2020 Employee Benefits - UWSP › hr › Documents › faslppt20.pdf · 2020 Employee Benefits...
Transcript of 2020 Employee Benefits - UWSP › hr › Documents › faslppt20.pdf · 2020 Employee Benefits...
2020 Employee BenefitsFaculty, Academic Staff and Limited Appointees covered by the Wisconsin Retirement System
AgendaPayrollBenefits
• Paid Leave • Choosing Your Benefits (prepare, decide, act)• State Group Health Insurance• Opt-Out Incentive• Wellness Resources• Dental Insurance• Vision Insurance• Flexible Spending Accounts• Life and Accidental Death & Dismemberment Insurance• Accident Insurance• Income Continuation Insurance (ICI)• Retirement Programs• Miscellaneous
2www.wisconsin.edu/ohrwd/benefits/download/newemp/faslppt20.pdf
Payroll
Payroll• Faculty, Academic Staff and Limited Appointees are paid on a monthly basis. See the
Payroll Schedule for pay period dates and payroll dates.
• Earnings statements are available in the MyUW portal.• Benefit plan premiums are taken via payroll deduction.• Most benefit plan premiums are paid in advance of coverage.• There may be multiple deductions from your first check.• Twelve-month employees have benefit premium deductions every month.
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Payroll• Nine-month appointments:
• Benefit premium deductions only taken during 9-month academic year.
• Multiple benefit deductions taken from one to three checks prior to the end of the spring semester to keep your coverage active between academic years if the appointment will continue the following semester.
• Benefit deductions do not come out of summer session or summer appointment pay.
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BenefitsPaid Leave
Paid Leave
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Type of Paid Leave Hours Earned Leave Provisions
Legal Holidays 9 days / year
• New Year's Eve, New Year's Day,Martin Luther King Day, Memorial Day,4th of July, Labor Day, Thanksgiving,Christmas Eve, Christmas Day
• Hours lost if not used in same fiscal year.
Personal Holidays* 36 hours / year(4.5 days) • Hours lost if not used in same fiscal year.
Vacation* 176 hours / year(22 days)
• Hours earned in fiscal year may carry over to end of following fiscal year.
• Hours lost if not used or banked (if eligible) by end of carry over period.
Sick Leave
Initial Entitlement:• 176 hours / month (12 days) for use during the
first 18 months of employment.After Initial Entitlement:• Earn 8 hours / month (12 days) if 12-month
employee.• Earn 10.6 hours / month if 9-month employee.
• Accumulates without limit if all leave reports are submitted.
• Hours reduced if all leave reports are not submitted.
• Hours can be converted to credits to pay for State Group Health Insurance at retirement (if eligible).
Pro-rated for employees less than 100% FTE.*Granted on hire date and every July 1st thereafter. Vacation is pro-rated.
Paid Leave
• Establish a standard 40-hour work week (typically 7:45 a.m. – 4:30 p.m. Monday through Friday)
• If you are full-time, report sick leave in half or full days:
• If you are part-time, report actual hours missed (15-minute increments).
Reporting Rules
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If you miss: Less than 2 hours 2 - 6 hours More than 6 hours
Number of hours to report: 0 hours 4 hours 8 hours
Paid LeaveReporting Rules, continued
• Leave report due by the 5th of each month even if no leave used (deadline may vary by institutions).
• Sick leave is reduced if a leave report is not submitted for each month.
• Leave reports and balances are available on the 1st of each month in the MyUW portal (Time and Absence).
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BenefitsChoosing Your Benefits (prepare, decide, act)
Choosing Your Benefits
• Consider your needs, your spouse’s needs and your dependent(s) needs.
• Use ALEX, your online personalized benefits counselor.
• Explore the benefit plans and details on the UW System Employee Benefitswebsite.
• Review this presentation for an overview of available benefit plans.
Prepare
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Choosing Your Benefits
• Decide which plans you would like to enroll in.• Decide if your spouse and/or eligible dependent(s) needs to be covered• To help you decide, use the resources available on the UW System Employee
Benefits website:
• Health Plan Search• Health Plan Comparison• Dental Plan Comparison• Premiums
Decide
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Choosing Your Benefits
Complete your elections within 30 days of your benefits eligibility date.• Benefits are generally effective the 1st of the month on or following your
eligibility date if your elections are submitted within 30 days. • Most employees may enroll online. Log into Self Service through your MyUW
portal (Benefit Information module). • If you have prior WRS service, you must enroll using paper applications. Submit
to your human resources office within 30 days of eligibility. • Paper applications are available on the UW System Employee Benefits website.
