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PT Faculty>Health Insurance

Group Health Insurance for Part-Time Faculty

Part-time faculty who teach half-time or more in a year (usually 24 credit hours) become eligible for group health insurance coverage the following academic year. Group health insurance enrollment is on an annual basis for the academic year. You may skip one term of teaching in that year and still receive the monthly employer contribution to your coverage (however, make sure you pay the employee contribution of the premium amount).

If you are eligible for group health insurance coverage, you will receive an enrollment package from the college. The group insurance enrollment period is typically from August 15 to September 15. You must select a policy, or if you have other coverage, you can waive the PCC group health insurance coverage. If you do not waive the PCC coverage, you will be enrolled in the high deductible plan and charged for the monthly employee contribution to that policy for the entire year.

Click here for more information on paying the employee contribution during summer break.
For Frequently Asked Questions about the new group health plans, click here.

Health Insurance Reimbursement

Part-time faculty who are not eligible for the group plans may still get reimbursed for purchasing their own private health insurance policies or paying for a policy available from a spouse’s plan. Part-time faculty are eligible for a reimbursement for health insurance costs if they have taught 3 out of the 4 last terms, for at least 0.4 FTE (usually 2 classes) in one of those terms. See the online application link below for additional provisions and for eligibility for purchasing through a spouse's coverage. Part-time faculty who work over 1.5 FTE in a year (24 lecture credits) receive access to the PCC group insurance plan and are not eligible for the reimbursement.

The reimbursement plan has limited funding and does not cover vision or dental insurance. The reimbursement comes out of a fund of $34,800 annually. The reimbursement checks are issued after each term.  The amount of the checks depends on the number of applicants for a particular term.

For the current reimbursement application (including rules for eligibility), click here.

Purchasing Health Insurance

Click on the health insurance companies below for information on private policies from :
ODS (Also a PCC group insurance provider)
Kaiser/Permanente (Also a PCC group insurance provider)  
Lifewise

Or try an insurance broker. The companies pay the fee, not you.
ehealth insurance
life and health

Do a google search for “health insurance” and you will find many brokers.

Frequently Asked Questions
Group Health Insurance for Part-Time Faculty
Updated June 2008

Who is eligible?

Part-Time faculty who have taught at least a half-time workload, that is, 1.5 FTE, in a school year. You establish eligibility the year prior to your coverage. For example, part-time faculty who have taught 1.5 FTE from fall 2008 through summer 2009 will receive coverage from the group health insurance plans the following year, from fall 2009 through summer 2010.

How much coverage can I get?

The college will contribute $260 a month towards your premium. The remainder of the premium has to be paid by you. There are three plans available from ODS and one from Kaiser. One plan, the ODS Plan 8, has monthly premiums that begin at only about $307. In that case, the college would pay $260, and the instructor would pay the remaining $47.

What is FTE?

Full-time equivalency is the system for tracking workload. A full-time instructor teaches 1.0 FTE per term for a total of 3.0 FTE per year. Your FTE is on your Faculty Assignment Notice (FAN).

You can calculate your FTE by multiplying the workload factors below by the number of lecture, lecture/lab, and/or lab hours assigned to your class.

Lecture 0.068
Lecture/Lab 0.054
Lab 0.046

For example, a 4 lecture hour class would be 0.272 FTE:
4 X 0.068= 0.272 FTE

A combined 3 lecture hour and 2 lecture/lab hour class would be 0.312 FTE:
3X 0.068= 0.204
2X 0.054= 0.108
Total: 0.312

I taught half-time the previous school year, but I am teaching less than half-time now. Do I still stay covered the entire school year?

Even if you go below half-time, the college will continue paying the $260 monthly employer contribution towards your policy. The college will also continue the $260 monthly employer contribution for up to one term that you are not teaching at all. If you continue not to teach, you will have to cover the full cost of the premium for subsequent terms.

I have purchased my own health insurance and was getting the reimbursement from the union. Can I still continue to do that?

Not if you qualify for the group plans. The reimbursement trust fund now totals $34,800 a year. This is intended as a reimbursement trust for those who fall under the annual 1.5 FTE threshold for the group plans.

How do I continue my coverage in pay periods when I don't receive a paycheck, for example, summer break?

If you are covered by group insurance for the school year, make sure your premiums get paid when you are not teaching. If you do not pay your share of the monthly health insurance premium, then your coverage will be cancelled and your bills will go to the collections department.
Click here for more information on paying the employee contribution during summer break.

 

Part-Time Faculty Insurance Payment System for Summer Term

 

f you are currently enrolled in the college group health insurance plans, you will have to make sure your payments to your group health insurance policy are made during any months you don't receive a bi-weekly paycheck.  This means if you are teaching a shorter term this summer, or not teaching at all this summer, you will have to make payments toward your health insurance premiums.

Our agreement with the college calls for them to continue to pay the employer contribution of $250 per month for up to one term in which a teacher is not teaching, which for many will be summer term.  However, you will still be responsible for paying the remainder of your health insurance premiums above the $250 monthly cap. 

 

The college has set up an online payment system for employee contributions to health insurance, using the same system that students pay their tuition and other bills with (scroll down for the steps below).  Although we requested a pay-in-advance plan, where faculty could make one payment to cover all of the summer term, HR maintained that payments could only be made on a monthly basis.  If you miss a payment for employee contribution, the college will cover it, but they will then send any unpaid bills to a collections agency. 

