NYU School of Medicine Benefit Plans

NYU School of Medicine
Benefit Plans
Updated 2/24/09
for
Pre-Doctoral Fellows
Post-Doctoral Fellows
Research Assistants

In this Session, We Will. . .
• Review your Basic Care Benefits
• Review all health and welfare plans
under Basic Care (your benefit program)
• Introduce other benefits available to you
• Explain the enrollment processes

Pre-Tax vs. Post Tax
Deductions
• Your contributions towards medical, dental,
short term disability and flexible spending
accounts are made via pre-tax payroll
deductions
• Premiums for your basic Short Term
Disability coverage are 100% paid by NYU
School of Medicine.

Benefits Plans Overview
• Medical
• Prescription Drug
• Dental
• Short-Term Disability
• Life Insurance
• Flexible Spending
Accounts

Who Is Eligible?
You-
Regular Full-time Trainees
Your spouse or registered domestic partner
Your unmarried children and those of your registered domestic
partner
Coverage provided through 12/31 of the year upon reaching age 19
or
If full-time student in an accredited institution of higher education through
the end of the semester upon attaining age 25.

Required Documentation
• Proof of Relationship
– NYU School of Medicine requires proof of your relationship
to your eligible dependents that you elect to cover under
your benefits before coverage is effective
• Acceptable Documentation (according to
relationship) include copies of:
– Marriage Certificate
– Domestic Partner Affidavit with required documentation
– Birth Certificate (must list names of parents)
– Legal Adoption Papers (final adoption papers, or confirmation of
placement for adoption purposes)
– Legal Guardianship Papers
– Student Verification (of full-time student status) for children ages 19-25

Coverage Begins…
On your “Benefits Eligibility”
date.
Your Benefits Eligibility date is the first of
the month following your official hire date
(or change in status date).
-OR-
Your Benefits Eligibility date is your
official start date if your official start date
is the first day of the month.

Medical Plan Options
• 2 United Healthcare Preferred Provider
Organization (PPO) options
• 3 Health Maintenance Organizations
(HMOs) — Aetna, Blue Choice and HIP
• Waive coverage — allowed only if proof is
provided that you are covered under another
medical plan

What Is a Preferred
Provider Organization
(PPO)?
• A group of doctors, hospitals and other
health care providers that have agreed
to give care to plan participants at
contracted rates
• No primary care physician required
• No referrals required to see a
specialist

NYUHC and HJD
Provider Network
(UHC Participation)
Highest level coverage
• No deductibles
• Co-Insurance
• Fixed co-payments
• No claim forms
United Healthcare
3 Ways to Get Care
UHC Plan Options – Choose Basic or Plus Plan
Both offer same network for services
Difference =Out-of-Pocket Costs when utilizing plan &
paycheck deduction)
In Network Providers
United PPO
Providers
General Network
Mid-level coverage
• Lower annual deductible
• Co-Insurance
• Fixed co-payments
• No claim forms
Out-of-Network
Providers
Least coverage
• Highest annual deductible
• Pay highest co-insurance %
• Claim forms required

Understanding Out-of-Pocket
Terms
• Co-Payment- Fixed amount a plan specifies you
to pay as your share of the cost for certain innetwork
health care services or supplies (for
example, MD office visit)
• Annual Deductible- Amount you pay out-ofpocket
for eligible expenses before the plan
makes any payment for middle tier in-network and
out-of-network charges
• Co-insurance- The % of the cost you pay for
covered in-network and out-of-network health care
services after deductible is met, based on the
plan’s reimbursement level.

UnitedHealthcare PPO Out-of-Pocket
Comparison (Your Costs)

What is a Health Maintenance
Organization (HMO)?
• Healthcare organization where Primary Care
Physician (PCP) is selected and coordinates care
for plan participants
• Referrals to Specialists are required (within HMO
network)
• Choice of care is restricted to “In-Network”
benefits only
• Generally there are:
No deductibles, No lifetime maximums
Small co-payments, No claim forms

Prescription Drug Plan
Express Scripts
Basic Prescription
Two ways to fill a prescription:
�In-network pharmacy
(including NYUHC FPO Pharmacy)
� Mail Order
You must elect medical coverage in order to have RX coverage!

Prescription Plan At-A-Glance
1Applies to enrolled PPO and HMO participants
*All new prescriptions must first be filled as a 30 day supply under the plan before
coverage can be provided under the 90 day provision.

