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BENEFITS OVERVIEW
“Benefits for Educated Consumers”
ICUBA
• Independent Colleges and Universities Benefits Association (ICUBA)
“Better Benefits Through Collaboration”
• Comprised of 18 Private Education Employers in Florida:
• Barry University
• Beacon College
• The Bolles School
• Clearwater Christian College
• Central Florida Area Health Education Center (AHEC)
• Everglades Area Health Education Center (AHEC)
• Edward Waters College
• Florida Institute of Technology
• Florida Memorial University
• Nova Southeastern University
• Palm Beach Atlantic University
• The Poynter Institute
• Rollins College
• Saint Leo University
• Saint Edward’s School
• Saint Paul’s School
• San Jose Episcopal Day School
• The University of Tampa
• 501(c) 9 corporation to purchase benefits for members
• MEWA-multiple employer welfare association
• Pool purchasing power to reduce costs
Benefits - Plan Year: April 1 – March 31
• TAX SAVINGS PROGRAM: Elected premiums will be
deducted on a pre-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 or you must wait until open enrollment
• Open Enrollment is once a year in February. You can make
changes to your benefits for the following plan 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 .
• ELIGIBLE DEPENDENTS: Spouse, domestic partner,
dependent child(ren), and domestic partner ‘s dependent
child(ren)
Forms and Effective Dates
1. NEW HIRE TAX SAVINGS PROGRAM ELECTION FORM
2. 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
ICUBA Benefits Site
• http://icubabenefits.org (No www.)
• access Benefits Library & Reference Center full of detailed
plan summaries, rates, 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
Type in your Social Security Number, Company Key and
Date of Birth. Your Company Key is “ICUBA”. The company
key is case sensitive.
ICUBA Health Insurance
• Four BlueCross BlueShield (BCBS) of FL PPO’s 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
• Three tier Prescription Plan benefits through Walgreens
Health Initiatives (WHI)
• If declining insurance now- can enroll within 30 days of a
status change or during annual open enrollment
• Pre-existing conditions- need proof of 1 year of prior
coverage with no more than a 63 day break to waive the 1
year pre-existing clause
Four PPO Health Plans
• Risk/Reward Blue Options PPO
• Risk/Reward Blue Choice PPO
• PPO 70 Blue Options
• PPO 70 Blue Choice
• Health Insurance Premiums
• College covers 63% of the total premium for
employee and eligible dependents
• All plans have college funded Health
Reimbursement Account (HRA)
Blue Options vs. Blue Choice Plans
Benefit Blue Choice Blue Options
Plan Design; Same Same
deductibles & out of
pocket max
HRA Contributions Same Same
Premiums Higher than BO Lower than BC
Provider Network Blue Choice Preferred NetworkBlue
Patient Care PPO
BCBS Health Plan Providers
• To verify if a Provider is in either network :
• access the provider directory at www.bcbsfl.com or
• call customer service at 800-664-5295
• Two ways to search online:
1. Choose BlueOptions(Network Blue) or BlueChoice
(Preferred Patient Care PPO) from the drop down
Plan box
2. 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
ICUBA Health Insurance Plan Design
Similarities: Differences:
• WHI Prescription drug • Premiums
benefit
• Co-pays
• Free Wellness Benefits
• All Free ICUBA CaresTM • Deductibles
Benefits • Coinsurance
• Plan rules & coverage
• Annual Out of Pocket Max
• BCBS FL website access &
amenities • HRA Amounts
• 24/7 Health Info Hotline • Provider Network - Blue
• ER & Urgent Care Copays Choice vs. Blue Options
Definitions
• Deductibles: The cumulative amount that you must pay in the Plan Year
before benefits will be paid by the Plan. If the Plan has a $750 deductible, the
Plan begins to pay after you have paid the first $750 for services in which the
deductible is required.
• Coinsurance: The percentage of a covered expense that you pay after the
satisfaction of any applicable deductible. It is a defined percentage of the
covered charges for services rendered. For example, the plan may pay for
70% of covered services and you pay 30%.
• Copays (Co-payments): The fixed dollar amount you are required to pay
each time a particular service is used. The copay does apply to out-of-pocket
but does not reduce amounts applied to the Deductible or co-insurance. A
copay may be $20 for an office visit.
• Annual Out-of-Pocket Maximum: The maximum amount of deductible and
co-insurance during any Plan Year that you pay before the Plan begins to pay
100% of Covered Expenses for the balance of the Plan Year.
