2015 Employee Benefit Guide
2015 Employee Benefit Guide
who is eligible for benefits? You are eligible to enroll in benefits if you are a full time, benefits eligible employee working an average of 20 hours or more a week, and are also actively at work at time of enrollment.
when is open enrollment? Open Enrollment will be conducted starting October 27, 2014 through November 14, 2014. This will be your only opportunity to enroll in the benefits program for the 2015 plan year.
what are the next steps? This year there are three options for enrollment: Online. Help Desk. Phone. You may visit MyElbertBenefits.com between October 27 and November 14 to enroll in benefits online. There will also be a help desk where a benefits counselor will be on site to assist with enrollment and answer questions (dates and times to be advised). You may also contact the Elbert County Schools Benefits Call Center at 1.877.422.3312.
what if i don’t need to make a change? Due to the plan changes, every full time employee will be required to go through the enrollment process. Even if you choose to decline all benefits, the Elbert County Board of Education pays for $20,000 of life insurance for which you must select a beneficiary for.
2
The Core Four We all face risks in our lives. Some are large, and some are small. When deciding on your benefits, look at covering the largest risks that most people face. We call these the Core Four.
1. health insurance
2. disability insurance
3. life insurance
4. savings
These benefits provide protection for possible unexpected injuries and illnesses in life. They also protect you against losing your income if you are unable to work for a period of time. As you review your benefits and make decisions to protect you and your family, start with these benefits first. Once you have these four benefits in place, consider the other options that are offered.
3
MyElbertBenefits.com
How to View plans online 1. V isit ‘MyElbertBenefits.com’ and click the blue button “Other Benefits.” 2. On the next page, click the blue button “View Plans.” 3. Click on “My Benefits” to view plan documents and details.
4
how to enroll online 1. V isit ‘MyElbertBenefits.com’ and click the blue button “Other Benefits.” 2. On the next page, click the red button “Enroll in Benefits.” 3. Enter user name and initial password using login instructions at the top of the page and create a new password when prompted. 4. Follow prompts to update personal and dependent information. To cover a spouse or child(ren), enter them as dependents. 5. Continue through ‘Benefits Plan Enrollment’ to elect benefits and then add beneficiaries. Previously enrolled plans (if applicable) will be listed above the new plan year benefits. 6. After completion, the ‘Consolidated Enrollment Form’ will show current and future benefits. Print this page for your records.
important notices • E very full time employee is required to go through the enrollment process this year. • Duplication of life coverage will not be allowed for spouses or dependents who both work in Elbert County School District. • Be sure to review plan details on MyElbertBenefits.com before enrolling. 5
short term disability Insured by Mutual of Omaha • You may cover 40% or 60% of your salary • The benefit will start after a 14-day waiting period should you become disabled due to an accident or illness • The plan offsets with sick leave and other sources of income • The plan will pay up to 11 weeks • There are no health questions to enroll this year
Long term disability Insured by Mutual of Omaha • Provides income protection up to 60% of gross monthly income • There are no health questions to enroll this year • The benefit will start after a 90-day waiting period should you become disabled due to an accident or illness • The plan offsets with sick leave and other sources of income • The benefit will pay up to Social Security Normal Retirement Age
basic life and ad&d Insured by One America (AUL)
• $20,0000 of life insurance for eligible employees is provided at no cost while your are employed in ECSD 6
• Dependent basic life available for spouse and children at minimul amounts/cost.
