2022-2023 May 1 - May 31, 2022 - Open Enrollment Dates: employee benefits & open enrollment information

Page created by Charlie Larson
 
CONTINUE READING
2022-2023 May 1 - May 31, 2022 - Open Enrollment Dates: employee benefits & open enrollment information
2022-2023
                          EMPLOYEE BENEFITS &
                           OPEN ENROLLMENT
                             INFORMATION
Open Enrollment Dates:
May 1 - May 31, 2022
Please visit hr.usu.edu/open-enrollment for more information.
2022-2023 May 1 - May 31, 2022 - Open Enrollment Dates: employee benefits & open enrollment information
USU Employees,

The USU Benefits Team is pleased to announce the open enrollment period will begin on May 1 at
8:00 am and continue through May 31 until 11:59 pm. This is the time each year when employees
are encouraged to take the opportunity to re-evaluate current and future benefit needs. Understand-
ing your 2022-2023 benefit plan options is important, so you are encouraged to review this booklet
carefully. You may also visit the open enrollment website at hr.usu.edu/open-enrollment to take
advantage of the many tools available to assist you in making well-informed decisions.

If you have any questions or would like to better understand the benefits USU has to offer, we en-
courage you to attend the virtual Open Enrollment Benefits Fair on Tuesday, May 10 from 9:00 am
to 4:00 pm. Throughout the day on May 10, benefit providers will present a 30-60 minute overview
of their benefits via Zoom, and employees may schedule one-on-one virtual meetings with vendor
representatives to discuss specific questions. Please visit hr.usu.edu/open-enrollment for a sched-
ule of presentations and to schedule one-on-one meetings.

Even before COVID-19, the USU Benefits team was seeing a growing need for more mental health
support for our employees and their families. In response, the USU Benefits team developed the
Aggies Thrive website to provide and consolidate available mental health resources. Effective July 1,
2022, we are pleased to announce that USU will further expand the mental health benefits available
to you. The Regence Blue Cross Blue Shield insurance plans will now include an unlimited number
of office visits for mental health related issues and coverage for up to 60 days in a residential care
facility. Deductibles and co-pays/co-insurance will still apply.

Did you know that in the event of the death of a benefit eligible employee, USU pays one month
salary of that employee as a death benefit? To ensure we have the correct beneficiary information
on file for this death benefit, please fill out this information during the enrollment process to sub-
mit/update both primary and secondary beneficiary information. These beneficiaries are separate
from any beneficiaries designated for life insurance through The Hartford. Even if you are not mak-
ing changes to your benefits, we encourage you to update this beneficiary information.

A modest increase to medical premiums is reflected on pages 8 and 9. If you’d like to keep your
current benefits, no action is required unless you’d like to enroll in a flexible spending account,
which requires a new enrollment every year.

Making changes to your benefits is easy. Refer to page 5 for instructions. As a reminder, any new
elections or changes made during open enrollment will become effective July 1, 2022 and payroll
deductions for the new benefit elections will be reflected on your August 1, 2022 paycheck. Please
review your August 1 paystub carefully to make sure all benefit deductions are correct.

Please visit hr.usu.edu/open-enrollment for more information or contact the HR Solutions Center at
(435) 797-0122 if you have any questions.

Your Benefits Team,
Lisa Leishman, Associate Director
Angie Clayson, Benefits Supervisor
Hayden Blauer, HR Specialist
Heather Cheatham, HR Representative
Anne-Marie Griffin Wilson, HR Representative
Alyssa Jensen, Employee Wellness Manager

                                    Printed by Aggie Print
2022-2023 May 1 - May 31, 2022 - Open Enrollment Dates: employee benefits & open enrollment information
2022-2023
                  EMPLOYEE BENEFITS & OPEN ENROLLMENT

  2   Aggies Thrive
                       INFORMATION
                                                       CONTENTS
  3   Aetna Resources
OPEN ENROLLMENT
INFORMATION -
ENROLL BETWEEN
MAY 1 - MAY 31, 2022
  5 Steps to Making Open Enrollment
  		Changes
  6   Family Members Who Are Eligible
      for USU Benefits
  7   Medical Plan Benefits
  8   Medical and Dental Premiums
 12   Pharmacy Benefits                           ENROLLMENT TIMELINE
 14   Health Savings Account (HSA)                MAY 1
 15   WEX Mobile App                              Open enrollment period begins.
 16   Flexible Spending Account (FSA)
                                                  MAY 10
 16   Zurich® Supplemental Accidental
      Death & Dismemberment Insurance             Virtual Open Enrollment Benefits Fair.
                                                  Visit hr.usu.edu/open-enrollment for a schedule
 17 The Hartford - Life & Disability
                                                  of presentations and to schedule one-on-one
  		Insurances
                                                  meetings.
 18   EyeMed Supplemental Vision Insurance
                                                  MAY 31
 19   MetLife Legal Plans
                                                  Open Enrollment ends at 11:59 pm (MDT).
ADDITIONAL EMPLOYEE                               JUNE 30
BENEFITS INFORMATION                              2021-2022 plan year ends.
ENROLL ANYTIME                                    JULY 1
 18   Employee Wellness at USU-Be Well            2022-2023 plan year begins. Deductibles and
 20   Farmers Home & Auto Insurance               out-of-pocket maximums reset.
 20   Retirement Plans                            AUGUST 1
 22   Utah Educational Savings Plan               Visit Banner Access at access.usu.edu to verify
                                                  that benefit deductions are correct.
 22   Retirement Health Care Savings Plan
 24   Where can I get more information?

