Benefits & 2012 Open Enrollment Information
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Butler University Health Commission
-
- Please watch the video of the October 2011 Commission
forums
2012 Health-Care Open Enrollment in the
News
Election Form & Rate Sheet
Coverage Summaries & Additional
resources
Benefit Highlight Sheets
2012 Open Enrollment will occur from October 25th
through November 7th
- Benefits
Open Enrollment Announcement (PDF)
- Open Enrollment questions and answer sessions were
held:
-
- Week One Schedule
- Tues Oct 25, 7:00 - 8:00
a.m.(JH-141)
- Wed Oct 26, 11:00 - noon (Reilley
Room)
- Thurs Oct 27, 3:00 - 4:00
(JH-141)
- Week Two Schedule
- Mon Oct 31, 11:00 - noon (JH141)
- Tues Nov 1, 10:00 - 11:00
(JH141)
- Week Three Schedule
-
- Mon Nov 7, 11:00 - 12:00 (JH141)
Medical Insurance
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To find in-network providers: Go to Anthem
Blue Cross and Blue Shield's website and click on "Find a
Doctor." You'll be asked for our Plan, which is Blue Access
(PPO).
Care Comparison instructional
video: Use Care Comparison to
compare health care facilities inpatient and outpatient
services, as well as cost and quality. View the demonstration
video http://demo.anthem.com/abcbs/memberdemoacc/index.htm.
Log Log into Anthem.com is not required to view this demo;
however, is required to access the Care Comparison
webtool.
Anthem Plan Documents - Plan summaries are
in the above link to 2012 Open Enrollment documents
Anthem Pre-Certification
1 (877) 814-4803
Blue Card Customer Service
(to locate a provider while traveling)
1 (800) 810-2583
Anthem Formulary
To hear recent changes to the prescription drug formulary, call 1
(877) 468-5279
Express Scripts (mail-order pharmacy)
Express
Scripts FAQs - this document answers questions about the
mail-order pharmacy and gives instructions on how to get
started
Dependent Eligibility - Dependent age for
medical insurance is the end of the calendar year in which your
dependent turns 26 if a tax dependent. Dependents no longer have to
be full-time students if over the age of 19.
In-Network and Out-of-Network Providers
It is important to always make sure your provider is in the Blue
Access (PPO) network because you will receive a higher level of
benefit . Providers in our network have agreed to charge a reduced,
negotiated fee for their services. Our coverage is national and you
can find an in-network provider even while traveling.
Out-of-Network: Our plans have benefits at a
reduced level when you receive care from out-of-network providers.
Please keep in mind that you have to meet your out-of-network
deductible before the plan will pay. Even if you've met your
deductible with an in-network provider, you have to meet it again
with an out-of-network provider. You will also be billed for
charges in excess of the Usual & Reasonable reimbursement paid
by the plan. Prior-authorization is required for all out-of-network
services.
Emergency Visits: Our plan will pay in-network
benefits when you need care for an emergency. However, even in an
emergency, out-of-network providers may bill you
for their charges in excess of the Usual & Reasonable
reimbursement paid by the plan. You will be responsible for the
excess charges.
Referrals: With our PPO plans, you don't need a
referral to see a specialist. However, you want to make sure the
specialist is in the network. There are times when an in-network
provider will refer you to a specialist. A referral from your
doctor does not mean that the provider is
in-network. It is always the patient's responsibility to verify the
network status of a referred physician or facility.
Dental Insurance
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Delta Dental Plan of Indiana
P.O. Box 9085
Farmington Hills, MI 48333-9085
1 (800) 292-0626
www.deltadentalin.com
Group Number: 7070-0001
In-network dentists: You have access to
dentists in the Delta PPO and Delta Premier network. To find
in-network dentists, go to
Delta's website or view the Delta
PPO Directory and
Delta Premier Directory.
Summary of Dental Plan
Benefits (PDF) - this summary shows the covered services and
the percentages paid by Delta.
