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Office of Human Resources

Benefits PresentationPlan Year 9/1/19 - 8/31/20

RA/TA/GA Orientation

Presented by: Marita M. Yancey, Sr. Director of Benefits and WellnessHR-Employee Benefits Services

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Enrollment/Eligibility Rules

• Eligibility: Appointment of .50% FTE for at least 4.5 months• New hires/newly eligible/Returning RA/TA – must enroll within 31 days

from start/rehire date• Annual Enrollment – July 15 – July 31 each year• Family Status (Life Events) - 31 days from event date

– Marriage, divorce, annulment, or spouse’s death– Birth, adoption, medical child support order or dependent’s death– Retirement, separation, end job/assignment– significant change in residence if it changes eligibility;– change of job status affecting eligibility (e.g. FTE changes, non-benefits eligible part-time to

full-time, starting or ending employment, starting or returning from FMLA or LOA, etc.); – change in dependent’s eligibility (e.g., reaching age 26, or gaining or losing eligibility for any

other reason); or significant change in coverage or cost of other benefit plans available to you and your family.

• Spouse & children are eligible to enroll with proof of relationship

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Basic Coverage Package

Plans Program Provider

Medical UT Select Blue Cross Blue Shield

Prescription UT Select Express Scripts

Basic Life Insurance $40,000 Dearborn National

Basic AD&D $40,000 Dearborn National

EAP (Confidential) Free Counseling UTSW

Wellness Resources Living Well ProgramCatapult Health (On-site Screening)

Premium Sharing Employee Dependents

Full-time – 30-40 hours 100% 50%

Part-time – less than 30 50% 25%

Waived Medical Coverage $314.03 (FT); $157.01 (PT) None

Tobacco Premium Program(Declaration Required)

$30/person up to $90/family

Charge for Tobacco user (age 16 & over) enrolled in the Medical plan

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Waived Medical Coverage

• Student who waived Medical coverage due to having Student Health Insurance or other Group Employer Coverage such as parents’ or spouse’s employer coverage will be eligible for free coverage of up to maximum of $157.01 per month– Dental Select or Dental Plus (except Family Dental Plus since cost is $244.39)– Vision Plus (Employee or Family)– Maximum AD&D Coverage – Employee or Family

• Proof of enrollment in the student health and/or employer group insurance plan is required to be uploaded on My UT Benefits.

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Employee Plans vs. Student Plan

Benefits UT Select-Employee Plan In-Network – 9/1/19

UT Connect Medical*In-Network Only-9/1/19

Student Health Plan In-Network – Effective 8/1/19

Plan Year Deductible(Individual/Family)

$ 350/Individual$ 1,050/Family

$250/person$750/family

$ 350/Student$ 1,050/Family

Coinsurance Maximum $ 2,150/person$ 6,450/family

$ 2,150/person$ 6,450/family

N/AN/A

Annual Out-Pocket Maximum $ 7,900 - Individual$15,800 – Family

$ 7,900 - Individual$15,800 – Family

$ 6,600 - Student$12,700 - Family

Coinsurance(Plan/Participant pays)

80%/20% of allowable charges 80%/20% of allowable charges 80%/20% of allowable charges

Office Visit Copay $30 Family Care Physician$35 Specialist

$15 Family Care Physician$25 Specialist

$20 Family Care Physician$40 Specialist

Hospital Copay $100/Day up to $500; 80%/20%(waive if admitted)

$0 copay80% Plan/20% Member

80% of allowable charges

Lifetime Maximum No Limit No Limit No LimitPreventive Care 100% of allowable charges 100% of allowable charges 100% of allowable chargesPrescription Included Yes Yes – same as UT Select YesMonthly Cost $314.03 – Employee Only $314.03 – Employee only $232.42 – Student OnlyDependent Coverage Yes Yes YesNetwork Provider BCBS Network *Coverage limited to SWHR Network

Providers in North Texas -SHIP

Enrollment Deadline 31 days from hire/eligibility 31 days hire/eligibility Int’l Students – automatic Domestic - Sept. 14 - Monthly Pay PlanDomestic – Sept. 16 - All Others

*Coverage limited to SWHR (UT Connect) Network Providers in North Texas UT Select Medical Plan Link

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If you obtain a brand-name drug when a generic equivalent is available, you are responsible for the generic copayment plus the cost difference between the brand-name drug and the generic drug. Chart illustrates benefits when network pharmacies are used. Non-network benefits are also available; see Enrollment Guide for more information.

Effective 9/1/19 – you may obtain 90 day supplies at all Walgreens and UT Pharmacies with same copay as home delivery.

