Insurance

Informational materials

• Welcome
• 2023 Benefits Orientation follow-along packet for Higher Education Employees
• 2023 Eligibility and Enrollment Guide
• Benefit To Do List
• Health Insurance Marketplace Letter
• TennCare Notice
• Return completed forms via email to hr@utsi.edu or set up an in-office appointment with Pam Ledford by emailing pledford@utsi.edu or call 931-393-7504.

Forms (Required)

Due within 30 days of hire date – Before filling out forms, please save to your computer to ensure that changes are kept.

• Insurance Enrollment Change Application – (enroll or refuse coverage)
• Dependent Eligibility Verification Documents
• Basic Term Life/AD&D Insurance Enrollment/Change Application – – Securian Handbook 
• Employee Checklist
• Designation of Beneficiary Form

Forms (Optional)

Due within 30 days of hire date

• Voluntary Accidental Death and Dismemberment Enrollment Application – – Securian Handbook
• Voluntary Group Term Life Insurance – Securian Handbook – Must enroll online. Premium rates on page 6 and enrollment details on page 7. Your Edison ID is required. Please contact Pam Ledford for your Edison ID.
• Voluntary Term Life Insurance Program Waiver Form
• Long Term Disability (Reliance Standard—new company as of January 1, 2023)
  • Ignore LTD information on the Partners for Health website. It is a separate plan that does not include Higher Ed employees.
• Short Term Disability
  • To enroll, see Part 6 on Insurance Enrollment Change Application.
• 2023 Flexible Spending (FSA) (Enrollment form for new hires)
  • Flexible Benefits Account Information
• 2023 Health Savings (HSA) (Payroll Deduction Form)
  • Health Savings Account Information
• Biweekly Employee Holdback Form (can be submitted at any time)

Additional Resources

• Partners for Health website – Information on insurance options, providers, premiums, and pharmacy benefits etc.
• Partners for Health videos – Helpful videos about benefit options. Scroll down to Insurance 101 – Ignore videos about Edison and the state’s Long Term Disability plan.
• UT/UTSI Employment Benefits Overview – if questions regarding any of these topics, please contact Pam Ledford, pledford@utsi.edu or call 931-393-7504.
• UT Holidays and Administrative Closing schedule
• To request a Zoom benefit session, please contact Pam Ledford – pledford@utsi.edu or call 931-393-7504.
• UT Policies
• UTSI Human Resources Procedures
• UT Policy Highlights (Visit UT’s Human Resources Policy page to see these highlights)
  • Probationary Period information HR0135 (staff employees)
  • University Code of Conduct HR0580
  • Equal Employment Opportunity HR0220
  • Sexual Harassment and other Discriminatory Harassment HR0280
  • Grievance Policy and Procedure if non-exempt HR0640
  • Educational Assistance HR0330  – UTSI Procedure 0330
  • Educational Assistance for Spouse & Dependent Children HR0331 – UTSI Procedure 0331
  • Tennessee Board of Regents (TBR) Institutions
• Summary of Benefits Coverage
• UT Career Development Fund
• UTSI HR Staff Training & Development Program
• State of Tennessee Workers’ Compensation Program
• Employee Assistance Program – The State Employee Assistance Program (EAP) provides free CONFIDENTIAL short-term counseling, financial counseling, and brief legal advice for regular employees who are scheduled to work at least 75% (30 hours per week) time.
• TNStars College Savings 529 Program
• UT Campus Chest
• Equity and Diversity / ADA information
• Title IX Sexual Harassment
• Submit Educational Degree for verification if required in job announcement to UTSI HR office.

Retirement

• Informational materials and forms:
  • Exempt Faculty & Staff: Regular faculty and exempt staff (those not eligible for overtime) can choose between membership in the Tennessee Consolidated Retirement System (TCRS) or the Optional Retirement Program (ORP).
    • Exempt new hire packet (offer included a monthly rate) (pdf)
    • Exempt New Hire Orientation Presentation (pdf)
  • Non-Exempt Staff: Regular non-exempt staff (those eligible for overtime) are covered in the Tennessee Consolidated Retirement System (TCRS).
    • Nonexempt new hire packet (offer included a hourly rate) (pdf)
    • Non-Exempt New Hire Orientation Presentation (pdf)
  • Retire Ready Tennessee for Higher Education Employees
  • RetireReadyTN Hybrid Plan (TCRS/401K) – 15 min new orientation video for the TCRS Hybrid Plan
• Return completed forms to the UTSI Human Resources office in Lower C wing or email to hr@utsi.edu. Type ENCRYPT in the subject line to secure the email.
• UT Retirement Services – For questions regarding the retirement, please email retirement@tennessee.edu or call 865-974-5251.
• UTSI main contact: Pam Ledford, UTSI Human Resources, email pledford@utsi.edu or call 931-393-7504.