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Seton Hall University
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Open Enrollment

Open enrollment begins Monday, October 29 and ends Friday, November 9, 2018. The benefit elections you make during Open Enrollment are effective January 1, 2019.

Open Enrollment elections are in effect for the entire calendar year unless you experience an IRS “qualifying event” (i.e. change in marital status, birth/adoption of a child) and your change must be completed with the Department of Human Resources within 31 days of the event.  Refer to the 2019 Open Enrollment Notices document for additional information.

During Open Enrollment, you can:

  • Make changes to, or enroll, in Medical and Dental benefits. If you have no changes, your health benefits will continue as is.
  • Enroll or re-enroll in the health care and/or dependent care Flexible Spending Accounts (FSA). If you do not wish to participate in flexible spending accounts for 2019, you do not need to take any action.
  • Enroll in, or increase your benefit for, Supplemental Life and/or Supplemental Accidental Death and Dismemberment coverage.
  • Enroll in the Long-Term Disability Buy-Up coverage.

2019 Plan Year Highlights

  • New Medical and Dental Rates
  • Prescription coverage now will be administered with Cigna
  • New voluntary benefit with Countrywide offering legal assistance, identity theft protection and financial wellness.
  • New voluntary benefit with PetAssure offering a discount pet benefit plan. Save on all your wellness, sick and emergency vet visits.
  • Special enrollment to purchase Supplemental Life coverage without evidence of insurability.

All benefit eligible employees must complete their open enrollment benefits elections online via Banner Self-Service. An instructional video, written instructions and a flowchart are available to assist you in processing your elections.

Open Enrollment Fairs

Open enrollment fairs have been scheduled so that you can come and speak directly with our plan representatives:

Law School Campus
Date: Monday, October 29
Time: 11:00 a.m. to 3:00 p.m.
Location:  Faculty Library, 5th Floor

IHS Campus
Date: Wednesday, October 31
Time: 11:00 a.m. to 3:00 p.m.
Location:  Winter Garden

South Orange Campus
Date: Thursday, November 1
Time: 11:00 a.m. to 3:00 p.m.
Location:  Bethany Hall


Seton Hall Benefit Offerings


Medical Insurance

Seton Hall University offers two medical plans through Cigna Healthcare. Both plans provide in-network and out-of-network coverage. Review the quick comparison of the plans to help with your decisions.

  • Point-Of-Service - Summary of Benefits and Coverage. This plan is a traditional HMO, where you select a Primary Care Physician (PCP) at the time of enrollment and you must receive a referral from your PCP to access a specialist physician or service. The network of physicians is restricted to NJ, NY, CT, DE and PA. Click HERE to learn how the POS Network works. 
  • Open Access Plus - Summary of Benefits and Coverage. This plan does not require a Primary Care Physician (PCP) or referrals to see specialists. The network of physicians is nationwide. Click HERE to learn how the OAP Network works. 

Telehealth
Cigna provides access to two telehealth services as part of your medical plan – Amwell and MDLIVE. You can connect with a board-certified doctor via video chat or phone, without leaving your home or office.  Click HERE for additional information.

You can register for this service through mycigna.com.


Health Advocate
Health Advocate is a one-stop source for answers and assistance in resolving complicated health and insurance related issues, including Medicare, for you and your family members at no cost to you. Click HERE for additional information.


Vision Coverage – Summary of Benefits

Included with the medical coverage is new vision coverage through EyeMed.  The vision benefits are covered under the Insight Network. 

Enjoy a $0 out-of-pocket cost on any frames at Sears Optical® or Target Optical®.  Access frames from top fashion brands such as: Coach, Ray-Ban, Vogue, Oakley, DKNY and Armani Exchange.


Prescription Drug Coverage
Included in the medical coverage is prescription drug coverage through Cigna Rx; you will receive a separate ID card to purchase your prescription drugs.  The plan provides coverage at retail network pharmacies and through home mail delivery.

Medical Rates per Paycheck 
(includes Cigna Medical, Cigna Prescription and EyeMed Vision)
Coverage Point of Service Open Access Plus
  Faculty and
Administrators
Staff Faculty and
Administrators
Staff
EE Only $105.14 $48.53 $132.56 $61.18
EE + Children $180.38 $83.26 $297.76 $137.43
EE + Spouse $206.47 $95.29 $338.28 $156.13
EE + Family $306.51 $141.47 $506.38 $233.71

Dental Insurance

Seton Hall University offers two dental plans through Cigna Healthcare. Review the quick comparison of the plans to help with your decision.

