EMPLOYEE BENEFIT HANDBOOK 2013-2014 Plan Year IMPORTANT PHONE NUMBERS First Financial Group of America 1-800-672-9666 www.ffga.com Accident-American Fidelity Assurance 1-800-654-8489 www.afadvantage.com Cancer-American Fidelity Assurance 1-800-654-8489 www.afadvantage.com Dental-Ameritas 1-800-487-5553 www.ameritasgroup.com Disability-American Fidelity Assurance 1-800-654-8489 www.afadvantage.com Heart and Stroke-Allstate 1-800-521-3535 www.allstateatwork.com Life Insurance Group Life-UNUM 1-866-679-3054 www.unum.com Individual Life-Texas Life 1-800-283-9233 www.texaslife.com Term Life-American Fidelity Assurance 1-800-654-849 www.afadvantage.com Long Term Care-Lifesecure 1-866-582-7701 www.YourLifeSecure.com Medical Bridge-Colonial Life 1-800-521-3535 www.coloniallife.com Medical Reimbursement 1-800-523-8422 www.ffga.com Dependent Care Reimbursement 1-800-523-8422 www.ffga.com Vision-Block Vision 1-866-265-0517 www.blockvision.com For detailed plan information and brochures, please visit: www.ffbenefits.com/georgetownisd INTRODUCTION First Financial has been hired by the Georgetown Independent School District to explain and enroll all benefit plans with the exception of the health plan. The following is a guide to the supplemental insurance benefits that are offered to all full-time eligible employees of Georgetown Independent School District. This description only outlines the coverages that are offered. For a full and complete understanding of the products, please read the product brochures and discuss any questions with the Insurance representatives. When reviewing the plans and premiums, remember that the cost will be deducted on a pre-tax basis for most products. *The Life Insurance and Disability products should not be pre-taxed. SPECIAL RULES REGARDING THE GEORGETOWN INDEPENDENT SCHOOL DISTRICT CAFETERIA PLAN There are two very important issues to keep in mind: 1. Although all coverages are voluntary (you may pick and choose), every employee is required to sign their Section 125 Benefit Election Form, even if they select no benefits or choose to keep current benefits the same. 2. Any “pre-tax” elections will remain in effect and cannot be revoked or changed during the plan year unless you have one of the following changes in family status: marriage, divorce, birth, adoption, death, termination or change in spouse’s employment or, change in eligibility status of a dependent. It is also possible to change your medical coverage if there is a substantial increase in the premium and you have like coverage elsewhere. SUMMARY OF BENEFITS Medical Insurance TRS ActiveCare offers four PPO plans with BlueCross BlueShield, and one HMO plan with Scott and White. Dental Insurance Ameritas Dental Plan-2 plans offered 1. Low Plan-Annual Maximum of $750 calendar year per person, $25 deductible. Preventative at 100%, Basic 50%, Major at 30%. No waiting period. 2. High Plan- Annual Maximum of $1,000 calendar year per person, $50 deductible. Preventative at 100%, Basic 80%, Major at 50%. No waiting period. Includes child orthodontia. Monthly Rates Option 1 Option 2 Employee Only $18.16 Employee Only $40.56 Employee/Spouse $35.44 Employee/Spouse $79.04 Employee/child(ren) $37.32 Employee/child(ren) $80.60 Employee/Family $51.44 Employee/Family $116.12 Vision Block Vision offers two PPO Indemnity Plans. For more information 1-866-265-0517. Monthly Rates Option 1 Option 2 Employee Only $8.35 Employee Only $13.10 Employee/Spouse $14.23 Employee/Spouse $22.31 Employee/child(ren) $15.06 Employee/child(ren) $23.61 Employee/Family $22.58 Employee/Family $35.41 Accident Insurance-American Fidelity Assurance Accident insurance pays benefits for different accidental injuries. The accident plan helps cover the expenses for emergency room costs, follow-up treatments, medical imaging, hospital confinement, and many other expenses associated with accidental injuries. This plan can help with medical expenses and living costs when you get hurt unexpectedly. After being enrolled for twelve months the employee is eligible for a wellness benefit. Accident Only insurance Premiums Monthly Premiums individual $19.90 $26.10 individual & Spouse $28.30 $34.90 individual & $31.50 $41.00 Child(ren) family $39.90 $49.80 Cancer Insurance-American Fidelity Assurance Cancer insurance is designed to be a supplemental and pays for many of the costs not covered by your major medical. This plan pays in addition to other coverage you may have. The premium rates are stated in the brochure along with a description of the various available riders, which gives you the flexibility of choosing the desired coverage to meet your special needs. Employee is eligible for a wellness benefit. Disability Income-American Fidelity Assurance This insurance is designed to protect your most valuable asset: your ability to earn an income. This plan will provide you