BENEFITS OVERVIEW

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BENEFITS OVERVIEW

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501(c) 9 corporation to purchase benefits for members ... If you drop health/HRA plan without 36 mths=forfeit $ Leave employment without 36 mths=forfeit ... – PowerPoint PPT presentation

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Title: BENEFITS OVERVIEW


1
BENEFITS OVERVIEW
  • Benefits for Educated Consumers

2
ICUBA
  • Independent Colleges and Universities Benefits
    Association (ICUBA)
  • Better Benefits Through Collaboration
  • 6400 Employees from 11 ICUF Schools
  • Barry University
  • Beacon College
  • Clearwater Christian College
  • Edward Waters College
  • Florida Institute of Technology
  • Florida Memorial University
  • Nova Southeastern University
  • Palm Beach Atlantic University
  • Rollins College
  • Saint Leo University
  • The University of Tampa
  • 501(c) 9 corporation to purchase benefits for
    members
  • MEWA-multiple employer welfare association
  • Pool purchasing power to reduce admin fees,
    commissions, premium taxes and high margins of
    insurance company fees

3
BENEFITSPlan Year April 1 March 31
  • 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. 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. 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)

4
FORMS EFFECTIVE DATES
  • NEW HIRE TAX SAVINGS PROGRAM ELECTION FORM
  • ENROLLMENT FORMS LTC Vol Life over GI

College Sponsored Benefits Health- effective
date of hire Dental-1st of the month after date
of hire Voluntary Benefit Plans Unum Voluntary
Life Insurance- effective immediately for GI
Amounts Advantica Eye Care Plan - 1st of the
month after date of hire CNA Long Term Care
Insurance- determined by insurance company
5
ICUBA BENEFITS SITE
  • http//icubabenefits.org (NO www.)
  • access Benefits Library Reference Center full
    of detailed plan summaries, rates, out of pocket
    examples and more
  • single source login to view benefits and check
    balances on debit card
  • 3 things needed to Register
  • SSN, DOB, Company Key ICUBA (Case Sensitive)
  • Remember your login ID and password for future
    logins and access to benefits information
    throughout the year

6
Type in your Social Security Number, Company Key
and Date of Birth. Your Company Key is ICUBA.
The company key is case sensitive.
7
ICUBA HEALTH INSURANCE
  • Three BlueCross BlueShield (BCBS) of FL PPOs for
    medical benefits
  • No primary care physician required and no
    referrals to specialists
  • In and out of network coverage available
  • Pre-authorization required on certain services
  • Four tier Prescription Plan benefits through
    Walgreens Health Initiatives (WHI)
  • If declining insurance now- can enroll later
    within 31 days of a loss of coverage/status
    change or during annual open enrollment
  • 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

8
Three PPO Health Plans
  • Risk/Reward Blue Options PPO
  • Risk/Reward Blue Choice PPO
  • PPO 70 (Blue Choice)
  • Health Insurance Premiums
  • College currently subsidizes 63 of the total
    premium for employee and eligible dependents
  • All plans have college funded Health
    Reimbursement Account (HRA)

9

Risk/Reward Blue Options vs. Blue Choice
9
10
BCBS Health Plan Providers
  • To verify if a Provider is in either network
  • access the provider directory at www.bcbsfl.com
    and/or
  • call customer service at 800-664-5295
  • 2 ways to search online
  • Choose BlueOptions(Network Blue) or BlueChoice
    (Preferred Patient Care PPO) from the pull down
    Plan box
  • Choose All Plans from the pull down box and see
    if the doctor has NetworkBlue or Preferred
    Patient Care PPO in their participating Networks
    list

10
11
ICUBA Health Insurance Plan Design
  • Differences
  • Co-pays- small amounts you pay for services, (ie.
    Rx, ER)
  • Deductibles- larger amounts you pay for services
    outside of office visits, prescriptions, ER
  • Coinsurance- cost sharing between you and the
    ICUBA plan
  • Annual Out of Pocket Max the most you will pay
    out of pocket during the plan year (excludes
    copays)
  • HRA Amounts -monthly contribution to your debit
    card account funded by the College
  • Provider Network - Blue Choice (2 plans) vs.
    Blue Options (1 plan)
  • All three plans have same
  • Prescription drug benefits
  • Annual wellness benefit 100
  • Enhanced wellness benefits 100
  • Plan rules coverage
  • BCBS FL website access
  • 24/7 health info nurse line
  • Blueprint for Health resources
  • BlueComplements discounts
  • Better You From Blue worksite wellness programs
  • ER Urgent Care