Prescription Drug Benefits

Express Scripts

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PPO – How It Works

Your Choice

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UT Connect Medical Plan Network

• 4,200+ Physicians and Caregivers Located Throughout North Texas• 1,500+ Primary Care Physicians (PCPS) Available for Adult and Pediatric Care• 80+ Areas of Specialty Care, Including Access to Groundbreaking Treatment Options for Major

Illnesses

UT Southwestern Medical Center Faculty

Texas Health Physicians Group

Affiliated Independent/CommunityPhysicians

UT Southwestern Medical Center

Texas Health Resources Hospital Locations

Children’s Health

Cook Children’s Medical Center

HospitalLocations

Physicians & Caregivers

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BCBS Customer Service

CALL Customer Service

on the back of your ID card

866-882-2034

From your computer OR mobile phone, log on to

bcbstx.com/utand click on

“Doctors and Hospitals”

ORfor Worldwide

Assistance call 1-800-810-BLUE

(2583)

Blue Access for Members• Health Advocates• Claims and coverage • Membership eligibility • Help with online tools• ID card requests• Health education

New for 9/1/19Health Advocate Solutions

MD LiveHinge Health

Omada HealthLivongo

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Phone number will be on your ID Card.

UT Connect Medical Plan Network

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Covered Services Dental Select Dental Plus DeltaCare HMOService Area Nationwide Nationwide Areas in TexasAnnual Deductible $25/person $0 N/AOut-of-Network Yes Yes Network onlyAnnual Maximum $1,250 $3,000 N/ADiagnostics & Preventive

100% 100% See schedule of benefits online

Basic Services Fillings

80% Plan20% Member

100% See schedule of benefits online

Major ServicesCrowns, Bridges

50%/50% 80%/20% See schedule of benefits online

OrthodonticAdult and Children

50%/50%Lifetime:$1250

80%/20%Lifetime:$3000

See schedule of benefits

Customer Service 800-893-3582 www.deltadentalins.com/universityoftexas

Dental Benefits Overview

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Delta Dental Networks

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Coverage Basic Plan Plus Plan

Co-paysExam: $35, Materials $0Contact lens Fitting = $35

Exam: $35; Materials $0Contact lens Fitting = $35

Frames $140 retail allowance $165 retail allowance

Lens Standard lenses covered Progressive = trifocal retail amount

Standard lenses covered Progressive $120 allowance

Contact Lens $125 – Elective - allowance$0 - Medically Necessary

$150 – Elective - allowance$0 - Medically Necessary

Plan Frequency All Service – 1 Per Plan Year All Service – 1 Per Plan Year

Superior Vision

CUSTOMER SERVICE (800) 507-3800 https://www.superiorvision.com/openenroll/ut

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UT FLEX – Maestro Health

Enroll in UT Flex to Save on taxes and increase your take home pay!Contributing pre-tax dollars helps reduce your taxable income and increase your take home pay! Two types of UT FLEX accounts

• Health care account – 2019-2020 limit of $2,700 per IRS• Dependent care account – Limit $2,500/$5,000 per IRS• Minimum amount of $15 per month to participate

Note: You (and/or your spouse) don’t need to be covered under UTD health plan to participate.

Debit Card Availablefor Health Care

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Life & Disability Plans

• Basic Coverage $40,000 (No cost to employee)• Employee = 1-10x up to $2M• Spouse = $10/$25/$50K; Child/ren=$10K

Life• Basic Coverage $40,000 (No cost to employee)• Employee= up to 10x salary or up to $2M• Spouse=50% of EE up to $1M; Child/ren=$10K

AD&D• Insuring your Paycheck• Short-term=60% up to $693/wk; 22 wks.• Long-term = 60% up to $12,025/month

Disability

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Accidental Death & Dismemberment

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Office of Human Resources Part-time Insurance Premiums

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• Coverage for faculty and RA/TA generally ends on May 31st (end of school) for those who are not appointed during the summer period and no Fall classes

• UTD will offer COBRA coverage if you and your dependents lose coverage

• COBRA notice mailed to home

• Contact vendors for conversion to individual coverage may be available for voluntary insurance, if eligible, and apply within 31 days from coverage end date

• Review COBRA coverage information online.

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COBRA Coverage

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Voluntary Retirement Program

Provider Website Telephone Number

Fidelity Investments www.fidelity.com/ut (800) 343-0860

VOYA https://utexas.beready2retire.com/ (866) 506-2199

Lincoln Financial Group www.lfg.com/ut (800) 454-6265 *8

TIAA www.tiaa.org/utexas (800) 842-2776 VALIC www.VALIC.com/utsystem (800) 448-2542

Enroll Online

Voluntary Retirement Programs All Employees are Eligible

Tax Sheltered Annuity(TSA) – 403(b) $19,000 Max; $6,000 age 50 Catch-up*

Roth 403(b) – After tax /earnings tax-free Shares limit with TSA noted above*

Deferred Compensation Plan (DCP) 457(b) $19,000 Max; $6,000 age 50 Catch-up

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What is Next?

