Open Enrollment
Click Here for New 2023 Benefit Rates
Open enrollment begins Monday, October 24 and ends Friday, November 11, 2022. The benefit elections you make during Open Enrollment are effective January 1, 2023.
All benefit eligible employees must complete their open enrollment benefits elections online via Banner Self-Service.
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 30 days of the event. Refer to the 2023 Open Enrollment Notices document for additional information.
2023 Plan Year Highlights
New Voluntary Benefits through Cigna
Accidental Injury Insurance
- Pays a cash benefit based on a schedule of condition, including:
- Injuries including, but not limited to: fractures, dislocations, concussions, lacerations, eye injuries, torn knee cartilage and others.
- Medical services and treatments including ambulance, emergency care, therapy services, medical testing, and appliances.
- Hospitalization including admission and confinement after an accident.
- Offered as a high/ low option.
- Discretionary spending as chosen by employee, can cover medical expenses, daily living expenses (mortgage/rent, groceries, travel), caregiving, etc.
- Pays a cash benefit based on a specific diagnosis:
- Heart attack, stroke, invasive cancer, major organ transplant, end stage renal failure to name a few
- Discretionary spending as chosen by employee, can cover medical expenses, daily living expenses (mortgage/rent, groceries, travel), caregiving, etc.
- Rates for these voluntary benefits can be found here.
- To review all voluntary benefits offered through the university, please click here.
New Vendor for Temporary Disability, Long-Term Disability, and Life/AD&D Insurance
- The Standard will be our new vendor for Temporary Disability, Long-Term Disability, and Life/AD&D Insurance.
- Special enrollment to purchase Supplemental Life coverage without evidence of insurability.
- For more information about Temporary Disability and Long Term Disability click here. For more information about Life and AD&D Insurance click here.
During Open Enrollment, you can:
- Make changes to, or enroll in, Medical and Dental benefits.
- Enroll or re-enroll in the health care and/or dependent care Flexible Spending Accounts (FSA). 2023 maximum contributions are $3,050 for Healthcare FSA with a $610 carryover and $5,000 Dependent Care FSA. If you do not wish to participate in flexible spending accounts for 2023, you do not need to take any action.
- Enroll in Voluntary benefits being offered for 2023.
- Make changes to, or enroll in, Medical and Dental Benefits.
Benefits Fair
This year we will be hosting in-person as well as a virtual Open Enrollment Benefits Fair for you to attend. The virtual benefits fair will be available to you during the duration of Open Enrollment. There will be three in-person dates that you can speak to our various vendors as well as members from SHU Benefits Team. Please mark your calendars for:
- October 26 11 a.m.-2 p.m.- Nutley IHS Campus, Winter Garden
- November 1st 11 a.m.-2 p.m. - Newark Campus, Faculty Library
- November 8th 11 a.m.-2 p.m. - South Orange Campus, Bethany Hall Room A
You can visit the virtual fair beginning Monday, October 24th at the following link here »
While visiting the virtual benefits fair, don't forget to enter to win a prize provided by our benefit vendors.
Prizes will be selected randomly from those who enter and the winners will be notified after Open Enrollment concludes.
If you should have any questions, please contact us at [email protected]
Jump to:
- Seton Hall Benefit Offerings
- Medical Insurance
- Telehealth
- Health Advocate
- Vision Coverage
- Prescription Drug Coverage
- Dental Insurance
- Flexible Spending Accounts
- Countrywide -- Legal, Identity Theft, and Financial Well-Being Services
- PetAssure -- Pet Discount Program
- Qualifying Dependents
- Ready to enroll?
- Questions?
- Human Resources
Seton Hall Benefit Offerings
Seton Hall University offers two medical plans through Cigna Healthcare. Check out the Easy Choice Tool to find out more about the medical plans and assistance in determining which plan is best for you.
Passwords are required – use the appropriate password to enter the tool as specified below:
- Faculty/Administrators: ZMHFMDFR - Easy Choice Tool Information
- Union and Non-Union Staff and Non-Exempt Administrators: JA6D47JN - Easy Choice Tool Information
Both plans provide in-network and out-of-network coverage. Review the quick comparison of the plans to help with your decision.
- OAP 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 about the OAP Plus Plan.
- OAP Basic – Summary of Benefits and Coverage. This plan also does not require a Primary Care Physician (PC) or referrals to see specialists. The network of physicians is nationwide. Click here to learn about the OAP Basic Plan.
- Cigna One Guide
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.
| Coverage | OAP-Basic | OAP- Plus | ||
| Monthly | Bi-Weekly | Monthly | Bi-Weekly | |
| EE Only | $140.57 | $64.88 |
$179.28 |
$82.74 |
| EE + Children | $241.26 | $111.35 | $402.43 | $185.74 |
| EE + Spouse | $275.84 | $127.31 | $457.59 | $211.20 |
| EE + Family | $409.90 | $189.18 | $684.54 | $315.94 |
Seton Hall University offers three dental plans through Delta Dental. Review the quick comparison of the plans to help with your decision.
- Dental Care USA - 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 Plus Premier - 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.
- PPO Buy-up Plan - 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. This plan offers greater plan maximum benefits (in network) increased up to $2,000 per person and it also offers Adult and Children Orthodontia benefit lifetime maximum increased to $2,000.
| Coverage | Dental Care USA - DHMO | PPO Plus Premier | PPO Buy-Up | |||
| Monthly | Bi-Weekly | Monthly | Bi-Weekly | Monthly | Bi-Weekly | |
| EE Only | $6.39 | $2.95 | $14.29 | $6.60 |
$30.80 |
$14.22 |
| EE + Children | $13.69 | $6.32 | $33.35 | $15.39 | $62.03 | $28.63 |
| EE + Spouse | $13.69 | $6.32 | $33.34 | $15.39 | $66.07 | $30.49 |
| EE + Family | $19.18 | $8.85 | $46.68 | $21.54 | $94.83 | $43.77 |
Flexible Spending Accounts (FSA) The FSA plans are administered by Cigna.
- The health care spending account limit, per the IRS, is $3,050. You will be allowed to carryover up to $610 of your unused 2022 health care FSA funds into Plan Year 2023; you must re-enroll for 2023 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 $3,050 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 2022 dependent care funds into Plan Year 2023.
Cigna provides access to telehealth services as part of your medical plan through MDLIVE. You can connect with a board-certified doctor via video chat or phone, without leaving your home or office. You can register for this service through mycigna.com.
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.
Vision Coverage –Summary of Benefits
Included with the medical coverage is vision coverage through EyeMed. The vision benefits are covered under the Insight Network.
- 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 November 30.
- Are you changing medical plans and wish to add your dependents? You need to re-enroll your dependents under the new plan.
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.
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.
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. Instructions and a video are available to assist with the enrollment process.
Open Enrollment begins on Monday, October 24th. The deadline to complete your open enrollment elections is end of day Friday, November 12th. To ensure IRS compliance, Human Resources is not able to offer extensions or grace periods.
Questions? Should you have any questions regarding Benefits, please contact the Benefits Team by e-mail at [email protected] or by telephone at (973) 275-2755, (973) 761-9176 or (973) 761-9181.