Faculty Benefit Guide - Queens University of Charlotte
Faculty Benefit Guide - Queens University of Charlotte
Faculty Benefit Guide - Queens University of Charlotte
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<strong>Faculty</strong> <strong>Benefit</strong> <strong>Guide</strong><br />
January 1, 2013 – December 31, 2013
MEDICAL INSURANCE<br />
<strong>Benefit</strong>s-eligible faculty and their spouse, domestic partner and/or children under age 26 are eligible for medical insurance on the first day <strong>of</strong> employment.<br />
Below is a high-level summary for comparison purposes only and includes only information regarding services performed with in-network providers. A list <strong>of</strong><br />
in-network providers and <strong>of</strong>fices can be located using the DocFind® tool (www.aetna.com) or through Human Resources. Detailed plan descriptions are<br />
available through Human Resources.<br />
In-network <strong>Benefit</strong>s Open Access PPO Gold Open Access PPO Silver Healthfund (High Deductible)<br />
Preventive Care Covered at 100%, deductible waived Covered at 100%, deductible waived Covered at 100%, deductible waived<br />
Copayments<br />
$20 primary care<br />
$40 specialist<br />
$150 emergency room<br />
$30 primary care<br />
$60 specialist<br />
$150 emergency room<br />
Not Applicable – You pay the full cost <strong>of</strong><br />
services until the deductible is met.<br />
Annual Deductible<br />
$750 per individual<br />
$2,250 per family<br />
$1,250 per individual<br />
$3,750 per family<br />
$2,000 with single coverage<br />
$4,000 with family coverage<br />
Once 3 individuals have met their<br />
deductible, the family deductible is met<br />
Once 3 individuals have met their<br />
deductible, the family deductible is met<br />
There is no individual deductible to<br />
satisfy with a family plan.<br />
Coinsurance<br />
After deductible is met, the plan pays<br />
80% <strong>of</strong> the cost <strong>of</strong> in-network services<br />
After deductible is met, the plan pays<br />
70% <strong>of</strong> the cost <strong>of</strong> in-network services<br />
After deductible is met, the plan pays<br />
90% <strong>of</strong> the cost <strong>of</strong> in-network services<br />
Annual Out-<strong>of</strong>-Pocket<br />
Maximum<br />
$2,750 per individual<br />
$8,250 per family<br />
$4,250 per individual<br />
$12,750 per family<br />
$5,000 per individual<br />
$10,000 per family<br />
Prescriptions 30 day supply: $10 generic, $40<br />
formulary, $60 non-formulary<br />
31-90 day supply: $20 generic, $80<br />
formulary, $120 non-formulary<br />
30 day supply: $10 generic, $40<br />
formulary, $60 non-formulary<br />
31-90 day supply: $20 generic, $80<br />
formulary, $120 non-formulary<br />
Not Applicable – You pay the full cost <strong>of</strong><br />
prescriptions until the deductible is met.<br />
Items on the Aetna Preventive Rx List<br />
default to the PPO copayment structure.<br />
Vision Care<br />
1 annual eye exam, $200 reimbursable<br />
every 24 months for glasses and<br />
contacts<br />
1 annual eye exam, $200 reimbursable<br />
every 24 months for glasses and<br />
contacts<br />
1 annual eye exam, $200 reimbursable<br />
every 24 months for glasses and<br />
contacts<br />
Monthly Premiums Open Access PPO Gold Open Access PPO Silver Healthfund (High Deductible)<br />
Rate Type: Standard Wellness* Standard Wellness* Standard Wellness*<br />
Employee Only $194 $134 $135 $75 $60 $0<br />
Employee + Spouse/Domestic Partner $727 $667 $599 $539 $384 $324<br />
Employee + Children $497 $437 $413 $353 $287 $227<br />
Family Coverage $931 $871 $764 $704 $471 $411<br />
WELLNESS INCENTIVE PROGRAM<br />
At <strong>Queens</strong>, we care about the health & well-being <strong>of</strong> our employees and have a robust wellness program that includes a $60 medical premium reduction for<br />
participants. The program is participation-based and designed to give you valuable information about your current health as well as help you develop a<br />
workable plan to get healthier! *In order to qualify for the wellness premium, within 30 days <strong>of</strong> enrolling the employee must (1) complete an annual<br />
