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Employee Benefits

Welcome to the Columbus State site for employee benefits. The college offers full-time employees a number of plan options for consideration. We want to be sure that all of the information is available to make informed decisions about your benefit choices. Please take the time and review all the benefits that are available to you as a Columbus State employee.

Open Enrollment Presentation 2017-18

Frequently Requested Forms

Combined Health Enrollment Form (Health, Dental, Vision)
Working Spouse Premium Affidavit (REQUIRED)
FSA Enrollment Form (REQUIRED)
HSA Change Form
Plan Year Monthly Rates

Medical

 + High Deductible Health Plan ("HSA Plan")
You have the choice of two medical plans to choose from. This plan is a High Deductible Health Plan (HDHP) eligible for a Health Savings Account (HSA).  A HSA allows you to set aside money pre-tax into a bank account owned by you to pay for medical expenses. Columbus State contributes $1,000 for single coverage and $2,000 for family coverage into your HSA.

Plan Name: HDHP/HSA Plan
Coverage Period: College Fiscal Year
Group Number: 708233
Carrier: UnitedHealthcare

Employee Rates (monthly)
Health Rewards 80/20 Payroll Deduction    Non-Health Rewards Payroll Deduction
Single               103.40                                                155.10
Family              271.92                                                407.88

UnitedHealthcare Customer Service
Phone: 866-633-2446
URL: https://www.myuhc.com/member/prewelcome.do

Financial Institutions for Columbus State HSA Accounts
Education First: 614-221‐9376 or 866‐628‐6446
Park National Bank: 740-587‐0238

Plan Documents

UHC Summary of Benefits and Coverage - HDHP
HIPAA Special Enrollment Notice
Medicare Notice
UHC HDHP Plan SPD
UHC Preventive Care Information
Working Spouse Premium Affidavit
HSA Change Form

 + Preferred Provider Plan Overview ("Core Plan")

Plan Name: PPO Plan
Coverage Period: College Fiscal Year
Group Number: 708233
Carrier: UnitedHealthcare

Employee Rates (monthly)
Health Rewards 80/20 Payroll Deduction     Non-Health Rewards Payroll Deduction
Single               123.12                                             184.68
Family              323.80                                             485.71

UnitedHealthcare Customer Service
Phone: 866-633-2446
URL: https://www.myuhc.com/member/prewelcome.do

Plan Documents

UHC Summary of Benefits and Coverage - Core Plan
HIPAA Special Enrollment Notice
Medicare Notice
UHC PPO Plan SPD
UHC Preventive Care Information
Working Spouse Premium Affidavit  
UHC Core Pharmacy Plan

 + Tiered Preferred Provider Plan Overview ("Tiered Plan")

This is the newest plan that is offered by Columbus State. This plan option allows you to pay a premium that may cater to your dynamic family needs. This plan provides a tiered approach that allows coverage to be more affordable based on the amount of people enrolled on the plan.

Plan Name: Tiered PPO Plan
Coverage Period: College Fiscal Year
Group Number: 708233
Carrier: UnitedHealthcare

Employee Rates (monthly)
Health Rewards 80/20 Payroll Deduction     Non-Health Rewards Payroll Deduction
EE only                       112.57                                             168.85
EE + Spouse               270.16                                             405.24 
EE + 1-2 Child(ren)       202.62                                             303.93 
EE + Family                296.05                                             444.08

UnitedHealthcare Customer Service
Phone: 866-633-2446
URL: https://www.myuhc.com/member/prewelcome.do

Plan Documents

UHC Summary of Benefits and Coverage - Tiered Plan
HIPAA Special Enrollment Notice
Medicare Notice
UHC PPO Plan SPD
UHC Preventive Care Information
Working Spouse Premium Affidavit  
UHC PPO Pharmacy Plan

+ Dental Plan

Plan Name: Delta Dental PPO Benefits
Coverage Period: College Fiscal Year
Group Number: 0007414
Carrier: Delta Dental

Eligibility: Full-time employees regularly working at least 40 hours per week are eligible for coverage as of date of hire. Employees may enroll in dental coverage for themselves or and/or their family.

Employee Rates (monthly)    Payroll Deduction
Single                                             6.83
Family                                           20.33

Delta Dental Customer Service
Phone: 800-524-0149
URL: www.deltadentaloh.com

+ Vision Plan

Plan Name: Vision Benefits 
Coverage Period: College Fiscal Year
Group Number: 30008366
Carrier: VSP

Employees may enroll in vision benefits for themselves and and their family.

