings a year
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- For child dependents up to age 19. (Maximum benefit for
orthodontia is $1,500)
10. Dental Plan Service PPO Delta Dentists Delta Premier
Dentists All Other Dentists * Reasonable and Customary Charges
$1500 $1500 $1500 Maximum Benefit (Per year per person) 50%* 50%
50% Orthodontic Benefits (Dependents to age 19) 50%* 50% 50% Major
Benefits Crowns, Jackets, Implants, and Cast Restorations 80%* 80%
80% Basic Benefits Oral Surgery, extractions & fillings 80%*
80% 100% Diagnostic & Preventative Services Two per 12-month
period $50.00 $50.00 $50.00 (Not Applied to Diagnostic and
Preventative Services) Deductible (Per Person) 11. Prescription
Plan
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- Prescription Benefit Service
- Savon, Longs Drugs, Ralph's, Rite Aid
- Formulary Brand Name Co-Pay = $25
- Non-Formulary Brand Name Co-Pay = $50
12. Vision Plan
13. Vision Plan
- One comprehensive exam every 12 months
- One standard frame up to $110 every 24 months
- One pair of standard lenses every 12 months
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- (additions such as scratch resistance, UVA protection, ect.,
are out of pocket expenses)
- One pair of contact lens up to $100 every 12 months
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- Only buy $100 worth of contacts not a years worth.
14. Mental Health Plan
- Call for an in-network provider
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- Maximum of 40 visits a year
- 50% Out-of-Network Benefit
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- Maximum of 40 visits a year
15. Employee and Graduate Student Counseling Department
- No cost, confidential, professional counseling services for
employees, graduate students, and family members
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- 784-7915 or[email_address]
16. Making Changes to your Medical and Dental Plans
- Must have a Qualified Status Change
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- Loss of other Coverage, and Obtaining other Coverage (must
provide proof)
- Coverage Change Form must be filled out and turned into HR
within31 DAYS!!!
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- Two weeks in November to make any changes to your medical and
dental plans.
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- Elections are made through a secure web-based system.
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- All changes will be made effective January 1, 2009.
17. Voluntary Life Insurance
- Adams Group Insurance (AGI)
- You may purchase supplementary life insurance during Open
Enrollment
- Spouses and children are eligible
18. Workers Compensation
- Report injury to your Supervisor and
- Sharp Rees-Stealy is our OccupationalMedical Provider.
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- Located on Activity Road in Mira Mesa
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- Directions are posted in all labs
19. Fitness Benefit
- Shiley Health and Fitness Center
- UCSDs RIMAC Center(Recreation, Intramural, Athletic,
Complex)
- Memberships for Both Facilities are Paid for by the Graduate
Student Office
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- Contact Marylyn Rinaldi for more details, 4-2877.
20. Wellness Benefits
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- On-Site Seated Massage every other Friday. Contact HR for more
info, 4-8487.
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- Watch your emails for the upcoming seminar
21. Discount Tickets
- Local Attractions such as:
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- Sea World Tickets on Sale
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- Discount Movie Tickets on Sale
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- Disneyland Tickets on Sale
22. THANK YOU !