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Administrative
Handbook
Fall
2006
Section 7. BENEFITS
This section
provides just an overview of insurance benefits. The insurance benefits
plan documents are detailed, set forth a number of eligibility requirements,
and are controlling and provide the "final word" on the
insurance benefits coverage and eligibility. Please contact the
Human Resources Office for full details of the College's insurance
benefit's plan and a copy of those summary plan descriptions.
7-1 Health Insurance
The College
currently offers employees two options:
Harvard Pilgrim Health Care HMO offers a variety of choices for
each family member. The Harvard Pilgrim network includes Harvard
Vanguard Centers, which offer most services at a single location,
Medical Group Practices, which offer many services at a single location,
and thousands of independent primary and specialty care physician
providers in the traditional private office setting. Each family
member can choose the method of care that provides the best arrangement
for that individual.
Harvard Pilgrim Health Care PPO is a preferred provider network
organization (PPO). The plan provides incentives for you to work
with a physician within the network (the same network as the Harvard
Pilgrim HMO) but also provides for care outside the network, subject
to deductibles and co-payments. Because of the freedom of choice
offered by this plan, the premium is significantly higher.
Literature outlining specific plan details is available in the Benefits
Office, as well as at www.harvardpilgrim.org.
Current premium rate information is available on the HR website,
as well as in the Benefits Office.
Coverage is
effective on the first of the month coincident with or next following
your date of employment. There is no waiting period.
Eligibility:
All regular administrative employees who work at least 17 1/2 hours
per week for at least nine months per year currently are eligible
for coverage. You may elect individual coverage for yourself, or
family coverage for you, your spouse or domestic partner, (link)
and any unmarried dependent children under age 19. Eligible dependent
children who are full-time students may continue on your membership
up to age 25.
College Contribution:
The College currently contributes 75% of health plan cost. Rates
are subject to change at any time although typically rates change
January 1st of each year.
Employee Contribution:
Employees currently contribute 25% of the cost of their health insurance.
The College makes these deductions on a before-tax basis.
Enrollment:
If you chose not to enroll in a health plan, you may reverse that
decision once each year, during the open-enrollment period.
If you are covered
by health insurance through your spouse's employer and lose your
eligibility for that coverage (due to spouse's termination of employment,
etc.), contact the Benefits Office for information on off-cycle
enrollment.
Health Insurance For Special Situations:
1. Health Insurance
age 60 with at least ten years of service:
For those who
have elected to retire at age 60 or more with at least ten years
of service and who are enrolled in College health insurance at the
time of their retirement, the College will pay the portion of medical
premiums it pays for all employees up to the first of the month
in which the person reaches age 65, provided such is permitted under
applicable law and the College's health insurance plan then in effect.
2. Health Insurance for Administrative Employees Age 65 and Over:
Coverage remains the same for active administrative employees age
65 and over as it was prior to age 65. Employees who are 65 should
register with Social Security. If you are enrolled in a college
sponsored health plan, however, it is not necessary for you to enroll
in Medicare B until you terminate employment. (link to ssa.gov and/or
Medicare.gov)
3. Health Insurance
for Employees on Total Disability:
Employees who have been determined to be totally disabled under
the College's total disability insurance can remain enrolled in
the College's group health insurance during the period of total
disability, until such time as they become eligible for Medicare,
provided such is permitted under applicable law and the College's
insurance plans then in effect.
4. Health Insurance
for Families of Deceased Employees:
The College allows surviving family members of deceased employees
the option of retaining group coverage at the employee cost for
five months. After five months the surviving family members may
maintain their coverage under COBRA (see below), but the College
does not contribute to the cost.
7-2 DENTAL INSURANCE
The College offers dental insurance for eligible administrative
staff and faculty. Literature outlining specific plan provisions
and current premium rate information is available in the Benefits
Office. Coverage is effective on the first of the month coincident
with or next following your date of employment. There is no waiting
period. Information on dental plans is available in the Benefits
Office or through Delta Dental.
Eligibility:
All administrative employees who work 17 1/2 hours per week or more
for at least nine months per year are eligible for coverage. You
may elect individual coverage for yourself, or family coverage for
you, your spouse or domestic partner
and any unmarried dependent children under age 19. Eligible unmarried
dependent children who are full-time students may continue on your
membership until they reach age 23.
