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2013 Benefits Open Enrollment

November 5 – November 16, 2012

What’s Inside

Introduction 1 Open Enrollment Timeline 2 How to Enroll Online 3 Determining Eligibility 4 2013 Plan Changes 5 2013 Plan Summaries and Employee Contributions 6 Medical 7 Prescription 8 Annual Contributions and Coverage Levels 9 Dental 10 Vision 11 Flexible Spending Accounts 12 Life Insurance 13 Disability Insurance 14 Employee Assistance Program 15 Healthy U 16 Supplemental Retirement Accounts (SRA) 17 Important Notices 18 How to Contact Your Team of Healthcare Providers 19

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Dear Colleagues and Family Members:

Welcome to The University of Akron’s annual online benefits Open Enrollment. We are pleased to

announce some exciting and new benefits available to you and your family. For example, there are $0

co-pays for a number of preventative health care benefits and new programs available through the

Healthy initiative.

This booklet contains an overview of the open enrollment offerings for 2013. Be sure to review the

pages identified below for changes/additions to the plans. For more detailed information, visit our

website at www.uakron.edu/hr/benefits.

Page 6 -- Preventative Care Coverage – new medical and pharmaceutical services to be available at $0 co-pay.

Page 9 -- Review the Contribution Charts to determine the new rates for 2013.

Page 14 -- STD – Note change in insurance costs based on age and salary.

Page 14 -- LTD – Note carrier change for individuals who apply for disability in 2013.

Page 16 -- Healthy U Program Initiatives – Check out the new Healthy Eating – Healthy U Program.

Page 17 -- SRAs – Note the new basic contribution limit for 2013.

Page 18 -- Changes required by law on the Summary of Benefits and Coverage (SBC) and Uniform Glossary.

The annual Open Enrollment period is when benefit eligible employees have the opportunity to review,

renew, and make changes to their benefit plans effective January 1, 2013. You may:

Enroll in, make changes, or cancel health plan elections (medical, dental, vision).

Add or drop dependents, based on plan eligibility requirements.

Enroll OR re-enroll in flexible spending accounts (FSA).*

Designate life insurance beneficiaries.

Enroll in or increase life insurance.

Increase or decrease long-term disability coverage.

Enroll in or waive short-term disability.

Please take a few minutes to review your current benefit elections by logging on to My Akron (formerly

Zipline). See page 3 for instructions on how to access your online benefits summary.

If you are satisfied with your current health, dental or vision insurance elections, you do not need to

take any action and your coverage will remain intact. If you wish to make a change, e.g., elect coverage

as a new participant, change your coverage level from individual to family, or cancel your coverage; you

will need to make those changes via MyAkron. Use this booklet to make informed decisions about your

plan choices.

*As a reminder about Flexible Spending Accounts (FSA) – If you wish to participate in the medical and/or dependent

care FSA for 2013, you must complete a new enrollment. Your 2012 elections do not carry forward into the New Year.

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Open Enrollment Timeline

You can complete the online enrollment process anytime from Monday, November 5 through 5:00 p.m.

Friday, November 16, 2012. Benefits specialists are available to assist you throughout this process. See

below for the Open Enrollment timeline and ways you can connect with a Benefits Specialist.

OPEN ENROLLMENT BEGINS

Monday, November 5, 2012

MyAkron

OPEN ENROLLMENT ENDS

Friday, November 16, 2012

5:00 p.m.

ELECTION CONFIRMATIONS

By Friday, November 30, 2012

Available electronically via

MyAkron.

ENROLLMENTS SUBMITTED TO CARRIERS FOR

PROCESSING

Friday, December 14, 2012

ID CARDS MAILED TO EMPLOYEES

Friday, December 28, 2012

INSURANCE GOES INTO

EFFECT

January 1, 2013

Where can I go for help?

Benefits Administration specialists are available to answer your

questions about benefits and Open Enrollment. You can reach a

specialist by:

Email: Benefits@uakron.edu

Phone: 330.972.7092 8:00 am – 5:00 pm Monday through Friday

Walk-in: 8:00 am – 4:30 pm Monday through Friday Administrative Services Building Room 135

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How to Enroll Online

To review your current benefits plan or make your 2013 benefit elections:

1. Log onto My Akron (formerly ZipLine)

2. Click on the Faculty/Staff tab, then click “Benefits Enrollment.”

3. You should be here.

Additional information (including plan design, employee cost/contributions, and vendor customer

service phone numbers) is available on the Benefits website.

