2021 EMPLOYEE BENEFITS GUIDE - UNIVERSITY OF NEW ENGLAND
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TABLE OF CONTENTS What’s New and Changing .. 3 Welcome to Your 2021 UNE About Your Benefits.............. 6 Benefits Package Medical Benefits................... 7 UNE is committed to providing a competitive and comprehensive benefits package that provides you Vision Benefits...................... 11 with several options, enabling you to select the benefits that are best suited for you and your family. The Dental Benefits..................... 12 benefits package is designed to help you stay well, both physically and financially, and provide support and Flexible Spending financial protection if the need arises. Accounts.............................. 14 The benefits package includes group Medical, Dental, Disability Insurance............ 15 Vision, Life, and Disability insurance coverage. Health Savings Account funds, tax-advantaged Flexible Life and Accidental Death & Spending Accounts, and a 403(b) Retirement Plan are Dismemberment also offered. Insurance............................. 16 UNE provides a Wellness Program to all benefits- Wellness Program............... 17 eligible employees, offering opportunities for employees to learn, practice, and be rewarded for Health Advocate.................. 18 healthy habits. You also have access to Health Advocate, a free and confidential service designed to help you Employee Assistance navigate insurance issues. Program............................... 19 In an effort to support your personal circumstances, 403(b) Retirement a variety of voluntary insurance products are offered Plan...................................... 19 through payroll deductions. Details on each of these programs are outlined within this guide. Higher Education Benefits................................ 20 Paid Time Off....................... 21 Additional Benefits.............. 22 Important Contacts............. 23 For additional information please contact your Human Resources Department at (207) 602-2394 or email Human Resources at hr@une.edu. UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 2
WHAT’S NEW AND CHANGING FOR 2021 CHANGED: Medical The Basic and Enhanced Plan offerings remain the same. There are no plan design changes for these two offerings. Effective January 1, 2021, UNE will offer a Point of Service (POS) HDHP w/HSA. This will replace the PPO HDHP w/ HSA. A POS health plan requires you to select a primary care provider (PCP) and obtain a referral in order to see certain specialists. What is a POS plan? The Point of Service (or POS plan) still offers you flexible choices for your health care needs. You still have in and out of network benefits. You will now be required to select a Primary Care Physician (PCP) as part of the enrollment process. If you do not provide a PCP, Harvard Pilgrim will assign one to you and any dependents on your policy. Your PCP is the doctor, physician assistant or nurse practitioner who will see you for routine check-ups and treat you when you’re sick or injured. In the past you may have had a PCP, but it was not a requirement. You will receive a letter with the name of the provider that you have been assigned, but you will need to log in to your member account at www. harvardpilgrim.org once your coverage becomes effective to see who you were assigned and to make any changes. If you see an out-of-network provider, it’s possible that the provider will charge more than Harvard Pilgrim’s allowed amount for the care you received. In that case, you would be responsible for paying the difference between the provider’s charges and Harvard Pilgrim’s allowed amount; this is sometimes called “balance billing.” The balance you pay would not count toward your out-of-pocket maximum. This is not any different than it was under the prior plan. We just wanted to remind you of how seeking care out-of-network may impact you financially. When can I elect a PCP in the Harvard Pilgrim Portal? On January 1, 2021 you will be able to log into the Harvard Pilgrim Portal and select a PCP for you and your dependents. You are unable to take this step until January 1, 2021. It is important that you do it immediately on or after January 1, 2021. You may also contact Harvard Pilgrim’s member services team on or after January 1, 2021 at 888-333-4752. What if I do not elect a Primary Care Physician (PCP) or the auto assigned PCP does not reflect my actual PCP? If a claim is submitted and Harvard Pilgrim has a different PCP or no PCP listed in their system, the claim will not process appropriately. It could result in the claim being processed out-of-network and would result in you incurring higher costs. You are responsible for checking the accuracy of your PCP and your dependent’s PCP. How do I find the name of an in-network (or participating) provider? To find the names of in-network participating PCPs, use the provider look-up at www.harvardpilgrim.org. You can also call Harvard Pilgrim for help and to request a copy of the Provider Directory. The call and the directory are free. Why am I required to have a PCP? Under the POS HDHP w/HSA plan your PCP will deliver or arrange for your medical care. If you require care from a specialist a referral is required. You will need your PCP to provide a referral for you to seek care from the specialist. If you receive a referral from your PCP to see an in-network (participating) specialist you will typically have lower cost share (e.g., deductibles and coinsurance.) This is no different than what it was under the former plan, other than the requirement for the referral. If you receive a referral from your PCP to see an out-of-network (non-participating) specialist you will typically have higher cost sharing than in-network as you are subject to the out-of-network benefit schedule. This is no different than what it was under the former plan, other than the requirement for the referral. If you do not obtain a referral, you will be subject to the out-of-network benefits schedule. It is important to note that even if you see an in-network specialist and you did not get a referral, you are subject to the out-of-network benefit schedule. UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 3
