91社区

Supplemental Insurance

State of 91社区 Supplemental Insurance

Enrollment and election changes for supplemental plans provided by the State of 91社区 are made by the employee through People First for the below benefits. Unless otherwise noted, premiums are paid by the employee with no employer contribution.

Health Savings Account

Enrollment in the Health Savings Account (HSA) requires dual enrollment in the high deductible HMO or PPO plans. The HSA allows employees to use pretax dollars to pay for the patient responsibility portion claims not covered by the insurance company such as medical, prescription, dental or vision care services. Any unused funds carry forward to the next year and belong to the employee. The State contributes up to $500 per year with individual health coverage and up to $1,000 for per year with family coverage. Employees may contribute up to $4,150 per year with individual health coverage and up $8,300 per year with family coverage (these limit amounts include the state's contribution). 

• Enrollment and election changes are completed by the employee through .
• .

Tax-Favored Spending Account

The state offers three IRS tax-favored reimbursement accounts (also called flexible spending accounts or FSAs). The plan year runs January 1 through December 31. Claims must be submitted by April 15 of the next plan year; otherwise, any unused funds in excess of $610 are forfeited. A prepaid benefits card is issued by the plan administrator, Chard Snyder, to participants of the plan.

• Enrollment and election changes are made by the employee through .
• Details of the Flexible spending accounts are below, and/or .

Healthcare Flexible Spending Account

• A Health FSA is an account eligible employees can use to pay for eligible medical expenses not paid by insurance. Enrollment in a health insurance plan through USF is not a prerequisite to enroll in a Health FSA but enrollees cannot participate in the HSA and the Health FSA during the same plan year.
• Employees can set aside $100 to $3,050 (pre-tax) each plan year to cover eligible expenses incurred during that year. Up to $640 of unspent funds can be carried over from year to year.

Limited Purpose Flexible Spending Account

• A Limited Purpose FSA is a type of spending account that allows eligible employees to pay for dental, vision, and preventive care expenses not covered by the high deductible health plan.
• Employees can set aside $100 to $3,050 (pre-tax) each plan year to cover eligible expenses incurred during that year. Up to $640 of unspent funds can be carried over from year to year.

Dependent Care Flexible Spending Account

• A Dependent Care FSA is an account employees can use to pay for the care of qualified child care or dependent adult care expenses (not health care related).
• Employees can set aside $100 to $5,000 annually to cover eligible expenses incurred during that year.

Other State of 91社区 Supplemental Plans

• Details of the other plans are listed below, and/or .

Accident Insurance

Accident insurance is available through Colonial Insurance Company. The policy helps pay for expensive medical treatment as well as certain medical equipment required as a result of an accident. The plan includes copays and deductibles. 

Cancer Insurance

Cancer insurance is available through Aflac or Colonial Insurance Company. This supplemental policy provides a cash benefit to covered members for direct medical and indirect non-medical expenses related to cancer diagnosis and treatment. 

Hospitalization Insurance

Hospitalization insurance is available through Cigna Health and Life Insurance Company or New Era. The policy provides a cash benefit to covered members due to hospitalization.

Hospital Intensive Care

Hospitalization intensive care insurance is available through Aflac. The policy provides a daily cash benefit for confinement in a hospital intensive care or a sub-acute intensive care unit. 

Disability

Disability insurance is available through Colonial Insurance Company. This policy provides supplemental income during short-term disability to help pay for a variety of everyday living expenses including mortgage or rent, utility bills, food and clothing, travel and lodging for treatment, and health costs not covered under other plans.

USF Supplemental Insurance

Plans within this section are offered by USF and separate from enrollment in State of 91社区 plans. Enrollment and election changes for supplemental plans in this category are made by the employee through the policy provider. Premiums are paid by the employee with no employer contribution.

Eligibility

Participation is open to benefit-eligible employees with at least a 0.75 FTE appointment. Employees may elect to cover lawful spouses under age 70 and unmarried dependent children up to age 25 if they are full-time or part-time students in an accredited school or college. Children must be dependent upon the employee for support and maintenance and must reside with the employee.

Enrollment

Eligible employees may enroll in the plan at any time by returning a completed enrollment form to Human Resources.

Long Term Care

Long-term care insurance provides your loved ones with the means to care for you when you are unable to care for yourself. Coverage includes custodial care, medical support, and more while helping to protect your retirement assets and allowing you to maintain independence.

Contrary to popular belief, the need for long-term care is not contingent upon age. Illness and injury can occur unexpectedly whether you're young or older, and the ability to care for those in need of consistent medical considerations is as prevalent as ever.

The reality of medical care is that it can be financially devastating. This is no secret and it has nothing to do with one's relative age. Accidents, severe illness, or memory loss can strike at any moment, therefore making it necessary to be prepared to undertake the financial burden associated with caring for those in need. Investing in long-term care helps to secure your financial independence in the event of the need to cover the medical obligations for your loved ones. It includes:

• A wide range of custodial care
• Medical and support services
• Assistance with Activities of Daily Living (ADL)
• Supervision of someone who is cognitively impaired

Group Long term care can be provided in many health and personal care settings such as nursing homes, assisted living facilities, hospice care facilities, as well as at home. *Underwritten by UNUM Insurance Company of America

Eligibility

Participation is open to benefits-eligible employees (excludes Temporary) with at least a 0.50 FTE appointment.

Enrollment

New employees may purchase coverage during your first 60 days of employment without completing a medical questionnaire, as long as you do not choose benefits that exceed the Guarantee Issue Limits.  If you wait to enroll, a medical questionnaire is required. If you change employers or retire, you can still keep your coverage at affordable group rates.

• For more information about Long Term Care and other products, .

Long Term Disability

Long term disability insurance is available through Gabor Financial Solutions and provides an inexpensive way to protect your income, your family, and yourself from loss due to an unexpected illness or injury.

• Benefits begin after either 30 or 90 days, according to the elimination or waiting period you choose.
• If you elect the 30-day elimination, the benefit replaces 66 2/3% of your income tax-free from 31-90 days.  If you are still disabled beyond the 90th day or elect the 90-day elimination plan, the benefit replaces 60% of your income tax-free to a maximum of $15,000 per month* payable to Social Security Normal Retirement Age (SSNRA**).
• Pays an additional 11% towards an annuity contract if disabled more than 12 months.
• Covers 80% to a maximum of $20,000 to SSNRA for "catastrophic disability***."
• Includes a Lifetime Benefit of 60% of your income to a maximum of $15,000 monthly starting at Social Security Normal Retirement Age in the event of "catastrophic disability."
• Is available through convenient payroll deduction. No paper bills to pay.

Detailed information about the insurance may be found in the or available on .

to determine the cost for this coverage: If you elect the 30 day plan, benefits from day 30 to day 90 will be paid on a weekly basis to a maximum of $3,462 under a Short Term Disability policy. After 90 days of disability, benefits are paid monthly through a Long Term Disability plan as described above.

Enrollment

Eligible employees (excludes Temporary) may enroll during their first 90 days of employment or during open enrollment periods for the Gabor Financial Solutions Long Term Disability plans. Late enrollment can be done outside of these time frames with evidence of insurability. New Hires may now enroll electronically using . Paper forms will still be accepted for new hires, but electronic enrollment is preferred. Enrollment forms are available in the HR Forms Library or from  Gabor Financial Solutions.

New Hires

This plan is available guaranteed issue (no medical exam required) for new employees during their first 90 days of employment.

Existing Employees

Late enrollment can be done outside of these time frames with evidence of Insurability. Enrollment forms are required for late enrollees and are available in the HR Forms Library or from Gabor Financial Solutions directly.