Benefits
Click on a topic to jump to more information:
Dental Insurance
Employee Assistance Program
Flexible Spending Accounts
HIPAA: Privacy Policy
Holiday Time
Life Phases
Life Insurance
Long-Term Disability
Medical Insurance
Retirement 403(b)
Section 125 Cafeteria Plan
Short Term Disability
Tuition Exchange
Vision Care Insurance
Dental Insurance
Delta Dental of Virginia4818 Starkey Road SW
Roanoke, VA 24014
1-800-367-3531
www.deltadentalva.com
Benefit Services: 1-800-237-6060
Create your Delta Dental user account: Allows you to check benefits and claim information.
Access dental insurance forms online
Search for a Dentist
View a summary of dental benefits (pdf)
Group Name: Ferrum College
Group Number: 6048-1111
Plan Type: Premier
Subscriber Number: Social Security Number
Subscriber Name: Employee's Name
Full-time and regular part-time employees are eligible the first day of the month following employment or the first day of the second month following employment. Open enrollment is available in March each year.
Delta Dental logo is copyright to Delta Dental Plan of VA and respective owners and authors.
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Employee Assistance Program
Carilion Employee Assistance Plan213 McClanahan Street
Suite 201 A
Roanoke, VA 24014
1-800-992-1931
The College offers free, confidential assessment, short-term counseling, referral, and follow-up services for employees and their families through an Employee Assistance Program. In providing an employee assistance program, Ferrum College is extending a unique and valuable benefit. Our EAP is available to provide assistance to aid in resolving any type of personal problem the employee or family may be experiencing. An EAP counselor will provide a private, comprehensive evaluation of the employee’s situation and assist in resolving concerns. All meetings with EAP counselors are strictly confidential.
An EAP is a problem-solving service for the employee and his/her family paid for by Ferrum College to help dealing with:
- » Family or marital problems
- » Birth of a child or child rearing
- » Stress or "burnout"
- » Death in the family
- » Emotional or psychological adjustment
- » Alcohol or drug problems
- » Serious illness
- » Legal or financial difficulties
- » Retirement
- » Any personal or job-related situation that’s causing you problems
Roanoke
213 McClanahan
Suite 201 A
Roanoke, VA 24014
1-800-992-1931
(540) 981-8950
Fax: (540) 981-8957
Radford at CNRVMC
2900 Lamb Circle
Christiansburg, VA 24073
(540) 731-7311
(800) 572-3120
FAX: (540) 731-7377
Carilion Employee Assistance Program logo is copyright to Carilion EAP and respective owners and authors.
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Flexible Spending Accounts Plan
Flexible Benefits Administrators, Inc.P.O. Box 8188
Virginia Beach, VA 23450
1-800-437-3539
www.Flex-Admin.com
Flexible Spending Accounts Plan: General Information (pdf)
Health Care Reimbursement
Dependent Care Reimbursement
Forms
Flexible Benefits Administrators logo is copyright to Flexible Benefit Administrators, Inc.and respective owners span authors.
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HIPAA: Privacy Policy
Notice of Privacy Policy & ProceduresThis notice describes how medical information about you may be used and disclosed and how you can get access to this information. Please review it carefully.
Designation of Privacy Official and Contact Persons | View a printable PDF of this information
Privacy Official
Effective April 14, 2004, the Plan’s Privacy Official is Bobby W. Thompson, Senior Vice President and Treasurer.
Deputy Privacy Official
Effective April 14, 2004, the Plan’s Deputy Privacy Official(s) is/are:
- » Mary Alice Whisenant, Director of Human Resources
- » Linda P. Edwards, Assistant Director of Human Resources
Effective April 14, 2004, the Plan’s contact person to receive complaints under this Policy and the HIPAA privacy rules is Bobby W. Thompson, Senior Vice President and Treasurer.
Contact Person to Provide Additional Information about the Privacy Notice
Effective April 14, 2004, the Plan’s contact person to provide additional information about the matters described in the Plan’s Privacy Policy is Bobby W. Thompson, Senior Vice President and Treasurer.
