Annual Enrollment Plan Year

Employer Contribution Both the state and the A&M System contribute a portion of the total cost for Health and Basic Life coverage If you waive health coverage and certify that you have other health coverage, you will have $ (full-time) and $91.68 (part-time) to use toward optional coverage Part-time employees (working 20 to 39 hours a week) receive one-half the amount provided to full-time employees

Eligible Dependents o Spouse o Children must be: o younger than 25, or disabled to be covered on dental, vision and life insurance, OR o Younger than 26, or disabled to be covered under medical. o Grandchildren must meet the above criteria and live with you o Dependent Enrollment Form/Certification w.pdf w.pdf

Premium Changes o Premiums will decrease for: o Vision o Long Term Disability o Dental DHMO o Premiums will remain the same for: o A&M Dental (PPO) o Premiums will increase for the A&M Care and Scott & White health plan. o Premiums will remain the same for all other optional coverages

September 1, 2011 Health Plan Changes HMOs o First Care Health Plan o First Care will no longer be available as of o Enrolled members who do not make a change during annual enrollment will be put into the A&M Care plan as of

September 1, 2011 Health Plan Changes Scott & White Health Plan o Services, other than office visits, will have a $350 deductible and will be paid at 80%. o Primary Care office visits increase to $30. o Specialty Office Visits will be $45.

September 1, 2011 Plan Changes A&M Care Plan o Only one A&M Care plan will be offered for Active Employees o $700 Deductible o 70%/30% Coinsurance o Out of Pocket Maximum: $5,000 individual and $10,000 family

September 1, 2011 Plan Changes A&M Care Plans – Continued Annual Preventive Exams will be covered at 100% Deductible credit will continue to be provided for completion of a Health Risk Assessment (HRA) and completion of an annual physical. If you, your spouse or a covered dependent, age 18 or older, completes an HRA at $50 will be credit towards that member’s deductible. As each family member visits a physician for an annual physical, another $50 will be credited toward the deductible.

September 1, 2011 Plan Changes Dental o Small reduction in premium for Delta Care USA (DHMO Plan) and, o Slight increase in copayments for some services o No plan or to premium changes to the Dental PPO Plan

September 1, 2011 Plan Changes Vision Plan New Carrier – EyeMed Vision Care Reduced Premiums Enhanced Benefits Materials copay $15 40% discount off additional materials Increased out-of-network benefit Explanation of Benefits for every claim filed

Long-Term Disability o New Carrier – CIGNA o Premiums Decreasing o Additional Programs o Life Assistance Program o Healthy Rewards o Identity Theft o Will Preparation September 1, 2011 Plan Changes

To change your benefit elections or enroll or re-enroll in Spending Accounts: o Employees make enrollment changes online o Retirees may make changes online or use the Personal Benefits Summary letter Deadline for changes: July 31 Print a statement of your benefits. Be sure to check that the correct changes have been made! Enrolling In/Changing Benefits

To access your benefits, click on, iBenefits at sso.tamus.edu Available 7 days/ week, 24 hours/day, July 1-31 Make changes as many times as you wish during the enrollment period Use the beneficiary database to record your beneficiaries so that you can view or change them online at any time during the year. iBenefits Online Annual Enrollment System

Enrolling Dependent Children You must provide additional documentation when enrolling any dependent during annual enrollment For more information on documentation to qualify your dependents for coverage, go to pendent-documentation/

Complete evidence of health questions online OR Obtain forms from: o Your Human Resources office o (use TAMUS as your user name and “mybenefit” as your password ) Additional Forms

Required to: o Enroll in Basic Life/Basic AD&D o Enroll in Optional Life or increase coverage o Enroll in or increase coverage to $50,000 in Alternate Basic Life o Add family members or change from Plan B to Plan A or C for Dependent Life o Enroll yourself or family members in Long-Term Care coverage or increase coverage Evidence of Good Health

Long-Term Disability Graduate Student Health Plan Pre-Existing Condition Limitations

Booklets and meeting schedules online at: enrollment/ Enrollment deadline – July 31, 2011 If you have questions, call your Human Resources office or the carrier’s member services number Finally...