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Annual Enrollment Meeting

Annual Enrollment Meeting. Summer 2004. Presented by UT Arlington. Office of Human Resources. Annual Enrollment 2004. Today’s Discussion Annual Enrollment Highlights Plan and Premium Changes Benefits Changes Current Benefits Enrolling or making changes

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Annual Enrollment Meeting

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  1. Annual Enrollment Meeting Summer 2004

  2. Presented by UT Arlington Office of Human Resources

  3. Annual Enrollment 2004 • Today’s Discussion • Annual Enrollment Highlights • Plan and Premium Changes • Benefits Changes • Current Benefits • Enrolling or making changes • Annual Enrollment Reminders • Employee Assistance

  4. Annual Enrollment Highlights • UT Select PPO will remain with no plan changes and a 4.5% increase in dependent level premiums • HMO Blue will remain with no plan changes and a 10.6% increase in dependent level premiums • UT Flex will be administered by PayFlex Systems and offers many new enhancements • Fort Dearborn Life will administer life insurance programs with increased options and 17% reduction in premiums • UT Touch telephone enrollment no longer available

  5. Optional Coverage Premium Changes

  6. ½ Premium Sharing for Subscribers who Waive Medical Full Time Subscribers $150.92 Part Time Subscribers $ 75.46 Must show proof of other group medical coverage

  7. Term Life and AD&D InsuranceUT FLEX Overview of Benefit Changes

  8. Term Life Insurance • New Carrier-Fort Dearborn Life • Decreased monthly premium rates foremployee, spouse, and dependents • Employee must be enrolled in one of the UT Medical Plans (UT Select or HMO Blue) to receive the $10,000 Basic Term Life provided by the University

  9. Term Life Insurance • Voluntary Group Term Life Insurance may be purchased regardless of participation in UT Medical Plans • Must purchase Voluntary Term Life Insurance to purchase dependent life insurance • The flat $50,000 option is being eliminated • May enroll for $10,000 dependent life without an EOI this year only

  10. Term Life Insurance • Employees may increase up to 6x salary or $1,510,000 ($10,000 Basic GTL plus $1,500,000 Voluntary GTL) • Must do Evidence of Insurability (EOI) which is subject to approval • Please consult the Certificate of Coverage for specific benefits and/or exclusions • Information available on www.fdl-life.com/ut

  11. Term Life Insurance

  12. Term Life Insurance

  13. Term Life Insurance • Retirees must be enrolled in one of the UT Medical Plans (UT Select or HMO Blue) to receive the $3,000 Basic Term Life provided by the University • Retirees may increase their coverage to $7,000, $10,000, $25,000, and $50,000 • Retirees may now purchase Voluntary Term Life Insurance regardless of participation in a UT medical plan, retirement date, or length of service

  14. Term Life Insurance

  15. Accidental Death and Dismemberment • New Carrier-Fort Dearborn Life • Employee must be enrolled in one of the UT Medical Plans (UT Select or HMO Blue) to receive the $10,000 Basic Term Life provided by the University

  16. Accidental Death and Dismemberment

  17. Accidental Death and Dismemberment

  18. Life Insurance Beneficiary Designations • All employees and retirees must complete a new beneficiary designation form during Annual Enrollment • Form link attached to UT Touch • Return form to UT Arlington Benefits

  19. Term Life and AD&D Insurance Reminders • Majority of employees and retirees will receive the same level of coverage as they currently have • Employees who will have coverage changes will receive individual notices from UT Employee Group Insurance • Requests for increasing life insurance requires Evidence of Insurability (EOI) • EOI must be submitted no later than 5:00 pm on Friday, July 30, 2004 • Please consult the Certificate of Coverage for specific benefits and/or exclusions

  20. UT FLEX • PayFlex is the new administrator • UT Flex plan enables you to set aside money on a pre-tax basis to pay for certain eligible medical and dependent day care expenses • Reduces taxes and increases your spendableincome

  21. UTFLEX Medical Reimbursement Account $5,000 Maximum per plan year (Sept. 1 – Aug. 31) Eligible expenses Deductibles, co-pays, coinsurance Prescription drugs Chiropractor treatments Dental services Eye exams and prescription eyeglasses Contact lenses and cleaning solutions Hearing aids and batteries

  22. UTFLEX Dependent Day Care Reimbursement Account $5,000 Maximum per plan year (Sept. 1 – Aug. 31) $5,000 Maximum per calendar year (Jan. 1 – Dec. 31) Eligible expenses Incurred to enable you to be gainfully employed Expenses incurred for a qualifying individual Dependent under the age of 13 Spouse or other dependent (physically or mentally incapable, take exemption) Service must be provided by eligible provider of care Licensed day care; and any individual who is not a tax dependent or a child of yours 19 years of age or older Expense must be for service rendered not billed or prepaid

  23. UT FLEX UT FLEX offers several enhanced features • New flex convenience card for Medical Reimbursement Account • Over-the-counter drugs eligible 9/1/04 • Daily processing of claims

  24. UT FLEXConvenience Card • Works like a “debit card” and is pre-loaded with annual election amount; may use anywhere a Mastercard is accepted • For Medical Reimbursement Account only • Improves personal cash flow and it’s easy to use • Flex convenience card must be elected on UT Touch during Annual Enrollment

  25. UT FLEXConvenience Card • Annual charge of $9 for the card after first deposit taken from account balance • Save receipts for over-the-counter drugs • Brochure available