4. After Open Enrollment is finalized, you will receive an email with instructions on how to view your

2013 enrollment selections and make changes if necessary.

5. Confirmation Statements: If you would like a paper copy of your 2013 Benefits Enrollment

Confirmation Statement, follow the online instructions to print a copy for your records.

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Determining Eligibility

As defined in Section 3359 of the Rules of the University Board of Trustees, all full-time faculty, contract

professional and staff employees are eligible to receive group insurance benefits.

If an employee is insured, eligible dependents may be:

Spouse Defined under Chapter 3101 of the Ohio Revised Code and Subject to Spouse/Partner Eligibility Rule (Working Spouse Rule).

Same Sex Domestic Partner

Subject to Spouse/Partner Eligibility Rule (Working Spouse Rule).

Child(ren) under age 26

Children includes biological children, adopted children, stepchildren and foster

children under the age of 26.

If the child is developmentally disabled or physically handicapped, insurance may be

continued after age 26 under the circumstances described in the group policy.

Adult Child(ren) (Medical & Prescription Coverage Only)

Adult Children include biological children, adopted children, and stepchildren

who are between age 26 and 27 and who do not have access to any other group

coverage, is a resident of the state of Ohio, or is a full-time student if not

residing in Ohio.

The University requires that employees certify eligibility of all new dependents. If you are adding a dependent for the first time, proof of dependency is required at the time elections are made.

Submit documentation in accordance with plan eligibility requirements.

Elections cannot be processed until all required documentation is received by The Office of Benefits Administration.

Find more information at www.uakron.edu/hr/benefits.

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2013 Plan Changes

The University will be adding more medical and pharmaceutical services at $0 co-pay in addition to

services already covered at $0 co-pay for preventative care.

Effective January 1, 2013, the University will cover:

Women’s Preventative

Health Care Coverage

Annual well-woman preventative care visits for adult women to obtain the

recommended preventative services that are age and developmentally

appropriate, including preconception and prenatal care.

Screenings for gestational diabetes at 24 and 28 weeks gestation and at first

prenatal visit for pregnant women identified to be at high risk for diabetes.

Screening at least every three years for human papillomavirus testing in

women age 30 and over.

Annual counseling for sexually transmitted infections for all sexually active

women.

Annual counseling and screening for human immune-deficiency virus for all

sexually active women.

FDA-Approved contraceptive methods, sterilization procedures, patient

education and counseling for all women with reproductive capacity (Brand-

name prescription drugs are subject to cost sharing, unless a generic

equivalent is unavailable).

Annual screening and counseling for interpersonal and domestic violence.

Breastfeeding support and counseling.

Children’s Preventative

Health Care Coverage

Fluoride* supplement for preschool children more than 6 months - 5years

whose primary water source is deficient in fluoride.

Adult Preventative

Care Coverage

Removal of $500 lifetime cap for smoking cessation.

*Prescription Required

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2013 Plan Summaries & Employee Contributions

The following pages contain your Medical and Prescription Drug Plan Summary and Comparison charts

for 2013. There are several preventative care plan design enhancements to the Gold and Blue plans as

noted in the 2013 Plan Changes section.

Visit our website at www.uakron.edu/hr/benefits for additional tools available to help you with your

2013 medical plan choice. Look for links to each medical plan’s website with information about how the

plan works, doctors, hospitals and specialists in the plan, and much more.

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Covered

Service

PPO Gold 90 PPO Blue 80

In Network Out of Network In Network Out of Network

Office Visit $20 70% of R&C after deductible $25 60% of R&C after deductible

Specialist

Physicians $25 70% of R&C after deductible $35 60% of R&C after deductible

Behavioral

Health Services -

Outpatient

Employees and family members have access to six counseling sessions per issue at no-cost

through IMPACT, the University’s Employee Assistance Program.

Contact IMPACT at 800-227-6007 for more information. 1

$20 70% of R&C after deductible $25 60% of R&C after deductible

Urgent Care $35 70% of R&C after deductible $50 60% of R&C after deductible

Emergency

Room

If admitted to the hospital from the emergency room, co-pay waived. In an emergency, always go

to the nearest hospital. Benefits are always paid at in-network levels in emergency situations.