Checking Your Prescribed
Medications
• Use the Express Scripts Preview Website:
https://member.express-scripts.com/preview/NYUMC2009
– Check to see if your current medications are
generic, formulary or non-formulary
– View Plan Info – compare co-pays and annual
costs for your medications under the Basic and
Plus Plans
– Find Participating Pharmacies
• Save money by using the mail order program and
discussing with your Physician changes to
medications not on the formulary to comparable
medications on the formulary

Trainee Cost Share
Contributions are a percentage
applied to your salary, based on
the Medical Plan and Coverage
Level you select
PPO PLUS HMO’s PPO BASIC
INDIVIDUAL 0.89% 0.63% 0.44%
INDIVIDUAL +
ONE
FAMILY (Ind. +
More than 1)
1.61% 0.99% 0.81%
2.40% 1.68% 1.18%

Dental Plan Options
• 2 MetLife Preferred Provider Organization
(Dental PPO) Options – Basic or Plus
• 1 CIGNA Dental Health Maintenance
Organization (DHMO)
• Waive coverage

Using the Dental Plans
With a Dental PPO:
– Flexibility allows for
the use of
participating dentists
or non-participating
dentists
– In-network benefits
provide for less out
of pocket expenses
– Claim forms are used
for out-of-network
benefits
With a DHMO:
– In-network coverage
only
– Select PCP Dentist
– Fixed co-payments
– No deductible
– No annual benefit
maximums
– No claim forms

Dental Benefits Comparison

Short-Term Disability*
Income Replacement for when you are unable to
work due to illness or injury
• First 26 weeks of disability
• Base benefit of 2/3 of base salary up to $170/week
• Benefit taxed as ordinary income
*(not applicable to Faculty and Physicians)

Life Insurance
While covered under NYU
School of Medicine benefit
plans, your life insurance benefit
is administered by Aetna for 1.5
times your base salary.
Please complete Beneficiary Designation

What Is a Flexible
Spending Account?
� IRS Regulated Plan that provides you with a way to pay for
eligible health and dependent care expenses while reducing your
taxable income
� Provides a way to save money by paying for qualified health and
dependent care expenses on a before-tax basis.
� Save on Federal Income Taxes, Social Security and Medicare
Taxes
� Save on State and Local Taxes (NY & CT residents only)
Two separate accounts:
Healthcare Reimbursement Account (HCRA) for un reimbursed healthcare
expenses and Dependent Care Reimbursement Account (DCRA) for eligible
dependent care expenses.

Health Care & Dependent
Health Care
Reimbursement Account
• Reimbursement provided for
medical, dental, vision and
other health care expenses not
reimbursed by any health care
plan
• Maximum before-tax
contribution: $5,000/year
• Minimum before-tax
contribution: $240/year
Care Accounts
Dependent Care
Reimbursement Account
• Reimbursement provided for
dependent care expenses that
enable you (and your spouse,
if married) to work
• Maximum before-tax
contribution: $5,000/year;
$2,500/year if you are
married and file separate
returns 1
1 Highly compensated employees (salary of $110,000 or greater) are limited to
a lower Dependent Care Reimbursement Account maximum

Flexible Spending Accounts
At-A-Glance

Eligible Expenses
According to IRS Guidelines
Health Care
Reimbursement Account
• Unreimbursed medical, vision and
dental expenses such as deductibles
and copayments
• Over-the-Counter Medicine
• Orthodontia expenses above plan
limits
• Hearing expenses, including hearing
aids
• Eye Laser Surgery
• Psychoanalysis
Dependent Care
Reimbursement Account
• Dependent care expenses for children
under age 13:
– Pre school below kindergarten
– Daycare, After School or Summer
Day Camp
• Dependent care expenses for any disabled
dependent who resides in your home at
least eight hours a day and is declared as a
dependent on your income tax
– Senior Care Centers
• Tax ID# or social security # of private
provider
Receive Healthcare Card (with master card logo) that can be used to pay for eligible
healthcare expenses when services are rendered.

