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Benefits and Leave
Benefits include:
Call Quarters
Erlanger provides comfortable call quarters for residents and fellows within the hospital.
Health Insurance Carrier: CIGNA HealthCare CIGNA phone # to verify coverage: 800-564-7642 The plan is administered for us by: Gerald Holland Insurance Company P. O. Box 328 Southhaven, MS 38671 888-393-9500 (speak with Jerry Holland)
Premiums (Rates for July 1, 2009 - June 30, 2010) Below are the resident portions of the monthly health insurance premiums:
| Individual Coverage |
$65 |
| Resident and Child(ren) |
$110 |
| Resident and Spouse |
$125 |
| Family |
$175 |
The annual Individual deductible (calendar year January - December) is $250 and the annual family deductible (for in-network) is $500. The plan pays for 90% of charges for covered services from network facilities and providers.
The University of Tennessee provides health and hospitalization insurance coverage for residents. The University pays the majority of the monthly premiums for either Individual, Resident and Spouse, Resident and Children, or Family coverage.
Erlanger Health System facilities accept the amounts paid for covered services by the resident insurance plan once deductable amounts are met. This provision covers both residents and their covered dependents. Erlanger facilities include Erlanger Medical Center, T. C. Thompson Children's Hospital, Willie D. Miller Eye Center, Erlanger East and Women’s East, and Erlanger North.
Please note: The resident health insurance plan through CIGNA no longer has a contract with the Plaza Lab, located at Erlanger. Since Erlanger is only a partial owner of that facility, the discount offered residents and dependents at Erlanger facilities does not extend to the Plaza Lab. If your physician's office does not offer lab services within the office, lab work will need to be sent to Quest Laboratories. In Chattanooga, Quest Labs have two locations: one on Shallowford Road and the other at the Chattanooga Surgical Center on McCallie Avenue and Holtzclaw not too far from Erlanger.
The plan also provides for mental health and substance abuse benefits through CIGNA Behavioral Health. Go to www.cignabehavioralhealth.com for details and covered providers. Before going to any behavioral health provider (psychiatrist, psychologist, or counselor), the resident should contact the CIGNA Behavioral Health service line at 800-274-4573 and have them set up sessions and coordinate benefits. The plan provides:
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25 mental health days inpatient care per contract year (same benefits as regular inpatient hospital services)
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25 individual mental health office visits/counseling sessions per contract year (with $15 co-pay), and
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40 visits/sessions per contract year for group therapy (with same co-pay)
The plan also provides inpatient and outpatient substance abuse benefits.
For 2009-2010, the University has added dental insurance to its health insurance package for residents, and the policy will continue to be provided by CIGNA. There were no premium increases to the residents from the rates of 2008-2009.
Disability Insurance Currently (2009-2010), the University provides $1,500 per month of tax-free disability benefits following 90-days of disability. Benefits are payable to age 65. This coverage cannot be cancelled by the insurance company and premiums are guaranteed level at your current age rates through age 65. Full benefits will be paid even if you collect from Social Security or workman’s compensation.
In addition, this policy has a guaranteed issue of up to $4,000 per month for residents who choose additional coverage. You may elect additional coverage at employment or at completion of your residency. For your convenience, the additional coverage at your own expense may be payroll deducted.
To offset the cost of the basic long-term disability coverage ($1500 per month), the University adds $50 each month to the agreed upon stipend scale. Actual premiums depend on the resident's date of birth.
For additional information regarding your disability coverage, please contact Ed Barnett at
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Life Insurance Basic life insurance is provided in the amount of $100,000 and an additional $100,000 Accidental Death and Dismemberment Coverage. The $45 added to the monthly stipend also helps offset the small monthly premium ($6.30) for this basic life insurance. This coverage is through Unum. Your agent is:
Edwin W. Barnett Barnett Benefits 1180 Vickery Lane, Suite 2 Cordova, TN 38018
E-mail: ebarnett@barnettbenefits.com
Continuation of Health Insurance via COBRA Health insurance coverage after completion of training or or during an unpaid leave of absents for a period up to 18 months may continue by paying the entire premium (employee and employer portion plus a small fee).