Act
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Choosing Your Benefits
• Most of the plans available to you provide coverage for your eligible family members. This includes your:– Spouse– Dependent children (until age 26*). Includes stepchildren, adopted children and pre-
adoption placement, legal wards that become your permanent ward before age 26 and grandchildren until your insured child (the grandchild’s parent) turns age 18.
• Review the Dependent Eligibility Chart for more details.
*A child with a disability of long-standing duration, who is dependent on you or the other parent for at least 50% of support and maintenance, and are incapable of self-support, may remain covered past age 26.
Eligible Dependents
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Choosing Your Benefits
• ALEX is an online personalized benefits counselor that can assist you with decisions regarding your health plan design, your dental insurance plan, vision insurance, flexible spending accounts and more!
• ALEX will help you understand the life, accident, and disability insurance plans, and the retirement savings plans.
• Use ALEX for personalized help with your benefits. You and your family can access ALEX 24/7!
Use ALEX, Your Personalized Benefits Counselor
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BenefitsState Group Health Insurance
State Group Health InsuranceOverview• Enrollment Opportunities
• Initially upon hire or within 30 days of eligibility date• Annual Benefits Enrollment (each fall for the upcoming calendar year)
• Decisions• Elect health insurance, waive health insurance or elect the Health Opt-Out Incentive
• If you elect health insurance, choose a:• Health Plan Design,• Health Plan Carrier,• Coverage level (single or family)
• If married to another state/UW System employee who is also eligible for State Group Health Insurance, you may elect 2 single policies or 1 family policy.
• If you elect the Health Opt-Out Incentive (up to $2,000 per year), confirm you are eligible.
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State Group Health InsuranceOverview, continued
• Enrollment options when covered by another health plan
• If the other plan is the State Group Health Insurance plan through a parent or spouse, you may remain on your parent’s or spouse’s plan until no longer eligible OR you may enroll in your own plan. You may not be covered on both plans.
• If the other plan is not the State Group Health Insurance plan: If you want to enroll in the High Deductible Health Plan (HDHP), your other plan must be an HDHP.
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State Group Health Insurance
2020
Health Plan(WRS benefits package)
High Deductible Health Plan (HDHP)(WRS benefits package)
Single Family Single Family
Health Plan and HDHP (excluding Access
Plans)$89 $222 $31 $78
Access Health Plan and Access HDHP $269 $670 $211 $526
Access Health Plan and Access HDHP(work outside of WI)
$143 $358 $85 $214
Review the State Group Health Insurance total premium rates.
Health Insurance Premiums – Without Uniform DentalWisconsin Retirement System Covered Employees
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State Group Health Insurance
2020
Health Plan(WRS benefits package)
High Deductible Health Plan (HDHP)(WRS benefits package)
Single Family Single Family
Health Plan and HDHP (excluding Access
Plans)$93 $231 $35 $87
Access Health Plan and Access HDHP $273 $679 $215 $535
Access Health Plan and Access HDHP(work outside of WI)
$147 $367 $89 $223
Health Insurance Premiums – With Uniform DentalWisconsin Retirement System Covered Employees
Review the State Group Health Insurance total premium rates.
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Plan Design Options• Health Plan and High Deductible Health Plan (HDHP):
• These plans use a specific network of doctors, clinics and hospitals in a localgeographic area. You must receive services within the network. Coverage is only available out-of-network for urgent and emergency care.
• Premiums: The HDHP has the lowest employee premium.
• Access Plan and Access HDHP:• These plans provide freedom of choice for doctors, clinics and hospitals across the
country. Your out-of-pocket costs are lower when in-network providers are used. • Premium: The Access Plan and Access HDHP have higher premiums than the
Health Plan and HDHP.
State Group Health Insurance
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State Group Health Insurance
• All insurers offer the same uniform benefits.• All plan designs include pharmacy benefits (no additional cost).• All plan designs include uniform dental benefits, if elected (minimal cost).• Review the Comparison of Health and Pharmacy Benefits.• Regardless of the plan design you select, preventive health services are
covered at 100%, even if you have not met your deductible. The covered preventive health services were established by the Patient Protection and Affordable Care Act.
