Benefits - MTU Human Resources

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STAFF Ingrid Cheney Director iecheney@mtu.edu 906-487-2767 Renee Hiller Coordinator rlhiller@mtu.edu 906-487-3309 Amy Olson Administrative Aide aolson@mtu.edu 906-487-2716 Nancy Bykkonen Office Assistant 5 nabykkon@mtu.edu 906-487-2517 All forms are in pdf format. Adobe Acrobat Reader is required to download and print PDF forms. If you do not have Adobe Acrobat Reader, you may get a free copy by clicking the icon.	Benefits The Benefits Office at Michigan Technological University provides information about and handles matters pertaining to the benefits package for employees, retirees, and their families. This includes informing University employees on health, dental, life and long-term disability insurances, and retirement programs. The Benefits Office is responsible for benefits orientations, exit interview, leave of absence requests and workmans compensation claims, and unemployment claims. The Benefits Office strives to help all University employees better understand and appreciate Tech's benefit package. Benefits in Brief Regular Full -Time Faculty - Professional & Administrative Staff Regular Full -Time UAW Staff Regular Full -Time AFSCME Staff Regular Full -Time Non Exempt Staff 2008 Health/Dental/Vision Plans - Staff 2008 Health Plan Design Husky Care 1 Husky Care 2 Husky Care 3 Husky Dental-Vision 1 Husky Dental-Vision 2 2008 Health/Dental/Vision Plans - Tenured/Tenure-Track Faculty Health Plan Design Premium Plan Standard Plan Deductible Plan Premium Dental/Vision Plan Standard & Deductible Dental Plan Healthcare Information/Forms Benefits Liaison Group Members Definition of a "Rider" Family Rider Application Form Sponsored Dependent Application Form Health Enrollment Change Form Family Status Change Policy BCBS Claims Appeal Process Massage Therapy Claims Mental Health Providers (BCBS Approved) Email List Available for Health Information COBRA Information Packet (includes rates) Eligible Benefits Chart Health Insurance Portability and Accountability Act of 1966 (HIPAA) Healthcare Audit Reward Program (HARP) Miscellaneous Health Policies Designated Eligible Individual (DEI) DEI Program DEI Cost/Tax Sheet - Faculty Plans DEI Enrollment Form DEI Cost/Tax Sheet - HuskyCare Plans Blue Cross-Blue Shield Blue Cross Blue Shield of Michigan Pharmaceutical Override Request Dental/Vision Claim Form Medical Benefits Claim Form Prescription Drug Claim Form Claims Address: BLUE CROSS BLUE SHIELD of Michigan 415 South McClellan Avenue Marquette, MI 49855 Customer Service: 1-800-562-7884 Other Insurances Life Insurance Faculty & Staff Policy POA Policy Life Insurance Form Life Insurance Beneficiary Form (New-Coming Soon) Long Term Disability (LTD) Faculty & Staff Policy POA Policy Voluntary Accidental Death & Dismemberment Policy Enrollment Form Rates Retirement Program Information Voluntary 403(b) Salary Reduction Agreement Voluntary 457(b) Salary Reduction Agreement Michigan Tech's TIAA-CREF Website VALIC Website FIDELITY Website MPSERS Website Retirement Annuity Loan Program Social Security Administration Website Retirement Supplemental Voluntary Program (RSVP) RSVP Alternate Health Insurance RSVP Beneficiary Form RSVP Election Form RSVP Phased Retirement Option Agreement RSVP Document Education Benefits Employee Education Ploicy (Coming soon) Tuition Reduction Incentive Program (TRIP) - Policy and Application Dual Enrolled Students Flexible Spending Accounts (FSA) What is a Health FSA? What is an Eligible Health FSA Expense? What is a Dependent Care FSA? 2008 FSA Claim Form IRS Medical and Dental Expense Information IRS Child and Dependent Care Expense Information Send Flexible Spending Account Claims to: Michigan Tech Benefits Office Attn: Amy Olson 1400 Townsend Drive Houghton, MI 49931-1295 (906) 487-2716 TechCommunity Wellness Mission Statement & Goals Committee Members TechFit Benefit Policy TechFit Benefit Form 2008 Lunch & Learn Schedule - NEW 2008 Retiree Health/Dental/Vision Plans Retiree Medical Rates Husky Care 1 Husky Care 2 Husky Care 3 Husky Dental-Vision 1 Husky Dental-Vision 2 2008 Retiree Life Insurance Retiree Policy Rates and Enrollment Form (Coming soon) Information for Current Retirees GASB 45 Tech Today Article - March 2, 2007 Liability and Retiree Health Insurance Presentation Miscellaneous Information (ESS, FMLA, Housing List, VSLP) Employee Self Service (ESS) - For an up-to-date view of your benefit information. ESS Implementation Document Family and Medical Leave Act (FMLA) Policy Housing List Application Voluntary Sick Leave Pool Form and Policy Workers' Compensation Incident Report Return to Work Form On-Line Information - www.michigan.gov/wca Unemployment Website www.michigan.gov/uia or call 866-500-0017 Child Development Information Advisory Board Information Advisory Board Application Little Huskies Child Development Center website Handbooks Faculty Handbook Staff Handbook Auto Discounts Ford Discount GM Discount

HR Home Page \| Benefits Office \| Student Insurance \| Human Resources Information Systems \| Employment Office \| Labor & Employee Relations Office \| Classification & Compensation Office \| Payroll Office \| Center for Prof Dev & Qual Improvement http://www.admin.mtu.edu/hro/benefits Copyright © 1998, Michigan Technological University. All Rights Reserved. Contact: hrwebmaster@mtu.edu