                                       2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT 1
2022-2023 May 1 - May 31, 2022 - Open Enrollment Dates: employee benefits & open enrollment information
mental health and emotional wellbe
                                                                                                                                       finding others with similar interests
                                                                                                                                       be difficult, especially if you are ne
                                                                                                                                       an app that lets you create or join e
                                     The COVID-19 pandemic has had a major effect on our
                                                                                                                                       your areas of interest. If you enjoy
                                     lives. Many of us are facing challenges that can be
                                                                                                                                       an online book club. If you are exci
                                     stressful, overwhelming, and cause strong emotions in
                                                                                                                                       weather and want to get outdoors,
                                     adults and children. Public health actions, such as
                                                                                                                                       hiking. Create these events within o
                                     social distancing, are necessary to reduce the spread
                                                                                                                                       group on Meetup and get to know o
                                     of COVID-19, but they can make us feel isolated and
                                                  Being     part   of   a community           can  have    a  positive      effect   onUSU community.
                                     lonely and can increase stress and anxiety. Learning to
                                     cope withmentalstresshealth         and emotional
                                                               in a healthy         way will wellbeing;
                                                                                                 make you, however,
                                                                                                                 the
                                     people you care about, and those around youand
                                                  finding     others     with     similar    interests           hobbies may
                                                                                                            become
                                                  be
                                     more resilient.  difficult,    especially        if  you   are  new    an   area.    Meetup is
                                                  an app that lets you create or join events that pertain to
had a major effect on our
                                     Aggies Thrive         is a USU
                                                  your areas              initiative
                                                                   of interest.       If designed
                                                                                          you enjoyto      provide
                                                                                                         book            a
                                                                                                                  reading,      start
hallenges that can be
                                     more comprehensive                mental      health     support
                                                  an online book club. If you are excited for the summer  system       for
 cause strong emotions in
                                     university      employees
                                                  weather      and wantand theirto getloved      ones. set
                                                                                          outdoors,      We upaimantoevent to go
ealth actions, such as
                                     nourish ahiking.
                                                    culture     passionate
                                                             Create                 about supporting
                                                                         these events                         those Thrive
                                                                                               within our Aggies
ary to reduceMentalthehealth
                         spread  includes    emotional,     psychological,        and    social well-being.but It within
                                                                                                                   affects
                                     around      us,  not on
                                                  group     only    in life’s
                                                                  Meetup       andaccomplishments,
                                                                                     get to know others              also how the
                                                                                                                                   we think, feel and act. It also
 ke us feelhelps
               isolated    and
                     determine how         we handle     stress, relate to others, and make healthy choices. Mental health is important at
                                     its daily    struggles.
                                                  USU community.
 s and anxiety.
             every Learning
                     stage of life,to from childhood and adolescence through adulthood.
way will make you, the Visit the Aggies Thrive website at hr.usu.edu > benefits
  ose around Mental
                  you and    physical health are equally important components of overall health. For example, depression increases
                        become       > aggies thrive for a comprehensive overview of the
             the risk for many types of physical health problems, particularly long-lasting conditions like diabetes, heart disease,
                                     Aggies Thrive program. The Employee Assistance
             and stroke. Similarly, the presence of chronic conditions can increase the risk for mental illness.
                                     Program through Aetna (see page 3) is a pivotal piece
  ve designed to provide a
             Aggies Thrive is a of   USU the   Aggiesdesigned
                                            initiative    Thrive Program,
                                                                      to connectbut         there are
                                                                                      university          many other
                                                                                                    employees        and their families to available mental
health support system for                                                                                                              The Aggies Thrive website has link
             health resources. great Visit the   Aggies Thrive
                                              resources             website
                                                              offered            at hr.usu.edu
                                                                           to University           > benefits > Aggies Thrive for a comprehensive
                                                                                                 employees.
 ir loved ones. We aim to                                                                                                              events, tips for supervisors and res
             overview of the program.
about supporting those                                                                                                                 the state.Being Not topartmention
                                                                                                                                                                   of a     shared sto
             Aetna offers
ccomplishments,          but also                                                                                                      personalcommunity
                                                                                                                                                      impact story  can from Preside
             myStrength,                                                                                                                            have a positive
             which is a free,                                                                                                                       effect on mental
  e at hr.usu.edu      >  benefits
             confidential and                                                                                                                       health and emo-
 ensive overview
             easy-to-useof theonline                                                                                                                tional well-being;
Employee Assistance
             tool that helps you        strengthen     your   mind     and                           Being
                                                                                                      however,part     of a
                                                                                                                    finding  community
                                                                                                                               others  with    can
                                                                                                                                              similarhave     a positive
                                                                                                                                                         interests  and effect on
                                     My Strength is a free, confidential and easy-to-use
page 3) is body.
              a pivotal
                      Onlypiece
                            you really
                                     onlineunderstand
                                               tool thatyour helpshopesyouand strengthen yourmental   hobbies
                                                                                                        mind andhealth
                                                                                                                  may beand       emotional
                                                                                                                             difficult,          wellbeing;
                                                                                                                                         especially    if you arehowever,
                                                                                                                                                                    new
 , but thereplans,
                are many      other
                      so you’ll bebody.able toOnly
                                                 customize     the Thrive
                                                                     program                         finding
                                                                                                      to anto   others
                                                                                                             area.          with
                                                                                                                       Meetup    is an app that lets you create or may
                                                                                                                                   similar    interests      and   hobbies
                                                  Theyou     really
                                                         Aggies        understandwebsite   your
                                                                                              hashopes
                                                                                                   links    andarticles,      videos,
 iversity employees.
             to meet your health         and sowellness                                              be
                                                                                                      joindifficult,    especially      if you
                                                                                                                                           your are    new     an area.ForMeetup is
                                     plans,         you’llgoals.
                                                  events,    be
                                                              tips   This
                                                                  able
                                                                     for to is customize
                                                                               a
                                                                           supervisors          the program
                                                                                               and         events
                                                                                                     resources         that  pertain to
                                                                                                                   tothroughout                  areas     of interest.
             clinically   proven    program
                                     meet        and  is available     to  you                       an   app
                                                                                                      example,  thatif  lets
                                                                                                                       you     you
                                                                                                                            enjoy   create
                                                                                                                                    book       or  join
                                                                                                                                            reading,      events
                                                                                                                                                        start  an    that
                                                                                                                                                                   online pertain to
     The COVID-19 pandemic               hasyour  the
                                                had  health
                                                      astate.
                                                         major  and
                                                                  Not  wellness
                                                                              on ourgoals.
                                                                        to mention
                                                                   effect                  sharedThisstories
                                                                                                        is a clinically
                                                                                                                 such as a
             and your     immediate       family
                                     proven        members.
                                                 program       and   is   available       to you     your
                                                                                                   andbook  areas      of  interest.    If you   enjoy
                                                                                                             club; if you love summer and want to get
                                                                                                          your                                              book   reading,   start
     lives. Many     of us    are facing          personal
                                              challenges         impact
                                                               that    can   story
                                                                              be from          President     Cockett.
                                                                                                     an   onlinewith
                                                                                                      outdoors       bookothers,
                                                                                                                             club. set
                                                                                                                                     If you    are  excited      for  the summer
     stressful,              2021, immediate
                   overwhelming,
              In October             USUand cause    family
                                                          strongmembers.
                                                                      emotions in                                                      Inup   an
                                                                                                                                           Octoberevent    to goUSU
                                                                                                                                                         2020     hiking.
                                                                                                                                                                        held its inaug
                                                                                                     weather
                                                                                                      Create       and events
                                                                                                               these      want to    get outdoors,
                                                                                                                                  within    our Aggies      set upgroup
                                                                                                                                                            Thrive   an event to go
     adults and     children.
              recognized     WorldPublic
                                      Men-health actions, such as                                                                      Health     Day,     which   consisted    of sev
                                                                                                     hiking.
                                                                                                      on  MeetupCreate and  these
                                                                                                                             get to events
                                                                                                                                    know        within
                                                                                                                                             others        our the
                                                                                                                                                       within   AggiesUSU Thrive
     social distancing,
              tal Health Day,  arewhich
                                    necessary to reduce the spread                                                                     throughout the day to bring awaren
                                                                                                      community.
                                                                                                     group     on Meetup and get to know others within the
                                                                                                                                       challenges         and wellbeing. This eve
     of COVID-19,      but   they    can
              consisted of several ac-     make     us   feel   isolated      and
                                                                                                     USU community.
     lonely
 ntial       and    can
              tivities
        and easy-to-use   increase
                       held   throughoutstress and anxiety. Learning to                                                                in 2021 so mark your calendars now
                                                                                                      The Aggies Thrive website               has links to articles,
                                                                                                                                       Benefits team on October 8, 2021 fo
     cope your
engthen     with   stress
              the mind
                   day toand in a healthy
                            bring   aware- way will make you, the
                                                                                                      videos, events, tips, and a variety of state resources
 andpeople    ness
               you to
       your hopes       mental
                     care
                       and  about,health
                                       and those around you become                                                                     Health Day. Please check out the re
                                                                                                      for supervisors. Additionally, the website includes
     morethe
  tomize      challenges
                 programand
            resilient.        to well-be-                                                                                              information available to you and yo
                                                                                                      shared stories, such as a personal impact story from
 s goals. Thising. is
                    This event will be
                      a clinically                                                                                                     website, hr.usu.edu > benefits > ag
     Aggiesheld Thrive   is in
                            a USU      initiative    designed to provide a                            President Cockett.
ble to you and your  again      2022,   so
     more comprehensive
              mark your calendars   mental health support system for
     university    employees        andBenefits
                                                  In October 2020 USU held its inaugural
                                           their loved      ones.     We aim        to                      Destigmatize
                                                                                                               World Mental                  & Educate •
              now to join the USU                    team     on  Monday,        Oc-
                                                  Health Day, which consisted of several activities held
     nourishtobera culture
                      10 forpassionate
                               World Mental     about
                                                  Health supporting
                                                  throughoutDay. Please
                                                                    the day
                                                                            those
                                                                              check                               Aggies Thrive Events
                                                                                  to bring awareness to mental health
     aroundout  us,the
                     notresources
                          only in life’s      accomplishments,              but    also
     its dailyandstruggles.
                                       and information
                                                  challenges available
                                                                   and to      you
                                                                           wellbeing.        This event will  • Supervisor
                                                                                                                    be held again Tips • USU
                    your family at our website:          hr.usu.edu      >  bene-
                                                  in 2021 so mark your calendars now to join the USU
              fitsAggies
                   > Aggies    Thrive.websiteBenefits           team on
                                                                                                         Resources • Local Resources
                                                                              October 8, 2021 for World Mental
     Visit the              Thrive                 at hr.usu.edu         > benefits
     > aggies thrive      for a comprehensive     Health Day. Please             check out the resources and
                     2 2022-2023          EMPLOYEEoverview   BENEFITS      of &the OPEN ENROLLMENT
     Aggies Thrive program. The Employee          information        available to you and your family at our
                                                               Assistance
     Program through Aetna (see page              website,
                                                       3) is ahr.usu.edu
                                                                  pivotal piece    > benefits > aggies thrive.
2022-2023 May 1 - May 31, 2022 - Open Enrollment Dates: employee benefits & open enrollment information
Anytime
                             support
                             Aetna Resources For Living℠

          Employee Assistance Program                                     Utah State University
               To access services:                          Aetna Resources For Living is an employer sponsored
            1-888-238-6232, TTY: 711                        program, available at no cost to you and all members of
                                                            your household. That includes dependent children up to
            resourcesforliving.com
                                                            age 26, whether or not they live at home.
                Username: USU
                                                            Services are confidential and available 24 hours a day,
                 Password: EAP
                                                            7 days a week.