• Health Reimbursement Account: A Medical Care account that the college
contributes to based on health insurance plan and level of coverage.
• Flexible Spending Account: A Medical Care or Dependent Care Spending
account in which you put aside pre-tax dollars to pay for eligible expenses.
In-Network Plan Comparison
PPO 70 Blue Choice AND Risk/Reward Blue
Blue Options Choice AND Blue
Options
Deductible (Individual/Family) $750/$2250 $1,750/$4,000
Coinsurance (after Ded) 70/30% 80/20%
Out-of-Pocket Limits $3,000/$6,000 $3,500/$7,000
Primary Physician Services $20 copay – No Ded 20% - No Ded
Specialist Physician Services $30 copay – No Ded 20% - No Ded
Wellness Exam $0 $0
Outpatient Surgery in Dr’s Office $20 or $30 copay - No Ded 20% - No Ded
Outpatient Surgery in Outpatient $100 copay Ded then 20%
Facility then Ded and 30%
Outpatient Pre-Admission Ded then 30% Ded then 20%
Diagnostic Imaging $100 copay, and 30% after ded 20% after ded
Chiropractic $30 copay - No Ded 20% - No Ded
60 visits/year 60 visits/year
In-Network Plan Comparison
PPO 70 Blue Choice AND PPO Risk/Reward Blue
Blue Options Choice AND Blue
Options
Physical, Speech and Occupational $30 copay - No Ded 20% - No Ded
Therapy 30 visits/year 30 visits/year
Inpatient Hospital Services $250 copay, and 30% after ded 20% after ded
Emergency Room $100 copay – No Ded $100 copay – No Ded
Urgent Care $30 copay – No Ded 20% - No Ded
Maternity Care
Outpatient Physician Visits $30 copay initial – No Ded 20% - No Ded
Inpatient $250 copay, Ded, then 30% Ded then 20%
MHNet Mental Health & Substance $250 copay, Ded then 30% Ded then 20%
Abuse Inpatient (no limit)
MHNet Mental Health & Substance $20 copay – No Ded 20% - No Ded
Abuse Outpatient (no limit)
Full Benefits Summaries available at the ICUBA Benefits Site: http://icubabenefits.org
HRA Monthly Funding Schedule
Monthly Annual Monthly Annual
Risk/Reward Risk/Reward PPO 70 PPO 70
Single $125.00 $1500.00 $75.00 $900.00
EE + SP $150.00 $1800.00 $100.00 $1,200.00
EE + DP
EE + CH $140.00 $1680.00 $85.00 $1,020.00
Family $175.00 $2100.00 $125.00 $1,500.00
Health Reimbursement Accounts (HRA)
• Est. by 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 enrolled in health plan
• ICUBA Administers Flex & HRA -
P.O. Box 616927
Orlando, FL 32861-6927
Phone: 866-377-5102
Fax: 866-377-5180
benefitsadministration@icuba.org
Check balance online: http://icubabenefits.org
Health Reimbursement Accounts (HRA)
• Eligible Expenses (full listing on ICUBA Benefits Site):
• Out of pocket medical services (medical, dental, vision)
• Prescriptions
• 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
• Over the counter drugs without a prescription
Health Reimbursement Accounts (HRA)
• Money earns interest at the FL Dept of Financial
Services rate on a quarterly basis
• Never taxed
• Never be converted to cash
• Portable with 36 months continuous participation
($10.60 monthly administrative fee applies if no longer employed)
• If you drop health/HRA plan or leave employment
without 36 mths = forfeit $
• HRA available end of each month you participate in
high deductible plan
• 15th of the month rule
BCBS Tools/Resources
• MyBlueServiceSM Online - • Better You from Blue Worksite Wellness
• Health assessments Program
• Lifestyle Improvement Programs
• Health Coaching • Health Risk Assessment with $25
• Educational resources Incentive
• Claims history/review benefits
• Care Comparison • Florida Blue Center, Winter Park Village
– Free screenings and advice (Events
• Provider look up calendar at FloridaBlue.com)
• WebMD Interactive tools and info
• Blue 365® discount program
• Health Dialog 24 Hour Line (nurses, • Fitness & Exercise
therapists, dieticians, etc.)
