1 2012-13 BENEFITS, WELLNESS & RETIREMENT ORIENTATION Fixed-Term Faculty
Dec 25, 2015
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2012-13BENEFITS, WELLNESS & RETIREMENTORIENTATION
Fixed-Term Faculty
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For the Health of it!
February 1999 Comprehensive wellness program Create and support a culture of
health and wellness that results in a creative, energetic, and productive workforce
Programs: On-site fitness facilities Weight Watchers at Work Wellness screening Annual health fair CPR and First Aid classes And many more!
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CMU Choices Benefits
Health Plans Medical & Prescription Drug* Dental*
Life Plans Employee Term Life* Spouse/OEI Term Life^ Child Term Life^
Flexible Spending Accounts (FSA) Health Care Account* Dependent Day Care Account*
*Pre-Tax Benefit ^Post-Tax Benefit
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Plan Year & Open Enrollment CMU Choices Plan Year: July 1st – June
30th For New Hires:
All benefit elections effective through 6/30/2013
2012-13 is the first year of a 2-year dental enrollment cycle
Open Enrollment: Typically held the first two weeks of May Changes to benefit elections take effect July 1st
of the new plan year
Coverage Effective Dates
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Benefit coverages will continue during any additional and consecutive benefit eligible fixed-term faculty assignment(s) during the plan year.
Appointment:
All CMU Choices Benefits Begin
On:
All CMU Choices Benefits End On:
10-Month Faculty
August 16th for those starting the beginning of Fall Semester
January 1st for those starting the beginning of Spring Semester
The last day of CMU employment, unless the member has worked the entire Spring Semester, in which case benefit coverage continues through August 15th of the current year.
12-Month Faculty
Date of appointment Last day of employment
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Qualifying Status Changes
Status change form must be completed and received by Benefits office within 30 days of the event.
Qualifying Status Change Events: Retrospective:
Birth, adoption, or placement of adopted a child Coverage is effective back to the date of event
Prospective: Marriage, divorce, loss of dependent status, unpaid
leave of absence, etc. Coverage is effective as of the next available pay period
Contact the Benefits & Wellness office with any status change questions: 989-774-3661 or [email protected]
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New Hire Online Enrollment
You must enroll in benefits online within 30 days of hire date. Revisions permitted until your deadline
Changes to elections previously entered may impact your coverage and/or your payroll deductions
After your deadline has passed, you will not be able to change your benefit elections until the next open enrollment period or within 30 days of a qualifying status change event
Benefit elections not entered after the deadline, will automatically enroll into: 1x salary EE life No coverage for medical/prescription, dental,
dependent life, and FSAs
Spouse/OEI Eligibility
Other Eligible Individual (OEI) Must complete an OEI
designation form Will be taxed on the full
premium of the OEI (and OEI dependents) coverage
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Spouse/OEI eligible for Medical & Prescription
Drug Dental Vision Life
If spouse/OEI is offered coverage through their employer, they MUST enroll in at least single coverage through their employer’s medical, prescription drug, and dental plans, unless the spouse/OEI is charged 100% of the cost of the coverage through that employer.
If spouse/OEI also works at CMU Both employees cannot cover each other and/or children on medical &
prescription drug, dental, or vision plans Both employees may take dependent life coverage for each other and/or
dependents
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Child Eligibility
Children, Step-Children, or Children of OEI eligible for Medical & Prescription Drug Dental Vision Child Life
Eligible from birth through the end of the calendar year of the child’s 26th birthday
Coverage for children who were disabled prior to age 19 may be available past age 26 if certain criteria are met. See link below for more information.
