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BENEFIT OPEN ENROLLMENT Plan Year 4/1/2010- 3/31/2011 Appreciation Human Resources: HR Team ICUBA: Mark Weinstein, President & CEO Robin Long, Chief Operating Officer Information Technology Auxiliary Services Property Management Florida Tech Plan Offerings Group Life Insurance Short-Term and Long Term Disability Tuition Remission Retirement AFLAC Prepaid Legal Services Additional Life Insurance with AD&D Long term care Medical Dental Vision Employee Assistance Program Group Life Insurance Critical Update Request* • Florida Tech continues to provide Group Life Insurance, at no cost, to all benefits-eligible employees in an amount equal to your annual salary rounded to the next highest $1,000. The maximum group life insurance amount is $150,000. • Benefits are payable to your named beneficiary(ies). * To ensure all beneficiary(ies) designations are current and complete, it is critical that we have updated information. Disability Insurance Short-Term and Core Long-Term Disability coverage is provided at no cost to benefits-eligible employees. Long-Term Disability Buy-Up coverage is available and is purchased by the employee through payroll deduction. This plan provides a benefit of 66 2/3% of salary up to a maximum of $14,000 per month. Tuition Remission Florida Tech continues to provide tuition remission to all benefits-eligible employees and eligible dependents. For more information regarding tuition remission policy and procedures please refer to the policy located at: www.fit.edu/hr. 403(b) Retirement Plan for 2010 Maximum Annual Employee Contribution Under age 50 - $16,500 At least age 50 (12/31) - $22,000 *Age 50 with 15 years $25,000 of continuous service Employer Match is 1% for each 1% you contribute up to 5% per pay period. * Additional criteria may be required. AFLAC Insurance Personal Sickness Indemnity Personal Accident Indemnity AFLAC Cancer policy For detailed information you may visit our AFLAC representative at her table. Prepaid Legal Services Two plans are offered: Life Events Legal Plan Identity Theft Plan Life Events Legal Plan & Identity Theft Plan Additional Life Insurance with AD&D You have the opportunity to purchase Additional Life Insurance for yourself, your spouse, and your children. Employee: Up to 5 times salary in increments of $10,000. Not to exceed $500,000. Spouse: Up to 50% of employee amount in increments of $5,000. Not to exceed $250,000. Child: Up to 50% of employee coverage amount in increments of $2,000. Not to exceed $10,000. Long Term Care You have the opportunity to purchase Long Term Care for yourself, your spouse, or other family members. Three plans are offered: Plan A: 2 Years benefit duration. Plan B: 4 Years benefit duration. Plan C: 6 Years benefit duration. Welcome ICUBA Better Benefits through Collaboration We are pleased to be here for Florida Tech’s Open Enrollment presentation. The mission of our partnership with Florida Tech is to provide high quality, cost effective health and welfare benefits to the employees of Florida Tech. ICUBA now has twelve member Institutions Plan Enhancements for 2010 Addition of PPO 70 Blue Options Plan No limits on eligible Mental Health or Substance Abuse Benefits Free Labs at In-Network Freestanding Laboratory Reduction in Generic Drug co-payments New MHNet Integrated Behavioral Health and Employee Assistance Program PPO 80 & PPO 70 Blue Choice Florida Tech cost of total premium – 70% Staff/Faculty cost of total premium - 30% PPO 80 Premium increase Blue Choice Does NOT include Health Reimbursement Account (HRA) Florida Tech cost of total premium – 75% PPO 70 Staff/Faculty cost of total premium - 25% Blue Choice Premium increase Continue current monthly HRA PPO 70 Blue Options with HRA Florida Tech cost of total premium – 75% Staff/Faculty cost of total premium - 25% PPO 70 Monthly HRA Blue Options $ 60 employee only $120 employee + spouse $120 employee + child(ren) $120 family The difference between the Blue Choice and Blue Options is the provider network and a lower per pay premium. To locate an in-network provider, please visit Blue Cross Blue Shield of Florida’s website at www.bcbsfl.com. PPO Risk/Reward Blue Choice & PPO Risk/Reward Blue Options PPO Risk/Reward Florida Tech cost of total premium – 75% Blue Choice Staff/Faculty cost of total premium - 25% Premium increase Continue current monthly HRA Florida Tech cost of total premium – 75% PPO Risk/Reward Staff/Faculty