• Review your benefit options• Review and watch for your Initial Benefits Enrollment Notice via your UTD email. If you

don’t get in 3 weeks, email benefits@utdallas.edu.• Enroll for Benefits within 31 days from start date through My UT Benefits• Upload all documents needed by deadline date

• Submit evidence of insurability by the deadline• Designate your beneficiary online

• Review your Confirmation Statement• Review benefits deduction from your paychecks on your 1st or 2nd paycheck• Email benefits@utdallas.edu of discrepancies• August new hires/newly eligible may require dual enrollment (Plan Years 2018-2019 and

2019-2020). Review our elections for both years.

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Enroll through

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My UT Benefits Portal

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Family Medical Leave Act (FMLA)

Notify supervisor/manager of your absence; Notify HR if you are absent more than 3 days Apply for Family and Medical Leave if absence is due to serious health condition of employee and eligible

dependents, child birth and military exigency that resulted in continuous absence of more than 3 days or for ongoing/periodic absences due to treatment of serious health condition Complete/sign the Request for Family and Medical Leave Form and submit to HR – Leave

Administrator with supervisor signature Have the treating physician complete and sign the Certification of Health Care Provider (CHCP) form

and send the completed form to the Office of Human Resources directly. Provide 30 days advance notice of planned leave (i.e. pregnancy and planned surgery) The Leave Administrator will review your request and inform you if you are eligible under the Family

Medical Leave Act or other type of leave. Notification of leave if foreseeable should be made 30 days in advance; if unforeseeable, as soon as

practicable Provide release to return to work 5 days prior to returning Contact the Leave Administrator at LOA@utdallas.edu for any leave questions

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Office of Human Resources Benefits/ACA Acknowledgement

Please sign and return the Benefits & Retirement Eligibility and ACA Notice Acknowledgement sent/given to you.http://www.utdallas.edu/hr/download/Benefits_New_Hire_Retirement_Eligibility.pdf

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• This presentation provides an overview of terms and conditions of the insurance, retirement and wellness programs for The University of Texas System. OEB maintains plan guides, which contain more detailed information. The plan guides can be found online at ww.utsystem.edu/benefits. Please consult the plan guides for specific benefit information.

• The University of Texas System reserves the right to amend, change or terminate the health and welfare benefit plans, any underlying contracts or any other programs, at any time and without notice, at its sole discretion, according to the terms of the applicable plans or programs.

• If any errors occur, the policy and plan guides will prevail.

Disclaimer

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Resources

• UT Dallas HR-Benefits Page

• UT System Office of Employee Benefits Website – Online Benefits information Resources

• My UT Benefits -Online Enrollment; Benefits Summary; Online Beneficiary Access

• Annual Enrollment and Resources for Employees

• Interactive Benefits Cost Worksheet

• Retirement Overview and Educational Resources

• UT Systems Living Well Health & Wellness Program• Affordable Care Act Information

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Resources and Contacts

• UT Retirement Programs

• UT Retirement Manager (UTRM) Online Retirement System

• Benefit Vendor Contacts, Group Numbers and Websites

Contact Information

• HR-Benefits Team Members• benefits@utdallas.edu – benefits mailbox• loa@utdallas.edu ; Policies: https://policy.utdallas.edu/utdbp3054• HCM-Timereporting@utdallas.edu

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Office of Human Resources HR-Benefits Team at Your Service!

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Office of Human Resources

Student Health Insurance OfficePhone: 972-883-2747Fax: 972-883-2069Email: stuhealthinsurance@utdallas.edu

To schedule an an appointment with the Student Health Insurance Coordinator:https://stuhealthinsurance.acuityscheduling.com

Hours and LocationStudent Services Building, fourth floor, SSB 4.700Monday-Thursday, 8 a.m.-6 p.m.Friday, 8 a.m.-5 p.m.Closed Saturday, Sunday and University holidays

Academic HealthPlansFor contact information, visit utdallas.myahpcare.com/contact.

Student Health Insurance Office

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We can help you with

your enrollment!

Benefits Express

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Thank You!

Check out the UT Dallas HR-Benefits Website and The UT System OEB Website for more information.

If you need assistance in enrolling or questions about your benefits , please email benefits@utdallas.edu.

Reminders: You must enroll within 31 days from your date of hire/rehire or effective date of employment. F & J1 Visa holder deadline to waive student health insurance is September 16, 2019.

Questions?

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