Voluntary Term life and ad&d Insured by One America (AUL) • 5x Salary up to $500,000. Guaranteed Issue(GI) $250,000 • Spouse coverage is available up to 100% of the employee election to a maximum benefit of $500,000, GI $50,000 • Child(ren) Term Life Insurance is available up to $15,000 • Employee must purchase Term Life and AD&D coverage for spouse and child(ren) to be eligible • If your employment ends, the plan is portable or convertible
permanent life Insured by Voya Financial (ING) • Guaranteed issue (no health questions) up to $35,000 • Rates are locked and guaranteed for life • Whole Life policy that builds cash value • Coverage is available for spouse, children, and legally dependent grandchildren
Flexible Spending Accounts Administered by CAS • Set aside up to $2,500 annually, pre-tax, for medical • Set aside up to $5,000 annually, pre-tax, for dependant daycare • Free flex debit card • $500 roll over for unused money (medical only)
7
dental Insured by Ameritas • No change in the overall plan design or cost
Benefit Summary- High Plan Coinsurance Type 1 . . . . . . . . . . . 100% Coinsurance Type 2 . . . . . . . . . . . . 80% Coinsurance Type 3 . . . . . . . . . . . . 50% Deductible Type 1 . . . . . . . . . . . waived Deductible Type 2&3 . . . . $35/quarterly Maximum . . . . . . . . . . . . . . . $1,200/year Child Orthodontia . . . . . . . . . . . . . 50% *$1,000 lifetime maximum on child ortho
Monthly Cost – High Plan Employee . . . . . . . . . . . . . . . . . . $32.08 Employee & Spouse . . . . . . . . . . $60.92 Employee & Child(ren) . . . . . . . $70.08 Family . . . . . . . . . . . . . . . . . . . . $98.92
Benefit Summary- Low Plan Coinsurance Type 1 . . . . . . . . . . . MCE Coinsurance Type 2 . . . . . . . . . . . MCE Coinsurance Type 3 . . . . . . . . . . . MCE Deductible Type 1 . . . . . . . . . . . waived Deductible Type 2&3 . . . . $35/quarterly Maximum . . . . . . . . . . . . . . . $1,200/year 8
Monthly Cost – High Plan Employee . . . . . . . . . . . . . . . . . . $16.56 Employee + 1 . . . . . . . . . . . . . . . $30.04 Family . . . . . . . . . . . . . . . . . . . . $45.68
vision Insured by Ameritas • No change in the overall plan design or cost • Contacts may be purchased in lieu of eyeglasses
In-Network Schedule Exam . . . . . . . . . . . . . . . . . . . $10 copay Lenses . . . . . . . . . . . . . . . . . . $25 copay Frames . . . . . . . . . . . . . . $100 allowance Contact Lens . . . . . . . . . $115 allowance
Monthly Cost Employee only . . . . . . . . . . . . . . . $8.52 Employee + Spouse . . . . . . . . . . $15.88 Employee + Child(ren) . . . . . . . . $13.74 Employee + Family . . . . . . . . . . . $21.10
Critical Illness w/cancer Insured by Voya Financial (ING) • Pays lump sum benefit for covered critical illnesses • Covered illnesses include: Invasive Cancer, Heart Attack, Major Organ Failure, Renal Failure, Coma, Permanent Paralysis, ALS, Parkinsons, Alzhiemer’s, Coronary Artery Bypass, Carcinoma in Situ, Skin Cancer • Wellness benefit: $50 each year for covered person • Rate is locked for the life of the policy • Policy is portable if you leave the Elbert County School District 9
the simplifiers The Simplifiers are a quick and easy tool that can help you discover which plans may be best for you. Simply answer each question and add up your score. That score will correspond with one of the recommendations. The recomendations on these pages are provided solely as a source of general information. It is not a contract or offer and may not apply in all circumstances. To learn more about the specific benefits available to you, please speak with a representative and/or refer to your plan and enrollment documents. Copyright pending 2014
10
disability simplifier 1. W hat is your age?
(5) 18–30 (4) 31–40 (3) 41–59 (2) 60–64 (1) 65+*
2. How many dependents do you have? (i.e. children, spouse, parents)
(5) 4+ dep (4) 3 dep (3) 2 dep (2) 1 dep (1) 0 dep
3. Are you planning on getting pregnant within the next two years?
(1) No (7) Yes
4. How many sick days do you currently have?
(5) 0–7 (4) 8–14 (3) 15–28 (2) 29–44 (1) 45+
5. How many years do you have vested in the Georgia Teacher Retirement System or PSERS?
(5) 0–5 (4) 6–15 (3) 16–24 (2) 25–29* (1) 30+*
6. How long would you be comfortable going without having any income? Be sure to include other sources (i.e. spouse, emergency fund, investments, etc.)