Emotional well-being support                                Daily life assistance

You can access up to 6 counseling sessions per issue        Competing day-to-day needs can make it tough to know
each year. You can also call us 24 hours a day for          where to start. Call us for personalized guidance. We’ll
in-the-moment emotional well-being support.                 help you find resources for:

Counseling sessions are available face to face or online    • Child care, parenting and adoption
with televideo. Services are free and confidential. We’re   • Summer programs for kids
always here to help with a wide range of issues             • School and financial aid research
including:                                                  • Care for older adults
• Relationship support                                      • Caregiver support
• Stress management                                         • Special needs
• Work/life balance                                         • Pet care
• Family issues                                             • Home repair and improvement
• Grief and loss                                            • Household services and more
• Depression                                                We also offer carekits related to growing families,
• Anxiety                                                   child care, caregiving and more.
• Substance misuse and more
• Self-esteem and personal development

74.03.962.1-ARFL E (9/19)

                                            2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT 3
2022-2023 May 1 - May 31, 2022 - Open Enrollment Dates: employee benefits & open enrollment information
Online resources                                                Legal services

Your member website offers a full range of tools and            You can get a free 30-minute consultation with a
resources to help with emotional wellbeing, work/life           participating attorney for each new legal topic related to:
balance and more. You’ll find:
                                                                • General                       • Divorce
• Articles and self-assessments                                 • Family                        • Wills and other document
• Adult care and child care provider search tool                • Criminal law                    preparation
• Stress resource center                                        • Elder law and estate          • Real estate transactions
• Video resources                                                 planning                      • Mediation services
• Live and recorded webinars                                    If you opt for services beyond the initial consultation you
• Mobile app                                                    can get a 25 percent discount.
Discount Center                                                 *Services must be related to the employee and eligible
Find deals on brand name products and services including        household members. Work-related issues are not covered.
electronics, entertainment, gifts and flowers, travel,          Discount does not include flat legal fees, contingency fees
fitness, nutrition and more.                                    and plan mediator services.
myStrength
myStrength offers tools to improve your emotional               Financial services
health and help you overcome depression, anxiety,
                                                                Simply call for a free 30-minute consultation for each new
stress, substance misuse and/or chronic pain.
                                                                financial topic related to:

Other services                                                  • Budgeting                     • Credit and debt issues
                                                                • Retirement or other           • College funding
Identity theft services — One hour fraud resolution phone
                                                                  financial planning            • Tax and IRS questions and
consultation or coaching about ID theft prevention and
                                                                • Mortgages and refinancing       preparation
credit restoration. Services include a free emergency kit
for victims.                                                    You can also get a 25 percent discount on tax preparation
                                                                services.
                                                                *Services must be for financial matters related to the
                                                                employee and eligible household members.

Aetna Resources For LivingSM is the brand name used for products and services offered through the Aetna group
of subsidiary companies (Aetna). The EAP is administered by Aetna Behavioral Health, LLC and in California for
Knox-Keene plans, Aetna Health of California, Inc. and Health and Human Resources Center, Inc.
All calls are confidential, except as required by law. EAP instructors, educators and participating providers are independent
contractors and are not agents of Aetna. Provider participation may change without notice. Discount services are provided and
managed by Lifecare, an independent third party. Aetna does not oversee or control the services provided by or recommended
by Lifecare and does not assume any liability for their services. For more information about Aetna plans, refer to aetna.com.

©2019 Aetna Inc.
74.03.962.1-ARFL E (9/19)

4 2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT
2022-2023 May 1 - May 31, 2022 - Open Enrollment Dates: employee benefits & open enrollment information
MAY 1 - MAY 31, 2022

Steps to Making Open Enrollment Changes
1. Between May 1 - May 31, 2022 login
to ServiceNow.usu.edu. To login you
will need your A-number and strong
password.

2. Click on Human Resources and select
the Benefit Enrollment tile.

3. Click on Annual Open Enrollment.

4. Read your welcome letter for
instructions and scroll through the
elections to make any necessary
changes. Read the questions and
pop-up instructions on each section
carefully.

5. Once you confirm the information
is accurate, click Submit Now. A
confirmation email will be sent to your
USU email address. You can go through
the enrollment process as many times
as you need during the open enrollment
period, but only the last submission
will be saved. Please retain the final
confirmation email until after August 1,
2022. Utilize Self Service Banner/Banner
Access to verify your deductions reflect
your open enrollment elections.

                                           2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT 5
2022-2023 May 1 - May 31, 2022 - Open Enrollment Dates: employee benefits & open enrollment information
MAY 1 - MAY 31, 2022

    Family Members Who are
    Eligible for USU Benefits
      •   Spouse                                           • Unmarried children to whom you
      •   Domestic partner*                              		 are legally responsible to provide
                                                         		 health coverage under the terms of
      •   Married or unmarried children under age 26
                                                         		 a Qualified Medical Child Support
   		     • Natural children                             		 Order
   		     • Step children                                  •     Unmarried children over the age limit
   		     • Legally adopted children                     		      who depend on you for primary
   		 • Children for whom you have legal                 		      financial support and maintenance
   			guardianship                                       		      due to physical or mental disability
   		     • Foster children                         •            Children of your domestic partner
                                                  		             who depend on you for support and
   		     • Children placed with you for adoption
                                                  		             live with you in a parent/child relationship

    *It is important to remember when you select coverage with a domestic partner, the IRS assesses a
    domestic partner tax on the Medical and Dental Premiums. For questions about the tax rate, please contact
    the HR Solutions Center at (435) 797-0122. Domestic partners are not eligible for tuition remission benefits.

    6 2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT
2022-2023 May 1 - May 31, 2022 - Open Enrollment Dates: employee benefits & open enrollment information
MAY 1 - MAY 31, 2022

2022-2023 Medical Plan Benefits
PLAN                                     HIGH DEDUCTIBLE              WELLNESS PLAN                HIGH PREMIUM
COMPARISON                                HEALTH PLAN*                   (White)*                   PLAN (Blue)*
		                                        80/20 Coverage              70/30 Coverage               80/20 Coverage
BENEFITS PER PLAN YEAR                          YOU PAY                     YOU PAY                     YOU PAY
Preventive Care Cost
Preventive Care is not                               $0                          $0                          $0
subject to deductibles or co-pays

Deductible (Ded)
Single                                            $1,500                       $750                         $500
Family                                            $3,000**                    $1,500                      $1,000

Co-pays
Doctor Visits (regular office hours)          20% after Ded            $35 co-pay, after Ded       $30 co-pay, after Ded
Emergency Room                                20% after Ded           $250 co-pay, after Ded      $250 co-pay, after Ded

Co-insurance Percentage                       20% after Ded               30% after Ded               20% after Ded
Maximum Out-of-Pocket
Single Coverage                                   $5,000                      $4,000                      $3,250
Family Coverage                                   $10,000***                  $8,000                      $6,500

		                                        After Ded, you pay $0 up    After Ded, you pay $0 up    After Ded, you pay $0 up
Diagnostic X-ray and Lab                  to $1,000, thereafter you   to $1,000, thereafter you   to $1,000, thereafter you
		                                               pay 20%.                    pay 30%.                    pay 20%.
Prescription Drugs***
Generic 30-Day		                                                               $10                         $10
        90-Day		                                                               $15                         $15
Preferred Brand                  All Rx                                        35%                         35%
Brand                         20% after Ded                                    50%                         50%
30-day
Specialty Preferred		                                                    20% up to $150              20% up to $150
Specialty		                                                              35% up to $300              35% up to $300
Specialty Cancer Chemotherapy		                                          35% up to $300              35% up to $300

Medical Premiums                                See page 8                  See page 8                  See page 9
Rx Co-insurance Maximum
Single                  N/A                                                   $1,750                      $1,500
Family		                                                                      $3,500                      $3,000

* This booklet is not intended to replace or interpret any program’s Summary Plan Description (SPD), and any dif-
ferences between this booklet information and the actual SPD are unintentional and non-binding. For final benefit
questions, such as plan coverage, please refer to the SPD which can be found at hr.usu.edu > benefits > medical.
The SPD, NOT this booklet, will be followed for all claim determinations.
**If you have other family members on the policy, the overall family deductible must be met before the plan begins to pay.
*** Per person max on family is $5,000.

