Top Banner
Insurance & Benefits Division
19

Insurance & Benefits Division. Insurance & Benefits – 768-3758 or 311 Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

Dec 25, 2015

Download

Documents

Brendan Dean
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

Insurance & Benefits Division

Page 2: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

Insurance & Benefits – 768-3758 or 311

Who is Eligible?◦ Spouse, Natural Children, Stepchildren, Adopted

Children, (up to age 26); Domestic Partner, Domestic Partner Children

◦ Domestic Partner eligibility requires additional information, please see pages 2 & 3 for more information

Who is Not Eligible?◦ Temporary employees, Seasonal employees, Ex-

spouses, grandchildren

Page 3: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

Coverage Begin & End Dates – oNew Hires , Newborns, New spouseoEnd dates- coverage ends the date a dependent

ceases to be eligible

Timely submission of “Proof of Relationship”

Timely notification of Life Status changes/ Qualifying events (31 days)

Page 4: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

No Double Coverage Medical, Dental, & Vision are taken pre-tax,

elections can not be changed unless there is a Qualifying Event

Payment of Premiums (LWOP/FMLA)

COBRA

Page 5: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

Employee Counseling (page 5) Crisis Intervention Referral Services

◦ Both employees and family members Health Education classes

◦ CPR, AED training, violence prevention, etc. CONFIDENTIAL

Page 6: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

Mammography Van visits every May & October – no co-pay

Colorful Choices Diabetes Academy Nuvita Fitness Challenge On-site Flu Shot Clinics (September thru

November) Health Fair and Screenings every November PHA – Personal Health Assessment (free $25

gift card)

Page 7: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

Benefits, Choices and Cost

Page 8: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

Employee pays 20% City pays 80%(Bi-Weekly)

Employee City Total Single $39.58 $158.32 $197.90Couple $80.53 $322.12 $402.65S/Parent $63.58 $254.30 $317.88Family $116.22 $464.88 $581.10

Presbyterian PlansoActive oFamilyoIndependent

Comparison on pages 11 & 12

Page 9: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

Unique Services Reimbursement (page 11) Value-Added Benefitso NurseAdvice line, discount services, mail services, online

tools (pages 14-17)

Mobile Clinic dedicated to all participantso Goes to various locations o No copay/Not subject to deductible (page 15)

Page 10: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

Employee pays 20% City pays 80%(Bi-Weekly)

Employee City Total Single $2.84 $11.34 $14.18Couple $5.73 $22.94 $28.67S/Parent $6.30 $25.20 $31.50Family $8.53 $34.11 $42.64

Delta Dental PlanoTwo networks PPO and Premier – No need to choose, you have BOTH!oPlan Overview on page 21

Page 11: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

Employee pays 20% City pays 80%(Bi-Weekly)

Employee City Total Single $.44 $1.76 $2.20Couple $.88 $3.52 $4.40S/Parent $.94 $3.77 $4.71Family $1.53 $6.13 $7.66

Vision Service Plan (VSP)o$105 allowance on any frames (Every other plan year)o$115 allowance for contacts (Every plan year)

Plan Overview on page 22

Page 12: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

The Hartford Basic, Voluntary, Spouse and Dependent Life Insurance.oBasic Life Insurance is 140% of base annual

salary up to $50,000 paid for by the City.

Term Life - No evidence of insurability required for coverage up to $250,000oMaximum coverage amount 7 times annual salary

not to exceed $500,000o EOI required for amount over $250K

Page 13: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

Spouse coverage oCoverage can not exceed employee’s coverageoEmployee must have coverageoPlan Overview on page 23

Dependent Children oCovered up to a maximum of $10,000oEmployee must have coverage

EnhancementsoFuneral Planning, Concierge Services, Travel

Assistance and ID Theft Protection Services.

Page 14: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

The Hartford STD/LTD Insurance

Short Term Disability(STD) oGuaranteed Issue no evidence of insurability(EOI)oBenefit starts to pay after 30 days of disabilityoBenefits paid weekly

Long Term Disability(LTD)oBenefit starts to pay after 180 days of disabilityo Plan Overview on page 24 & 25oBenefits paid monthly

Page 15: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

Medical Care Reimbursement Account Annual maximum $2,500 Minimum amount $260 ($10 a pay check) Plan Overview on page 26

Dependent Care Reimbursement Account Plan maximum $5,000 Minimum amount of $260 ($10 a pay check) Plan Overview on page 26

Parking and Transit Plan Plan maximums for both plans is $230 a month Pay for work related parking and mass transit costs Plan Overview on page 27

Page 16: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

With FSA

Without FSA

Gross Biweekly Income $1,500 $1,500

Medical FSA Expenses -$300 $0

Taxable Wages $1200 $1500

Estimated Federal Tax -$182 -$227

Estimated State Tax -$59 -$74

Estimated FICA -$92 -$115

Medical Expenses $0 -$300

Net Biweekly Income $867 $784

Biweekly Savings $83 $0

Annual Savings $2,158 $0

Page 17: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

Auto & Home (Travelers)oOverview on pages 28 & 29

Legal Insurance (ARAG)oOverview on pages 30 & 31

Long Term Care (John Hancock)oOverview on pages 32 & 33

Page 18: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

Deferred CompensationoSupplemental Retirement Plans

o ICMA-RC oNationwide oVALICo Plan Information and contacts on pages 34 & 35

Page 19: Insurance & Benefits Division.  Insurance & Benefits – 768-3758 or 311  Who is Eligible? ◦ Spouse, Natural Children, Stepchildren, Adopted Children,

Contact Information(505) 768-3758 or 311Email: [email protected] On Line: www.cabq.gov/jobs/insurance-benefitsPages 36-37 include websites and phone numbers to all vendors

Questions ?REMINDER – Turn in Basic Life Insurance Beneficiary Designation form NOW.