WHAT’S NEW AND CHANGING FOR 2021 Am I required to have a PCP for a family member (like a college student) who lives outside the plans service area? If you or your family members (like college students) live outside of the plan’s service area, you are not required to have a PCP and you do not need referrals to see specialists. However, you should try to see a Harvard Pilgrim participating provider so you’ll have lower out-of-pocket costs. If you or your family members receive care from a non-participating provider, you will be covered at the out-of-network benefit level. Please note: the service area is Maine, New Hampshire, Massachusetts, Connecticut, Rhode Island and Vermont. Are there services that do not require a referral? Yes, the following services do not require a referral. However, if treatment is provided by an out-of-network provider, you will be subject to the out-of-network benefit schedule. • Acupuncture • Chiropractic Care • Annual Eye Exams • OB/GYN • Urgent Care What are the referral requirements for Mental Health Care? There are no referral requirements for this benefit. HOWEVER, the services could require an authorization/notification and therefore we recommend you should ALWAYS contact the Behavioral Health Access Center at 1-888-777-4742 for any mental health or substance use disorder treatment. For additional details about how Mental Health is covered please refer to the Summary Plan Document. It is also important to note that if you are seeking prior authorization from an out-of-network service provider, you as the member are responsible to call the Behavioral Health Access Center. If you are seeking services from an in-network provider, your PCP should contact the Behavioral Health Access Center. Do I need a referral for emergency care? In an emergency (e.g., heart attack, stroke, choking, seizure or loss of consciousness), go to the nearest emergency facility, or call 911 or another local emergency number. Once you are out of the hospital, please follow up with your PCP for any additional care you may need. If I am currently seeing a specialist will I need a referral for continued care? Yes, if you are currently seeing a specialist you will be required to obtain a referral from your PCP to continue to see this specialist. How and when do I obtain a referral from my PCP for continued care from my current specialist? You may request the referral now. You do not need to wait for the POS HDHP w/HSA effective date of January 1, 2021. We suggest doing this now so that there is no interruption to your care. You should contact your current PCP and ask that they provide a referral to your current specialist as your plan will be moving to a POS HDHP w/HSA platform effective January 1, 2021 and will require a referral. We recommend you follow-up with your PCP on or after January 1, 2021 to ensure your provider completed the referral. Have my health insurance premiums changed for January 1, 2021? Yes, effective January 1, 2021, the POS HDHP w/HSA contributions increased by 3% and the Basic and Enhanced plans increased by 5%. Please see page 10 of this booklet for the monthly premiums. CHANGED: Over-the-Counter Medicine Certain Over-the-Counter (OTC) coverage will be added to all plans (POS HDHP w/HSA, Basic, and Enhanced). These medications will be covered at the Tier 1 co-pay level when a doctor’s prescription is provided. UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 4
WHAT’S NEW AND CHANGING FOR 2021 CHANGED: Health Savings Account (HSA) Effective January 1, 2021, UNE will change the employer HSA contribution frequency. In the past we have contributed the employer contribution 2x per year. Effective January 1, 2021, we will begin making contributions on a per pay period basis, still contributing up to $2,600 annually. CHANGED: Medical Flexible Spending Account (FSA) The Flexible Medical Spending Account maximum has increased from $2,700 to $2,750 effective January 1, 2021. NEW: My Health Math (MHM) MHM is now offering an online platform, in addition to the phone consultations. Not everyone wants to talk to MHM on the phone, so Online Plus has been added. It’s a HIPAA compliant, easy-to-access online platform that allows you to enter your projected medical usage directly into the system. From there, you will receive a Comparative Savings Estimate identical to the one you would have received had you talked with a MHM analyst. Don’t worry, analysts will still be available if you change your mind and want to schedule a call with MHM! Phone consultations are available in English, French, and Somali. Additionally, MHM is implementing an incentive program. MHM will provide a $15 Amazon card to the first 100 UNE employees that complete a phone call or Online Plus submission between October 19, 2020 - November 11, 2020. NEW: Voluntary Benefits - Coming Soon Effective April 1, 2021, the University will be offering two great new voluntary benefits. Please watch for more information during the first quarter of 2021. NortonLifeLock This benefit offers protection for identity theft and for cyber theft. Covid-19 has impacted all employees and everyday things like shopping and banking online have become a bit more risky and imperative, making you more vulnerable to cybercriminals. LifeLock, a leader in identity theft protection, and Norton, a pioneer in consumer cybersecurity, are now one company. This innovative employee benefit plan will help protect your identity, personal information and connected devices from the myriad of threats you face in your digitally connected home and workplace. Watch for more information coming soon! Pet Insurance Our pets are a part of our families. Nearly 70% of households have pets and the cost for pet care has increased 68% over the last decade. We are very excited to announce we will be offering Voluntary Pet Insurance through Nationwide Insurance. Watch for more information coming soon! UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 5
ABOUT YOUR BENEFITS Eligibility Information COBRA: Continuing Coverage After Termination Benefits-eligible employees may elect Medical (with the associated vision) and/or Dental insurance Under most circumstances, you and your dependents coverage for yourself and your eligible dependents. may continue to participate in select benefit plans If you are a full time benefits-eligible employee through COBRA Insurance after you terminate you will automatically be enrolled in UNE’s Basic employment. You will be advised of your COBRA Life, AD&D, and Long Term Disability policies. rights if you experience a COBRA qualifying event. For All benefit-eligible employees have the option more information contact Group Dynamic at to purchase Supplemental Life and Short Term 207-781-8800. Disability. Children can be covered as dependents on your Medical, Dental and Vision plans until age 26 regardless of student status. Section 125 Plan Benefit A Section 125 Plan is an IRS-regulated benefit When Coverage Begins and Ends that allows an employee to make certain benefit contributions on a pre-tax, rather than an after-tax, Coverage for eligible new hires begins on the first basis. Such plans permit Medical, Health Savings of the month following the date of hire. If you enroll Account (HSA), Dental, Vision, and FSA contributions in benefits during UNE’s Open Enrollment period, by employees to be deducted from earnings before coverage will begin on January 1st. Coverage for taxes are calculated. Employees who are eligible and Medical, Dental, and Vision benefits end on the participate in UNE’s plans will automatically receive last day of the month following termination from this benefit. UNE. All other benefits end on your last day of employment. Making Changes During the Year Generally, you can only change your benefit elections during the Open Enrollment period, unless you experience a qualified life event such as marriage, divorce, birth or adoption, or a change in your or your spouse’s employment status that affects benefits eligibility. You must notify HR within 30 days of a qualified life event. UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 6
