USA Health Staff Employee Benefits

(Employed on or after January 1, 2013)

Welcome to the University of South Alabama - #WeAreSouth! This guide provides important information about the benefits offered to new employees of USA HealthCare Management, LLC, including a brief description of each benefit. Benefits and an employee’s right to them are subject to certain laws, University and USA HealthCare Management, LLC regulations, individual plan documents and the appropriate duly recorded notice of employee benefits limitations election form. Additional information is provided in the individual plan booklets and brochures. The University and the USA HealthCare Management, LLC reserve the right to either change, modify, or terminate these benefits at any time.

New Employee Enrollment

It is important to review and understand these benefits so that you can enroll in the plans for which you are eligible and that meet your needs. The choices you make will be in effect for the remainder of the calendar year unless you experience a qualifying change in status event.

New employees must enroll in benefit programs within the first 30 days of employment, after a qualifying “change in status” event or during the Open Enrollment period held annually in November with coverage effective January 1.

▼   Health & Dental Plan

The USA Healthcare Management, LLC offers two comprehensive plans which include health, dental and pharmacy benefits. Employees may choose to enroll in either of these two plans, as a new employee or during open enrollment, by selecting the one that best fits their needs. The USA HEALTH & DENTAL PLAN is administered by Blue Cross Blue Shield of Alabama; and the USA VIVA HEALTH & DENTAL PLAN is administered by VIVA Health and Southland Benefit Solutions. The employee receives a summary of the benefit plans to assist in the decision-making process. Effective January 1, 2016, prescription drug coverage with the USA Health & Dental Plan will be administered by Express Scripts, Inc. Open Enrollment for the USA Health & Dental Plan is held annually in November with coverage effective January 1.

USA HEALTH & DENTAL PLAN: Benefits are received within a network of Blue Cross Blue Shield providers or within the USA Health network of hospitals, physicians, outpatient clinics and other providers affiliated with the University of South Alabama. By using a USA Health provider, the member receives medical care at a lower cost to both the Plan and the member.

USA VIVA HEALTH & DENTAL PLAN: This plan is a limited network plan consisting of USA Health providers and select providers from the VIVA network. To assist with primary care, a Telehealth program is included providing telephone and internet access to a physician for minor medical concerns resulting in less cost for the employee, time saved and convenience. The plan includes coverage for other medical providers only in the case of emergency or when approved by VIVA the health plan administrator.

     
Monthly Employee Cost:  Single* Family*
USA Health & Dental Plan $128 $418
USA VIVA Health & Dental Plan $108 $350
*Includes the non-tobacco wellness incentive of $50    
Monthly University Cost:  Single Family
USA Health & Dental Plan $426 $870
USA VIVA Health & Dental Plan $363 $745

Pharmacy Benefits

The USA Health & Dental Plans provide prescription drug coverage administered by Express Scripts, Inc. Coverage is automatic for employees and eligible dependents enrolled in the Plans. Accredo Specialty Pharmacy provides highly personalized service for complex medical conditions.

USA Wellness Program

The University of South Alabama and the USA HealthCare Management, LLC encourage all employees to adopt healthy lifestyle choices. We have implemented a tobacco cessation program, intended to help employees stop using tobacco products, which will greatly improve their health.

Employees and their spouses who declare that they do not use tobacco products (and have not for at least six months) will be eligible to receive a $50 wellness incentive (one per family). Employees are required to certify on the enrollment application that they do not use tobacco products.

Employees and their covered spouses who use tobacco products are not eligible for the $50 wellness incentive. However, employees and their covered spouses can qualify for the $50 wellness incentive after they stop using tobacco products for at least six months.

The USA Health & Dental Plans are committed to helping you achieve your best health. The wellness incentive is available to all employees. If you think you might be unable to meet the standard under this Wellness Program, you may qualify for an opportunity to earn the same reward by different means. Contact the USA Human Resources department for additional information.

Premium Conversion

Premiums for the USA Health & Dental Plans are automatically deducted before any federal, state or Social Security taxes are withheld. The result is a reduction of taxable income equal to the amount paid for health and dental insurance during the calendar year.

