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Contacts University Health Care Plan Brad Larson 801-587-6740

Regence BlueCross BlueShield Jacinta Shouse 888-370-6159



Fidelity Teo Ngatuvai


TIAA-Cref Dave Ratcliff 801-883-5119

CNA- Long Term Care Andrew Refka 800-528-4582

ASI Flex Nick Micheletti

Hyatt Legal

The Standard Carrie Warness


The Hartford Meg Glazner

Employee Assistant Program







Benefit Reference Guide


verview of Benefits

Medical and Dental • • • •

Choose from either the University Health Care Plan or Regence BlueCross BlueShield networks Only one plan offered- no more Advantage and Comprehensive Dental option through Regence BlueCross Blue Shield Dental is now a stand alone option for employees

Flexible Spending Account • • • •

A pre-tax way to save on eligible medical expenses All eligible medical expenses are listed on the Benefits Portal Employee has to re-enroll every year. 2013-2014 plan year limit $2,500.

Retirement Employer 401(a) • Benefit Eligible Employees are automatically enrolled with a 6% contribution. • Vesting scheduling for eligible service is four years at 50% and six years at 100% Employee Plans 403(b) and 457(b) • Employees can elect to contribute to a 403(b) and receive an employer match up to 3% • Minimum contribution is $12.50 per pay period and maximum of $17,500 annually for each plan

Tuition Reduction • •

50% tuition reduction at the University of Utah Available to 75% FTE benefit eligible employees

Additional Benefits • • • •

Employer paid LTD Employer paid Life Insurance Flexible spending accounts Long Term Care

Medical and Dental The University offers two different network options for employees to choose from, University Health Care Plans and Regence BlueCross BlueShield. There is only one plan design option starting July 1, 2013. Starting July 1, 2013 there will be a $250 deductible that will apply only to coinsurances, not copayments. University Health Care Plan Phone: 801-587-6480 P.O. Box 45180 Salt Lake City, UT 84145 Policy #: 9XXXXXXXX Group #: N/A

Regence BlueCross BlueShield Phone: 888-370-6159 P.O. Box 30270 Salt Lake City, UT 84130 Policy #: ZHL9XXXXXXXX Group #: 10011845

UHCP- Ventegra/NPS Phone: 801-587-6480 Policy #: 9XXXXXXXX Group #: UUHC RXBIN: 004758 RXPCN: NPS

Long Term Disability

Tuition Reduction

This is an employer paid Long Term Disability, which provides income

Employees must be in a full-time positions (75% FTE or greater) to be

replacement if you are disabled. All benefitted employees are automatically

eligible for tuition reduction benefits.

enrolled in this benefit.

Tuition reduction is available:

LTD pays up to 60% of average earnings over the past 12 months. LTD has a

For employees after 6 months in a benefit-eligible position

30 day waiting period before LTD will pay.

For spouse’s after 12 months in a benefit-eligible position

For children under the age of 26 after 3 years in a benefit-eligible

Employees must use all ESL and PTO prior to LTD paying. If an employee


is going on leave because of pregnancy the disabled period is 8 weeks for

The waiting period starts on the first day of work in an eligible

c-section and 6 weeks for natural delivery. It does not go the full 12 weeks of


maternity leave.

Employee’s must complete the waiting period prior to the first day of the semester

LTD does have a preexisting clause, this includes pregnancy.

Tuition reduction does not include items such as special fees, lab fees, or text books.

In order to apply employees should call The Standard’s Claim Intake Service Center at 800-378-2395. The employee will need: •

Group Policy number: 136592

Name and SSN

Last day the employee was at work

Physician’s contact information (name, address, phone, and fax)

Paid Time Off Service Years 0-5 6-10 11+

Days Accrued per Year 20 20 20

Holidays Accrued per Year 10 10 10

Maximum Accrual 520 520 520

Monthly Accural 13.333 16.667 20

Flexible Spending Accounts

Retirement 401(a) All eligible University of Utah Hospitals and Clinics employees are automatically enrolled in the 401(a) Defined Contribution Plan as of the date of hire into a benefits eligible position.

Flexible spending accounts are a pretax way to save on eligible medical and day care expenses. Starting July 1, 2013 the annual maximum for the Medical FSA is $2,500, and the annual maximum for a Dependent FSA is $5,000. Employees are required to re-enroll every year if they would like to participate in the plan. This is a “use it or lose it” plan. There is a grace period till September 15th, meaning an employee can use the money you contributed into the plan year until September 15th of the next plan year. Employees have until December 30th to actually submit the claim.

No matter what benefit you are helping with please look contributes 6% of an employee’s gross salary every them up in PeopleSoft first. pay period. -Benefit Staff • In conjunction with the 401(a) 6% contribution, the The University of Utah Hospitals and Clinics

University of Utah Hospitals and Clinics also offers an employer match of up to 3% on the 403(b) retirement plan. If the employee contributes to the 403(b) plan the University of Utah Hospitals and Clinics will match the amount up to 3%.

Note: In order to receive a full benefit under this plan, employees must be vested. Employees will be 50% vested after four Note: The Benny cards will be loaded with the new plan year’s pledge on

years of service and 100% vested after six years of service.

July 1st. Any old plan year election will have to be submitted for reimbursement.

If an employee terminates, or changes benefit status, the employee losses all money left on the Benny card. This loss of money takes place on the date of the event. If the employee already used the entire balance on the Benny card they do not have to pay any money back. Employees can use their Medical FSA for things like: • Eyeglasses • Prescriptions • Bandages • First aid kits • Dental work • Copays For a full list of eligible expenses see the Benefits Portal.

403(b) and 457(b) All University of Utah Hospitals and Clinics employees are eligible to participate in the 403(b) and/or 457(b) Supplemental Retirement Plan. If employees choose to contribute to the 403(b) plan, and are in a benefit eligible position the University of Utah Hospitals and Clinics will match the amount that is contributed up to 3%. Note: In order to receive the full matching contribution under this plan, you must be vested. Employees will be 50% vested after four years of service and 100% vested after six years of service • Contributions are made through payroll deduction. • You choose how the funds are invested and can start, stop, or change contributions at any time. • The minimum amount you may contribute is $25 per month or $12.50 per paycheck, and the maximum annual contribution allowed for the 2013 year is $17,500 • Contributions can be made on a pre-tax or after-tax (Roth) basis or you may choose to elect to contribute on both, a pretax and after-tax basis. To withdraw funds out of the 403(b) employees must be 59 and 6 months. To withdraw funds out of the 457(b) employees must be 70 and 6 months.


UUHC Booklet