Out-of-Network: You may receive dental care
from any licensed dentist. However, you will receive a higher level
of benefits when covered services are obtained from a Delta Dental
PPO or Premier Network dentist. In-network dentists have agreed to
charge a reduced, negotiated fee for their services. If you go to
an Out-of-Network dentist, you may be billed for charges in excess
of the Usual & Reasonable reimbursement paid by the plan.
Vision Insurance
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Eligibility Changes
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Mid-year Changes - IRS regulations require that
benefit elections remain in place for the entire year unless you
experience an IRS-defined change in status. A change in status,
such as marriage, divorce, or the birth of a child, allows you to
make a change to your elections as long as it is within 30 days of
the event. Please notify HR if you qualify to make a mid-year
change.
Duty to notify of ineligibility - the employee
is responsible for notifying HR within 30 days of any change that
affects a dependent's eligibility. For example, you must notify HR
if your dependent gets married, obtains health insurance through
employment, or is no longer a tax dependent.
- For life insurance, dental and vision you must provide
notification when your dependent reaches the age limit.
- Dependents will automatically be terminated in Anthem's system
when a dependent reaches the age limit for medical. You must still
notify HR in order to change your benefit deductions.
Retirement Savings Plan
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Flexible Spending Account Program
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UMR (Formerly Fiserv Health)
P. O. Box 2708
Dayton, OH 45401-2708
1 (877) 310-3539
UMR Website
To access your personal information, such as claims and
balances, access the
UMR Website and follow these instructions:
- For initial "Login", you will need to enter your Username,
which is your Social Security Number with the dashes and 00 added
at the end. For example 123-45-678900
- For your Password, use your Social Security Number only with
the dashes, 123-45-6789. You can change these any time you wish by
accessing your personal data field.
Tax-Savings
Our flexible spending plan is designed to save tax dollars when
you pay for certain IRS-eligible expenses. When you elect to
contribute to flexible spending, the contributions are not subject
to federal, state, local, or FICA taxes. This can mean substantial
savings to you.
Debit Card
The annual amount you choose to contribute is loaded onto a
convenient debit card that has the MasterCard logo. You can use it
to pay for office visit co-pays, prescription co-pays, vision
expenses, deductibles and other IRS-eligible expenses. The debit
card eliminates paying out-of-pocket expenses as the funds are
deducted directly from your FSA account. It also significantly
reduces manual paper claim submission and eliminates waiting for
reimbursement checks.
Other Points to Remember
- In order to be reimbursed from your account, the expenses you
claim must be eligible under IRS regulations - you are responsible
for keeping receipts in case you are audited.
- Butler does not have a grace period - All expenses must
be incurred between January 1 and December 31, 2011.
Claims can be submitted up until March 31, 2012, but the expense
must be incurred in the plan year.
- Unused 2011 flexible spending contributions are forfeited per
IRS regulations. They cannot be "rolled over" into the next plan
year.
- You do not have to be enrolled in a medical, dental or vision
plan to participate.
- Contributions are elected on an annual calendar year basis.
Annual elections cannot be changed during the year unless you
experience an IRS-defined change of status.
- We have two flexible spending accounts, Medical and Dependent
Care. You may elect to participate in either or both of them.
- The minimum amount you can flex per year is $120. The maximum
amount is $5,000.
Dependent Care Expenses:
In general, the following rules apply to dependent care
expenses:
- The expenses must be employment-related expenses for the care
of a dependent of the employee who is under age 13 and entitled to
a dependent deduction under Internal Revenue Service Code Section
151(e) or a dependent that is physically or mentally incapable of
caring for himself or herself.
- The total amount claimed under the plan for any coverage period
must not exceed the lesser of your earned income for the plan year
or the earned income of your spouse. If your spouse is either a
full-time student or is capable of taking care of him or herself,
then he or she is deemed to have monthly earnings of $200 if there
is one (1) child or dependent, and $400 if there are two (s) or
more.
- No payment may be made under the plan if the service provider
is your dependent for federal income tax purposes or if your child
or stepchild who is under age 19.