Employees enrolled
in the dental plan who retire before age 65 may continue to participate
in the dental plan until the first of the month in which they reach
age 65. They will be responsible for the full monthly cost of the
plan; there is no college contribution.
College Contribution:
The College currently contributes 80% of the cost of individual
coverage and 50% of the cost of family coverage. Rates are subject
to change at any time although typically rates change January 1st
of each year.
Employee's Contribution:
Employees currently contribute 20% of the cost of individual dental
insurance and 50% of the cost of family dental insurance. The College
makes these deductions on a before-tax basis.
Enrollment:
If you choose not to enroll in the dental plan, you may reverse
that decision once each year, during the open-enrollment period.
If you are covered
by dental insurance through you spouse's employer and lose your
eligibility for that coverage (due to spouse's termination of employment,
etc.) contact the Benefits Office for information on off-cycle enrollment.
7-3 HEALTH AND DENTAL INSURANCE AND COBRA -
THE RIGHT TO RETAIN HEALTH INSURANCE
COBRA, The Consolidated
Omnibus Budget Reconciliation Act, is a federal law that requires
most employers sponsoring group health plans to offer temporary
extension of health coverage at 102% of full group rates under certain
circumstances in which the coverage would otherwise end. This is
called continuation coverage.
Employees of
Wellesley College who lose group coverage because of a reduction
in hours or because of termination of employment for reasons other
than their gross misconduct are entitled to this continuation coverage
for 18 months.
Spouse and Dependent
family members of Wellesley College employees are entitled to continuation
coverage for 36 months if they lose their coverage:
- Because of
the death of the employed family member
- Because of
the termination of that family member's employment for reasons
other than gross misconduct
- Because of
divorce or legal separation
- Because the
employed family member becomes entitled to Medicare
- Because a
dependent ceases to be a "dependent child" under the
plan
Continuation
coverage may be cut short if:
- Wellesley
College no longer provides any group health/dental plan to any
of its employees
- The premium
for coverage is not paid on time
- The qualified
beneficiary becomes entitled to Medicare after the date he or
she elects COBRA coverage
- The qualified
beneficiary becomes covered - after the date he or she elects
COBRA coverage - under another group health/dental plan
- The qualified
beneficiary extends coverage for up to 29 months due to disability
and there has been a final determination that the individual is
no longer disabled
Crosby
Benefit Systems is the third party administrator of the COBRA
health/dental plan, will notify you of your eligibility and will
issue the invoices for COBRA payments. Invoices must be paid within
thirty days of the date of the invoice or COBRA coverage will be
terminated.
7-4 REIMBURSEMENT ACCOUNTS FOR HEALTH AND DEPENDENT
CARE
The flexible
spending/reimbursement account is administered by Crosby Benefit
Systems.
Eligibility:
Administrative employees working at least 17 ½ hours per
week, 9 months per year or more may enroll in a redirection agreement
which provides a Federal, State and FICA tax shelter for funds used
for eligible dependent care expenses or health related expenses
that are not covered by health or dental insurance. Further detailed
information, including enrollment forms and claim forms, are available
in the Benefits Office or through Crosby
Benefit Systems.
7-5 LIFE INSURANCE
The College sponsors a group term life insurance plan for eligible
employees.
Eligibility:
All regular full-time employees are eligible for the group term
life insurance coverage. You are eligible to be enrolled on the
first of the month coincident with or next following your employment
date.
Eligible employees
changing from part-time or half-time to full-time status 35 hours
per week for a minimum of 9 months per year will be eligible for
coverage on the first of the month coincident with or next following
the effective date of full-time employment.
Enrollment forms
are available in the Benefits Office.
Coverage continues
as long as you remain a full-time employee. If you change your status
from full-time to half-time or part-time, your life insurance benefits
will cease.
Noncontributory
Life Insurance:
The College provides to all eligible employees noncontributory life
insurance equal to 100% of their annual salary rounded to the next
highest $1,000.