MEDICAL BENEFITS Think Healthy. Live Well. There’s nothing more valuable than your good health! UNE offers a choice of medical plans that are designed to help you and your family stay healthy and to provide comprehensive coverage when you need it. Harvard Pilgrim Medical Plans UNE offers a choice of three medical plans through Harvard Pilgrim Health Care. If you are enrolled in the medical plan, vision will be provided by Guardian. Basic More information about Harvard Pilgrim, including a list of in-network participating providers, may be Employee coinsurance is 20% after $500 obtained by visiting the Harvard Pilgrim webpage individual/$1,000 family deductible has been met. (www.HarvardPilgrim.org). Under this plan, office visits require you to pay a $25 co-payment when you see your in-network Primary Care Physician or $50 for an in-network specialist. Some provider services may be subject to a plan deductible. Highlights of the Harvard Pilgrim medical plans No referral requirement for specialist care. Prescription include: drugs require a co-payment. One co-payment is required when you obtain a 30-day supply of prescription drugs. • In-Network Preventive Care services covered Two co-payments are required for 31 to 90 day supply 100% for both retail and mail order prescription drugs. The • Access to a Harvard Pilgrim Customer Service co-payment for prescriptions is $15 for generic drugs, Representative via toll free number $30 for preferred name brand drugs, and $50 for non- • Online access to view your personal claim preferred name brand drugs. history, account transactions, plan coverage, claim forms, and more • Cost and quality provider directory to help you Enhanced compare doctors and medical procedures to control your health care spending $500 individual/$1,000 family deductible and 0% (zero) • Emergency and Urgent Care when you need it employee coinsurance once deductible has been met. anywhere worldwide Under this plan, office visits require you to pay a $20 • 24-hour online urgent care through your plan co-payment when you see your in-network Primary Care with copay Physician or $40 for an in-network specialist. No referral requirement for specialist care. Some provider services may be subject to a plan deductible. Prescription drugs require a co-payment. One co-payment is required when you obtain a 30-day supply of prescription drugs. Two co-payments are required for 31 to 90 day supply for both retail and mail order prescription drugs. The co-payment for prescriptions is $10 for generic drugs, $20 for preferred name brand drugs, and $35 for non- preferred name brand drugs. UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 7
POS High Deductible Health Plan with Health Savings Account (HSA) The POS HDHP w/HSA health plan requires you to select a Primary Care Provider (PCP) 10% in-network, 30% out-of-network employee coinsurance; and obtain a referral in order to see certain $2,800/$5,600 deductible. Under this plan, all covered medical specialists. The following services do NOT and prescription drug expenses accumulate toward the require a referral: deductible. Specified preventive prescription drugs are covered in full. • Acupuncture • Chiropractic Care The High Deductible Health Plan associated with the Health • Annual Eye Exam Savings Account (HSA) is a Point of Service Plan offering you • OB/GYN flexibility for your health care needs. If you require care from • Urgent Care a specialist, a referral from your PCP is required. If a referral is not acquired, your benefit level will be at the out-of-network PLEASE NOTE: If you are seeking Mental Health benefit level. For eligible participating employees in 2021, UNE Care, you should ALWAYS contact the Behavioral will provide the employer HSA contribution on a per pay period Health Access Center at 1-888-777-4742. basis. UNE will continue to contribute up to $2,600 annually to an eligible participating employee’s HSA account. • If electing the high deductible health plan with a health savings account, please be aware that through the Patriots Act you may be chosen to verify some of your personal information. You will receive a letter in the mail from Benefit Wallet informing you of what is needed to establish your health savings account. Please act promptly. Failure to fully open/complete your health savings account by February 28th of the following calendar year will cause you to forego any UNE employer contributions to your health savings account, as well as any future UNE employer contributions until you take the necessary steps to establish your health savings account. You may contact Benefit Wallet with any questions regarding this verification process by calling them at 877-472- 4200. • If you do not open your health savings account and terminate employment prior to doing so, you will forfeit all UNE employer contributions to your health savings account. • Important reminder: IRS regulations do not allow for health savings account funds to be used for eligible expenses that are inccured prior to one’s health savings account being successfully opened. In addition to the deposits made by UNE associated with your health coverage, you can also contribute your own pre- tax funds into this plan, and you can change your contribution amount at any time during the year. Under IRS rules, the maximum that can be deposited into your HSA in 2021 is $3,600 if you have employee only coverage or $7,200 if you have family coverage. Employees who are at least 55 years of age at any point in 2021 can deposit an additional $1,000. These totals include money from all sources, which means the deposits UNE makes to your account accumulate toward the maximums. If you have a health savings account, you cannot have other coverage, including Medicare Part A. The many benefits to maintaining a Health Savings Account include: HSA AUTOMATIC ACCOUNT OPENING • Control − You can use the HSA to pay for any qualified medical expenses. If you elect the qualified POS High • Flexibility − Your HSA dollars can pay for items Deductible Health Plan (HDHP)/Health identified under your health insurance plan, but also Savings Account (HSA) option through UNE’s can encompass a broader definition as defined by the Internal Revenue Code Section 125 Cafeteria IRS which includes dental, vision, orthodontia, and Plan, UNE will provide BenefitWallet (BW) more. with data and information requested by BW • Portability − You can take your HSA funds with you; the and reasonably needed by BW in order to account belongs to you. open your BW HSA, including accepting the • Tax Savings − Your contributions to the HSA are made BW HSA terms and conditions and rate and with pre-tax dollars. fee schedule on your behalf and agreeing • Not Subject to “Use-it-or-lose-it” − Balances roll from to receive account statements and other year to year, so you don’t need a crystal ball to forecast account documents electronically. medical expenses in the next year. UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 8