cost of total premium - 25% Blue Options Premium increase Continue current monthly HRA In-Network Plan Comparison 19 PPO 80 Blue Choice PPO 70 Blue Choice PPO 70 Blue PPO Risk/Reward PPO Risk/Reward Options Blue Choice BlueOptions Deductible $300/$900 $500/$1,500 $500/$1,500 $1,500/$4,500 $1,500/$4,500 Coinsurance (after Ded) 80/20% 70/30% 70/30% 80/20% 80/20% Out-of-Pocket Limits $2,500/$5,000 $3,000/$6,000 $3,000/$6,000 $3,500/$7,000 $3,500/$7,000 Primary Physician Services $15 co-pay- No Ded $20 co-pay – No Ded $20 co-pay – No 80/20% - No Ded 80/20% - No Ded Ded Routine Wellness Exams $15 or $25 copay- $20 or $30 co-pay- $20 or $30 co-pay- 80/20% - No Ded 80/20% - No Ded No Ded No Ded No Ded Specialist Physician $25 co-pay- No Ded $30 co-pay – No Ded $30 co-pay – No 80/20% - No Ded 80/20% - No Ded Ded Outpatient Surgery in Drs’ Office $15 or $25 copay- $20 or $30 co-pay- $20 or $30 co-pay- 80/20%- No Ded 80/20%- No Ded No Ded No Ded No Ded Outpatient Surgery in Outpatient $100 co-pay, $100 co-pay, $100 co-pay, Ded, 80/20% Ded, 80/20% Facility Ded, 80/20% Ded, 70/30% Ded, 70/30% Outpatient Pre-Admission Ded, 80/20% Ded, 70/30% Ded, 70/30% Ded, 80/20% Ded, 80/20% MRI, MRA, CAT, PET $100 co-pay, Ded, $100 co-pay, $100 co-pay, Ded, 80/20% Ded, 80/20% 80/20% Ded, 70/30% Ded, 70/30% Chiropractor $25 co-pay per day- $30 co-pay per day- $30 co-pay per day- 80/20% - No Ded 80/20% - No Ded No Ded No Ded No Ded 60 visits 60 visits 60 visits 60 visits OE 2010 In-Network Plan Comparison 20 PPO 80 Blue PPO 70 Blue PPO 70 Blue PPO PPO Risk/ Choice Choice Options Risk/Reward Reward Blue Choice BlueOptions Physical, Speech and $25 co-pay per day- $30 co-pay per day- $30 co-pay per 80/20% - No 80/20% - No Occupational Therapy No Ded No Ded day-No Ded Ded Ded 30 visits each 30 visits each 30 visits each 30 visits each 30 visits each Inpatient Hospital Services $250 co-pay, Ded, $250 co-pay, $250 co-pay, Ded, 80/20% Ded, 80/20% 80/20% Ded, 70/30% Ded, 70/30% Emergency Room $100 co-pay- No Ded $100 co-pay – No $100 co-pay – $100 co-pay – $100 co-pay – Ded No Ded No Ded No Ded Urgent Care $25 copay- No Ded $30 co-pay – No $30 co-pay – No 80/20% - No 80/20% - No Ded Ded Ded Ded Maternity Care $25 initial- No Ded $30 initial – No Ded $30 initial – No 80/20% - No 80/20% - No Ded Ded Ded Inpatient $250 co-pay, Ded, $250 co-pay, 80/20% Ded, 70/30% $250 co-pay, Ded, 80/20% Ded, 80/20% Ded, 70/30% Mental Health & Substance Abuse $250 co-pay, Ded, $250 co-pay, $250 co-pay, Ded, 80/20% Ded, 80/20% Inpatient 80/20% Ded, 70/30% Ded, 70/30% Mental Health & Substance Abuse $25 co-pay- No Ded $30 co-pay – No Ded $30 co-pay – No 80/20%- No 80/20%- No Ded Outpatient Ded Ded Full Benefits Summaries available at http://icubabenefits.org OE 2010 Plan comparisons What is the difference between the plans? Similarities Differences Prescription Drug Benefit Premiums Annual Wellness Benefit Blue Options Provider Plan Rules Network 24/7 Health Info Hotline Annual Out-of-Pocket ER & Urgent Care Maximums (in-network) HRA contributions 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 $500 deductible, the Plan begins to pay after you have paid the first $500 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%. Co-pays (Co-payments): The fixed dollar amount you are required to pay each time a particular service is used. The co-pay does not apply to out-of-pocket, and does not reduce amounts applied to the deductible or coinsurance. A co-pay may be $20 for an office visit. Annual Out-of-Pocket Maximum: The maximum amount of deductible and coinsurance during any Plan Year that you pay before the Plan begins to pay 100% of covered expenses for the balance of the Plan Year. Flexible Spending Account: A Medical Care or Dependent Care Savings account in which you put aside pre-tax dollars to pay for eligible expenses. $2 Million Lifetime Maximum: The total dollars you can receive in Medical Benefits in your lifetime. Centers of Excellence: Preferred places of care with the best outcomes, finest operational standings and best patient care. Medical Costs & Your Decision You may want to consider the following when making your decision for which plans to choose and how much to fund your Health Care Spending Account (HCSA): Total premiums for your health insurance which are deducted on a before-tax basis Out-of-pocket maximum (OOP) which is the maximum cost you could be responsible for in a year (co-pays are not included) Co-pays Put these pieces together