                                           2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT 7
2022-2023 May 1 - May 31, 2022 - Open Enrollment Dates: employee benefits & open enrollment information
Utah State University
     Employee Monthly       Utah State Medical
                      Monthly Insurance   Premiums and Dental
                                       University
                      Monthly Insurance Premiums
       Insurance
        Full-Time BenefittedPremiums              2022-2023
        Full-Time Benefitted Employee (2021-2022 New Plan Year )
                             Employee (2021-2022   New Plan Year )
               Below are the monthly Insurance premiums for benefited employees working at least 30 hours per week.
      If you areBelow are the employee
                 a benefited  monthly Insurance
                                        and workpremiums  for30
                                                  less than   benefited employees
                                                                hours per         working
                                                                          week, please    atPart-Time
                                                                                        see least 30 hours per week.
                                                                                                       Premium  information.
      If you are a benefited employee and work less than 30 hours per week, please see Part-Time Premium information.
      Utah State University pays an average premium of $1,158 per participating employee per month in our Health Plan.
      Utah
       UtahState
            StateUniversity
                  Universitypays
                             paysananaverage
                                      averagepremium
                                              premiumofof$1,158 perparticipating
                                                          $61 per   participatingemployee
                                                                                  employeeper
                                                                                           permonth
                                                                                               monthininour
                                                                                                         ourDental
                                                                                                             HealthPlan.
                                                                                                                    Plan.
       Utah State University pays an average premium of $61 per participating employee per month in our Dental Plan.

                 HIGH DEDUCTIBLE HEALTH
          High Deductible    Health
                Preferred Value
                                      High PLAN
          High Deductible Health Plan (HDHP)
                                     Plan (HDHP)
                                      High Deductible
                                Care Network
                                                       (HDHP)
                                           Deductible Health
                                                       Health
                                              Participating
                                                                Plan (HDHP)
                                                                Plan (HDHP)
                                                            Network
                  Preferred Value CareCoverage
                                      Network                    Coverage              Participating Network
                        NETWORK:  Preferred ValueCare Network (PVC)
                             Coverage                            Coverage
  Salary Range             Single    Two-Party      Family        Salary Range              Single      Two-Party     Family
  Salary Range
  $24,999  or Less         Single
                           $7.02     Two-Party
                                      $15.79        Family
                                                    $22.80        Salary Range
                                                                  $24,999  or Less       Single
                                                                                         $40.02         Two-Party
                                                                                                         $90.04    Family
                                                                                                                   $130.05
                                                  MONTHLY       PREMIUMS
  $25,000 -or37,999
  $24,999     Less         $7.02
                           $8.84      $15.79
                                      $19.89     $22.80
                                                 $28.73           $25,000 -or37,999
                                                                  $24,999     Less       $40.02
                                                                                         $41.84          $90.04
                                                                                                         $94.14    $130.05
                                                                                                                   $135.98
    Salary
  $25,000
  $38,000      Ranges
          -- 57,999
             37,999        $8.84
                           $11.14     Single
                                      $19.89
                                      $25.06 Coverage
                                                 $28.73
                                                 $36.20            Two-Party
                                                                   $25,000       Coverage$41.84
                                                                   $38,000 -- 37,999
                                                                              57,999     $44.14       Family  Coverage
                                                                                                         $94.14
                                                                                                         $99.31    $135.98
                                                                                                                   $143.45
  $38,000 -  57,999
  $58,000 or More          $11.14
                           $14.03     $25.06
                                      $31.58     $36.20
                                                 $45.61            $38,000 or
                                                                   $58,000  - 57,999
                                                                               More      $44.14
                                                                                         $47.03          $99.31
                                                                                                        $105.83    $143.45
                                                                                                                   $152.86
    $24,999 or less
  $58,000 or More          $14.03
                                           $10.09$45.61
                                      $31.58
                                                                           $22.69
                                                                   $58,000 or More       $47.03
                                                                                                           $32.78 $152.86
                                                                                                        $105.83
    $25,000 - $37,999                       $10.99                          $24.72                         $35.71
              Wellness (White) Plan                                               Wellness (White) Plan
    $38,000 - $57 ,999 (White) Plan$12.60
              Wellness                                                      $28.34Wellness (White) Plan $40.94
             Preferred Value Care Network                                           Participating Network
             Preferred Value CareCoverage
                                 Network                                               Participating Network
    $58,000 or more                    $15.87                               $35.71                         $51.58
                                                                                                        Coverage
  Salary Range             Single    Coverage
                                     Two-Party      Family          Salary Range            Single      Coverage
                                                                                                        Two-Party     Family
  Salary Range
  $24,999 or Less            NETWORK: Participating Network (PAR)
                           Single
                           $26.72    Two-Party
                                      $60.12        Family
                                                    $86.84          Salary Range
                                                                    $24,999 or Less         Single
                                                                                            $57.72      Two-Party
                                                                                                         $129.87  Family
                                                                                                                  $187.59
  $24,999 -or37,999
  $25,000     Less         $26.72
                           $33.67      $60.12
                                       $75.75        $86.84
                                                    $109.41       $24,999 -or37,999
                                                                  $25,000     Less       $57.72
                                                                                         $64.67         $129.87
                                                                                                        $145.50   $187.59
                                                                                                                  $210.16
  $25,000 -  37,999
  $38,000 - 57,999         $33.67
                           $42.42      $75.75
                                       $95.44      MONTHLY
                                                    $109.41
                                                    $137.85     PREMIUMS
                                                                  $25,000 -  37,999
                                                                  $38,000 - 57,999       $64.67
                                                                                         $73.42         $145.50
                                                                                                        $165.19   $210.16
                                                                                                                  $238.60
  $38,000
  $58,000 -or57,999        $42.42
                           $53.44      $95.44
                                      $120.24       $137.85
                                                    $173.68        $38,000
                                                                   $58,000 -or57,999     $73.42         $165.19   $238.60
    Salary MoreRanges
  $58,000 or More          $53.44
                                      Single
                                      $120.24
                                                  Coverage
                                                    $173.68
                                                                   Two-Party     Coverage$84.44
                                                                               More
                                                                   $58,000 or More       $84.44
                                                                                                        $189.99
                                                                                                      Family      $274.43
                                                                                                             Coverage
                                                                                                        $189.99   $274.43
    $24,999 or less                         $45.09                         $101.44                        $146.53
            High Premium (Blue) Plan                                           High Premium (Blue) Plan
    $25,000 High
            - Preferred
              $37,999
                   Premium     (Blue)
                        Value Care
                                        $45.99
                                      Plan
                                   Network
                                                                           $103.47
                                                                               HighParticipating (Blue)$149.46
                                                                                    Premium Network     Plan
    $38,000 - Preferred
              $57,999Value CareCoverage
                               Network
                                     $47.60                                $107.09     Participating Network
                                                                                                          $154.69
                                                                                                        Coverage
  Salary Range            Single     Coverage
                                     Two-Party  Family              Salary Range             Single     Coverage
                                                                                                        Two-Party Family
    $58,000
  Salary
  $24,999Range  or
          or Less
                      more$68.70
                          Single           $50.87
                                     Two-Party
                                      $154.58   Family
                                                $223.28
                                                                           $114.46
                                                                    Salary Range
                                                                    $24,999 or Less          Single
                                                                                            $101.70
                                                                                                          $165.33 $330.53
                                                                                                        Two-Party
                                                                                                         $228.83  Family
  $24,999
  $25,000 or Less
          - 37,999        $68.70
                          $86.56      $154.58
                                      $194.75       $223.28
                                                    $281.31         $24,999
                                                                    $25,000 or Less
                                                                            - 37,999        $101.70
                                                                                            $119.56      $228.83
                                                                                                         $269.00      $330.53
                                                                                                                      $388.56
  $25,000 - 37,999
  $38,000 - 57,999
  $38,000
                             WELLNESS PLAN
                          $86.56
                          $109.05
                          $109.05
                                            (White Plan)
                                      $194.75
                                      $245.37
                                      $245.37
                                                    $281.31
                                                    $354.43
                                                    $354.43
                                                                    $25,000 - 37,999
                                                                    $38,000 - 57,999        $119.56
                                                                                            $142.05
                                                                                            $142.05
                                                                                                         $269.00
                                                                                                         $319.62
                                                                                                         $319.62
                                                                                                                      $388.56
                                                                                                                      $461.68
                                                                                                                      $461.68
  $58,000 -or57,999
              More        $137.40        $38,000 - 57,999
                                      $309.15       $446.55         $58,000 or More         $170.40      $383.40      $553.80
  $58,000 or More         $137.40     $309.15       $446.55         $58,000 or More         $170.40      $383.40      $553.80
                        NETWORK: Preferred ValueCare Network (PVC)
  Average Utah State University                   MONTHLY PREMIUMS                     Dental Premiums
  Average Utah State University       $1,158.00                                        Dental Premiums
  Health Premium Contribution         $1,158.00                                                    Coverage
  Health Premium
    Salary       Contribution
             Ranges                   Single Coverage              Two-Party
  Average Utah State University                                     Salary RangeCoverageSingle Family Coverage
                                                                                                 Coverage
                                                                                                 Two-Party Family
  Average Utah State University        $60.63                       Salary Range            Single      Two-Party     Family
  Dental Premium
    $24,999
  Dental       orContribution
         Premium  less
                 Contribution
                                       $60.63
                                            $29.80                  All Employees
                                                                            $67.05
                                                                    All Employees
                                                                                            $11.24
                                                                                            $11.24
                                                                                                         $22.48
                                                                                                           $96.84
                                                                                                         $22.48
                                                                                                                      $36.53
                                                                                                                      $36.53
     $25,000 - $37,999                      $36.28                          $81.63                         $117.91
     $38,000 - $57,999                      $45.71                         $102.85                        $148.56
     $58,000 or more                         $57.59                        $129.58                         $187.17

