New Hire Benefits Information

Office of Human Resources and Employee Relations

Important Benefits Information• You have 30 days from your date of hire to enroll in

benefits. Enroll in benefits online using the ADP Self Service Portal.

• If you are a monthly paid employee, you have 60 days to enroll in retirement. You default into the Teachers Retirement System of Georgia plan if you do not submit your retirement decision by the above deadline.

• Retirement elections cannot be made online. Submit your retirement decision to the Office of Human Resources and Employee Relations.

• Verification documents are required to enroll spouse and children in benefits.

• Insurance cards will be mailed in 10 – 14 business days after your enrollment.

HEALTH PLAN 1: Blue Cross Blue Shield of GA

Open Access POS Plan (PPO)SELECTED PLAN FEATURES AND COVERED SERVICES

PLAN PROVISIONS AND BENEFITS

(In-Network)

PLAN PROVISIONS AND BENEFITS

(Out-of-Network)

Maximum Annual Deductible

Individual - $300Family (3+) - $900

Individual - $400Family (3+) - $1,200

Members who use both In-Network providers and Out-of-Network providers will be responsible for two separate deductibles and for two separate, maximum out-of-pocket limits (stop loss). Annual deductibles, annual maximum out-of-pocket limits (stop loss), and annual visit limitations, will be based on a January 1 – December 31 plan year

Maximum Annual Out-of-Pocket Limit (Stop Loss)

Individual - $1,000Family - $2,000

Individual - $2,000Family - $4,000

Member co-payments for physician office visits, for emergency room services, and/or for prescription drugs do not apply toward the annual deductible(s) or toward the maximum annual out-of-pocket (stop loss) limit(s). Member costs incurred for balance billing will not apply toward the annual deductible(s) or toward the maximum annual out-of-pocket (stop loss) limits(s).

Wellness Services Plan pays 100% before deductible is met

Not covered

Physician Office Visits Plan pays 100% of network rate after $20 copay per visit

Plan pays 60% after deductible is met

Lab Services, Inpatient and Outpatient Services

Plan pays 90% of network rate after deductible is met

Plan pays 60% after deductible is met

HEALTH PLAN 1: Open Access POS Plan (PPO) Pharmacy Benefits

Retail Pharmacy(Up to a 30 Day Supply)

Mail Order(Up to a 90 Day Supply) Copays apply to supply for 31+

Days

Generic Prescriptions $10 copay $25 copay

Preferred Brand Name $30 copay $75 copay

Non Preferred Brand Name 20% copay of non-preferred brand name drug cost, with

minimum copay of $45/maximum copay of $125

20% copay of non-preferred brand name drug cost, with

minimum copay of $112.50/maximum copay of

$250

HEALTH PLAN 1: Monthly Premium

Coverage Level Employee Rate Georgia College Rate Total Rate

Employee Only $ 175.34 $ 409.14 $ 584.48

Employee + 1 Child

$ 315.62 $ 7356.42 $ 1,052.04

Employee + Spouse

$ 368.22 $ 859.18 $ 1,227.40

Family $ 508.46 $ 1,116.42 $ 1,694.88

HEALTH PLAN 2: Blue Cross Blue Shield of GA

HSA Open Access Plan (PPO)SELECTED PLAN FEATURES AND

COVERED SERVICESPLAN PROVISIONS AND

BENEFITS(In-Network)

PLAN PROVISIONS AND BENEFITS

(Out-of-Network)

Maximum Annual Deductible Individual - $1500Family - $3000

Combined In & Out-of-Network Benefits. For a family contract (Employee + Child, Employee + Spouse, and Family), all eligible members share a combined family deductible.

Maximum Annual Out-of-Pocket Limit (Stop Loss)

Individual - $3,000Family - $6,000

Individual - $6,000Family - $12,000

Includes the calendar year deductible. In & Out-of-Network amounts remain separate – they do not cross accumulate.

Preventive (Wellness) Services Plan pays 100% before deductible is met

Plan pays 70% after deductible is met

Lab Services, Inpatient and Outpatient Services, Prescriptions

Plan pays 90% after deductible is met

Plan pays 70% after deductible is met

Pharmacy Benefits are through Blue Cross Blue Shield of Georgia. Each prescription has a 30-day supply limit. Prescription drug cost estimates can be found http://www.bcbsga.com/bor.

