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Total Rewards forms and guides

Browse Forms and Guides or filter by topic, audience, or program.

Audience
Program
Topic
Document Type
 
Name/Description File type
2017 Benefits Guide (benefits guide for the 2017 calendar year)

A brief overview of the many benefits that comprise faculty and staff members’ total rewards package.

PDF
2017 benefits premiums

The 2017 benefits premiums are found within the 2017 Total Rewards guide.

PDF
2018 Benefits Guide (benefits guide for the 2018 calendar year)

An overview of the many of the insurance benefits enrollment process.

PDF
2018 benefits premiums

The 2018 benefits premiums are found within the 2018 Insurance Benefits guide.

PDF
2018 comparison charts

The 2018 medical plan comparison chart can be found as part of the 2018 Insurance Benefits guide.

PDF
Custom Network Plan slicksheet

One-page summary of the Custom Network Plan offered by University of Missouri System.

PDF
Flexible Spending Account slicksheet

One-page summary of the Flexible Spending Accounts offered by the University of Missouri System.

PDF
Health Savings Account slicksheet

One-page summary of the Health Savings Account offered by the University of Missouri System

PDF
Healthy Savings Plan slicksheet

One-page summary of the Healthy Savings Plan offered by UM System.

PDF
PPO Plan slicksheet

One-page summary of the PPO Plan offered by the University of Missouri System.

PDF
Vision slicksheet

One-page summary overview of the university Vision Plan.

PDF
2017 comparison charts

The 2017 medical plan comparison chart can be found as part of the 2017 Total Rewards guide.

PDF
Dental slicksheet

One-page summary overview of the university Dental Plan.

PDF
Tiered PPO Plan - UMKC - Summary of benefits and coverage (SBC) for calendar year 2018

For employees at UMKC: Summary of benefits and coverage document (SBC) for the PPO Plan (with tiered feature) for 2018.

PDF
Affordable Care Act

No forms or guides are associated with the topic “Patient Protection and Affordable Care Act.” However, more information on PPACA is available on the Affordable Care Act page.  You may also read several FAQs related to the PPACA.

Other
COBRA participant information

Some COBRA information in outlined in the Benefits Guide for COBRA Participants, however, most information is provided on the COBRA Participant Information webpage.

Other
Diabetes

No forms or guides are associated with the topic “diabetes.” However, the coverage for diabetes page offers information on obtaining diabetic supplies under your medical insurance plan or your prescription drug plan.

Other
Military leave

No forms or guides are associated with the topic “military leave”. However, you will find more information on options for university benefits available during a military leave of absence on the military page.  

Other
University of Missouri Educational Assistance Form for Retired Employees (UM 177)

Form (as Excel spreadsheet) for eligible retirees to receive university tuition assistance. Locate Form 177 on the Human Resource Forms webpage.

Excel
Accessing the EyeMed phone app

A guide for accessing the EyeMed Members App with a few simple steps.

PDF
EyeMed Insight Plan D discount program

Beginning in 2018, EyeMed is the administrator of the University of Missouri Vision Insurance Plan. Even if you aren’t enrolled in the insurance plan for 2018, you can take advantage of the EyeMed Insight Plan D discount program. This discount option is only available to employees and their family if no one in the family is enrolled in the full service vision plan.

PDF
Registering on EyeMed.com

A guide detailing how to register online at EyeMed.com.

Excel
Snapshot of EyeMed Vision Coverage

An overview of EyeMed vision coverage for the 2018 plan year.

PDF
2017 preferred drug formulary - Custom Network, Healthy Savings, PPO, and Retiree Health PPO plans

Drug formulary (list of covered drugs) from Express Scripts for the 2017 calendar year for the following university medical insurance plans: Custom Network Plan, Healthy Savings Plan, PPO Plan, and Retiree Health PPO Plan.

PDF
2017 preferred drug formulary - Medicare Advantage Base and Enhanced plans

Drug formulary from Express Scripts Medicare, current as of August 22, 2016. This list of covered drugs is for these university group Medicare insurance plans: Medicare Advantage Base Plan (plan #13759) and Medicare Advantage Enhanced Plan (plan #13760).

PDF
2017 Specialty drug list

2017 calendar year Specialty Drug List from Accredo, an Express Scripts Company, regarding maintenance medications for active employees with the Custom Network Plan, Health Savings Plan, or PPO Plan. This list also covers retirees with the Healthy Savings Plan or Retiree Health PPO Plan, with Rx.

