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BENEFITS ELIGIBILITY

Employees are eligible for benefits according to the employee class and exemption status to which they are assigned. This section both defines the employee class as well as describes which benefits apply to each class.

Full-time, twelve (12) month employee: An employee who is scheduled to work on average at least thirty-seven and one-half (37.5) hours or more per week over twelve (12) months of the year. Full-time, ten (10) month employee:An employee who is scheduled to work on average at least thirty-seven and one-half (37.5) hours or more per week over ten (10) months of the year. Part-time with Retirement Benefits:the assignment to a position budgeted for at least 1,000 hours, but less than 1,650 hours in a calendar year. Part-time:the assignment to a position budgeted for less than 1,000 hours in a calendar year. This position could be either regular or temporary. Temporary:The assignment to a position for a period of time less than one year.

Faculty Eligibility Definitions

Full-time and part-time status is determined by the Provost’s Office.

HEALTH, LIFE & DISABILITY BENEFITS

This section includes information on medical, dental, vision, flexible spending, life and long term disability. It includes summary and rate sheets as well as plan documents.

2024 Benefits Summary Sheet- This applies to all benefit eligible employees

2024 Monthly Medical Contribution Rate Sheet- This applies to all benefit eligible employees

Flexible Spending Arrangements (FSAs) allow you to pay certain qualifying expenses with pre-tax dollars for medical and dependent care expenses.

Accessing your Medical Mutual FSA

Medical Mutual FSA has completed its newly designed My Spending Accounts website. Now you can manage both your health plan and your FSA in one place using My Health Plan, a secure member website through Medical Mutual.

To access your FSA information if you have Medical Mutual insurance:

  • Go to
  • Log in or register for a My Health Plan account
  • ClickMy Spending Accountsunder the Claims and Balances tab
  • Accept the Terms and click Submit

If you have any questions about the registration process or your FSA, please call (800) 525-9252.

To access your FSA information if you do NOT have Medical Mutual insurance:

  • Contact Customer Service at 1-800-525-9252 to obtain your FSA employee ID number.
  • Go to

Eligible Health FSA Expenses

Only eligible expenses can be reimbursed through your Health FSA. These expenses are defined by Internal Revenue Code § 213(d) and your employer’s plan.

Generally, eligible expenses include items that are meant to diagnose, cure, mitigate, treat, or prevent illness or disease. This also includes transportation for medical care. However, expenses such as cosmetic surgery, insurance premiums, vitamins, and items for general well-being are not eligible expenses.

Over-the-counter (OTC) medicines and drugs require a prescription to be an eligible Health FSA expense. You must obtain a written or electronic prescription from a doctor (or another individual who can legally issue a prescription) in the state in which you purchase the OTC medicines. This rule does not apply to eligible OTC health care items (i.e., thermometers and bandages).

Health FSA expenses must be incurred by you, your spouse, or your eligible dependents during the current plan year and while you are an active participant in the FSA plan. Medical care expenses are incurred when you (or your spouse or dependents) are provided with medical care – not when you are formally billed, charged for, or pay for the medical care. Only qualified “out-of-pocket” expenses are eligible for reimbursement. Expenses previously reimbursed by your Health FSA or covered by any other plan or program are not eligible for reimbursement. There’s no “double-dipping” allowed.

Expenses reimbursed under your Health FSA may not be used to claim any federal income tax deduction or credit.

Examples of Eligible Health FSA Expenses:

  • Medical expenses: co-pays, co-insurance, and deductibles
  • Dental expenses: exams, cleanings, X-rays, and braces
  • Vision expenses: exams, contact lenses and supplies, eyeglasses, and laser eye surgery
  • Professional services: chiropractor and acupuncture
  • Prescription drugs and insulin
  • Over-the-counter health care items: bandages, pregnancy test kits, blood pressure monitors, etc.

Eligible Dependent Care FSA Expenses

Only eligible expenses can be reimbursed under the FSA. These expenses are defined by (§)129 and your employer’s plan.

Dependent care expenses must be incurred during the coverage period so you (and your spouse, if married) can work or look for work. Full-time students who attend school for at least five months during the tax year may also incur dependent care expenses. “Work” may include actively looking for work, but it does not include unpaid volunteer work or volunteer work for a nominal salary.

A dependent care FSA covers qualified dependent care expenses incurred for the care of one or more qualifying individuals.