Plan Design Options, continued
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State Group Health Insurance
• If you select the Health Plan or HDHP, you need to select a health plan carrier. If you select the Access Health Plan or Access HDHP, your health plan carrier is WEA Trust.
• Health Plan Carrier Determines:• What county you may receive services in.• What doctors, urgent care facilities and hospitals you may use.
• To decide on a health plan carrier, review the provider directories through the Health Plan Search.
Plan Carrier Options, continued
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State Group Health InsuranceHealth Insurance Terminology
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Definition Example for each Health Plan Design
Deductible
Amount you pay for covered services before the plan pays.
Preventive services not subject to deductible per the Affordable Care Act.
Office visits not subject to deductible for Health Plan and Access Plan. Other services received during office visits are
subject to deductible (e.g. labs, X-rays).
Health Plan and Access Plan:$250 Single$500 Family
HDHP and Access HDHP:$1,500 Single$3,000 Family
Coinsurance
Percentage of covered services you pay.
Most services require the deductible to be met before coinsurance applies.
10% Health Plans, HDHP, in-network Access Plan and in-network Access HDHP
20% All plans (covered durable and disposable medical equipment, certain hearing aids and cochlear implants)
30% Out-of-network Access Plan and Access HDHP
Copayment
Fixed amount you pay for a covered service, each visit, until the annual out-of-pocket limit has been met.
Deductible must be met before copayments apply for the HDHP and Access HDHP.
$15 Primary Care Physician and Therapy
$25 Specialty Services and Urgent Care Services
$75 Emergency Room
State Group Health InsuranceHealth Insurance Terminology, continued
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Definition Example for each Health Plan Design
Out-of-Pocket Limit
The most you pay in a calendar year for covered services. Inclusive of copayments, the deductible and
coinsurance.
One you reach this limit the plan pays 100%.
Health Plan and Access Plan:$1,250 Single$2,500 Family
(separate out-of-pocket limit for pharmacy benefits)
HDHP and Access HDHP:$2,500 Single$5,000 Family
(includes pharmacy benefits)
MaximumOut-of-Pocket
Limit
The most you pay in a calendar year for covered services before benefits are payable at 100% for
costs not limited to the Out-of-Pocket limit.
Includes costs for level 3 pharmacy benefits, hearing aids or cochlear implants for adults and some other
expenses that do not accumulate toward the Out-of-Pocket limit.
Health Plan and Access Plan:$6,850 Single
$13,700 Family(separate out-of-pocket limit for pharmacy benefits)
HDHP and Access HDHP:No additional maximum out-of-pocket beyond the Out-of-Pocket
limit.
Health Insurance BasicsDe
duct
ible Member pays medical
costs until the deductible is met Co
insu
ranc
e Then:Member pays coinsuranceamounts; insurance covers remaining costs O
ut-o
f-Poc
ket L
imit Then:
Insurance covers expenses at 100% after member meets out-of-pocket limit or federal maximum out-of-pocket
COPAYS do not apply toward deductible; however, they do apply towards the Out-of-Pocket Limits
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Putting the terminology together
State Group Health InsuranceHDHP with a Health Savings Account (HSA)• If you enroll in a HDHP, the HSA is required.• An HSA is an individually-owned, triple tax-advantaged savings account. Contributions,
distributions (if used for qualifying expenses) and investment earnings are tax-free. • Your employer contribution may be pro-rated if you are:
• Not enrolled for the entire calendar year or• A part-time employee
• You may change your employee contribution at any time.• Contributions are made on a per paycheck basis (12).
*Additional $1,000 “catch-up” if you will attain or are age 55 or older.
Level of Coverage Total Contribution Limit = (Employee + Employer)
EmployeeLimit
Employer Contribution
Single $3,550* $2,800 $750
Family $7,100* $5,600 $1,500
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State Group Health InsuranceHDHP with an HSA, continued• HDHP Eligibility:
• Must be covered under the Wisconsin Retirement System• Must be eligible for HSA
• HSA Eligibility:• Must be enrolled in an HDHP• Cannot be enrolled in Medicare or TRICARE or another health plan not considered
an HDHP.• Cannot be enrolled in, or be a covered dependent, under a health care FSA (such as
spouse or parent)• Cannot be a dependent person of another person for tax purposes
• You must be eligible for both the HDHP and HSA to enroll in the HDHP or Access HDHP.