$75 $75 $100 $100

Deductible

(Single/Family) $200/$400 $400/$800 $400/$800 $800/$1,600

Annual Out-of

Pocket Max

(Single/Family)

$1,500/$3,000 $3,000/$6,000 $3,000/$6,000 $6,000/$12,000

Lifetime Benefit

Maximum Unlimited

Diagnostic

Testing and X-ray 90% after deductible 70% of R&C after deductible 80% after deductible 60% of R&C after deductible

Durable

Medical

Equipment

90% after deductible 70% of R&C after deductible 80% after deductible 60% of R&C after deductible

Immunization 100% 70% of R&C after deductible 100% 60% of R&C after deductible

Inpatient

Hospitalization 90% after deductible 70% of R&C after deductible 80% after deductible 60% of R&C after deductible

Outpatient

Procedures 90% after deductible 70% of R&C after deductible 80% after deductible 60% of R&C after deductible

Preventative

Care 100% 70% of R&C after deductible 100% 60% of R&C after deductible

Rehabilitative

Services

60 visits maximum annual visits combined per plan year for: acupuncture, cardiac rehabilitation therapy,

occupational therapy, chiropractic therapy, physical therapy, and speech therapy services.

90% after deductible 70% of R&C after deductible 80% after deductible 60% of R&C after deductible

1When possible, IMPACT will refer callers to an in-network behavioral health provider to ensure the maximum

benefit coordination possible between the EAP and the medical insurance. IMP

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Prescription Coverage

PPO Gold 90 PPO Blue 80

Retail

(30 Day Supply)

Mail Order

(90 Day Supply)

Retail

(30 Day Supply)

Mail Order

(90 Day Supply)

Generic Prescription Drugs

(Tier 1) $10 $25 $12 $30

Preferred Brand Prescription

Drugs (Tier 2) 20% ($50 Max) 20% ($125 Max) 25% ($60 Max) 25% ($150 Max)

Non-Preferred Brand

Prescription Drugs (Tier 3) 25% ($70 Max) 25% ($175 Max) 35% ($100 Max) 35% ($250 Max)

Specialty Prescription Drugs

(Tier 4) 25% ($125 Max) -- 35% ($150 Max) --

Preferred Provider Organization Network Access

Within Ohio Outside of Ohio

www.summacare.com

800-753-8429

www.multiplan.com

888-342-7427

In an emergency, always go to the nearest hospital.

Benefits are always paid at in-network levels in emergency situations.

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Contribution plan rates increased approximately 7.8% over last year. This increase

is just below the national trend of 8%.

PPO 90% Gold Plan

$0.00 –

$29,000

$29,000.01 –

$34,000

$34.000.01 -

$44,000

$44,000.01 –

$63,000

$63,000.01 –

$87,000

$87,000.01 -

$117,000 $117,000+

Employee Only $815 $883 $951 $1,019 $1,087 $1,155 $1,223

Employee +

Spouse/

Domestic

Partner

$1,630 $1,766 $1,902 $2,038 $2,173 $2,309 $2,445

Employee +

Children $1,548 $1,677 $1,806 $1,935 $2,064 $2,193 $2,322

Employee +

Spouse/

Domestic

Partner +

Children

$2,363 $2,560 $2,757 $2,954 $3,151 $3,348 $3,545

Adult Child

(Age 26 & 27)

Additional $2,712 Annually

PPO 80% Blue Plan

All Salaries

Employee Only $304

Employee +

Spouse/

Domestic

Partner

$608

Employee +

Children $578

Employee +

Spouse/SSDP

+ Children

$882

Adult Child

(Age 26 & 27) Additional $2,436 Annually

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Our claims experience for the self-funded dental plan administered by Delta

Dental continues to be favorable. This has made it possible to continue to offer

this generous benefit to employees at no cost for 2013.

