UIW Insurance Information

Employee Benefit Overview Booklet 2023 - 2024 (pdf)

Safe Harbor List (Insurance Accepting Providers)

The Bronze and Silver RBP plans does not use a network. You can see any provider of your choosing. However, to assist employees, UIW has developed a list of providers that have agreed to accept our RBP plans as payment in full, called the “Safe Harbor List.”

Safe Harbor List

If you do not see your doctor on the "Safe Harbor List" you can contact Patient Advocates who will reach out to your medical provider to gain acceptance (prior to services) of the plan’s reimbursement as payment in full.

HealthComp - Third Party Administrator (TPA)

HealthComp Website

Contact Information

Medical Claims

Zelis

PO Box 247
Alpharetta, GA 30009-0247

Customer Service Number: (877) 301-2988

Email: customerserve@healthcomp.com

• What is Reference-Based Pricing (pdf)
• Reference-Based Pricing FAQs (pdf)
• HealthComp Mobile App (pdf)
• How to read your EOB (pdf)
• Activate your HealthComp account online (pdf)
• HealthComp Advocacy care guide (pdf)
• Claim Form (pdf)

Summary of Benefits and Coverage

• UIW Bronze Plan
• UIW Silver Plan

Medical Plan Document

UIW Medical Plan Document (pdf)

Customer Service: (855) 528-2222

Customer Service Email: customercare@assertahealth.com

Asserta Health is a free concierge service to all employees who are enrolled in UIW's medical plans. Asserta Health will help you navigate complex procedures, such as General Surgery, Spinal Surgery, Cardiac Surgery, Orthopedic Surgery and Women's procedures. Many of these can be planned in advance and Asserta will be there every step of the way. Your costs will be waived and you can receive an incentive of up to $500 for working with Asserta Health.

All members of the UIW medical plans are eligible to use this FREE service with no obligation.

• Asserta FAQ (pdf)
• Asserta Case Study (pdf)
• Law regarding patients right to not use their insurance (see page 39 and 40) (pdf)

Spot Pet Insurance

All employees are eligible to enroll in this great benefit and receive up to a 20% discount. Spot gives a 10% discount on the first pet plus another 10% off any additional pet.

Employees can fully customize their plans to fit their budgets. Below is a link to a webinar to help everyone get started. This webinar will give you information about how the insurance works, what it covers, educational material, and how to sign up.

UIW and Spot webinar

Signing up

There are 2 ways to sign up:

1. Visit UIW's Spot Insurance Offer web page
2. Call 1-800-905-1595 and mention you are with: UIW (this is the customer service and general sales line).

Remember, the employee discount is automatically applied at checkout!

Open to all current UIW Employees

We are excited to announce the launch of the UIW Health and Wellness Hub, your new WebMD employee wellness app!

The Health and Wellness Hub is a partnership between UIW and WebMD. It offers free, confidential, easy-to use programs helping you achieve your wellness goals.

Go to Cardinal Apps and login to the UIW Health and Wellness Hub to create a profile.

Visit our dedicated Wellness page to find out more!

Christus Virtual Care On Demand

Christus Virtual Care

From 7 a.m- 11 p.m 24/7 on-demand access to affordable, quality healthcare. Anytime, Anywhere.

With Christus Virtual care, you can visit with a doctor 7 days a week from your home, office or on the go. Their Board Certified doctors are available by secure video to assist with common health issues like allergies, cough, migraines, fever, sinus infections and more.

Complimentary Benefits

We also have an array of benefits available to you free of charge!

• Will Preparation Brochure (pdf)
• Travel Assistance Brochure (pdf)
• Hearing Discount Brochure (pdf)

MC-Rx

MC-Rx Website

Contact Information

Customer Service Number: (800) 699-3542

Specialty Medication

Medication over $1,250 is not covered. For more information, please contact Human Resources at hrbenefits@uiwtx.edu or (210) 829-6019

Mail Order

To enroll online, please visit ProCare PharmacyCare and click on "Member Portal". 

To manually process your registration, please complete the Service Registration and Prescription Order Form and follow the mailing instructions on the form.

Claims Form

Prescription Drug Claim Form

Submit your claim form to 

HealthComp Website

• Plan Document (pdf)
• Benefit Summary (pdf)

The Dental Plan is an Open Network, it accepts any provider. This dental plan reimburses at a percentile for all Usual, Customary and Reasonable or UCR.

