BENEFITS Plan Year April March

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BENEFITSPlan Year April - March

• TAX SAVINGS PROGRAM Elected premiums will be
  sheltered on a before-tax basis under Section 125
  of the IRS Tax Code
  
• You have thirty (30) days from your hire date to
  elect these pre-tax benefits (excludes 403b) or
  you must wait until open enrollment
  
• Open Enrollment is once a year in February/March.
  You can make changes to your pre-tax benefits
  for the following year effective April 1st.
  
• Coverage is locked for benefit plan year
  (April-March) unless there is a qualified status
  change. You must make changes to benefits within
  thirty (30) days of the status change. See
  Changing Coverage during the year on the Benefits
  Webpage.
• ELIGIBLE DEPENDENTS Include your spouse,
  domestic partner, dependent child(ren), and
  domestic partner dependent child(ren)

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30 DAYS FROM HIRE
NEW HIRE TAX SAVINGS PROGRAM ELECTION FORM For
April 1, 2004-March 31, 2005

ANY APPLICABLE ENROLLMENT FORMS
Health- effective date of hire
Dental-1st of the month after date of hire
Voluntary Life Insurance- effective immediately
under Guaranteed Issue Amounts
Cancer Insurance- determined by insurance
company Heart Care Insurance- - determined by ins
urance company Vision- 1st of the month after dat
e of hire Long Term Care Insurance- - determined
by insurance company
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HEALTH INSURANCE

• Independent College and University Benefits
  Association (ICUBA)
  
• 8 member private schools in Florida
• 501(c) 9 corporation to purchase benefits for
  members
  
• MEWA-multiple employer welfare association
• Four CIGNA PPOs
• No primary care physician required and no
  referrals to specialists
  
• In and out of network coverage available
• Pre-authorization still required on certain
  services
  
• 800-244-6224 www.cigna.com
• College currently subsidizes 63 of the total
  premium for employee and eligible dependents
  
• Three of the plans have college funded Health
  Reimbursement Accounts (HRA
  
• Health Insurance Premiums
• Declining Insurance Now- family status change
• Pre-existing conditions- Need proof of prior
  coverage to waive
  

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HEALTH INSURANCE

• All four plans have same
• Prescription drug copays- 10/25/40
• Same annual wellness benefit
• Same plan rules
• Same network of providers
• Same CIGNA website access
• 24/7 health info line
• ER Urgent Care copays

• Differences are
• Co-pays- small amounts you pay for services such
  as office visits
  
• Deductibles- larger amounts you pay for services
  outside of office visits and prescription drugs
  
• Coinsurance- the cost sharing between you and the
  ICUBA plan (example 80/20 means the plan pays 80
  and you pay 20 after the deductible)
  
• Annual Out of Pocket Maximums- your maximum
  liability for the benefit plan year (made up of
  deductible and coinsurance, not copays)
  
• HRA Amounts-monthly contribution to your debit
  card paid for by College in addition to 63 of
  total premium

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In-Network Health Plan Comparison
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Health Plan Comparison (contd.)
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In Network Deductibles/Max with annual HRA
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Health Reimbursement Accounts (HRA)

• US Dept. of Treasury July 2002
• College contributions for faculty/staff on high
  deductible medical plans- PPO 80,PPO 70 and
  Risk/Reward
  
• Can be used only by family members on the ICUBA
  medical plan
  
• Two methods of reimbursement Mastercard Debit
  or paper reimbursement (within 1 year from date
  of service)
  
• Keep receipts, Explanations of Benefit (EOB), etc
  for verification of medical expense
  
• Unused money rolls over indefinitely in a secure
  trust fund separate from ICUBA funds
  
• Administered by Outsource One- 877-491-5979
• Check Balances at www.mbicard.com (use Internet
  Explorer)
  

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Health Reimbursement Accounts (HRA) contd.

• Eligible Expenses
• out of pocket medical services (ie.
  Medical,dental, vision)
  
• all HCSA eligible expenses except over the
  counter drugs
  
• COBRA,long term care, retiree health premiums
• Non-eligible expenses
• OTC drugs
• life, long term disability, any other pre-tax
  premiums
  
• non-medical expenses, cosmetic or other not
  medically necessary
  
• non-dependent expenses (domestic partners that
  are not tax dependents are not eligible)
  
• dependents that are not enrolled in the ICUBA
  plan
  

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Health Reimbursement Accounts (HRA) contd.