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Medical: Blue Cross Blue Shield
Mandatory Benefit PPO 1 or PPO 2
Preferred Provider Organization (PPO)
BCBS Community Blue Network
Find in-network providers at: www.bcbsm.com
No Coverage – may be selected only if employee has medical/prescription coverage elsewhere
Calendar year deductible & co-pay
Must select separate prescription drug plan at same level of coverage
Will receive separate card from BCBS
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Plan Comparison: In-Network
In-Network Services:
PPO 1 PPO 2
Preventative Services
100% covered (in-network doctor
only)
100% covered (in-network doctor
only)
Pre & Post Natal Care 100% of R/C
100% R/C after deductible
Office/Urgent Care Visits $10 co-pay $10 co-pay
Hospital Emergency Room
Visit
$50 co-pay(waived if accidental injury or admitted to
hospital)
$50 co-pay(waived if accidental injury or admitted to
hospital)
Inpatient Hospital Care 100% of R/C
80% R/C after deductible
Annual Deductible None
$250/person $500/family
Annual Out-of-Pocket Maximum
None – most services are covered at 100%
R/C
$1,000/person $2,000/family
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Plan Comparison: Out-of-NetworkOut-of-Network
Services:PPO 1 PPO 2
Preventative Services Not Covered Not Covered
Pre & Post Natal Care
80% R/C after deductible
60% R/C after deductible
Office/Urgent Care Visits
80% R/C after deductible
60% R/C after deductible
Hospital Emergency Room
Visit
$50 co-pay(waived if accidental injury or admitted to
hospital)
$50 co-pay(waived if accidental injury or admitted to
hospital)
Inpatient Hospital Care
80% R/C after deductible
60% R/C after deductible
Annual Deductible $250/person $500/family
$500/person $1000/family
Annual Out-of-Pocket Maximum
$2,000/person $4,000/family
$3,000/person $6,000/family
Mandatory Benefit PD 10/20/30 (Generic Preferred Plan) No Coverage – may be selected only if employee has
medical & prescription coverage elsewhere Formulary (Primary/Preferred Drug List)
List of preferred drugs used for determining co-pay level Not all prescriptions listed on formulary are covered by
plan Plan year deductible & co-pay (July – June) Must select separate medical plan at same level
of coverage Will receive separate card from CVS Caremark
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Prescription Drug: CVS Caremark
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Rx Coverage:
Description PD 10/20/30
Deductible None
Generic Prescriptions 10% co-pay
Formulary Brand20% co-pay
(if generic available, will also pay difference between brand & generic)
Non-Formulary Brand
30% co-pay(if generic available, will also pay
difference between brand & generic)
Annual Out-of-Pocket Maximum
$2,000/person$4,000/family
Out-of-Network Pharmacy 50% co-pay
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Additional Prescription Information: CVS Specialty Pharmacy Mail Service available through CVS Caremark Step Therapy Smoking cessation prescription drugs and
support programs University Health Services Pharmacy
Prescriptions filled for CMU faculty, staff, & dependents
Online refills & on-campus deliveries available Prescription transfer services Discounted OTC drugs/supplies Confidential service
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Dental: Meritain Health
Voluntary Benefit D 100/50/50 D 100/75/50/50 No Coverage
Two-year dental election 2012-13 is 1st year of
2-year dental cycle – election binding thru June 30, 2014
Optional Dentemax network www.dentemax.com
Pre-authorization recommended for services over $200.
Plan year deductible, co-pay, and plan maximum (July – June)
Will receive a separate card from Meritain Health
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Dental Plan Comparison:
Benefit D 100/50/50 D 100/75/50/50
Class I – Preventative Services
2 cleanings & 1 set of X-rays/plan year
Covered - 100% R/C
Covered - 100% R/C
Class II – Basic ServicesFillings, crowns, root canal, oral
surgery
Covered - 50% R/C after deductible
Covered - 75% R/C
Class III – Major ServicesDentures, bridges, dental
implants
Covered - 50% R/C after deductible
Covered - 50% R/C
Class IV – OrthodonticsChild under age 19 when
services beganNot Covered
Covered - 50% R/C $2,000
lifetime maximum
DeductibleClass II & III services only
$50/person $150/family None
Plan Maximum per Plan Year $1,000 per person $1,500 per person
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Term Life Insurance: The Hartford Mandatory Benefit
1.0 x Salary 1.5 x Salary 2.0 x Salary 3.0 x Salary 4.0 x Salary*
*Evidence of Insurability paperwork must be completed and submitted to The Hartford for approval
Includes core life and AD&D Core amount reduces 50%
at age 70 Additional support available
at: www.HartfordLifeConversations.com
Term life insurance does not have cash value. Policy ends on termination date.
Premiums are based on spouse/OEI’s age on July 1st of the plan year for all levels
Coverage must end at the end of the plan year in which spouse/OEI turns 70
Terminal Illness Benefit: 80% of benefit amount may be paid for spouse/OEI with less than a 12 month life expectancy
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Spouse/OEI Life: The Hartford Voluntary Benefit
$10,000 $25,000 $50,000 $75,000* $100,000* No Coverage
*Evidence of Insurability paperwork must be completed and submitted to The Hartford for approval
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Child Life Insurance: The Hartford Voluntary Benefit
$10,000 $25,000 No Coverage
Premium is a flat rate regardless of number of eligible children covered
Age Range Coverage Level
Birth to 14 days old No Coverage
15 days – 6 months $1,000
6 months to age 19
Level of Coverage
Unmarried dependent
children age 19 - 26
Level of Coverage
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Flexible Spending Accounts (FSA): Benefit Consulting Group
Voluntary Benefit Health Care FSA Dependent Day Care
FSA
IRS Rules: Fund balances are
non-transferrable between plans
Any leftover money will be forfeited
Reimbursement Process: Debit card option
Keep/reuse card (3 years)
Keep receipts Paper form option
Submit forms with receipts to Benefit Consulting Group (BCG)
Must have separate direct deposit form on file with Benefit Consulting Group
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Flexible Spending Accounts (FSA):
Health Care Account Dependent Day Care Account
Description
Reimbursement for health care expenses not covered by a health care plan (deductibles & co-pays, glasses/contact lenses, dental work, & over-the-counter medicine with prescription).
