Health & Welfare Plans
| Benefits Plans | When Can I Take Action? | Who Pays Premium? | Plan Administrator | ||||||
|---|---|---|---|---|---|---|---|---|---|
| PIE[1] | OE[2] | SOH[3] | 90-day[4] | Auto | Anytime | UC | EE | ||
| Medical | • | • | • | • | • | ||||
| Medical – Core | • | • | • | • | Core | ||||
| Dental | • | • | • | Delta PPO DeltaCare (was PMI) |
|||||
| Vision | • | • | • | Vision Service Plan (VSP) | |||||
| Short-Term Disability | • | • | UC (Liberty Mutual) | ||||||
| Supplemental Disability | • | • | • | UC (Liberty Mutual) | |||||
| Workers’ Compensation | • | • | UHS Disability Management Services | ||||||
| Basic Life | • | • | UC (Prudential) | ||||||
| Core Life | • | • | • | • | • | UC (Prudential) | |||
| Supplemental Life | • | • | • | UC (Prudential) | |||||
| Basic Dependent Life | • | • | • | UC (Prudential) | |||||
| Expanded Dependent Life | • | • | • | UC (Prudential) | |||||
| AD&D | • | • | UC (AIG) | ||||||
| Legal | • | • | • | ARAG | |||||
| Health FSA | • | • | • | CONEXIS | |||||
| DepCare FSA | • | • | • | CONEXIS | |||||
| TIP | • | • | UC | ||||||
[1]PIE: Period of Initial Eligibility. Lasts for 31 days beginning on the date of the eligible event (e.g., date of hire, newborn dependent's date of birth).
[2]OE: Open Enrollment. Occurs once a year, usually around the end of October and part of November. Plan changes and rates for the following calendar year are available. Employees who want Flexible Spending Accounts for the following year must enroll or re-enroll. Employees can make changes to enrollments or add eligible family members to the Medical, Dental, and Vision plans. The Legal Plan is available for enrollment occasionally.
[3]SOH: Statement of Health. Requires that the employee completes a Statement of Health form and that the insurance carrier approves enrollment. This process can take several months.
[4]90-day: Employee can enroll in coverage with a 90-day waiting period. Submit UPAY 850 Enrollment form to Berkeley Regional Services via a ServiceHub ticket. Enrollment is on the 91st day after Central HR Benefits receives the UPAY 850 form.