Contributory
Life Insurance:
In addition to non-contributory coverage, you may elect to participate
in the contributory portion of this plan and receive additional
insurance equal to:
- 100% of your
annual salary rounded to the next highest $1,000 or
- 150% of your
annual salary rounded to the next highest $1,000 or
- 200% of your
annual salary rounded to the next highest $1,000. (For this option
you must submit evidence of insurability.)
Contributory
insurance payments must be made through payroll deductions.
No medical examinations
are required to participate in either the noncontributory or contributory
plans if you enroll within 30 days of eligibility. However, if you
do not enroll within 30 days of eligibility or if you wish to obtain
contributory insurance at a later time, or increase existing contributory
coverage, you will be required to submit evidence of insurability.
Insurance Amount
at Retirement:
If you were hired prior to January 1, 1995 and you retire at 65
or later with at least ten years of full-time service (35 hours
per week, nine months per year or more), the College will provide
$2,500 of life insurance coverage if you were an exempt employee
and $1,000 of coverage if you were a non-exempt employee. The College
pays the entire cost of this coverage.
Employees hired
on or after 1/1/95 are ineligible for this benefit.
Beneficiary:
When you enroll in life insurance coverage, you must designate a
beneficiary. This beneficiary may be any person or persons, including
your estate, but not Wellesley College. You may change your beneficiary
at any time.
Conversion Privilege:
If your employment with the College terminates, you may exercise
your "conversion privilege" and convert to an individual
life insurance policy. You must apply within 31 days of termination,
and you do not have to submit evidence of insurability. Should you
die during this 31-day period, the amount of your life insurance
will be paid whether or not you have used the "conversion privilege."
Deductions for
Summer Months for Academic Year Employees:
The Payroll Office will make additional payroll deductions to cover
health, dental, and contributory life insurance for employees who
do not work in the summer months of either June, July or August.
7-6 SHORT-TERM DISABILITY
7-7 LONG-TERM DISABILITY INSURANCE
7-8 RETIREMENT PLANS
Below appears a brief general summary of retirement benefits. Employees
may request a copy of the actual plan documents from the Human Resources
Office-Benefits. The plan documents govern the terms of the plan.
The descriptions set forth in the Handbook are intended to provide
a summary only, and these descriptions do not supersede, modify
or replace the terms contained in the plan documents.
TIAA-CREF
Employees working 17.5 hours per week or more are eligible to participate in the College’s retirement plan effective the first day of the month following their date of hire as long as the employee completes a TIAA-CREF Retirement Annuity Contracts Enrollment Form. The College contribution is 9% on compensation up to one-half of the SSWB ($48,750. in 2007) plus 12% on compensation above one-half of the SSWB. The College also offers a match component, 1% or more, up to 3% of your salary in additional contributions if you contribute to a Tax Deferred Annuity. To qualify for the additional match component, new employees must open a new TDA with TIAA-CREF,
Fidelity or Calvert and complete a Salary Reduction Form. The match will occur in even increments up to 1% as follows:
Employee Voluntary Contribution College Match
1% 1/3 of 1%
2% 2/3 of 1%
3% 1 %
Plan Contributions:
College payments to your retirement plan begin the month after you
have submitted a completed application form to the Benefits Office.
Plan contributions are made on a monthly basis, except for months
in which no salary is paid. The College does not require employee
contributions to the retirement plan.
Vesting:
Once eligible, you will become fully vested in TIAA-CREF the first
month after you submit the completed application forms. Full vesting
means that the contributions by the College to TIAA-CREF are fully
owned by you as soon as the contracts are issued.
Retirement Benefits:
When you retire you are entitled to receive a monthly or other periodic
income under one of the several options available. All options provide
for income to a spouse or other beneficiary.
To initiate
procedures for receipt of retirement income benefits, you should
contact TIAA-CREF directly by calling 1- 800-842-2888, or visit
their website at www.tiaa.cref.org.
Death
Benefits
If you should die before retirement, the full current value of your
TIAA-CREF contracts will be payable to your designated beneficiaries.
7-9 TAX-DEFERRED ANNUITY RETIREMENT BENEFITS (TDA)
Under the IRS Code 403 (b)(7), you are permitted to set aside tax-deferred
supplemental retirement funds in addition to the amounts being contributed
by the College to the TIAA-CREF regular retirement plan. Currently,
the College has TDA arrangements with
Calvert, Fidelity, and TIAA-CREF SRA. Employees
may request a copy of the plan brochures from the Human Resources
Office.
