Faculty & Staff

Benefits

• 2012 Open Enrollment
• Health Insurance 2011/2012
  • Anthem 300
  • Anthem 500
  • Anthem Lumenos CDHP/HSA
  • Welborn
  • Provider Contacts
• Health Reform 2011
• Benefit Forms
• Other Insurance Benefits
  • Dental Insurance
  • Vision Insurance
  • Flexible Spending Accounts
  • Long-Term Disability
  • Short-Term Disability
  • Group Life Insurance
  • Voluntary Life Insurance
  • Provider Contacts
• Employee Wellness Programs
  • Time to Get Fit
  • Anthem Wellness
• Additional Benefits
  • Paid Time Off
  • Leaves of Absence (FMLA, Personal)
  • Worker's Compensation
  • Retirement Savings Plan
  • Employee Assistance Program
  • Work-Life Resources
  • 2012 Summer Flex Program

Resources

Policies

Human Resources

Anthem Blue Access 500 (Core) Plan

Introduction - Coverage - 2012 Rates - 2011 Rates - Forms/Documents

Anthem Health Plans are available to regular full-time employees working on at least a 75 percent academic or fiscal year appointment. Contact Human Resources for information on those benefits applicable to temporary, part-time, or other employee groups.

Coverage

Anthem 500 Plan Highlights

* Prescription Drug (Rx) Co-Payments and Preventive Care Coverage Only Plan Design Changes for 2011

• Beginning 1/1/2011, 100% Preventive Care Coverage
• Deductible
  • Network - $500 individual and $1,000 family
  • Non-network - $1,000 individual and $2,000 family
• Out-of-pocket maximum
  • Network - $2,500 individual and $5,000 family
  • Non-network - $5,000 individual and $10,000 family
• Co-Insurance
  • Network - 80%/20%
  • Non-network - 60%/40%
• Prescription Co-Payments - Prescription Formulary - Specialty Pharmacy
  • Retail Pharmacies (30-day supply)
    • 2012 - $10 formulary generic; $40 brand formulary; $60 non-formulary; $80 specialty
    • 2011 - $10 formulary generic; $40 brand formulary; $60 non-formulary; $80 specialty
  • Mail Order (90-day supply)
    • 2012 - $20 formulary generic; $80 brand formulary; $120 non-formulary; $160 specialty
    • 2011 - $20 formulary generic; $80 brand formulary; $120 non-formulary; $160 specialty

Anthem 500 2012 Summary of Benefits

Anthem 500 2012 Plan Certificate

(top of page)

Anthem 500 Rates for Plan Year 2012

Blue Cross/Blue Shield Blue Access 500 (Core) Plan - The premium is inclusive of medical, prescription drug, and dental insurance coverage.

For Retiree and COBRA Rates, contact Brandy Smith

(top of page)

Anthem 500 for Plan Year 2011

Blue Cross/Blue Shield Blue Access 500 (Core) Plan- The premium is inclusive of medical, prescription drug, and dental insurance coverage.

For Retiree and COBRA Rates, contact Brandy Smith

Forms and Documents

2012 Anthem Medical Enrollment Application

2012 Anthem Employee Change Form