Employee Benefits

OPEN ENROLLMENT INFORMATION

• Open Enrollment Resources
• State of Wellbeing Health Assessment - Will be updated October 31

HEALTH, DENTAL, LIFE AND OPTIONAL INSURANCE BENEFITS

• SEGIP- Minnesota Management and Budget Insurance Division website
  • MMB Phone number : 651-355-0100
• Employee Benefit Forms
• 2019 Cost-Level Clinic Directory for Health Plans
• Health Benefit Schedule
• 2019 Rate Guide for Health, Dental, Basic Life and Optional Insurance Plans
• Dependent Eligibility Chart
• Dental Benefit Schedule
• Minnesota Advantage Health Plan
  • Blue Cross/Blue Shield:
    651-662-5090
    1-800-262-0819
  • PreferredOne:
    763-847-4477
    1-800-997-1750
  • HealthPartners (Health and Dental)
    952-883-5000
    1-888-343-4404
• State Dental Plan: Administered by Delta Dental
  • 651-406-5916
    1-800-553-9536
• Mn Life Insurance Benefits
  • 651-665-3789
• Disability and Long-Term Care Insurance
  • Hartford - 1-800-752-9713 or 612-893-9236
• 121 Benefits (Pre-tax benefits) website
  • 612-253-6633
• Employee Assistance Program
  • 1-800-657-3719 or 651-259-3840
• CVS - CAREMARK (Prescription Drug Provider)
  • 1-866-333-2757
• COBRA Rates (Health, Dental and Life)
• Benefit Information for Newly Hired Employees
• Pre and Post Retiree Benefit Information

RETIREMENT PLAN BENEFITS

Mandatory Retirement Plan Websites:

• Minnesota State Retirement System (MSRS)
  • 1-800-657-5757
• Teachers Retirement Association (TRA)
  • 1-800-657-3669
• Individual Retirement Account Plan (IRAP) (TIAA-Cref, Plan Administrator)
  • 1-800-682-8969
• Supplemental Retirement Account Plan (SRP) (TIAA-Cref, Plan Administrator)
  • 1-800-682-8969

Optional Retirement Plans - TSA (403B) and Deferred Compensation (457) Plans

TSA and Deferred Comp Comparison Chart (click on this link)

Enrolling in Tax Shelter Annuity (TSA/403b) and/or Deferred Compensation (DC/457) Plan:

1. TSA - Enrollment completed on-line at TIAA-Cref Website (see TIAA-Cref website link below for information)
2. Deferred Compensation - Complete Enrollment Form on MSRS website (see form link below under Deferred Compensation)
3. PLUS....click on Employee Self-service website (#4 below) to indicate dollar amount want withheld per check for TSA and/or DC. For instructions on self-service log-in and password creation see #5 and #6 below. For instructions on entering TSA/DC amount see #7 below.
4. Employee Self-Service Website Log-in Page
5. Accessing instructions for using self-service website
6. Self-Service Password Information
7. Employee Self-Service Savings Plans (TSA and Deferred Comp) Instructions

Tax Shelter Annuity (TSA, 403b) 1-800-682-8969 (M-F, 8am-5pm)

• TIAA (Plan and On-line Enrollment site for TSA Plan)
• TSA Universal Availability Notice

Deferred Compensation Plan (MnDCP,457) 1-877-457-6466

• New Enrollment and Salary Deferral Change form
• Beneficiary Form
• Information about the Deferred Comp Plan

HEALTH CARE SAVINGS PLAN (HCSP)

MSRS, Plan Administrator, 1-800-657-5757

• HCSP Forms (Under Health Care Savings Plan section)
• HCSP info on MSRS Website

HEALTH REIMBURSEMENT ACCOUNT (HRA) and PRE-TAX PLANS (MDEA & DCEA)

121 Benefits, Administrator 1-800-300-1672

• Reimbursement Form
• Pre-Tax Plan Information (MDEA and DCEA)
• State Employee Information on HRA Plan
• HRA Q & A for IFO and Minnesota State system Adm Contributions
• Information on the Benny Card under Q&A (Debit Card Section)
• Accessing Your Benny Card Balance

SOCIAL SECURITY ON-LINE

• Social Security Application (On-line)
• Social Security Disability Application
• Social Security Benefits Planner
• Request a Social Security Statement
• Change of Address On-line
• Request a Replacement or Medicare Card
• Get a Password for personal account information
• Social Security Office Locator

TUITION WAIVER

• Tuition Waiver Application Log-in Website
• Tuition Waiver Quick Reference Guide