Benefits

Welcome to TSU's Benefits

Benefits Fair - September 16, 2016 from 10:00 am - 2:30 pm in the Farrell/ Westbrook Agricultural Center ("The Barn").  All Vendors will be present! 

Tennessee State University offers a well-rounded benefits package for employees and their families.

INSTRUCTIONS

  • New hires must complete and submit ALL benefits enrollment forms within 31 days of your hire date. 
  • If you are newly eligible for benefits, you must submit your benefits enrollment forms within 31 days of your eligibility.
  • For Special Qualifying Events (i.e. new baby, marriage/divorce, loss of coverage), you have 60 days from the date of the event to submit your benefits enrollment forms.
  • Even if you are eligible for benefits but choose not to enroll, please complete the Enrollment/Change form and select 'Refuse.'  Also, please complete the Beneficiary forms.  The University provides a basic term life policy to all employees.  See the Basic Life Insurance Handbook below for details.
  • Please review your benefits deductions on your pay stub  to ensure accuracy.
  • Contact Pamela Trent, Benefits Specialist at (615) 963-7433 or ptrent@tnstate.edu if you have questions.\

  Coming in 2016:  Please visit TSU's Annual Enrollment Transfer Period page for upcoming changes and options!

2015 Health Benefits

S tate of TN Medical, Dental and Vision, & Pharmacy

TBR Optional Benefits
- VSP Vision
- Aflac

Life Insurance

Long Term Plans
-
 Long Term Disability
- Long Term Care

Flexible Benefits
-
 Medical Reimbursement
- Dependent Care

Retirement Plans
- Tennessee Consolidated Retirement System (TCRS)
- Optional Retirement Plan (ORP)
- 401(k) and 457 Plans

Employee Assistance Program (E.A.P)

State of TN Medical, Dental and Vision Plans

2015 Enrollment/Change Application (Employee or COBRA Participant), Dependent Eligibility  Form & Special Qualifying Event Form

PDF

2015 Eligibility & Enrollment Guide

PDF

State Plan Document

PDF

ParTNership Promise - You have 120 days from the date of eligibility to complete the Well-Being Assessment

Web

Health Options Comparison

PDF

Health Premiums (Active Employees)

PDF

Partnership PPO - BlueCross BlueShield Member Handbook

When searching for a provider, select Network S

PDF

Web

Standard PPO - BlueCross BlueShield Member Handbook

When searching for a provider, select Network S

PDF

Web

Partnership PPO - Cigna Member Handbook

Open Access Plus provider

LocalPlus provider (Middle TN Only)

PDF

Web

Web

Standard PPO - Cigna Member Handbook

Open Access Plus provider

LocalPlus provider (Middle TN Only)

 PDF

Web

Web

Dental Options Comparison

PDF

Dental Options Premiums

PDF

Assurant Prepaid Dental Member Handbook

General Dentist Directory

PDF

Web

EyeMed Vision Comparison & Premiums

EyeMed Select Network

PDF

Web

CVS Caremark Homepage

CVS Caremark Info Guide - Partnership

CVS Caremark Info Guide - Standard

Preferred Drug List 

Web

PDF

PDF

PDF

 
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TBR Optional Benefits

VSP Vision - Member Web Link

AFLAC - Accident, Cancer Indemnity, Critical Illness, Hospital Indemnity, Personal Sickness

Web

Web

Enrollment Web Link to VSP

Web

 
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Life Insurance

Basic Life Insurance Handbook (Minnesota Life)

PDF

Basic Life Insurance Beneficiary Designation

PDF

Optional Special Accident Insurance Enrollment Application

PDF

Optional Life Insurance Brochure

PDF

Optional Term Life Insurance Application

PDF

Optional Term Application - Evidence of Insurability (for amounts over 5x annual base salary up to 7X annual base salary)

PDF

Optional Term Service Form (cancel, update beneficiary, change coverage)

PDF

Legacy Planning Resources (Living Will, Estate Planning, Power of Attorney, etc.)

Web

Beneficiary Financial Counseling

PDF

Travel Assistance Services (Emergency Travel Assistance, Security Evacuation Service to the Nearest Safe Place, ID Theft Assistance while Traveling, Lost Luggage, etc.)

PDF

 
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Long Term Disability

Long Term Disability Plan Summary - Exempt

PDF

Long Term Disability Enrollment Form - Exempt

PDF

Long Term Disability Plan Summary - Non-exempt

PDF

Long-Term Disability Enrollment Form - Non-exempt

PDF

Long Term Care Programs

MedAmerica Long Term Care Insurance - Lawrence Vivenzio 615-590-0300 or lawrence@ltcconsultants.com

Web


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Flexible Spending / Dependent Care

PayFlex Flexible Spending Website (log in)

PDF

PayFlex Flexible Spending / Dependent Care Enrollment Form

PDF

PayFlex Flexible Spending / Dependent Care Info

Web

PayFlex Claim Form

PDF


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  Retirement

TCRS & ORP Comparison

WEB

Tennessee Consolidated Retirement System (TCRS)

Web

Optional Retirement Plan (ORP)

Web

TCRS Legacy Plan vs. Hybrid Plan (Employees hired on/after July 1, 2014)

PDF

TIAA-CREF -  (866) 842-2336

Web

Voya - Ed Stewart 615-627-5936, ed.stewart@voyafa.com

Web 

VALIC - Rene Houghland (615) 403-8299,  Rene.Houghland@valic.com

Web

401(k) and 457 - Glenda Stone (615) 244-1030, glenda.stone@gwrs.com

Web 

401(k) Salary Reduction Agreement (to resume 401(k) deductions)

PDF


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Employee Assistance Program (E.A.P)

Employee Assistance Program (EAP)

Web 

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webpage contact:
The Office of Human Resources