Plans Covered | View a printable PDF of this information
The plans that are or may be subject to the HIPAA privacy rules include:- » Health Insurance Plan for Ferrum College
- » Dental Plan for Ferrum College
- » Vision Insurance Plan for Ferrum College
- » Employee Assistance Plan for Ferrum College
- » Ferrum College Section 125 Cafeteria Plan
Organized Health Care Arrangement Designation | View a printable PDF of this information
In accordance with Section 6 of this Policy, the following Covered Entities are designated as part of a single Organized Health Care Arrangement for purposes of this Policy and the HIPAA privacy rules, allowing them to share PHI for purposes of the Health Care Operations of the Arrangement, and for other purposes permitted by the HIPAA privacy rules:- » Health Insurance Plan for Ferrum College
- » Delta Dental Plan for Ferrum College
- » Vision Insurance Plan for Ferrum College
- » Employee Assistance Plan for Ferrum College
- » Ferrum College Section 125 Cafeteria Plan
- » Southern Health Services
- » Delta Dental Plan of Virginia
- » Vision Service Plan
- » Carilion Health System
Designation of Affiliated Covered Entities | View a printable PDF of this information
Affiliated Covered Entities: In accordance with Section 5 of this Policy, the following group health care plans under the common control of Ferrum College are hereby designated as part of a single Affiliated Covered Entity for purposes of this Policy and the HIPAA privacy rules:- » Health Insurance Plan for Ferrum College
- » Delta Dental Plan for Ferrum College
- » Vision Insurance Plan for Ferrum College
- » Employee Assistance Plan for Ferrum College
- » Ferrum College Section 125 Cafeteria Plan
HIPAA Forms
All forms are in .pdf format» Complaint form
» Protected Health Information: Request Additional Restrictions On Use & Disclosure of
» Protected Health Information: Request Access To & Amendment of
» Protected Health Information: Disclosure Request
More HIPAA Information
Official HIPAA Site - from the United States Department of Health and Human Services.HIPAA fact sheet: privacy and your health information (pdf)
HIPAA fact sheet: your health information privacy rights (pdf)
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Holiday Time
Holiday time for the 2009-2010 fiscal year is as follows:| Holiday | Day and Date |
|---|---|
| Independence Day | Friday, July 3 |
| Thanksgiving Day | Thursday, November 26 |
| Day after Thanksgiving | Friday, November 28 |
| Winter Holiday | Thursday, December 24 |
| Winter Holiday | Friday, December 25 |
| Winter Holiday | Monday, December 28 |
| Winter Holiday | Tuesday, December 29 |
| Winter Holiday | Wednesday, December 30 |
| Winter Holiday | Thursday, December 31 |
| Winter Holiday (New Year's Day) | Friday, January 1 |
The college will close completely for the winter holiday, December 24 - January 1.
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Life Phases
Unum Life Insurance Company of America2211 Congress Street
Portland, ME 04122
www.unumprovident.com
Life Phases is a benefit plan available to all employees currently enrolled in the LT Disability plan. There is a "Universal Access Card" for the Life Phases plan and an information card for the Assist America part of the plan. The plan has three distinct features. The three features include:
- Life Balance: A program that helps in addressing life’s daily challenges from workplace stress to family issues like parenting, education, aging, financial & legal questions, addiction, recovery and emotional health.
- Assist America: A 24-hour network of emergency medical and legal resources that provide you and your family members protection while you travel.
- Transition Insurance Options: A program setup to offer quality insurance products and coverage should you change jobs or retire.
Assist America: 1-800-872-1414
Transition Insurance Options: 1-800-910-8888
Unum Provident logo is copyright to Unum Provident and respective owners & authors.
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Life Insurance
Liberty Mutual Insurance CompanyP.O. Box 1525
Dover, NH 03820
1-800-210-0268
www.libertymutual.com
Ferrum College offers Life Insurance at no cost to employees. Employees who enroll are provided a plan booklet that outlines the benefits provided through the plan. The life insurance is coordinated through a Group Life, Accident & Health Insurance Trust with Educational & Institutional Insurance Administrators, Inc. (EIIA). The plan provides for basic life insurance and basic accidental death & dismemberment insurance.
Group Policy Number: SA3-841-431996-01
Eligible Class 38A: Active Full-time & Regular Part-time Employees
Full-time and regular part-time employees are eligible the first day of the month following employment.
