COLLEGE BENEFITS
1.
Health Insurance/Wellness Program
– The College’s health insurance is a comprehensive plan which includes a
prescription drug program and a wellness benefit. The plan includes deductibles
with a lifetime maximum. The College’s program is a self-funded plan with a
re-insurer that takes over when certain individual and plan maximums are
attained. Individuals may choose
from either single or family coverage. (See below)
The wellness benefit allows staff to have
certain items done (i.e. routine physicals, immunizations, mammograms, etc.)
with a payment of $400 per person first dollar coverage. This is really a
benefit to the College as it helps to detect problems early before they get
worse, thus helping to keep costs down. (See below*)
TRIPLE OPTION GROUP HEALTH PLAN EFFECTIVE JANUARY 1, 2004
|
|
Plan
A
|
Plan
B
|
Plan
C
|
|||
PPO
|
Non
PPO |
PPO
|
Non
PPO
|
PPO
|
Non
PPO
|
|
|
Lifetime
Maximum |
5,000,000 |
5,000,000 |
5,000,000 |
5,000,000 |
5,000,000 |
5,000,000 |
|
Physician
Office Copay |
$20/visit
Balance 100% |
65%
after Deductible |
$15/visit
Balance 100% |
70%
after Deductible |
90%
after Deductible |
70%
after Deductible |
|
Wellness
Benefit * |
1st
$400 paid in full per person Balance paid at coinsurance |
1st
$400 paid in full per person Balance paid at coinsurance |
1st
$400 paid in full per person Balance paid at coinsurance |
|||
|
Outpatient
Surgery |
85%
after Deductible |
65%
after Deductible |
90%
after Deductible |
70%
after Deductible |
Some
Outpatient Surgeries (38) No Deductible 100% |
|
|
Maternity
Care |
85%
after Deductible |
65%
after Deductible |
90%
after Deductible |
70%
after Deductible |
1st
$1500 paid 100% Balance to Deductible & Coinsurance |
|
|
Calendar
Year Deductible |
$250/Person $500/Family |
$500/Person $1000/Family |
$250/Person
$500/Family |
$500/Person
$1000/Family |
$100/Person
$200/Family |
$100/Person
$200 Family |
|
Coinsurance
after Deductible |
85%
|
65% |
90% |
70% |
90% |
70% |
|
Maximum
Out of Pocket Expense |
$1250/Person
$2500/Family |
$2500/Person
$5000/Family |
$1000/Person
$2000/Family |
$2000/Person
$4000/Family |
$350/Person
$450/Family |
$850/Person
$950/Family |
|
Prescription
Drug Copay |
$10/Generic $20/Formulary $35/Namebrand |
$10/Generic $20/Formulary $35/Namebrand |
$10/Generic $20/Formulary $35/Namebrand |
|||
|
Employee
Payroll Deduction |
Single:
$0 per month
Family:
$0 per month |
Single:
$32.50 per month
Family:
$86.67 per month |
Single:
$75.83 per month
Family
$195.00 per month |
|||
2.
Dental Insurance – The
College’s dental insurance plan is a self-funded plan with Ameritas out of
Lincoln. There are two areas to our
program; one is a maintenance coverage and the other is a restorative coverage.
Under the maintenance, the co-pay schedule is 80/20 the first year, 90/10
the second year and 100/0 the third year with no deductible based on usual and
customary charges wit use each year. Under
the restoration coverage there is a 50/50 co-pay with a $25.00 deductible.
As with the health insurance coverage individuals can choose from either
family or single coverage. There is
a $1500/individual maximum/yr.
3.
Preferred Provider Organization
(PPO). This is a program that
in conjunction with our health insurance program helps to keep our insurance
claims (cost wise) to a minimum. The program works with doctors, hospitals, clinics, etc. who
in turn will join the PPO where they have agreed to a certain rate for services
rendered. Those bills are sent to
the 3rd Party Administrator where the bill is re-priced to the agreed
amount and then processed for payment. Payment is made at the appropriate
co-insurance rate. This in turn saves the employee and employer money. If an individual chooses not to go to a PPO provider the
percentage for payment is paid at the corresponding appropriate rate.
4.
Retirement – This program is
provided through TIAA-CREF (Teachers Insurance & Annuity Association/College
Retirement Equity Fund) and is one of the most important benefits that the
employee may take advantage of through the College.
For staff (non-faculty) the benefit amounts to a match plus 1% to a max
of 7.50%. The minimum participation
is 2%. This procedure works as
follows; employee contributes 2% - College puts 3%, employee contributes 3% -
College contributes 4% - up to 6.50% and College contributes 7.50%.
For faculty the minimum participation is 2% to 7.50% and the College will
match up to 7.50%. The
employee has the flexibility to invest in a multitude of different investment
vehicles provided by TIAA-CREF.
5.
Life Insurance – The benefit
of coverage is two times the persons annual salary rounded to the next even 1000
dollars, and 4 times the base amount for accidental death.
6.
Long Term Disability (LTD) –
This benefit is activated after an individual has been absent from work for 90
calendar days due to sick leave. Starting
with the 91st day their benefit is 60% of the salary for as long as they are on
LTD.
7.
Tuition Remission – This
benefit is for all full-time staff, spouse and dependents.
The tuition is waved on most course or courses taken from Central
Community College.
8.
125 Cafeteria Plan –This
plan is administered through HDM who is our 3rd party administrator
for our health program. This
benefit allows staff (full-time) to tax-shelter dollars that they would have to
pay out their pockets for health, dental, and dependent-care expenses,
etc. The employee then saves paying State, Federal and FICA taxes.
This has proven to be a very popular benefit with the staff.
01/30/04