- If the services are provided by a dependent care center, the
center must comply with all state and local laws and must provide
care for more than six (6) individuals who are not a resident of
the facility.
- The total amount reimbursed cannot exceed the actual paid into
the account.
- Medical &
Dependent Care Expenses Reimbursement Form (PDF)
To request reimbursement of Dependent Care Expenses, in lieu of
the caregiver signing the front of this form in Section B, complete
the front of this form and attach a bill and a statement signed by
the caregiver indicating the date the services were rendered and
the amount charged.
Life & Accident Insurance
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Long Term Care Insurance
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Long Term Care Insurance Presentation - Click on this link to
view a webinar on Long Term Care Insurance. This presentation will
answer many of your questions about Long Term Care Insurance,
including how to enroll and the plan options available.
To enroll or to get an online quote, visit Genworth's
website:
www.genworth.com/groupltc
Group Name: butleru
Access Code: groupltc
You can also call Genworth at 1 (800) 416-3624.
Short Term Disability (STD)
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Long Term Disability (LTD)
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Family & Medical Leave Act (FMLA)
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Time Off Programs
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Tuition Remission/Exchange
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Tuition
Remission Policy (PDF)
Tuition Remission Form (PDF)
Tuition Exchange
Policy *(PDF)
Tuition
Exchange Form (PDF)
Tuition Exchange Universities/Colleges - www.tuitionexchange.org
* While Butler University participates in the tuition exchange
program, The Tuition Exchange website is managed by the Tuition
Exchange organization. Butler University has no involvement or
control over the colleges and accuracy of data listed on the
website. Be sure to confirm all information with the institution of
interest. Schools must remain on the list of participating
members because they still have students on their program - schools
cannot withdraw completely until all scholarships have been
completed, all bills have been paid and they are in balance with
the number of imports and exports. Many schools, not just
withdrawing schools, decide from year to year not to accept imports
or not to send out exports - schools are not required to send out
or bring in students under our program.
Employee Assistance Program
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Methodist Assistance Program
Methodist Hospital of Indiana
I-65 at 21st Street
P.O. Box 1367
Indianapolis, IN 46206-1367
Helpline (317) 962-2622
Non-local (800) 745-4838
EAP
Summary (PDF)
Frequently Asked Questions
(PDF)
ProCare Network
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Website: www.procarenetwork.com/go
Call center: (317) 974-2039
ProCare Network is a FREE program for Butler employees and their
families that offers access to a wide range of personalized
services and discounted pricing from over
forty professional and service firms. For example, you can get
discounts on dry cleaning, travel, tax preparation, auto
maintenance and much more.
To access services within the network, pick up a membership ID
card in Human Resources (Jordan Hall 144) or call ProCare's Call
Center at (317) 974-2039 for assistance. Once you
obtain a member ID, you can get specific information and access
discounts by visiting the ProCare Network website.
Central Indiana Commuter Services (CICS)
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Website: www.327ride.net
Call center: 317-327-RIDE (7433)
Save money and reduce stress by riding the bus, carpooling or
vanpooling to work. Central Indiana Commuter Services (CICS) is a
federally funded program whose mission is to help reduce congestion
and reduce air pollution. CICS will help you find alternatives to
driving alone to work for free! CICS will even
help you find someone to carpool with! Visit www.327ride.net and
click "Sign Up Now" to find out who you can carpool or vanpool with
to work. And if you want to find out how much your commute is
really costing you, try the "Commute Cost Calculator".
If you are currently carpooling, walking, biking or riding the
bus to work, register with Central Indiana Commuter Services (CICS)
at www.327ride.net or call
317-327-RIDE (7433) and get free Emergency Ride Home (ERH) service.
ERH is a free taxicab service that will take you
home from work in the event of an emergency.
Wellness
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Miscellaneous Benefits
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- Discounted or Free Tickets to Selected Clowes
Hall and Athletic Events
- Bookstore Discount
- Selected Services at Health and Counseling Center
- Library Privileges at Irwin Library or the Science Library at
Gallahue Hall
- No-Cost Membership Available to Indiana Member's Credit
Union