Covered Service

Delta Dental of Ohio Dental Insurance Plan

Delta Dental PPO

Provider

Delta Dental Premier

Network Out of Network

Class 1 Services (Preventive Care)

100% 100% 100% of Delta Dental’s

Maximum Allowed Amount

Class 2 Services (Basic Services)

70% after deductible 70% after deductible 70% of Delta Dental’s Maximum

Allowed Amount

Class 3 Services (Major Services)

50% after deductible 50% after deductible 50% of Delta Dental’s Maximum

Allowed Amount

Class 4 Services (Orthodontia, Age 19)

50% after deductible 50% after deductible 50% of Delta Dental’s Maximum

Allowed Amount

Dentist Discount Rates Best Discounts Good Discounts No Discounts

Balance Billing Protection Yes Yes No

Deductible (Per Person) $50

Orthodontia Lifetime Maximum $1,000

Annual Benefit Maximum $1,250

Whole mouth health is closely linked to whole body health. Because of this, there are many factors that can contribute to the development of dental disease in you or your child. Visit the Delta Dental Risk Assessment Tool to examine common risk indicators

and obtain custom feedback to help you maintain a healthy smile.

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VSP (Vision Service Plan) will remain the provider of the vision plan with no changes

in benefits or costs for 2013, due to the multiple year rate guarantees in place.

Covered

Service

VSP (Vision Service Plan) Signature Plan

VSP Providers

(In-Network)

Non-VSP Provider, Maximum

Re-imbursement

(Out of Network)

Eye Exam $10 Co-pay

(Every Plan Year) Up to $35

Prescription

Glasses… $15 Co-pay --

…Lenses 100% (Every Plan Year)

Single vision, lined bifocal, lined trifocal lenses,

polycarbonate lenses and scratch coating

Single vision lenses: Maximum $25

Lined bifocal lenses: Maximum $40

Lined trifocal lenses: Maximum $55

…Frame $130 Allowance, 20% Off Amount Over Allowance

(Every Other Plan Year) Frames: Maximum $45

Contact

Lens

No Co-pay.

$130 allowance for contacts and the contact lens exam.

Current soft contact lens wearers may qualify for a special

program that includes a contact lens evaluation and initial

supply of replacement lenses.

Elective Contact Lenses: Maximum $105.00

Medically Necessary Contacts : Maximum $210

Frequency Exam and lenses once every 12 months; and a frame once

every 24 months. Contact lenses are in lieu of lenses and

frame.

Exam and lenses once every 12 months; and a frame

once every 24 months. Contact lenses are in lieu of

lenses and frame.

Laser Vision

Correction Average 15% off the regular price or 5% off the

promotional price from contracted facilities. None

VSP Service

Guarantee Yes None

2013 VSP (Vision Service Plan) Monthly Employee Contribution

Employee $9.41

Employee +

One

$18.82

Employee +

Two or

More

$27.53

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Save on your taxes; spend your money on you!

Consider opening a flexible spending account. An (FSA) is a benefits program UA offers that can help you save—sometimes significantly—on what you pay for medical, dental, vision, child, and/or elder care as well as on taxes.

Not sure how much money to set aside? Estimate your 2013 expenses. Obtain a free worksheet online.

Questions? Contact HealthEquity at:

Phone: (877) 694 –3939

Website: www.healthequity.com

In accordance with the Affordable Care Act,

the maximum allowable contribution to FSA Health

Care for 2013 is

$2,500 per employee.

Flexible Spending Accounts

HealthEquity is the administrator of the University’s flexible spending accounts. Flexible spending

accounts allow employees to set aside money on a pre-tax basis to pay for eligible out-of-pocket medical

and dependent care expenses, therefore reducing taxable income. The monies set aside for these

accounts must be used for expenses not reimbursed by other coverage. Monies not recovered through

claims will be lost under the “Use It or Lose It” IRS rule.

The University offers two types of flexible spending accounts.

The Health Care Spending Account allows you to be reimbursed

for uninsured or non-covered medical, dental or eye care

expenses. Employees can contribute a maximum of $2,500

annually into a health care flexible spending account. New

participants will receive a Visa debit card for easy FSA

withdrawals for eligible items. Those who received a debit card

last year and make a new election for 2013 will use the same card.

The Dependent Care Spending Account allows you to be reimbursed for child

and dependent care expenses that are required for you or your spouse to work. Employees can

contribute a maximum of $2,500 or $5,000 if married and filing a joint tax return.

