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Welcome to Henrico County Public Schools!
New Employee Benefits Presentation
Health Benefits Office (804) 652-3624
Benefits Presentation topics:
u Employee classifications
u Healthcare
u Dental
u Flexible Spending Accounts
u Short-Term/Long Term Income Protection and Disability Programs
u Virginia Retirement System (VRS)
u Optional Life Insurance
u Deferred Compensation
u Employee Assistance Program - Optima EAP
u Benefit Changes
Full-Time Employees
Eligible Benefits include:
ü Health Care (with Henrico County subsidy)ü Dental Care ü Flexible Spending Account ü Short Term Income Protectionü Long Term Income Protectionü VRS Retirement ü Life Insuranceü Employee Assistance Programü Catastrophic Leave Poolü 403(b) Retirement Planü 457(b) Deferred Compensation
Part-Time Employees30 – 39 Hours per Week or20 – 29 Hours per WeekEligible Benefits include:
ü Health Care (with Henrico County subsidy)ü Health Care (at full cost)ü Dental Careü Flexible Spending Accountsü Short Term Income Protectionü Employee Assistance Programü 403(b) Retirement Planü 457(b) Deferred Compensation
Benefit Enrollment Opportunities
New Employee• Enroll within 31calendar days of employment date• Benefits Effective Date
v 1st day of month following Date of Hire
Open Enrollment• Begins in October and ends in November each year• No changes can be made after Open Enrollment closes,
unless there is a Qualifying Event• On-Line enrollment only, through Employee Direct Access• Benefits begin January 1st of following year
Qualifying Events and Status Changes
If you experience a Qualifying Event or Status Change outside of the annual Open Enrollment period, you may elect eligible benefits within 60 days of the Qualifying Event or Status Change by submitting the required paperwork.
Examples of Qualifying Events:
• Marriage• Divorce• Birth or Adoption of a Child• Change in Spouse’s employment or eligibility for
benefits • Child reaches age 26
Healthcare
Key Words to understanding your benefits:
Deductible – The amount you pay for covered health care services before your insurance plan starts to pay.
Co-Payment – A fixed amount you pay for a covered health care service.
Co-Insurance – Your share of the costs of a covered health care service, calculated as a percent of allowed amount for the service.
Out-of-Pocket Maximum – The most you pay during a plan year (calendar year) before the plan begins to pay 100% of the allowed amount.
Health Careu
Anthem HealthKeepers, Express Scripts
One Rate/Two Cards (Medical-Anthem, Rx-Express Scripts)
u Options:
Premier POS
Copays & Coinsurance
$300 Medical and $150 Rx Deductible
Highest rates, but may cost less out of pocket (5% Coinsurance for high dollar services)
Standard POS
Copays & Coinsurance
$300 Medical and $150 Rx Deductible
Lower rates, but may cost more out of pocket(30% Coinsurance for high dollar services)
Ø HK HDHP HSA (HealthKeepers High Deductible Health Plan w/ HSA)
High Deductible plan with County funded HSA
Ø KeyCare PPO (Out-of-Area)
u
ANTHEMhealthkeepers hdhp with hsa
Ø HDHP – High Deductible Health PlanØ HSA- Health Savings AccountØ Deductible - $3,000/$6,000
Ø (combined with out of network)Ø Annual Out of Pocket Maximum - $4,000/$8,000
Ø (Medical and Pharmacy Combined)Ø In Patient Hospital - $0 after deductibleØ HSA- Health Savings Account
Ø Out of Network:Ø Deductible - $3,000/$6,000
Ø (combined with in-network)ØCo-insurance – 30%ØAnnual Out of Pocket Maximum -
$6,000/$12,000
Anthemhsa- Health Savings Account
ØMaximum annual contribution is $3,500-individual and $7,000-family
Ø If age 55, additional contribution of $1,000 ØEmployees may contribute to the HSA and
change contribution amounts at anytime ØHenrico County will contribute to the HSA
• $100 per month-individual• $200 per month-family
Healthcare – Additional Benefits
Guest Membership(For members who are temporarily outside of the service area)Ø For more information, page 16 in Healthcare Booklet
Vision CoverageØ Blue View Vision
For more information, page 60 in Healthcare Booklet