                             NETWORK: Participating Network (PAR)
                                                  MONTHLY PREMIUMS
     Salary Ranges                     Single Coverage             Two-Party Coverage                 Family Coverage
     $24,999 or less                        $62.80                         $141.30                        $204.09
     $25,000 - $37,999                      $69.28                         $155.88                        $225.16
     $38,000 - $57,999                      $78.71                         $177.10                        $255.81
     $58,000 or more                        $90.59                         $203.83                        $294.42

8 2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT
MAY 1 - MAY 31, 2022

                  HIGH PREMIUM PLAN (Blue Plan)
             NETWORK: Preferred ValueCare Network (PVC)
                                 MONTHLY PREMIUMS
Salary Ranges             Single Coverage   Two-Party Coverage       Family Coverage
$24,999 or less               $78.70             $164.58                $233.28
$25,000 - $37,999             $98.78             $206.63                $288.31
$38,000 - $57,999            $113.05             $249.37                $358.43
$58,000 or more              $137.40             $309.15                $446.55

                    NETWORK: Participating Network (PAR)
                                 MONTHLY PREMIUMS
Salary Ranges             Single Coverage   Two-Party Coverage       Family Coverage
$24,999 or less              $113.70             $243.58                 $347.28
$25,000 - $37,999            $133.78             $285.63                $402.31
$38,000 - $57,999            $148.05             $328.37                $472.43
$58,000 or more              $172.40             $388.15                $560.55

                                DENTAL PLAN
DENTAL COVERAGE LEVELS                           MONTHLY PREMIUMS
Employee Only                                               $11.24
Employee Plus One Dependent                                 $22.48
Employee Plus Two or More Dependents                        $36.53
DENTAL BENEFITS                                         PLAN PAYS
                                                 Preventive & Basic Paid at 80%
Dental
                                                  Major and Ortho Paid at 50%
Dental Maximum per year                               $1,500 per claimant
Ortho Lifetime Maximum                                $1,500 per claimant

                                 2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT 9
MAY 1 - MAY 31, 2022

     Medical and Dental Insurance Plans
     Does Your Spouse or Partner Work at USU?
     If you and your spouse work at USU, you may elect Dual Coverage benefits. Both employees will
     pay premiums for the same plan. The lower wage earner will pay the family or couple rate and be
     considered the “subscriber,” while the higher wage earner will pay the single rate.

     Dual Employed Benefit Plan 2022-2023
      DUAL OPTION PLAN                       WELLNESS PLAN            HIGH PREMIUM PLAN
                                              (White Plan)                 (Blue Plan)
      BENEFITS FOR PLAN YEAR                       YOU PAY                      YOU PAY
      Deductible
      Per Employee                                   $375                         $250
      Per Family                                     $750                         $500
      Co-pays
      Doctor Visits (regular office hours)            $15                          $15
      Emergency Room                                 $125                         $125
      Prescription Drugs*
      Generic 30-Day                                  $5                           $5
              90-Day                                  $5                           $5
      Formulary                                      15%                          15%
      Non-Formulary                                  25%                          25%
      Out-of-Pocket Max                             $1,750                       $1,500
      DENTAL BENEFITS
                   PLAN PAYS                                                  PLAN PAYS
             Preventive & Basic Paid at                                 Preventive & Basic Paid at
      Dental Preventive
             100%, Major& Basic Paid
                          Paid at 80%at                                 100%, Major Paid at 80%,
      		     100%, Major Paid at 80%                                      Ortho is paid at 50%
      Dental Maximum Benefit Per Year         $2,000 per claimant          $2,000 per claimant
      Ortho Lifetime Maximum                  $2,000 per claimant          $2,000 per claimant

     10 2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT
The main difference in Utah between the Preferred ValueCare Network (PVC) and Participating
 Network (PAR) is the hospitals and providers that are considered in-network. See chart below.

                             Regence BlueCross BlueShield of Utah
                                             Network Comparison
HOSPITAL                                         PAR   PVC HOSPITAL                                            PAR     PVC
ALTA VIEW HOSPITAL                                X          LOGAN REGIONAL HOSPITAL                            X       X
AMERICAN FORK HOSPITAL                            X          LONE PEAK HOSPITAL INC                             X       X
ASHLEY REGIONAL MEDICAL CENTER                    X      X   MCKAY DEE HOSPITAL                                 X
BEAR RIVER VALLEY HOSPITAL                        X      X   MILFORD MEMORIAL HOSPITAL                          X       X
BEAVER VALLEY HOSPITAL                            X      X   MOAB REGIONAL HOSPITAL                             X       X
BLUE MOUNTAIN HOSPITAL                            X      X   MORAN EYE CENTER                                   X       X
BRIGHAM CITY HOSPITAL                             X      X   MOUNTAIN POINT MEDICAL CENTER                      X       X
CACHE VALLEY HOSPITAL                             X      X   MOUNTAIN VIEW HOSPITAL                             X       X
CASTLEVIEW HOSPITAL                               X      X   MOUNTAIN WEST MEDICAL CENTER                       X       X
CEDAR CITY MEDICAL CENTER                         X      X   OGDEN REGIONAL MEDICAL CENTER                      X       X
CENTRAL VALLEY MEDICAL CENTER                     X      X   OREM COMMUNITY HOSPITAL                            X
DAVIS HOSPITAL AND MEDICAL CENTER                 X      X   PARK CITY MEDICAL CENTER                           X       X
DELTA COMMUNITY MEDICAL CENTER                    X      X   PRIMARY CHILDREN'S HOSPITAL                        X       X
DIXIE REGIONAL MEDICAL CENTER                     X      X   RIVERTON CHILDREN'S UNIT                           X       X
FILLMORE HOSPITAL                                 X      X   RIVERTON HOSPITAL                                  X
GARFIELD MEMORIAL HOSPITAL                        X      X   SALT LAKE REGIONAL MEDICAL CENTER                  X       X
GUNNISON VALLEY HOSPITAL                          X      X   SAN JUAN COUNTY HOSPITAL                           X       X
HEBER VALLEY MEDICAL CENTER                       X      X   SANPETE VALLEY HOSPITAL                            X       X
HUNTSMAN CANCER HOSPITAL                          X      X   SEVIER VALLEY MEDICAL CENTER                       X       X
INTERMOUNTAIN MEDICAL CENTER                      X          ST MARK'S HOSPITAL                                 X       X
JORDAN VALLEY MEDICAL CENTER - WEST JORDAN        X      X   THE ORTHOPEDIC SPECIALTY HOSPITAL (TOSH)           X
JORDAN VALLEY MEDICAL CENTER - WEST VALLEY        X      X   TIMPANOGOS REGIONAL HOSPITAL                       X       X
KANE COUNTY HOSPITAL                              X      X   UINTAH BASIN MEDICAL CENTER                        X       X
LAKEVIEW HOSPITAL                                 X      X   UNIVERSITY HOSPITAL                                X       X
LAYTON HOSPITAL                                   X          UNIVERSITY OF UTAH ORTHO CENTER                    X       X
LDS HOSPITAL                                      X          UTAH VALLEY REGIONAL MEDICAL CENTER                X

                      Participating (PAR) and National BlueCard TRADITIONAL Network
                                             52 Utah Hospitals (100%)
                                16,384 physicians and other professionals statewide

                  Preferred ValueCare (PVC) and National BlueCard PPO/EPO Network
                                                 42 Utah Hospitals
                                16,044 physicians and other professionals statewide

     Both networks include free-standing surgical and imaging centers, urgent care locations, providers and clinics.