Contact Information

HealthComp Dental Customer Service: (877) 301-2988 option 2

Dental Claims Mailing Address:
Gilsbar L.L.C.
P.O. Box 66091
Dallas, TX 75266-0091

MetLife Vision Information

MetLife Vision Website

Group number 5927675

Customer service: (855) 638-3931

Metlife Claims Processing
P.O. Box 997565
Sacramento, CA 95899

• Vision Plan Detail (pdf)

UIW Eye Institute

Customer Service: (210) 283-6800

The Eye and Vision Care Clinic is part of the Rosenberg School of Optometry, University of the Incarnate Word and offers discounts on eye exams, glasses, and contacts to the employees of the University.

• Eye and Vision Care Clinic (pdf)

Proficient Benefit Solutions (SBS #SASUICW)
Customer Service: (888) 659-8151
Email: ask@proficientbenefits.com

Proficient Website

An FSA provides you with an important tax advantage that can help you pay health care and dependent care expenses on a pre-tax basis. By anticipating your family's health care and dependent care costs for the next year, you can actually lower your taxable income.

• Save with Flexible Spending Informational Flyer (pdf)
• Information on how to manage your FSA account (pdf)
• FSA Eligible Expenses (pdf)
• Proficient Benefits FSA (pdf)

Medical Spending Account

This program allows eligible UIW employees to pay for certain IRS-approved medical care expenses not covered by their insurance plan with pre-tax dollars. Some examples include:

• Hearing services, including: exams, hearing aids, and batteries
• Vision services, including: contact lenses, contact lens solution, eye examinations, and eyeglasses
• Dental services and orthodontia
• Chiropractic services
• Acupuncture
• Prescription contraceptives

How It Works

You are able to have pre-tax dollars to be subtracted from your gross wages. Under Section 125 of the internal Revenue Code, you save FICA and federal income tax while having tax-free money to pay for services not covered by insurance or out-of-pocket expenses. Take into consideration that this money is “use it or lose it” at the end of the plan year.

When you purchase items not covered by insurance, but eligible under the Flexible Spending Account, you can use your employee flex card to pay for item(s) at the point of service. You can also file your expenses directly to Proficient Benefit Solutions.

When you participate in a Dependent Care Spending Account you can contribute pre-tax dollars through payroll deduction to pay yourself back for dependent care expenses, such as:

• Daycare
• Nursery
• Before-and After- School Care
• Adult Daycare (person must qualify as a dependent under IRS guidelines)

Eligible Expenses and Conditions

The need for dependent care expenses must be work related.

You and your spouse must be gainfully employed or a full-time student. A child must be under the age of 13, or a dependent over the age of 13 who is unable to care for himself/herself.

How It Works

To determine how much to fund your Dependent Care Account, check with your day care center or home care provider to find out if your cost will be changing during the plan year. Then determine how many weeks you will require day care. Be sure to subtract time you will spend on vacation, holidays, and other days you will not need day care. Multiply your weekly cost by the number of weeks you need day care. Add the total for eligible dependents to get your estimated dependent care expenses. You may want to put a little less in your account to reduce your risk of forfeiture.

AFLAC
Contact: Andrea Rendon
Direct phone: (210) 842-2713
Email: andrea_rendon@us.aflac.com

AFLAC Main Customer Service: 1-800-992-3522

Short Term Disability

Pays a monthly benefit if you are unable to perform the (rates quoted individually) duties of your job due to an off the job accident or illness. Each employee chooses the monthly benefit amount and the elimination period. These benefits come directly to you and you decide how to use them.

Accident Plan

Pays benefits for injuries and their treatment directly to you in case of accident—the initial treatment, the injuries, follow up care, physical therapy, major diagnostic exams, hospital and intensive care stays, ambulance transportation, a death benefit and a wellness benefit. It is not necessary that you are unable to come to work for benefits to be paid. On and off the job accidents are covered.

Hospital Plan

Guarantee issue hospital plan provides a lump sum benefit for hospital stays plus an emergency room benefit, PHYSICIAN BENEFIT COPAY BENEFIT, as well as an ambulance benefit. The buy-up version provides a surgical benefit, complex imaging benefit, and daily hospital benefits.