HEALTH PLAN 2: Monthly Premium

Coverage Level Employee Rate Georgia College Rate Total Rate

Employee Only $ 43.70 $ 247.68 $ 291.38

Employee + 1 Child

$ 76.38 $ 432.78 $ 509.16

Employee + Spouse

$ 88.62 $ 502.24 $ 590.86

Family $ 121.30 $ 687.34 $ 808.64

INSURANCE DEFINITIONSBalance Billing: The dollar amount charged by a provider that is in excess of the plan’s allowed amount for medical care or treatment. Amounts that are balance billed by a provider are the member’s responsibility.

Deductible: A fixed dollar amount that a member must pay out-of-pocket, each plan year, before the health care plan will begin to pay for covered benefits.

Out-of-Pocket (Stop Loss): The maximum amount of healthcare plan expenses that a member will be required to pay during a plan year. Out-of-pocket expenses include member deductibles and member co-insurance payments required on an annual plan year basis. Once a member reaches his/her out-of-pocket limit, the healthcare plan will pay for 100% of covered expenses for the remainder of the plan year. Member costs incurred for balance billing will not apply toward the annual maximum out-of-pockets limits (stop loss).

Flexible Spending Account (FSA) vs. Health Savings Account (HSA) FSA HSA

Eligibility An employee whose employer offers an FSA option.

An employee enrolled in a qualified high deductible health plan (HDHP).

Contributions

Minimum contribution - $300Maximum contribution - $5,000

No minimum contributionMaximum contribution: -Single $3,100-Family - $6,250

Catch-up contribution (age 55+): $1,000

Portability No. Employees forfeit unused balances.

Yes. Once money is deposited, it is owned by the account holder.

Carryover No. Employees forfeit unused balances.

Funds may be carried over indefinitely throughout an account holder’s lifetime.

Withdrawals

Withdrawals for non-medical (ineligible) expenses are not permitted.

As of January 1, 2011, funds not used to pay for qualified medical expenses may be withdrawn but are subject to an additional 20% tax penalty except when an individual is 65 or older, disabled or has died during the year.

Interest Interest does not accrue for FSA funds.

Interest accrues without tax penalty. US BANK HSA INTEREST RATES$0 to $999.99 - 0.05%$1,000 to $2,499.99 - 0.15%$2,500 to $14,999.99 - 0.25%$15,000 + - 2.25%

Dental InsuranceBOR MetLife Dental Plan(INN and OON Benefits)

GC MetLife Dental Plan(INN and OON Benefits)

Annual Deductible $50 $50

Plan Maximum per person $1,200 (per plan year) $1,500 (per plan year)

Lifetime Maximum Orthodontia

$1,000 $1,000

Preventive CareCleaning, oral exams

100% Network Rate (INN)Subject to Balance Billing

(OON)*

100% Maximum Allowed Charge (INN)100% Reasonable/Customary Charge

(OON)

Basic Care* 80% Network Rate (INN)Subject to Balance Billing

(OON)

80% Maximum Allowed Charge (INN)80% Reasonable/Customary Charge (OON)

Restorative Care* 80% Network Rate (INN)Subject to Balance Billing

(OON)

50% Maximum Allowed Charge (INN)50% Reasonable/Customary Charge (OON)

Orthodontia* 80% Network Rate (INN)Subject to Balance Billing

(OON)

50% Maximum Allowed Charge (INN)50% Reasonable/Customary Charge (OON)

Dental Insurance Definitions:

BALANCE BILLING: The dollar amount charged by a provider that is in excess of the plan’s allowed amount for medical/dental care or treatment. Amounts that are balance billed by a provider are the member’s responsibility. Member costs incurred for balance billing will not apply toward the annual deductible.

NETWORK RATE: The rate that has been negotiated by MetLife for dental services

MAXIMUM ALLOWED CHARGE: The lesser of the amount charged by the Dentist; OR the maximum amount which the In-Network Dentist has agreed with MetLife to accept as payment in full for the dental service.

REASONABLE/CUSTOMARY CHARGE: The lowest of: •The Dentist’s actual charge for the services or supplies; OR•The usual charge by the Dentist or other provider of the services or supplies for the same or similar services or supplies; OR•The usual charge of other Dentists or other provider in the same geographic area equal to the 99th percentile of charges as determined by MetLife based on charge information for the same or similar services or supplies maintained in MetLife’s Reasonable and Customary Charge records.

An example of how the 99th percentile is calculated is to assume one hundred (100) charges for the same service are contained in MetLife’s Reasonable and Customary charge records. These one hundred (100) charges would be sorted from lowest to highest charged amount and numbered 1 through 100. The 99th percentile of charges is the charge that is equal to the charge numbered 99.