Eligible Expenses

  • Before-school and after-school care
  • Expenses for preschool/nursery school
  • Extended day programs
  • Au pair services (amounts paid for the actual care of the dependent)
  • Baby sitter (in or out of the home)
  • Nanny services (amounts paid for the actual care of the dependent)
  • Summer day camp for your qualifying child under the age of 13
  • Elder day care for a qualifying individual

Ineligible Expenses

  • Amounts paid to your spouse, your child under age 19, a parent of your child who is not your spouse or an individual for whom you or your spouse is entitled to a personal tax exemption as a dependent
  • Expenses related to a disabled spouse or tax dependent living outside your household
  • Educational expenses
  • Tuition for kindergarten and above
  • Food expenses (unless inseparable from care)
  • Incidental expenses (such as extra charges for supplies, special events, or activities unless inseparable from care)
  • Overnight camp

Expenses reimbursed under your dependent care FSA cannot be used to claim any federal income tax deduction or credit.

Note:If you are enrolled in a High Deductible Health Plan youcannotparticipate in a health flexible spending arrangement.

Provider Medical Mutual FSA 800.525.9252

AV Human Resources Department has partnered with the Center for Benefits Management (CBM) customer service team to help answer questions related to your health care coverage.

Starting December 4, 2023 the Center’s customer service team will be available to JCU employees who participate in the University’s health plans to address questions or concerns pertaining to your medical, prescription drug, dental, and vision benefits at no charge. CBM can answer all types of benefits questions, from eligibility and coverage under our plans, all the way to assisting you navigate complicated billing situations.

The Center can be reached at 1-877-250-9001, Monday through Friday from 9:00am-5:00pm. Please keep this number for reference to use as your first point of contact for any health benefits questions.

EpiphanyRX will be AV's newPharmacy Benefit Management (PBM) Company starting January 1, 2022. Below are some useful tools to help you through the transition and with any future pharmacy needs.

  • Contact Epiphany RX Member Services 24/7 at: 844-820-3260
  • with links to member services.

As a member of Medical Mutual's SuperMed PPO Network, you have access to Cleveland Clinic’s Express Care Online. Express Care Online is a secure service that offers 24/7 care with no appointment needed for simple conditions such as sinus infections, cold symptoms, rashes, ear aches and stomach pain.

As a member of Medical Mutual – MetroHealth Select/Skyway, you have access to Doc2Go providing 24/7 quality health care when and where you need it through convenient phone or visit consults. Conditions treated include cold and flu symptoms, allergies, pink eye, ear infection, respiratory infection, sinus problems, skin problems and more.

All AV Employees and dependents have access to the MetroHealth System for quality health care including our primary and specialty services as well as Spry, Spry Senior, Mobile Mammogram, Pharmacy, Lumina Imaging and more. See details below.

Spry

At Spry, we offer you a personalized healthcare experience with your primary care physician for an annual membership fee. Your personal primary care physician will take time to understand you and coordinate your care; will be available to you 24/7 via phone call, text or email; will schedule appointments within 24 hours and without any wait time.

Spry Membership Overview

Spry Senior

At Spry Senior, we know that older adults have specific primary care needs, so we’ve created a healthcare experience that’s specifically for you. From providers who really get to know you, to local neighborhood locations, to all the extras that make it convenient and comfortable to seek care. Primary Care for Ages 58+

Spry Senior Brochure

Mobile Mammogram – New Dates Available

  • Space is limited, Schedule Ahead
  • No doctor order required

MetroHealth is making it easy for you to receive a preventive mammogram from our 3D Mammography Coach around Northeast Ohio. For your convenience, you can schedule ahead by clicking the button below, no doctor order needed. In 15 minutes or less, you can safely receive a state-of-the-art 3D mammography exam from a specially trained Registered Mammography Technologist. The mobile coach brings the same technology used at all MetroHealth Breast Imaging sites with extra safety precautions in place due to COVID-19. To learn more about the MetroHealth Mobile 3D Mammography Coach, visit

Choose MetroHealth Pharmacies for All of Your Medication Needs

​​​MetroHealth pharmacies are your partners in health care, working with MetroHealth providers to ensure you have the right medications at the right time.

We offer assistance finding the best prices; easy refill options, home delivery at no additional cost; 11 convenient locations; routine immunizations, specialty pharmacy to manage medications for chronic conditions and much more! Call, chat or contact us via MyChart today. Call 216-957-6337 (MEDS)

MetroHealth Pharmacy Information

Our 11 pharmacy locations are conveniently located within MetroHealth facilities at Beachwood, Bedford, Brecksville, Broadway (Cleveland), Buckeye (Cleveland), Cleveland Heights, Main Campus on W. 25th Street (Cleveland), Middleburg Heights, Ohio City, Old Brooklyn (Cleveland) and Parma.