Eligibility:
All benefits-eligible employees are eligible to participate in these
plans. You may begin, change or discontinue contributions at any
time after you have completed the appropriate application forms
and a Salary Reduction Agreement.
Plan Contributions:
You may choose to participate in more than one TDA. Contributions
to a TDA are made entirely by you; there is no College contribution.
Any contributions you make are tax-deferred for purposes of federal
income tax and beginning in 1998, state taxes also; you will still
pay FICA taxes on these funds. You will pay income tax on these
funds at the time of withdrawal. Funds withdrawn before you are
age 59 1/2 are subject to severe tax penalties.
The minimum
contribution is $25.00 per month. The maximum allowable amount may
change each calendar year; if you wish to know the maximum amount
you may contribute, you may call TIAA-CREF (1-800-842-2733, ext.2929)
and ask for a calculation. You may use this service even if your
TDA funds are in Calvert or Fidelity. You may change your monthly
reduction more than once each calendar year, as long as you do not
exceed your maximum allowable amount.
Retirement Benefits:
At your retirement,
you may begin receiving a monthly annuity or other periodic
payments under one of several options available or you may take
a lump sum withdrawal.
Social Security
(FICA):
The College and its employees participate in the Social Security
Program. The College matches dollar for dollar the FICA taxes withheld
from employees' pay and pays that amount to the employee's account
under the Social Security system. Benefits are payable for death,
disability, and retirement under Social Security. Descriptive literature
is available from the Social Security Office or on-line at www.ssa.gov.
Anyone approaching
age 65 should contact the nearest Social Security Office a minimum
of three months prior to the 65th birthday to become familiar with
the Social Security benefit system.
Wellesley College
Pension Plan "Frozen Benefit":
The Wellesley College Pension Plan is a defined benefit plan established
on June 1, 1952 and is designed to provide monthly income at retirement.
There is a five-year vesting requirement in this Plan.
All eligible
administrative employees are now enrolled in the TIAA-CREF retirement
plan. However, if you were employed prior to June 30, 1982 in a
position classified at that time in Grades 10 through 16, however,
you may have a vested benefit under the Wellesley College Pension
Plan. The following schedule indicates when non-exempt employees
became eligible for TIAA-CREF:
Grade 16...7/1/77
Grade 15...7/1/78
Grade 14...7/1/80
Grade 13...7/1/81
Grades 12, 11, 10...7/1/82
At the time you became eligible for TIAA-CREF, the benefit accrued
based on a normal retirement age of 65 under this Plan was frozen,
and may be payable to you at retirement at age 65 or older or if
you meet the "years of service" requirement. Staff members
with frozen vested benefits were notified by the Human Resources
Office.
Eligibility:
As a Classified employee (grades 10-16) you were eligible to participate
in the Plan if you met the following requirements:
* You were employed on a regular basis and worked at least
17.5 hours per week
* You were hired prior to your 60th birthday, and
* You were not eligible for the TIAA-CREF plan.
Waiting Period:
There was no waiting period under the Plan. Eligible employees were
automatically enrolled on the 1st day of the month following their
date of employment.
Statement of ERISA Rights
Participants
in benefit plans are entitled to certain rights and protections
under the Employee Retirement Income Security Act of 1974 (ERISA).
ERISA provides
that all participants shall be entitled to:
1. Examine,
without charge, at the Human Resources Office all plan documents,
(including collective bargaining agreements) and copies of all documents
filed by the plan with the U.S. Department of Labor (such as detailed
annual reports and plan descriptions.)
2. Obtain copies
of all benefit plan documents and other plan information upon written
request to the Plan Administrator. The Administrator may make a
reasonable charge for the copies.
3. Receive a
summary of the annual ERISA reports to the Department of Labor.
The Administrator of the plans is required by law to furnish each
participant with a copy of the summary annual reports.
ERISA sets forth
the duties of the people who are responsible for the operation of
benefit plans. The people who operate the plans have a duty to do
so prudently and in the interest of the participants and beneficiaries.