  26. UT FLEXOver-the-Counter Drugs Reimbursable • Eligible expenses incurred on or after 9/1/04 • Examples of reimbursable expenses • Pain relievers, such as aspirin and acetaminophen (Bayer, Tylenol, etc) • Cold remedies, including nasal sprays and cough syrups • Eye drops • Antacids • First-aid antibiotic ointments and creams • Stop smoking gums and patches • Participants should keep receipts of over-the-counter items purchased

  27. UT FLEX Improved claims processing • Claims will be processed on a daily basis • Checks issued by mail or direct deposit within 72 hours • For direct deposit, all participants must complete a new form available on www.utflex.com • Please complete the form and attach a “voided” check • Return to PayFlex by mail or toll-free fax

  28. UT FLEX Important Reminders • Employees must re-enroll each year • Each account (Medical Reimbursement and Dependent Day Care) has a maximum contribution of $5,000 per plan year • Minimum $15 per month to maximum of $416 per month ($555 for 9 month employees) • Per IRS regulations, dependent day care deductions cannot exceed $5,000 in any calendar year • For Dependent Day Care Reimbursement Account both parents must be working

  29. UT FLEX Important Reminders • Use it or lose it!! Any amounts not used during the plan year will be forfeited • Estimate expenses conservatively • Information and helpful planning calculators are available at www.utflex.com • Toll Free 1-866-UTS-FLEX • All claims for current year (9/1/03 to 8/31/04) must be filed with FlexBen no later than 11/30/04

  30. Highlights of Current Benefits

  31. UT SELECT • Family Care Physician copayment $25 • Specialist Physician copayment $30 • Inpatient copayment $100/day($500 maximum per occurrence) • Outpatient Surgical copayment $100 • ER copayment $100

  32. UT SELECT • Annual Deductible • In-Network $250/person - $750/family • Non-Network $500/person - $1500/family • Coinsurance • In-Network 80% • Non-Network 60%

  33. UT SELECT • Annual Out-of-Pocket Maximums • In-Network $1,750/person-$5,250 per family • Non-Network $4,000/person-$12,000 per family

  34. HMO Blue • PCP copayment $25 • Specialist copayment $30 • Inpatient copayment $100/day • ($500 maximum per occurrence) • Outpatient Surgical copayment $200

  35. HMO Blue • ER copayment $100 • Maximum Out-of-Pocket Copayment • $2,500 per person/$5,000 per family

  36. Pharmacy Benefits • $50 Deductible Retail or Mail Order • Retail Pharmacy Copayment • $10 Generic • $25 Preferred Drug • $40 Non-Preferred Drug

  37. Pharmacy Benefits • Mail Order Pharmacy Copayment • $20 Generic • $50 Preferred Drug • $80 Non-Preferred Drug

  38. DENTAL • Fortis Dental (Dental HMO) • Recent acquired by Assurant benefits • No benefit changes or premium increases • Care provided by or thru PCD • No Deductible • Copays vary by services • No annual benefit maximum

  39. DENTAL • UT DENTAL SELECT / Delta Dental • No benefit changes or premium increases • $25 annual deductible • 20% coinsurance for Basic services (fillings, extractions) • 50% coinsurance for Major services (crowns, bridges) • $1,000 annual benefit maximum

  40. VISION • Superior Vision • Eye exam covered in full after $35 copay • Standard lenses covered in full • Frames covered up to $140 • In-network elective contact lenses up to $125 • No premium increases

  41. Short Term Disability • New carrier Hartford • Provides 60% of weekly earnings up to a maximum benefit of $693.00 per week subject to reduction by deductible sources of income • Pre-existing limitation exist • 30-day elimination period, both sickness and accident • 22 weeks of benefits • Employee must exhaust all sick-leave before benefits are payable

  42. Long Term Disability • New carrier Hartford • 60% of your monthly earnings up to a maximum benefit of $12,025 per month, subject to the deductible sources of income • 90-day elimination period, or end of accumulated leave • Typically pays until age 65 or no longer disabled

  43. Short Term and Long Term Disability • Please consult the Certificate of Coverage for specific benefits and/or exclusions • Requires EOI to be submitted no later than 5:00 pm on Friday, July 30, 2004

  44. How to Enroll • Review options and follow instructions in your Coverage Option Letter • UT Touch • PIN provided in coverage option letter • http://utdirect.utexas.edu/uttouch • UT Touch Direct • High Assurance UT EID required • http://utdirect.utexas.edu/uttouchdirect • Complete online enrollment and any necessary forms such as beneficiary designation form or EOI forms

  45. Annual Enrollment Reminders • Annual Enrollment ends July 31, 2004 • Must enroll via online system • Each employee and retiree must complete a new designation of beneficiary form for term life • EOI forms due 5:00 pm on Friday, July 30, 2004 • Save receipts for UT FLEX

  46. Annual Enrollment Reminders • EOI required when: • Adding dependents to UT Select that currently do not have medical coverage • Increasing employee and retiree term life and spousal term life • Adding STD and LTD • Adding Long Term Care

  47. Employee Assistance Office of Human Resources Wetsel Building 1225 West Mitchell, Suite 212 Box 19176 (817) 272-5558 Benefits@uta.edu

  48. Employee Assistance Benefits Staff Robert James extension 24064 rdjames@uta.edu (A-F) Judy Oslund extension 24212 joslund@uta.edu (G-L) Barbra McCombs extension 24741 mccombs@uta.edu (M-R) Sharon Thompson extension 24202 sthompson@uta.edu (S-Z) Yvette Rodriguez extension 24199 yvette@uta.edu To better assist you: Benefits Representatives are assigned employees based on the first letter of the employee’s last name You may request individual appointments with a Benefits Representative by contacting the Office of Human Resources or the representative directly Appointments are available from 10 am to 3pm daily throughout the month of July

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