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Benefits: Health/Dental/Vision Insurance Benefits
Date approved:
Approved by:
 
Date to be reviewed:
Reviewed by:
Director of Human Resources
Date revised:
Revision number:
1.1
 
Compliance Committee:
As Scheduled

1.0 PURPOSE

In keeping with Wheeling Jesuit University's philosophy, the University considers a well-rounded benefits package to constitute a significant portion of an individual's "total rewards" package.

2.0 POLICY STATEMENT

2.1 Policy Statement 

It is the University's objective to maintain a schedule of reasonably priced health, dental and vision care ("health and welfare") programs for its regular employees. The University will adhere to any federally mandated changes and will endeavor to communicate to all employees' any and all changes to the plans as they become necessary.

2.2 Definitions

  1. "Benefits-Eligible" - Regular full-time and regular part-time employees are provided, as a part of their overall package, access to health and welfare benefits for themselves and for qualified dependents. Participation is optional with costs being shared by both the University and the employee through payroll deductions as premium contributions.  
  2. "Summary Plan Descriptions" - Commonly referred to as "SPD"s these are condensed versions of the University Plan which every employee who participates in the programs receives. The University reserves the right to amend the Plans and SPD's as it deems appropriate; the website will contain current versions.
  3. "Premium Contribution" - The amount out of pocket the employee contributes along with the University's portion to maintain the benefit. The University does not contribute to the premiums for the health, dental or vision plans for the employees on unpaid leave of absence except as required by the Family and Medical Leave Act (FMLA).
  4. "Initial Enrollment" - Employees who wish to enroll in one of the health and welfare plans must do so within the first thirty (30) days of employment.
  5. "Open Enrollment" - Employees who wish to enroll in one of the health and welfare plans and have not done so during the initial enrollment period will be able to enroll during the annual open enrollment period defined by the University when benefit enrollment changes can be made per the plan rules.
  6. "Status Change" - Employees who wish to enroll in one of the health and welfare plans and have not done so during either the initial enrollment period or the open enrollment period may do so when one of five (5) events occurs as defined by the IRS: a change in marital status, a change in the number of dependants, a change in employment status (the employee, the spouse or the dependant), a change in a dependants eligibility or a change in residence of the employee, the spouse or the dependant), a change in a dependants eligibility or a change in residence of the employee, the spouse or a dependants. A change in the employees benefit plan coverage must be "on account" of one of these events and must be made within thirty-one (31) days of the event which precipitated the event.
  7. "Change in Employment Status" - Employees who either move from part-time to full-time or full-time to part-time.  

2.3 Plans

  1. The University offers a reasonably priced, multiple-option, health care plan to benefits-eligible employees. The University plans include both low and high cost option insurance for either individual employees or employees and their families. Depending upon the option selected, premium contributions may be made with pre-tax dollars. Premium contributions are reevaluated and adjusted annually prior to open enrollment and all employees are informed of the premium contribution at that time. The current health care provider is Highmark West Virginia Blue Cross/Blue  Shield and their website, including descriptions and summaries of services and lists of providers, can be accessed from the link below in "Attachments".
  2. The University offers a reasonably priced, multiple option, dental care plan to benefits-eligible employees. The University options include both low and high cost option insurance for either individual employees or employees and their families. depending upon the option selected, premium contributions may be made with pre-tax dollars. Premium contributions are reevaluated and adjusted annually prior to open enrollment and all employees are informed of the premium contribution at that time. The current dental provider is Delta Dental and their website, including descriptions and summaries of services and lists of providers, can be accessed from the link below in "Attachments".
  3. The University offers a reasonably priced vision care plan to benefits-eligible employees. The plan is 100% employee financed and includes insurance for employees and their families with a pre-tax premium contribution. That premium contribution is reevaluated and adjusted annually prior to open enrollment and all employees are informed of the premium contribution at that time. The current vision care provider is Davis Vision and their website, including descriptions and summaries of services and lists of providers, can be accessed from the link below in "Attachments".

2.4 Employee Notification 
 
Employees are notified of their enrollment options:
  1. When they are hired. Employees may enroll at that time (within 30 days of hire) and, depending upon the plan selected, their coverage may begin with the first day of the month following the month of hire or within the period specified by the provider.  
  2. During Open Enrollment. The University Human Resource Department will notify employees of the open enrollment period through emails and postings and provide them with a list of plans, options and applicable premium contributions.
  3. Employees are provided SPD's upon enrollment with amendments mailed out as needed.
2.5 Status Change/Change in Employment Status
 
Employees who have not previously been enrolled in the plans noted above or have been enrolled under one of the options may either enroll or change their option when they experience a status change or a change in employment status provided that they enroll within thirty (30) days of that change. 
 
2.6 Co-Insurance
 
The University will adhere to the provisions of the providers programs with respect to co-insurance.
 
2.7 Patient Protection And Affordable Care Act
 
The University reserves the right to initiate changes in the health care plan to address any impact resulting from the implementation of the  Federal Health Care Reform Act, its amendments, and any other applicable Federal or State legislation regulating health care. In such event, the University will adopt reasonable modifications to the current health care program and communicate the impact of these changes to affected employees.

3.0 AUTHORIZATION

The Director of Human Resources has the authority to change, modify or approve changes in plans and exceptions to this policy at any time, with or without notice, and with the approval of the University President.

4.0 ATTACHMENTS

Benefits Package for Administrators
Benefits Package for Faculty
Benefits Package for Staff

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