as follows to determine your total financial risk In a worst case scenario, one where your expenses would hit the OOP maximum: Premiums + OOP Max + Co-pays = Total OOP Risk Remember to use Urgent Care when appropriate According to some estimates, more than three-quarters of the people who visit emergency rooms do not need to be there. Many of these patients are likely better candidates for a visit to an urgent care center. An emergency is defined as a condition that may cause loss of life or permanent or severe disability if it isn’t treated immediately. You should go directly to the nearest emergency room if you experience any of the following: • Chest pain • Serious burns, cuts, or infections • Shortness of breath • Inability to swallow • Severe abdominal pain following an injury • Seizure • Uncontrollable bleeding • Paralysis • Poisoning or suspected poisoning • Broken Bones • Confusion or loss of consciousness, especially after a head injury Urgent care centers are usually located in clinics or hospitals, and like emergency rooms, offer after- hours care. They are not equipped to handle life-threatening situations but are designed to handle situations which require immediate attention – those where delaying treatment could cause serious problems or discomfort. Urgent care centers are usually more cost-effective than ERs for these conditions. In addition, the waiting time in urgent care centers is usually much shorter. Some examples of conditions that require urgent care are: • Ear infections • Sprains • Urinary tract infections • High fever • Vomiting Free Services available to You In-Network Labs at a free standing facility Wellness Benefits Health Dialog® Care Coordination Blue 365and MyBlueService at www.bcbsfl.com $25 Health Incentives Diabetic Supplies 5% Walgreens Discount Card MasterCard® Health Debit Card MHNet EAP for everyone Free Wellness Benefits ICUBA covers all these services: NEW for 2010 - All lab work done at an in-network freestanding laboratory Bone Mineral Density Screenings Mammograms Colorectal Cancer Screenings Colonoscopies Sigmoidoscopies Venipunctures Electrocardiograms Urinalysis Echocardiograms PAP tests Prostrate Cancer Screenings Adult Immunizations Child Immunizations Health Incentives Health incentives available to you: $25 upon completion of the Personal Wellness Profile Online $25 upon completion of the Maternity Wellness Profile Online Take it today on www.bcbsfl.com HEALTH DIALOG® Health Coaching is available 24 hours a day, 7 days a week by calling 1-877-789-2583. Immediate Health Care Assessment - You can also phone Health Dialog® about an immediate Illness or injury. When you do so, the Health Coach can perform a comprehensive health care assessment to help you determine your next step. Please take advantage of this program offered to you through Blue Cross and Blue Shield of Florida! You may contact a Health Coach at Health Dialog at 1-877-789-2583. You may also access the Dialog CenterSM website through My Blue Service at www.BCBSFL.com Care Coordination If you have questions, call Blue Cross Blue Shield’s 24-hour Health Care Assistance number for access to nurses who provide health education and support services is 1-877-789-2583. An important benefit all members enrolled in an ICUBA Blue Cross Blue Shield Medical Plan receive is free access to Care Coordination Services from a Nurse Case Manager. Some examples of when you or your family member may wish to access such services are when: Skilled nursing facility services are needed or contemplated Complex health issues develop, with medical conditions such as cancer, diabetes, heart disease or musculoskeletal conditions Major surgical procedures are planned, such as a total hip replacement, organ or bone marrow transplant Blue 365 ® Discount Program 25 Blue 365® replaces Blue Complements Two convenient ways to access: as the BCBS national member discount 1) www.bcbsfl.com •Log onto MyBlueService program delivering health and wellness •Member Resources tools and services, information and •Member Discounts discounts to help members manage their 2) www.blue-365.com healthcare experience and make healthy choices. Save on fitness clubs (i.e., Gold’s Gym) exercise equipment, nutrition and weight management programs (i.e., Curves International®, Jenny Craig®, Nutrisystem®, ) massages, vitamins and much more. OE 2010 Blue Cross Blue Shield/MHNet Card 31 For mental health or EAP use MHNet information on the back of the BCBS