personal health evaluation, (2) log the results in Aetna’s online Health Risk Assessment system, (3) review the results with the Nurse Practitioner in <strong>Queens</strong>’<br />
employee Wellness Clinic. Then, you just follow up with additional appointments as recommended by the Nurse Practitioner to retain the discount.<br />
Opt in online<br />
when you pick<br />
your medical<br />
insurance plan<br />
Recieve your<br />
results &<br />
complete a Health<br />
Risk Assessment<br />
at Aetna.com<br />
Visit the Wellness<br />
Clinic to discuss your<br />
results & create a plan<br />
Visit the Wellness<br />
Clinic for a<br />
Personal Health<br />
Evaluation<br />
Send your<br />
confirmation page<br />
to Human<br />
Resources<br />
Follow up throughout<br />
the year with the<br />
Wellness Clinic, as<br />
prescribed<br />
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DENTAL INSURANCE<br />
<strong>Benefit</strong>s-eligible faculty and their spouse, domestic partner and/or children under age 26 are eligible for dental insurance on the first day <strong>of</strong> employment.<br />
In-Network <strong>Benefit</strong>s<br />
Annual Deductible<br />
Coverage Maximum<br />
Coinsurance<br />
Preventive Care<br />
Orthodontia<br />
$50 per person<br />
$1,500 per individual, per year<br />
Plan pays 80% for basic services and 50% for major services, after deductible<br />
Plan pays 100% including 2 exams, 2 cleanings and 2 bitewing x-rays per person/year<br />
Up to $1,500 for children under age 20; no coverage for employee or spouse<br />
Monthly Premiums<br />
Employee Only $10.12<br />
Employee + Spouse/Domestic Partner $45.44<br />
Employee + Children $51.97<br />
Family Coverage $78.68<br />
HEALTH SAVINGS ACCOUNT (HSA)<br />
All members electing the Healthfund high-deductible health plan for medical insurance will be automatically enrolled in a Health Savings Account (HSA) with<br />
JPMorgan Chase. In 2013, <strong>Queens</strong> will contribute $40 per month (that’s up to $480.00 over the course <strong>of</strong> the year!) into each High-Deductible medical plan<br />
participant’s HSA. Each participant can and is encouraged to contribute additional pre-tax funds (up to the limits outlined above) to this account to save for<br />
future expenses or to <strong>of</strong>fset the cost <strong>of</strong> prescriptions, <strong>of</strong>fice visits and other medical costs incurred. HSA funds never expire, earn tax-free interest, and can<br />
be taken with you when you leave or retire.<br />
FLEXIBLE SPENDING ACCOUNTS<br />
In addition to the Health Savings Account, <strong>Queens</strong> <strong>of</strong>fers two Section 125 flexible spending accounts (FSA’s) that allow use <strong>of</strong> pre-tax dollars to pay for<br />
qualified healthcare and daycare expenses. These accounts require careful planning, as unused funds at the end <strong>of</strong> the benefit year are forfeited (“use it or<br />
lose it”). Eligibility to participate in these accounts is determined by which medical insurance you enroll in; see Human Resources if you have questions.<br />
Pre-Tax Account Medical Flexible Spending Account Dependent Care Spending Account Health Savings Account (HSA)<br />
Contribution Maximum $2,500 $5,000<br />
$3,250 (individual)<br />
$6,450 (family)<br />
+ $1,000 (if over age 55)<br />
<strong>Queens</strong> Contribution None None $40 per month<br />
Fee to Participate None None None<br />
Funding Style Full balance available upfront Available as you contribute Available as you contribute<br />
Year End Balance Forfeited if not used Forfeited if not used Rolls over<br />
Eligibility Medical Flexible Spending Account Dependent Care Spending Account Health Savings Account (HSA)<br />
Open-Access PPO Plans <br />
Healthfund HDHP <br />
No Medical Insurance <br />
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GROUP LIFE INSURANCE<br />
<strong>Benefit</strong>s-eligible employees are covered on the first day <strong>of</strong> employment with 1.5x their base annual earnings in Basic Life Insurance and 1.5x their base<br />