We hope to further improve the system of part-time health benefits, particularly during our upcoming round of negotiations starting in fall.  It is important that everyone who is eligible for a group health insurance plan at the college, whether you are accessing coverage or waiving it, look closely at the information you receive from HR this summer.

 

How to Make Online Payments for PT Health Insurance

Step 1: Login to MyPCC, click on the College Business tab then select the PCC-Pay link. 

Step 2: Use the navigation bar in PCC-Pay to view the account balance or make a payment

Step 3: Select your payment type

Step 4: Enter payment information and submit.  A confirmation will be returned to the employee and a payment confirmation will be sent to his or her MyPCC email address.

 

Comparison of PCC Health Insurance Plans Available to Part-Time Faculty for 2008

(This information is only a guide. Use the official enrollment packet information from Human Resources for complete information).

Attention: The information below is for informational purposes. See your enrollment packet for details and possible modifications before you make a final decision.

The enrollment period will begin in November, when eligible faculty will receive an enrollment packet mailed to their home addresses. For specific questions about the policies, you can contact a benefits representative at that time.

The Faculty Federation will be receiving FTE totals for part-time faculty some time in October. We will notify those who are on (as well as not on) the eligible list. Contact us if you have any questions—it is important that any issues are resolved before the enrollment deadline ends. 


Benefit Features Regence BlueCross BlueShield Plan A100 Regence BlueCross BlueShield Preferred Provider Plan (PPO) Regence BlueCross BlueShield Plan C1000 Kaiser
(Part-Time Plan)
Where to receive routine services You may see any licensed provider. There may be some savings in seeing a Participating Provider (PAR). You may see any licensed provider, but for benefits to be paid at the higher rate, you must see a provider in the Preferred Provider Plan (PPP) network. You may see any licensed provider. There may be some savings in seeing a Participating Provider (PAR You must receive services from Kaiser providers.

Lifetime Maximum

$2,000,000

$2,000,000

$2,000,000

 

Annual Deductible

$100 per person

$300 per family

PPO

$100/person

$300/family

Non-PPO

$200/person

$600/family

$1000 per person

$3000 per family

$250/Individual

$750/Family

Amount paid after deductible is met

80%

90%

70%

80%

Emergency room: waived if admitted

Urgent care: $15 copay after deductible

Annual maximum out-of-pocket (includes deductible)

$1,100 per person

$2,300 per family (excludes prescriptions)

$600/person (excludes prescriptions)

$1,700/person (excludes prescriptions)

$3,000 per person

(excludes prescriptions)

$2,000 per person

$6,000 per family

Amount paid after out of pocket max. is met each calendar year

100%

100%

100%

 

Preventative Services

(Deductible is waived)

(Deductible is waived)

(Deductible is waived)

 

Well-baby to age 2 (maximum allowance does not apply)

100%

100%

100%

No charge age 0-2

Immunizations (maximum allowance does not apply)

100%

100%

100%

 

Women's exam includes Pap and mammogram

100%

100%

100%

$15 copay per visit (co-pay waived for pre-natal visits)

Routine physical exams

100%

100%

100%

$15 copay per visit

Maximum allowance per calendar year (applies only to routine physicals and related tests)

$500 per person (according to frequency schedule)

$500 per person (according to frequency schedule)

$500 per person (according to frequency schedule)

 

Physician Services

Office visits

80%

90%

70%

80%

$15 copay per visit

Lab and X-Ray

80%

90%

70%

80%

$10/lab visit

$10/X-Ray or test

Surgery

80%

90%

70%

80%

 

Complementary Care

Naturopathic, Chiropractic** Acupuncture (limits apply)

80%

80% - There are no in network providers

80% - No Naturopathic coverage

No coverage for chiropractic or alternative care

Hospital Services

Inpatient, semi-private room

80%

90%

70%

Inpatient: 80%

Inpatient and residential mental illness/chemical dependency

80%

90%

70%

 

Outpatient Surgery

80%

90%

70%

Outpatient: 80%

Emergency room care for emergency

$100 co-pay (waived if admitted); then 80%

$100 co-pay (waived if admitted); then 90%

$100 co-pay (waived if admitted); then 70%

80% (waived if admitted)

Ambulance

80%

80%

80%

 

Inpatient, semi-private room

80%

90%

70%

 

Prescription Coverage

Coinsurance/copay

Generic - $10 copay

Preferred brand name - paid at 80% (See the Regence website for information on preferred brand names)

Non-preferred brand name - paid at 50%

Mail order available

Generic - $5 co-pay,

Non-generic - $15 co-pay

Two co-payments per 90 day supply

Prescription out of pocket limit

$1,000 per member per calendar year; then 100%

 
 

Premiums

 

Employee Only

Employee + 1

Employee + Family

Regence BCBS -
Plan A100

$413.40

$947.90

$1110.45

Regence BCBS -
PPO

$389.50

$904.85

$1070.05

Regence BCBS -
Plan C1000

$276.50

$637.10

$752.20

Kaiser Permanente
(PT Faculty Plan)

$368.08

$846.58

$993.82




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