• Money earns interest at the FL Dept of Financial
  Services rate on a quarterly basis
  
• HRA is never taxed
• HRA can never be converted to cash
• Portable with 36 months participation
• HRA available 1st of each month you participate
  in high deductible plan
  
• changing to end of each month in April 2005

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HRA Monthly Funding Schedule
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Highlight Of CIGNA Amenities

• 24 - Hour Health Information Line
• Healthy Rewards
• Healthy Babies
• Well Aware Program- asthma, diabetes, heart,
  back, COPD
  
• MyCIGNA.com- Need to register- 3 days will have
  full access
  
• Access to claims information-Explanation of
  Benefits (EOB)
  
• Provider Look-Up
• Select Quality Care- Hospital Comparisons
• Care Steps - Health Risk Assessment
• Healthwise- Medical Information Resource
• Drug Compare
• Case Management

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DENTAL INSURANCE

• Aetna Dental Insurance - three plans to chose
  from
  
• Indemnity Plan - Any dentist
• PPO Plan In Network or Out of Network
  Providers
  
• DMO Plan Network Providers only
• www.aetna.com/docfind
• Member Services-877-238-6200

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Dental DMO Plan

• Approximately 6,800 available dental office
  locations and approximately 17,000 individual
  practitioners
  
• Primary care dentist selection required
• Change dentist by 15th of month effective 1st
  the following month
  
• 5 office visit copayment per visit
• Member pays copayments for all services
• Specialty referral required (except
  orthodontists)
  
• Orthodontia covered for adults and children
• Members receive ID cards
• No deductibles, maximums or claims forms
• Internet access to provider information
  DocFind
  
• In Network Coverage only
• Pre-Determination for anything over 300.00
• One time emergency authorization available

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Dental PPO Max Plan

• Go to a dentist in or out of network- different
  benefit levels
  
• Use Participating PPO Dentist - No Balance
  Billing
  
• Claims are paid based on fee-scheduled amounts
  for the Central Florida area
  
• Non-PPO Dentist can charge above fee-schedule
  member can be balanced billed
  
• Lowest out of pocket costs when using PPO Dentists

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Dental PPO Max Plan

• Annual Deductible
• Individual
  50
  
• 
  Family 150
  
• Preventive Services
  100 of fee schedule
  
• Basic Services
  80 of fee schedule
  
• Major Services
  50 of fee schedule
  
• Annual Benefit Maximum 1000
• Orthodontia for adults and children 50
• Orthodontia Lifetime maximum 1000
• No deductible for orthodontia
• Deductible applies to Basic Major services
  only
  
• -Non network claims paid at the fee-scheduled
  amount
  

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Dental PPO Max Examples

• Important Information
• Fee Schedule is based on Contracted Rates with
  PPO Dentists NOT Reasonable and Customary
  Charges
  
• Example
• John goes to a participating dentist for a
  crown
  
• Scheduled PPO Amount for Procedure 2750 (crown)
  551
  
• Assume Deductible Has Been Met
• Plan pays 50 of Maximum PPO Allowance
  275.50
  
• Member pays 275.50

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Dental PPO Max Examples

• Important Information
• Fee Schedule is based on Contracted Rates with
  PPO Dentists NOT Reasonable and Customary
  Charges
  
• Example
• John goes to a non-participating dentist for a
  crown
  
• Scheduled PPO Amount for Procedure 2750 (crown)
  551
  
• Non-participating dentist charges
  700
  
• Assume Deductible Has Been Met
• Plan pays 50 of Maximum PPO Allowance
  275.50
  
• Member pays 700.00(Dentist Charge)-275.50(Maxi
  mum PPO Allowance) 424.50
  

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Dental Indemnity Plan

• Go To Any Dentist
• Plan pays at Reasonable Customary (80th
  Percentile)
  
• Deductible 75.00/150 Family
• Preventive Services 100 of R C
• Basic Service 80 of R C
• Major Services 50 of R C
• Annual Maximum 1000
• Orthodontic Services 50
• Orthodontic Lifetime Maximum 1000

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Aetna Dental Navigator
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Vision One Discounts

• 800-793-8616
• Show Aetna Dental Card to receive discounts
• With all Aetna Dental Plans
• Sears, JC Penny,Target and Pearl Optical Centers
• Example of discounts
• 38.00 for eyeglasses exam
• 78.00 for contact exam
• 24.00 for frames up to 60.99
• 44.00 for frames 80-100.99
• 30.00 for single lenses
• 49.00 for bifocal lenses
• 59.00 for trifocal lenses
• 99.00 for standard progressive
• Additional lens option discounts available
• Additional information online

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FLEXIBLE SPENDING ACCOUNTS

• Pre-tax dollars to pay for qualified health
  and/or dependent care expenses
  
• Two types Health and Dependent Care (HCSA
  DCSA)
  
• Two methods of reimbursement Mastercard Debit
  or paper reimbursement (within 60 days of end of
  plan year)
  
• Administered by Outsource One- 877-491-5979
• Check Balances at www.mbicard.com (use Internet
  Explorer)
  
• Min and Max (50.00 - 3,000 for health 5,000
  for dependent) pro-rated based on date of hire
  
