Benefits Presentation Minneapolis Community and Technical College Human Resources and Legal Affairs
Benefits Enrollment u Enrollment information mailed by Minnesota Management & Budget (MMB) to your permanent/home address u New Hires u Online enrollment through Employee Self Service web site u 35-day enrollment period u Change on insurance eligibility status u Enroll using personal enrollment form provided by MMB u 30-day enrollment period u Default coverage if not enrolled within enrollment period
Effective Date of Coverage New hires: Insurance and flexible spending accounts take effect after 35 u calendar days from the date of hire in an eligible appointment. Examples: HIRE DATE EFFECTIVE DATE October 1 November 5 January 7 February 11 Change in insurance status: u u Insurance coverage is effective on the date of status change u Flexible spending accounts are effective on the date enrollment form is submitted to MMB
Open Enrollment u Open Enrollment period each fall (usually two weeks in early November) u Opportunity to change insurance plans, add or cancel dependent coverage u Health, long term disability, and flexible spending accounts open every year u Dental insurance usually open every other year u Optional life and short term disability insurance occasionally open to increase existing coverage u Changes take effect January 1
Mid-year changes u Change health, dental, or FSA due to “qualifying event” such as marriage, divorce, birth of child, etc. u Paper application required u Within 30 days of event if: u Adding dependent health or dental u Changing or enrolling in FSA u Within 60 days of event if canceling dependent health or dental
COBRA Employer-paid insurance ends • End of month of employee’s last day of work, or • End of August for faculty whose employment ends at the end of spring • semester or summer session Option to continue coverage at your own cost (COBRA) • Dependents may elect to continue coverage within 60 days of loss of • eligibility
Employee Eligibility u Employed 50-74 % time u Enrollment in basic life is mandatory- premium paid by college u Enrollment in health, dental, and other insurance is optional u Eligible for partial employer contribution u Employed 75 – 100 % time u Enrollment in employee health and basic life is mandatory u Enrollment in dental, dependent health, and other insurance is optional u Eligible for full employer contribution
Option to Waive Health Coverage u If you are employed 75-100% time, enrollment in employee health insurance is mandatory u Can only waive health coverage if your spouse or parent also works for the State of Minnesota or other organization participating in SEGIP and you are covered as a dependent of your spouse or parent
Spouse Eligibility Spouse – eligibility for health and dental u Must be legally married under MN law u Not eligible if she/he is employed full-time by an employer with 100 or more employees and elects to receive cash or credits § In place of health insurance, or § In addition to a health plan with a deductible of $750 or greater
Children Eligibility u Children u Biological – to age 26 u Adopted or placed with employee for adoption – to age 26 u Step child – to age 26 § Employee must be legally married to child’s parent u Foster child – to age 26 § Employee must submit Foster Child Certification form u Dependent grandchildren – additional eligibility requirements u Disabled dependent children - additional eligibility requirements u MMB will require dependent eligibility verification for spouse and child/children after you submit enrollment
State Employee Group Insurance Program (SEGIP) u Health u Dental u Basic Life u Optional employee, spouse, and child life u Employee and spouse AD&D u Short term disability u Long term disability u Long term care (no online enrollment)
Minnesota Advantage Health Plan u One health plan for all state employees u Three insurance carriers: u Blue Cross Blue Shield u HealthPartners u Preferred One u Four clinic cost levels u Guaranteed access to Level 2 clinic
2016 Health Insurance Premiums u If employed 75% to 100% time u $28.20/month for employee coverage u $192.44/month for family coverage u If employed at least 50% but less than 75% time (other than MAPE employees) u $162.20/month for employee coverage u $559.12/month for family coverage
Your Out-of-Pocket Costs u First-dollar deductible u Copays and coinsurances for non-preventive care u Prescription copays u Out-of-pocket maximums u Out-of-network benefits for dependents residing out of state
Service with no Out-of-Pocket Costs u Preventive Care u Hospice and skilled nursing facility These services are covered 100% No deductible
Out-of-Pocket Costs in 2016 Cost Level 1 2 3 4 Annual deductible $150/ $250/ $550/ $1,250/ Single/Family $300 $500 $1,100 $2,500 Office visits $25/30* $30/35* $60/65* $80/85* And therapies/ In-network Urgent care *The level of the office visit copayment for the employee and his or her family is dependent upon whether the employee has completed the Health Assessment in each Open Enrollment period, and agreed to accept a health coach call. Employees hired after the close of Open Enrollment will be entitled to the lower copayment.
