(Revised October 2003) Section 6.A

Section 6.A -- Employee Insurance Coverage


Employee Medical and Dental Insurance Benefits

P & S Staff

Medical and dental insurance for professional staff is offered through the ISU Plan. The ISU Plan includes four medical insurance options: the ISU HMO, ISU PPO (Preferred Provider Organization), and ISU Indemnity plans. Two dental coverage options are included in the ISU Dental Plans. For more information, call the phone numbers listed with the specific plans (those numbers are toll-free and hours are based on Central Time) or call the ISU Benefits Office at 515-294-7680.

Questions about the ISU HMO Plan

Customer service & Preauthorization: 1-800-322-7451; 8 a.m. to 5 p.m., Monday - Friday.

Questions about the ISU Indemnity and ISU PPO plans

Customer service and pre certification: 800-494-4478; 7:30 a.m. to 5 p.m., Monday -Friday; pre certification is available 24 hours a day, seven days a week.

Questions about the ISU Dental Plans with Delta Dental

Customer service: 800-544-0718; 7:30 a.m. to 5 p.m., Monday - Friday.

Location of insurance forms in office:______________________________________

 

Merit Staff

Medical insurance for Merit Staff is provided through Wellmark Blue Cross/Blue Shield. There are two options for merit staff: Wellmark BC/BS Program III Plus or Wellmark BC/BS Iowa Select. There is only one dental coverage, which is provided by Delta Dental. For more information, call the phone numbers listed with the specific plans (those numbers are toll-free and hours are based on Central Time) or call the ISU Benefits Office at 515-294-7680.

Questions about the Program III Plus or the Iowa Select Plans

Customer service: 800-622-0043; 7:30 a.m. to 5 p.m., Monday - Friday.

Wellmark Blue Cross/Blue Shield
636 Grand Avenue
Des Moines, Iowa 50309-2565

Questions about theDental Plan with Delta Dental

Customer service: 800-544-0718; 7:30 a.m. to 5 p.m., Monday - Friday.

Location of insurance forms in office:______________________________________

 

County-Based Office Assistants and Program Assistants

There is no university health care plan for these staff members. If county extension councils choose to provide health insurance, they have the option of purchasing insurance locally or participating in the county plan. If the county extension council decides to compensate an employee with a set dollar allocation for individual purchase of medical/dental insurance, that dollar allocation is subject to state and federal withholding. (Allocation is considered part of gross salary.) IAOCEC insurance is not yet available.

 

Participation in County Employee Insurance Plans

The following chapter in the Iowa Code authorizes county extension employees to participate in county medical insurance programs if the extension council elects to make medical coverage a benefit.

IOWA CODE

331.324 Duties and powers relating to county and township officers and employees.

#5

If a board* provides group insurance for county employees, it shall also provide the insurance to a full-time county extension office assistant employed in the county, if the county is reimbursed for the premium by the county extension district.

(*county board of supervisors)

County Insurance Plans

A sample form to use in recording county plans might use the following format:

Medical:________________________________

Company ________________________________

Address ________________________________

Agent ________________________________

Coverage ________________________________

_______________________________________

_______________________________________

Cost ________________________________

Employee pays ________________________________

Employer pays ________________________________

Staff covered ______________________________________

__________________________________________________

Dental:

Company ________________________________

Address ________________________________

Agent ________________________________

Coverage ________________________________

_______________________________________

_______________________________________

Cost ________________________________

Employee pays ________________________________

Employer pays ________________________________

Staff covered ______________________________________

__________________________________________________

Location of insurance forms in office:______________________________________

Section 6.A Return to top


Accident Insurance

Accident insurance for youth, volunteer leaders, and adults participating in adult supervised activities, sponsored by the Cooperative Extension Service can be purchased from American Income Life Insurance Company. It includes three plans for coverage at camps, conferences, fairs, tours, meetings including travel time.

The company offers a "Dollar-A-Year" club policy. This can be purchased to cover 4-H club members and leaders. The use of the above plan is up to each individual county.

American Income Life Insurance Company
P.O. Box 50158
Indianapolis, Indiana 46250
Telephone (317) 251-0199

Location of insurance forms in office:______________________________________

Section 6.A Return to top


Worker's Compensation Insurance

Staff paid through Iowa State University

The Iowa Worker's Compensation Act covers all university employees while on official duty. The employee makes no payment for this coverage. Any personal injury sustained by an ISU employee in the line of duty should be reported immediately to the Extension Finance Office on the First Report of Injury Form. The university hospitalization plan will not pay claims for accidents in which the employee is eligible for Worker's Compensation.

Additional information may be found in the Office Procedure Guide or Joni Ward in the Risk Management Office, 1350 Beardshear Hall, ISU Campus, Ames, Iowa, 515-294-5315.

Field staff injured on job should immediately contact Bill Bogue at the Extension Fiscal Office, 2280 Beardshear Hall, 515-294-1600.

___________________________________

Quick Facts About Workers Compensation
And Job-Related Injuries And Illnesses

Iowa State University
Office of Risk Management


What is Workers Compensation? What types of injuries or illnesses are covered?
Workers Compensation is a part of the Iowa Code designed to provide certain benefits to employees who sustain injuries, occupational illnesses or occupational hearing loss in the course of and arising out of their employment. Benefits are administered according to Iowa law (Iowa Code Chapters 85 through 87, 27A and Chapter 873 of the Iowa Administrative Code).

Where should I go for medical treatment?

  • Injuries that are life threatening should receive immediate medical attention. Call an ambulance by dialing 911 and notify your supervisor as soon as possible if they are not already aware of the situation.
  • Injuries or illnesses that are non life threatening should be reported to your supervisor who will call to arrange medical care at:

Occupational HealthWorks, McFarland Clinic, P.C.
1215 Duff Avenue
Ames, IA 50010
For appointments call: (515) 239-4496

How do I report an accident, injury or illness?
Contact your supervisor, who will fill out a First Report of Injury Form. NOTE: The completed First Report of Injury Form is to be sent or faxed to the Office of Risk Management at 1350 Beardshear within 24 hours of the incident reporting. (FAX 515-294-1621 to the attention of the Claims Administrator)

How do I decide if an injury or illness should be reported to Risk Management?
All accidents and injuries occurring at work or in the course of employment must be reported to your supervisor, even if no medical attention is required. The supervisor is responsible for completing a First Report of Injury form and submitting it to Risk Management. Incidents that are not reported may cause employees to be ineligible for future benefits related to this injury or illness.

An injury or illness is considered work-related for OSHA reporting purposes if an event or exposure in the work environment caused or contributed to a condition or significantly aggravated a pre-existing condition. This includes injuries while the employee is on break, in the restroom, traveling on business or engaged in work activities such as training required by the employer.

What if I have questions?
If you have questions or need more information on workers compensation or job related accidents, injuries or illnesses, contact the ISU Office of Risk Management at (515) 294-7711.

Office of Risk Management
Iowa State University
1350 Beardshear Hall
Ames, Iowa 50011-2038
515-294-7711
FAX 515-294-1621

___________________________________

County-Paid Staff

There continues to be no medical coverage with the county's liability policy for county employees (employees solely paid by county tax dollars), they are covered by Workers Compensation. The same procedure should be followed as outlined in "Professional Staff" on the previous page should injury occur. County Paid Staff should contact Extension Fiscal Office at 515-294-1600 or Knapp-Tedesco at 1-800-798-7060.


Section 6.A Return to top

Table of Contents | Index | Next Section | Previous Section |

Revised October 14, 2003. Content questions? Ask the experts.
Comments or suggestions? Contact the
committee, (e-mail: ofcguide@iastate.edu)