Southeast Missouri State University

Question: When electing a flexible spending account (Medical Reimbursement Account or Dependent Care Assistance Account) or an HSA (Health Savings Account), how do I enter my per pay period amount when I want both University-provided cafeteria plan dollars and my own pre-tax contribution to the account?
Answer: Add both the per pay period amount of cafeteria plan funding to the per pay period amount for your own pre-tax contribution through payroll. For example, a monthly paid employee, paid over 12 months, received $62.50 per month in cafeteria plan funding. If contributing an additional $20.00 per pay period via pre-tax payroll reduction, $62.50 + $20.00 = $82.50. Consequently, $82.50 would be entered into the MRA election box in the Employee Self Service Annual Benefits Open Enrollment screen.

Question:If I cover dependents on my medical insurance, does that mean I have to cover those dependents on my dental and vision insurances too?
Answer: No. Each insurance plan is exclusive, and dependent coverages can be elected by choice.

Question:Whenever I use my HSA debit card or write a check for payment from my HSA, do I need to submit receipts and to who?
Answer:Any receipts associated with payments from an HSA should be retained by the account holder. It is the account holder's responsibility to assure that distributions from the HSA are for IRS approved medically related expenses.

Question:Why do I have to sometimes submit receipts when using my MRA debit card to pay for qualified medical expenses?
Answer: The MRA debit card is a convenient method that can be used for paying for medical expenses at time of service. However, the convenience of the debit card does not eliminate the IRS requirement to submit receipts for substantiation in some cases. PowerGroup Administrators will be the University's flexible spending account administrator in 2011. PowerGroup will ask for receipts for expenses not substantiated through a IIAS electronic scanning system. For example, many chain retail pharmacies such as Walmart Pharmacy, Walgreens Pharmacy, Target Pharmacy, etc. are considered no-receipt retailers as these establishments have the IIAS scanning system in place to verify medically-related purchased items. Some local "mom and pop" pharmacies may not have this scanning system in place and, consequently, employees would likely receive a request for substantiation or receipts from PowerGroup after the purchase. MRA participants are advised to keep ALL receipts, no matter the retail/physician/pharmacy/hospital used, in the event that substantiation is required.

Question: What are the family deductible amounts for the 2014 medical insurance plans?
Answer: For the Base Plan, the family deductible is $3,000. For the Accelerated Plan, the family deductible is $1,000.

Question: What are the options of family deductibles applying on the Base Plan?
Answer: If selecting the health savings account feature with the Base Plan, all covered family members must meet the family deductible. If selecting the medical reimbursement account feature with the Base Plan, two family members must meet the individual deductible amount in order for the family deductible requirement to be satisfied.

Question: How to prescription drug copays work under the 2014 medical insurance plans?
Answer: For the Base Plan, members have to meet the deductible first. After deductible is met, the prescription drug copay tiers then apply. For the Accelerated Plan, prescription drug copay tiers apply immediately and do not apply to the plan deductible.

Question: Is there a copay when using my vision insurance plan?
Answer: Yes. There is a $10 office visit copay on the vision insurance plans when see a VSP participating provider.

Question: Explain the PPO network addition to the university’s Delta Dental insurance plans.
Answer: Historically the university has been using the Premier provider network for its Delta Dental insurance plans. Beginning in January 2012, there will be an added PPO network available. Out of pocket costs will be lowest when seeing a Delta Dental PPO dentist.

Question: What is the investment threshold for my health saving account?
Answer: The threshold to invest under the esaver fee schedule is $2,000.

If you have questions about the University's benefits, you may call Human Resources at (573)-651-2206. You may also email us at benefits@semo.edu.

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