The plan also provides for conversion privilege. If all or part of a covered employee's coverage ends, the covered employee may convert the amount that ends to an individual life insurance policy (subject to certain conditions). For more information about the conversion privilege refer to the plan booklet or contact:
Life Conversion
Liberty Life Assurance Company of Boston
P.O. Box 1525
Dover, NH 03820
1-800-210-0268 X38026
Liberty Mutual logo is copyright to Liberty Mutual Insurance Company and its respective owners & authors.
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Long-term Disability
Unum Life Insurance Company of America2211 Congress Street
Portland, ME 04122
www.unumprovident.com
Ferrum College offers Long-term Disability Insurance at no cost to employees. Employees who enroll are provided a plan booklet that outlines the benefits provided through the plan. The long-term disability benefits are paid through Unum, and the plan is administered by Marsh Advantage America.
Name of Plan: Private Colleges & Universities Group Insurance Trust Group
Policy Number: 335731 027
Monthly Benefit:
- » 60% of monthly earnings to a maximum of $5,000/month
- » Retirement Income Protection (refer to plan booklet)
- » Disability Plus (refer to plan booklet)
- » Minimum Benefit (refer to plan booklet)
- » Survivor Benefit
To file a claim for long-term disability benefits, please contact Human Resources at X4235.
Unum Provident logo is copyright to Unum Provident and respective owners & authors.
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Medical Insurance
Southern Health ServicesTown Center One
1000 Research Park Boulevard
Charlottesville VA, 22911
1-800-627-4872
www.southernhealth.com
Full-time and regular part-time employees are eligible to enroll in the College's medical insurance plan on the first day of the month following employment or the first day of the second month following employment. Open enrollment is held in March.
Member Name: Employee's Name
Member Number: Assigned by Southern Health
Group Name: Ferrum College + (HMOH or HMOL or POS)
Group Code: CVTY
Plan Type: HMO-I (refer to insurance card)
Group # HMO-I:
Click to View Outline of HMO-I Benefits
Plan Type: POS (refer to insurance card)
Group # POS:
Click to View Outline of POS Benefits
Plan Type: HMO-II (refer to insurance card)
Group # HMO-II:
Click to View Outline of HMO-II Benefits
Prescription Drug Benefits for all plans:
$10 co-payment Generic
$30 co-payment Brand Name
$60 co-payment Non-Preferred Drugs
Click here to view Southern Health's 2009 Preferred Drug List
Medical Insurance links & utilities:
Member services for Southern Health Insurance
Member login to Southern Health website
Search for a provider (doctor)
Click to access medical insurance forms from Ferrum College
Your insurance card will identify the following:
- » Office Visit co-pays
- » Inpatient Co-pay (hospital)
- » Prescription Co-pays
- » ER Co-pay
- » Outpatient Co-pay
- » Urgent Care Co-pay
Contact Information:
- » Account Manager, Bronie Reynolds, rbreynolds@cvty.com, (540) 265-6726 or (866) 240-4345 ext. 6726
- » Plan Services Department: (800) 627-4872
- » Preauthorization: (800) 235-2206 or (804) 270-9200
- » Pharmacist Help Desk: (800) 378-7040
- » Mental Health/Substance Abuse: (800) 975-8919
- » Urgent Care Outside the Service Area: (800) 639-9154
Claims may be submitted directly to:
Southern Health Services, Inc.
P.O. Box 7704
London, KY 40742
Southern Health Services logo is copyright to Southern Health Services, Inc. and respective owners & authors.
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Retirement 403(b)
Teachers Insurance and Annuity AssociationCollege Retirement Equities Fund
730 Third Avenue
New York NY, 10017-3206
1-800-841-2733
www.tiaa-cref.org
Ferrum College offers a retirement plan with TIAA-CREF to full-time and regular part-time employees. Employees are eligible to participate in the program after being employed for one year. The College contributes 2% of the employee's annual salary and will match of up to another 5%. You must complete the appropriate applications in Human Resources.
Click below to view the Summary Plan Documents:
» Defined Contribution Retirement (DCR) Summary Plan Document
» EGTRRA Amendments to the DCR Plan
» Tax-Deferred Annuity (TDA) Summary Plan Document
» EGTRRA Amendments to the TDA Plan
Be sure to visit TIAA-CREF's Web Center for a vast array of information. You can access your individual account or see retirement illustrations via the internet at Account Access.
TIAA-CREF logo is copyright to TIAA-CREF and its respective owners & authors.