12
In-Network Plan Comparison
13
In-Network Plan Comparison
Full Benefits Summaries available at the ICUBA
Benefits Sitehttp//icubabenefits.org
14
In Network Deductibles/Max with annual HRA
15
HRA Monthly Funding Schedule
16
HEALTH REIMBURSEMENT ACCOUNTS (HRA)
  • US Dept. of Treasury July 2002
  • College contributions in addition to 63 of
    premium
  • Can only be used by family members on ICUBA
    medical plan
  • Two methods of reimbursement Mastercard or
    reimbursement request (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
  • while employed and on a health plan with HRA
  • ICUBA Administrator for Flex HRA -
  • P.O. Box 616927
  • Orlando, FL 32861-6927
  • Phone 866-377-5102
  • Fax 866-377-5180
  • benefitsadministration_at_icuba.org
  • Check balance online http//icubabenefits.org

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Health Reimbursement Accounts (HRA)
  • Eligible Expenses (full listing on ICUBA Benefits
    Site)
  • out of pocket medical services (medical, dental,
    vision)
  • 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
  • dependents that are not enrolled in the ICUBA
    plan

18
Health Reimbursement Accounts (HRA)
  • 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
  • (10 monthly 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

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BCBS Tools/Resources
  • Blueprint for Health
  • MyBlueServiceSM Online
  • Health assessments
  • Lifestyle Management Programs (smoking, weight,
    eating, stress, back pain)
  • Educational resources
  • Claims history
  • Provider look up
  • More!
  • Health Dialogue 24 Health Coach Line (nurses,
    therapists, dieticians, etc.)
  • 1-877-789-2583, day or night, 365 days a year
  • Healthy Additions Pregnancy Program
  • BlueComplements SM
  • Complementary Alternative Medicine Program
    Health Alternatives
  • Laser Vision Correction
  • Enhanced Vision Care
  • Contact Lens Mail Order
  • Fitness Club Memberships
  • Bicycle Helmets
  • Weight Management
  • Better You from Blue Worksite Wellness Program
  • Care Coordination- case manager single point of
    contact

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Pharmacy Benefit Manager (PBM)
  • Pharmacy Benefit Manager
  • Walgreens Health Initiatives (WHI)
  • 24/7 Customer Service
  • Separate ID card for pharmacy benefits
  • Preferred Medication List is available at
    www.mywhi.com
  • Four Tier Copay Structure

21
Prescription Drug Copays

-Brand with Generic Available Penalty Copay
PLUS the difference between the cost of the brand
the generic drug not to exceed the cost of the
brand drug -Refer to your Preferred Medication
List to determine the actual copays for your
medications
21
22
WHI Pharmacy Networks
  • WHI Retail Pharmacy Network
  • Over 62,000 chain and independent pharmacies
    nationwide including Publix, CVS, Walgreens,
    Costco, Wal-Mart, Target, etc.
  • WHI Advantage90Retail Network
  • Over 39,000 chain and independent pharmacies
    nationwide including Albertsons, CVS, Kmart ,
    Medicine Shoppe, Publix, Sam's Club, Target ,
    Walgreens , Wal-Mart , Winn-Dixie
  • 90-day maintenance medications
  • WHI Mail Service Pharmacy
  • located in Orlando, Florida

23
Health Plan Decision Making Model
  • Consider the following when making your decision
  • Total premiums for your health insurance (which
    are pre-tax)
  • Out of Pocket Maximum (OOP) on the plans (worst
    case scenarios)
  • Anticipated Rx copays other copays (estimate)
  • Heath Reimbursement Account (HRA) contributions
  • Add together to determine total financial cost in
    a worst case scenario of hitting your maximum
  • (1)Premiums (2) OOP (3) Rx other copays
    (4) 2009-2010 HRA Total Out of Pocket Cost
  • Copays apply to PPO 70 for office visits,
    inpatient hospitalization, outpatient surgery,
    outpatient therapies outpatient diagnostic
    imaging. Rx copays on all three plans
  • Model calculates financial cost or savings in
    worst case scenario of hitting OOP maximum and
    using all available HRA funds for 09-10 plan year
  • There is also a Cost Estimator tool on the ICUBA
    Benefits site under the Medical Plan section of
    online enrollment

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ICUBA CaresTM Provides Free Services to You
  • FREE Wellness Benefits
  • Health Dialog online 24/7 health coaches
  • Care Coordination- (confidential, personal
    health care advocate)
  • Better You From Blue (free screenings, wellness
    profile, individual counseling)
  • Blue Complements and MyBlueService at
    www.bcbsfl.com
  • 25 Health Incentives- (annual wellness profile
    maternity profile)
  • Value Based Generic Rx
  • Diabetic Supplies
  • 5 Walgreens Discount Card
  • MasterCard Health Debit Card
  • Magellan EAP for Everybody in Household