A detailed description of Public Law 99-272, Title X, requiring employers to offer continuation coverage is available in the Office of Graduate Medical Education and can be furnished upon request.
If you elect to enroll in continuation of coverage via COBRA, you must complete a COBRA Health Insurance application form and return to Tammy Fite in the Office of Graduate Medical Education. The COBRA application can be found with other forms in the Online Handbooks section.
Leave
Parental Leave Parental leave (maternity and paternity) is available to residents for the birth or adoption of a child or foster care placement. Annual leave, sick leave, and holidays may be used in order that salary may be continued. Any additional leave requested would be without pay. Residents are entitled to family leave, including time without pay, for up to 12 weeks. The resident must give reasonable notice (30 days when the need for leave is foreseeable). The Residency Program Director is responsible for determining whether the time off (in excess of vacation and holidays) would need to be made up at the end of training in accordance with board certification requirements. The make-up time, if required, would be with pay. Please note: Since residents are on one-year appointments throughout the program, residents cannot carry over sick leave and vacation from one academic year to another.
Sick Leave Residents may be paid for up to 21 sick days per year (four weeks and one day); however, these cannot be carried over from year to year. A Program Director may request a physician's statement for periods of sick leave. A resident may not be paid for unused sick leave at the end of the year. The determination as to whether or not the resident will be required to make up time missed due to Sick Leave will be made by the Program Director, in accordance with residency requirements and board certification requirements.
Vacation Residents and fellows are allowed two weeks of vacation each year. Two programs, Family Medicine and Internal Medicine, allow three weeks of vacation. Some programs allow an additional week during the final year of training for fellowship and practice interviews. This is at the discretion of the program director and in accordance with the board certification requirements of the specialty. Residents and fellows may not be paid for unused vacation at the end of the year.
Most programs allow an additional few days off during the Christmas - New Year's season, given approval of the Program Director and Chair as well as coverage for patients.
Holidays Residents/Fellows are granted the following nine holidays, observed by UT and Erlanger:
New Year's Day Martin Luther King's Birthday Good Friday Memorial Day Independence Day (July 4th) Labor Day Thanksgiving (two days) Christmas Day
Each department handles scheduling holidays for their Residents/Fellows and it is up to the discretion of that Chair and/or Program Director as to which of the official holidays will be permitted in each department. Not all departments recognize all nine holidays. The ultimate decision will be the chair’s. Remember that all Residents/Fellows cannot be off on the actual holiday, so you may have to take a substitute day later.
Educational Leave
Residents/Fellows are able to take one week each year to attend outside regional or national conferences, including board review courses, given approval by the appropriate program director. Outside conferences and time off must be approved in advance by the program director. The hospital provides reimbursement of conference and travel expenses, in accordance with University Travel guidelines, as follows:
PGY-1 $ 500
PGY-2 $ 1,000
PGY-3 and above $ 1,500
Funeral Leave
An employee who is absent during his/her regularly scheduled work week due to the death of a spouse, child or step-child, or parent or step-parent, may receive payment for reasonable and customary days absent, not to exceed five (5) regularly scheduled work days for bereavement in conjunction with attending the funeral. An employee who is absent for funeral and bereavement during his/her regularly scheduled work week due to the death of a grandparent, grandchild, parent-in-law, foster parent, brother, sister, brother-in-law, sister-in-law, daughter-in-law, or son-in-law may receive payment for reasonable and customary days absent, not to exceed three (3) regularly scheduled work days.
Pay for each day of funeral and bereavement leave taken will be made at the employee's current rate of pay for a scheduled day's work not to exceed the hours for which the employee is normally scheduled to work, or his/her average hours worked per day (normal work week divided by 5), whichever is greater. Any holidays and days of administrative closing occurring during this time will be counted as part of the Funeral and Bereavement Leave and recorded as Holiday(s) and/or Day(s) of Administrative Closing pay.
