Human Resource Services
Health Insurance
UF Domestic partners Insurance
2012-2013 (GatorCare Health Insurance)
State of Florida/People First Health Insurance
The State of Florida offers the following health plan options:
PPO| HMO |Health Investor Plans (HMO or PPO) | Health Plan/Spouse Program
State PPO Plan
The Standard PPO is offered through Florida Blue (formerly Blue Cross Blue Shield). This plan provides the flexibility to visit network and non-network providers, with a lower cost when you use the Florida Blue network. The plan offers:
- A deductible and coinsurance
- Network co-pays for doctors and prescription medications
- Preventive care services at no charge
- Pre-existing condition provision applies
For more details about the State PPO plan visit the MyBenefits website
State Health Maintenance Organizations (HMOs)
Depending on where you live or work, the State of Florida offers a Standard HMO plan. With this plan you must use network providers to receive benefits. The plan offers:
- No deductible
- Set dollar co-pays for doctors, prescriptions medications, and procedures
- Preventive care services at no charge
- No pre-existing provisions
For more details about HMO plans, visit the MyBenefits website
Avmed HMO Plan is the only HMO provider servicing Alachua County. Visit the HMO Service Area list to verify the plans offered in your area: http://www.myflorida.com/MyBenefits/pdf/HMOsbyCounty-2012.pdf
State Health Investor Plans (HMO or PPO)
Health Investor Plans have low premiums, but a very high deductible. To help defray plan cost, employees may establish a Health Savings Account. The employee and employer contributions are made on a pre-tax basis. The plan offers:
- Lower insurance premiums, but a high deductible before co-insurance applies to services or prescriptions
- Preventive care services at no charge
- Option to open a Health Savings Account (HSA), provided that you have no other health coverage
- Option to contribute money to your HSA voluntarily; UF contributes $500 for individual and $1,000 for family annually
- HSA funds to pay out-of-pocket expenses like deductibles and co-insurances - now or in the future
- Portable HSA where the account is yours if you leave or retire
- Pre-existing condition applies to PPO; no pre-existing condition for the HMO option
For more details about the Health Investor Plans, visit the MyBenefits website.
For all plans: Employees whose full-time equivalency (FTE) is not 1.00 should contact University Benefits and Retirement for exact premium amounts.
Spouse Program
Spouses who both work for the state of Florida are eligible to enroll in the state's spouse program. This program combines the state's matching portion of each member's insurance premium. This in turn, provides family health coverage at a relatively minimal cost. Eligibility and enrollment in the plan includes:
- Both spouses must complete and sign the same spouse program election form
- One spouse must be designated “primary” and the other “secondary”
- Both spouses must enroll in the same health plan
- Any changes in status, for either spouse must be reported to the Benefits Office to determine continued eligibility
- To enroll call People First Service Center or contact the Benefits Office
UF/GatorCare Health Insurance Plan
GatorCare is a self-insured health plan designed to promote improved health care access, quality of care, and employee health. As a self insured plan, UF is responsible for the cost of claims; instead of a third party insurance company. Both Florida Blue (formerly Blue Cross Blue Shield) and Magellan Pharmacy Solutions have partnered with UF to manage the plan’s administration. Each offer comprehensive provider networks within Florida and across the U.S. and has extensive experience with the processing of both medical and pharmacy claims for payment.
GatorCare will offer 2 PPO plan options for eligible employees:
- Prime Plus- designed for employees who receive a majority of care with UF&Shands facilities and providers which make up the GatorCare Network. The plan has 2 network tiers -- GatorCare Network (Tier 1), Florida Blue’s Network (Tier 2). At Tier 1, the plan pays the highest level of benefits at a 95% co-insurance level after the calendar year deductible has been met. Services and care are also available in the event you use Tier 2, however your out-of- pocket costs will be higher.
- Premium – designed to offer employees more flexibility by providing 3 network tiers within the plan -- GatorCare Network (Tier 1), Florida Blue’s Network (Tier 2), and out of network (Tier 3). Staying in Tier 1 offers the best value with lower deductibles, co-insurance and out –of- pocket costs. Coverage is also available at the Tier 2 and 3; however, they each carry higher out–of-pocket costs associated with those networks.