Dental Insurance Waiting Periods:

BOR MetLife Plan•After enrollment in the plan:

- Six (6) month waiting period for orthodontic care. - Two (2) year waiting period for some restorative

care services, i.e. replacement of full dentures

GC MetLife Plan•If enrolling during your first 30 days of employment, there is no waiting period for services. •If enrolling during the open enrollment period, there is a one (1) year waiting period for basic, restorative, and orthodontic care.

Dental Insurance: Monthly PremiumsCoverage Level Board of Regents

PlanGeorgia College Plan

Employee Only $ 30.84 $ 27.70

Employee + 1 Child $ 58.58 N/A

Employee + Child(ren)

N/A $ 55.39

Employee + Spouse $ 61.66 $ 55.39

Family $ 98.66 $ 88.62

Vision Insurance:Covered Services Benefit

Frequency of Services Eye Exam every 12 monthsLenses every 12 monthsFrames every 24 months

Co-payments Eye Exam $10; Contact Exam $55 Lenses $25

Contact Lenses Medically Necessary; $0 CopayElective $115 allowance

Frames Plan provides $100 allowance

LASIK Not covered – plan offers discount

Vision Insurance: Plan Exclusions

• Any hospital, surgical or treatment facility, or for services of an anesthesiologist or anesthetist.

• Prescription drugs or pre-medications, whether dispensed or prescribed.

• Medical or surgical treatment of eye, eyes, or supporting structures

Disability InsuranceIf enrolling during your first 30 days of employment, no Evidence of Insurability is required for disability insurance. However, if you enroll in disability insurance during open enrollment, your enrollment is subject to Evidence of Insurability.

SPECIAL NOTE:

PRE-EXISTING CONDITION LIMITATION: You will be considered to have a Pre-existing Condition and will be subject to the Pre-existing Conditions Limitation if:

• (1) the disability begins in the first twelve (12) months after your effective date; and

• (2) you have received medical Treatment, consultation, care or services, including diagnostic procedures, or took prescribed drugs or medicines for the Sickness or Injury, whether specifically diagnosed or not, causing such disability, during the three (3) months immediately prior to your effective date of insurance.

• Weekly Income Benefits will not be paid for a disability caused by; contributed to by; or resulting from a Pre-existing Condition unless you have been Actively at Work for one (1) full day following the end of twelve (12) consecutive months from your effective date of insurance.

Board of Regents CIGNA Life Insurance

Spouse/Child Life: $4.70 = $10,000 per covered member

Supplemental Life: 1X – 3X Salary – No Evidence of Insurability required4X – 5X Salary – Evidence of Insurability required

SPECIAL NOTE: You must be enrolled in the supplemental life insurance at least ten (10) years prior to retirement in order to continue the benefit into retirement. The maximum benefit in retirement is $15,000.

Board of Regents CIGNA Life Insurance

CONVERSION POLICY: If you leave the Board of Regents and would like to convert their life insurance coverage, you must do so within 30 days of termination. The conversion insurance may be a type of life insurance currently being offered for conversion by the insurance company at your age and in the amount requested. It may not be term insurance and it may not be for an amount greater than the Life Insurance Benefits in force under the Policy. Conversion life insurance will not provide accident, disability or other benefits.

Board of Regents CIGNA Life InsuranceFREE VALUE ADDED BENEFITS•CIGNA Will Preparation Program: Last Will and Testament; Living Will; Health Care Power of Attorney; Financial Power of Attorney; Estate Planning Information; HIPAA Authorization Forms; Online life and disability planning kits; and Funeral Planning Services•CIGNA Healthy Rewards: Up to 60% discounts on health and wellness services•CIGNA’s Identity Theft Program: Review credit information to determine if identity theft occurred; Provide identity theft resolution kit and an affidavit for credit bureaus and creditors; Assist with cancellation and replacement of lost or stolen credit cards and documents; Help with emergency travel arrangements, translation services and message relay•CIGNA Living Benefits: Terminal Illness Benefit – Employees who are considered to have a

terminal illness can qualify to receive 50% of their life benefit up to $250,000. Critical Illness-Specified Disease – 25% of the coverage in force up to a maximum benefit of $50,000.

GC Reliance Standard Life InsuranceChild Life: $4.70 = $10,000 per covered child

Spouse Life: $10,000 to $250,000 in increments of $10,000, not to exceed 50% of the Employee’s Covered Amount (Premium is based on spouse’s age)

• Spouses under age sixty (60): Amounts of insurance over $30,000 are subject to our approval of your spouse's proof of good health.

