Santa Fe Public Schools Benefits Orientation

COMMON QUESTIONS Who is eligible? Employees who work at least 20 hours per week (0.5 or 0.6 FTE) When can I enroll? Must enroll within 31 calendar days of your start date or at the next annual Open Enrollment Who can I cover? Legal spouse/Domestic partner Married/Unmarried children up to age 26 What will it cost? Combination of Mandatory Benefits, Core Benefits (based on salary bracket) and any Voluntary Benefits (employee pays 100%) that are selected

MANDATORY DEDUCTIONS Educational Retirement Board (ERB) based on salary Annual salary $20,000+: employee contributes 10.7% and SFPS contributes 13.9% Annual salary less than $20,000 : employee contributes 7.9% and SFPS contributes 13.9% New Mexico Retiree Health Care Authority (NMRHCA) All employees contribute 1.0% of gross wages Worker’s compensation fee $2.00 once at the end of each quarter/District pays $2.30

MEDICAL PLAN COMPARISON High OptionLow Option Deductible$300$1,500 Office visit copay$20pc/$30spec$25 pc/$35spec Routine servicesplan pays 100% Co-insurance20%25% Out of pocket limit$2,800$3,500 *In-network coverage per individual pc-primary care spec- specialist p in program guide

PRESCRIPTION DRUGS Local PharmacyMail Order Max days per copay30 days 90 days (some medications may be limited to a 30 day supply.) Generic drugs$3 co-pay$7.50 co-pay Preferred brand-name drugs$18-$50 co-pay$45 co-pay Nonpreferred70% co-pay Specialty$75 co-pay**See Program guide ImmunizationsContact Member ServicesNot covered Walgreens requires a $5 fee and is not included as a local pharmacy **After $500 in specialty drug co-pays, co-pay amounts are reduced remainder of calendar year p in program guide

UNITED CONCORDIA DENTAL High OptionLow Option Deductible $50 Calendar maximum paid by plan (per person) $1,250 Preventive services (cleanings, x-rays) 100% Basic services (extractions, fillings) 80% Major services (crowns, partials) 50%Not covered Orthodontia (adults & children) 50%*Not covered *Lifetime max. $1,500 In-network coverage per individual p in program guide

DAVIS VISION In-Network Eye exam (every 12 months) $10 co-pay Eyeglass frames (every 24 months) $15 co-pay* Eyeglass lenses (every 12 months) $15 co-pay** Contact lenses (in lieu of eyeglasses) 100% of $110 allowance * For frames selected from Davis Vision collection, $40 allowance for non-collection frames ** For standard lenses, see program guide page 45 for lens option costs p in program guide

LONG TERM DISABILITY Standard Insurance Company What is it? Partial income replacement when you are unable to perform the duties of your own occupation as a result of physical disease, injury, pregnancy or mental disorder Pays two thirds (2/3) of pre-disability earnings District contributes a portion of premium p in program guide

BASIC LIFE Standard Insurance Company Provided at no cost to you by Standard Insurance Company $25,000 insurance benefit payment to your beneficiary Medex Travel Assistance Passport/document replacement Emergency transport/evacuation Medical/prescription assistance

ADDITIONAL LIFE Standard Insurance Company Employee pays 100% of cost 1, 2 or 3 times your annual salary in additional life insurance Life coverage available for spouse, domestic partner, and children

VOLUNTARY BENEFITS 403(b)/457(b) Voluntary Retirement Savings Programs (OMNI) Flexible Spending Accounts (FSA) (WageWorks) Medical reimbursement Dependent care Commuter/public transportation expenses Allstate Cancer Hospitalization Short-term disability Legal plan (ARAG) Family plans Life insurance (GlobeLife) Term and whole life Long term care insurance Liberty Mutual home and auto insurance discounts Paid through payroll deductions Not paid through payroll deductions

MAKING CHANGES Changes can be made during annual Open Enrollment in October – changes go into effect as of January 1 or within 31 calendar days of incurring a qualifying event Life insurance and ERB retirement beneficiary changes can be made at any time Address & phone number changes Go to iVisions on the SFPS website

REMINDERS Enroll within 31 calendar days from start date Look for your confirmation in the mail Review your pay summary to ensure correct enrollment and confirm deduction amounts Remember dependent SSN’s and required documentation (marriage & birth certificates) Voluntary benefit contact list in benefit folder

CONTACT INFORMATION Kay Greenfield – Benefits Specialist Lori Gutierrez - Payroll Specialist Krysta Gomez - Payroll Specialist

FORMS Sick Leave Bank enrollment form Education Retirement Board (ERB) – Employee Data Form Form W - 4 Authorization for Direct Deposit ERB Beneficiary Designation

QUESTIONS?