Alumni and Friends of Principia
The Principia Health & Welfare Benefit Plan for Faculty and Staff provides the following coverages options for benefit-eligible staff: 403(b) Retirement Plan, Christian Science care, Medical, Dental, Healthcare and Dependent Care Flex Spending Account, Basic Life Ins, Supplemental Life AD&D, and Short-term Disability. See the individual plans for eligibility and cost information.
The links below will provide you with information and required forms for many of the benefit plans. If you have additional questions, please contact the Human Resources Office on your campus or click on the link below.
Click here to e-mail Principia’s Benefits Specialist
Click here for the Health Insurance Portability and Accountability Act (HIPAA) notice
Provider website links
TIAA-CREF- Principia Micro Site
Quick Links
Group Basic and Voluntary Life Insurance
Group Healthcare Plan for Service Workers
Forms
403(b) Salary Reduction Agreement (use to change payroll deduction)
403(b) Loan Withdrawal Procedures and Application
403(b) Hardship Withdrawal Procedures and Certification Form
About Your Plans
403(b) Plan Document (Rev. January 1, 2009)
403(b) Distribution Event Matrix
Other Information
2010 IRS Limits on Benefits and Contributions
Contact Information
J.W. Terrill Benefit Administrators provides professional and confidential administrative services including reimbursement for Christian Science care claims and the coordination of medical claims incurred under the Plan. Contact J.W. Terrill Customer Service at (314) 594-2700. Hours 8:00am– 5:00pm Monday – Friday.
Click here to e-mail a JW Terrill representative about PrinCare Plus including CS care benefits, medical care benefits, specific coverages and assistance with out-of-network providers.
Click here if you have a question about a recent claim or reimbursement request.
PrinCare Plus utilizes the Healthlink Open Access III Network for medical services. For medical care outside the St. Louis area, the PHCS/MultiPlan network is available.
Provider website links
Healthlink Open Access III Network–Provider Listing for greater St. Louis and Jersey County
Forms
PrinCare Plus Reimbursement Form and Instructions
PrinCare Plus Summary of Coverages
PrinCare Plus Plan Document (Rev. January 1, 2009)
Principia offers three Guardian Dental Plans (DHMO, PPO Value and PPO Enhanced). Enrolled members can access information about their Guardian benefits online at www.GuardianAnytime.com.
Guardian Benefits Helpline (888) 600-1600. Helpline hours are 7:00a-7:30p (CST), weekdays.
Principia’s Vision Plan provider is Davis Vision Network. The plan is administered by Guardian. Use the Guardian contact information for questions about the vision plan.
Provider website links
Guardian – Network Provider Search (Dental & Vision Plans)
Forms
Guardian Enrollment Form (Dental & Vision Plans)
2010 Dental Plans/Summary of Coverages by Plan
2010 Vision Plan/Summary of Coverages
Guardian DHMO Provider List (as of 12/09)
Guardian PPO Provider List (as of 12/2009) Elsah
Guardian PPO Provider List (as of 12/2009) St. Louis
Davis Vision Network Provider List (as of 12/09)
Other Information
Dental and Vision Network coverage may be available outside the greater St. Louis area. Use the “Provider On-line Search” on the Guardian web site or contact Guardian directly.
Goup Life coverage for all eligible faculty and staff is provided by The Hartford Life Insurance Companies. Contact the HR Department for additional information or questions about group and voluntary life coverage.
Provider website links
Hartford Life – Home
Forms
Hartford Beneficiary Designation Form (use to elect/change beneficiaries)
Hartford Application Form (use to enroll/change voluntary coverage amounts)
Hartford Evidence of Insurability Form
About Your Plans
Hartford Group Life Plan Document (January 1, 2009 – December 31, 2011)
Group Basic Life Plan/Summary of Coverages
Group Voluntary Life Plan/Summary of Coverages
Other Information
Hartford’s Travelers Assistance Program – provides personal, information and medical services to group plan members when traveling (domestic & international)
Group Heathcare coverage for all eligible service workers is provided by United HeathCare. Contact Customer Care at the number found on the back of your ID card. If you don't have your ID card, call 866-633-2446, 8:00am - 8:00pm CST
24 Hour Nurse Line click on link or call (800) 845-4678
Care24 Counseling click on link or call (888) 887-4114
Provider website links
Forms
2010 Plan Descriptions & Costs
Summary Plan Document HRA Accounts
Copies of Certificates of Coverage and the Group Heathcare Policy are available in the Human Resources office.
Contact Information
J.W. Terrill provides professional administers PrinCare Plus including processes all PrinCare Plus care claims for reimbursement and coordinating medical claims incurred under the Plan. Staff members are encouraged to contact JW Terrill directly at (314)
Click here if you have a question about eligible expenses or a recent reimbursement request.
Provider website links
Forms
Flex Spending Reimbursement Form and Instructions
Flex Spending Change Form (use to change election due to change in family status)
Other Information
Flex Spending Information – FAQ’s, Eligible expenses, Ineligible expenses