with income (you can insure up to 70% of your salary) should you become disabled, and has various waiting periods you can select depending on when you would like your benefits to begin. There is also a doctor bill benefit payable (if you are sick and miss a day of work and go to a doctor) for out-of- pocket expenses up to $50 for illness and up to $100 for a non-disabling injury. This is only a benefit during the school year. There are two plans available to choose from, so that you may select the plan that best meets your needs. Heart and Stroke Insurance-Allstate The Heart and Stroke plan provides protection for you and your family against the cost associated with heart disease by providing benefits for angiograms, cardiograms, heart transplants and surgery. Individual Monthly – ½ unit Family (if covered) Monthly – ½ unit $8.98 $17.32 Individual Monthly – 1 unit Family (if covered) Monthly – 1 unit $17.96 $34.64 LIFE INSURANCE Group Life-UNUM Georgetown ISD offers Group Life insurance through UNUM. You may apply for coverage up to four times your annual salary. Additional coverage is also available for spouse and dependent children. Individual Life Insurance-Texas Life Georgetown ISD is offering its employees the opportunity to purchase individual permanent life insurance through Texas Life. These policies are portable at the same price and coverage. Coverage can be purchased for dependents including spouses, children and grandchildren. Coverage is guaranteed to age 121. Term Life Insurance-American Fidelity Assurance Term Life insurance is a policy that covers you during your earning years when you need it the most. You choose the term, 10, 20 or 30 years that you decide is best for you and your family. Long Term Care-Lifesecure Georgetown ISD is offering employees a Long Term Care plan through Lifesecure. This benefit will help you protect your financial independence and preserve your freedom to choose how to live life on your terms and reduce the effects of long term care on your family. Medical Bridge-Colonial Life Hospital Confinement Indemnity Plans can help to fill gaps and help protect against out-of-pocket expenses. Major benefits include: Wellness Benefit, Outpatient Surgical Benefit, Hospital Confinement Benefit, and Rehabilitation Unit Benefit. Employee is eligible for a wellness benefit. Flexible Spending Account (FSA) Georgetown ISD allows employees to set aside up to $2,500 per year for unreimbursed medical expenses and/or up to $5,000 per year for dependent day care expenses on a pre-tax basis. Federal regulations effective January 1, 2011 will exclude over-the-counter medications from being eligible expenses. Medical Reimbursement-Administered by First Financial Group A reimbursement account is established with funds deducted from the employee’s monthly paycheck. The maximum annual amount that can be set aside is $2,500. Medical costs not covered by insurance (eyeglasses, chiropractic treatments, etc.) are paid for; the employee then submits his/her receipts with a voucher and is then sent funds from the reimbursement account thus circumventing taxes on all those expenses (NOTE: First Financial has the ability to wire transfer this money directly into your bank account). The employee must estimate the expenses he/she expects to incur over the twelve-month period, and divide this amount by twelve months to determine the amount to be deducted from his/her paycheck. This benefit is a “USE IT OR LOSE IT” benefit; any monies left in the account at the end of the year are retained by the district and are not refunded to the employee. An employee should consider this benefit carefully. You have the entire plan year to incur qualified expenses plus an additional 2 ½ months. You have 90 days after the plan year for reimbursement of expenses. The Metavante debit card will be available for your medical expense reimbursement purchases in lieu of submitting receipts and vouchers. All over the counter items eligible for reimbursement must be accompanied by a doctor’s prescription and reimbursement request claim form. OTC claims may no longer be purchased using the FFA Benefits Debit. Serious Consideration The employee is locked into the payroll deduction for the length of the Plan Document year May 1, 2013 – April 30, 2014. If any funds have not been used (reimbursed) by the employee at the end of the Plan Document Year, those unused funds cannot be returned to the employee. Therefore, one must be certain to never have an amount withheld from one’s paycheck, which will exceed the actual amount paid for out-of-pocket medical expenses. A qualified dependent child must be under the age of 19; if a full-time student, they must be under the age of 24. Dependent Care Reimbursement-First Financial Group This benefit is available to any employee who wishes to save tax dollars on the cost of child care.