Medical Insurance

• $50 per month premium paid by the employee / county pay remaining portion
• Employee can cover children/spouse/family at their own cost for medical coverage $77.56/$265.92/ $426.28 per month. In addition to the $50 per month for the employee.
• Employees may qualify for a $50 per month discount.  Beginning in 2016, employees must participate in the employee health screening including a base line physical and meet 2 of the 4 accountability standards set forth by the Board of Commissioners to receive the discount.

1. Waist circumference abdomen cir < 40" male or <35" female; or improve 5%
2. Blood Pressure <140/90 mmhg; or improve 10/5 mmh; or improve 5%
3. Cholesterol Ratio <5.5; or improve by 10; or improve 5%
4. Hemoglobin A1c < = 6.8; or improve 5%

• Premiums may be pre-taxed which is a savings to your taxes, but if you pre-tax premiums you can't take the costs off of your taxes.
• Blue Options PPO /Administered by Blue Cross and Blue Shield of North Carolina
• Employee has choice of 2 Health Plans.

1. Plan 1 – Co-Pay Plan for In-Network– $40 Copays for Primary Care Visit, $80 Specialist Visit, Urgent Care and RX.  All other services apply to $1,500 deductible, then 80/20 co-insurance up to $2,000 out-of-pocket maximum. See Plan 1 document for more detailed information.
2. Plan 2 – Deductible Plan for In-Network except $25 co-pay for Primary Care Visit and RX. All other services apply to $1,000 deductible, then 80/20 co-insurance up to $2,000 out-of-pocket maximum. See Plan 2 document for more detailed information.

• Routine eye examinations only are covered annually for a BCBSNC network provider.
• Prescription Drugs – 4 Tiers - $5 generic/ $45 preferred / $60.00 non preferred /4th Tier is 25% up to a max of $100.00./ Mail order is available @ 2.5 co-pays for a 90 day supply. 90 day supply at pharmacy.
• Verify network participation, RX tiers, and obtain information at www.bcbsnc.com.
• Self Funded Health Insurance Plan – Deductible of $75,000.

• Administered by Ameritas
• Employee is covered under the dental coverage at no cost. An employee can cover children/spouse/family for $57.26/ $22.52/ $72.38 per month, respectively. 
• No Network of Dentists, may choose any provider
• Provides 2 routine cleanings and exams with no deductible
• For other services a $50 plan year deductible
• 80% for root canals, fillings   -  50% for crowns, bridgework, dentures
•  $1000 maximum for braces/ $1000 maximum per covered individual per year which includes preventative care costs
• Obtain information & replacement cards at www.ameritasgroup.com.

• $10,000 Life and $10,000 Accidental Death
• Employee may purchase additional amounts.  Up to $100,000 Guaranteed Issue for employee;$20,000 for spouse and $10,000 or $5,000 for children (at original eligibility).  Otherwise late enrollees are subject to Underwriting guidelines.

• 1-2 years = 10 days; 3-5 years = 12 days, 5-10 years = 15 days, 10-15 years = 18 days, 15-20 years = 20 days; 20 + years = 24 days.  Vacation is accrued bi-weekly, therefore you receive 1/26th each payroll.
• You may accrue vacation and carry over up to 30 days.  Thereafter, at the end of the calendar year, if you have more than the 30 days, the excess converts to sick leave.
• You may cash in up to one week of vacation annually, in lieu of time away from work.
• In extreme situations employees may request to transfer vacation leave to other employees. Requests must be in writing to the County Manager and must be approved in advance.
• Vacation should be scheduled in advance as requested by your supervisor.  Complete proper leave sheets.
• If you have prior active service in the NC Retirement System, Transylvania County will give you credit for those years of service toward accrual of vacation/annual leave.

•  Paid sick leave is always equivalent to 12 days per year.  It is accrued bi-weekly. Employees accrue 1/26th of the annual amount per payroll.
• You may accrue sick leave with no maximum accrual.  At retirement for every 20 days of accrued sick leave you will get one additional month of service time.
• Sick leave may be used for doctor's appointments, personal illness or the illness of an immediate family member.
• If you have prior active service in the NC Retirement System, Transylvania County will transfer in your sick leave balance from your most recent employer.

• The Wellness Center is open M-W-F 8am -12pm and 1pm to 4pm and T-TH 8am-12pm.
• The Wellness Center is a partnership between Transylvania County and the City of Brevard.
• County Employees may use the Wellness Center for all services at no cost.
• Dependents over the age of 7 who are on your Medical plan may also use the Wellness Center.
• Appointments are encouraged to help minimize any wait and to make the Center Services flow easier.
• Time away from your work location to visit the Wellness Center is not changed to leave.
• Services include:  Routine bloodwork monitoring, allergy injections, monitoring chronic illnesses, manage and authorize prescriptions, coordinate referrals, school physicals and testing for flu, mono and strep.