( 10) 1 week (8) 2–3 weeks (4) 1 month (2) 1–2 months (1) 2 months+
Total 5–8 points.................Disability may not be recommended 9–18 points...............Long-Term Disability 19+ points.................Short- and Long-Term Disability
My recommendation *If you are 65+ or have 25 or more years vested in TRS or PSERS, long-term disability coverage may not be recommended.
11
life amount simplifier 1. What is your annual income?
( 1) 0–10k (2) 10–20k (3) 20–30k (4) 30–40k (5) 40–50K (6) 50–60k (7) 60k+
2. How many dependents do you have?
(1) 0 dep (10) 1 dep (20) 2 dep (30) 3 dep (40) 4 dep+
3. How much debt do you currently have? (mortgage, loans, etc.)
( 1) 0–10k (3) 10–25k (5) 25–50k (7) 50–75k (9) 75–100k (11) 100–125 (13) 125–150k (15) 150–175k (17) 175–200k (20) 200k+
4. How much cash or other liquid assets do you have right now?
( 1) 50k+ (2) 25–50k (3) 15–25k (4) 10–15k (5) 5–10k (6) 0–5k
6. W hat percentage of your annual income would your family need if you died today?
(0) 0% (2) 20% (3) 40% (4) 60% (5) 80% (6) 100%
7. How many years would your dependents need your income replaced?
( 0) 0 (1) 1 year (6) 2 years (5) 3 years (8) 4 years (11) 5 years
6. How much would you like to leave to third parties (i.e. your estate, charities, etc.) 12
(1) 0–10k (2) 10–50k (3) 50–100k (4) 100–150k (5) 150+
6–10 points . . 10k 11–13 points . 25k 14–16 points . 50k 17–19 points . 75k 20–22 points 100k 23–25 points 125k 26–28 points 150k 29–31 points 175k
32–34 points200k 35–37 points225k 38–40 points250k 41–43 points275k 44–46 points300k 47–49 points325k 50–52 points350k 53+ points375k+
Total My recommendation
type of life simplifier 1. How many years until you retire?
(1) 1–5 (2) 6–10 (3) 11–15 (4) 16–20 (5) 21+
2. Currently how much permanent life insurance do you have?
(1) 10k (2) 10–25k (3) 25–75k (4) 75–125k (5) 125k+
3. How much savings do you plan on have at retirement and beyond?
(1) 0–5k (2) 5–25k (3) 25–50k (4) 50–75k (5) 75k+
Total 3 points . . . . . 50% Term is recommended 4–6 points . . . 80% Term is recommended 7–9 points . . . 95% Term is recommended 10–15 points 100% Term is recommended
My recommendation 13
dental simplifier 1. Will those covered visit a dentist at least twice next year?
(0) No (4) Yes
2. Do those covered anticipate having major dental work in the next year?
(0) No (3) Yes
3. Do those covered plan on having braces next year?
(0) No (2) Yes
4. Are you comfortable using a flexible spending account?
(0) No (1) Yes
Total
3 points................Dental coverage is not recommended 4 points................Dental coverage is recommended 5 points................Flexible Spending Account (FSA) is recommended 6–10 points..........Dental coverage is recommended 11 points..............Dental coverage is recommended with FSA
My recommendation
14
vision simplifier 1. Are those to be covered currently prescribed glasses or contacts?