  • Cigna Dental Care Access Network - DHMO - This dental plan provides in-network coverage only. You must select a Primary Dentist (PD) at the time of enrollment and you must receive a referral from your PD to access a specialist dentist or service. Click HERE to learn how this plan works. This plan has no deductibles and no annual maximums but you must refer to a Patient Charge Schedule for coinsurance amounts.
  • PPO - Summary of Benefits. This dental plan provides in-network and out-of-network coverage and does not require a primary dentist or referrals. The reimbursement for services is based on reasonable and customary charges. Click HERE to learn more about this plan. This plan no longer prints dental ID cards.
Dental Rates per paycheck
Coverage CDC - DHMO PPO
  Faculty and
Administrators
Staff Faculty and
Administrators
Staff
EE Only $7.50 $3.46 $15.23 $7.03
EE + Children $16.06 $7.41 $35.52 $16.39
EE + Spouse $16.06 $7.41 $35.52 $16.39
EE + Family $22.49 $10.38 $49.72 $22.95

Flexible Spending Accounts (FSA) 
The FSA plans are administered by Cigna.

  • The health care spending account limit, per the IRS, is $2,650. You will be allowed to carryover up to $500 of your unused 2018 health care FSA funds into Plan Year 2019; you must re-enroll for 2019 or your eligible carryover funds will be forfeited.  If your spouse is also eligible for a health care spending account as an employee of Seton Hall or another employer with FSA benefits, then you can each elect up to the $2,650 limit but cannot submit a claim for reimbursement for the same expenses.
  • Click the following links for more information about the Health Care FSA and Eligible FSA Health Care Expenses.
  • You can use the following FSA Calculator to assist in calculating your estimated annual election.
  • The Dependent Care FSA account limit is $5,000 (IRS limit per household).  You cannot carryover unused 2018 dependent care funds into Plan Year 2019. 

Qualifying Dependents

  • Are you adding a new dependent to your coverage this year?  Please confirm that your dependent qualifies as an Eligible Dependent prior to adding him or her to your coverage.  You will be required to complete a Dependent Eligibility Verification Form and submit it to the Benefits Department along with the supporting documentation no later than Friday, November 30th.
  • Are you changing medical plans and wish to add your dependents?  You need to re-enroll your dependents under the new plan.  Please follow the instructions in the instructional video, written instructions or flowchart.

You will need to have the following information on hand to process their enrollments:

  • your dependent’s date of birth
  • your dependent’s social security number

Please be informed that by not providing this information at this time, you may experience issues processing your health care claims. 


Countrywide -- Legal, Identity Theft, and Financial Well-Being Services

The plan covers each employee and their dependent(s) who voluntarily enrolls in the services such as face-to-face legal consultation, preparation of living wills, simple wills and medical powers of attorney, unlimited telephone advice, 24/7 -  3 bureau daily credit monitoring and e-mail alerts, ID theft insurance of $1,000,000, fraud alerts and assistance, lost wallet protection and replacement assistance, student loan counseling, budget counseling, asset inventory management, and much more.  Click HERE for the plan rates.


PetAssure -- Pet Discount Program

A pet benefit discount program which offers services at in-network veterinary offices, wholesale pricing on pet health products, including prescriptions, 24/7 pet help line, and lost pet recovery. 


Special Enrollment to purchase Supplemental Life coverage without evidence of insurability


Ready to process your Open Enrollment Benefits Elections?

You must complete your medical, dental and/or FSA benefits elections through Banner Self-Service. No paper enrollments will be accepted. The deadline to complete your open enrollment elections is end of day Friday, November 9th. To ensure IRS compliance, Human Resources is not able to offer extensions or grace periods.


Banner will send you an e-mail confirming your benefits elections for 2019.  Please verify that your new elections are shown in this confirmation e-mail.  Do not return to the open enrollment portal if the information is correct.
 

Questions?
Should you have any questions regarding Benefits, please contact the Benefits Team by e-mail at benefits@shu.edu or by telephone at (973) 275-2755 or (973) 761-9176.

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