IRS Notice 2005-42

The University of Akron has adopted IRS Notice 2005-42,

which allows participants an additional 2½ months of

claim incurrence for the health care spending account

beyond the end of the calendar year. It does not

eliminate the "Use It or Lose It" rule, but it will reduce

participant forfeitures by allowing claims to be incurred

up to March 15, 2013. The dollars do not roll forward, but

the account remains active for the additional 2½ month

period.

FSA claims incurred by March 15, 2013 must be

submitted for reimbursement by May 31, 2013.

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Life Insurance Plans for 2013

Life Insurance

University Provided Two Times Your Annual Salary

Maximum $100,000

Supplemental Options

Employees may purchase 1 to 5 times their annual salary up to $500,000

without an “evidence of insurability” medical exam. Employees may purchase 1

to 5 times their annual salary up to $1,000,000 with a successful “evidence of

insurability” medical exam. Costs varies by age and salary.

Beneficiary

You designate your beneficiaries. To review your current beneficiaries visit

MyAkron, go to the Faculty/Staff tab and click on Benefits Summary. If you

wish to change your beneficiaries a form is available at

https://www.uakron.edu/dotAsset/764398.pdf

Vendor Minnesota Life

Accidental Death and Dismemberment Insurance

University Provided Two Times Your Annual Salary

Maximum $100,000

Vendor Minnesota Life

Dependent Life Insurance

Coverage Options

$10,000 Spouse or SSDP/$5,000Child(ren)

$5,000 Spouse or SSDP/$2,500 Child(ren)

The amount of dependent life insurance chosen for the spouse is limited to

50% of the employee's amount of life insurance.

Eligible Dependents

Spouses, same-sex domestic partners, and your child(ren) between the ages of

14 days and 26 years.

Coverage limit Dependent life insurance for the spouse is limited to 50% of the employee's

amount of life insurance.

Beneficiary You (the employee)

Vendor Minnesota Life

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Disability Insurance Plans

Disability insurance plans pay benefits when sickness or injury prevents an employee from working full-

time. Consider enrolling in a disability insurance plan if:

You have inadequate emergency funds set aside to pay for an unexpected accident or illness;

You have limited sick leave balance.

The cost of short-term disability insurance is paid by employees and varies by age and salary. For 2013,

employee costs for STD will increase by 15-20% depending on your age and salary. This policy is subject

to pre-existing condition exclusions. See plan certificate of coverage for more detail.

Salary Replacement 60% Salary Replacement, $1,400 Maximum Weekly Benefit

Must Exhaust Sick Leave

Waiting Period 14 Days for Injury

28 Days for Illness (including Pregnancy)

Employee Cost Varies by Age and Salary

100% Employee Funded

Vendor Dearborn National

The Base Plan for long-term disability insurance is funded by the University. Should you select the Buy

Up plan, you will pay the difference in cost from the Base Plan. Rates vary by salary. This policy is

subject to pre-existing condition exclusions. See plan certificate of coverage for more detail.

Long-Term Disability - CIGNA

60% Salary Replacement, $5,000 Monthly Benefit Maximum

Benefit Pays after 6 month waiting period from last day worked.

60% Option: $0, 100% University Funded

Must Exhaust Sick Leave

70% Salary Replacement, $6,000 Monthly Benefit Maximum

Benefit pays after 6 month waiting period from last day worked.

70% Option: Varies

Employee pays difference between 60% and 70% option.

Costs varies by salary.

Must Exhaust Sick Leave

Effective January 1, 2013 the Long-

Term Disability carrier will be Cigna.

No changes to plan design have been

made; only the carrier administering

the plan. This change will only affect

individuals with a date of disability on

or after January 1, 2013. All current

claimants will remain with United

Health Care.

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Employee Assistance and Work/Life Program

The IMPACT Employee Assistance (EAP) & Work/Life Program offers access to confidential professional support 24 hours a day, 365 days a year. The cost of this program is paid by the University.