Medical Plans At-a-Glance Basic Enhanced POS HDHP w/HSA Out-of- Out-of- Out-of- Coverage In-Network In-Network In-Network Network Network Network Annual Deductible $500 Individual $500 Individual $2,800 Individual $1,000 Family $1,000 Family $5,600 Family Annual Out-of- $3,500 Individual $3,000 Individual $3,000 Individual $6,000 Pocket Maximum $7,000 Family $6,000 Family $6,000 Family Individual $12,000 Family Lifetime Maximum Unlimited Unlimited Unlimited Unlimited Unlimited Unlimited Preventive Services No Charge Deductible No Charge Deductible No Charge Deductible then 40% then 20% then 30% Routine No Charge Deductible No Charge Deductible No Charge Deductible Mammograms then 40% then 20% then 30% Primary Care Visit $25 Copay Deductible $20 Copay Deductible Deductible then Deductible then 40% then 20% 10% then 30% Specialist Visit* $50 Copay Deductible $40 Copay Deductible Deductible then Deductible then 40% then 20% 10% then 30% Chiropractic $25 Copay Deductible $20 Copay Deductible Deductible then Deductible Services then 40% then 20% 10% then 30% Outpatient Services Deductible then Deductible Deductible Deductible Deductible then Deductible (Diagnostic/X-ray/ 20% then 40% only then 20% 10% then 30% Lab Services) Outpatient Deductible then Deductible Deductible Deductible Deductible then Deductible Complex Services 20% then 40% only then 20% 10% then 30% (MRI, CAT, PET Scans, etc.) Inpatient Hospital Deductible then Deductible Deductible Deductible Deductible then Deductible Services 20% then 40% only then 20% 10% then 30% Outpatient Surgery Deductible then Deductible Deductible Deductible Deductible then Deductible 20% then 40% only then 20% 10% then 30% Emergency Room $150 then $150 then $100 then $100 then Deductible then Deductible (waived if admitted) deductible deductible deductible deductible 10% then 10% Outpatient Mental $25 Copay Deductible $20 Copay Deductible Deductible then Deductible Health Benefits then 40% then 20% 10% then 30% Inpatient Mental Deductible then Deductible Deductible Deductible Deductible then Deductible Health Benefits 20% then 40% only then 20% 10% then 30% Pharmacy Benefit Retail Retail Retail Retail Retail / Mail Not Covered $15/$30/$50 $15/$30/$50 $10/$20/$35 $10/$20/$35 Order Mail Order Mail Order Mail Order Mail Order Preventive Drugs $30/$60/$100 $30/$60/$100 $20/$40/$70 $20/$40/$70 No Charge All other drugs deductible then covered in full *The POS HDHP w/HSA health plan now requires you to have a referral to see certain specialists. However, you do not need a referral for apuncture, chiropractic care, annual eye exams, OB/GYN, and urgent care. UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 9
Monthly Medical Plan Premium Contributions Monthly Cost for 12 Month Faculty/Professional Staff Full Time 12 Month Paid Half Time 12 Month Paid HDHP w/ HDHP w/ Basic Enhanced Basic Enhanced HSA HSA Single Person Coverage $92.40 $233.02 $64.34 $137.80 $516.16 $101.86 One parent & Child/ren $231.24 $395.22 $159.16 $697.24 $942.02 $547.66 Coverage Two Adult Coverage $408.74 $633.04 $310.48 $971.62 $1,272.46 $778.76 Family Coverage $418.08 $710.66 $331.94 $1,071.64 $1,428.02 $876.18 Monthly Cost for 11 Month Faculty/Professional Staff Full Time 11 Month Paid Half Time 11 Month Paid HDHP w/ HDHP w/ Basic Enhanced Basic Enhanced HSA HSA Single Person Coverage $100.80 $254.20 $70.18 $150.34 $563.08 $111.14 One parent & Child/ren $252.26 $431.16 $173.62 $760.62 $1,027.66 $597.44 Coverage Two Adult Coverage $445.90 $690.58 $338.70 $1,059.96 $1,388.12 $849.56 Family Coverage $456.10 $775.26 $362.12 $1,169.04 $1,557.84 $955.84 Monthly Cost for 10 Month Faculty/Professional Staff Full Time 10 Month Paid Half Time 10 Month Paid HDHP w/ HDHP w/ Basic Enhanced Basic Enhanced HSA HSA Single Person Coverage $110.88 $279.62 $77.20 $165.36 $619.40 $122.24 One parent & Child/ren $277.48 $474.26 $190.98 $836.68 $1,130.44 $657.18 Coverage Two Adult Coverage $490.50 $759.66 $372.58 $1,165.96 $1,526.96 $934.52 Family Coverage $501.72 $852.78 $398.34 $1,285.96 $1,713.62 $1,051.42 Monthly Cost for 9 Month Faculty/Professional Staff Full Time 9 Month Paid Half Time 9 Month Paid HDHP w/ HDHP w/ Basic Enhanced Basic Enhanced HSA HSA Single Person Coverage $123.20 $310.70 $85.78 $183.72 $688.22 $135.82 One parent & Child/ren $308.30 $526.96 $212.20 $929.64 $1,256.04 $730.20 Coverage Two Adult Coverage $545.00 $844.06 $413.98 $1,295.52 $1,696.62 $1,038.34 Family Coverage $557.44 $947.54 $442.60 $1,428.84 $1,904.02 $1,168.24 UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 10
VISION BENEFITS If you elect medical coverage, vision benefits are provided to you through Guardian Insurance Company. The VSP Full Feature Plan provides care for a routine eye exam annually including but not limited to eye health examination, dilation, refraction and hardware coverage for lenses, frames or contacts. The Basic and Enhanced In-Network Plans and the POS HDHP w/HSA Plan include medical eye care coverage only for treatment of eye conditions. Go to www.guardiananytime.com and search for a provider in the Guardian network. VSP Full Feature Plan Coverage In-Network (Copay) Out-of-Network (Before Copay) Exam Copay $25 $39 max Exam Allowance (one per frequency, Calendar Year no age limit) Base Lenses: (Every other calendar year) Single Vision $25 $23 max Allowance Bifocal Allowance $25 $37 max Trifocal Allowance $25 $49 max Lenticular $25 $64 max Frame Retail Allowance (every $130 retail max + 20% off balance $46 max other year) Contact Lenses Benefits (In lieu of eyeglass lenses and/or frames Medically Necessary $25 $210 max Elective Materials $130 max (copay waived) $100 max (copay waived) Elective Fitting and Included in the Contact Lens Allowance. Included in the Contact Lens Allowance. Evaluation 15% discount on fee. UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 11