annual earnings in Accidental Death & Dismemberment (AD&D) Insurance, up to a maximum benefit <strong>of</strong> $400,000. Basic Life Insurance and AD&D premiums<br />
are paid by <strong>Queens</strong>. Imputed income tax is charged to the employee for the value <strong>of</strong> this benefit over $50,000.<br />
SUPPLEMENTAL LIFE INSURANCE<br />
Additional employee life insurance may be purchased at group rates. Your cost (based on your age) is available online when you enroll. Voluntary<br />
dependent life insurance is available amounting to $25,000 for a spouse or domestic partner and $10,000 for eligible children under age 26 at the rate <strong>of</strong><br />
$6.20 per month, per family unit.<br />
LONG-TERM DISABILITY INSURANCE<br />
Long Term Disability (LTD) provides partial income replacement in the event <strong>of</strong> a qualified disability from a non-work related injury or sickness for more than<br />
90 days. The benefit replaces 60% <strong>of</strong> base annual salary up to $10,000 per month and may begin on the 91st day <strong>of</strong> the disability. <strong>Queens</strong> requires all active<br />
benefits-eligible employees to participate in <strong>Queens</strong>’ LTD plan. The monthly rate is $.23 per $100 <strong>of</strong> covered monthly payroll.<br />
RETIREMENT PLANS<br />
<strong>Queens</strong> <strong>of</strong>fers two retirement plans administered by TIAA-CREF. All faculty may contribute to a supplemental tax-deferred annuity plan upon employment.<br />
After 12 months <strong>of</strong> continuous service*, benefits-eligible faculty may contribute to a defined contribution 403(b) retirement annuity at the rate <strong>of</strong> 2.5% <strong>of</strong><br />
base salary and receive a 7.5% employer match with full and immediate vesting.<br />
Retirement Plans Supplemental 403(b) / TDA Plan Defined Contribution 403(b) / RA Plan<br />
Eligibility Immediate After 12 months <strong>of</strong> service*<br />
Employee Contribution Any amount up to federal annual limits 2.5% <strong>of</strong> eligible base salary<br />
Employer Match No Match 7.5% <strong>of</strong> eligible base salary<br />
Vesting Full & Immediate Full & Immediate (after 12 months <strong>of</strong> service)<br />
*The waiting period may be waived with pro<strong>of</strong> <strong>of</strong> prior employment at an institution that <strong>of</strong>fers a 403(b) plan for the required service requirement. <strong>Queens</strong>’<br />
Retirement Investment Committee monitors investment choices quarterly. Current investment choices include:<br />
• TIAA Traditional<br />
• TIAA Access Bonds Plus<br />
• TIAA Access Large Cap<br />
• TIAA Access Equity Index<br />
• TIAA Access Growth & Income<br />
• TIAA Access Social Choice<br />
• TIAA Access Large Cap Growth<br />
• TIAA Access Mid Cap Growth<br />
• TIAA Access Mid Cap Value<br />
• TIAA Access Small Cap Blend Index<br />
• TIAA Access Small Cap Equity<br />
• TIAA Access International Equity<br />
• TIAA Access Real Estate Secs<br />
• TIAA Access Lifecycle Retire<br />
• TIAA Access Lifecycle 2010<br />
• TIAA Access Lifecycle 2015<br />
• TIAA Access Lifecycle 2020<br />
• TIAA Access Lifecycle 2025<br />
• TIAA Access Lifecycle 2030<br />
• TIAA Access Lifecycle 2035<br />
• TIAA Access Lifecycle 2040<br />
• TIAA Access Lifecycle 2045<br />
• TIAA Access Lifecycle 2050<br />
• CREF Money Market<br />
• CREF Bond Market<br />
• CREF Inflation-Linked Bond<br />
• CREF Social Choice<br />
• CREF Equality Index<br />
• CREF Stock<br />
• CREF Growth<br />
• CREF Global Equities<br />
TUITION REMISSION AND EXCHANGE<br />
Regular full-time employees, their spouse/domestic partner, and dependent children are eligible for tuition remission in <strong>Queens</strong>’ undergraduate or<br />
continuing education programs. Graduate tuition remission is available for regular, full- and part-time employees, for selected programs. Tuition remission is<br />
limited to 12 credit hours during the first year <strong>of</strong> employment and is unlimited thereafter. For part-time employees, the benefit is prorated and the<br />
spouse/domestic partner/children <strong>of</strong> part-time employees are ineligible as outlined in the Employee Handbook.<br />
