Benefit Forms and Details for 2023

New Hire Benefits Book

2023 Active Working Spouse Form

Medical

Dental

About the Provider: Delta Dental

Delta Dental's website: www.deltadentaloh.com 

Delta Dental's Customer Service Phone Number: 1-800-524-0149

Rates shown are annual pre-tax full time employee contributions.
Employee                            $57.37
Employee + Spouse          $118.13
Employee + Child(ren)     $110.88
Family                                 $170.84


Delta Summary of Plan Benefits
Delta Plan Document
Dental Claim Form
Delta Dental - Can my dentist charge me for PPE?

Vision

About the Provider: VSP - Vision Service Plan

VSP's website: www.vsp.com 

VSP's Customer Service Phone Number: 1-800-877-7195

Employee           $85.56
Employee + 1    $171.12
Family                 $250.32

VSP Claim Form
VSP Member Summary
VSP Real Provider Choices
VSP - The Importance of an Eye Exam
VSP Exclusive Member Discounts
VSP TruHearing Hearing Aid Discount Offer

Prescriptions

About the Provider: CVS Caremark

CVS Caremark's website: www.caremark.com 

CVS Caremark's Customer Service Phone Number: 1-888-202-1654

Participating Pharmacies
Plan Summary
Smoking Cessation
Claim Forms
Low-Cost Rx Options

Short-Term Disability

About the Provider: Unum

UNUM's website: www.unum.com 

UNUM's Customer Service Phone Number: 1-800-421-0344

About the Coverage

Salary replacement: 60%, $1,400 maximum weekly benefit. 
Waiting period: 14 Days for Injury, 28 Days for Illness, including pregnancy. Must exhaust sick leave.
Employee cost: Varies by age and salary, 100 percent employee funded
Limitation: Plan is subject to a 12/12 pre-existing condition limitation

UNUM Short-term Disability Plan Document
UNUM HIPAA Release
UNUM Submitting a Disability Claim Flyer
UNUM Telephonic Claims Flyer

Long-Term Disability

About the Provider: Unum

UNUM's website: www.unum.com 

UNUM's Customer Service Phone Number: 1-800-421-0344

University Provided: 60% Salary Replacement, $5,000 Monthly Benefit Maximum. The elimination period before benefits are paid is the later of any accumulated sick leave or 180 days.
Supplemental Option: 70% Salary Replacement, $6,000 Monthly Benefit Maximum. The elimination period before benefits are paid is the later of any accumulated sick leave or 180 days.
Employee Cost: 60% Option: $0, 100% University Funded. 70% Option: Varies. Employee pays difference between 60% and 70% option. Cost varies by salary.
Limitation: Plan is subject to a 3/12 pre-existing condition limitation.

UNUM Long-term Disability Plan Document
UNUM Submitting a Disability Claim Flyer

Life Insurance

About the Provider: Unum

UNUM's website: www.unum.com 

UNUM's  Life Insurance Customer Service Phone Number: 1-800-445-0402

University Provided: Two times your annual salary up to $100,000
Other Features: Accelerated benefit, Conversion, Continuity of Coverage, Portability (See details in plan document)
Supplemental Options: Employees may purchase 1-5x annual salary in additional life insurance up to $500,000 without evidence of insurability (EOI). For amounts over $500,000 EOI is required.

UNUM Life Active Plan Document
UNUM Life AD&D Plan Document
Beneficiary Election Form  - Please return to Office of Benefit Administration, +0602
UNUM Evidence of Insurability Form
UNUM Life and Accident Claim Form
UNUM Life Planning Financial and Legal Resources Flyer
UNUM Portability/Conversion of Life Flyer
UNUM 2022 Life Portability Rates

Flexible Spending Accounts

About the Provider: Chard Snyder

Chard Snyder website: www.chard-snyder.com 

Chard Snyder Customer Service Phone Number: 1-800-982-7715

Flexible spending accounts allow employees to set aside money on a pre-tax basis to pay for eligible out-of-pocket medical and dependent care expenses, therefore reducing taxable income. The monies set aside for these accounts must be used for expenses not reimbursed by other coverage.

The Health Care Spending Account allows you to be reimbursed for non-covered and medically necessary medical, dental or eye care expenses. Employees can contribute a maximum of $3,050 in into a health care flexible spending account. Participants will receive a debit card for easy FSA withdrawals for eligible items. The plan will continue to have a grace period for claim submissions. For all claims incurred prior to December 31, 2022, the claims must be submitted to Chard Snyder no later than March 31, 2023. In addition, FSA funds up to $610 may be carried over to the 2023 plan year.

The Dependent Care Spending Account allows you to be reimbursed for child and dependent care expenses (e.g., daycare etc.) for dependents up to the age of 13  that are required for you or your spouse to work. Employees can contribute a maximum of $2,500 or $5,000 if married and filing a joint tax return.

FSA Account Summary Plan document
FSA Reimbursement Online Job Aid
FSA Claim Form
Verification of Medical Expenses
Chard Snyder Mobile App
FSA Benefit Card
Why Your Benny Might Stop Working And What to Do About It
Approved Dental Expenses
FSA Orthodontic Expenses

Employee Assistance Program

Impact Solutions website

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.

Impact Summary Plan Description
EAP Overview
IMPACT Employee Assistance and Work/Life Program
IMPACT Quit Center for Tobacco Addiction
IMPACT Identity Theft Protection Benefit
IMPACT Mental Health and Suicide Awareness National Resources

Contact Us

Mailing address:
The University of Akron
Human Resources, Benefits Administration
Akron, Ohio 44325-0602

Building location:
Administrative Services Building

185 E. Mill St

Send us an e-mail.

Phone: 330-972-7381
Fax: 330-972-2336