Reimbursement for dependent day care expenses while you and your spouse work or attend school on a full-time basis.
Eligibility
Your spouse, your children and your parents if: they reside with you; you are responsible for their expenses; and you claim them as dependents on your income taxes. OEI’s are not eligible.
Must be a dependent for federal income tax purposes and are either: a child under the age of 13 or an individual who is physically or mentally incapable of self care.
Availability
Full election on effective dateContributions made to date only
Election Levels
Minimum - $10.00 per payMaximum - $5,000 per plan year
Minimum - $10.00 per payMaximum - $5,000 per plan year
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CA$H IN ON WELLNESS
Open to all staff and fixed-term faculty
Earn $335 - $410 in Awards for participating in healthy lifestyle behaviors
Awards are issued via email by IncentOne ([email protected]) and can be redeemed for gift cards, gift certificates, or merchandise Per IRS regulations, these awards
must be taxed. When the awards are paid to your account, the amount of the reward will be taxed (~ 37%) in your paycheck.
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Step 1 HRA Component - $75Complete on-line Health Risk Assessment (HRA) May 1 - June 30 each year.
Spouses enrolled in a CMU medical plan also receive $75 for completing HRA.
Step 2 Exercise Component - $35/Quarter ($140 annual total) Complete at least 1,560 minutes of aerobic exercise
each quarter. As little as 30 min. per day 4 days per week.
Step 3 Health Care Component - $70Have an annual physical and blood work in the plan year
Step 4 Wellness Component - $50Attend at least 4 wellness screenings and/or activities in the
plan year
Step 5 Get Cash with GainsharingEmployees who complete steps 1, 2, 3 and 4 and are enrolled in one of the CMU self-funded Medical plans for the full plan year (July - June) are eligible. Any
surplus balance at the end of the year after expenses and reserves are fully funded will be shared between
the university and the employees who are eligible. Payment will be made in October of the following plan
year. Only one Gainsharing per contract.
Step Up to Wellness & Gainsharing for 2012-13
• Defined Benefit Plan• 10-year vesting period• Pension based on formula• Eligible only if worked at
certain Michigan Universities prior to 1/1/96
• Defined Contribution Plan• Immediate vesting• Pension based on accrued
earnings• Pre-enrolled in TIAA-CREF Life
Cycle Fund
University Retirement Plans
CMU CONTRIBUTION
403(b) Basic Retirement Plan
TIAA-CREF FIDELITY
Michigan Public Schools Employees Retirement System
(MPSERS)
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CMU contributes a percentage of earnings (8-10%) based on employee group No contribution or matching requirement by
employee University contributions are effective date of
hire Pre-enrollment into TIAA-CREF Life Cycle Fund
based on employee’s age At any time you may:
Change the investment fund option with TIAA-CREF
Elect to invest part or all of the university contribution with Fidelity Investments.
You are strongly encouraged to discuss your retirement investment options with a TIAA-CREF and/or Fidelity Investments counselor. TIAA-CREF may contact you.
403(b) Basic Retirement Plan
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• Voluntary Plan• No loan provision• Distribution without
penalty after separation from CMU employment• Taxes applied at time of
withdrawal
• Voluntary Plan• Loan provision with TIAA-
CREF only• Distribution without
penalty at age 59 ½, even if still working at CMU• Taxes applied at time of
withdrawal
Tax-Deferred Investment Plans
EMPLOYEE CONTRIBUTION
403(b) Supplemental Tax-Deferral Plan
TIAA-CREF FIDELITY
457(b) Public Deferred Compensation Plan
TIAA-CREF
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Tax-Deferred Investment Plans All contributions made by the employee as a
% of earnings - minimum $25 per pay on 457(b)
Salary reduction agreement form must be completed and returned to Benefits office Vendor application must also be completed for
TIAA (online) or Fidelity (paper) Maximum employee deferrals for 2012:
$17,000 for employees under age 50 $22,500 for employees age 50+ May defer up to maximum in both 403(b) and
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StraightLine Advisors Independent investment research firm
Pro(b) ProAdvice
Fees based on CMU retirement balance Free if CMU balance under $5,000
Contact to learn about upcoming events or to schedule an individual meeting
StraightLine Advisors
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www.myRplan.com/cmu
Phone: 877-338-4032email:
Additional Benefits
Tuition Benefit Plan 24 credits per year Eligible: employee, spouse,
dependents, OEI, dependents of OEI
Taxation: Grad and Dr. level classes for
spouse and dependents Grad and Dr. level classes for
employee exceeding $5,250 All classes for OEI and their
dependents
Discount Programs CMU Discount Card
Use CMU ID for local discounts
YouDecide Save on a variety
of merchandise/services nationally
Visit Discounts website for more information30
Additional Assistance:
HR - Benefits & Wellness108 Rowe Hall989-774-3661
[email protected] – then
search keyword “Benefits”