Awarded WHIs 2008 Empower Award for empowering
members through programs and communication
25
Humana Dental Insurance
  • Three voluntary dental plan designs
  • DHMO CS 250
  • Traditional Preferred PPO- Low Option
  • Traditional Preferred PPO- High Option
  • http//www.HumanaDental.com and -800-233-4013
    (for specialists see document in Benefits
    Library)

26
DHMO CS250 Option
  • The DHMO Plan Provides a wide variety of benefits
    through Participating Providers
  • At the time of Service, You Pay the Dentist for
    any applicable Co-payments according to the
    Schedule of Benefits (available in the Benefits
    Library on the ICUBA Benefits site (always a
    5-35 office visit copay other services)
  • Must choose Primary Care Dentist
  • Orthodontia Coverage for Children and Adults-
    Transition of Care
  • Self Referral to Specialists
  • No Plan Benefit Maximums, deductibles, claim
    forms or waiting periods
  • Discounts on Cosmetic and Non-Listed Procedures
  • Emergency Visit up to 100 per year- call Humana
    Customer Service

27
Traditional Preferred Low Option
  • Allows You to receive Benefits from Any Provider
    in or out of network (different levels of
    benefits coverage)
  • Plan Year Deductible - 50 per Individual or 150
    Per Family, waived on Preventive Services
  • Annual Plan Year Maximum Benefit is 1,000
  • Ortho Max. is 50 up to 1,000, Lifetime Benefit,
    No Deductible transition of care
  • NO WAITING PERIOD
  • Out of Network can be balance billed claim
    forms are required for out of network

28
Traditional Preferred High Option
  • Allows You to receive Benefits from Any Provider
    in or out of network (different levels of
    benefits coverage)
  • Plan Year Deductible - 50 per Individual or 150
    Per Family, waived on Preventive Services
  • Annual Plan Year Maximum Benefit is 2,000
  • Ortho Max is 50 up to 2,000, Lifetime Benefit,
    No Deductible, transition of care
  • NO WAITING PERIOD
  • Out of Network can be balance billed claim
    forms are required for out of network

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FLEXIBLE SPENDING ACCOUNTS
  • Dependent Care Spending Account (DCSA)
  • Dependent care expenses for children under 13 or
    elderly parent if IRS tax dependent
  • Maximum Annual Limit 5,000
  • Funds available each month after payroll
  • Must elect each plan year
  • Claim Reimbursement process
  • Send claims and receipts by mail or fax to ICUBA
  • Use Debit card if merchant can be set up with a
    merchant code with ICUBA
  • Healthcare Spending Account (HCSA)
  • Tax sheltered money to pay for out of pocket
    medical expenses (including over the counter
    drugs)
  • Annual maximum 3,000
  • Use it or lose it (April June 15th)
  • Entire annual HCSA funds are accessible April 1st
  • Use debit card at point of service or submit hard
    copy reimbursement request to ICUBA
    (icubabenefits.org)
  • Reimbursement requests may be submitted until
    June 30th (3 months after end of plan
    year-expense must occur within plan year)
  • 2.5 month extension on use it or lose it (to
    incur expense by June 15th)
  • Must elect each plan year

30
HCSA vs. HRA

31
VOLUNTARY BENEFIT PLANS
  • In addition to the insurance benefits provided by
    Rollins College, various insurance companies make
    other benefits available to employees of Rollins
    College. These benefit programs are not
    sponsored or maintained or endorsed by Rollins
    College, and participation in these programs is
    completely voluntary.
  • Voluntary Benefit Plans Offered
  • Unum Life Insurance - Voluntary Life Insurance
  • Advantica Eye Care Plan Vision Insurance
  • CNA Long Term Care Insurance
  • Open enrollment for voluntary benefit plans will
    occur at the same time as open enrollment for
    College sponsored benefits for ease of
    administration and convenience.