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State Group Health InsuranceCoordination of Benefits (COB)• If you enroll in State Group Health Insurance, you must provide Coordination of
Benefits (COB) information.• This should be provided when you enroll or if other coverage through your
spouse is added.• If you elect an HDHP and you do not provide COB information, you will be
defaulted to the non-HDHP offered by the health plan carrier you elected.
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BenefitsPharmacy Benefits
State Group Health InsurancePharmacy Benefits
• Your cost at the pharmacy depends on the:• Plan design you select and• Level of the drug on the formulary list (e.g. generic vs. brand name)
• You pay a copay or coinsurance per 30-day supply as outlined on the formulary list, up to the annual out-of-pocket maximum.
• Visit the Navitus website to find an in-network pharmacy.
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State Group Health InsuranceHealth Plan &
Access Health PlanHDHP &
Access HDHP
Deductible
None $1,500 individual / $3,000 family (combined medical & Rx)
Copayment/Coinsurance
Level 1 You pay $5 per fill You pay $5 per fill after the deductible
Level 2 You pay 20% ($50 max) You pay 20% ($50 max) after the deductible
Level 3Your out-of-pocket could be significantly more for level 3 “dispense as written” drugs. Contact Navitus to determine your options prior to filling level 3 “dispense as written” prescriptions.
You pay 40% ($150 max) You pay 40% ($150 max)after the deductible
Level 4Must fill at a specialty pharmacy
You pay $50 per fill You pay $50 per fillafter the deductible
Preventive Plan pays 100%, deductible does not apply
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State Group Health Insurance
Health Plan &Access Plan
HDHP Design &Access HDHP
Out-of-Pocket Limits
Level 1 & 2 $600 individual / $1,200 family
$2,500 individual / $5,000 family(combined medical & pharmacy)
Level 3 $6,850 individual / $13,700 family
Level 4Must fill at a specialty pharmacy
$1,200 individual / $2,400 family
For more information, review the Pharmacy Benefits page.
Pharmacy Benefits: Comparison (Health Plan vs. HDHP), continued
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BenefitsHealth Insurance Opt-Out Incentive
Health Insurance Opt-Out Incentive
• $2,000 Opt-Out Incentive may be available if you do not need health insurance through the UW System.
• Prorated for new hires.• Paid monthly throughout the year.• Incentive is considered taxable.• Review the Opt-Out Incentive Eligibility.• If you elect the Opt-Out Incentive, you are not eligible for the Wellness Incentive
or Uniform Dental or Sick Leave Credit Conversion Program.
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Health Insurance Opt-Out Incentive• Impact on Sick Leave Credits: Unused sick leave is converted to credits to offset
the cost of health insurance for you and your surviving spouse and/or dependents upon:
• Retirement, • Termination with 20 years of service, or • Death while an employee.
• Must be covered by the State Group Health Insurance Program to use the credits.• If you elect the Opt-Out Incentive, your unused sick leave credits have no value,
unless you enroll in State Group Health Insurance in the future due to a qualifying life event. If this happens, the Opt-Out Incentive is prorated and ends once you enroll in coverage.
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BenefitsWellness Resources
Wellness Resources
• Provides you and your immediate family members free and confidential resources to address personal issues and/or work-related concerns (e.g. counseling, legal and financial services, work/life services).
• Provides up to six in-person sessions per issue per year.• For information specific to the program at your institution: EAP page.
Employee Assistance Program (EAP)
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Wellness Resources
• If you enroll in State Group Health Insurance, you (and your enrolled spouse) are eligible to participate in the Well Wisconsin Program.
• This is the uniform wellness program, administered by StayWell, designed to make you more aware of your current/future health risks.
• StayWell offers a $150 wellness incentive for completing a:– Health screening– Health assessment – Well-Being activity
• Screening, assessment and activity must be completed by October 9, 2020.• Additional information: Wellness Resources.
Well Wisconsin Program
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BenefitsDental Insurance
Dental Insurance
• Provides coverage for diagnostic, preventive and some basic services.• Eligibility is based on whether you enroll in State Group Health Insurance, waive
State Group Health Insurance or select the Opt-Out Incentive:• If you enroll in State Group Health Insurance, you are eligible for Uniform Dental
(You will select a health plan with OR without Uniform Dental)• If you waive State Group Health Insurance OR select the Opt-Out Incentive, you are
eligible for Preventive Dental• What is the same in both the Uniform and Preventive Plans?
