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Employee Benefits: Insurance Plans
 
Health Insurance
 
  The Health Insurance program is administered through the Office of Group Benefits; which is a self-insured and self-funded comprehensive medical benefits plan provided by the State of Louisiana.

New employees must enroll within the first 30 days of employment. Employees and dependents who apply for coverage are subject to a pre-existing condition limitation. Under the pre-existing limitation, no benefits are payable during the first 12 months of coverage in connection with any disease, illness, accident, or injury diagnosed or treated during the 6 months prior to the enrollment date. Pregnancy is not considered a pre-existing condition.

You may be exempt from the all or part of the pre-existing condition limitation if you were continuously covered under another health plan with 63 days prior to the effective date of coverage in this program.

You must complete an enrollment form within 30 days after acquiring a new dependent by: birth, adoption, marriage, etc.) If you do not do so, your dependent may be subject to the pre-existing condition limitation.

You may still enroll in a plan after the 30 days, however, you will be considered a late applicant and must provide proof of insurability. If you choose not to enroll you must complete a waiver of coverage. The employee and the university share the cost of the premium.

Effective date of Coverage:
  • New Hires and Transfers:
    If employment begins on the 1st day of the month, coverage is effective the 1st day of the following month. If employment begins on the second day of the month or after, coverage is effective the 1st day of the second month following employment.

  • Late Applicants:
    The effective date of coverage for applicants whose forms are received prior to the 14th of the month will be the first day of the month following the date of receipt of all required forms. The effective date of coverage for applicants whose forms are received on or after the 14th of the month will be the first day of the second month following receipt.
Below is a list of the various plans:
  • Office of Group Benefits – PPO (Preferred Provider Organization)
  • United Health Care – EPO (Exclusive Provider Organization)
  • Humana – HMO (Health Maintenance Organization)
The Mental health/substance abuse benefit is administered by United Behavioral Health. The toll free number is: 866-492-7143.

For more information you can visit the website: www.groupbenefits.org
 
Life Insurance
 
  Prudential Insurance Company of America underwrites the life insurance coverage offered through Office of Group Benefits. This is a life insurance benefit based on your annual salary to a maximum of $50,000.00. There are also provisions for benefits for your dependents, and there is an additional provision for accidental death and dismemberment coverage for employees. The employee and the University share the cost of the premium. The employee pays the entire premium for the dependent life. For more information you can visit the website: www.groupbenefits.org
 
Disability Insurance
 
  Long Term Disability Benefits are provided by MetLife. After a three month qualifying disability period, benefits are paid at 60% of the employee’s basic monthly salary to a maximum monthly benefit of $4,000.00. You pay the entire premium.
 
Dental Insurance
 
  Dental Insurance is provided by Crescent Dental and underwritten by Companion Life Insurance Company. This is a voluntary incentive plan that offers coverage for four types of dental services (preventative, basic, major and orthodontic services) with a freedom of choice of dentist. You pay the entire premium.

*Note: If you do not enroll within 30 days of employment, you will not be eligible to join until open enrollment; which is from October 1 through December 31st of every year. The effective date of coverage would be January 1st of the following year.
 

Document last revised Wednesday, November 12, 2008 9:54 AM

© Copyright 2003 by the University of Louisiana at Lafayette
Human Resources, Post Office Box 40196, Lafayette LA 70504-0196
Martin Hall, Room 170 · E-Mail: personnel@louisiana.edu
Telephone: 337/482-6242· Fax Machine: 337/482-1452