For plan details and the schedule of benefits visit the GatorCare website
Who’s eligible?
Academic Faculty (non-OPS), TEAMS, or USPS employees currently enrolled in the Avmed Domestic Partner plan or those interested in domestic partner health coverage. The plan covers both same and opposite sex partners as well as children of the employee and partner as long as the required criteria outlined in the UF Domestic Partner Affidavit is met.
Plan Comments
For employees enrolled in domestic partner coverage, IRS regulations require that employer contributions paid on behalf of the partner or the partner’s dependent child(ren) if applicable be considered as taxable income. Due to the added cost for the partner or the partner’s children, if applicable, UF provides an additional benefit by adjusting for taxes taken on that portion of the premium to compensate for the tax impact.
Current employees seeking to change from the “state” health plan to the “GatorCare” domestic partner plan and vice versa may only make this change during the annual open enrollment period. NOTE: Employees planning retirement should consult University Benefits at least a year ahead to coordinate this change during the next open enrollment period. The GatorCare domestic partner plan cannot be converted into retiree coverage.
Part-time employees pay rates based on a FTE schedule. For any changes in status such as termination, leave of absence, reduction in FTE, marriage, birth or adoption, separation of partnership, etc. please contact Benefits at (352) 392-2477 to discuss premium costs, and options to continue or cancel coverage.
Employees whose full-time equivalency (FTE) is not 1.0 should contact University Benefits for exact premium amounts.
NOTICE OF PUBLIC MEETING, HEARING OR WORKSHOP
The University of Florida announces the following public meetings.
Executive Sponsor Group for Health Insurance, Wednesday, March 20, 2013
Start Time: 8:00 a.m.
Executive Conference Room, 2nd Floor of the South Tower
Archive 2012
Executive Sponsor Group for Health Insurance, Wednesday, July 18, 2012
Start Time: 8:00 a.m.
Executive Conference Room, 2nd Floor of the South Tower
Health Insurance steering committee, Thursday, May 31, 2012
Start Time: 3:30 p.m.
1329 Building, Room 4150
Executive Sponsor Group for Health Insurance, Wednesday, May 16, 2012
Start Time: 8:00 a.m.
Executive Conference Room, 2nd Floor of the South Tower
Health Insurance steering committee, Thursday, April 26, 2012
Start time: 3:30 pm
Place: 1329 Building, Room 4150
Health Insurance steering committee, Thursday, March 29, 2012
Start time: 3:30 pm
Place: 1329 Building, Room 4150
Executive Sponsor Group for Health Insurance, Wednesday, March 21, 2012
Start Time: 8:00 a.m.
Executive Conference Room, 2nd Floor of the South Tower
Faculty and Staff Benefits Committee Wednesday, March 14, 2012
Start Time: 2:30 p.m.
Place: VP Conference Room, 2nd floor HRS Building, 903 W. University Ave.
Health Insurance steering committee, Thursday, February 23, 2012
Start time: 3:30 pm
Place: 1329 Building, Room 4150
CANCELLED: Faculty and Staff Benefits Committee Wednesday, February 22, 2012
Start Time: 10:30 a.m.
Place: VP Conference Room, 2nd floor HRS Building, 903 W. University Avenue.
Health Insurance steering committee, Thursday, January 19, 2012
Start time: 3:30 pm
Place: 1329 Building, Room 4150
Executive Sponsor group for health insurance, Wednesday, January 18, 2012
Start time: 8:00 am
Place: Executive Conference Room, 2nd floor of the South Tower
Health Insurance steering committee, Thursday, December 8, 2011
Start Time: 4:00 p.m.
Place: 1329 Building, Room 1123
Faculty and Staff Benefits Committee Tuesday, November 8, 2011
Start Time: 8:30 a.m.
Place: VP Conference Room, 2nd floor HRS Building, 903 W. University Avenue.