Benefits forms and details for 2015
About the provider: Apex
Apex Customer Service: 800-753-8429
Active employees
Employee Summary and Plan Document
Medical employee-contribution rates
Gold Plan
Blue Plan
Retiree dependents
- Pre-65 Summary and Plan Document
- Post-65 Summat and Plan Document
- About coverage for retiree dependents
Apex prior authorization list
- Certain services require pre-authorization by Apex. If the patient is using an in-network provider, it is the physician's responsibility to obtain a pre-authorization. If the patient is using an out-of-network provider, it is the patent's responsibility to obtain prior authorization. Prior authorization can be waived in emergency situations. If the University's medical insurance is being used as secondary coverage, prior authorization is not required.
COBRA coverage
Weight Watchers
- About the weight watchers reimbursement program through Apex Health Solutions
- Weight Watchers' reimbursement form
Working-spouse policy
Diabetes management
Definitions
About the provider: Delta Dental
Delta Dental Customer Service: 800-524-0149
The University pays 100 percent of the dental premium or there is no charge to employees for dental coverage in 2015.
Related:
About the provider: VSP - Vision Service Plan
VSP phone: 800-877-7195
Related:
Retail provider: CVS Caremark Options
Phone: 888-202-1654
Participating pharmacies
Beyond CVS, these pharmacies will accept your prescription ID card.
Mandatory generic policy
If the member or the physician wishes to use a brand name drug when the U.S. Food and Drug Administration has determined a therapeutically equivalent (“AA” or “AB” rated) generic is available, the member will pay the difference in the brand name and generic medication price, plus the generic co-payment. Members may still elect to use brand name medications if they choose, but they will be required to pay the difference in the brand name and generic medication price, plus the generic co-payment.
From the FDA: Understanding generic medications
Plan Summary
To view the Summary of the Precription Drug plan, click here.
Paper Claim Forms
To view and/or edit and print a Paper Claim Form, click here.
Provider: Cigna
Cigna phone: 1-800-362-4462
How to report a disability claim
Additional programs available through Cigna: Health and wellness discounts, will preparation and estate planning, and identity-theft services.
About the coverage
Salary replacement | 60%, $1,400 maximum weekly benefit. Must exhaust sick leave. |
Waiting period | 14 Days for Injury, 28 Days for Illness, including pregnancy |
Employee cost | Varies by age and salary, 100 percent employee funded |
Limitation | Plan is subject to a 12/12 pre-existing condition limitation. |
Provider: Cigna
Cigna phone: 1-800-362-4462
Short-term disability claim/intake form
Additional programs available through Cigna: Health and wellness discounts, will preparation and estate planning, and identity-theft services.
About the coverage
University Provided | 60% Salary Replacement, $5,000 Monthly Benefit Maximum. Benefit Pays after six-month waiting period from last day worked. Must exhaust sick leave. |
Supplemental Option | 70% Salary Replacement, $6,000 Monthly Benefit Maximum. Benefit pays after six-month waiting period from last day worked. Must exhaust sick leave. |
Employee Cost | 60% Option: $0, 100% University Funded. 70% Option: Varies. Employee pays difference between 60% and 70% option. Cost varies by salary. |
Provider: Minnesota Life
Minnesota Life policy description
Beneficiary election
Return the form to Human Resources Benefits Administration, +0602
About the coverage
University Provided | Two times your annual salary. Maximum $100,000. |
Accelerated Benefit | Available if diagnosed as terminally ill (12 months or less life expectancy) Contact Minnesota Life for details. |
Supplemental Options | Employees may purchase 1 to 5 times their annual salary up to $500,000 without an "evidence of insurabilty" medical exam. Costs varies by age and salary |
Vendor | Minnesota Life |
Please use these forms if you sustain a work-related injury. Completion of these forms does not assure the allowance of the claim in accordance with the Ohio Bureau of Workers’ Compensation.
Provider: NWGS (Northwest Group Services)
Phone: 888-808-3008
Check their account transactions and balances by registering. When registering, enter your Social Security Number in the employee ID field. When completing the employer ID field, you should select "card number" from the drop down menu and enter your debit card number.
Forms:
Provider: IMPACT Solutions
IMPACT Solutions is the administrator of the University’s confidential employee-assistance program.
The IMPACT Employee Assistance (EAP) & Work/Life Program offers access to confidential professional support 24 hours a day, 365 days a year. The IMPACT program includes access to unlimited phone consultation, six complimentary face-to-face counseling sessions per person per occurrence, plus an expansive collection of resources.
The IMPACT Employee Assistance (EAP) & Work/Life Program is available 24 hours a day, 7 days a week by calling 800-227-6007.
For additional information, log on to Impact Solutions’ site for access to articles, resources and interactive features. The member logon is UAkron.
Benefits orientation
Benefits overview and orientation
Related
- General benefits-plan provisions, including eligibility
- Open-enrollment booklet for 2015
- Working-spouse policy, including the form
- Policies and procedures for benefits
- Benefits for 2014
- Tuition remission and scholarship update (posted January 2014)