(0) No (4) Yes
2. Do you anticipate those covered will be prescribed glasses or contacts within the next year?
(0) No (4) Yes
3. Does the person(s) covered always have an annual eye exam?
(0) No (2) Yes
4. Are the people being covered under this plan also covered under the Georgia State Health Benefit Plan?
(0) No (1) Yes
5. Are you comfortable using a flexible spending account?
(0) No (10) Yes
Total
0–3 points................coverage is not recommended 4–11 points..............coverage is recommended 12+ points................flexible spending account is recommended
My recommendation 15
Notes
Alexander & Company, 2014
who is eligible for benefits? You are eligible to enroll in benefits if you are a full time, benefits eligible employee working an average of 20 hours or more a week, and are also actively at work at time of enrollment.
when is open enrollment? Open Enrollment will be conducted starting October 27, 2014 through November 14, 2014. This will be your only opportunity to enroll in the benefits program for the 2015 plan year.
what are the next steps? This year there are three options for enrollment: Online. Help Desk. Phone. You may visit MyElbertBenefits.com between October 27 and November 14 to enroll in benefits online. There will also be a help desk where a benefits counselor will be on site to assist with enrollment and answer questions (dates and times to be advised). You may also contact the Elbert County Schools Benefits Call Center at 1.877.422.3312.
what if i don’t need to make a change? Due to the plan changes, every full time employee will be required to go through the enrollment process. Even if you choose to decline all benefits, the Elbert County Board of Education pays for $20,000 of life insurance for which you must select a beneficiary for.
2
The Core Four We all face risks in our lives. Some are large, and some are small. When deciding on your benefits, look at covering the largest risks that most people face. We call these the Core Four.
1. health insurance
2. disability insurance
3. life insurance
4. savings
These benefits provide protection for possible unexpected injuries and illnesses in life. They also protect you against losing your income if you are unable to work for a period of time. As you review your benefits and make decisions to protect you and your family, start with these benefits first. Once you have these four benefits in place, consider the other options that are offered.
3
MyElbertBenefits.com
How to View plans online 1. V isit ‘MyElbertBenefits.com’ and click the blue button “Other Benefits.” 2. On the next page, click the blue button “View Plans.” 3. Click on “My Benefits” to view plan documents and details.
4
how to enroll online 1. V isit ‘MyElbertBenefits.com’ and click the blue button “Other Benefits.” 2. On the next page, click the red button “Enroll in Benefits.” 3. Enter user name and initial password using login instructions at the top of the page and create a new password when prompted. 4. Follow prompts to update personal and dependent information. To cover a spouse or child(ren), enter them as dependents. 5. Continue through ‘Benefits Plan Enrollment’ to elect benefits and then add beneficiaries. Previously enrolled plans (if applicable) will be listed above the new plan year benefits. 6. After completion, the ‘Consolidated Enrollment Form’ will show current and future benefits. Print this page for your records.
important notices • E very full time employee is required to go through the enrollment process this year. • Duplication of life coverage will not be allowed for spouses or dependents who both work in Elbert County School District. • Be sure to review plan details on MyElbertBenefits.com before enrolling. 5
short term disability Insured by Mutual of Omaha • You may cover 40% or 60% of your salary • The benefit will start after a 14-day waiting period should you become disabled due to an accident or illness • The plan offsets with sick leave and other sources of income • The plan will pay up to 11 weeks • There are no health questions to enroll this year
Long term disability Insured by Mutual of Omaha • Provides income protection up to 60% of gross monthly income • There are no health questions to enroll this year • The benefit will start after a 90-day waiting period should you become disabled due to an accident or illness • The plan offsets with sick leave and other sources of income • The benefit will pay up to Social Security Normal Retirement Age
basic life and ad&d Insured by One America (AUL)
• $20,0000 of life insurance for eligible employees is provided at no cost while your are employed in ECSD 6
• Dependent basic life available for spouse and children at minimul amounts/cost.