Ø Rates – Page 5 in Benefits Guide
Ø If you are married to a HCPS or GG employee, you are eligible for Double Contribution rates (employee + spouse or employee + family) on POS plans only. Both employees must be benefit eligible (working 30+ hours/week)
Dental
Dental Care – Delta Dental
Ø High Option
• $50 per patient/per year deductible ($150 family)
• Oral exams & cleanings covered at 100%
• Includes Orthodontics (Lifetime max $1,500)
Ø Low Option
• $50 per patient/per year deductible ($150 family)
• Oral exams & cleanings covered at 75%
• No Orthodontics
Ø Delta Care (DHMO)
• Must use dentist from Delta Care Network
• Oral exams & cleanings covered at 100%
• Includes Orthodontics (Fixed Copayments) No Lifetime Max
Healthy Smile, Healthy You (High and Low options only)
– enroll for one additional cleaning and exam (pregnancy, diabetes & high risk cardiac conditions
Rates – page 6 in the Benefits Guide
Flexible Spending Accounts
Flexible Spending AccountsNavia Benefits Solutions
Ø Dependent Care (Day Care) – adult and child care expenses
u $5,000 max per calendar year (household)
Ø Health Care – medically necessary expenses
u $2,650 max per calendar year (employee)
u Not eligible if elect HDHP HSA Health plan
Plan year - January 1 through December 31$500 carryover on health care FSA
• Reimbursements for calendar year expenses can be filed through March 31st of the following year
Must enroll each year during Open Enrollment
Navia Benefits Card– debit card may be used for reimbursable expenses
FSA store at www.naviabenefits.com
Short Term Income Protectionmetlife-VRS Plan 1 & 2
• 60% of Gross Pay• Pre-existing condition restrictions• Maximum benefit of 90 days, including Waiting Period• Waiting Period begins with 1st day of absence under medical
supervision• New employees may select any Option.• Open Enrollment - may only change one step without
completion of EOI (subject to approval by MetLife)
Waiting Period Options
• Option 1 – 14 day (2 weeks)• Option 2 – 28 day (4 weeks)• Option 3 – 42 day (6 weeks)
Long Term Income ProtectionMetLife-VRS Plan 1 & 2
Basic Benefit – Full-time employees covered up to $50,000 annual salary
Optional Benefit – Full-time employee with a salary exceeding $50,000 may purchase additional coverage for the portion above $50,000
• May enroll on 6-month anniversary date if salary exceeds $50,000
• May enroll within 31 days of salary increasing to exceed $50,000
• Enrollment at any other time is subject to approvalØ Benefit pays 60% of Gross PayØ Benefit may begin on 91st calendar day of approved medical disabilityØ Benefit for full-time employees onlyØ Employees responsibility to contact the Benefits Office to enroll
Hybrid Disability ProgramThe Standard
Eligible Employees: Hybrid Plan members after one year of employment. During the one year elimination period, Hybrid members are eligible for MetLife income protection.
Short Term Disability benefit begins after seven days of disability
Pays 60% of salary through payroll up to 125 work days
If you are still disabled after 125 days, you will move to Long Term Disability benefits
RETIREMENT
Virginia Retirement System(VRS)
Eligible Employee – Full-Time
• There are 3 VRS retirement plans:VRS Plan 1VRS Plan 2Hybrid Plan
Plan is determined by your membership date
• All employees contribute 5% of salary pre-tax through payroll deductions
• Vested after 5 years of service (all plans)
Plan 1 & Plan 2
Defined Benefit Plans
Age, Years of Service, and AFC(average final compensation – highest 36 or 60 months)
Plan – 1 Hired or rehired before 7/1/2010, at least 5 yos as of 1/1/2013, not taken a refund
Plan – 2 Hired or rehired before 7/1/2010, and did not have 5 yos as of 1/1/2013 or was hired or rehired from 7/1/2010 to 12/31/13, has not taken a refund
Hybrid PlanHired after 1/1/2014 with no prior VRS service credit
u 4% - VRS for the defined benefit (pension)u 1% - ICMA-RC goes to a defined contribution u County matches 1%u Members can elect a voluntary contribution between 0.5% and
4.00%. The maximum employer match is 2.5%.