• Use it or lose it provision for the benefit plan
  year
  

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Health Care Spending Account (HCSA)

• All IRS dependents, even if not on ICUBA medical
  plan
  
• Funds available at the beginning of the plan year
  (April)
  
• Maximum of 3,000 per benefit year pro-rated
  based on date of hire
  
• Keep receipts, Explanations of Benefit (EOB), etc
  for verification of medical expense
  
• Examples of eligible expenses for health
  account
  
• Co-pays- office visits and Rx
• Deductible on PPO and dental
• Eye care Costs
• Over the counter medicines

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Health Care Spending Account (HCSA) vs. Health
Reimbursement Account (HRA)

• HRA
• Employer contributions
• Rolls over while an active employee
• Account will be debited after HCSA is exhausted
• Funds available 1st of each month
• Over the counter medicines not allowed
• May be used for retiree, COBRA, and long term
  care premiums
  
• Balance earns interest quarterly
• May be used ONLY for dependents on the ICUBA
  medical plan

• HCSA
• Employee contributions
• Unused funds at end of year cannot be rolled over
  into next year
  
• Account will be debited first
• Funds available at the beginning of the plan year
  (April 1st)
  
• Over the counter medicines allowed
• May not be used for any insurance premiums
• Balance does not earn interest
• May be used for all IRS dependents

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Dependent Care Spending Account (DCSA)

• Dependent care expenses for children under age 13
  or elderly parents if they are your IRS tax
  dependent so that you and your spouse can work
  
• Funds available as payroll deductions occur
• Maximum of 5,000 per benefit year pro-rated
  based on date of hire
  
• May be able to use debit card contact Outsource
  One
  
• Documentation of dependent care expense required

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LIFE INSURANCE

•   COLLEGE PROVIDED Jefferson Pilot Financial
• 2x annual base salary
• Excess Life Tax- if life insurance amount over
  50,000
  
• Convertible
• VOLUNTARY Jefferson Pilot Financial
• 10,000-500,000 employee
• 10,000 - 250,000 or 3.5x employee earnings for
  spouse
  
• 2,500- 12,500 for children
• Spouse Children coverage available only with
  additional voluntary employee coverage
  
• Guaranteed Issue under age 60-150,000 employee
  50,000 spouse
  
• Portable
• See Rate Sheet for rate per 1,000 per month

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CANCER HEARTCARE VISION

• Cancer Heart Care
• Supplemental- in addition to health insurance
• Portable
• Contact Agent Jan Hunt for details-407-677-8448
• Cancer 16.98 individual 30.32 family
• Heart Care 23.46 individual 45.64 family
• Enrollment Form
• Vision 20/20 Eyecare Plan
• Network Providers
• Eye exam, lenses, and frames every 12 months
• 4 co-pay exam 10 co-pay for supplies In
  Network
  
• 85.00 Frame Allowance
• 119 Contact Lenses Allowance in Lieu of
  Eyeglasses
  
• Premiums/month 5.75 single 10.38 two-person
  17.10 family
  
• Small out of network reimbursement

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LONG TERM CARE INSURANCE

• Nursing home, home health, caregiver, adult day
  care
  
• Employee, spouse, parents, grandparents
• Premiums are after tax and do not increase with
  age
  
• Three levels of benefits- DNB Lifetime Max
• Two plans- Non-Forfeiture Benefit Account
• Life insurance built in
• Guaranteed benefit increase option
• Guaranteed Issue
• Portable
• See Rate Sheet for rates per month

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30 DAYS FROM HIRE

• HEALTH
• DENTAL
• FLEXIBLE SPENDING ACCOUNTS
• VOLUNTARY LIFE INSURANCE
• CANCER
• HEART CARE
• VISION
• LONG TERM CARE INSURANCE
• Return New Hire Tax Savings Form all applicable
  enrollment forms

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403b RETIREMENT PLAN

• Voluntary Pre-tax contributions allowed anytime
• Matching from College after 1 year of service
  21 yrs old
  
• Possibly waive 1 year if from another college or
  university
  
• Two core companies TIAA/CREF (800-842-2776)
  Fidelity (800-343-0860)
  
• American Century (800-345-3533) TIAA/CREF SRA
  for employee voluntary contributions only
  
• Loans hardship withdrawals only on TIAA SRA
• 100 Vested
• Employee maximum for 2005 14,000
• Catch up provisions- 50 years old (4,000) and 15
  years (3,000)
  
• Complete Salary Reduction Agreement Account
  Application(s)
  
• Sign up anytime and make changes anytime

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ADDITIONAL COLLEGE PROVIDED BENEFITS

• Long Term Disability
• Travel Accident Insurance
• Vision Discounts Outlook Vision Services, FOCUS