Beyond Salary Topics State employee benefits package Texas - PowerPoint PPT Presentation

Beyond Salary

Topics • State employee benefits package • Texas Employees Group Benefits Program (GBP) • Texa$aver • ERS retirement plan • Designating your beneficiaries • Resources • Recap Beyond Salary

State Employee Benefits Package Average State Employee Compensation: $72,205 Pension information is only applicable to state employees contributing to the ERS retirement plan. Beyond Salary

Beyond Salary

What are the benefits options? • Texas Income Protection • Health coverage Plan (TIPP) • Dental coverage • TexFlex • State of Texas Vision • Optional Term Life • Texa$aver Insurance • Dependent Term Life Insurance • Voluntary Accidental Death & Dismemberment (AD&D) Beyond Salary

Dependents: Who can enroll? • Spouse and/or You can enroll eligible dependents in : • Eligible dependents • health coverage; • dental coverage; • State of Texas Vision; • Dependent Term Life Insurance and • Voluntary AD&D (you plus family). Page 4 Beyond Salary

When can you enroll? Optional add-on Health coverage benefits Within 60 days of hire, you can: Within 31 days of hire, • enroll in coverage you can: (part-time employee); • enroll; • change health plan or waive • add or drop coverage; dependents and • add or drop dependents; • complete the • complete the Dependent Dependent Child Child Certification and Certification. dependent verification process and Page 3 • certify tobacco use. Beyond Salary

When do benefits begin? Health coverage • Begins the first of the month following the 60 th day of employment Optional add-on benefits • Enroll your first day of hire — optional coverage begins that day. • Enroll within 31 days of hire — optional coverage begins the first of the following month. Contact your benefits coordinator if you think the health coverage waiting period should not apply to you. Beyond Salary

Understanding Your Health Plan Options Four plan options available: High-deductible Health Point-of-service plan with health Maintenance Out-of-state plan plan (POS) savings Organizations account (HSA) (HMOs) Beyond Salary

Health Plan Comparison Chart Consumer Directed HealthSelect of Texas HMOs HealthSelect Benefits In-Area In-Area Community Out-of- First, Scott & Out-of- Out-of- State In- Network In- Network White Network Network PCP $25 40% $25 20% 40% $25 Specialty $40 40% $40 20% 40% $40 physicians Routine preventive No charge 40% No charge No charge 40% No charge care* Diagnostic x- rays and lab 20% 40% 30% 20% 40% 20% tests *Under the Affordable Care Act, certain preventive and women’s health services are paid at 100% (at no cost to the participant) dependent upon physician billing and diagnosis. Beyond Salary

Plan features include: • Primary Care Physician (PCP) required • Referrals required for specialty physicians • No deductible • Copays and coinsurance • In-network preventive services covered at 100% Page 8 Beyond Salary

Consumer Directed HealthSelect High-deductible health Health savings account plan: (HSA): • No PCP or referrals • Set aside pre-tax required funds • Coinsurance after • Use funds toward deductible is met eligible medical and • In-network preventive prescription drug services covered expenses and to help at 100% meet your deductible Page 9 Beyond Salary

Health Maintenance Organizations (HMOs) Plan features include: • Access all medical services through the HMO network of doctors • No annual deductible • Copays and coinsurance • Preventive services covered at 100% Page 12 Beyond Salary

Health Maintenance Organizations (HMOs) Plan Service Area San Antonio Central and West Texas Beyond Salary

In-network vs. Out-of-network It pays to stay in the network! Plan name In-network Out-of-network $500 individual, no deductible $1,500 family HealthSelect of Texas copays* and 40% co-insurance 20% co-insurance $2,100 individual, $4,200 individual, Consumer $4,200 family $8,400 family Directed HealthSelect 20% coinsurance 40% coinsurance no deductible services HMOs copay* and are not covered 20% co-insurance * Copay varies depending on type of service rendered. Beyond Salary

Prescription Drug Coverage HealthSelect Consumer Directed HMOs of Texas HealthSelect $50 for each Combined with $50 for each covered Deductible medical deductible covered individual individual 20% coinsurance Copay/ Tiered copays Tiered copays Coinsurance after deductible Yes Yes Yes Mail order Yes Yes No EDS network Out-of-network Yes Yes No benefits Beyond Salary