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UNUM VOLUNTARY LIFE
  • Employee Life - 10,000 up to 7 X Salary or a
    Maximum of 500,000
  • Spouse Life - up to 50 of Employee Voluntary
    Life Amount, in increments of 10,000 not to
    Exceed Maximum of 250,000
  • Guaranteed issue for new hires 150,000 employee
    50,000 spouse
  • Child Life - up to 50 of employee voluntary life
    amount in increments of 2500 not to exceed
    12,500
  • Portable - can take policy with you if you leave
    employment
  • Age Reductions apply at 65, 70 and 75 years of
    age
  • Must enter Beneficiary online at
    http//icubabenefits.org
  • (Will need name, ssn, dob, address, and phone
    for beneficiaries)
  • Additional Benefits survivor financial
    counseling services, portability, accelerated
    benefit option, wavier of premium if totally
    disabled beneficiary interest bearing asset
    account

33
ADVANTICA EYE CARE PLAN
  • Advantica EyeCare is a managed vision eye care
    insurance company with a national network of
    optometrists, ophthalmologists, opticians and
    retail providers.
  • Benefits can be obtained at any of the private
    practice providers or retail providers, which
    include (but not limited to) EyeMasters, Sears
    Optical, JC Penney Optical, Target Optical,
    Pearle Vision Centers, Optical Outlets, Wal-Mart
    and any locations with EyeCare Centers of
    America, such as Visionworks.
  • For entire network www.advanticaeyecare.com or
    contact 866-425-2323.
  • Employee Monthly Premium
  • Employee only 4.33
  • Family (Employee 1 or more) 11.08

34
CNA 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

35
31 DAYS FROM HIRE
  • College Sponsored Benefits
  • HEALTH
  • DENTAL
  • FLEXIBLE SPENDING ACCOUNTS
  • Voluntary Benefit Plans
  • UNUM VOLUNTARY LIFE INSURANCE
  • ADVANTICA VISION INSURANCE
  • CNA LONG TERM CARE INSURANCE
  • 1. Return New Hire Tax Savings Form Any
    Applicable Enrollment Forms to HR.
  • 2. Enroll in Benefits online at
    http//icubabenefits.org.

36
LIFE INSURANCE, LTD, TRAVEL
  • Life Insurance
  • Automatic 100 College paid coverage- no election
    necessary
  • 2x salary (with age reductions at 65, 70 and 75)
    to maximum of 500,000
  • Survivor support conversion options
  • Must complete beneficiary information online
    http//icubabenefits.org (name, ssn, dob,
    address, and phone needed for beneficiaries)
  • Long Term Disability
  • 66 2/3 of monthly earnings to a maximum of
    10,000
  • 180 day elimination period maximum benefit
    period to age 65 (limited benefits of 12-24
    months if disabled after age 65)
  • Work-Life Balance Employee Assistance Program and
    worldwide emergency travel assistance services
  • Travel Accident Insurance- The Hartford

37
MAGELLAN EMPLOYEE ASSISTANCE PROGRAM (EAP)
  • Available to all full time part time employees
    and household members to help balance work and
    life matters
  • Completely Confidential FREE!
  • 24-hour online and toll-free number access
  • licensed counselors
  • provides prepaid, confidential assessment,
    counseling, and referral services
  • provides legal, financial and life/work issues
    information resources
  • 6 visits per issue, seamless referral to BCBS
    provider, as needed
  • Free Monthly Webinars

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ROLLINS 403(B) RETIREMENT PLAN
  • Decisions to enroll -
  • How much will I contribute?
  • Which company will I choose?
  • What asset allocation do I want?
  • How when do I enroll?

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How much will I contribute?
  • College contribution after 1 year of service
    age 21
  • Waiver possible if met eligibility requirements
    from another college or university
  • Voluntary pre-tax or Roth after-tax contributions
    allowed anytime
  • 100 Vested

IRS Maximum for Employee Contributions 16,500
for 2009 Catch up provisions- 50 years old
(additional 5,500) 15 years of service
(additional 3,000)
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Which company will I choose?
  • Two core companies (employee college)
  • TIAA/CREF RA (800-842-2776)
  • Fidelity (800-343-0860)
  • Employee Voluntary contributions only
  • Pre-tax - TIAA/CREF SRA
  • After-tax - Fidelity Roth

Loans hardship withdrawals allowed only on
employee voluntary money in the TIAA SRA
41
Roth 403(b) Option
  • After taxes
  • Voluntary employee money only
  • Fidelity only
  • Not for everyone
  • May be good for
  • Younger employees (longer time horizon)
  • Highly compensated individuals not eligible for
    Roth IRA
  • Employees who want to leave tax free money to
    their heirs
  • Employees who expect to be in a higher tax rate
    in retirement than currently

42
What asset allocation do I want?
  • Do it yourself allocations
  • You do the work
  • Targeted Lifecycle Funds
  • Fund Managers do the work

43
How When do I Enroll?
  • HOW DO I ENROLL?
  • Enroll Online with TIAA-CREF or Fidelity.
  • Complete Salary Reduction Agreement return to
    HR
  • Enrollment is not complete until HR receives your
    salary reduction form.
  • WHEN DO I ENROLL?
  • Sign up anytime and make changes anytime (payroll
    deadline is 15th of the month)

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