card OE 2010 Prescription Plan provides you value based RX drugs 32 Same co-pays for Specialty Drugs $5 (30 day supply) or $10 (90 day supply) Generic Copays No deductible EVER for drugs Same benefits for all plans 90-Day supply at Retail Mail Order Free diabetic supplies - One Touch Brand meters, lancets, and strips - Novofine® needles OE 2010 33 Diabetic Supply Overview Every Florida Tech Medical Rx Plan covers diabetic supplies at NO cost Ask your Pharmacist for information regarding diabetes, and access resources such as the American Diabetes Association for additional resources regarding Diabetes You can also call WHI at 1-800-207-2568 OE 2010 Understanding Your Pharmacy Benefit Tiered Co-pays 34 Your pharmacy benefit plan offers three categories— or tiers—of drugs that determine your cost share or co-pay Whenever possible, have your doctor consult your formulary guide for the lowest cost generic or brand medications available for your therapy. Tier the Walgreens Health Initiatives Customer Care Center You may visit www.mywhi.com or callDefinition Co-pay toll free at 1-800-207-2568.Mail 30 day Retail/ Order/90 day Retail 1st Tier: $5/10/10 Generics contain the same active ingredient as their brand- Generics name equivalents and offer the same effectiveness and safety. Some generics use a brand name instead of a chemical name. Both have the lowest co-pay. 2nd Tier: $27/50/60 Medications in this tier have been selected by your pharmacy Preferred benefit plan as preferred brand drugs. 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 Non preferred available, non-preferred medications have the highest co-pays and are not listed on the WHI Preferred Medication List.OE 2010 Employee Assistance Program 35 Confidential assistance is available every hour of every day. MHNet offers information on hundreds of topics, including: health and wellness, child and elder care, family or parenting issues, anxiety, depression and many more. To access 24 hour care, call MHNet at 1-877-398-5816. There is a new website www.mhnet.com to search for providers. OE 2010 MHNet Transition of Care for Behavioral Health/ Substance Abuse and EAP 36 Effective April 1, 2010, Mental Health and Substance Abuse (MH/SA) benefits will be provided by MHNet. You will no longer access these services through the BlueCross BlueShield (BCBS Network). Your new BCBS card will provide the MHNet phone number on the back. All EAP and inpatient services must be pre-authorized by calling MHNet. If you are currently utilizing MH/SA or EAP benefits, MHNet guarantees a smooth transition of care: Any member in active treatment will be authorized to continue treatment from their current provider. For members receiving services from a non MHNet provider, MHNet will continue to authorize care as long as there is not greater than a six month gap in services. MHNet continues to actively recruit providers. OE 2010 ICUBA Benefits Card TM 37 Login to http://icubabenefits.org P.O. Box 616927, Orlando, FL 32861-6927 Email: firstname.lastname@example.org Phone: 866-377-5102 Fax: 866-377-5180 You must re-enroll in your HCSA and DCSA OE 2010 HRA and HCSA Differences 38 Health Care Spending Account Health Reimbursement Account (HCSA) (HRA) Funded by employee pre-tax Funded by Florida Teach dollars Funds available first day of Available for PPO 70 and Plan Year Risk/Reward Plans Available for eligible medical Funds roll over at the end of expenses each plan year indefinitely No carry-over of funds from Portable after 36 months of year to year (by law) continuous participation in the - Use-it-or-lose-it PPO 70 or Risk/Reward Plan HCSA funds are used before using the HRA funds Can have HRA alone with no Can have HCSA and no HRA FSA OE 2010 FSA- Flexible Spending Account 39 Health Care and Dependent Care Funded by employee with pre-tax contributions and used to pay for qualified health care or dependent care expenses Health Care Spending Account Allowable expenses defined in Plan Document accessed at icubabenefits.org Maximum annual limit of $5,000 Dependent Care Spending Account is for qualified expenses for care of dependents under age 13, physically or mentally challenged adults who are unable to care for themselves; cannot earn more than $3,200 a year Dependent Care Funds available as deducted from your paycheck Funds available by using the ICUBA Benefits CardTM File your claims online at http://icubabenefits.org Direct Deposit Available OE 2010 Subject to use-it-or-lose-it