Employee Rates (monthly)    Payroll Deduction
Single                                            3.26
Family                                           9.00

VSP Customer Service     
Phone: 800-877-7195
URL: https://vsp.com/home.html

 

Life Coverage
 + Life Insurance

Plan Name: Life/AD&D Group Insurance 
Coverage Period: College Fiscal Year
Group Number:147739
Carrier: MetLife

Columbus State provides all full-time employees with a Group Life and Accidental Death and Dismemberment (AD&D) Insurance policy and pays the full cost of this benefit. Be sure to name a beneficiary on the MetLife Enrollment Form

Supplemental Life, Accidental Death & Dismemberment option

Plan Name: Life/AD&D Supplemental Insurance
Coverage Period: College Fiscal Year
Group Number: 147739
Carrier: MetLife

Employees may purchase additional Life and AD&D Insurance for themselves and/or their family.

MetLife Customer Service
Phone: 800-638-5433
URL: https://www.metlife.com/individual/employee-benefits/group-life-insurance/index.html#overview

Plan Documents

MetLife Enrollment Form (All)
Beneficiary Form (All)
MetLife Conversion Form (Life)
MetLife Claim Form (Life)
Statement of Health Form (Life)
Waiver of Premium (Life)
Portability Form (Life)
Basic Life Certificate of Coverage - FOP (Life)
Group Life Certificate of Coverage - CSEA, ACF (Life)
Group Life Certificate of Coverage - Staff, Admin (Life)
Group Life Certificate of Coverage - Teamsters (Life)
MetLife Enrollment/Claim Form (AD&D)
Supplemental Life Certificate (Supplemental)
MetLife Grief Counseling Resources

 + Long Term Disability Insurance

Plan Name: Long Term Disability
Coverage Period: College Fiscal Year
Group Number: 147739
Carrier: MetLife

Columbus State provides all full-time employees with Long Term Disability benefits and pays the full cost of this coverage.

MetLife Customer Service
Phone: 800-638-5433
URL: https://www.metlife.com/individual/employee-benefits/group-disability/index.html

Plan Documents

MetLife Enrollment Form LTD
LTD certificate non union
LTD certificate union
Claim form Employer
Claim form Employee
Claim form Physician

 

 

Other Services
 + Employee Assistance Program
Plan Name: EAP 
Coverage Period: Calendar Year
Carrier: Matrix

Employees and/or their immediate family may access this free program.

Matrix Customer Service
Phone: 614-475-9500
URL: http://www.matrixpsych.com/Employee-Assistance-Programs.aspx
Password: cscc
 + Flexible Spending Account for Medical and Commuting Expenses

Plan Name: FSA 
Coverage Period (Medical/Dependent Care): College Fiscal Year
Coverage Period (Transportation): Calendar Year
Carrier: TASC

Flexible Spending Accounts (FSA) allow employees to set aside pre-taxed money to pay for health care and/or dependent care expenses. These monies are subject to the annual "use it or lose it" rule. In addition, Columbus State makes a FSA available for transportation expenses.

TASC Customer Service
Phone: 800-422-4661
Fax: 608-245-3623
E-mail: service@tasconline.com
URL: https://www1.tasconline.com/loginproxy/mytasc/index.php

Plan Documents

FSA Enrollment Form

 

Education Benefits
 + Fee waiver for Columbus State classes

The college will waive 100% of the appropriate instructional fees for all full-time employees who take degree-credit classes. Part-time employees will receive a waiver at a percentage paid in proportion to the degree of their full-time employment. Adjunct employees’ instructional fees will be waived on a prorated basis based on the number of contact hours taught in the previous quarter. Dependents of full-time employees are eligible for 75% waiver. (Read more)

 + Tuition Reimbursement

After one year of employment, full-time employees may be reimbursed for courses at accredited institutions each fiscal year to a maximum of $6,000 for undergraduate degree and $8,000 for a graduate degree courses. Supervisor’s approval required. Contact Carmelita Boyer at x2407 to learn more and obtain the reimbursement form. (See Procedure 3-08(G) for detail process for tuition reimbursement)

Benefits Contacts

Deborah Robinson
Director
Phone: 614-287-2177 drobins5@cscc.edu

Benefit Enrollment/Eligibility Advocate:

Monessa Bradford
Program Coordinator
Phone: 614-287-2107 mbradfor@cscc.edu

Retirement – STRS, SERS, 457, and 403b and FSA Contributions:

Twila Wiley
Coordinator 
Phone: 614-287-2422 twiley4@cscc.edu

Wellness Initiative – Health Rewards:  

Nichole Bowman-Glover
Wellness Coordinator
Phone: 614-287-3989 nbowmang@cscc.edu

Provider Links

Vendor Links