Benefits

State and School Employees’ health insurance claims are administered through Blue Cross and Blue Shield of Mississippi. All employees hired before January 1, 2006 are considered legacy employees. The employer pays 100% of the cost of the employee’s health insurance premiums (base coverage.) All employees hired after January 1, 2006 are considered horizon employees. The employer pays 95% of the cost of the employee’s premium depending on the deductible chosen.

Participants age 18 and older may complete an HQ health risk assessment and receive a personalized wellness plan and access to online lifestyle improvement programs. Participants are no longer required to complete the assessment in order to receive covered wellness/preventive services. A complete list of covered wellness/preventive services can be found at the Plan’s website under Wellness/Preventive coverage.

Plan Website: knowyourbenefits.dfa.ms.gov

To complete your HQ, go to www.myactivehealth.com/mississippi . If you do not have internet access, you may contact ActiveHealth Management at 866-939-4721 to request a paper copy or to complete the assessment by phone.

Dental Insurance claims are administered through Citizen's Security Life Insurance Company. In certain cases, the plan pays 80% of the employee's cliams. a $50 per calendar year deductible must be met. The group number for the plan is 6766.

12-months current rates	12-months renewal rates
Employee: $28.25	Employee: $29.38
Employee+1: $55.17	Employee+1: $57.38
Family: $87.76	Family: $91.27

9-months current rates	9-months renewal rates
Employee: $37.67	Employee: $39.17
Employee+1: $73.56	Employee+1: $76.51
Family: $117.01	Family: $121.69

Group Life Insurance claims are administered through Minnesota Life Insurance Company. The employer pays 50% of the premium. There is a minimum of $30,000 and a maximum of $100,000 coverage.

https://web1.lifebenefits.com/grppd/StateOfMS010732/PlanOverview.do

Vision insurance claims are administered through Davis Vision, a division of Citizens Security Life Insurance Company.

Contact Information:

Citizens Security Life Insurance Company
12910 Shelbyville Road
Louisville, KY 40243

Locate Provider:
1-800-999-5431
www.mycsbenefits.com

Claims and Benefits Info:
1-800-843-7752
or visit www.citizensgroup.com

Employee Cost: Diamond Plan

Employee Cost: Standard Plan

Public Employees’ Retirement System of Mississippi

The State Retirement Plan offers a liberal retirement plan; the employee contributes 9% of gross salary or wages and the employer contributes 17.40% of gross salary or wages per pay period. You can access the website at www.pers.ms.gov

Optional Retirement Plan

Eligible employees are able to make an alternate choice in retirement plans; employee contributes 9% gross salary and the employer contributes 17.40% of which 14.7510% goes to the employee’s account and 2.649% goes to PERS to supplement the unfunded accrued liability of PERS.

Annuity Plans

Investing for the future is one of the wisest choices you can make during your employment. Alcorn offers a number of Tax Sheltered Annuity (TSA) providers and employees can select the best plan to meet your needs. To make contacting your preferred vendor convenient, please review the list of approved TSA providers below.

Approved TSA Providers

Contact information for the companies that administer various insurances offered to employees through payroll deduction are listed below. If you have questions about your coverage, or want to learn more about the companies, feel free to use the contact information below.

American Family Life Assurance Company of Columbus

Worldwide Headquarters Columbus, Georgia 31999

1-800-992-3522 or www.aflac.com

Colonial Life and Accident Insurance Company

P. O. Box 1365
Columbia, SC 29202-1365

Policy Holder Service Center:
1-800-325-4368 or http://www.coloniallife.com

Cafeteria Plan-Administered by Southern Administrators and Benefits Consultants, Inc. (SABC)

Allows the employee to pay for certain qualified benefits using tax free dollars set aside from their earnings before income and social security taxes are deducted. If you any questions, please contact SABC at 601-856-9933 or toll free at 1-800-844-2555. You may also contact Human Resources Management. www.sabcflex.com

LegalShield

Representative: Karen McDowell

• http://www.legalshield.com/info/alcorn
• legalshieldassociate.com/karenmmcdowell

1-800-867-0030
601-720-7270

Lincoln Financial Group (Voluntary Life Insurance with Accidental Death and Dismemberment (AD&D)

www.LincolnFinancial.com

Manhattan Life

10777 Northwest Freeway
Houston, TX 77019

www.manhattanlife.com

Modern Woodmen of America

1701 1st Avenue
Rock Island, IL 61201
1-800-447-9811

Representative: Kenneth McGriggs
601-529-2757

www.modernwoodmen.org

New York Life Insurance Company

4780 I-55 N. Frontage Road
Suite 200
Jackson, MS 39211

1-601-321-1028
www.newyorklife.com

• Direct Deposit (Available to all employees)
• Tuition Remission (Employees and eligible dependents may take up to 6 semester hours per semester.)
• Sick, Vacation and Administrative Leave (Liberal plan of accrual of sick and vacation hours; administrative leave for some other type absences, i.e., jury duty, poll-worker, etc.)
• Official Holidays (Fifteen (15) holidays per calendar year.)
• Worker’s Compensation Coverage (Coverage for expenses associated with on-the-job injuries.)
• Health Services Center (Routine and minor health care services are available.)
• Rental of On-Campus Housing (Housing is available to employees on a limited basis.)

ORP Form 4E Enrollment Form

PERS Form1B Beneficiary Form

PERS Membership Application

Dental and Vision Insurance Enrollment Form

Davis Vision Claim Form

Dental Claim Form

BCBS Health Coverage Application

Life Insurance Enrollment Form

Cancellation Form