Open Enrollment for UNM’s medical, dental, vision, life, disability, and accidental death and dismemberment (AD&D) insurance plans is scheduled for Wednesday, April 25, 2012 through Wednesday, May 9, 2012. Benefit changes made during Open Enrollment are effective July 1, 2012. You will not be able to make changes to your plans after Open Enrollment unless you experience a Qualifying Change of Family Status Event. It is very important to prepare yourself for Open Enrollment so you can make educated decisions about the options available to you.
Open Enrollment for UNM’s medical, dental, vision, life, disability, and accidental death
and dismemberment (AD&D) plans begins April 25, 2012, and is available through Wednesday, May 9, 2012. Open Enrollment is your opportunity to enroll in, cancel, or make changes to your insurance plans without experiencing a Qualifying Change of Status event.
UNM Salary Tier Contribution Schedule to Insurance
Effective July 1, 2012, the salary tier contribution schedule, or “split,” will be adjusted. UNM will contribute 80% (the maximum the State of New Mexico will allow) of the premium for full-time, active employees earning less than $35,000 per year; 70% for those earning between $35,000 and $50,000; and 60% of the premium for employees earning $50,000 or more per year. For employees impacted, UNM will contribute more to minimize the premium increase. For more information please see the Salary Tier Contribution Schedule Adjustment for Insurance Benefits article and UNM's Contribution to the Cost of Insurance effective July 1, 2012.
Login Instructions
For Medical, Dental, and Vision login to LoboWeb to access Open Enrollment:
Open Enrollment Benefit Overview Presentation, presented by the Division of Human Resources. The Division of Human Resources held 17 presentations for benefits eligible faculty and staff. The presentation provides a general overview of benefits available during Open Enrollment for Plan Year 2012.
2012-2013 Employee Health Plan Open Forum, presented by Vice President of the Division of Human Resources. The Division of Human Resources held six Employee Health Plan Open Forums for benefits eligible faculty and staff. The forums reviewed UNM’s employee benefits, current and projected costs, and options to deal with rising costs.
Open Enrollment Benefit Overview Presentation
If you have additional questions, contact the Benefits Office at (505) 277-MyHR (6947).
Medical Insurance
Elections made during the Open Enrollment Period are effective July 1, 2012. Enrollment changes must be completed online via LoboWeb from Wednesday April 25, 2012 through 11:59 pm on Wednesday, May 9, 2012.
Special Note: Proof Documentation for dependents enrolled during Open Enrollment must be submitted to the HR Service Center no later than 5:00 pm on May 31, 2012. Failure to submit proof documentation by 5:00 pm on May 31, 2012 will void enrollment for your dependent. For more information see the Dependent Proof Documentation Requirements.
Preventative
Services require no co-pay under LoboCare, Lovelace or Presybterian
Networks.
Networks of Coverage
Once you have enrolled with your chosen TPA, you will have an option
of three different networks of coverage each time you need medical care.
The network you choose at the time of service determines your
out-of-pocket costs for services received. Please review the Summary of
Benefits for your chosen TPA for details on out-of-pocket costs.
LoboCare Network:
HSC/UNMH and First Choice Community Health Providers and
Facilities.
Primary care locations throughout Albuquerque.
LoboCare Clinic for same-day or next-day acute care appointments.
Both Lovelace and Presbyterian participants have the same access to
the LoboCare Network.
In-Network: (Lovelace or Presbyterian contracted
providers)
Third Party Administator contracted providers and facilities.
National in-network capability for services received outside of New
Mexico (note: you should notify your insurance carrier if you plan to
use their National PPO).
To find out if your doctor is on the list of
providers:
Providers and facilities not contracted with your TPA (note: if you
use this option, notify your TPA first to receive the maximum available
benefit).
Only usual and customary charges are covered.
Medical ID Cards
Upon enrollment your TPA will mail ID cards to your home address on
file. If you do not receive your ID card, please contact your TPA to
request a new one. UNM provides your TPA with your UNM Banner Id for
identification purposes. Please provide your UNM Banner Identification
number, and not your Social Security Number, when utilizing services at
your medical provider or when speaking to your TPA.
Third Party Administrator Contact Information
For additional information or questions, please contact:
Elections made during the Open Enrollment Period are effective July 1, 2012. Enrollment changes must be completed online via LoboWeb from Wednesday April 25, 2012 through 11:59 pm on Wednesday, May 9, 2012.
Special Note: Proof Documentation for dependents enrolled during Open Enrollment must be submitted to the HR Service Center no later than 5:00 pm on May 31, 2012. Failure to submit proof documentation by 5:00 pm on May 31, 2012 will void enrollment for your dependent. For more information see the Dependent Proof Documentation Requirements.