• Nutrition & Weight Management
• Healthy Additions Pregnancy Program • Travel
• Vision & Hearing
• Care Consultants – Expert advice and • Eldercare & Retirement Resources
case management
ICUBA CaresTM FREE Wellness Benefits
• Annual Physical & • Bone Mineral Density Tests
Gynecological Exam
• Allergy Injections
• Lab Tests
• Aspirin for adults with a
• Pap Tests
physician prescription
• Mammograms
• Prescribed generic folic
• Urinalysis
acid & pre-natal vitamins for
• Electrocardiograms pregnancy
• Echocardiograms
• Diabetic Supplies - One
• Immunizations/Flu Shots Touch meters, lancets, strips
• Colonoscopies & and Novofine® needles
Sigmoidoscopies
• Employee Assistance
• Colorectal Screenings
Program to all employees
• Prostate Cancer Screenings and members of their
household
Prescription Drug Program
• Walgreens Health Initiatives (WHI)
• 24/7 Customer Service
• Separate ID card for pharmacy benefits
• Preferred Medication List is available at
www.walgreenshealth.com
• Three Tier Copay Structure
• Three Options for getting prescriptions filled
• Free Diabetic Supplies
• Free Over the Counter Preventive Generics with
prescription
Prescription Drug Copays
Tier Copay Definition
30 day Ret./90 Mail Order/ 90 Ret.
1st Tier: $5/10/10 Contain same active ingredient as their brand-name
equivalents and offer the same effectiveness & safety.
Generics Some generics use a brand name instead of a chemical
name. Both have the lowest copay.
2nd Tier: $27/50/60 Medications in this tier have been selected by your
pharmacy benefit plan as preferred brand drugs.
Preferred These drugs have higher co-pays than generics but are
less costly than non-preferred medications on the
third tier.
3rd Tier: $60/120/145 Because a generic version or a second-tier alternative
is available, non-preferred medications have the
Nonpreferred highest co-pays and are not listed on the WHI
Preferred Medication List.
Annual Out of Pocket Max = $2,000 Individual/ $4,000 Family
WHI Pharmacy Network
• WHI Retail Pharmacy Network
• Over 62,000 chain and
independent pharmacies
nationwide including: Publix,
CVS, Walgreens, Costco, Wal-
Mart, Target, etc.
• WHI Advantage90™Retail
Network
• Over 39,000 chain and
independent pharmacies
nationwide including CVS,
Publix, Sam's Club, Target ,
Walgreens , Wal-Mart , Winn-
Dixie
• 90-day maintenance
medications
• WHI Mail Service Pharmacy
• located in Orlando, Florida
Orlando
Humana Dental Insurance
• Three dental plans:
• DHMO CS 250
• Traditional Preferred PPO- Low Option
• Traditional Preferred PPO- High Option
• http://www.HumanaDental.com and -800-233-4013
DHMO CS250 Option
• The DHMO Plan Provides a wide variety of benefits through
Participating Providers
• Benefits apply to in-network providers only
• Pay at the time of service for any applicable co-pays according
to the Schedule of Benefits
• Must choose primary care dentist prior to receiving services
• Orthodontia Coverage for Children and Adults- Transition of
Care
• Self Referral to Specialists
• No Plan Benefit Maximums, deductibles, or claim forms
• Discounts on Cosmetic and Non-Listed Procedures
• Emergency Visit: up to $100 per year- call Humana Customer
Service
Traditional Preferred Low Option
• Allows You to receive Benefits from Any Provider in or
out of network
• 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
Traditional Preferred High Option
• Allows You to receive Benefits from Any Provider in or
out of network
• 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
Flexible Spending Accounts (FSA’s)
Dependent Care Spending Account (DCSA) Healthcare Spending Account (HCSA)
• Dependent care expenses for children • Pre-tax money to pay for out of pocket
under 13 or elderly parent if IRS tax medical expenses
dependent • Maximum Annual Limit $3,000
• Maximum Annual Limit $5,000 • Entire annual election available up front
• Funds available each month after payroll • Use debit card or submit paper or online
• Must elect each plan year reimbursement request to ICUBA
• Reimbursement requests may be
• Claim Reimbursement process through submitted until June 30th (3 months
ICUBA: after end of plan year-expense must
• Paper claim form by mail or fax occur within plan year)
• Online reimbursement request • Use it or lose it. 2.5 month extension (to
through http://icubabenefits.org incur expense by June 15th)
• Use Debit card if provider can be set • Must elect each plan year
up with a merchant code with ICUBA
HCSA vs. HRA
HCSA (Flex, FSA): HRA:
Part of IRS Section 125 Approved by Federal Gov’t
Employee contributes tax-free Employer contributions only
Funds do not earn interest & are pre-tax Funds earn interest & are never taxed
Do not have to be enrolled in medical plan Offered with all PPO medical plans
Unused funds cannot be rolled into next year Unused funds can be rolled over at the end of
(except 2.5 month extension) year to be used in subsequent years
Cannot be used to pay insurance premiums May be used to pay retiree & COBRA medical
premiums & long term care premiums
May be used for all IRS dependents May be used for IRS dependents on medical
plan only
Total limit available April 1st Deposit made end of each month
Used before the HRA Used after HCSA
Unum Voluntary Life Insurance
• Employee Life - $10,000 up to 7 X Salary or a Max of $500,000
• Spouse Life - up to 50% of Employee Voluntary Life Amount, in
increments of $10,000; Max 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; Max of $12,500
• Portable – keep policy at same rates if you leave employment
• Benefit Reductions 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
Advantica EyeCare Plan
• Advantica EyeCare is a managed vision eye care insurance company
with a national network of optometrists, opticians and retail
providers.
