AD&D Plan
Adoption Assistance
Counseling
Delta Dental and VSP
Vision Plan
Delta Dental and VSP
Vision Plan: GA/Fellow
SEBF Dental and Vision Plan
Discounts - SU Faculty
and Staff
Flexible Spending Account:
Dependent Care
Flexible Spending Account:
Health Care
Home and Auto Insurance
Leaves, Faculty
Leaves with Pay, Staff
Leaves without Pay, Staff
Life Insurance Plan
Long-term Care Insurance
Long-term Disability Plan
The Standard
Medical Plan & Prescription
Drug Options for Employees
and GA/Fellow
Paid Time Off
POMCO
Retirement Plan/TIAA-CREF
Tuition Benefits: Dependent
Tuition Benefits: Remitted

Benefits

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Delta Dental and VSP Vision Plan

All benefits-eligible employees have the option of Delta Dental insurance with or without the Vision Service Plan (VSP).

Benefits-eligible Service Employees International Union (SEIU) Bargaining Unit employees have the option of Service Employees Benefit Fund (SEBF) Dental insurance with or without the SEBF Vision Plan.

Delta Dental Plan

SU offers two subsidized dental options through Delta Dental for all benefits-eligible employees: the Preventive Plan and the Comprehensive Plan. Coverage may also be purchased for dependents.

• The Preventive Plan covers specified diagnostic, preventive, and Temporomandibular Joint Dysfunction (TMJ) services.

• The Comprehensive Plan covers a percentage of specified diagnostic, preventive, TMJ, basic and major restorative, oral surgery, endodontic, periodontic, and prosthodontic services.

Both plans are fully insured point-of-service plans with three levels of coverage depending on the dental provider:

• If the dentist participates in the DeltaPreferred Option network, co-insurance is at the lowest level.
• If the dentist participates in the DeltaPremier network, services fall under a second level, with generally higher co-insurance.
• If the dentist does not participate with any Delta Dental network, services fall under a third level with generally the highest level of co-insurance required.

Enrollment in the Delta Dental Plan is a two-year commitment.

Delta Dental and VSP Vision Plan

You must be enrolled in one of the two Delta Dental plan options (described above) in order to be enrolled in the VSP Vision plan. Vision is not available as a separate option.

For specific information on allowances see VSP Allowances & Co-payments.

Enrollment in the combined Delta Dental and VSP Vision program is a two-year commitment.

Contributions

• Most premiums are paid through pre-tax payroll deduction.
• Qualified same-sex domestic partner premiums are paid on an after-tax basis.
• SU contributes $100 per employee towards dental coverage. If you waive all dental coverage, SU will contribute $100 to a Health Care Flexible Spending Account.

Delta Dental With or Without VSP Vision Rates
2009 Monthly Rates*	Delta Dental Preventive Plan	Delta Dental Preventive Plan Plus VSP Vision	Delta Dental Comprehensive Plan	Delta Dental Comprehensive Plan Plus VSP Vision
Employee	$    8.98	$  13.66	$  29.89	$  34.57
Employee +1	$  25.48	$  34.85	$  67.49	$  76.86
Family	$  37.50	$  52.58	$105.96	$121.04

* Rates listed here are based on the 12-month calendar year. Actual deductions from each
  paycheck will vary depending upon your deduction cycle.

Helpful Links

• Benefit Vendor Newsletters
• COBRA Participant Aid Information
• Student Certification Process

Delta Dental

• Delta Dental Preventive Plan
• Delta Dental Comprehensive Plan
• Delta Dental

VSP

• VSP Allowances and Co-payments
• VSP
• VSP Providers

EBS-RMSCO

• Health Care Flexible Spending Account

Questions? Contact the HR Service Center at 443-4042 or e-mail hrservic@syr.edu.

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The web pages summarize your Syracuse University benefit options. Every effort has been made to ensure this information is accurate. However, the programs are governed by legal documents and insurance contracts. If there is any difference between the information on these web pages and the official documents and contracts, the official documents and contracts will rule. Our benefits are governed by current laws and operated according to Internal Revenue Service (IRS) regulations. We will notify you if changes in plans are necessary to comply with the law or with IRS regulations.

Employees electing to participate in the SU benefit plans are bound by the terms of the governing Plan documents. If you have any questions regarding the plans, you may request a copy of the Plan document from the Plan Administrator by contacting the HR Service Center at the number indicated at the end of this page.

As is the case with all benefits offered by SU, (1) the Plan Administrator has the discretionary authority to interpret the terms of the Plan and such interpretation will be binding on all interested parties to the fullest extent permitted by law, and (2) the University reserves the right to modify or terminate the Plan at any time.