Delta Dental is a nation-wide insurance company. You may utilize any
dental provider outside of NM that is contracted with Delta Dental under
the Premier or PPO preferred plans. When using a provider outside of NM,
the provider should contact the NM Delta Dental office to confirm your
coverage and the claims must be submitted by the provider to the NM
Delta Dental Office. Contact the Delta Dental office when accessing
services outside of NM to insure proper coordination and processing of
claims.
Dental Insurance ID Cards
Upon enrollment Delta Dental will mail you Insurance ID cards.
Dependents will not receive a card with their names. Everyone covered
will use the card with the primary member's name. If you do not receive
your ID card, please contact Delta Dental to have one sent to you or you
may log onto Delta Dental’s Web site and print out an ID card. UNM
provides Delta Dental with your UNM Banner Id for identification
purposes. Please provide your UNM Banner Id number, not your social
security number, when utilizing services at your Dental Provider or when
speaking to Delta Dental.
Delta Dental Contact Information
For additional information or questions you may review the Delta
Dental Benefit Booklet, Delta Dental website or contact Delta Dental's
Benefits Service Department. You will need to provide Delta Dental
and/or your Dental Provider with your UNM Banner ID, not your SSN, for
identification. The Delta Benefit’s Service Department is able to
provide coverage and pricing information and answer questions.
Contact Delta Dental's Benefits Service Department at:
Elections made during the Open Enrollment Period are effective July 1, 2012. Enrollment changes must be completed online via LoboWeb from Wednesday April 25, 2012 through 11:59 pm on Wednesday, May 9, 2012.
Special Note: Proof Documentation for dependents enrolled during Open Enrollment must be submitted to the HR Service Center no later than 5:00 pm on May 31, 2012. Failure to submit proof documentation by 5:00 pm on May 31, 2012 will void enrollment for your dependent. For more information see the Dependent Proof Documentation Requirements.
Vision Insurance Rates - Plan Year 2012-2013
UNM offers one vision plan, the Vision
Service Plan and it is 100% employee paid.
Vision Rates
There are no rate changes for 2012-2013 Plan Year.
Or by Calling the toll-free Member Services Support Line at (800)
877-7195. The toll-free T.D.D. number for the hearing impaired is (800)
428-4833.
After you have selected a Doctor, you can obtain
services by:
Making an appointment with your chosen VSP doctor and
Telling the office that you are a VSP member when making the
appointment.
After you make an appointment, your doctor and VSP will handle the
rest by verifying your benefits and eligibility for services. UNM
provides VSP with your UNM Banner Id for identification purposes. Note: VSP does not issue membership cards. Please
provide your UNM Banner Identification number, not your Social Security
Number, when using services at your vision provider or when speaking to
VSP.
Vision Service Plan Contact Information
For additional information or questions, please contact VSP at:
Elections made during the Open Enrollment Period are effective July 1, 2012. Enrollment changes must be completed online via Standard's Enrollment/Member website from Wednesday April 25, 2012 through 11:59 pm on Wednesday, May 9, 2012.
Open Enrollment Options without Evidence of Insurability Requirements
Life:
Enroll in Basic Life
If not previously enrolled in Employee Additional Life, enroll in one times salary
If previously enrolled in Employee Additional Life, increase by one times annual salary (maximum three times annual salary without Evidence of Insurability)
If not previously enrolled in Spouse Domestic Partner Additional Life, enroll in $10,000 of coverage
If previously enrolled in Spouse/Domestic Partner Additional Life, increase by one $10,000 increment of coverage (maximum of $50,000 without Evidence of Insurability)
Offered online or telephonic (Must complete initial login process listed above under Enrollment or call Standard Customer Service line at 1-800-759-8702)
Employees may:
View current enrollment and request enrollment changes to add, drop, increase, or decrease coverage levels
View and update beneficiaries (Online option only, employees are responsible for updating beneficiary information)
View Certificates of Coverage, other plan document information, and access cost calculation tools
Elections made during the Open Enrollment Period are effective July 1, 2012. Enrollment changes must be completed online via Standard's Enrollment/Member website from Wednesday April 25, 2012 through 11:59 pm on Wednesday, May 9, 2012.
Open Enrollment Options without Evidence of Insurability Requirements
Long-Term Disability:
Offered online or telephonic (Must complete initial login process listed above under Enrollment or call Standard Customer Service line at 1-800-759-8702)
Employees may:
View current enrollment and request enrollment changes to add, drop, increase, or decrease coverage levels
View and update beneficiaries (Online option only, employees are responsible for updating beneficiary information)
View Certificates of Coverage, other plan document information, and access cost calculation tools