Cancer Plan

Pays a large lump sum benefit upon diagnosis of an internal cancer and then pays daily or weekly benefits for hospitalization, radiation, chemotherapy or experimental treatment, blood and plasma, extended-care, hospice and home care as well as benefits for anti- nausea drugs, immunotherapy drugs, surgery, second opinions, evaluations at the National Cancer Institutes, prosthetic devices ambulance transportation, family lodging, and bone-marrow or stem cell transplantation. An annual wellness benefit of $75 is also included.

Aflac Plus Rider

Pays a $5000 benefit upon diagnosis of heart attack, stroke, type 1 Diabetes, traumatic brain injury, Alzheimer’s disease, Parkinson’s disease, ALS or Lou Gehrig’s Disease, MS and a number of other major medical events. There is a secondary event benefit, a heart surgery benefit and a tier two critical event benefit as well.

TIAA Retirement Planning

TIAA

Instructions to access retirement account online (pdf)

Dedicated UIW TIAA website

Customer Service: (800) 842-2252

The University of the Incarnate Word offers a retirement plan available to all regular full-time employees. To participate in the Teachers Insurance Annuity Association (TIAA), eligible employees must complete the Salary Reduction Agreement Form or contact the Human Resources Office.

Employees may begin participating after one year of eligible service. Enrollment in the program requires employees to contribute a minimum of 3% of their gross monthly salary and UIW will contribute an additional 7% of the gross monthly salary. UIW matching contributions are subject to change. Participation in the plan is voluntary for the first 10 years of employment. After 10 years, all eligible employees are required to participate in the Plan.

TIAA also offers a tax-deferred or Supplemental Retirement Annuity (SRA) and an after-tax Roth 403(b). Participation in these funds do not include an employer match.

Emeriti Retirement Health Savings

Emeriti

Emeriti Benefits Dashboard

Customer Service: 866-363-7484

The University will begin to make contributions for you to the Emeriti Retirement Health Savings account when you reach age 40 with one year of service. The University will cease making its contributions on the earliest of the following: the date the University has made 25 years of contributions to your account, the date you cease employment at the University, or at your death.

You can begin to make voluntary contributions to the Plan on a flat dollar basis each payroll period if you are age 21 or older with one year of service. The amount will be determined by you.

You will be eligible for the Emeriti Health Insurance Plan Options and the Emeriti Reimbursement Benefit if you satisfy the criteria for Retirement Eligibility under the Plan. You have met these criteria if you have attained age 55 while employed by UIW with at least 10 years of continuous service, or age 65 with five years of service for late hires. You also satisfy Retirement Eligibility if you become permanently disabled during active service and receive a disability determination letter from Social Security.

You can choose your investments for the Emeriti Account. Changes can be made on the TIAA portal, or by calling 866-363-7484 and selecting option 3. Consider speaking to a financial advisor when making investment choices.

• Emeriti Highlights (pdf)
• Emeriti Summary Plan Description (pdf)
• Emeriti Voluntary Contribution Form (pdf)

Other Retirement Resources:

• Investing for a lifetime guaranteed brochure (pdf) - offers you insights into products that offer guaranteed lifetime income ^* options on your retirement plan.
• Six rules to ensure comfortable retirement (pdf)
• Outcomes that Matter - website on additional information on guaranteed lifetime income
• Social Security Administration website
• Medicare website
• A, B, C, Ds of Medicare: What you need to know for 2024

Mutual of Omaha

Mutual of Omaha Website

Contact Information

Customer Service: (800) 775-6000

Basic Life Insurance and Accidental Death and Dismemberment (AD&D) benefits are immediately available to all regular full-time employees. These benefits are paid in full by UIW. The amount of the Life Insurance and AD&D coverage provided to the employee is equal to 1 times annual salary with a maximum of $250,000. Employees can enroll in supplemental Life and AD&D benefits for an additional cost.

• Voluntary Life Benefit Summary Semi Monthly (pdf)
• Voluntary Life Benefit Summary Monthly (pdf)
• Certificate of Issuance (pdf)
• Basic Life Benefit Summary (pdf)
• How To Submit A Life Claim (pdf)
• Life Claim Form (pdf)
• Life Insurance Enrollment Form
• Life Insurance Beneficiary Change Form (pdf)

Mutual of Omaha Long-Term Disability

Customer Service: 800-877-5176

The University of the Incarnate Word offers Long-Term Disability at no cost to the employee.
Long-Term Disability benefits are available to all regular, full-time employees after 180 days of continuous full-time employment.