DENTAL BENEFITS You have the ability to purchase dental insurance benefits on a pre-tax basis. UNE provides the option to choose between two dental plans through Northeast Delta Dental so that you can elect a plan that works best for you and your family. More information about Delta Dental, including a list of in-network participating providers, may be obtained by visiting the Delta Dental webpage (www.nedelta.com). Northeast Delta Dental Basic Northeast Delta Dental Option* Enhanced Option* Annual Deductible $25 / $75 Deductible Per Person/ $25 / $75 Deductible Per Person/ Family Per Calendar Year Family Per Calendar Year Deductible applies to Basic Deductible applies to Basic Restorative and Major Restorative Restorative and Major Restorative Services Services Annual Benefit Maximum $1,000 Calendar Year Maximum $1,500 Calendar Year Maximum Diagnostic & Prevention Deductible Waived Deductible Waived Services Plan pays 80% Plan pays 100% Basic Restorative Services Deductible then plan pays 50% Deductible then plan pays 80% Major Restorative Services Deductible then plan pays 50% Deductible then plan pays 50% * The cost share for these services is based on your use of a Delta Dental in-network participating provider. If you visit an out of network dentist, you may be required to submit your own claim and pay for services at the time they are provided. Payment to out of network dentists will be limited to the lesser of the dentist’s actual submitted charge or Delta Dental’s allowance for out of network dentists in the geographic area in which services are provided. Monthly Dental Plan Contributions Monthly Dental Cost for 12 Month Faculty/Professional Staff Full Time 12 Month Paid Half Time 12 Month Paid Northeast Delta Northeast Delta Northeast Delta Northeast Delta Dental Enhanced Dental Basic Dental Enhanced Dental Basic Option Option Option Option Single Person Coverage $4.70 $19.14 $16.32 $30.76 One parent & Child/ren $28.54 $54.06 $40.16 $65.70 Coverage Two Adult Coverage $46.92 $81.00 $58.56 $92.62 Family Coverage $56.42 $97.30 $64.66 $108.94 UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 12
Monthly Dental Cost for 11 Month Faculty/Professional Staff Full Time 11 Month Paid Half Time 11 Month Paid Northeast Delta Northeast Delta Northeast Delta Northeast Delta Dental Enhanced Dental Basic Dental Enhanced Dental Basic Option Option Option Option Single Person Coverage $5.12 $20.90 $17.82 $33.56 One parent & Child/ren $31.16 $59.02 $43.82 $71.70 Coverage Two Adult Coverage $51.22 $88.34 $63.86 $101.04 Family Coverage $61.54 $106.16 $70.52 $118.82 Monthly Dental Cost for 10 Month Faculty/Professional Staff Full Time 10 Month Paid Half Time 10 Month Paid Northeast Delta Northeast Delta Northeast Delta Northeast Delta Dental Enhanced Dental Basic Dental Enhanced Dental Basic Option Option Option Option Single Person Coverage $5.64 $22.94 $19.60 $36.90 One parent & Child/ren $34.24 $64.90 $48.16 $78.84 Coverage Two Adult Coverage $56.32 $97.20 $70.24 $111.14 Family Coverage $67.68 $116.78 $77.60 $130.72 Monthly Dental Cost for 9 Month Faculty/Professional Staff Full Time 9 Month Paid Half Time 9 Month Paid Northeast Delta Northeast Delta Northeast Delta Northeast Delta Dental Enhanced Dental Basic Dental Enhanced Dental Basic Option Option Option Option Single Person Coverage $6.22 $25.48 $21.76 $41.00 One parent & Child/ren $38.08 $72.12 $53.54 $87.60 Coverage Two Adult Coverage $62.58 $108.04 $78.08 $123.50 Family Coverage $75.20 $129.72 $86.18 $145.22 UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 13
FLEXIBLE SPENDING ACCOUNTS (FSAs) A Smart Way to Save. With a Flexible Spending Account (FSA), you can set aside pre- tax dollars through payroll deductions to pay for certain health care and dependent care expenses. Plus, you can reduce your tax obligations. Lower Your Taxes with FSAs FSA Decision Guidelines Each year during Open Enrollment, benefits- Before participating in an FSA, ask yourself eligible employees have the option of enrolling in questions such as: one or both of the following: • How much were my out-of-pocket health care • Health Care FSA – You can contribute and dependent care expenses last year? between $250 - $2,750 per year to pay for • Do I expect to pay for some health care costs eligible out-of-pocket health care expenses. that are not totally covered by my benefits? • Dependent Care FSA – You can contribute between $250 - $5,000 per year to pay Please note that you cannot elect a medical FSA if for eligible out-of-pocket dependent care you are on the medical POS HDHP/HSA plan. expenses. Typically available for dependent children up through age 12. End result: You pay less tax on a smaller amount of “GRACE PERIOD” income and get to keep more take-home pay! Regulations allow employers who sponsor How FSAs Work FSAs the opportunity to add an extension of time at the end of the plan year during which Your contributions will be deducted from your employees may incur eligible expenses and paychecks in equal amounts during the plan year. be reimbursed from their FSA funds. This extension of time is called a “grace period.” The As you pay for eligible expenses out of your own University of New England has chosen to add pocket, you are reimbursed from your account(s). a 2.5 month “grace period” to the 2021 plan year. Money can’t be transferred between accounts for expense reimbursements. The “grace period” allows you the opportunity to spend your 2021 Medical/Dependent Care You can’t stop or change your FSA contributions Flexible Spending Account funds up until during the plan year unless you have a qualified March 15, 2022. You have until May 30, 2022 life event. You must re-enroll in any FSA each year to submit any claims incurred during the plan during the annual Open Enrollment period. Per year or during the “grace period.” IRS Regulations, funds not spent by the end of the grace period will be forfeited. If you terminate employment at UNE during 2021, you have until May 30, 2022 to submit For more detailed information about eligible for reimbursement. You may only submit expenses, please check the Flexible Spending for expenses incurred up through your Account website at www.groupdynamic.com or termination date (unless you elect COBRA for call the number listed on back cover. your FSA). UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 14
DISABILITY INSURANCE Disability insurance can provide a sense of security, knowing that if the unexpected should happen, you can still provide for yourself and your family. The Standard is UNE’s Life and Disability carrier. Short Term Disability (STD) Insurance The Standard offers employees the ability to file a claim with one phone call. Short Term Disability provides income when benefits-eligible employees are absent from Long Term Disability (LTD) Insurance work due to a non-occupational illness, injury, or pregnancy related disability. When disabled, Full time benefits-eligible employees will be benefits typically begin following a 14-day automatically enrolled in Long Term Disability on elimination period. The STD benefit replaces a the first day of the month following their date of portion of your weekly income, providing funds hire. directly to you. The premium cost for this benefit is paid by the employee on a post-tax basis. In the This benefit assures eligible employees 50% of event of disability, you will not be taxed on any STD their income ($7,500/month maximum) in the benefit payments. event that they are disabled for more than 180 days up to the normal Social Security retirement STD coverage is available in $50 increments up to a age based upon the Benefit Table in the Long Term maximum of 70% of your predictable earnings, with Disability Summary Plan Document. a maximum weekly benefit of $750. The maximum benefit period is 180 days. The premium cost for this benefit is paid by the