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In your coverage decision, remember that the rates above are gross deductions. The net cost to you will be 75-80% of these figures due to taking them out of your check pre-tax (tax free). Dental insurance Dental Monthly Premium Cost:
Vision Service Plan VSP offers two plans with 4 levels of employee and family coverage. These plans and monthly rates, paid by the employee, for 2008-09 are outlined below:
Both plans offer coverage with a co-payment for an examination by an optometrist and new lenses/contacts once a year. Frames are covered up to $120 every year with Plan C and every two years with Plan B. Co-payments are $10 for an exam and $25 for glasses with standard lenses in Plan B, and $20 for both in Plan C. Contact lenses and certain lenses for glasses are discounted in price but not included in the $25 co-pay. Aflac InsuranceWe offer 4 supplemental insurance products through Aflac: Life, Accident, Cancer, and Specified Health Event (includes heart, stroke, kidney failure and other conditions). Premium costs are paid by the employee, and rates vary according to age and family coverage chosen. This insurance pays cash directly to the employee or beneficiary regardless of health or other insurance coverage. Cancer Plus 30 insuranceYou can continue your current coverage by checking the appropriate box on the Section 125 form, or change coverage. However, we are not enrolling new employees in this plan. You may want to consider signing up for the Aflac Cancer Rec-Fitness Center membership For you, your spouse, and your children under 19 not in college, or if single, then a friend can be included on your membership. No need to fill out a form unless you are becoming a new member or changing dependents. Medical expense reimbursement account (Section 125) Deciding how much you wish to take out of your check tax-free
for medical expenses you incur during the college year that are not covered by insurance. Same as above, except it applies to childcare expenses for children under age 13 so you can work. Both of the "Section 125" reimbursement account benefits have the tax-free deduction advantage mentioned above, but both contain a penalty--what you haven't used for eligible expenses occurring during the college year is forfeited. In completing this section, remember to enter both the per pay amount and multiply it times 24 to enter the total year's contribution. Mennonite Mutual Aid, the company that processes our reimbursement accounts, will send you a confirmation letter early in the college year. Please review it carefully for accuracy. NOTE : Like this year, those participating in medical or childcare reimbursement accounts need to file claim forms with MMA along with the explanation of benefit forms we receive from Highmark PPO or the receipt from your childcare provider. Claim forms are available in the drop-down window found at www.goshen.edu/hrbenefitsenrollment.php. Sign-up instructions -- Please download the Section 125 Open Enrollment form [PDF fill-in form], complete, print, sign and send to the Human Resources office via campus mail. We suggest you make a copy of the form. If you would like a form sent to you via campus mail instead, contact hr@goshen.edu, or call 7707. We strongly encourage you to complete one at the Benefits Fair May 1 . On this form you need to list your health, dental and supplemental insurance coverage choices, and the amount to be placed in your medical or childcare reimbursement account. Please consult the Aflac representative (Cheryl Miller, 875-1961) to enroll and determine your premium amount. Please complete one even if you are not having any money withheld from your paycheck (for instance, if you are a full-time employee who is only taking single medical coverage, you would sign at the bottom of the form that you are declining to participate). Employees who are working .5 to .749 FTE are eligible for health insurance coverage, but pay a pro-rated amount for single and dependent coverage. Please contact HR to determine the amount you will pay. You need to complete a new application for health, dental, or Cancer Plus 30 insurance, Aflac and Vision Service Plan only if you are adding or changing dependent coverage. If you do not send us a Section 125 enrollment form for 2008-09, we will continue the same coverage you elected in 2006-07 on medical, dental, and supplemental insurances. We will also assume you do NOT want to participate in the medical or childcare reimbursement accounts in 2008-09. If you are enrolling in dental, health or any supplemental insurance for the first
time or changing coverage, you must complete new enrollment forms.
Changing the Section 125 form alone will not change your coverage.
The health insurance form is available at www.goshen.edu/hr/ under
"open enrollment". Look in the drop down window in the
middle of the page. Dental and the other insurance applications
will be available at the Benefits Fair or from the HR office. RetirementChanging the amount withheld from your paycheck for your retirement fund can be done anytime during the year so is not part of the open window/enrollment period. Please request a salary reduction agreement from the HR office. As always, contact Susan Rhodes at hr@goshen.edu, 535-7707, or Dave Janzen, davidpj@goshen.edu, 535-7507, for more information. |
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