Frequently Asked Questions
How does the Unitarian Universalist Association (UUA) health plan work?Unlike most health plans offered by commercial insurance carriers, the UUA plan belongs to the UUA itself. The UUA Employee Benefits Trust owns and operates the plan on a non-profit basis to benefit the participants.
Religious bodies strive to be mutually supportive and share in each other's burdens. The UUA health plan makes it possible for us to do this in a much needed and tangible way.
Who will be eligible to enroll?
Ministers, staff members, interns in candidate status,
(whether paid or unpaid), or other employees of UU organizations who work at
least 750 hours per year may enroll, plus self-employed UU community ministers
and community ministers who work for an organization that does not offer health
benefits. We cannot accept applicants who work fewer hours per year, persons who
are volunteers, or members of congregations who are not on the paid staff.
Will I have to prove insurability in order to enroll?
We will have an open enrollment from November 1 to November
30, 2007. All eligible employees who missed the last open enrollment, or who did
not enroll when they were hired or expanded their hours during 2007, or who did
not enroll eligible dependents, have the opportunity to enroll during the open
enrollment period, with no evidence of insurability requirement and no exclusion
of pre-existing conditions. In addition, all employees are eligible to enroll
and/or add an eligible dependent, within 30 days of a qualifying event, such as
their date of hire, increase in hours, marriage, birth, loss of other coverage,
etc.
If I presently have other health coverage, do I have to
switch to this plan?
No, but we hope you will do a careful comparison of benefits
and rates, and consider the value of joining a plan owned and operated by the
UUA for the exclusive benefit of plan members. You will not be penalized if you
lose your other coverage and enroll in the UUA plan.
How will we recognize different family coverage
configurations?
People can enroll for coverage as an employee, employee plus
spouse or partner, employee plus child(ren), or family.
Can I still see my current doctor?
Yes. If your current physician accepts payment under the
terms of the BCBS nation-wide provider network, which most do, you will receive
the plan's higher level of benefits. If your physician is not in the network, or
is on the staff of an HMO that does not work with BCBS, you may continue to use
them, but at a lower benefit level.
Will I have access to a specialist if needed?
Absolutely. Most primary care physicians today are pediatric,
internal medicine, or family practice specialists. All of the other major
specialties such as obstetrics and gynecology, cardiology, oncology, urology,
orthopedics, and the various surgical specialties are included in the
network.
What if I am away from home?
Since the BCBS physician network is truly nation-wide, the
chances are great that you will find network physicians anywhere you might
travel in the
What if I am over the age of 65?
We expect that persons age 65 and older and who are still
employed will be enrolled in Medicare for their primary coverage, with the UUA
plan for their secondary coverage. Retirees with Medicare for their primary
coverage should join to use the plan as a Medicare Supplement.
Does this plan cover prescriptions?
Yes. Prescriptions obtained during a medical office visit or
emergency treatment can be filled immediately, preferably at a retail pharmacy
in the network. Enrollees needing ongoing medications on a continuing basis will
be strongly urged to use a mail order prescription service in order to save
money for themselves and the plan. The co-payments for generic drugs will be
lowest in cost.
What about dental and vision coverage?
Eye or dental care or surgery needed because of accident or
disease will be covered. The plan will not offer routine dental care. Starting
in 2008, the plan covers an annual comprehensive vision screening without a
deductible.
Are all UU congregations required to participate?
We wish that all UU organizations would use the plan in order
to assure quality care, save on premiums for the church and the enrollees, and
support a plan created and controlled by the UUA for the exclusive benefit of
our congregations, but it is not required that all congregations use the plan.
Must all eligible staff of a congregation enroll in order for
any to enroll?
No.
Does my congregation or organization have a policy regarding
the UUA Health Plan?
Each
congregation or employer may have its own policy regarding participation in the
UUA Health Plan. Please refer to the UUA Health Plan Subscription Agreement on
file with your employer for information such as employer contributions, if any,
available plans, and coverage date, (January 1, 2008, for Open Enrollment). If
your employer does not have a current Subscription Agreement on file, please
contact the Health Plan Coordinator.
Will congregations be required to contribute to the cost of
the plan?
We encourage all congregations to contribute at least 80% of
the cost for this plan for employees and at least 50% of the cost for additional
family members. Contributing to the cost is a concrete way for a congregation to
demonstrate their commitment to UU principles of social justice and a life with
dignity for all persons. Sharing the cost is also a good way to enhance plan
stability for the future. Congregations that cannot meet the 80% guideline
should carefully assess their funding capacity. Our District Compensation
Consultants and our Health Plan Office are available for dialogue on funding
concerns.
How will individuals enroll?
Eligible staff of UU organizations must complete the UUA Health Plan Enrollment Application and return it to the UUA. The 2008 Open
Enrollment begins November 1 and ends November 30, 2008. Most persons will complete the form online and transmit it electronically following the simple
instructions.
You may request a paper enrollment form by calling (617) 948-4265. Paper forms once completed should be mailed to the UUA Health Insurance Plan at 25 Beacon St., Boston MA, 02108, or sent by fax to (617) 742-0321.
What happens if my employment status changes between the time
I enroll and the plan's effective date?
If your employment terminates or your hours drop below 750
per year, your coverage will not take effect.
For more information contact healthinsurance @ uua.org.
Last updated on Friday, April 18, 2008.