• Covered services• Levels of coverage (single or family)• Administrator (Delta Dental)
Uniform and Preventive Plans
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Dental Insurance
• Locate an in-network dentist on Delta Dental's website (PPO or Premier dentist).• Your premium for Uniform Dental (State Group Health enrollees only) is:
• Less than the Preventive Plan.• Added to your health insurance premium on your paycheck.
• Your premium for Preventive Dental (not enrolled in State Group Health) is:• More than the Uniform Plan.• A separate deduction on your paycheck.
Uniform and Preventive Plans
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Dental Insurance
• Provides coverage for major services.• No coverage for preventive or basic services.• Administered by Delta Dental.• You may choose one of the supplemental plans:
– Delta Dental PPO – Select– Delta Dental PPO Plus Premier – Select Plus
• You pay the full premium.• Locate an in-network dentist on Delta Dental's website (PPO or Premier dentist).
Supplemental: Select and Select Plus Plans
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Dental InsurancePlan Comparison
Note: This is a brief illustration of the main differences. For a thorough comparison, review the Dental Comparison Chart
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Uniform and Preventive Plans Select Plan Select Plus Plan
Provider Network PPO & Premier PPO PPO & Premier
Benefit Maximum $1,000 per person $1,000 per person $2,500 per person
Deductible None $100 per person $25 per person
Preventive Services 100% No Coverage No Coverage
Basic Services 80% No Coverage; except Anesthesia at 50% No Coverage; except Anesthesia at 80%
Major Services No Coverage 50% 60% or 80%
Orthodontia50% up to $1,500 lifetime maximum;
up to age 19;in addition to Select Plus plan
No Coverage50% up to $1,500 lifetime maximum;
includes adult orthodontia;in addition to Uniform Dental
Dental Insurance
• PPO: The dentists in this network provide the deepest discounts for services (per their contract with Delta Dental).
• Premier: The dentists in this network provide discounts for services (per their contract with Delta Dental); however, not as deep as the PPO network discounts.
• Select Plan: If you enroll in this plan, you must choose a dentist in the PPOnetwork.
• Uniform, Preventive, Select Plus Plans: If you enroll in any of these plans, you may choose a dentist in the PPO or Premier networks.
Network Comparison
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Dental InsuranceNetwork Comparison – All Plans
Uniform Dental (SGH enrollees)Preventive Dental (Non-SGH enrollees) Select Plan Select Plus Plan
Network(s)Delta Dental PPO &Delta Dental Premier
Delta Dental PPODelta Dental PPO &Delta Dental Premier
2020 Monthly Premiums Employee Employee +
SpouseEmployee + Child(ren) Family
Uniform Dental * $4.00 $9.00 $9.00 $9.00
Preventive Dental $30.20 $75.50 $75.50 $75.50
Select $9.28 $18.56 $12.52 $22.28
Select Plus $16.82 $33.64 $31.12 $51.30
Premiums – All Plans
*Added to your State Group Health Premium
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BenefitsVision Insurance
Vision Insurance • Administered by VSP.• Find an in-network provider at VSP's website.• VSP does not issue ID cards. If you enroll, to help your provider verify your
vision insurance, bring your Employee ID with you. • Additional information: Vision Plan Brochure• You pay the full premium:
2020 Monthly Premiums Employee Employee +
SpouseEmployee + Child(ren) Family
Vision Insurance $6.38 $12.76 $14.38 $22.98
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Vision Insurance Benefit Coverage (with a VSP Provider*)
Vision Exam Annual eye exam with a $15 copay (also covered by all health plans with a $25 copay)
Prescription Glasses Frames – covered up to $150 every other year after $25 copay ($200 allowance for featured frame brands),Lenses – covered every year after copay (employee cost depends on selected lenses)
Contact Lenses $150 annual allowance – no copay
KidsCare Program
• Two exams per year• Impact resistant lenses• Lenses replaced annually or as needed• Frames replaced annually with $25 copay
Additional Savings • Discount on additional glasses purchased in-network• Discounts on in-network laser vision correction
Note: VSP covers either lenses for your glasses OR contacts in the same calendar year (not both).
*Benefits for out-of-network providers is less.
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BenefitsFlexible Spending Accounts (FSAs)
Flexible Spending Accounts (FSAs)• FSAs provide you with a pre-tax advantage for qualifying medical and/or
dependent day care expenses.• Contributions are deducted from your paycheck before Federal, State, and FICA
taxes are calculated.• You must re-enroll during the Annual Benefits Enrollment period (each Fall) for
the next plan year (January through December).• Only expenses incurred on/after your coverage effective date through December
31st (or when you lose eligibility) are eligible for reimbursement.