employee on a post-tax basis. However, UNE Short Term Disability rates are calculated based on provides the employee with income to cover this age in increments of 5 years. The bracket is based on premium cost. Therefore, UNE actually provides your age as of January 1 each plan year. If you have this coverage to full time employees at virtually no entered into a new age bracket due to a birthday, cost. In the event of disability, you will not be taxed your premiums will automatically increase. on any LTD benefit payments. Employee’s Age as of Monthly Cost per $10 of 1/1/21: benefit: Under 30 $0.533 30-34 $0.533 35-39 $0.533 40-44 $0.533 45-49 $0.504 50-54 $0.582 55-59 $0.698 60-64 $0.843 65-69 $0.989 70+ $1.290 IMPORTANT: If you sign up for Short Term Disability for the first time during Open Enrollment and you become disabled during the first 12 months due to physical disease, mental disorder, or pregnancy, you will have a 60 day elimination period (instead of the regular 14 day elimination period if you sign up during your date of hire). UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 15
LIFE AND ACCIDENTAL DEATH & DISMEMBERMENT INSURANCE Life is constantly changing. UNE knows Life Insurance Rates how important it is to make sure you have Employee’s Age as of Monthly Cost per $1,000: enough Iife insurance to protect the ones 1/1/21: you love. Under 30 $0.048 30-34 $0.056 Life Insurance 35-39 $0.056 If you are a full time benefits-eligible employee, UNE 40-44 $0.096 will automatically provide Group Life Insurance 45-49 $0.140 coverage (which includes Accidental Death & 50-54 $0.220 Dismemberment coverage) to you at no cost through 55-59 $0.420 The Standard. Coverage is equivalent to one times annual base salary, rounded to the next higher $1,000. 60-64 $0.656 UNE also provides a $2.50 monthly credit to use to 65-69 $1.008 purchase additional life insurance, pay toward other 70+ $2.050 benefits, or take in cash. The maximum coverage amount is $300,000 and the minimum is $20,000. EXAMPLE: If your annual salary is $20,000 and you are 36 years old, and you wish to purchase your salary Half time employees do not receive the annual base equivalent in life insurance, you would buy $20,000 in life salary core coverage or the $2.50 per month credit. insurance at $0.056 per thousand per month, or $1.12 However, half time employees may purchase basic life per month. If you want twice your salary equivalent in insurance in multiples of 1-4 times their annual salary. insurance, you would need to buy $40,000 at $0.056 per thousand, or $2.24. Voluntary Life Insurance IMPORTANT: The maximum total life insurance you may purchase is four times your salary, up to $500,000. UNE offers additional Life Insurance to be purchased You may purchase $350,000 of this coverage with no through The Standard. You may purchase this in evidence of insurability necessary. Amounts in excess increments of 1, 2, 3, or 4 times your annual salary, of $350,000 will require that you answer questions up to $350,000 with no evidence of insurability about your health history. You will need to go through necessary. For example: the Evidence of Insurability process. This process will Full Time UNE Total determine if your election is approved by The Standard. Employee Purchased Provided = Coverage Contact HR or The Standard for this form. It is also located on the UNE Human Resources website. Failure to 1 x Annual Salary + 1 x Annual Salary = 2 x Annual go through the EOI process may affect your benefit. Salary 2 x Annual Salary + 1 x Annual Salary = 3 x Annual * Life Insurance benefits and associated premiums are reduced by 50% Salary after you reach age 70. Consider this change during Open Enrollment Half Time Total so you can make sure you have appropriate coverage for when you Employee Purchased = Coverage reach age 70. 1 x Annual Salary = 1 x Annual Salary Accidental Death & 2 x Annual Salary = 2 x Annual Salary Dismemberment Insurance If you are a full time benefits-eligible employee, UNE will Life insurance rates are calculated based on age in automatically provide Group Life Insurance coverage increments of 5 years. The bracket is based on your which includes Accidental Death & Dismemberment age as of January 1 each year. If you have entered into coverage to you at no cost through The Standard. a new age bracket due to a birthday, your premiums Coverage is equivalent to one times annual base salary, will automatically increase. rounded to the next higher $1,000. UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 16
WELLNESS PROGRAM A strong organization cannot exist without healthy employees. The choices we make in our everyday Iives can help lead us to being healthier and happier. UNE offers a comprehensive wellness program as part of our overall benefit package. Our Wellness Program is open to all benefits- eligible employees and offers a variety of tools to support a healthy lifestyle and encourage employees to be physically and mentally healthy and happy! Wellness Rewards Program Benefits-eligible employees may participate in the Wellness Rewards Program . This program is offered to assist in rewarding employees for taking positive preventive measures over their health. You have the ability to earn points that can be redeemed in the form of a gift card if you take certain preventive measures such as having an annual exam, completing a biometric screening, completing an online health assessment, and much more. Please visit the Human Resources website for more information. Recreation Center Eligible University employees have access, at no cost, to the University’s athletic complex (weight training, swimming pool, indoor running track, gymnasium, etc). Guests may access UNE Recreation Centers at no cost on Friday evening, Saturday, and Sunday, when accompanied by the employee. UNE provides other wellness opportunities throughout the year, including yoga, Zumba, Wellness Fairs, an annual Fun Run/Walk, and much more. Please visit the Human Resources website for more information. UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 17