Voluntary Term life and ad&d Insured by One America (AUL) • 5x Salary up to $500,000. Guaranteed Issue(GI) $250,000 • Spouse coverage is available up to 100% of the employee election to a maximum benefit of $500,000, GI $50,000 • Child(ren) Term Life Insurance is available up to $15,000 • Employee must purchase Term Life and AD&D coverage for spouse and child(ren) to be eligible • If your employment ends, the plan is portable or convertible
permanent life Insured by Voya Financial (ING) • Guaranteed issue (no health questions) up to $35,000 • Rates are locked and guaranteed for life • Whole Life policy that builds cash value • Coverage is available for spouse, children, and legally dependent grandchildren
Flexible Spending Accounts Administered by CAS • Set aside up to $2,500 annually, pre-tax, for medical • Set aside up to $5,000 annually, pre-tax, for dependant daycare • Free flex debit card • $500 roll over for unused money (medical only)
7
dental Insured by Ameritas • No change in the overall plan design or cost
Benefit Summary- High Plan Coinsurance Type 1 . . . . . . . . . . . 100% Coinsurance Type 2 . . . . . . . . . . . . 80% Coinsurance Type 3 . . . . . . . . . . . . 50% Deductible Type 1 . . . . . . . . . . . waived Deductible Type 2&3 . . . . $35/quarterly Maximum . . . . . . . . . . . . . . . $1,200/year Child Orthodontia . . . . . . . . . . . . . 50% *$1,000 lifetime maximum on child ortho
Monthly Cost – High Plan Employee . . . . . . . . . . . . . . . . . . $32.08 Employee & Spouse . . . . . . . . . . $60.92 Employee & Child(ren) . . . . . . . $70.08 Family . . . . . . . . . . . . . . . . . . . . $98.92
Benefit Summary- Low Plan Coinsurance Type 1 . . . . . . . . . . . MCE Coinsurance Type 2 . . . . . . . . . . . MCE Coinsurance Type 3 . . . . . . . . . . . MCE Deductible Type 1 . . . . . . . . . . . waived Deductible Type 2&3 . . . . $35/quarterly Maximum . . . . . . . . . . . . . . . $1,200/year 8
Monthly Cost – High Plan Employee . . . . . . . . . . . . . . . . . . $16.56 Employee + 1 . . . . . . . . . . . . . . . $30.04 Family . . . . . . . . . . . . . . . . . . . . $45.68
vision Insured by Ameritas • No change in the overall plan design or cost • Contacts may be purchased in lieu of eyeglasses
In-Network Schedule Exam . . . . . . . . . . . . . . . . . . . $10 copay Lenses . . . . . . . . . . . . . . . . . . $25 copay Frames . . . . . . . . . . . . . . $100 allowance Contact Lens . . . . . . . . . $115 allowance
Monthly Cost Employee only . . . . . . . . . . . . . . . $8.52 Employee + Spouse . . . . . . . . . . $15.88 Employee + Child(ren) . . . . . . . . $13.74 Employee + Family . . . . . . . . . . . $21.10
Critical Illness w/cancer Insured by Voya Financial (ING) • Pays lump sum benefit for covered critical illnesses • Covered illnesses include: Invasive Cancer, Heart Attack, Major Organ Failure, Renal Failure, Coma, Permanent Paralysis, ALS, Parkinsons, Alzhiemer’s, Coronary Artery Bypass, Carcinoma in Situ, Skin Cancer • Wellness benefit: $50 each year for covered person • Rate is locked for the life of the policy • Policy is portable if you leave the Elbert County School District 9
the simplifiers The Simplifiers are a quick and easy tool that can help you discover which plans may be best for you. Simply answer each question and add up your score. That score will correspond with one of the recommendations. The recomendations on these pages are provided solely as a source of general information. It is not a contract or offer and may not apply in all circumstances. To learn more about the specific benefits available to you, please speak with a representative and/or refer to your plan and enrollment documents. Copyright pending 2014
10
disability simplifier 1. W hat is your age?
(5) 18–30 (4) 31–40 (3) 41–59 (2) 60–64 (1) 65+*
2. How many dependents do you have? (i.e. children, spouse, parents)
(5) 4+ dep (4) 3 dep (3) 2 dep (2) 1 dep (1) 0 dep
3. Are you planning on getting pregnant within the next two years?
(1) No (7) Yes
4. How many sick days do you currently have?
(5) 0–7 (4) 8–14 (3) 15–28 (2) 29–44 (1) 45+
5. How many years do you have vested in the Georgia Teacher Retirement System or PSERS?
(5) 0–5 (4) 6–15 (3) 16–24 (2) 25–29* (1) 30+*
6. How long would you be comfortable going without having any income? Be sure to include other sources (i.e. spouse, emergency fund, investments, etc.)