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Flexible Spending Accounts• All claims must be submitted and substantiated by March 31st following the
end of the plan year (December 31st).• Changes are only allowed mid-year if a qualifying life event occurs.• Money left in your health care or limited purpose health care account at the
end of the plan year may carryover into the next plan year (up to $500).• Carryover does not apply to the Dependent Day Care Account.• Additional information: ConnectYourCare
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Flexible Spending Accounts
Account Type Eligible Expenses Eligible Dependents Annual Contribution Maximum
Health Care FSA Medical, dental, vision & prescription expenses
You, your spouse,qualified dependent(s)
$2,700
Limited Purpose FSADental, vision expenses. Post-deductible only: medical and
pharmacy expenses.
You, your spouse,qualified dependent(s)
$2,700
Dependent Day Care After school care, adult or child daycare, preschool
You, your spouse,qualified dependent(s)
$5,000 (based on tax filing status)
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BenefitsLife and Accidental Death & Dismemberment (AD&D) Insurance
Life and AD&D Insurance• You may enroll in more than one plan (if eligible):
• State Group Life Insurance• Individual & Family Life Insurance• UW Employees, Inc. Life Insurance• Accidental Death & Dismemberment (may enroll at any time)
• If you do not enroll when you are first eligible, you may enroll through evidence of insurability (proof of good health) or a qualifying life event. Approval not guaranteed.
• You are automatically enrolled in the University Insurance Association (UIA) Life Insurance Plan, if eligible. The $24 annual premium is deducted from October earnings.
• Additional information: Life Insurance Comparison• Premiums
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Life and AD&D InsuranceState Group Life Insurance* Individual & Family Life
InsuranceUW Employees, Inc.
Life InsuranceUniversity Insurance Association
(UIA) Life InsuranceAccidental Death &
Dismemberment Insurance
Eligibility Employees eligible for the Wisconsin Retirement System
Employees eligible for State Group Health Insurance
Employees eligible for State Group
Health Insurance
Faculty, Academic Staff or Limited Appointees who meets
annual earnings threshold
Employees eligible for State Group Health Insurance
Who can be covered? Employee, Spouse, Children Employee, Spouse or
Domestic Partner, Children Employee only Employee only Employee, Spouse or Domestic Partner, Children
Employee Coverage
Coverage based on annual income, elect coverage up to
5 times annual income
Up to $20,000 initially; can increase coverage annually;
$300,000 maximum coverage
$7,000 - $33,000 (coverage based on
age)
$3,400 – $101,000 (coverage based on age) Up to $500,000
(coverage increases as salary increases)
Spouse or Domestic Partner
Coverage
Spouse: Up to $20,000
Spouse or Domestic Partner: Up to $10,000 initially, can increase coverage annually;
$150,000 maximum coverage
None None
Spouse or Domestic Partner: 50% - 60% of employee
coverage level (depends on who is covered under family plan)
Child Coverage Child: Up to $10,000
Child or Domestic Partner Child: Up to $5,000 initially,
can increase coverage annually; $25,000 maximum
coverage
None None
Child or Domestic Partner Child: 15% - 20% of employee
coverage level (depends on who is covered under family plan)
56*The UW System pays a portion of the premium.
Life and AD&D Insurance Beneficiary Designations• Most benefit plans have a separate beneficiary designation. Exception: State
Group Life Insurance, Wisconsin Retirement System (WRS) and Accident Insurance use the same form.
• Mail beneficiary designations directly to the address on each form.• If you do not submit beneficiary forms, benefits are payable per Standard
Sequence.• Review your beneficiary designations regularly and update as necessary,
especially when you have a life event.
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BenefitsAccident Insurance
Accident Insurance • Coverage levels:
• Employee• Employee and spouse• Employee and child(ren)• Family
• Plan includes:• Accidental Death & Dismemberment (AD&D) benefit.
• Identity Theft: Education and personalized resolution resources.• You pay the full premium:
If other family members are employed by UW System and/or the State of Wisconsin, each may only be covered as an employee OR dependent, not both
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2020 Monthly Premiums Employee Employee +
SpouseEmployee + Child(ren) Family
Accident Insurance $3.26 $4.94 $7.10 $10.46
Accident InsuranceReview the Accident Insurance Brochure for a complete listing of covered benefits.