Lumina Imaging for CT Scans and MRI

Quality. Low Cost. Convenience. Lumina Imaging is available for patients to schedule CT and MRI in 4 convenient locations. These freestanding imaging centers offer affordable state-of-the-art imaging in a modern, relaxed environment. Pre-registration and insurance authorization plus auto-arrival technology means no waiting. Scans are read and reports sent within 24 hours.

About Lumina

New Hospitals and Birthing Center

In 2022, MetroHealth opened the new Glick Center at our main campus on West 25th Street. This modern, state-of-the-art hospital offers spacious, high-tech private patient rooms with sleepers for visitors. The secure campus includes amenities for all with convenient parking and Wayfinding MapApp; Family Resource Center, Nurture Gift Shop, MetroEats and Parkside Cafe and much more.

Our new birthing center is focused on making baby’s first moments peaceful for the entire family. We are dedicated to family-centered care while giving patients the peace of mind with a state-of-the-art NICU for complex baby care when needed.

Birthing Center Brochure

At our Cleveland Heights campus in 2022, we also opened Cleveland’s newest inpatient behavioral health hospital and outpatient programs. This new facility includes 112 new beds for inpatient care for adolescents, adults and elders struggling with addiction and mental health issues. We also offer partial hospitalization, intensive outpatient programs and outpatient care.

Behavioral Health Hospital Brochure

Cigna Dental

Medical Mutual

EyeMed

  • - Cost estimator tool

RETIREMENT BENEFIT

Currently AV participates in the Teachers Insurance and Annuity Association of America (TIAA) retirement plans. This section explains how to access information about your retirement plan.

AV recognizes the importance of helping you plan for your financial future. Your retirement program is an important part of your overall benefits.

Currently AV participates in the Teachers Insurance and Annuity Association of America (TIAA) retirement plans. For detailed information about the plans offered, please go to the dedicated AV / TIAA website at .

New IRS Limits for 2023

The limit on elective deferrals – the most an employee can contribute to a 403(b) account out of salary – is $23,000 in 2024. Employees who are age 50 or over at the end of the calendar year can also make of beyond the basic limit on elective deferrals. For a link to the IRS website click . Quick Guide to Managing Your Retirement Account Online

University’s retirement plan summary annual reports

To comply with requirements established by the Employee Retirement Income and Security Act (ERISA) of 1974, this is notification that the University’s retirement plan summary annual reports for the plan year January 1, 2021 through December 31, 2021 are available for review below.

SUMMARY ANNUAL REPORT FOR JOHN CARROLL UNIVERSITY DEFINED CONTRIBUTION AND TAX DEFERRED ANNUITY RETIREMENT PLAN

If you have any questions about this notification, please feel free to contact Ryan Armsworthy, Director of Total Rewardsat 216-397-1576.

CBIZ Retirement Matters Newsletter - 1Q 2024

CBIZ Retirement Matters Newsletter - 2Q 2024

LEAVE OPPORTUNITIES

AV offers a variety of leave opportunities to support employee work-life balance and respect an employee’s need for time away from work.

Paid Leave TimeChart

Please see section I-4: Leaves and Accommodations on the

ADDITIONAL BENEFIT RESOURCES

Carrier

Phone

Website

Metro Select / Skyway

216-778-8818 or 440-592-1120

Medical Mutual of Ohio

216.687.6000 or 800.232.7400

Epiphany RX Member Services 1-844-820-3260
Cigna Dental PPO: 888.336.8258
HMO: 800.367.1037
Optum Bank 877.470.1772 hbsgroup@optum.com
EyeMed 866.939.3633
Vision Service Plan (VSP) 800.877.7195

Business Plans Inc. (COBRA Administration) 800.865.4485
Medical Mutual FSA(Flexible Spending) 800.525.9252
Unum – Life, AD&D, LTD 800.421.0344
TIAA (Retirement) 800.842.2252
Liberty Mutual 800.437.7995 Ext. 54066
Ohio Educational Credit Union 216.621.6296 Ext. 3066
Fax: 216.621.6190
MyLifeExpert (Impact Solutions) 1-800-227-6007
PNC Bank 216.382.6900
Huntington Bank 216.515.6122
RTA-Commuter Advantage 216.621.9500

Howard Hanna Real Estate 800.321.0558 Ext. 262

TOBACCO-FREE CAMPUS

Here you’ll find information about our tobacco- and smoke-free campus policy as well as resources to help you quit smoking: go.jcu.edu/TobaccoFree

ANNUAL MEDICARE CREDITABLE COVERAGE NOTICE