Discover Those
“Overlooked
Benefit Eligibility
Initial hire
Open enrollments
Proving yourself insurable
Special Enrollments (within 30 days)
•
Family Status
Chiropractic Care is covered.
• Not “Maintenance Therapy”
Annual Eye Exam by Plan Provider
• No coverage for Glasses or Contact Lenses
Hearing Aid
• Every 3 years, (80%) or $1000.00 max
Smoking Cessation Program (page
D-23)
• Prescription and one counseling visit
Wellness Benefits
• Some plans will partially reimburse for fitness center membership
• File for reimbursement with receipt
Oral Surgery
Specific
Oral Surgery benefits
are mandated in the Uniform
Benefits (HMOs)
• See Section D of DC Book
• Get prior authorization
Navitus Contact Information
Additional Prescription Drug
information, Formulary &
Participating Pharmacies available at:
Navitus Health Solutions
www.navitushealth.com
Life Insurance
How Much Life Insurance do You Need? 4 Different Plans Available for Classified
(State Group Life, Individual & Family Group Life, Mutual Service Life, Accidental Death and Dismemberment)
5 Different Plans Available for Unclassified
(State Group Life, Individual & Family Group Life, Mutual Service Life, Accidental Death and Dismemberment, University Insurance Association)
• State pays portion of Basic and Supplemental Premium
• Coverage continues after retirement
• No premium after age 65 if retired
Death benefit reduced
• No premium after age 70 if still employed
State Group Life Insurance
• Accidental Death and Dismemberment provided (double indemnity)
• Offers Spouse and Dependent Coverage
• Apply through “Evidence of Insurability”
If you are not yet 55 years old
State Group Life Insurance
Living Benefits (if terminally ill)
Can use partial death benefit for Health
and Long Term Care Insurance (after retirement)
Premiums may be waived if you are
disabled
11
AD&D
Provides a family plan
• 50/45% of principal sum for spouse
• 20/10% of principal sum for each child
Coverage for Accidental Death (or)
• Loss of use of limbs
• Loss of sight
Educational/Training Benefits Available to
Spouse and Dependents
Domestic Partner
Insurance Coverage
Available with:
• AD&D• Non Represented Dental
• Individual and Family Group Life Ins.
State does not contribute to premium
• Statutory regulationIncome Continuation Insurance
(Short Term Disability)
Benefit equals 75% of earnings
• Maximum monthly benefit is $4,000.00
Long Term Disability after one year
Coordinates benefits with SS Disability and
WRS disability
Benefits paid for the duration of illness or until
age 65.
Permanent Disability
Wisconsin Retirement Disability
• If covered under WRS prior to 10/16/92 and have continuous participation
Long-Term Disability Insurance
• If covered under WRS prior to 10/16/92 (or)
• If WRS participation began after 10/16/92
Long-Term Disability Under ICI
Employee Reimbursement
Program (ERA)
Pretax Benefit
• State Tax
• Federal Tax
• Social Security
LTEs are not eligible for ERA benefits
• According to section 125 IRS Code
Dependent Care reimbursement
• Dependent Care reimbursed up to balance in account
Medical Expense reimbursement
• Some over the counter items included
• Medical reimbursement “upfront”
Rapid Refund/Electronic Funds
Transfer
Family Status Change during the tax
ERA
Do not over estimate
Anticipate accurately
TSA
Use TSA $’s to purchase service
credit (forfeited, qualifying, etc.)
• 90% of entire cost of buy back
• 10% must come from personal funds
Can contribute as little as:
• $8.00 of bi-weekly paycheckTSA
Federal and State Pretax Benefit
TSA Saver’s Credit
•
Reduce federal income tax if AGI is
< $50,000 and filing jointly
< $25,000 and filing separately
•
http://www.uwsa.edu/hr/benefits/r
Sick Leave Conversion
Convert unused sick leave to cash value Pays post retirement health insurance
Available if employee leaves state service
with 20 years of WRS Creditable Service
• Cannot be used for insurance until age 55
21
Termination/Sabbatical
Classified Staff
• Earn 160 hours vacation
Limit of 40 hrs banked each year
• Saved 520 hours of sick leave
Limit of 40 hrs banked each year
• Earn 200 hours vacation
40 hrs pay (and)
40 hrs banked (OR) 80 hrs banked
Annual Leave Reserve Account
Unclassified Staff
Employee has 10 years of service
• Limit of 40 hrs banked per year
Employee has 25 years of service
• Limit of 80 hrs banked per year
Termination Sabbatical
& Annual Leave Reserve Account
What do I do with it?
• Extend retirement date• Take an extended vacation
• Take a lump sum payment at termination
• Add to sick leave balance for conversion (Classified Represented Staff only)
Contact Human Resources for
Catastrophic Leave
Strict Criteria must be met
Donate paid leave to another employee
• Vacation
• Personal holiday
• Compensatory time
• Term/Sabbatical or Annual Leave Reserve
• Not sick leave!
Family & Medical Leave (FMLA)
Federal and Wisconsin FMLA Laws
• http://www.uwsa.edu/hr/benefits/leave/ fmla.htm
Provides “Job-Protected” leave to
eligible employees
FMLA
Reasons for taking FMLA
• Care for child after birth, adoption
• Care for employee’s family member with serious health condition
• For Employee’s own serious health condition
Leave of Absence
Approved LOA allows benefit
continuation
Additional 3 months of employer
UW-Eau Claire Fitness Center
Valley Health Plan, Humana-Western
and Standard Plan offer partial
reimbursement
UW-EC Recreation
http://www.uwec.edu/Recreation/ More information available
Blugold Card
•
Ride Eau Claire Transit (no charge)
•
Reduced rate for tickets
•
Reduced rate for movies (London
Square Theatres)
•
Contact Blugold Office for more
features
Tuition
May be Reimbursed
• Must be pre-approved
• Paid by department
If job related
If funds are available
Scholarship fund started for Classified
For Classified Staff Only
Professional Development
Fund/Committee
Pay partial fees for non-required
professional development
WorkshopsClasses
Classified Staff Website
Help Desk
Internet hookup available through
Discovernet at a reduced rate
• 10 hour/week time limit @ $4.50/month • 50 hour/week time limit @ $8.50/month
Paid by “term”
Contact help desk
• at 836-5711We Are Here to Help You
Contact HR with questions
• Individual situations vary greatly
• Programs are becoming increasingly complicated
Keep up-to-date
• Bulletins and Newsletters
Human Resources
220 Schofield Hall
Office Hours: 7:45 a.m. – 4:30 p.m., M-F 715-836-2513
http://www.uwec.edu/hr
• Links to ETF, UW System, Social Security, etc.