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• Additional information: Accident Plan webpage.
BenefitsIncome Continuation Insurance
Income Continuation Insurance (ICI)Overview• Provides up to 75% of gross base wages as replacement income if you are
unable to work due to illness or disability.• Standard ICI covers earnings up to $64,000
• The UW System pays a portion of the premium after 12 months of eligible WRS service.
• Supplemental ICI covers earnings from $64,001 to $120,000• Employee pays full premium.
• Monthly earnings determine your premiums.• Eligibility• Application required to elect or decline coverage.
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Income Continuation Insurance (ICI)Elimination Period• Elimination period (also called waiting period) begins on the first full day you
are continuously and completely absent from work. • You select an elimination period of 30, 90, 125 or 180 days.• ICI benefits begin the later of:
• Your selected elimination period; or • The use of sick leave, up to a maximum of 1040 (130 days) hours.
• You may increase your ICI elimination period at any time.• Evidence of insurability (proof of good health) is required to reduce your
elimination period.
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Income Continuation Insurance (ICI)Enrollment Opportunities1. Within 30 days of your eligibility date (usually your hire date). You choose your
coverage effective date:• 1st of month on or following your eligibility date (you pay the total premium until
completion of 12 months of state WRS service) OR• 1st of month on/following completion of 12 months of state WRS service
(coverage begins when you are eligible for the employer contribution).2. Within 60 days of becoming eligible for the employer contribution (coverage begins
first of month on/following completion of 12 months of state WRS service).3. Any January after you accumulate 1,040 hours of sick leave or through evidence of
insurability (approval not guaranteed).
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BenefitsRetirement Programs
Wisconsin Retirement System (WRS)UW Tax-Sheltered Annuity (TSA) 403(b) ProgramWisconsin Deferred Compensation (WDC) 457 ProgramSick Leave Credit Conversion Program
Retirement Programs
• Provides a retirement annuity (pension) once you reach retirement age.• Administered by the Department of Employee Trust Funds (ETF).• Prior WRS service may impact application deadlines, WRS eligibility and
vesting.• If eligible, enrollment is automatic.
Wisconsin Retirement System (WRS)
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If you are first covered by the WRS on or after July 1, 2011 If you have WRS creditable service prior to July 1, 2011
You are eligible for the WRS if:you are expected to work at least one year* and 880 hours
(42% if 12-month employee; 56% if 9-month employee).Note: you are vested after 5 years of WRS service.
You are eligible for the WRS if:you are expected to work at least one year* and 440 hours
(21% if 12-month employee; 28% if 9-month employee).Note: you are vested immediately.
*1 year for 9-month employees is 2 consecutive semesters with an expectation to return the following semester.
Retirement ProgramsWisconsin Retirement System (WRS), continued
Employee Contributions Employer Contributions
6.75% of salary
Deductions taken on a pre-tax basis for state and federal tax purposes.
Subject to IRS limits: Employees and the UW System make WRS contributions on the first $282,500 of earnings in fiscal year 2019 - 2020.
6.75% of salary
Additionally, the UW System contributes 1.2% of salary to fund retiree health insurance credits.
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• Visiting faculty on leave from another educational institution are excluded by state law from the WRS for the first twelve months of UW System employment.
Retirement ProgramsWisconsin Retirement System (WRS), continued• Investment funds
• Core Fund: 50% stocks, 50% fixed income and other assets (subject to change)• Variable Fund: 100% stocks
• If you do not select a fund, all contributions will default to the Core Fund.
• Complete the Variable Fund Election Form to invest half of your contributions in the Variable Fund.
• Review: How Participation in the Variable Trust Fund affects Your WRS
• Additional information about WRS investments:• Retirement Plans page
• Investments managed by the State of Wisconsin Investment Board (SWIB)
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Retirement ProgramsWisconsin Retirement System (WRS), continued
• Methods of calculating retirement benefits:• Formula method• Money purchase method• If eligible, you are entitled to the higher of the two amounts.
• Minimum retirement age is 55. Normal retirement age is 65.
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Retirement ProgramsWisconsin Retirement System (WRS), continued• If you leave employment before minimum retirement age or before you are vested, you
can leave your money in the WRS to accumulate interest.
