Download ANNUAL ENROLLMENT For Retired Employees JULY 15 – JULY 31

Insurance  Retirement  Wellness
ANNUAL ENROLLMENT
JULY 15 – JULY 31
For Retired Employees
September 1, 2012 – August 31, 2013
During Annual Enrollment (July 15th – 31st)
 Declare Tobacco User Status
 Enroll or change current insurance coverage
 Add or remove dependents
 Complete Evidence of Insurability (EOI) if required
Effective September 1, 2012
What’s New This Year?
Plan Year 2012 – 2013
New UT Southwestern medical network
Tobacco premium program
Slight premium rate increase for UT SELECT
New Dental HMO plan and New UT SELECT
Dental Plus plan
• New Vision Plus plan
•
•
•
•
…effective September 1st
Basic Coverage Package
Retired Employee
• UT SELECT Medical
• Prescription Drug Coverage
• $6,000 Basic Term Life Insurance
Plan Year 2012 – 2013
No changes to
• Annual Deductible
• Coinsurance
• Copayments
…provided at no out-of-pocket cost
Basic Coverage Package
Provided by:
Retired Employee
• UT SELECT Medical
• Prescription Drug Coverage
• $6,000 Basic Term Life Insurance
…provided at no out-of-pocket cost
Preventive Screenings
In-network provider
$0 Preventive Care and Services
Examples:
Routine Physical exams
Well-woman exams
Well-child exams
Immunizations – all ages
Osteoporosis screenings
Prostate Screening
Cancer screenings
Important: Please be aware that you may incur some cost if the preventive
service is not the primary purpose of the visit or if your doctor bills for
services that are not preventive.
UT SELECT Medical
New!
UTSW Network (Pilot program)
UTSW Physicians & Facilities
Out-of-pocket cost reduced or
eliminated
Effective September 1, 2012
$10 Co-payments
No deductible
No coinsurance
UT SELECT Medical Premiums
Retiree Only
$0 (no change)
Retiree and Spouse
$207.98 (increasing $8.96)
Retiree and Child(ren)
$217.52 (increasing $9.37)
Retiree and Family
$409.57 (increasing $17.64)
Tobacco Premium Program
Applies only to:
Make Tobacco Declaration
My UT Benefits
or
Your Benefits Office
UT SELECT Medical participants
Age 16 and over
Used tobacco products within
the past 60 days
…effective September 1st
Tobacco Premium Program
Premiums are based on
tobacco declaration…
Retiree
Spouse
Child(ren)
$30 per month
$30 per month
$30 per month
Family maximum
$90 per month
…effective September 1st
Tobacco Premium Program
Tobacco Products
Cigarettes, Cigars, Pipes, Clove cigarettes
All forms of smokeless tobacco (chewing tobacco, snuff, dip, or
any other product containing tobacco)
Any other smoking devices that use tobacco (such as hookahs)
E-cigarettes (which contain nicotine)
UT SELECT Medical
Prescription Drug Coverage
Dental
Vision
Long Term Care
Voluntary Group Term Life
Optional Coverage
Benefit Plan Changes
UT SELECT Dental
Any licensed dentist
$25 annual deductible
$1,250 annual benefit maximum
$1,250 lifetime orthodontic benefit
maximum
New!
Added night guard benefit (at 50%)
Diagnostic & Preventive Services are covered at 100%
Basic Services are covered at 80%
Major Services and Orthodontic Services are covered at 50%
New!
UT SELECT Dental Plus
Any licensed dentist
No annual
$25 deductible
$3,000
$1,250 annual benefit maximum
Pays a greater percentage than the
standard plan:
• Basic Services at 80%
100%
• Major and Orthodontic
Services at 50%
80%
$3,000
$1,250 lifetime orthodontic benefit
maximum
Added night guard benefit (at 80%)
New!
DeltaCare Dental HMO
Lower monthly premiums
Set Copayments
No Annual Deductibles
No Plan Limit Maximums for covered
benefits
New!
Expanded Service Area (adding Tyler
and parts of the Rio Grande Valley)
More Allowable visits for some
services
Lab fees included in copayment
schedule
Transitional coverage for orthodontic
treatment in progress
Effective September 1, 2012
You may be able to retain
your current Dentist
or
Select a new dentist in
My UT Benefits
Review your coverage option
letter for details
Dental HMO Transition
Vision Options
New!
Superior Vision Plus
Allowances:
$150 frame (up from $140)
$150 contact lens (up from $125)
$120 progressive lens
Covered lens options:
Polycarbonates
Scratch coat
Ultraviolet coat
Voluntary Group Term Life
No Changes
Group Long-Term Care Insurance
Making Elections
Benefits Resources
http://www.utsystem.edu/benefits/
Steps to a Successful Annual Enrollment
 Review OEB newsletters, handbooks, and video presentations
 Review “Your UT Benefits Enrollment Options” Letter
 Attend your institution benefits meetings and fairs
 Make your declaration as a tobacco user or non-tobacco user
 Make elections no later than July 31, 2012
 Review My UT Benefits Summary of Benefits before logging off
 Review or elect your designated beneficiaries for life insurance
 Complete and submit any required EOI forms by August 15, 2012
 Complete and submit any required EOE documentation by August 15, 2012
Living Well
Free to UT SELECT Members
Get Active
Quality of Life Programs
Worksite Wellness Offerings
Tobacco Cessation Programs
Pregnancy and Parenting
www.livingwell.utsystem.edu
www.livingwell.utsystem.edu/tobacco.htm
Insurance  Retirement  Wellness
Make it a priority…
To live well and build a unique benefits package that
cares for you today, tomorrow and beyond.
Thank you