HEALTH ADVOCATE Health Advocate is the nation’s leading healthcare advocacy and assistance company. Their comprehensive service helps members deal with clinical, insurance, and administrative issues involving medical, hospital, dental, pharmacy, and other healthcare. Their goal is to help members obtain the most from their healthcare experience. Health Advocate is a service provided by UNE at no How Health Advocate Helps cost to you. This service is available to all benefits- eligible employees and your eligible family members. • Find qualified doctors, dentists, hospitals, and With this service you have confidential, unlimited other healthcare providers anywhere in the access to a Personal Health Advocate who can help country. you resolve healthcare and insurance related issues • Expedite appointments including those with through a single toll free number. hard-to-reach specialists. • Arrange for specialized treatments and tests. The Health Advocate service is centered on a team • Provide comparative health cost estimates. of Personal Health Advocates, typically registered • Help resolve insurance claims. nurses, supported by medical directors and benefits • Negotiate billing and payment arrangements. and claims specialists. The highly personalized • Assist with eldercare such as finding adult services range from addressing a host of healthcare daycare, assisted living and other related and insurance-related issues to providing one-on- issues facing parents and parents-in-law. one support for improving health and well-being. • Work with insurance companies to obtain Coverage extends to the employee, spouse or appropriate approvals for needed services. domestic partner, dependent children, parents, and • Obtain unbiased health information about parents-in-law. complex medical conditions to help make informed decisions. • Answer questions about test results, treatments, and medication prescribed by the physician. • Assist in the transfer of medical records, x-rays, and lab results. • Locate and research the newest treatments for a medical condition. • Explain benefits and help facilitate access to appropriate care. • To access Health Advocate 24 hours a day call 866-695-8622 or visit www.healthadvocate. com/une. UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 18
403(b) RETIREMENT UNE’s 403(b) Retirement Savings Plan is designed to help you prepare for a secure financial future. UNE provides 403(b) pre-tax and post-tax retirement savings plan opportunities for full time and half time benefit-eligible employees upon enrollment. Employees can elect to contribute in any combination of the pre-tax and post-tax savings options up to the IRS annual contribution limits. UNE will match actively contributing participants on a dollar for dollar basis up to 8% of the employee’s pre-tax salary deferral. UNE will not match participant post-tax contributions (referred to as a Roth). Employees select their 403(b) retirement plan investment funds directly through Fidelity Investments. Fidelity Investments’ representatives and their online retirement planning tools can assist with your retirement planning decisions. EMPLOYEE ASSISTANCE PROGRAM Life is unpredictable. To help you and your household members cope with everyday life, work challenges, stress, family problems, and other personal issues, an Employee Assistance Program (EAP) is available 24 hours a day, seven days a week through Cigna. This service is completely confidential and is available to all employees and their household members. Enrollment is automatic for all employees and UNE pays the full cost for this coverage. Benefits include confidential access to the following: • Face-to-face counseling sessions: 5 face-to-face counseling sessions with a counselor in your area. • Legal assistance: 30-minute consultation with an attorney face-to-face or by phone. • Financial: 30-minute telephone consultation with a qualified specialist on topics such as debt counseling or planning for retirement. • Parenting: Resources and referrals for childcare providers, before and after school programs, camps, adoption organizations, child development, prenatal care and more. • Eldercare: Resources and referrals for home health agencies, assisted living facilities, social and recreational programs, and long-distance caregiving. • Pet care: Resources and referrals for pet sitting, obedience training, veterinarians, and pet stores. • Identity theft: 60-minute consultation with a fraud resolution specialist. To access these services, you can call 877-622-4327 or log in to mycigna.com (employer ID: une). UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 19
HIGHER EDUCATION BENEFITS UNE offers employees opportunities for educational enrichment and career development. In addition to your own personal development, your dependents can apply to participate in several higher education tuition benefits offered by the University. Tuition Grant in Aid UNE Blue Scholar Program Employees After an employee has reached at least ten years of continuous and uninterrupted full time service, their Benefits-eligible employees may take courses at UNE dependents may apply for the UNE Blue Scholar at a discount. Undergraduate courses are $50 per Program. This program awards between $10,000 course and graduate courses are $100 per course. and $25,000 (depending on years of service), and can Full time employees are limited to 2 courses per be used towards the direct billed cost of attendance semester; half time employees may take 1 course per at any regionally accredited institution. semester. Council of Independent Colleges Employee’s Dependents Dependent children of full time UNE employees who Children have completed at least one year of uninterrupted Regular full time employee’s dependents may take full time service are eligible to apply to attend course work at a discount for undergraduate course any of the 300+ private independent colleges work in non-enrollment capped programs for their (participating in the Council of Independent Colleges dependent child(ren) or stepchild(ren) (to age Program) tuition free. Employees must continue to 24). After merit aid is awarded (if applicable) the be employed full time by UNE for the full duration of remaining balance of tuition will be discounted by the CIC period in order for the benefits to continue. 20% for each year of continuous uninterrupted full Visit the CIC Web Page (www.cic.edu) for a list of time service. The chart below illustrates the tuition participating CIC-TEP institutions. discount based on continuous years of service: Tuition Exchange Program Tuition Grant in Aid Discount Percentage 1 Year 20% This program is available to regular full time UNE 2 Years 40% employees who have completed at least fifteen years of uninterrupted full time service (or its equivalent) 3 Years 60% with the University by their date of application. 4 Years 80% Employees must continue to be employed full time 5 Years 100% by UNE for the full duration of the tuition exchange period in order for the benefits to continue. Visit Spouses and Domestic Partners the Tuition Exchange Program Web Page (www. Spouses and domestic partners of regular full time tuitionexchange.org) for a list of participating employees employed for at least one year may take colleges. one course per semester (not to exceed four credits per semester) at a discount. Non-enrollment capped Please refer to the Personnel Handbook for more undergraduate courses are $100 per course and detailed information. non-enrollment capped graduate courses are $200 per course. UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 20