Cost Level 1 2 3 4 In-network $100 $100 $100 25% Emergency In-patient $100 $200 $500 25% hospital Out-patient $60 $120 $250 25% Surgery Medical 20% 20% 20% 25% Equipment/ No deductible No deductible No deductible After deductible Supplies Lab/x-ray 5% 5% 20% 25% Other 5% 5% 20% 25%
Dental Plan Two dental carriers: u State Dental Plan – Delta Dental of MN u HealthPartners State of MN Dental Plan u u Links to dental plan web sites from MMB web site www.mn.gov/mmb/segip u Use any dentist in your plan’s network If employed 75% to 100% time u $5.00/month for employee coverage u $34.06/month for family coverage u
Basic Life Insurance u College pays premium u Group term policy through Minnesota Life u Amount of coverage determined by base salary u Coverage over $50,000 is taxable u Example: u Age 45 with $70,000 Basic Life u $20,000 is taxable u Taxable value is $3.00/month (20 x $.15)
Short Term Disability Pays non-taxable benefits for up to six months of disability • Benefit begins: • -first day of injury -eight calendar day of sickness -eight calendar day following birth of a child Maximum monthly benefit based on salary •
Short Term Disability Enrollment u Enroll online within 35-day deadline* - no health information required u Apply using paper application after 35- day deadline*- requires evidence of good health *30 days if changing from ineligible to insurance- eligible status
Long Term Disability Insurance u Pay non-taxable benefit after 6 months of disability u Benefits payable u up to two years if unable to do your job u Up to retirement age if unable to do any job u Benefits offset by other income u Maximum monthly benefit based on salary
Long Term Disability Enrollment u Enroll online within 35 days* *30 days if changing from ineligible to insurance-eligible status OR u Enroll during Open Enrollment u No health information required until claim is filed u 24-month exclusion of pre-existing conditions
Long Term Care Insurance u Pays benefits for: u Nursing home u Assisted living u Adult day care u Helps protect your assets u Several levels of coverage offered u Cost determined by age at enrollment and level of coverage selected
LTC Enrollment u No online enrollment – obtain paper application u Enroll within first 35 calendar days* - no health information required u Apply after 35 days*- short health questionnaire u Coverage for spouse and parents – application required health info u Coverage takes effect on date of approval if application is approved by underwriters *30 days if changing from ineligible to insurance-eligible status
LTC Continuation… u Enrollment packets available at www.mpel.org u Use web site to calculate premiums
Flexible Spending Accounts (FSAs or Pre-tax Benefits) u Dependent Care Expense Account (DCEA) u Medical/Dental Expense Account (MDEA) u MnSCU Health Reimbursement Arrangement (MnSCU HRA) – Administrator only u Health Care Savings Plan (HCSP) u Transit Expense Account (TEA) – Parking u Transit Expense Account (TEA) – Bus Pass/Van Pool
Flexible Spending Accounts u Also called FSA’s or pre-tax benefits u Reduce taxable income u Pay for eligible expenses with untaxed dollars u “Use it or lose it” u Obtain complete plan summary at www.eidebailly.com/services/employee_benefits
Dependent Care Expense Account u Dependent Care Expense Account for daycare costs u $5,000 annual maximum per household u $100 minimum if enrolling u Check with tax advisor about dependent care tax credits vs. DCEA
Medical/Dental Expense Account u Medical/Dental Expense Account for out of pocket medical and dental expenses (e.g. copays, deductibles, glasses and contact lenses) u May be used for eligible dependents u May be used for OTC medications only with prescription u May NOT be used for insurance premiums u $2,550 annual maximum per employee u $100 minimum if enrolling u New feature: can carryover up to $500
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