No one, including the employer, may discharge or otherwise discriminate
against participants in any way to prevent them from obtaining benefits
to which they are entitled under the plans or exercising their rights
under ERISA. If an application for benefits under a plan is denied
in whole or in part, the participant or beneficiary must receive
a written explanation of the reasons for the denial. Participants
have the right to have the Administrator review and reconsider denied
applications or requests on eligibility, participation, or other
aspects of the operation of any plan and to have the insurance company
review and reconsider denied claims under a group insurance contract.
Under ERISA,
participants may take steps to enforce their rights. For example,
if a participant requests materials from a plan and does not receive
them within 30 days, he or she may file suit in a federal court.
In such a case, the court may require the Plan Administrator to
provide the materials and pay the participant up to $110 a day until
he or she receives the materials, unless the materials were not
sent due to reasons beyond the control of the Administrator. If
a claim for benefits is denied or ignored, in whole or in part,
the participant may file suit in a state or federal court. If the
Plan Administrator's responsibility to remit any plan premiums is
not discharged according to the terms of a benefit plan or if a
participant is discriminated against for asserting ERISA rights,
he or she may seek assistance from the U.S. Department of Labor,
or may file suit in a federal court. The court will decide who should
pay the court costs and legal fees. If the participant is successful,
the court may order the person sued to pay these costs and fees.
If the participant loses, the court may order him or her to pay
these costs and fees if it finds, for example, that the claim is
frivolous.
Contact the
Plan Administrator if you have any questions about the benefit plans.
If a participant has any questions about this statement or about
rights under ERISA, he or she should contact the nearest Area Office
of the U.S. Labor-Management Services Administration, Department
of Labor.
Summary Plan
Descriptions are available in the Benefits Office.
7-10 BENEFITS FOR FAMILIES OF DECEASED EMPLOYEES
Health Insurance
for Families of Deceased Employees:
The College allows surviving spouse and dependent family members
of deceased employees the option of retaining group coverage at
the employee cost of 20% for five months. After five months the
surviving family members may maintain their coverage under COBRA
(see below), but the College does not contribute to the cost.
TIAA-CREF
If you should die before retirement, the full current value of your
TIAA-CREF contracts will be payable to your designated beneficiaries.
7-11 LONG TERM CARE INSURANCE
Through the
sponsorship of The Boston Consortium, Wellesley College is able
to offer new employees the opportunity to enroll in a guaranteed
issue Long Term Care Insurance policy, regardless of personal health
status, provided the employee enrolls within the first thirty days
of employment. This benefit is provided by CNA Insurance Company.
Group Long-Term Care Insurance covers the costs for long-term nursing
home stays and home health care visits that are not covered by group
health insurance, other insurance, or government programs. Below
appears a brief general summary of benefits available under the
Long-Term Care insurance company. Employees may request a copy of
the plan brochures from the Human Resources Office. The policy documents
govern the terms of this insurance benefit. The descriptions set
forth in the Handbook are intended to provide a summary only, and
these descriptions do not supersede, modify, or replace the terms
contained in the policy documents.
Eligibility:
Administrative
employees whose regular work schedule is at least half-time for
at least nine months per year are eligible to enroll in Long Term
Care Insurance, with guaranteed issue, as long as they apply within
30 days of their employment start date. Eligible employees who skip
this initial enrollment period, and wait to enroll at any future
enrollment opportunity as determined by CNA, will have to provide
evidence of insurability to CNA before any coverage would become
effective.
Coverage is
also available for certain family members of the eligible employee.
However, this coverage is not guaranteed. Spouses and/or Same-Sex
Domestic Partners who wish to apply for coverage must complete a
short, simplified application regarding their health status. Coverage
is also available for parents, parents-in-law, grandparents and
grandparents-in-law under the age of 80 upon completion of a long
form application.
Benefit:
The Long -Term
Care plan offered by CNA is a tax qualified plan that offers several
different options from which to choose. Premiums for Long -Term
Care are age-level based, which means that you will be locking into
a premium rate based on your age on the effective date of coverage.
Please refer to the enrollment brochure for additional information.
Employees may also contact a CNA representative directly at 1-877-777-9072.
Employees and
other eligible family members who enroll will be billed directly
by CNA.
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