• Spouse age sixty (60) and over: Amounts over $10,000 subject to EOI

Supplemental Life: 1X – 5X Salary; Guaranteed Issue - $300,000Evidence of Insurability Required for Coverage Amounts over $300,000

GC Reliance Standard Life Insurance

- Conversion: can convert to an individual policy once no longer employed by GC- Portability: can continue under the plan for a period of two (2) years once no longer employed by GC

SPECIAL NOTE: You must be enrolled in the supplemental life insurance at least ten (10) years prior to retirement in order to continue the benefit into retirement. The maximum benefit in retirement is $15,000.

AFLAC Benefit OptionsCancer Policy: If you or your covered dependent under the policy is diagnosed with cancer and receives treatment, AFLAC Cancer Policy pays CASH benefits directly to you, unless you choose otherwise. This means you will have additional resources to help with the financial consequences of cancer that may not be covered by major medical insurance.

This plan does not have any deductibles or copayments. The plan is fully portable and guaranteed renewable. There are no network restrictions – you choose your own medical treatment provider.

AFLAC Benefit OptionsCancer Policy Monthly Premiums:

Pre-Tax Deductions

Age 18 – 35Age 36 –

45Age 46 –

55Age 56 - 70

Individual $16.12 $22.40 $33.02 $43.56

Single Family $16.12 $22.40 $33.02 $43.56

Employee + Spouse $39.90 $42.12 $61.76 $85.68

Family $39.90 $42.12 $61.76 $85.68

AFLAC Benefit Options24-Hour Accident Only Insurance: AFLAC pays CASH benefits directly to you, unless you choose otherwise, if a covered member’s accidental death, dismemberment, or injury is caused by a covered accident that occurs on or off the job.

The Accident Policy has: •No deductibles and no copayments•No lifetime limit – policy won’t terminate based on number or dollar amount of claims paid. •No network restrictions – you choose your own medical treatment provider. •No coordination of benefits – AFLAC pays regardless of any other insurance.

AFLAC Benefit OptionsAccident Policy Monthly Premiums:

Individual - $23.58Single Family - $34.98Employee + Spouse - $30.56Family - $45.50

Georgia College AFLAC Representative Contact Information:

John Collins Email: john_collins@us.aflac.com

Phone: (478) 454-7512

Retirement Option 1: Optional Retirement Plan (ORP)

ORP through Fidelity, TIAA-CREF, and Valic are available on the first day of hire. These plans are defined contribution plans. Employees are vested immediately. Your retirement depends on the value of the plan and your select method of withdrawal at the time of your retirement. The University contributes 9.24% of your gross salary and you contribute 5% of your gross salary. Choosing one or more of these vendors gives you the flexibility to invest your retirement funds in fixed income securities, bonds, equities or a combination of these.

Retirement Option 2: Teachers Retirement System of Georgia (TRS)

TRS plan is a defined benefit retirement plan for employees of Georgia College. You must participate in the plan for at least ten (10) years to become vested and reach the normal retirement age of 60 to receive a benefit. The defined benefit is equal to 2% of your highest 24 consecutive month’s salary times the number of years of service. The University contributes 11% of your gross salary and you contribute 5.53% of your gross salary to TRS.

Tax Deferred Annuities403 (b) Plan 457 (b) Plan 401 (k) Plan

Vendors Fidelity, TIAA-CREF, Valic

Fidelity, TIAA-CREF, Valic GaBreeze

Your Contributions

Maximum contribution is $17,000 for 2012. You can increase or decrease the amount you contribute to the plan at any time throughout the plan year.

Catch-up Contributions

You might be eligible to contribute up to an additional $5,500 in 2012 if you are age 50 or older.

You may be eligible to contribute up to an additional: •$17,000 in 2012 if you are within the last three taxable years ending the year before you reach normal retirement age (as specified in the plan) and you have under contributed in prior years, or •$5,500 in 2012 if you are age 50 or older

If you are eligible for both, you cannot combine the two catch-up amounts, but you can contribute up to the higher amount.

You may be eligible to contribute to an additional $5,500 in 2012 if you are 50 or older.

Withdrawals(if any of the events to the right apply)

- Attainment of age 59 ½

- Your death- Your disability- Separation from

service- Immediate

financial hardship

- Attainment of age 70 ½- Your death- Separation from services- Unforeseeable emergencies

- Attainment of age 59 ½

- Heavy and immediate financial need

- Separation from service

Benefits Links

• Team Georgia – Employee Discounts• ADP Self Service and Benefits Enrollment• BCBSGA Special Discounts• BCBSGA website (Provider Finder)• GC Benefits website• MetLife Dental• Humana Vision • Discovery Benefits – Flexible Spending Account• U.S. Bank – Health Savings Account• Fidelity Investment – Retirement Vendor• TIAA-CREF – Retirement Vendor• Valic – Retirement Vendor• Teachers Retirement System of Georgia

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