rule Dental Managed Care CS-250 No benefit changes No waiting period Co-payments per Schedule CS-250 Benefits No Annual or Lifetime Maximums Select and use participating network dental providers and specialists Dental PPO Low No benefit changes Annual Deductible $50/year/person Maximum Benefits $1,000/year/person $1,000 lifetime maximum for adult and child orthodontia No waiting period You can use any dentist you choose Dental PPO High No benefit changes Annual Deductible $50/year/person Maximum Benefits $2,000/year/person $2,000 lifetime maximum for adult and child orthodontia No waiting period You can use any dentist you choose Vision Insurance No premium changes $5 co-pay for comprehensive eye exam Covers an eye exam every 12 months Covers prescription lenses every 12 months Covers eyeglass frames every 24 months Covers contact lenses every 12 months Please visit our website at www.advanticaeyecare.com to view our entire provider network, or contact our Service Center at 1-866-425-2323. YOUR ICUBA BENEFIT CARDS BlueCross BlueShield Walgreens Prescription Walgreens Product of Florida * Discount Advantica Eyecare Humana Dental ICUBA Debit MasterCard™ HumanaDental CS250 Member Number Effective Date Group Number 999999999 MM/DD/YY 777777 Member Last Name Example Member Name Clinic/Provider Suzie Q Happy Teeth John D Lasting Smiles * MHNet Behavioral Health for mental health, substance abuse, and Employee Assistance Program – toll free phone number and website on back of BCBSFL ID card. Open Enrollment Recap 45 April 1, 2010 through March 31, 2011 - addition of the PPO 70 Blue Options Plan is being offered. - no limits on Mental Health or Substance Abuse Benefits - free labs at In Network, freestanding facilities - Rx Coverage will continue with Walgreens Health Initiatives MHNet Behavioral Health/ Substance Abuse/ EAP No change in ICUBA MasterCard® Health Debit Card; new elections are required for Health Care Spending Account and Dependent Care Spending Account Humana Dental Plans- same rate as last year Advantica Vision Plan- same rate as last year Benefits Website is http://icubabenefits.org Remember there are two BCBSFL Provider Networks: Blue Choice and Blue Options OE 2010 Important In-Network Access Reminder 46 REMEMBER TO ALWAYS VERIFY THAT YOUR MEDICAL OR PHARMACY PROVIDER IS IN NETWORK FOR YOU TO RECEIVE THE LOWEST OUT-OF-POCKET COSTS Blue Cross Blue Shield’s dedicated ICUBA customer service number is 1-800-664-5295 or My Blue Service at www.BCBSFL.com The hours of operation are Monday through Thursday 8AM – 6PM Eastern, and 9AM – 6PM Eastern on Fridays. WHI 24/7 Customer Service is 1-800-207-2568 or WHI member website: www.mywhi.com OE 2010 Plan Year 2010-2011 Benefit Plan Year Elections Cover: 4/1/2010 – 3/31/2011 Premium changes will be effective In your April 9th Paycheck HR will gladly assist you with your elections! Mid-Year Changes If you experience a qualifying change in family status as defined by the IRS during the Benefit Plan Year, i.e. marriage, divorce, birth - you may request a change in your pre-tax benefit elections This request must by made within 31 DAYS of the qualifying event. Notify Human Resources in writing. Flexible spending account ***Re-enroll EACH Plan Year*** Accounts are Administered By ICUBA HCSA Health Care Spending Account DCSA Dependent Care Spending Account Human Resources Website Visit www.fit.edu/hr under ―Open Enrollment‖ for: Plan Comparisons Benefit Summaries Enrollment Forms Premiums Links to Insurance Websites Presentation Frequently Asked Questions We are here for you! Blue Cross Blue Shield Walgreens Health Initiatives MHNet Services HUMANA Dental Insurance ADVANTICA Vision Insurance UNUM Supplemental Life Insurance AFLAC Pre-Paid Legal Services Please visit representatives at their tables to learn more about their products… DEADLINE Return Benefit Enrollment Forms to the Office of Human Resources by Tuesday, February 26th, 2010 Employees who return completed Benefit Enrollment Forms to HR by Friday, Feb. 19, 2010, will be eligible to participate in the ―Open Enrollment Raffle‖. Questions Questions Interested in a one-on-one meeting? A Human Resources representative will be available in the Hartley Room, Wed., Feb.17, 2010 from 8am-5pm. A conference call is scheduled for the offsite locations on Thu., Feb.18, 2010 from 2pm-3pm. A Human Resources representative will be available during this call.
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