Under tuition exchange agreements with Tuition Exchange, CIC-Tuition Exchange, the Association <strong>of</strong> Presbyterian Colleges and the NCICU Tuition Exchange,<br />
children pursuing a first degree who are dependents <strong>of</strong> full-time employees <strong>of</strong> <strong>Queens</strong> may be eligible for tuition remission at participating colleges and<br />
universities. This is not a guaranteed benefit and is based many variables, including <strong>Queens</strong>’ maintaining an import/export balance as well as acceptance<br />
through tuition exchange at the receiving institution.<br />
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WELLNESS CLINIC & PROGRAMS<br />
<strong>Queens</strong> <strong>of</strong>fers health insurance participants free*, voluntary, confidential, on-campus care. The Wellness Clinic may be used for annual personal health<br />
evaluations, chronic condition management, medication management, personal action plans, health education, lifestyle coaching, and care for minor<br />
medical conditions. The clinic is staffed by a nurse practitioner, who is licensed to perform many <strong>of</strong> the tasks required for routine care, and is open on<br />
Monday afternoons and Thursday mornings. *Healthfund High Deductible Health Plan members pay a $5 copay for episodic care, per IRS regulations.<br />
EMPLOYEE ASSISTANCE PROGRAM<br />
<strong>Queens</strong> recognizes that from time to time everyone experiences stress or challenges, which may include emotional problems, family problems, alcohol or<br />
drug problems, financial problems, or other problems. <strong>Queens</strong> provides employees and dependents access to free, confidential counseling sessions with<br />
pr<strong>of</strong>essional counselors through our Employee Assistance Program (EAP).<br />
CAMPUS DISCOUNTS<br />
<strong>Queens</strong>' employees are eligible for reduced-cost meals at Morrison Dining Hall, a discount in the campus book store, and free admission to <strong>Queens</strong> Athletics<br />
events. Present your <strong>Queens</strong> ID card for any available discounts. Employees are eligible to use campus facilities, including the Everett Library, <strong>University</strong><br />
Bookstore, Young Dining Hall, and the soon-to-open Levine Center. Consult each facility regarding applicable fees, rules, and regulations.<br />
COMMUNITY DISCOUNTS<br />
<strong>Queens</strong>' employees enjoy numerous discounts in the <strong>Charlotte</strong> area, from restaurants to home care, to fitness centers and reduced cost entertainment<br />
tickets. <strong>Queens</strong> maintains a list <strong>of</strong> current community partners on the my<strong>Queens</strong> intranet site. Most only require you show your <strong>Queens</strong> staff ID to take<br />
advantage <strong>of</strong> reduced rates.<br />
Additionally, <strong>Queens</strong> employees are eligible to join Truliant Federal Credit Union, join the Cornwell Fitness Center at Myers Park Baptist Church at member<br />
rates, and use <strong>of</strong> the five-star Presbyterian Hospital Daycare Center at a reduced rate.<br />
NOTES<br />
The information in this <strong>Benefit</strong> <strong>Guide</strong> is presented for illustrative purposes. The text contained in this guide was taken from various summary plan descriptions<br />
& benefit documents. While every effort was made to accurately describe benefits, discrepancies & errors are possible. In case <strong>of</strong> discrepancy between this<br />
<strong>Benefit</strong> <strong>Guide</strong> and the plan documents or Employee Handbook, the plan documents and Employee Handbook will prevail. All information is confidential,<br />
pursuant to the Health Insurance Portability and Accountability Act <strong>of</strong> 1996. The <strong>Queens</strong> employee benefit <strong>of</strong>ferings are evaluated annually. Employee costsharing,<br />
benefit eligibility and the availability <strong>of</strong> specific benefits are subject to change at any time.<br />
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