▼   Flexible Spending Accounts

Flexible Spending Accounts (SouthFlex)

USA Health & Dental Plan - Health Equity, Inc.
Website: www.healthequity.com
Phone: 866-346-5800

USA VIVA Health & Dental Plan -Discovery Benefits, Inc.
Website: www.discoverybenefits.com
Phone: 866-451-3399

Eligible employees can take advantage of flexible spending accounts by setting aside pre-tax money through payroll deductions to pay for qualified health care expenses, including deductibles and copays, out-
of-pocket dental expenses and qualified dependent child care expenses. Money set aside in these accounts will reduce taxable income, providing participants with more value for the dollar. Each plan provides a VISA® reimbursement account card for use when you incur a qualified medical expense. Participants may also submit expenses through the online participant portal for reimbursement. As other eligible expenses are incurred such as dependent care expenses, claims may be filed for reimbursement. The University pays all administrative expenses for this benefit.

▼   Life & Disability Plans

University-Paid Group Term Life Insurance

Company: The Standard
Website: www.standard.com
Phone: 800-628-8600

The University provides at no cost to benefits-eligible employees a group term life insurance plan from The Standard. Coverage is provided in accordance with the following schedule:

Annual Base Salary Coverage Amounts *
$12,500 or less $25,000
$12,501 - $15,000 $26,500
$15,501 - $17,500 $28,000
$17,501 - $20,000 $32,000
$20,001 - $22,500 $36,000
$22,501 - $25,000 $38,000
$25,001 - $30,000 $42,000
$30,001 - $35,000 $45,000
$35,001 - $38,500 $48,000
$38,501 and over 125% of salary
  ($100,000 maximum benefit)
*Includes a $5,000 benefit for spouse and eligible children  

University-Paid Accidental Death & Dismemberment Insurance

The University provides at no cost to eligible employees an Accidental Death & Dismemberment (AD&D) policy from The Standard in the amount equal to the Basic Term Life Insurance if death was caused by an accident. AD&D also pays a benefit if a serious injury results in dismemberment.

Additional Group Term Life Insurance

Additional term life insurance equal to one, two, or three times the basic coverage is available to the employee at group rates. Employees applying for additional coverage must be medically underwritten. Additional coverage for spouse and dependent children is available and is also subject to underwriting.

University Paid—Long Term Disability Insurance

Company: The Standard
Website: www.standard.com
Phone: 800-628-8600

The University provides at no cost to eligible employees long term disability insurance through The Standard. After a 90-day period of disability, 60% of the employee’s base monthly salary will be paid for permanent or temporary total disability, subject to policy provisions, up to a maximum benefit of $10,000 a month.

▼   Retirement Plans

USA HealthCare Management, LLC Defined Contribution Plan—Matching Retirement Plan

The USA HealthCare Management, LLC provides a defined contribution plan which enables employees to use pre-tax income to contribute to their retirement. Participation is voluntary. The plan currently matches employee contributions dollar for dollar up to 5% of base salary plus overtime, paid leave, salary supplements and add-ons such as shift differentials and call pay. This plan allows eligible employees to invest in fixed and variable annuities and mutual funds in tax-deferred accounts.

Eligible employees will be fully vested in the employer matching contributions at the completion of three (3) years of continuous employment.

Employees may reduce their state and federal taxable income by contributing up to $18,000 ($24,000 if over age 50) annually.

With this defined contribution plan, employees make their own investment decisions. Depending on their personal investment goals, employees can choose one or more of the plan’s investment options, each of which offers a different combination of risk and return. The transfer and withdrawal restrictions of the funds and accounts also differ and should be taken into consideration. Employees may choose a fund based on their closest estimated retirement year or may build their own portfolio from the funds available.

USA HealthCare Management, LLC Defined Contribution Plan—Supplemental Retirement Plan

The USA HealthCare Management, LLC provides a 403(b) supplemental retirement plan that allows eligible employees to invest in fixed and variable annuities and mutual funds. Employees may contribute non-matched pre-tax contributions above the 5% match to a 403(b) Supplemental Retirement Plan.