www.varetire.org/hybrid (1-877-327-5261)1-VRS-DC-Plan1
Employee Voluntary Employer MatchingContribution Contribution
Hybrid 457 Hybrid 401(a)0.50% 0.50%1.00% 1.00%1.50% 1.25%2.00% 1.50%2.50% 1.75%3.00% 2.00%3.50% 2.25%4.00% 2.50%
Defined Contribution Vesting
u Immediately invested in any funds that you contribute to 457 DC plan
u Invested in Employer contributions over a period of 4 years of credible service as follows:
u Less than 2 year, forfeit ER contributions
u After 2 years, 50% vested
u After 3 years, 75% vested
u After 4 or more years, 100% vested
VRS PURCHASE OF PRIOR SERVICE
Eligible Employees:
Full-Time employees who have:
Ø Refunded VRS service
Ø Prior military service
Ø Prior Federal/Public service
Benefit:
Years purchased will add to the years of service with VRS
To start the process or get more information:
Log onto varetire.org
Call Kathy Williams 652-3627
Virginia Retirement System(VRS)
Life Insurance – Securian Financial• Basic Life Insurance • Full-time employees covered at 2x annual salary • Covered from the first day of employment• Accidental Death Benefit – 4x salary
• Optional Life Insurance• Up to an additional 4x salary• Cost based on age and salary• Spouse coverage is ½ employee coverage• Flat amount for children ØUp to an additional 4x salary ØCost based on age & salary
Beneficiary designationfor Life Insurance and retirement contributions
If you do not designate a beneficiary, VRS will follow order of precedence established by law:
• Spouse• Children (natural or legally adopted) and
descendants of deceased children• Parents (equally divided)• Executor or Administrator of your Estate• next of kin under the laws of domicile at time of death
Change your beneficiary at any time by completing the Beneficiary Form (VRS-2).
This form can be found online at www.varetire.org.
Catastrophic Leave Pool (CLP)
v Full-time employees may contribute 1 day of personal sick leave to the CLP• New employees who have completed 90 days are
eligible once enrollment and contributed one sick day - must have a sick day available on 91st day to active enrollment
• All other employees may enroll during Open Enrollment, provided they have a sick day available –becomes effective January 1st
v Eligible employees may receive up to 30 days of paid leave
v May only be used for an employee’s catastrophic illness; not for family members
Employee Assistance Programoptima eap
Ø Counseling service available to employees and family members
Ø Completely confidentialØ Up to 6 sessions at no chargeØ For help with issues such as:• Job stress• Grief• Depression• Family and Marital conflict• Substance abuse
Visit their website at www.optimaeap.com
Benefit ChangesBenefit changes can only be made in certain situations:
Ø Open Enrollment - Open Enrollment is your annual opportunity to enroll or change your coverage and add or drop dependents for your health, dental, short term income protection, and flexible spending accounts (FSA).
Ø Qualifying Events
Ø Marriage or Divorce
Ø Death of a spouse or a dependent
Ø Birth/adoption of a child
Ø Change in employment status of employee/spouse
Ø Change in spouse’s benefit plan
Ø Child reaching age 26
Submit Enrollment Change Request within 60 days of a Qualifying Event.
Coverage changes will take effect the first of the month after forms are received.
Contact Information
Benefits Office 652-3624
Payroll Office 652-3623
www.henricoschools.us
Email questions for benefits or payroll to:
[email protected]@henrico.k12.va.us
Refer to the Benefits Guide, Page 11 for additional contact information.
Thank you
And
WELCOME TO
HENRICO COUNTY PUBLIC SCHOOLS