Call the IMPACT program, 24/7:

800-227-6007 www.myimpactsolution.com

Program Features Unlimited phone consultation

6 complimentary face-to-face counseling sessions per person per occurrence

An expansive collection of resources

Live, Immediate Assistance

Call toll-free, 24/7: 800-227-6007 Speak with an IMPACT professional for guidance and support related to:

General day-to-day issues

Stress

Depression or anxiety

Job performance difficulties

Alcohol/drug abuse

Legal/financial matters

Identity theft recovery assistance

Child/eldercare and other family issues

And more…

Legal Assistance Providing legal support over the phone, featuring:

General advice and preventive counseling

Local referral with complimentary appointment

Discounts for ongoing legal services

Educational resources on the web

Financial Assistance

Providing comprehensive financial support over the phone, featuring:

Financial counselors and educators, available Monday-Saturday

Nationwide referral database

Access to certified financial planners

Debt management/bankruptcy prevention

Housing education

Credit report review

Educational materials

Identity Theft Recovery Assistance

Providing comprehensive financial support over the phone, featuring: Financial counselors and educators, available Monday-Saturday

Comprehensive Work/Life Web

Providing a host of information on the web via webinars, tip sheets, self-searches, calculators and documents on events/issues related to finance, legal, identity theft and much more. Visit us at MyIMPACTSolution.com and use login: UAkron

16 | P a g e

Healthy Program

The Vision of Healthy U is to create an environment that encourages, supports and empowers our

employees to make healthy lifestyle choices. We have teamed with several of our healthcare providers

to make available a wide range of programs for you and your family. In addition, The University has a

wealth of knowledge and resources on campus. Our health and wellness initiatives utilize the expertise

and skills of our faculty and students from a variety of academic disciplines as well as from our academic

support areas. Listed below are just a few programs. To learn more, visit us at

http://www.uakron.edu/hr/benefits/.

This program is a nutrition-based wellness program that is ideal for anyone wanting to improve their health, maintain a healthy weight, improve their food choices, and gain sound nutritional knowledge. It offers twice a month personalized 15-minute visits with dietitians, weekly recipes, seminars, and more. To enroll in the program or schedule an initial one-on-one visit, contact: Nutrition Center x2836 or nutritioncenter@uakron.edu.

Physical activity is important to stress management.

The Student Recreation and Wellness Center offers

its members a wide range of physical fitness

programs. In addition, wellness seminars are

conducted each term for members of the UA

community. These wellness programs are free, but

registration is required. Check out the wide range of

programs and services available at our Student

Recreation Wellness Center.

This program is offered as web-based through IMPACT Solutions’ online Quit Center. Talk to a Quit Specialist who is certified in tobacco cessation techniques. Let them structure telephonic coaching sessions and recommend resource material based on your individual goals. Call a Quit Specialist from IMPACT Solutions at 800-227-6007 or visit IMPACT on the Web at www.myimpactsolution.com.

Go Red BetterU is a FREE 12-week online nutrition

and fitness program that can makeover your heart.

Each week will focus on a different area of your

health and provide step-by-step guidance. You'll

have access to everything from daily expert tips

to an online journal.

Use exercise, breathing and meditation to develop

better strength, flexibility and well-being. Classes

are offered throughout the year and located in

areas conveniently located for you to attend

during lunchtime.

SummaCare has partnered with The University of Akron to help members reach their personal health and weight management goals. As an incentive to joining and completing a Weight Watchers program, SummaCare will reimburse part of your Weight Watchers enrollment fee. SummaCare’s reimbursement program is available for SummaCare members who are covered for medical insurance by The University of Akron and are the employee, spouse, or same gender domestic partner at the beginning of the program.

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Supplemental Retirement Accounts (SRAs)

As an employee of an educational institution, you have the

option of participating in two supplemental retirement plans

on a tax-deferred basis: a 403(b) or a 457(b) account.

Through these programs, you can shelter a portion of your

compensation from federal and state income taxes and

supplement your retirement benefits. This amount, with

accumulated interest and dividends, is not subject to federal

or state income taxes until it is withdrawn (usually at

retirement). There are restrictions and/or penalties on early

withdrawals. The Internal Revenue Service limits the amount

participants may contribute annually to tax-advantaged

retirement plans.

The Basic Contribution Limit for 2013 is $17,500.

For more information about providers and contact

information, salary reduction agreement, and plan

administration (loans and withdrawals) click here or visit

our website at

http://www.uakron.edu/hr/benefits/supplemental-

retirement-accounts .

403(b) 457(b)

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Important Notices

The University requires that employees certify eligibility of all new dependents. If you are adding a new dependent this year, please be prepared to submit documentation in accordance with plan eligibility requirements.

