Benefits

Welcome to TSU's  Benefits

Educational

Employee Assistance Program (EAP)

Flexible Spending

Health / Medical

Life Insurance

Retirement


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.   Please click HERE to start your New Hire Orientation.
  • If you are newly eligible for benefits, you must submit your benefits enrollment forms within 31 days of your eligibility.  Coverage becomes effective on the 1st of the month following 30 days of employment.
  • 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. 
  • Contact Pamela Trent, Benefits Manager at (615) 963-7433 or ptrent@tnstate.edu if you have questions.
  • Visit our Frequently Asked Questions

 

 2017 Health Benefits

State of TN Medical, Dental and Vision, & Pharmacy

Life Insurance

Long Term Disability Plan

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

2017 Enrollment/Change Application (Employee or COBRA Participant), Dependent Eligibility  Form & Special Qualifying Event Form

PDF

2017 Decision Guide

PDF

State Plan Document

PDF

What is the Partnership Promise?

Web

Click here to begin your Well-Being Assessment & to print the Physician's Screening form

Instructions:  Register for an Onsite Biometric Screening at TSU June 7-8, 2017

Instructions:  Complete the Well-Being Assessment (WBA)

Web

PDF

PDF

Summary of Health Benefits & Coverage

Compare the Differences Between Partnership, Standard, and HealthSavings Plans

WEB

PDF

Medical Premiums (How Much Will it Cost?)

PDF

Blue Cross Blue Shield Member Handbooks (Promise & No Promise)

Partnership PPO 

Standard PPO 

HealthSavings CDHP (Consumer Driven Health Plan) 

Blue Cross Blue Shield Provider Directory (Find Your Doctor!)

 

PDF

PDF

PDF

PDF

Cigna Local Plus & Open Access Member Handbooks (Promise & No Promise)

Partnership PPO

Standard PPO

HealthSavings CDHP (Consumer Driven Health Plan)

Cigna Local Plus  Provider Directory (Find Your Doctor!)

Cigna Open Access Provider Directory (Find Your Doctor!)

 

PDF

PDF

PDF

PDF

PDF

MetLife - PDO Dental Member Handbook

Your dentist isn't a MetLife provider?  Nominate him/her!

Cigna Prepaid (DHMO) Dental Member Handbook

Cigna Prepaid (DHMO) - How Do the Charges Work?

Your dentist isn't a Cigna Prepaid provider?  Nominate him/Her!

PDF

PDF

PDF

PDF

PDF

Compare the Differences Between MetLife & Cigna PrePaid

PDF

Dental Premiums (How Much Will it Cost?)

PDF

EyeMed Vision Plans (Basic & Expanded)

EyeMed Select Providers (Find Your Doctor!)

PDF

Web

Caremark Handbook

How Much Will My Medications Cost? - Partnership Promise & No Promise

How Much Will My Medications Cost - Standard PPO

How Much Will My Medications Cost? - HealthSavings CDHP Promise & No Promise

 

PDF

PDF

PDF

PDF

 

 
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 TSU Sick Bank

TSU Non-Faculty Sick Bank - Policy

Enroll in the TSU Non-Faculty Sick Bank 

Request Hours from the Sick Bank (must already be enrolled)

Sick Leave Donation Agreement

Sick Leave Donation Agreement - ORP Retirees

Web

PDF

PDF

PDF

PDF

 
 

Life Insurance

Do I Need Additional Life Insurance?

Basic Life Insurance Handbook (Minnesota Life)

PDF

PDF

Who Should I Designate as My Beneficiary?

Basic Life Insurance Beneficiary Form 

WEB

PDF

Optional Special Accident Insurance Form

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

Long Term Care - MedAmerica

Web

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

Web

Beneficiary - Survivor Check List

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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Flexible & Limited Spending / Dependent Care

Flexible & Limited Spending / Dependent Care Enrollment Form

PDF

Flexible & Limited Spending / Dependent Guide

PayFlex Flexible Benefits

PDF

WEB


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  Retirement

TCRS & ORP Comparison (What's the Difference?)

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 -  800-842-2776  (no assigned rep)

Web

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

Web 

VALIC - Andy McQuiston 615-879-6983  andy.mcquiston@valic.com  

Web

401(k)/401k ROTH/457 - Glenda Stone (615) 244-1030, glenda.stone@empower-retirement.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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