PAID TIME OFF Holiday Pay The University provides its employees at least twelve paid holidays per year. When a holiday falls on a Saturday or Sunday, it is generally observed on the preceding Friday or the following Monday. All benefits-eligible employees (except 9 and 10 month faculty) are eligible for paid University holidays. In recognition that people celebrate different holidays, benefits-eligible employees will earn a maximum of Vacation Leave two floating holidays per year (earning dates October The number of vacation days you earn depends on your 1 and March 1). position: • Regular, full time salaried non-faculty personnel The usual and customary University holidays are as and regular full time 12-month faculty members follows (recognized on Mondays through Fridays): earn 20 days (160 hours) of vacation leave per year. New Year’s Eve Thanksgiving Day • Regular, full time hourly personnel working 12 months per year earn: New Year’s Day Day after Thanksgiving • 10 days (80 hours) for each of the first three Martin Lurther King Jr. Day Christmas Eve years of continuous service Memorial Day Christmas Day • 15 days (120 hours) for the fourth and fifth years of continuous service Independence Day (2) Floating Holidays • 20 days (160 hours) per year after the Labor Day completion of the fifth year of continuous service. • Regular, full time hourly or salaried non-faculty Personal Time Off personnel working 9, 10 or 11 months per year earn 9/12ths, 10/12ths or 11/12ths, respectively, of the Personal Leave leave time earned by 12-month employees. • Regular, half time non-faculty employees working All full time benefits-eligible employees earn 8 at least nine months per year earn half the vacation hours of personal leave upon attaining one year of time earned by full time employees working the continuous service, and 8 hours per year thereafter on same number of months. their employment anniversary date of hire. Half time • First year vacation is pro-rated on your date of hire. benefits-eligible employees earn 4 hours per year in the same manner. Personal leave must be used within There is no carryover of vacation leave. It must be used the anniversary year following posting. by May 31 each year, or it will be forfeited. Sick Leave Summer Voluntary Unpaid Personal Time Off All full time benefits-eligible employees earn 8 hours For the months of June, July, and August regular full time of sick leave for each completed calendar month of and half time salaried and hourly employees may request service. Half time benefits-eligible employees earn 4 personal time off without pay. Hourly employees can request time off in hourly increments only, and salaried hours for each completed calendar month of service. employees can request time off in full day increments The maximum sick leave accumulation is 1,040 hours only. Department approval is required to ensure that for full time employees and 520 hours for half time productivity continues without interruption. employees. UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 21
ADDITIONAL BENEFITS Colonial Life Voluntary Benefits Additional Discount Programs Colonial Life benefits are available through payroll Area businesses welcome the patronage of UNE deduction. These policies can be selected to fit your faculty and professional staff. Please note that while specific needs and budget. we are happy to pass along the information provided to us by these businesses, incentive programs may The Colonial Life voluntary benefits provides choices change without our knowledge. UNE does not to suit your specific needs for you and your family recommend or endorse the services or products of any members. You may select from: business, but encourages all faculty and professional staff to be educated consumers. • Life Insurance: Term, Whole, Universal (optional LTC Rider) To view a list of discounts available to you, such as cell • Accident Insurance that pays specific benefit phone services, ski lift tickets, hotel reservations, local amounts for injuries received in a covered restaurants, and more, along with information about accident, for as little as $8.96 per pay period how to access or find out more about these offerings, for employee coverage, or $16.31 for family. visit www.une.edu/employee-discounts. (Optional Disability Income Replacement Rider for your spouse.) • Cancer Insurance that pays specific benefit amounts for the detection and treatment of cancer, for as little as $5.75 per pay period for employee coverage, or $9.75 for family. • Critical Illness Insurance that pays a lump sum benefit upon diagnosis of a covered specified illness such as heart attack, stroke, end stage renal kidney failure, and more. Premium for a sample $5,000 policy is $1.70 per pay period for someone age 24, $2.20 for age 34, $3.38 for age 44, $5.50 for age 54, $8.40 for age 64. Higher coverage amounts are available. Premium does not increase with age after enrollment. Benefits are paid directly to you, regardless of any other insurance you have. Policies are fully portable when you change jobs or retire. To learn more or enroll in the Colonial Benefits, please contact Debbie Sullivan at 207-415-1012 or by email at debbie@betterbenefitsme.com. She is a Colonial Benefits Representative and is available for one-on- one virtual meetings. UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 22
IMPORTANT CONTACTS Please contact the individual company/provider listed here to learn more about a specific benefit plan. We also invite you to contact your Human Resources Department at 207-602-2394. When You Have Contact Phone Number Website/Email Questions About Benefits & UNE Human Resources 207-602-2394 hr@une.edu Enrollment Department Questions Health Harvard Pilgrim 888-333-4752 www.HarvardPilgrim.org Member Services Vision Guardian Customer 800-877-7195 www.guardiananytime.com Service Dental Delta Dental Customer 800-832-5700 www.nedelta.com Service Flexible Group Dynamic 207-781-8800 www.gdynamic.com Spending email: claims@gdynamic.com Account (FSA) 403(b) Fidelity 800-343-0860 https://nb.fidelity.com/public/nb/une/ Retirement Plan home COBRA Group Dynamic 207-781-8800 www.gdynamic.com email: cobra@gdynamic.com Employee Cigna EAP Member 877-622-4327 www.myCigna.com Assistance Services Program (EAP) Health Advocate Health Advocate 866-695-8622 healthadvocate.com/members email: answers@healthadvocate.com Life/AD&D The Standard 800-628-8600 www.standard.com email: lifebenefits@standard.com Long Term The Standard 800-368-1135 www.standard.com Disability Short Term The Standard 800-368-2859 www.standard.com Disability Voluntary Colonial Life 207-828-8016 www.coloniallife.com Benefits Summary Plan Descriptions can be found at https://www.une.edu/hr/benefits. The various insurance plans are listed, and the SPD’s can be found within each link. If you wish to have a printed copy please contact Human Resources and we would be happy to provide this at no cost. Consult the various plan documents and/or Personnel Handbook to determine full eligibility and details of the various benefits noted throughout this Benefits Guide. UNIVERSITY OF NEW ENGLAND EMPLOYEE BENEFITS PAGE 23
383 US Route One | Suite 1E, Box 5 Scarborough, ME 04074 (207) 883-8229 www.varneybenefits.com Updated October 15, 2020
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