1. The Scripps Research Institute Welcome to Benefit Enrollment for TSRI Graduate Students

2. TSRI Grad Student Benefits

Medical, Dental, Prescription, Vision and

Mental Health Plans

Welfare Benefits

Fitness Benefits

Wellness Benefits

3. Human Resources Department

Benefits Administration

• (858) 784-8487

• [email_address]

Benefits Web Site

• www.scripps.edu/hr/benefits

Claims Questions or Concerns

• Paige Gearhart, Sr. Benefits Analyst

• • 858-784-8058

• • New Hire Website

www.scripps.edu/hr/benefits/newhire

4. Health Plan Card

Health Plan cards will be mailed to your home address in less than 2 weeks.

Make sure we have your correct address

Your ID# will show on your card and notyour SS#

Your name will appear on the health plan card not your dependents.

5. Medical Plan

Principal Financial Group

• Claims Administrator

• Preferred Provider Organization (PPO)

• Policy Number ASOP90844

• (858) 484-6534

Aetna Signature Administrators

• Network of Doctors

• www.principal.com

• (866) 484-6534

6. Medical Plan ServicePLAN 7 None None 70% None 100% 100% 100% 100% Other Services Well Baby Care Physical Exam Cancer Screening Immunizations $200 70% $0 100% Inpatient Services Deductible (per admit) Hospital Charges NON-NETWORK $200 70% 70% 70% INNETWORK $0 100% 100% 100% Outpatient Services Deductible Office Visit Surgery Lab/X-Ray 7. Medical Plan Helpful Hints

NO Co-Pay

Chiropractic and Acupuncture coverage

• 100% coverage

• Limited to 20 visits a year

Be sure to keep your Explanation of Benefits (EOBs)

• Sample EOB

8. Dental Plan

Delta Dental Insurance

• PPO Delta Dental option

• Policy # 8593

• www.deltadentalins.com

• (800) 335-8227

9. Dental Plan

PPO Delta Dentists

• 100% coverage for 2 cleanings a year (every 6 months),

• $50 deducible isNOTapplied.

Premier and All Other Dentists

• 80% coverage for 2 cleanings a year

• After, $50 deductible.

Orthodontic benefit

• For child dependents up to age 19. (Maximum benefit for orthodontia is $1,500)

10. Dental Plan Service PPO Delta Dentists Delta Premier Dentists All Other Dentists * Reasonable and Customary Charges $1500 $1500 $1500 Maximum Benefit (Per year per person) 50%* 50% 50% Orthodontic Benefits (Dependents to age 19) 50%* 50% 50% Major Benefits Crowns, Jackets, Implants, and Cast Restorations 80%* 80% 80% Basic Benefits Oral Surgery, extractions & fillings 80%* 80% 100% Diagnostic & Preventative Services Two per 12-month period $50.00 $50.00 $50.00 (Not Applied to Diagnostic and Preventative Services) Deductible (Per Person) 11. Prescription Plan

Caremark

• Prescription Benefit Service

• Group # K011-0001

• www.caremark.com

• (800) 966-5772

Savon, Longs Drugs, Ralph's, Rite Aid

Generic Co-Pay = $10

Formulary Brand Name Co-Pay = $25

Non-Formulary Brand Name Co-Pay = $50

12. Vision Plan

Medical Eye Services

• MES Network of Providers

• www.mesvision.com

• (800) 877-6372

Must have a Claim Form

$10 Co-pay

13. Vision Plan

One comprehensive exam every 12 months

One standard frame up to $110 every 24 months

One pair of standard lenses every 12 months

• (additions such as scratch resistance, UVA protection, ect., are out of pocket expenses)

OR

One pair of contact lens up to $100 every 12 months

• Only buy $100 worth of contacts not a years worth.

14. Mental Health Plan

United Behavior Health

• Mental Health Network

• www.liveandworkwell.com

• (800) 888-2998

Call for an in-network provider

No Co-Pay

100% In-Network Benefit

• Maximum of 40 visits a year

50% Out-of-Network Benefit

• Maximum of 40 visits a year

15. Employee and Graduate Student Counseling Department

No cost, confidential, professional counseling services for employees, graduate students, and family members

• Jan Hill, LCSW

• 784-2950 or janhill@scripps.edu

• Daphne Lurie, PhD

• 784-7915 or[email_address]

16. Making Changes to your Medical and Dental Plans

Must have a Qualified Status Change

• Birth, Marriage, Divorce

• Loss of other Coverage, and Obtaining other Coverage (must provide proof)

Coverage Change Form must be filled out and turned into HR within31 DAYS!!!

Open Enrollment

• Two weeks in November to make any changes to your medical and dental plans.

• Elections are made through a secure web-based system.

• All changes will be made effective January 1, 2009.

17. Voluntary Life Insurance

Adams Group Insurance (AGI)

You may purchase supplementary life insurance during Open Enrollment

Spouses and children are eligible

Minimum $10,000

Maximum $500,000

Rates are based on age

18. Workers Compensation

Emergency, Dial 77

Report injury to your Supervisor and

Human Resources.

Sharp Rees-Stealy is our OccupationalMedical Provider.

• Located on Activity Road in Mira Mesa

• Directions are posted in all labs

19. Fitness Benefit

Shiley Health and Fitness Center

24 Hour Fitness

UCSDs RIMAC Center(Recreation, Intramural, Athletic, Complex)

Memberships for Both Facilities are Paid for by the Graduate Student Office

• Contact Marylyn Rinaldi for more details, 4-2877.

20. Wellness Benefits

YogaPia Weber

• (858) 623-0318

Tai Chi Jesse Tsao

• 858-793-8939

Massage

• On-Site Seated Massage every other Friday. Contact HR for more info, 4-8487.

Lunch & Learn Seminars

• Watch your emails for the upcoming seminar

Spring Health Fair

• Every year in May.

21. Discount Tickets

Avis Car Rental

• • Corporate Discount

• • • AWD# A708200

• • • Ask for promotions

Local Attractions such as:

• • Sea World Tickets on Sale

• • San Diego Zoo

• • Wild Animal Park

• • Discount Movie Tickets on Sale

• • Disneyland Tickets on Sale

• • And many more..

22. THANK YOU !