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Section 125 Cafeteria Plan
Under the Section 125 Cafeteria plan, you will be able to choose among certain benefits that the College makes available. The benefits that you may choose are outlined in the summary plan description (SPD). The SPD will also tell you about other important information concerning the Plan, such as the rules you must satisfy before you can join and the laws that protect your rights.One of the most important features of Ferrum's Plan is that the benefits being offered are generally ones that you are already paying for, but normally with money that has first been subject to income and Social Security taxes. Under Ferrum's Plan, these same expenses will be paid for with a portion of your pay before Federal and State income or Social Security taxes are withheld. This means that you will pay less tax and have more money to spend and save.
Read this summary plan description carefully so that you understand the provisions of the amended Plan and the benefits you will receive. You should direct any questions you have to the Administrator. There is a plan document on file in the Human Resources Office, John Wesley Hall, Room 205, which you may review if you desire.
» Section 125 Cafeteria Plan Summary Plan Description (SPD)
» Information on Premium Conversion
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Short Term Disability
UnumProvidentCustomer Care Center
P.O. Box 12030
Chattanooga, TN 37401-3030
www.unumprovident.com
Ferrum College offers Short-term Disability Insurance at no cost to employees. The short-term disability insurance is self-insured by Ferrum College. If an employee is considered eligible for benefits, the College will pay up to 60% of his or her monthly earnings plus contributions to the employee's retirement plan (if enrolled).
The College uses an Advice-to-Pay service provided by Unum Life Insurance to determine if a claim is eligible.
Full-time and regular part-time employees are eligible the first day of the month following employment.
To file a claim for short-term disability benefits, please contact Human Resources at X4235.
Unum Provident logo is copyright to Unum Provident and respective owners & authors.
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Tuition Exchange
Ferrum College participates in two exchange programs, Tuition Exchange, Inc. and the Council of Independent Colleges. These programs are available to a full-time employee’s dependent children who meet the Internal Revenue Service’s definition.Click here to access tuition exchange forms from Ferrum College
Tuition Exchange, Inc.www.tuitionexchange.org
Ferrum College belongs to Tuition Exchange, Inc., a national organization that administers multilateral tuition remission scholarships for employees of member colleges and universities. The TE program is offered to dependent children of full-time administrators, faculty, and staff.
Tuition Exchange scholarships are not guaranteed to applicants. Member institutions apply their own admissions standards and are free to choose among applicants. Also, students are expected to meet standards for academic performance and personal conduct.
For details about Tuition Exchange and a list of participating institutions, please see www.tuitionexchange.org.
The Council of Independent Colleges (CIC)www.cic.edu
The CIC Tuition Exchange Program addresses two needs: Encourages dependents of employees of private colleges and universities to attend similar institutions; and assists these families in meeting the partial cost of college attendance. The program consists of a network of CIC colleges and universities willing to accept – tuition free – students from full-time employee families of other CIC institutions. Each participating institution in the Network agrees to accept a limited number of students from other colleges on the same admission basis as they accept all other students. Students are responsible for all non-tuition charges – board, room, and fees – at the institution in which they enroll.
For details about CIC and a list of participating institutions, please see www.cic.edu.
Tuition Exchange and CIC logo is copyright to Tuition Exchange and CIC and respective owners & authors.
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Vision Care Insurance
Vision Service Plan3333 Quality Drive
Rancho Cordova, CA 95670-7985
1-800-852-7600
www.vsp.com
Find a VSP Doctor
Member Login on VSP website
Full-time and regular part-time employees are eligible for the vision care benefits when they enroll in the College's health insurance plan on the first day of the month following employment or the first day of the second month following employment. Use your health insurance card as proof of coverage under the vision care plan.
Member Name: Employee's Name
Member Number: Social Security Number + ##
Group Name: Ferrum College
Plan Number: 12203583
Plan Type: Exam Plus Plan
Service: Eye Exam
In-Network Provider: $5.00 co-pay
Out-Network Provider: Up to $35.00
- » Complete initial vision analysis which includes a comprehensive examination of visual functions.
- » Subsequent regular eye examinations once every plan year beginning on April 1st.
- » Discount toward the purchase of complete pairs of prescription glasses (lenses, lens options, and frame) from a Member Doctor.
- » Discount off the Member Doctor's professional fees for contact lenses.
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