PDF
2017 COBRA Benefits Guide

A brief overview of the benefits available to COBRA participants for calendar year 2017.

PDF
Custom Network Plan: Columbia Coverage Map

Nine counties in which an employee must live and/or work to be eligible for the Custom Network Plan: Columbia.

PDF
Custom Network Plan: St. Louis Coverage Map

Twenty-four counties in which an employee must live and/or work to be eligible for the Custom Network Plan: St. Louis.

PDF
Health4Me smartphone app

This PDF shows you how to easily access your health care information and tools to help estimate costs, manage claims, and find providers with the Health4Me smartphone app from UHC.

PDF
Long Term Disability absence reporting brochure

If you are absent or expect to be absent from work in excess of 149 calendar days due to sickness or accidental injury, you must report your absence. This guide from MetLife explains the process of reporting long-term absences.

PDF
myNurseline from UHC

Use this PDF as a guide to myNurseline, which helps you make smart health care decisions with immediate telephone and online access to experienced registered nurses.

PDF
Rally from UHC

This PDF serves as guide to Rally, an online experience that makes it easier for you to eat better, move more, and complete activities that help improve your health.

PDF
Registering on myUHC.com

Use this PDF for step by step instructions on how to register at myUHC.com where you will find the answers to your health and benefits questions and the information you need in one easy-to-use, convenient location online.

PDF
UHC Health Discount Program

Learn about this program that helps you and your family save typically 10 to 25 percent on many health and wellness purchases not included in your standard health benefit plan.

PDF
UHC myHealthcare Cost Estimator

Quickly and easily estimate your health care costs with this guide from UHC.

PDF
VSP Vision Care for Life

Overview of vision insurance provided via VSP to University of Missouri System employees, retirees, and dependents

PDF
VSP Vision Savings Pass

A discount vision program that offers immediate savings on eye care and eyewear. This is not an insurance plan.

PDF
Where should I go for care?

Use this gudie from UHC to help you choose the right care center.

PDF
Annual Enrollment Performance Report 2016

Results of the 2016 Annual Enrollment process for active employees, conducted from October 19 to October 30, 2015.

PDF
Annual Enrollment Performance Report 2017

Results of the 2017 Annual Enrollment process for active employees, conducted from October 17 to October 28, 2016.

PDF
Individual Stress and Wellness

What is stress? This document provides an overview.

PDF
Budget Worksheet

Worksheet for budgeting your monthly budget and comparing them to actual expenditures

Word
Coping with Death, Grief, and Loss

What is grief? This document provides an overview and guidelines for resolving it.

PDF
Non-Essential Expenditures

Template for calculating non-essential expenditures to help improve your financial health

Word
Principles and Techniques of Effective Communication

A tip sheet from the Employee Assistance Program containing principles and techniques to promoting effective communication and being an effective communicator.

PDF
Annual Enrollment Performance Report 2015

Results of the 2015 Annual Enrollment process for active employees, conducted from October 20 to October 31, 2014.

PDF
Creditable coverage notice for university-sponsored Medicare Advantage Plans with Rx coverage

The University of Missouri System has determined that the prescription drug coverage offered in conjunction with the University-sponsored Medicare Advantage (Base or Enhanced) Plans are, on average for all plan participants, expected to pay out as much as the standard Medicare Part D prescription drug coverage will pay and is therefore considered Creditable Coverage. Because your existing coverage is Creditable Coverage, you can keep this coverage and not pay a higher premium (a penalty) if you later decide to join a Medicare drug plan.

PDF
Medical and Dental Benefits Plans notice of privacy practices

This notice of privacy practices describes how health information about employees may be used and disclosed and how individuals can access to this information.

PDF
Non-creditable coverage notice for university-sponsored Medicare Advantage Plans with no Rx

The University of Missouri System has determined that the prescription drug coverage offered by the University-sponsored Medicare Advantage (Base or Enhanced) Plans–no Rx is, on average, NOT expected to pay out as much as the standard Medicare Part D prescription drug coverage will pay and is considered Non-Creditable Coverage. This is important because, most likely, you will get more help with your drug costs if you join a Medicare drug plan. This also is important because it may mean that you may pay a higher premium (a penalty) if you do not join a Medicare drug plan when you first become eligible.

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