Benefits

 

Medical Insurance

Full-time employees have the opportunity to enroll in a University-sponsored medical insurance plan within 30 days of hire or qualifying event (marriage, birth, adoption, loss of other coverage, etc.) or during the annual open enrollment period.  These group plans are comprehensive medical plans that cover all in and out-patient hospital services, laboratory fees, medical and mental health services, and prescription drug benefits which are subject to deductibles and out of network copays, on a “usual, customary and reasonable” basis. The cost of the HSA deductibles, as elected by each participating member, shall be borne entirely by the employee.  Prescription drugs (including mail order options) are included under the medical deductible.

The University currently offers three (3) high deductible Health Savings Account (“HSA”) plans. Beginning January 1, 2016, an employee’s share of medical insurance premiums will be based on the following:

  1. Medical plan choice (option 1, 2, or 3 – see below)
  2. Coverage type (employee only, employee + spouse, employee + child(ren), and employee + family)
  3. Employee’s annual base pay

Please see appendix to determine your individualized rate.  Premiums will be deducted from participant’s pay on a pre-tax basis.  

Medical Plan 1

Preventative services (which may include immunizations, vaccines, annual wellness exams, and medically-appropriate health screenings) are covered at 100% by insurance.  All other in-network services are subject to $3,000 (single) or $6,000 (family) embedded deductible.  After meeting the deductible, coverage is 100% (no coinsurance) for in-network services. Out-of-network services and other terms, conditions, and exclusions are as outlined in the provider’s certificate of coverage or summary plan description (SPD).

Medical Plan 2

Preventative services (which may include immunizations, vaccines, annual wellness exams, and medically-appropriate health screenings) are covered at 100% by insurance.  All other services are subject to $3,000 (single) or $6,000 (family) embedded deductible.  After meeting the deductible, participants must pay 10% co-insurance up to maximum out-of-pocket expenses of $4,000 (single) or $8,000 (family) for network services.  Out-of-network services and other terms, conditions, and exclusions are as outlined in the provider’s certificate of coverage or summary plan description (SPD).

Medical Plan 3

Preventative services (which may include immunizations, vaccines, annual wellness exams, and medically-appropriate health screenings) are covered at 100% by insurance.  All other services are subject to $5,000 (single) or $10,000 (family) embedded deductible.  After meeting the deductible, participants must pay 25% co-insurance and pharmacy (Rx) copays of $10 (Tier 1), $35 (Tier 2), and $60 (Tier 3) up to maximum out-of-pocket expenses of $6,000 (single) or $12,000 (family) for network services.  Out-of-network services and other terms, conditions, and exclusions are as outlined in the provider’s certificate of coverage or summary plan description (SPD). 

Contributions to HSA - The University will contribute $500 per year (prorated for new hires) to each employee that participates in the University’s medical plan (typically in January or February). To be eligible, a member must establish an HSA account at Ohio Valley Bank. Employees may also make voluntarily pre-tax contributions (via payroll deduction) to their HSA up to the IRS established limits.  Please contact Human Resources for additional information and forms.

Working Spouse Rule - Effective January 1, 2016, the University implemented a “Working Spouse” for medical coverage. It requires a working spouse (if applicable) must enroll in his/her employer’s group medical plan in order to be eligible to be enrolled in the University’s group medical plan.  In these cases, the spouse’s employer’s plan provides primary coverage for the spouse and the University’s medical plan provides secondary coverage. Please contact Human Resources for additional information and forms.

Vision Insurance

Full-time employees have the opportunity to enroll in either a single or family University-sponsored vision insurance plan within 30 days of hire or qualifying event (marriage, birth, adoption, loss of other coverage, etc.) or during the annual open enrollment period.  Vision coverage is offered as a stand-alone benefit.  The current plan that provides benefits for an annual eye exam, annual lens (or contact lens) replacement, and biannual frame replacement subject to applicable deductibles, percentage limitations and other terms and conditions set forth in the contract with University’s insurance provider.

While the University pays the majority of the vision insurance cost (75% or more), participating employees are responsible for portion of the premium.  Employee contribution rates are outlined in the Appendix of this guide.

Dental Insurance

Full-time employees have the opportunity to enroll in either a single or family University-sponsored dental insurance plan within 30 days of hire or qualifying event (marriage, birth, adoption, loss of other coverage, etc.) or during the annual open enrollment period.  The current plan provides benefits for preventative, restorative and orthodontia services subject to applicable deductibles, percentage limitations and other terms and conditions set forth in the contract with University’s insurance provider. Presently, the coverage set forth covers:  Group I (non-orthodontic preventive) paid at 100% with no deductible; Group II (Non-orthodontic basic dental services) $25.00 deductible and paid at a rate of 80%; Group III (non-orthodontic major dental services) $25.00 deductible and paid at a rate of 50%; Group IV (orthodontic services) paid at a rate of 50% to a maximum benefit of $1000 per insured individual.

While the University pays the majority of the dental insurance cost (75% or more), participating employees are responsible for portion of the premium.  Employee contribution rates are outlined in the Appendix of this guide.

Life Insurance and Accidental Death and Dismemberment

The University provides all full-time employees basic life and accidental death and dismemberment insurance benefits according to the following:

A. Life Insurance – Base annual salary (X 1) rounded to the next higher $1,000 up to $190,000 maximum.

B. Accidental Death & Dismemberment Insurance – Base annual salary (X 1) rounded to the next higher $1,000 up to $190,000 maximum

Please note: The benefit amounts above will reduce by 35% at age 70 and 50% at age 75. These benefits terminate when employee separates from the University.

Long-Term Disability Insurance

The University provides full-time employees with monthly income-protection benefits in cases of a (non-work related) long-term disability, injury, illness. The coverage is effective one month after employment and is based on 70% of the monthly earnings or $5,000 per month, whichever is less, and has a waiting period of ninety (90) days. Other restrictions (such as reduced payments for age) may apply.

Benefits Guide