Employees will also have an opportunity to contribute post-tax contributions to the Roth 403(b). Employees may make pre-tax contributions to the 403(b) and post-tax contributions to the Roth 403(b) subject to a combined limit set by Section 402 (g) of the IRS Code.

There is also a self-directed Brokerage Services Account which gives employees greater flexibility when building and managing their retirement portfolio. Employees may reduce their state and federal taxable income by contributing up to $18,000 ($24,000 if over age 50) annually.

Social Security

Social Security provides protection in the form of retirement benefits, disability income, survivor income and Medicare insurance. Participation is required. In 2017, the employee and the University contribute 6.2% of the employee’s annual salary up to the maximum taxable earnings base of $127,200. Contributions for Medicare are 1.45% of the employee’s annual salary. The University contributes a matching amount.

▼   Paid Time Off

The Paid Time Off (PTO) benefit program provides employees with paid time away from work that they can use for vacation, sick leave, personal leave, and holiday observances.

Full-time benefits-eligible employees hired on or after October 1, 2010, accrue PTO hours as follows:

Years of Continuous Service Days Accrued Per Year Monthly Accrual Rate
0-5 yrs (0-60 months) 24 2 days per month
5-10 yrs (61-120 months) 28 2.3 days per month
10 or more years (121+ months) 32 2.6 days per month

Benefits eligible part-time employees accrue PTO on a prorated basis. For new hires, accruals begin on the initial date of employment.

Employees who do not use all of the PTO hours they accrue within the fiscal year (10/1—9/30) may roll over unused PTO hours from one fiscal year to the next. These hours may not exceed 480 (60 days) on October 1.

Employees may elect to cash out up to 80 PTO hours each year during open enrollment. Employees are required to have an 80-hour (10 days) balance at the time the payment is issued. PTO is paid at 100% of the employee’s salary rate.

Upon separation of employment, employees are not eligible for payment of unused accrued PTO hours. This includes resignations, terminations, and retirements.

▼   Miscellaneous Plans

Educational Benefit Plan

Employee – Upon completion of 6 months of employment prior to the first day of classes per the University Academic Calendar, regular full-time employees may qualify for a tuition credit for up to five credit semester hours, plus the University registration fee. The tuition credit rate is based on the prevailing College of Arts and Sciences undergraduate tuition rate for all course levels. Employees must maintain at least a 2.0 institutional grade-point average for undergraduate course work and a 3.0 institutional grade-point average for graduate course work for continued eligibility.

Spouse/Dependents – Tuition credit is also available to the spouse and unmarried dependent children (under age 25 on the first day of classes) of employees who are eligible for the educational benefit. The tuition credit is 50% of tuition only (no fees) with no hour maximum. The tuition credit rate is based on the prevailing College of Arts and Sciences undergraduate tuition rate for all course levels. The spouse/dependent children must maintain at least a 2.0 institutional grade-point average for undergraduate course work and a 3.0 institutional grade-point average for graduate course work for continued eligibility.

United Healthcare Global Travel Assistance

Company: The Standard
Website: www.standard.com
Phone: 800-628-8600

This University-paid benefit provides the employee and their eligible dependents with medical, travel, legal and financial assistance services when faced with an emergency while traveling more than 100 miles away from home.

Employee Assistance Program (EAP)

Phone: (251) 461-1346

The EAP offers confidential counseling and referral services at no cost to the employee.

▼   Other Benefits

• Use of University facilities
• USA Bookstore discount (10%)
• Twenty-five percent (25%) discount on USAMC and USA Children’s & Women’s hospital charges after group insurance has paid
• USA Federal Credit Union
• Free admission to athletic events (excludes tournaments and football)
• A discount, up to 20%, on season tickets for all ticketed sports, up to a maximum of 6 tickets per employee
• Local restaurant discounts

 

The University of South Alabama is an EO/AA employer and does not discriminate on the basis of race, color, national origin, sex (including pregnancy, sexual orientation, gender identity and gender expression), religion, age, genetic information, disability, or protected veteran status.