Military Leave The University provides time off without loss of pay for employees who are members of the reserve components of the Armed Forces of the United States or State National Guards (e.g., two week summer camp in the Tennessee National Guard). These University employees will receive normal compensation for a period not to exceed 15 working days in any one calendar year. The Resident/Fellow must coordinate the scheduling of this annual duty with his/her chief resident and Program Director or Chair, and the duty should not be scheduled during a required or critical rotation. If a University employee is called to active military service for an extended tour of duty, that individual will be placed on military leave on the effective date of the assumption of active military duty and will be returned to the employment of the University at the end of the active duty.
Other Leave of Absence A Resident/Fellow may request a Leave of Absence for other, personal reasons. Given approval of the Program Director or Chair, the Resident/Fellow may utilize any combination of paid time off to continue salary for as long as benefits are available. Leave beyond paid time off will be at no salary. Efforts will be made to hold a position for up to three months, given funding availability from the primary affiliated institution (providing funding). Once the Resident/Fellow returns from leave, the Program Director will determine the amount of time which will need to be added at the end of training and any changes, if necessary, to promotion schedules, in accordance with the program requirements and board certification requirements. Any time added to the training will be with pay.
An employee may be required to furnish verification of the reason for the absence upon request of his/her Chair/Program Director and/or the Office of Graduate Medical Education.
Compliance with Board Requirements for Absence from Training It is the responsibility of each Program Director to determine the effect of absence from training for any reason on the individual’s educational program and, if necessary, to establish make-up requirements that meet the Board requirements of the specialty.
Malpractice As employees of the State of Tennessee, residents are protected against suits for malpractice via the Tennessee Claims Commission Act. The State is self-insured so there is no insurance carrier; however, coverage is similar to what would be stated in coverage is similar to what would be stated in an insurance policy.
Reimbursement for Educational Expenses Each year an amount is established and Erlanger Medical Center reimburses each resident or fellow up to the approved limit according to their for annual educational expenses such as outside educational conferences and travel or medical books. The formal policy defines allowable expenses. Maximum reimbursement is as follows:
PGY-1 $ 500 PGY-2 $ 1,000 PGY-3 and above $ 1,500
PGY-1 $ 500 PGY-2 $ 1,000 PGY-3 and above $ 1,500
PGY-1 $ 500 PGY-2 $ 1,000 PGY-3 and above $ 1,500
PGY-1 $ 500 PGY-2 $ 1,000 PGY-3 and above $ 1,500
PGY-1 $ 500 PGY-2 $ 1,000 PGY-3 and above $ 1,500
PGY-1 $ 500 PGY-2 $ 1,000 PGY-3 and above $ 1,500
PGY-1 $ 500 PGY-2 $ 1,000 PGY-3 and above $ 1,500
PGY-1 $ 500 PGY-2 $ 1,000 PGY-3 and above $ 1,500
PGY-1 $ 500 PGY-2 $ 1,000 PGY-3 and above $ 1,500
Other Benefits
- Coats (white, monogrammed lab coats each year)
- Meals (at no charge, 24 hours a day, seven days a week)
- Parking (at no charge in the hospital parking garage)
- Relocation to Chattanooga (reimbursement of up to $1000 for non-primary care and up to $1,500 for primary care)
- Hepatitis B immunization (if needed)
- PDAs provided by Erlanger at no charge
- Alpha pagers provided by Erlanger at no charge
- Medical Library access (24/7 at Erlanger and access from home via internet)
- Copies at no charge in the Medical Library
- Notary service at no charge
- Resident organization
- On-site child care available at Erlanger e-Kids (on a space available basis)
- Local UTCOMC CME conferences (registration at no charge for residents
Updated 4/2009
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