Ineligible Expenses
According to IRS Guidelines
Health Care
Reimbursement Account
– Cosmetic Surgery
– Weight loss program
not medically necessary
– Non-qualified Domestic
Partner’s Healthcare
expenses
– Health Club Dues
– Electrolysis
– Health care insurance
premiums
Dependent Care
Reimbursement Account
– Babysitting during non-working
hours
– Payments to a child under age 18 or
any individual you claim as a
dependent (dependent care provider
has to supply tax id # and if a private
provider, must be someone who you
pay social security taxes for).
– Cost of food, clothing, transportation
between your home & dependent
care facility
– Overnight camps

If You Do Not Enroll
If you do not enroll by your enrollment deadline, you will receive the “default
coverage” outlined below, and no coverage will be provided to eligible
dependents.
If you receive the default package, you will have to wait until the next open
enrollment period to make changes, unless you experience a qualifying event during
the year.

When You Get Your
Personalized Worksheet
Before you enroll for your benefits over the
web:
Review your personalized worksheet and make your
selections on your form
Have your dependent information (social security
numbers, dates of birth) available
Have the materials provided to you within your benefits
package (i.e. Enrollment Guide) available – it has
helpful instructions on how to enroll

Online Enrollment
• Make your benefit elections via the
Campus Connections website:
http://campusconnectionlogin.nyumc.org/psoft
You must enroll within 30 days of the date on your
personalized worksheet!
Return any required forms and documentation to
Benefits to complete your enrollment!

Supplemental Retirement Plan 403(b)
• Eligible employees can make voluntary tax deferred
contributions as of their benefits eligibility date
• You must monitor your contributions!
• Maximum employee contributions (IRS* Rule):
– $16,500 in 2009 if under age 50
– $22,000 if age 50 on/ or before 12/31/2009
Tax exemptions apply to Federal, State, and City taxes**
*IRS annual limits include any amounts contributed to a 403(b) or 401(k ) made with
another employer in 2009
** New Jersey and Pennsylvania do not allow a tax exemption for 403(b) contributions;
residents of these states must report these amounts when filing their state taxes

403(b) Plan Highlights
• You have complete ownership of your
account(s)
• 100% immediately vested as of first
employee contribution
• Multiple changes between the approved
Investment Companies, and between funds
within each company allowed
• Contributions can be changed only once
each calendar year

Investment Selections
TIAA-CREF
1(800) 842-2733 www.tiaa-cref.org
� Selection of 10 funds with one guaranteed account
� Sample portfolios based on risk (conservative � aggressive)
� Loan feature - borrow from your voluntary (SRA) employee
contributions and investment earnings
VANGUARD
1(800) 523-1188 www.vanguard.com
� Selection of 51 Vanguard Mutual funds
� Plan has no loan feature

Vacation and Sick Time
Vacation and Sick Time
are at the discretion of the
Principal Investigator,
since it is predicated on
the operational needs of
the department.

The Commuter Savings Benefit
TRANSIT ACCOUNT
• Qualified transit expenses
= mass transit facilities
(subway, buses,
commuter bus or rail
services, or ferry
services) or vanpooling
• Min before-tax monthly
contribution: $25
• Maximum before-tax
monthly contribution:
$230 in 2009
offers…
Provides a way to save money by paying for qualified
transportation expenses to and from work on a before-tax basis
� Easy Web enrollment and payroll deduction process
PARKING ACCOUNT
• Qualified Parking expenses =
pkg provided on or near
NYUSM, NYUHC, NYUHJD
or a location from which you
commute to work by mass
transit or van- pooling
• Minimum before-tax monthly
contribution: $25
• Maximum before-tax monthly
contribution: $230 in 2009

Enrolling in Commuter Savings Plan
Access the carrier’s
website directly
Eligible employees can visit
www.wageworks.com or call 877-
WAGEWORKS (877-924-3967) to
enroll.

Work/Life Balance Benefits
• A variety of valuable benefit plans that are provided
and can be accessed to help manage your work
and family responsibilities:
– College Savings 529 Plan
– Back-up Childcare
– Legal Assistance*
– Long Term Care*
– Dependent Care Referrals

529 Plan – State sponsored tuition savings plan, established under
section 529 of the Internal Revenue Code, to help individuals and
families save for future costs of college education. Administered by
UPromise and The Vanguard Group for NY State.
Participants “Account Owners”
• Set up account for one designated beneficiary (yourself, spouse, child,
grandchild, cousin, or someone outside your family) – You may set up more than
one account
• No age, income, or residency restrictions in order to establish account & make
contributions
• Contribute after tax dollars through payroll deductions
• Account balances are used for College Tuition, Room & Board, and any other
required expenses at eligible institutions of higher learning
• Account must be open for at least 36 months before qualified withdrawals can be
made without penalty

