The Scripps Research Institute

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The Scripps Research Institute

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Dental Plan. Delta Dental Insurance. Delta PPO Option. Policy # 8593. www.deltadentalins.com ... You may purchase supplementary life insurance during Open Enrollment ... – PowerPoint PPT presentation

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Title: The Scripps Research Institute


1
The Scripps Research Institute
  • Welcome to Benefit Enrollment for
  • TSRI Graduate Students

2
TSRI Grad Student Benefits
  • Medical, Dental, Prescription, Vision and
  • Mental Health Plans
  • Welfare Benefits
  • Fitness Benefits
  • Wellness Benefits

3
Human Resources Department
  • Benefits Administration
  • (858) 784-8487
  • benefits_at_scripps.edu
  • Benefits Web Site
  • www.scripps.edu/hr/benefits
  • New Hire Web Site
  • www.scripps.edu/hr/benefits/newhire

4
Health Plan Card
  • Health Plan cards will be mailed to your home
    address within 2 weeks.
  • Make sure we have your correct address.
  • Your ID will show on your card and not your
    SS.
  • Your name and any covered dependents names will
    appear on the health plan card.

5
Medical Plan
  • Principal Financial Group
  • Claims Administrator
  • Preferred Provider Organization (PPO)
  • Policy Number ASOP90844
  • (866) 484-6534
  • Aetna Signature Administrators
  • Network of Doctors
  • www.principal.com

6
Medical Plan
Service
PLAN 7
7
Medical Plan Helpful Hints
  • No Co-Pay
  • Chiropractic and Acupuncture coverage
  • 100 coverage
  • Limited to 20 visits a year
  • Be sure to keep your Explanation of Benefits
    (EOBs)
  • Sample EOB

8
Dental Plan
  • Delta Dental Insurance
  • Delta PPO Option
  • Policy 8593
  • www.deltadentalins.com
  • (888) 335-8227

9
Dental Plan
  • PPO Delta Dentists
  • 100 coverage for 2 cleanings a year (every 6
    months),
  • 50 deducible is NOT applied.
  • Delta Premier and All Other Dentists
  • 80 coverage for 2 cleanings a year
  • After 50 deductible.
  • Orthodontic benefit
  • For child dependents up to age 19. (Maximum
    benefit for orthodontia is 1,500)

10
Dental Plan
Delta Preferred Dentists
Delta Contracted Dentist
All Other Dentists
Service
Reasonable and Customary Charges
11
Prescription Plan
  • Caremark
  • Prescription Benefit Service
  • Group K011-0003
  • www.caremark.com
  • (800) 966-5772
  • Generic Co-Pay 10
  • Formulary Brand Name Co-Pay 25
  • Non-Formulary Brand Name Co-Pay 50

12
Vision Plan
  • VSP
  • VSP Network of Providers
  • www.vsp.com
  • (800) 877-7195
  • Must have a Claim Form
  • 10 Co-pay

13
Vision Plan
  • One comprehensive exam every 12 months
  • One standard frame up to 110 every 24 months
  • One pair of standard lenses every 12 months
  • (additions such as scratch resistance, UVA
    protection, etc., are out of pocket expenses)
  • OR
  • One pair of contact lens up to 100 every 12
    months
  • Only buy 100 worth of contacts not a years
    worth.

14
Mental Health Plan
  • United Behavior Health
  • Mental Health Network
  • www.liveandworkwell.com
  • (800) 888-2998
  • Call for an in-network provider
  • No Co-Pay
  • 100 In-Network Benefit
  • Maximum of 40 visits a year
  • 50 Out-of-Network Benefit
  • Maximum of 40 visits a year

15
Employee Assistance Program
  • No cost, confidential, professional counseling
    for employees, research associates, and family
    members provided through United Behavioral Health
  • Access to both online and in-person support for
    personal and work related issues such as
  • Work effectiveness
  • Managing stress
  • Parenting and family concerns
  • Toll Free 1-866-374-6061
  • Log on to www.liveandworkwell.com
  • Access Code 10730

16
Making Changes to your Medical and Dental Plans
  • Must have a Qualified Status Change
  • Birth, Marriage, Divorce
  • Loss of other Coverage, and Obtaining other
    Coverage (must provide proof)
  • Coverage Change Form must be filled out and
    turned into HR within 31 DAYS!!!
  • Open Enrollment
  • Two weeks in October/November to make any changes
    to your medical and dental plans.
  • Elections are made through a secure web-based
    system.
  • All changes will be made effective the following
    January 1st.

17
Voluntary Life Insurance
  • Adams Group Insurance (AGI)
  • You may purchase supplementary life insurance
    during Open Enrollment
  • Spouses and children are eligible
  • Minimum 10,000
  • Maximum 500,000
  • Rates are based on age

18
Workers Compensation
  • If a life-threatening injury or situation occurs,
    dial 911
  • Please remember to report all workplace injuries
    to your supervisor and Human Resources
  • Occupational Medicine Provider
  • Jupiter Medical Center, 1210 S Old Dixie
    Highway, Jupiter, Florida

19
Fitness Benefit
Golds Gym (www.goldsgym.com) Located in Donald
Ross Village Offering discounts on membership
fees Contact Melissa at 561-799-1515
20
Discount Tickets
  • Local Area Attractions
  • Disney Parks and more visit www.ticketsatwork.com
    and code SCRIPPS
  • Passport Unlimited Cards
  • Use to save money with local and national
    retailers and restaurants
  • For more information register your card at
    www.passportlifestyle.com
  • More to come visit the HR Intranet Site!

21
PGA Credit Union
  • Scripps has partnered with PGA Credit Union
  • Benefits of Membership
  • Free Checking w/ Direct Deposit
  • Free Online Banking Bill Paying
  • Low Rates on Auto Loans, Mortgages and Personal
    Loans
  • High Yields on Money Market Accounts,
    Certificates and IRAs
  • Investment Services
  • Membership Rewards Program
  • Visit www.pgacu.org to apply online

22
THANK YOU !
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