University Physicians, Inc.

What's New For 2010-2011


Enrolling Dependents Up To Age 27

As a result of recent healthcare reform legislation, dependents up to age 27 can be enrolled beginning in the 2010-11 plan year. Health coverage provided for these dependent children is now generally tax-free which will eliminate the need to mark them as a federal or qualified tax dependent(s). However, employees enrolling a same gender domestic partner (SGDP) and SGDP children will need to mark them as a tax dependent. If not, they will default to a non-federal/non-qualified tax dependent(s) and be subject to additional taxes (imputed income).

Medical

All Medical Plans

  • Autism benefits have been expanded for all plans. For more information, see the online 2010-11 Evidence of Coverage booklet.
  • Behavioral health services coverage will reflect similar medical specialty services coverage, including changes to a member’s out of pocket expense (copayments, deductibles, and coinsurance) and the number of allowed visits. For more information, see the online 2010-11 Evidence of Coverage booklet.

UA Net and Anthem Plans

  • Mail order prescription services will be provided by University of Colorado Hospital Mail Order Pharmacy (UCH). Anthem mail order will no longer be available. Anthem and UCH pharmacy will coordinate the transition of any Anthem mail order prescriptions currently in place. More information about the transition process will be available during open enrollment.

BluePreferred PPO

  • This plan will NOT be offered for the 2010-11 plan year.
  • If you are currently enrolled in the BluePreferred PPO, you must take action during open enrollment or you will be defaulted into the Lumenos plan at your current coverage level (employee only, employee plus spouse, family, etc.).

HMO Colorado

  • Only employees and eligible dependent(s) presently enrolled in this plan may elect to continue coverage effective July 1, 2010.

UA Net

  • There will no longer be a 30-day supply limit on retail prescriptions. Retail prescriptions may be filled up to a 90-day supply.
  • The UA Net plan will now include a $12.50 generic/$30 brand discount copayment for retail prescriptions purchased at a UCH pharmacy. The plan continues to offer a $15 generic/$35 brand copayment for retail prescriptions purchased at Anthem network pharmacies.
  • Mandatory mail order prescriptions – Prescriptions (available through mail order) that need to be continuously taken after an initial 90-day retail prescription supply has been filled may only be obtained through mail order.
  • Guest Membership will become available for dependent(s) residing outside the state of Colorado and in states where Anthem network coverage exists. State locations can be found on the Anthem website.

Cafeteria Plans (formerly UPI Flex)

Health Care Flexible Spending Accounts

Annual Reminders

Cafeteria Plans (formerly UPI Flex)
  • You must re-enroll and actively elect your annual contributions for Health Care and Dependent Care flexible spending accounts each year at open enrollment.

Optional Term Life Insurance

  • If you and/or your spouse, common law spouse or SGDP are non-tobacco users, meaning that you have not used tobacco products within the past 12 months, you are eligible for a discounted rate in the Optional Term Life/AD&D Insurance Plan. Complete the appropriate section on the Benefits Enrollment/Change Form to receive the discounted rate.
  • If your status changes from a non-tobacco user to a tobacco user, you must notify HR immediately
  • You may increase your optional life insurance by $10,000 without providing a medical history statement, as long the coverage does not exceed three times your annual salary.
  • You may increase your spouse/SGDP optional life insurance by $10,000 without providing a medical history statement, as long as the coverage does not exceed $50,000.

Short-Term Disability

  • Verify you’re at the maximum weekly short-term disability benefit for your salary. If you are eligible for a higher level, you will need to complete the medical history statement and be approved by the Standard Insurance Company.