Mutual of Omaha Long-Term Disability Summary (pdf)

Long Term Disability Claim Form

Certificate of Coverage

Mutual of Omaha Employee Assistance Program

Problems are just a part of everyday life. In addition to the benefits provided under your MetLife Disability coverage, you and your household members have access to LifeWorks Employee Assistance Program to help with the everyday challenges of life that may affect your health, family life, and desire to excel at work.

Here are some highlights of the program

• Counseling: Full-time employees and the members of your household are entitled to up to 5 counseling sessions per incident, per individual, per calendar year. Your sessions may be conducted via telephone, in person or video consultation.
• Family: Going through a divorce, caring for an elderly family member, returning to work after having a baby
• Work: Job relocation, building relationships with co-workers and managers, navigating through reorganization
• Money: Budgeting, financial guidance, retirement planning, buying or selling a home, tax issues
• Legal Services: Issues relating to civil, personal and family law, financial matters, real estate and estate planning
• Identity Theft Recovery: ID theft prevention tips and help from a financial counselor if you are victimized
• Health: Coping with anxiety or depression, getting the proper amount of sleep, how to kick a bad habit like smoking
• Everyday Life: Moving and adjusting to a new community, grieving over the loss of a loved one, military family matters, training a new pet

Call 800-316-2796 anytime, 24 hours a day, seven days a week or visit mutualofomaha.com/eap and click the request services for a counselor or click the employee resources tab to access the wonderful resources such as Managing Finances, Emotional well being, and Legal Assistance

• Mutual of Omaha EAP Flyer

Part Time Employee Benefits (pdf)

In 2014, the health care reform law created a new type of online marketplace for purchasing health insurance coverage. This marketplace is referred to as a Health Insurance Marketplace, or an Exchange. You are not required to purchase insurance coverage though the Marketplace. The University of the Incarnate Word does offer affordable health coverage.

If you purchase coverage through a Marketplace, you may be eligible for a federal subsidy that lowers your monthly premiums or reduces your cost sharing. However, to receive these federal savings, you cannot be eligible for health plan coverage through the University of the Incarnate Word that is affordable and provides "minimum value." This determination is made beginning January 1, 2014.

The availability of coverage through the Marketplace does not affect your eligibility for coverage through the University of the Incarnate Word's health plan. The notice provides information about the University of the Incarnate Word's health plan as it exists today and the eligibility requirements for coverage.

More information on the health care reform law and the marketplaces is available at Healthcare.gov.

• Health Insurance Marketplace Coverage Options English (pdf)
• Health Insurance Marketplace Coverage Options Spanish (pdf)

The Consolidated Omnibus Budget Reconciliation Act (COBRA) requires most group health plans to provide a temporary continuation of group health coverage that otherwise might be terminated. COBRA requires continuation coverage to be offered to covered employees, their spouses, their former spouses, and their dependent children when group health coverage would otherwise be lost due to certain specific events.

The University of the Incarnate Word uses HealthComp to manage the COBRA administration process.

HealthComp

Email: customerserve@healthcomp.com

Customer Service: 985-284-3221

Health Insurance Newsletters

List of Employees serving on the Insurance Benefits Committee

Insurance Benefits Committee Minutes

UIW Employee Wellness Website

The mission of Employee Wellness is to promote health of spirit, mind, body across the UIW community, and nurture new models of and leaders in health and wellness.

The UIW Employee Wellness Committee was formed to serve the needs of all UIW staff, faculty and administrators. The employee wellness committee hosts events such as lunch and learns, cooking classes, seminars, classes, fairs, and brings resources available to all UIW employees. All events are open to all UIW employees, including employees from all UIW campuses and Brainpower Schools.

UIW Health Services

The Primary Care Clinic provides health services that focus on primary prevention care, health education and counseling, care for illnesses and injuries, the maintenance of health records and assistance with the university insurance plan.

All members of the UIW community are encouraged to take responsibility for their body, mind, and spirit. The community is challenged to examine their own personal wellness plan. Support is given for changes resulting in continued improvement and growth. The smoking cessation program is available to the UIW community.

Privacy Notice: We value the privacy of all members of the community. We will not disclose a patient's care outside of this office without their permission.

Cost: Co-payment or appropriate fee is due at time of visit and is based on the insurance carried by the patient.