                                Largest Nationwide Network that includes:
                         9 6 % o f H o s p it al s an d 9 5 % o f p r o v id e r s

                         Search for providers at regence.com or bcbs.com
For questions about your network outside of Utah call Regence customer service at 1-866-240-9580.

                                             2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT 11
R E G E N C E .C O M A N D A P P

MAY Health
    1 - MAYcare
            31, 2022
                 support                            at your fingertips
      R E G E N C E .C O M A N D A P P
      When it comes to managing your health care, you deserve more support
      Health
      and       care support
          less complexity.          atRegence
                            That’s why your fingertips
                                              offers a personalized digital
      experience on regence.com and in the app.
      When it comes to managing your health care, you deserve more support
      and less complexity. That’s why Regence offers a personalized digital
      One experience, any device
      experience on regence.com and in the app.
      Everything you need is in one
      place: Check your claims, view your
      One     experience,
      benefits,                 anydoctors
                  find in-network     device
      and personalized insights, and chat
      Everything you need is in one
      with Customer Service.
      place: Check your claims, view your
      All this right
      benefits,   findfrom  your own
                        in-network     home
                                    doctors
      screen—a
      and           convenient
            personalized         way and
                            insights, to take
                                           chat
      care  of yourselfService.
      with Customer        and save money
      along the way.
      All this right from your own home
      screen—a convenient way to take
      care of yourself and save money
      along the way.

                                            Get started!
                                            Download the Regence app or go to regence.com to create an
                                            account. All you need is your member ID card to get started.
                                            Get started!
                                            Download the Regence app or go to regence.com to create an
  Pharmacy Benefits                         account. All you need is your member ID card to get started.

  Regence Blue Cross Blue Shield is the Pharmacy
  Benefit Manager (PBM) for all USU medical plans
  (Blue, White, and HDHP). Managing prescriptions
  can be difficult and Regence is available to assist you
  with all your prescription needs. Here are five tips for
  getting the most from your prescription benefits plan:
                                                                 Register and sign in to regence.com to search the
  1. Check the drug list.                                        list of covered drugs. Select Pharmacy Benefits
  When it comes to choosing medications, it’s                    and Find a Drug. Enter any drug name in the search
  important to know how the list of covered drugs—               field to find out if it’s covered. If you don’t see your
  or formulary—works. The covered drug list divides              prescription drug on the list, you could pay more
  medications into multiple tiers, each with its own             out of pocket the next time you get it filled.
  cost share. Before a medication is added to the list,
  Regence’s team of doctors and pharmacists carefully            Generic and brand-name medications have the
  evaluate how safe and effective it is while assessing          same strength, quality and purity. But, generics
  whether it will improve health. What does this mean            can also cost up to 80% less. So, ask your doctor
  for you? By knowing whether your benefit covers                if there is a generic drug that will work for you. To
  your medication as well as which tier it falls under,          save money, talk to your doctor about switching to
  you’ll know how much you owe.                                  a generic equivalent on our list of covered drugs.

       12 2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT
MAY 1 - MAY 31, 2022

2. Check to see if your pharmacy is in-network.            checking before you go to the pharmacy. In many
We have participating pharmacies across the U.S.           cases, brand name drugs can be replaced with
Follow the instructions above for checking the drug        equivalent generic alternatives at a much lower cost.
list and select Find a Pharmacy. Be sure to show your      Visit regence.com and select Pharmacy Benefits >
member ID card to the pharmacist to make sure your         Pharmacy forms to see the list of prescription drugs
claims get processed accurately.                           that require pre-authorization.

3. Use Express Scripts Pharmacy for the best               Understanding pre-authorization
home delivery prices.                                      To ensure you’re getting an effective drug at an
Express Scripts Pharmacy is our preferred vendor and       affordable price, we review prescriptions for some
offers in-network prices. It’s a safe, convenient way to   medications before we cover them. Drugs on the
get your long-term medicines delivered right to your       pre-authorization list include many for which equal or
door. Visit www.express-scripts.com, or call (833)         more effective and lower-cost options exist. If your
599-0451, or the number on the back of your ID card        drug needs pre-authorization, you’ll want to do one of
to get started.                                            two things:
                                                           1. Talk with your doctor to see if there’s an alternative
4. Use Accredo Specialty Pharmacy for specialty            treatment that does not require pre-authorization.
drugs.
Your health plan is committed to giving you a specialty    OR
pharmacy that offers the medicines and support you         2. Have your doctor or pharmacist request pre-
need to manage your complex health issues. That’s          authorization for your medication. You may need
what you get with Accredo, your preferred specialty        to get that authorization before you can get your
pharmacy. Visit www.accredo.com, or call                   prescription filled.
(833) 599-0514, or the number on the back of
your ID card to get started.                               Phone Numbers:
                                                           General Questions:      (866) 240-9580
5. Check to see if your prescription drug requires
pre-authorization.                                         Mail Order: 		          (833) 599-0451
Some prescription drugs require pre-authorization          Specialty Rx: 		        (833) 599-0514
before Regence will cover them to make sure you’re         Prior Authorizations:   (866) 240-9580
getting the most effective, highest value prescription
drug available. You can save time and money by

                                           2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT 13
Health Savings Account
                   Discovery Benefits, WEX                                            Can I enroll?
MAY 1 - MAY 31, 2022
                                                                          You must be enrolled in a high-
  Why should I choose a health                       deductible health plan (HDHP) in

  savings accountHealth          (HSA)? Savings      orderAccount
                                                            to enroll in the HSA. You're

 An HSA is a benefit that allowsOffered
                                you to choosethrough WEX
                                                     not eligible for an HSA if:
                                             how
 much of your paycheck you'd like to set aside,
                                                                               You're claimed as a dependent
 before taxes are taken out, for healthcare expenses.
          WhyHSA should     I choose      a health                             on someone elses taxes.
                                                                     Can I enroll?
 Think of your        as a personal   savings  account.
          savings     account      (HSA)?
 Any unspent money in your HSA remains yours,                        You mustYou're      covered
                                                                                be enrolled         by another plan
                                                                                              in a high-
                                                                     deductiblethat  conflicts
                                                                                 health          with the
                                                                                          plan (HDHP)   in HDHP,
 allowing An
          youHSA  is a benefit
               to grow   your that allowsover
                               balance    you to
                                              time.
          choose how much of your paycheck you’d                     order to enroll  in the HSA.   You’re
                                                                               such as Medicare, a medical flex
          like to set aside, before taxes are taken out,             not eligible for an HSA if:
                                                                               spending account or select
 Using anforHSA   account
              health        is easy. Swipe
                      care expenses.  Think ofyour
                                               yourbenefits
                                                    HSA              • You’re claimed
                                                                               health as    a dependent on
                                                                                         reimbursement
 debit card
          as at the point
              a personal    of purchase.
                          savings account. Access your                 someone elses taxes.
                                                                               arrangement (HRAs).
 benefits Any
           24/7unspent
                  with the    Benefits
                          money           Mobile
                                    in your        App. the app
                                             HSA remains             • You’re covered
                                                                               You orby     another
                                                                                         your        planare
                                                                                                spouse
 is free, convenient    andyou
           yours, allowing    offers    real-time
                                   to grow          access to all
                                             your balance              that conflicts with the HDHP,
           over accounts.
 your benefit   time.          If you don't have a                     such ascontributing      to a medical FSA.
                                                                                Medicare, a medical
           Using  an HSA   account
 smartphone you can access the         is easy.
                                            sameSwipe  your on
                                                   features           flex spending account (FSA) or
                                                                          What
                                                                      select      are
                                                                             health    the contribution
                                                                                    reimbursement
           benefits
 your desktop    bydebit   card in
                     logging      at to
                                     theyour
                                          pointonline
                                                of purchase.
                                                      account at
           Access your benefits 24/7 with the Benefits                    limits &(HRAs).
                                                                      arrangement    IRS regulations?
 www.DiscoveryBenefits.com
           Mobile App. The app is and   free,selecting
                                              convenient"Login" in   • You or your spouse are
 the navigation    bar.real-time access to all your WEX
           and offers                                                     The IRS to
                                                                       contributing sets the maximum
                                                                                      a medical FSA. dollar
         accounts. If you don’t have a smartphone                         amount you can elect and
         youunique,
              can access  thetax
                               same features  on your                What are the contribution
 The HSA's           triple      savings  means    the                   contribute to an HSA. The 2021
         desktop by logging in to your online account                limits & IRS regulations?
 money you   contribute, earnings
         at www.wexinc.com           from investments
                                and selecting “Login”                     annual contribution limit is:
                                                                     The IRS sets the maximum
 and withdrawals   for eligible
         in the navigation bar. expenses are all tax-                          Single
                                                                     dollar amount  youCoverage    $3,600
                                                                                        can elect and
 free, making it a savvy
         The HSA’s       savings
                    unique,         tool.
                            triple tax savings means                 contributeFamily  Coverage
                                                                                to an HSA.         $7,200
                                                                                            The 2022
         the money you contribute, earnings from                     annual contribution limit is:
 You can investments,  and withdrawals
         invest your HSA                 for eligible
                             funs in an interest-bearing                          Have
                                                                     •Single Coverage     questions?
                                                                                      $3,650
 account expenses  are all tax-free, making it a savvy
         or standard   mutual fund lineup. Savvy                     •Family Coverage $7,300
         savings tool.
 investors may opt for a Health Savings Brokerage                         Contact Discovery Benefit's
          You can invest your HSA funds in an interest-
 Account powered by Charles Schwab, giving you
                                                                     HaveParticipant
                                                                          questions? Services Monday-Friday
          bearing account or standard mutual fund
 access tolineup.
             more Savvy
                  than 8,500   mutual  funds,                        Contact
                                                                         6:00WEX  Customer
                                                                               a.m.         Service,
                                                                                    to 9:00 p.m. (Central Time).
                        investors may opt for astocks,
                                                Health and
                                                                     Monday through Friday from 5:00
 bonds. Savings Brokerage Account powered by                             866-451-3399
                                                                     am to 8:00 pm MST 866-451-3399.
           Charles Schwab, giving you access to more
           than 8,500 mutual funds, stocks, and bonds.

