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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 />

1


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 />

2


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 />

3


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 />

4

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