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2025 Medical Plan Summaries:

• HDHP 3500/7000Ìý
• HDHP 1800/3600Ìý
  
• SB 40-1000Ìýw/ $7 generic Rx

Questions on your coverage?Ìý Contact Excellus Customer Service at 800-499-1425 or the Benefit Resource Center at 855-874-6699.

Did you know?ÌýAll of our plans cover Preventative Services in full.Ìý What is a covered Preventative Service?

2025 Summaries of Benefits and Coverage:

• Summary of Benefits & Coverage HDHP 3500/7000
• Summary of Benefits & Coverage HDHP 1800/3600
• Summary of Benefits & Coverage SB 40-1000

Benefits, co-pays, deductibles, and out-of-pocket costs vary by plan option and tier. Employees may elect coverage for themselves and eligible dependents.Ìý

A Health Savings Account (HSA) is a special type of bank account designed to help employees to set aside pre-tax dollars to pay for out of pocket medical, dental and vision expenses.Ìý Employees can change how much they contribute throughout the year.Ìý Unused funds carry over from year to year and are portable.

Annual Contribution Limits for 2025

• Single: $4,300
• Family: $8,550
• Catch up contribution (for employees over age 55): additional $1,000 annually

Health Care Account:

• Allows you set money aside each year tax-free to get reimbursed when you have out-of-pocket health expenses for yourself, your spouse and your dependent children.
• Annually, you can set aside up to $3,300
• Due to federal regulations, any unused funds remaining in your account at the end of the plan year will be forfeited.

Dependent Care Account:

• Allows you to set money aside each year for day care, babysitting, nursery school and day camp expenses you incur so that you and your spouse can work.
• Allows you to set aside as much as $5,000 each year if you are single or you are married and file a joint tax return. If you are married and file a separate tax return, you may set aside as much as $2,500 each year.
• Due to federal regulations, any unused funds remaining in your account at the end of the plan year will be forfeited.

The University offers a vision insurance plan that includes routine eye exams and equipment (lenses, frames, contacts, etc.). Employees may elect coverage for themselves and eligible dependents. The plan is administered by EyeMed.

2025 Vision Plan Summary:

• EyeMed Benefit Summary

Additional Information:

University Paid & Voluntary Life Insurance

Long Term Disability (LTD) InsuranceÌý- University Paid and Buy-Up

Aflac Cancer Protection Plan