New York’s College Savings Program
Account Advantages
• Receive a New York State income tax deduction (up to $5,000
per year for individuals - $10,000 if married & filing joint
return)
• Earnings in account are exempt from federal* & NY income
taxes
• Qualified withdrawals are free from federal* & NY income
taxes
• Maximum contributions of $100,000 per beneficiary
(aggregate balance for all accounts for beneficiary must be less
than $235,000 for additional contributions to be allowed)
Visit www.nysaves.org or call 877-NYSAVES (877-697-2837) to enroll or to find out
additional information about the Program. After you have set up your 529 account,
enroll *Federal in UPromise regulation Rewards that exempt service amounts obtain will additional expire in saving 2010; incentives, Government visit
may or may www.Upromise.com not renew to learn about this free service.

Back Up Child Care Benefit
• Offered to current Beneflex and BasicCare
eligibles ONLY
• Administered by Bright Horizons
• Provides employees with a way to come work in
cases of emergencies when normal child care
services breakdown
� Employee must register eligible child(ren)
before using center
� Convenient center locations throughout
Manhattan
� Primary Center at 200 Park Avenue
� Nominal co-pay of $10 per visit each child

Legal Assistance Benefit
Hyatt Legal Plans
• Offered to employees with weekly base hours of 17.5 or greater
• Voluntary benefit that provides eligible employees with access to legal
counsel for personal legal matters via a Network of Attorneys.
– Attorney services are either fully covered (depending on the type of
legal issue) or out-of-network for a reduced fee.
– Consultations are provided to participants for legal matters that are
not covered by the plan. Limited Enrollment Period – New Hires
must elect within 60 days of hire date
• Enrollment is for entire calendar year – no changes allowed until Open
Enrollment (no changes as a result of a qualifying event)
• Cost is $15.75 monthly – post-tax payroll deduction
• Spouse and eligible dependent children of enrolled employee can use the
plan

Long Term Care Insurance
(Employee paid benefit-offered to employees with weekly base hours
of 17.5 or greater)
• Provides financial protection when you or a family member can no
longer perform “Activities of Daily Living” as a result of old age,
chronic illness, or serious injury (i.e. Alzheimer’s)
– Choose from a variety of long-term care plan options to suit your
individual lifestyle
– Confidential consultations are provided to participants to
determine the best plan option
• Purchase “fully-portable” individual policies at discounted group
premiums.
• Empes, spouses, or partners can sign up for or stop participation at
anytime
– Benefit from ‘Simplified Underwriting’ (i.e. fewer health
questions) if you apply within 90 days of hire date or benefits
eligibility date
• Premiums will be deducted from payroll on a ‘post-tax’ basis

Additional Benefits
Services-Discounts-Activities
• ADOPTION ASSISTANCE PROGRAM
• ATM’s ON SITE
• DIRECT DEPOSIT
• CREDIT UNIONS
• MORTGAGE & HOME FINANCING SERVICES
• CAR RENTAL DISCOUNTS (AVIS, HERTZ)
• BUYER’S EDGE (Discount Buying Plan)
• COLES SPORTS CENTER

Human Resources
Assistance/Information
Benefits Services Department
1 Park Avenue, (between 32 nd & 33 rd Streets), 16 th Floor
New York, NY 10016
(212) 404-3787 (phone) (212) 404-3900 (fax)
Via email at: nyusmbenefits@med.nyu.edu
HR Offsite Office
Greenberg Hall, SC2
545 First Avenue (between 32 nd & 33 rd Streets)
Wednesdays ONLY (8 AM - 4 PM)
Closed 11AM – 12PM
Additional information/forms can be found on our intranet website:
www.med.nyu.edu/HR/benefits

Your Dedicated Benefits
Services Representatives
NYUSM Benefits representatives are available to answer
your questions. Also, send your questions via e-mail at
NYUbenefits@nyumc.org
Eridiz Diaz
(212)-404-3849
Juanita Figueroa-Rojas
(212) 404-3778
Rebecca Gittens
(212) 404-3794
Melvena Freeman
(212) 404-3776

Thank you & Good
Luck!
Any additional questions?