• Separation benefit: Available if you end WRS employment before minimum retirement age or after retirement age but not vested. Benefit paid equals employee contributions plus accumulated interest (no employer contributions).
• Disability benefit: WRS disability annuity may be available if you become permanently disabled and unable to work (minimum service requirements apply).
• Death benefit: If death occurs while actively employed, full value of WRS account is payable upon death.
• More information: ETF’s website
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Retirement ProgramsUW Tax-Sheltered Annuity (TSA) 403(b) Program• Contribute pre-tax, Roth (after-tax) or a combination of both. • Includes a wide array of mutual funds and fixed and variable annuities managed by five
providers.• Participation is voluntary. • You make the entire contribution (no employer contribution). • Select a percentage of pay or a flat dollar amount.• Change your contribution at any time.• For more information, visit the TSA Program page.
Maximum Annual Contribution LimitIf under age 50: $19,500
If age 50 or older at any time during the year: $26,000
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Retirement ProgramsWisconsin Deferred Compensation (WDC) 457 Program• Contribute pre-tax, Roth (after-tax) or a combination of both. • A wide array of investment options.• Participation is voluntary. • You make the entire contribution (no employer contribution). • Change your contribution at any time.• To enroll and/or make changes, complete the forms and submit directly to WDC.• More information: WDC Program
Maximum Annual Contribution LimitIf under age 50: $19,500
If age 50 or older at any time during the year: $26,000
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Retirement Programs
• Unused sick leave may be converted to credits to pay for State Group Health Insurance at layoff, retirement, death or termination with 20 years of service.• Accumulated Sick Leave Conversion Credit Program: Accumulated sick leave is multiplied
by your highest basic pay rate in a qualifying position and converted to credits to pay for State Group Health Insurance.
• Supplemental Health Insurance Conversion Credit Program: Allows you to earn additional sick leave credits once you have at least 15 years of continuous state service.
• Additional information: Sick Leave Credit Conversion Program
Sick Leave Credit Conversion Program
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BenefitsLife Events
Life Events• Contact your human resources office within 30 days of a Life Event. You only
have 30 days following a life event to change and/or enroll in most benefit plans. A life event may be either a family or employment change.
Family Change Examples
Employment Status Change Examples
• Marriage or divorce
• Birth, adoption, guardianship of a child (60 days to enroll)
• Permanent Relocation
• Spouse or dependent child death
• Termination of employment
• Disability
• Change in employment status
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BenefitsMiscellaneous
Edvest 529 College Savings Plan• Allows you to save for education expenses and post-high school education for yourself,
a family member, a friend or anyone else.• Tax benefits for Wisconsin residents
• Any earnings have potential to grow tax-free• Wisconsin residents may be eligible for a state tax deduction
• Use for tuition & fees, room & board, computers, books & more!• Funds may be used nationwide at universities, colleges, technical colleges, professional
schools & graduate programs.• You may direct deposit into the 529 College Savings Plan from payroll.• Minimum contribution: $15 per pay period• For more information and/or to set up an account, visit the Edvest website.
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Career-Related Educational Reimbursement• Must have a half-time or greater appointment.• May be reimbursed for up to 100% of the cost of one course (up to 5 credits)
per semester at a state accredited public or private higher educational institution.
• Prior authorization from your supervisor necessary; approval relies on the potential for your increase in knowledge and skills and availability of department funding.
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Lifestyle Benefits Program The LifeStyle Program is offered to active, WRS-eligible, UW System employees.
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Program Details
Travel Assistance Available if you are an active employee and you (or an eligible dependent) is more than 100 miles from home.
Legal Services Available for simple will preparation or consultation to active or retired employees. If you retain a lawyer within the network, you receive 25% off their services.
Beneficiary Financial Counseling
For beneficiaries of employees covered by the State Group Life Insurance program if they receive at least $25,000 in State Group Life Insurance benefits.
Legacy Planning Services Available to active or retired employees to work through end-of-life issues.
Affordable Care Act Non-Discrimination Notice
The UW System and the Department of Employee Trust Funds (ETF) comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex.
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Benefits Plan Resources• UW System Employee Benefits website:
• General Employee Information page
• ALEX landing page
• Benefit Summary - Quick Guide
• Benefit Summary
• Total Rewards Estimator
• View earnings, leave, tax statements and benefit information: MyUW System portal.
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Thank you for your participation!
82www.wisconsin.edu/ohrwd/benefits/download/newemp/faslppt20.pdf