( 10) 1 week (8) 2–3 weeks (4) 1 month (2) 1–2 months (1) 2 months+
Total 5–8 points.................Disability may not be recommended 9–18 points...............Long-Term Disability 19+ points.................Short- and Long-Term Disability
My recommendation *If you are 65+ or have 25 or more years vested in TRS or PSERS, long-term disability coverage may not be recommended.
11
life amount simplifier 1. What is your annual income?
( 1) 0–10k (2) 10–20k (3) 20–30k (4) 30–40k (5) 40–50K (6) 50–60k (7) 60k+
2. How many dependents do you have?
(1) 0 dep (10) 1 dep (20) 2 dep (30) 3 dep (40) 4 dep+
3. How much debt do you currently have? (mortgage, loans, etc.)
( 1) 0–10k (3) 10–25k (5) 25–50k (7) 50–75k (9) 75–100k (11) 100–125 (13) 125–150k (15) 150–175k (17) 175–200k (20) 200k+
4. How much cash or other liquid assets do you have right now?
( 1) 50k+ (2) 25–50k (3) 15–25k (4) 10–15k (5) 5–10k (6) 0–5k
6. W hat percentage of your annual income would your family need if you died today?
(0) 0% (2) 20% (3) 40% (4) 60% (5) 80% (6) 100%
7. How many years would your dependents need your income replaced?
( 0) 0 (1) 1 year (6) 2 years (5) 3 years (8) 4 years (11) 5 years
6. How much would you like to leave to third parties (i.e. your estate, charities, etc.) 12
(1) 0–10k (2) 10–50k (3) 50–100k (4) 100–150k (5) 150+
6–10 points . . 10k 11–13 points . 25k 14–16 points . 50k 17–19 points . 75k 20–22 points 100k 23–25 points 125k 26–28 points 150k 29–31 points 175k
32–34 points200k 35–37 points225k 38–40 points250k 41–43 points275k 44–46 points300k 47–49 points325k 50–52 points350k 53+ points375k+
Total My recommendation
type of life simplifier 1. How many years until you retire?
(1) 1–5 (2) 6–10 (3) 11–15 (4) 16–20 (5) 21+
2. Currently how much permanent life insurance do you have?
(1) 10k (2) 10–25k (3) 25–75k (4) 75–125k (5) 125k+
3. How much savings do you plan on have at retirement and beyond?
(1) 0–5k (2) 5–25k (3) 25–50k (4) 50–75k (5) 75k+
Total 3 points . . . . . 50% Term is recommended 4–6 points . . . 80% Term is recommended 7–9 points . . . 95% Term is recommended 10–15 points 100% Term is recommended
My recommendation 13
dental simplifier 1. Will those covered visit a dentist at least twice next year?
(0) No (4) Yes
2. Do those covered anticipate having major dental work in the next year?
(0) No (3) Yes
3. Do those covered plan on having braces next year?
(0) No (2) Yes
4. Are you comfortable using a flexible spending account?
(0) No (1) Yes
Total
3 points................Dental coverage is not recommended 4 points................Dental coverage is recommended 5 points................Flexible Spending Account (FSA) is recommended 6–10 points..........Dental coverage is recommended 11 points..............Dental coverage is recommended with FSA
My recommendation
14
vision simplifier 1. Are those to be covered currently prescribed glasses or contacts?
(0) No (4) Yes
2. Do you anticipate those covered will be prescribed glasses or contacts within the next year?
(0) No (4) Yes
3. Does the person(s) covered always have an annual eye exam?
(0) No (2) Yes
4. Are the people being covered under this plan also covered under the Georgia State Health Benefit Plan?
(0) No (1) Yes
5. Are you comfortable using a flexible spending account?
(0) No (10) Yes
Total
0–3 points................coverage is not recommended 4–11 points..............coverage is recommended 12+ points................flexible spending account is recommended
My recommendation 15
Notes
Alexander & Company, 2014