              Deviating from our usual activities, we
              decided to take the team to a
              snowboarding retreat this year.
                                                                                                         page 02

         14 2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT
Benefits Mobile App

Access your benefits anytime, anywhere
Access your benefits on the go 24/7 with the Benefits Mobile App by Discovery Benefits. Our free app gives you
convenient, real-time access to all your WEX accounts in one spot. This makes it easy to use your hard-earned
dollars and view recent account activity without ever needing to call in.

The Benefits Mobile App keeps your benefits always within reach. Want to know the status of a recent claim or
easily check the balance of your accounts? Log in to our secure app to get answers to those questions and so many
more — wherever and whenever you want. With our Benefits Mobile App, you can:

          Get instant updates on the status of your claims.

          File a claim and upload documentation in seconds using your
                                                                                     Security on the go
          phone’s camera.
                                                                                     Our mobile apps use
                                                                                     secure encryption and
                                                                                     won’t store pictures on
          Report a card as lost or stolen, which cancels the card and ships
                                                                                     your phone, keeping your
          you a new one.
                                                                                     documentation safe and
                                                                                     secure.
          Log in through face recognition or fingerprint (depending on your
          phone).

          Check your balance and view account activity.

          Use your benefits debit card directly from your mobile phone with
          Apple Pay or Samsung Pay.

          Scan an item’s bar code to determine if it’s an IRS code section
          213(d) eligible expense.

          Reset login credentials.

                 Download the app for free on Apple and Android smartphones and tablets

Simplifying benefits for everyone.         www.DiscoveryBenefits.com

                                                                                                                 002

                                     2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT 15
MAY 1 - MAY 31, 2022

     Flexible Spending Account
     Is it Right for You?
     *This selection does not rollover year to year.
      You must re-enroll annually.*
     Flexible Spending Accounts (FSA) are                 elected, it cannot be changed during the plan
     administered through WEX. You can enroll in an       year (July 1 - June 30).
     FSA during the open enrollment process then
                                                          The current maximum amount you may set
     WEX will send you an email with instructions
                                                          aside for health care expenses is $2,850.
     on how to access your FSA account online.
                                                          The dependent care maximum amount is
     Cost for an FSA is now $2.85 per month and           $5,000 for individuals or married couples filing
     there is no added fee for a debit card.              jointly or $2500 for a married person filing
                                                          separately.
     There are two flexible spending account
     options. The first is a health care flexible         To participate, you must sign up ANNUALLY
     spending account (HCFSA), used for health            online during open enrollment. To enroll, follow
     care expenses. The second is a dependent care        the instructions on page 5 of this booklet.
     flexible spending account (DCFSA), used for          Remember that the money you set aside in your
     child and elder care.                                FSA must be used within the same plan year. If
                                                          you are participating in a health savings account
     You may contribute pre-taxed earnings to an
                                                          (HSA) you may not participate in health care
     FSA which can result in substantial tax savings.
                                                          flex spending; however, you may participate in
     Enrollment in an FSA is an annual election and
                                                          dependent care flex spending. Those who enroll
     must be completed each year during open
                                                          in a DCFSA and an HSA will be issued one
     enrollment. Once the contribution amount is
                                                          debit card, so no need to keep track of multiple
                                                          cards.
     HEALTH AND DEPENDENT CARE FLEX SPENDING: Expenses may be incurred from July 1,
     2022 through September 15, 2023. Medical and dependent care receipts must be submitted for
     reimbursement by December 15, 2023.

     Zurich® Supplemental Accidental
     Death & Dismemberment Insurance
     All benefited employees have an Accidental          and personal assistance when you are 10 or
     Death & Dismemberment (AD&D) insurance              more miles from home. To sign up, complete
     policy through The Hartford equal to 1x your        the open enrollment process in ServiceNow.
     salary.
     During open enrollment, you may purchase
     AD&D insurance from Zurich®.
     If you purchase supplemental AD&D insurance
     from Zurich®, you will also have access to travel
     assistance insurance that offers medical, legal,

     16 2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT
MAY 1 - MAY 31, 2022

The Hartford - Life & Disability Insurances
 NOTE: No action is required unless you would like to make changes.
 During open enrollment, The Hartford will email      TO ACCESS BENSELECT VISIT:
 you a link to login to review or change your         THEHARTFORD.COM/BENEFITS/ENROLL.
 current Life and Disability Insurance elections      Your user ID and password are detailed below. If
 and add or change beneficiaries.                     you need assistance, a representative from The
 SUPPLEMENTAL LIFE INSURANCE: If you                  Hartford is available to help with any questions:
 are currently enrolled in this coverage, you                             (855) 396-7655
 may increase your current coverage by one             (Monday through Friday, 6:00 am to 6:00 pm MDT)
 increment of $10,000, up to the guarantee               User ID
 issue amount without providing evidence of              Your Utah State University user ID is your Employee
 insurability. Additional coverage amounts will          A-number.
 require evidence of insurability. If you are not        For example: John Smith’s Employee ID number is
 currently enrolled, evidence of insurability will       A00123456. His username is A00123456.
 be required for any amount.
                                                         Password
 SHORT-TERM DISABILITY (STD) INSURANCE:                  Your password is the first letter of your first name
 If you have not already purchased short-term            and the first letter of your last name followed by your
 disability insurance, you can enroll during this        date of birth (MMDDYYYY).
 enrollment period. You will be required to provide      For example: John Smith’s birth date is February
 evidence of insurability. This plan can protect         25,1963. His password is js02251963.
 your income if you experience a short-term              Your password is case sensitive. Therefore you will
 disability.                                             need to use lowercase initials. You will be required
                                                         to reset your password during your initial login.
 BENEFICIARY INFORMATION: This is a good
 time to check beneficiary information on your
 life insurance policies and other benefits.
 THE HARTFORD BENSELECT PORTAL: During
 the enrollment period, you can access The
 Hartford BenSelect portal via Service Now
 to review Life and STD insurance elections
 for you and your covered dependents; add
 supplemental life insurances for you, your
 spouse, and/or children; add short-term
 disability insurance if you do not already have
 it; and confirm, add, or update your beneficiary
 information.
 PREMIUMS:
 Can be found at hr.usu.edu > benefits > life
 insurance rates and premiums.