Health Insurance Opt-Out Credit NO health coverage = NO prescription drug coverage . • Must have comparable health coverage (excludes Medicare) • Waives health insurance, prescription drug coverage and $5,000 Basic Term Life Insurance • Up to $60 credit (full-time employees, $30 part-time employees) More information is available on page 11 of your NEBG. Beyond Salary

Certify and Verify Dependent Child Certification • Certify each child when you enroll them in any coverage Dependent eligibility verification • Must verify each dependent enrolled in health coverage Tobacco use status • All health plan participants must certify More information is available on pages 4 and 11 of your NEBG. Beyond Salary

Beyond Salary

Dental Plan Options You must enroll before enrolling eligible dependents. Beyond Salary

Dental Insurance Primary Care Maximum Copays/ Dental plan Dentist (PCD) Deductible calendar year Coinsurance required? benefit $2,000 State of Texas No* Yes** Yes** (includes routine Dental Choice extractions) Yes – make DeltaCare USA sure there is a Yes – they vary No Unlimited DHMO PCD in your by service area *The plan pays more if you use a network dentist. **Amount differs for in-network and out-of-network dentists. More information is available on page 16 of your NEBG. Beyond Salary

Lower cost for $150 routine eye exam Allowance OR Providers toward frames available in or contacts all 50 states Save money using You must enroll in-network providers before enrolling eligible dependents Page 18 Beyond Salary

Life Insurance 1. Optional Term Life Insurance 2. Dependent Term Life Insurance 3. Voluntary AD&D More information is available on page 19 of your NEBG. Beyond Salary

Optional Term Life Insurance Who can enroll? You only Premium Based on coverage selection Coverage options Elections 1, 2, 3 or 4 Double indemnity Yes Beyond Salary

Dependent Term Life Insurance Who can enroll? Dependent only Premium $1.38 per month Coverage options $5,000 Double indemnity Yes Beyond Salary

Voluntary AD&D Who can enroll? You only or you plus family Premium Based on coverage selection Coverage options $10,000 up to $200,000 Double indemnity No Beyond Salary

Disability Insurance Short-term disability • Up to 66% of salary • Up to 5 months Long-term disability • Up to 60% of salary • Period ranging from Enroll in 12 months to full Social one or both. Security retirement age Pre-existing conditions subject to certain exclusions. Page 20 Beyond Salary

Flexible spending How they work accounts (FSAs): 1. Determine the type of FSA you need and your 1. Health FSA annual expenses. 2. Limited FSA 2. Divide expenses by the number of paychecks you 3. Dependent Care receive in a year. FSA 3. Enroll and set aside the amount pre-tax in a spending account for Page 22 eligible expenses. Beyond Salary

Health Care FSA Who can You and eligible participate? dependents Eligible Medical, dental, vision expenses and prescription drugs Pledge $180 up to $2,700 amounts Debit card Yes Carryover Up to $500 Page 23 Beyond Salary

Limited FSA Who can Employee and eligible participate? dependents Eligible Dental and vision only expenses Pledge $180 up to $2,700 amounts Debit card Yes Carryover Up to $500 Page 23 Beyond Salary

Dependent Care FSA Who can Dependents only participate? Eligible Dependent care expenses expenses Pledge $180 up to $5,000 amounts Debit card No No carryover, 2.5 month Carryover grace period applies Page 23 Beyond Salary

457 may be available • 401(k) or 457 Program for some higher • Pre-tax contribution education institutions. See page 27 for more • Automatically enrolled information. at 1% (ERS contributing state agency employees only) • Transfer funds Page 27 Beyond Salary

Beyond Salary

Who is eligible for the ERS retirement plan? Eligible Previous or current State of Texas employees working for an agency participating in the ERS retirement plan. Not eligible State of Texas employees working for an agency or higher education institution that only participates in the GBP, but not the ERS retirement plan. GBP only For GBP-only participants, more information is available on page 24 of your NEBG. Beyond Salary

ERS Defined Benefit Plan Only applicable to employees who participate in the ERS retirement plan. • 9.5% mandatory pre-tax monthly contribution • Earn service credit towards retirement eligibility • Lifetime annuity • No loan options Page 24 Beyond Salary