Federal healthcare reform allows employees and retirees to continue insurance coverage for children up

to age 26 regardless of student status. During open enrollment, you will have the opportunity to add

any children who were previously ineligible for University insurance. The State of Ohio also passed

legislation expanding medical insurance eligibility for children. Ohio House Bill 1 gives employees the

ability to purchase insurance for their children who are 26-28 years old. To qualify, an individual must

be unmarried, natural child, stepchild or legally adopted by the employee; resident of Ohio or a full-time

student at an accredited public or private institution of higher learning; not employed by an employer

offering any health benefit plan for which the dependent is eligible; or ineligible for Medicaid/Medicare.

There is an additional cost deducted via payroll on a post-tax basis for this coverage. Refer to the

Annual Employee Contributions per Plan and Coverage Levels chart to determine the additional cost.

Working spouses/same sex domestic partners of University employees who have access to employer

subsidized (at least 50%) medical and dental insurance will need to enroll with their employer’s plan for

primary coverage. They can remain on the University’s plan, but will be covered as secondary insurance

only. When making your plan selections for the coming year, those enrolling their spouses/domestic

partners will receive additional paperwork to be completed verifying other primary coverage.

Under the Affordable Care Act, group health plans and insurance companies must provide participants

with SBCs and a uniform glossary of terms commonly used in health insurance coverage. All group

health plans and insurance companies use the same standard SBC and glossary. Our SBC documents are

available online at www.uakron.edu/hr/benefits. Paper copies are also available free of charge by

contacting Benefits Administration at x7092.

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Healthcare Providers Contact Information

Office of BENEFITS ADMINISTRATION

provides assistance with all employee health & wellness

benefits, retirement information, FMLA, sick/vacation/unpaid

leave, short & long term disability, and department

presentations.

PHONE: (330) 972 -7092

FAX: (330) 972-2336

EMAIL: benefits@uakron.edu

WEBSITE: www.uakron.edu/hr/benefits

EMPLOYEE ASSISTANCE PROGRAM – IMPACT SOLUTIONS

provides confidential assistance and counseling to employees

and their dependents. Also administers 24/7 Crisis Hotline.

PHONE: (800) 227 -6007

WEBSITE: www.myimpactsolution.com

LOGIN: uakron

HEALTH INSURANCE – SUMMACARE

PHONE: (800) 753-8429

WEBSITE: www.summacare.com

NETWORK: SCPlus Network

NURSE LINE provides 24/7 access to a nurse for advice on

how to treat minor injuries/illnesses and discuss if an office

visit, urgent care, or emergency room is appropriate.

PHONE: (800) 379-5001

RETAIL PRESCRIPTION – ENVISIONRX OPTIONS

PHONE: (800) 361-4542

FAX: (330) 405-8081

WEBSITE: www.envisionrx.com

MAIL ORDER PRESCRIPTION – ORCHARD

PHARMACEUTICAL

PHONE: (866) 909-5170

FAX: (866) 909-5171

WEBSITE: www.orchardrx.com

DENTAL – DELTA DENTAL OF OHIO

PHONE: (800) 524 -0149

WEBSITE: www.deltadentaloh.com

NETWORKS: PPO & Premier Networks

VISION – VSP (Vision Service Plan)

PHONE: (800) 877 -7195

WEBSITE: www.vsp.com

NETWORKS: VSP Signature Network

FLEXIBLE SPENDING ACCOUNTS – HEALTHEQUITY

PHONE: (877) 694 –3939

WEBSITE: www.healthequity.com

LIFE INSURANCE – MINNESOTA LIFE

PHONE: (800) 843 -8358

WEBSITE: www.securian.com

SHORT TERM DISABILITY– DEARBORN NATIONAL

PHONE: (800) 778 –2281

WEBSITE: www.dearbornnational.com

LONG TERM DISABILITY – Cigna

PHONE: (330) 972-7092

WEBSITE: www.CIGNAaccess.com

RETIREMENT – STATE TEACHERS RETIREMENT SYSTEM (STRS)

PHONE: (888) 227 –7877

WEBSITE: www.strsoh.org

RETIREMENT – SCHOOL EMPLOYEES RETIREMENT SYSTEM (SERS)

PHONE: (866) 280 –7377

WEBSITE: www.ohsers.org