                                        2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT 17
MAY 1 - MAY 31, 2022

    EyeMed Supplemental Vision
    Insurance
    Your medical insurance through Regence BCBS            Coverage includes:
    covers one preventative eye exam per plan
                                                           • $130 allowance per person for lenses or
    year. If you wear glasses or contacts, you can
                                                           contacts every 12 months.
    elect to receive supplemental vision insurance
    through EyeMed. EyeMed offers five of the              • $130 allowance per person for frames every
    top six most admired national retail chains as         12 months.
    in-network options including LensCrafters,              Monthly Premium Rates
    Sears Optical, Target Optical, JCPenney Optical,        Single		        $ 6.03
    and most Pearle Vision locations. Additionally,         Two Party		     $ 11.46
    EyeMed coverage provides discounts on Laser             Family		        $ 16.89
    Vision Correction (LASIK or PRK), and discounts
    on hearing care from Ampilifon hearing
    network.
                  Please visit eyemed.com or call (866) 804-0982 for more information.

    Employee Wellness at USU - Be Well
    The goal of the USU Employee Wellness Pro-                •    Be Well library
    gram, Be Well, is to support and enhance the              •    Healthy tips & tidbits
    health and wellness of employees and their
    families by building partnerships and programs.        WELLNESS PROGRAMS
    We encourage employees to adopt and sustain                •   Health risk assessments
                                                               •   Health screenings, expos & flu shots
    healthy lifestyle behaviors that support a work/life
                                                               •   Wellness challenges
    balance, increase work satisfaction, and reduce
                                                               •   Wellness ambassadors
    health care costs. We are striving to create a             •   Be Well newsletter
    culture of wellness at USU.
    Many services are offered at no charge. For more       USU’s Be Well Rewards
    details, please visit our website wellness.usu.edu,
    call (435) 797-8391, or email BeWell@usu.edu.          Program
    FITNESS PROGRAMS                                       USU’s Be Well Rewards is an exciting incentive
        •   Fitness assessments                            program that rewards employees for taking an
        •   Fitness classes                                active role in their personal well-being. Through
        •   Personal training                              USU’s Be Well Rewards program, all benefit
        •   Tuition free course auditing                   eligible employees can earn cash rewards fall
        •   Employee Wellness Center                       and spring semesters. For more information
        •   Fitness challenges                             and to register, please visit the USU Be Well
                                                           Rewards website at wellness.usu.edu/
    NUTRITION PROGRAMS                                     rewards.
        •   Nutrition consultations
        •   Nutritional information/tips

     18 2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT
MAY 1 - MAY 31, 2022

MetLife Legal Plans
With MetLife Legal Plans you have access to              You may apply for MetLife Legal Plans during the
a network of attorneys on retainer for a low             open enrollment period, May 1 – May 31, 2022.
monthly premium of $21.25 paid via payroll               Once enrolled, you will be required to remain in
deduction. You will have access to legal services        the plan for the full benefit plan year. If you are
and representation from local attorneys on a             already enrolled in the plan, your coverage will
wide range of matters including wills and estate         automatically renew unless you call during open
planning, financial matters, real estate, traffic        enrollment to cancel. To enroll, please complete
offenses (DUI not included), and more.                   the open enrollment process in Service Now.
                                                         You will remain in this benefit until you waive the
There are no co-pays or deductibles. For
                                                         benefit during an open enrollment period.
example, you can have a local attorney prepare
full estate planning documents for you and your
spouse for just $21.25 per month.

USU’s plan covers the following categories:
• Family Law		      • Real Estate			                     • Debt Matters
• Wills and Estates • Traffic and Criminal		             • Injury and Insurance
For specific services within these categories, please call 1-800-821-6400 or visit
hr.usu.edu > benefits > voluntary benefits > MetLife Legal Plans.

New for 2022: The plan will now include the Parents Plus Program, which allows for up to 8 parents
to have access to over 20 of the services included under the existing MetLife Legal Plan including:
• Identity Management Services
• Assistance with deeds and mortgages
• Estate Planning: codicils, complex wills, healthcare proxies, living wills, powers of attorney, simple wills
• Affidavits, demand letters, review of any personal legal documents
• Elder-Care Issues: Medicaid, Medicare, nursing home agreements.

NOTE: By participating in the MetLife Legal Plans, you are eligible for an additional discount on Farm-
ers auto insurance of up to 10%. If you are currently enrolled, you will need to call Farmers to have
this additional discount applied.

To access MetLife Legal services:
Phone: (800) 821-6400
Access Code: 49400010
If you are enrolled in MetLife Legal Plans, the Membership ID is the last 4 digits of your
social security number.

                                        2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT 19
ENROLL ANYTIME

   Farmers Auto and Home Insurance
   With one call, you can receive quotes from         •   Receive discounts for having a good
   two leading insurance companies, Farmers and           driving record and driving a safe car.
   Safeco, for top quality auto and home insurance
                                                      Since everyone’s insurance policies renew at
   with special discounts.
                                                      different times during the year, you may apply
   In addition to special discounts and flexible      for auto and home insurance through this group
   payment options, find out how you can:             program at any time by calling (800) 438-6381.
   •   Save more when you insure multiple
       cars or purchase both home and auto
       policies.
   •   Choose from convenient and affordable
       payment options, including payroll
       deduction for employees.

  Retirement Plans                                                                     Open enrollment
  Employer-Funded                                                                      is a good time to
                                                                                       check beneficiary
  Retirement Plans                                                                   information on your
  Preparing for retirement is one of the biggest
                                                                                    retirement plans. Log
  financial challenges you will face. USU offers                                     in to the appropriate
  employer-funded and employee-funded                                                  vendor’s website
  retirement plans. USU’s retirement plans                                              today to review
  through TIAA, Fidelity, and Utah Retirement                                          beneficiaries and
  Systems (URS) are a great foundation to save                                           make changes.
  for retirement. Your plan eligibility depends on
  prior enrollment.

  For new employees or rehired employees
  who were not previously enrolled in URS
  while working for USU, USU will contribute
  14.2% of your base earnings into a retirement
  account called a 401(a) plan. This is an employer
  contribution only plan, so all funds contributed
  come from the university. You may choose to
  have your account administered by either TIAA
  or Fidelity, or a combination of both.

  If you previously worked for USU and were
  enrolled in URS while working for the
  university, you must remain in URS. If you were
  enrolled in URS with another employer, you
  have the option to either enroll with URS, TIAA
  or Fidelity.

       20 2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT
ENROLL ANYTIME

Retirement Plans (continued)
Employee-Funded Retirement Plans
Employees may contribute to supplemental retirement plans via payroll deduction.
The following five supplemental plans are available:

    403(b)                                         Roth 403(b)
      • Contributions are made pre-tax (this 		       • Contributions are made post-tax.
    		 reduces an employee’s taxable income).
                                                     • Current maximum annual contribution
      • Current maximum annual contribution        		 limit is $20,500, or $27,000 if age
    		 limit is $20,500, or $27,000 if age 50 		   		 50 or older.
    		 or older.
                                                     • Withdrawals can be made without
      • Withdrawals can be made without 		         		 penalty at age 59 ½ and after the 5th year
    		 penalty at age 59 ½. Withdrawals are        		 of your 1st contribution.
    		 subject to taxes.
                                                     • Some withdrawals prior to age 59 ½ are
      • Withdrawals prior to age 59 ½ are 		       		 subject to a 10% penalty.
    		 subject to a 10% penalty and taxes.
                                                   Roth 457(b)
    457(b)                                            • Contributions are made post-tax.
      • Contributions are made pre-tax (this
                                                     • Current maximum annual contributions
    		 reduces an employee’s taxable income).
                                                   		 limit is $20,500, or $27,000 if age
      • Current maximum annual contribution        		 50 or older.
    		 limit is $20,500, or $27,000 if age 50
                                                     • Withdrawals can be made without
    		 or older.
                                                   		 penalty at age 59 ½ and after the 5th
     • Withdrawals can be made upon 		             		 year of your 1st contribution.
    		termination.
                                                     • Some withdrawals prior to age 59 ½ are
                                                   		 subject to a 10% penalty.
    401(k)
      • Contributions are made pre-tax (this
    		 reduces an employee’s taxable income).
      • Current maximum annual contribution
    		 limit is $20,500, or $27,000 if age
    		 50 or older.
      • Withdrawals can be made without
    		 penalty at age 59 ½. Withdrawals
    		 are subject to taxes.
      • Withdrawals prior to age 59 ½ are
    		 subject to a 10% penalty and taxes.

               Employee retirement contribution forms and links
                    for online enrollment are available at:
                     hr.usu.edu > Benefits > Retirement
                                    2022-2023 EMPLOYEE BENEFITS & OPEN ENROLLMENT 21
You can also read