• Benefits can be obtained at any of the in-network providers, which
include (but not limited to) EyeMasters, Sears Optical, JC Penney
Optical, Target Optical, Pearle Vision, Optical Outlets, Wal-Mart,
VisionWorks, and Florida Eye Clinics
• Out of network reimbursement with claim form
• For entire network: www.advanticabenefits.com
• Employee Monthly Premium:
• Employee only $4.33
• Family (Employee + 1 or more) $11.08
CNA Long Term Care Insurance
• Covers Facility and Home-Based Care
• Employee, spouse, parents, grandparents
• Premiums are after tax and do not increase with age
• Three levels of Daily Facility Care benefit & Lifetime Max
• Available with or without future benefit guarantee
• Life insurance built in
• Guaranteed benefit increase option
• Guaranteed Issue
• Portable
• Contact HR for detail, rates, and enrollment forms
30 DAYS FROM HIRE
• Choose Benefits:
• HEALTH
• DENTAL
• FLEXIBLE SPENDING ACCOUNTS
• UNUM VOLUNTARY LIFE INSURANCE
• ADVANTICA VISION INSURANCE
• CNA LONG TERM CARE INSURANCE
• Enroll online at http://icubabenefits.org
• Return New Hire Tax Savings Form & Any Applicable
Enrollment Forms to HR
College Provided Life Ins, LTD, Travel
• Life Insurance
• Automatic 100% College paid coverage - no election necessary
• 2x salary (with age reductions at 65, 70 & 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)
• Work-Life Balance Employee Assistance Program and worldwide emergency
travel assistance services
• Long Term Disability
• 66 2/3% of monthly earnings to a max of $10,000
• 180 day elimination period & maximum benefit period to age 65 (limited
benefits of 12-24 months if disabled after age 65)
• Travel Accident Insurance
MHNet Employee Assistance Program (EAP)
• Employee Assistance Programs are a confidential resource for:
• Counseling Services (6 free visits per issue)
• Work-Life Services (child care, elder care, adoption svcs)
• Life Coaching
• Legal & Financial Services
• Online Resources and 24 Hour Hotline
• To Access Services, call 1-877-398-5816 or visit their website:
www.mhnet.com
• User name: ICUBA
• Password: 8773985816
• Available to all full time & part time employees and household members
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?
How Much Will I Contribute?
• College contribution after 1 You Give Rollins
year of service & age 21** Gives**
• Possible waiver if met
eligibility requirements at 0% 7%
another college or university
• Voluntary pre-tax or Roth 1% 8%
after-tax contributions 2% 9%
allowed anytime
• 100% Vested 3% 10%
IRS Maximum for Employee Contributions: $16,500
Catch up provisions- 50 years old (additional $5,500) & 15 years of
service (additional $3,000)
Which Company Will I Choose?
• Two Core Companies:
• TIAA/CREF
• Fidelity Investments
• 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
Roth 403(b) Option
• After tax
• Voluntary employee contributions 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
What Asset Allocation Do I Want?
1. Do it yourself Allocations
• You choose your funds
2. Targeted Allocations
• Ready-mixed funds based on age &
estimated year of retirement
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 any time and make changes any time
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