BENEFITS Plan Year April March

1
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-one (31) 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-one (31) days of the status change.
  Coverage changes made mid-year are effective the
  date 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)

2
30 DAYS FROM HIRE
NEW HIRE TAX SAVINGS PROGRAM ELECTION FORM For
April 1, 2006-March 31, 2007
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 insurance
company Vision- 1st of the month after date of
hire Long Term Care Insurance- - determined by
insurance company
3
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 BlueCross BlueShield 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
• 866-470-2963 8 am- 5 pm EST Mon-Fri 24
  hours-www.bcbs.com
• College currently subsidizes 63 of the total
  premium for employee and eligible dependents
• 3 plans have college funded Health Reimbursement
  Accounts (HRA)
• Health Insurance Premiums
• If declining insurance now- within 30 days of a
  family status change
• Pre-existing conditions- need proof of a year of
  prior coverage with no more than a 63 day break
  to waive the 1 year pre-existing clause

4
Blue Cross Blue Shield PPO Card
Unique Identifier instead of ssn

First Name Last Name ID
ABC123456789001 COPAY OV SP ER
GR
ICUBA
BC PLAN 363 BS PLAN 865
5
HEALTH INSURANCE

• All four plans have same
• Prescription drug copays- 10/25/50
• Same annual wellness benefit
• Same plan rules
• Same network of providers
• Same BCBS 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

6
In-Network Health Plan Comparison
7
Health Plan Comparison (contd.)
8
In Network Deductibles/Max with annual HRA
9
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 (while
  employed and on a health plan with HRA) in a
  secure trust fund
• Administered by Outsource One- 877-3777-5102 or
  flex_at_icuba.org.
• Check Balances at www.mbicard.com (use Internet
  Explorer)

10
Health Reimbursement Accounts (HRA) contd.

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

11
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 continuous participation
  (annual administrative fee applies if no longer
  employed)
• If you drop health/hra plan without 36
  mthsforfeit
• Leave employment without 36 mthsforfeit
• HRA available end of each month you participate
  in high deductible plan (15th of the month rule
  for new hires and exits)

12
HRA Monthly Funding Schedule
13
Highlight Of BCBS Amenities

• Blues on CallSM
• RN Nurse Line 24/7
• Individual Health Information and support
• Access to Health Coach
• 1-888-BlUE-428
• Treatment Decision Support
• Chronic Condition Support
• BlueCard Worldwide- international
• Blues Complements- discounts
• www.mybenefitshome.com-Access to Nationwide
  Provider Directory, Request ID Cards, Track Claim
  Status, Find Medical Information- calculators
  national quality measures, Answers to Frequently
  Asked Questions, email member services, Rx
  formulary and pharmacy information, Healthwise
  KnowledgeBase

14
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

15
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

16
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

17
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

18
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

19
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

20
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

21
Aetna Dental Navigator
22
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

23
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 Health
  Debit Card (Issued by MBI Bank)or paper
  reimbursement (within 60 days of end of plan
  year)
• Administered by Outsource One- 877-377-5102 or
  flex_at_icuba.org
• 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 (April-March) with a 2.5 month extension.
  This means that expenses should be incurred by
  March 31st, but if not is extended through June
  15th. Any unused money beyond June 15th is
  forfeited.
• Accounts must be elected each year during open
  enrollment.

24
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 ICUBA
  working with BCBS to fully integrate the card,
  reducing the need for requests of substantiation
• 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

25
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 end of each month
• 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)
• May not be used for any insurance premiums
• Balance does not earn interest
• May be used for all IRS dependents

26
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

27
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 earnings for spouse (50 of ee
  amount limit)
• 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

28
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

29
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

30
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

31
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 2006 15,000
• Catch up provisions- 50 years old (5,000) and 15
  years (3,000)
• Complete Salary Reduction Agreement Account
  Application(s)
• Sign up anytime and make changes anytime

32
ADDITIONAL COLLEGE PROVIDED BENEFITS

• Long Term Disability
• Travel Accident Insurance
• Employee Group Discounts