The IBIS 125 Advantage Plan

1. The IBIS 125 Advantage Plan Presented by: Iowa Bankers Insurance and Services

2. IBIS 125 Advantage Plan • Employer-sponsored plan • Designed to save participants’ tax dollars • Used to pay for qualified expenses with pre-tax dollars

3. 125 Plan Components • Premium account (PREM) • Medical Flex Spending account (MedFSA) • Limited Scope Flex Spending account (LFSA) • Dependent Care Assistance account (DCAP)

4. Premium Account • Used to pay for: • Group health • Group dental • Group vision • Group term life under $50,000 • Individual & Supplemental plans such as: • Cancer • Accident • Critical Care Cannot be used to pay for Long-Term Care/Medical Supplement Plans

5. Medical Flex Spending Account (MedFSA) • Used to pay for uncovered medical expenses such as: • Qualified expenses from health, dental, & vision plans • Deductibles • Co-pays • Co-insurance • Qualified over the counter items • Total election available at beginning of the plan year

6. Limited Scope Flex Spending Account (LFSA) • For individuals with a Health Savings Account (HSA) or one whose spouse has an HSA • Used only to pay for: • Dental expenses • Vision expenses • Total annual election available at beginning of plan year

7. Dependent Care Assistance Account (DCAP) • Used to pay for: • Day Care related expenses for a qualifying dependent or qualifying relative who: • Has not attained the age of 13 • Is physically or mentally incapable of caring for himself or herself • Has same principal abode for more than ½ the year • Only pays claims from funds available in account • Must be employed or looking for work to make claim

8. Employer Designed Plan Employer makes decisions regarding • Eligibility • Participation • Plan components to be offered • Maximum election for each plan component • Plan year start/end dates • Whether to offer grace period for “use-it-or-lose-it” ruling

9. Participation in Company Plan • Enroll during your companies open enrollment period • Online • Paper Form • Election made is for one plan year • Choose plan components you wish to participate in • MedFSA, DCAP, LFSA, PREM • Make annual election for each component • Amounts will be withheld from salary on a pre-tax basis

10. Election Changes • You cannot change your annual election without a qualifying event/change in status • Marriage • Divorce • Birth • Death • Employment change • Election change must be made within 30 days of event, unless qualified under HIPAA Special Enrollment Rights

11. Submitting Claims • AUTOMATED: If you participate in the Iowa bankers Benefit Plan (IBBP) or the IBBP Delta Dental Plan, any claim incurred (including prescriptions) will automatically be processed through your flex account. No filing necessary. • MANUAL: You must complete manual claim form and attach proper receipt for all other coverage: • Dependent care; over-the-counter items; health and dental claims not covered by IBBP plans • Claims must be received by Wednesday @ 10AM to be paid on Friday. • Fax claims to 515-286-4244 • Claims must be incurred and filed within plan year limits • 90 days to submit claims after plan year ends

12. Use-It-or-Lose-It Rule • Elections made for one year only • Plan dates are January 1 to December 31 • Have 90 days to submit claims incurred in plan year • Any funds not used by year end are forfeited • Not returned to employee • Revert to the employer account

13. Grace Period Option • Employer choice, not offered by all companies • Extends date and allows participant to incur expenses for 2.5 months after plan year end. • March 15th of next year • Allows participants to submit claims incurred for 90 days after the end of the extended grace period • June 15th

14. Reimbursements • Paid weekly on Friday • Direct deposited to account of your choice • Electronic notification of claim processing • Web access to reports for those who authorize: • Explanation of benefits (EOBs) • Account history • Annual election

15. Termination of MedFSA/LFSA • Qualified expense must be incurred before terminiation date • Use–it-or-lose-it rule applies • COBRA offered only if a positive balance in account • COBRA will run through plan year end or until participant stops making contribution payment

16. Termination of DCAP • Use–it-or-lose-it rule applies • All contributions to plan must stop • If account has a positive balance and participant gains employment, claims may be incurred and filed after termination date until account balance is zero.

17. Advantage of Participation • Increase take home pay through pre-tax elections • Pre-tax savings plan to help pay for expenses • Employer sponsored plan • Ease and automation of the IBIS 125 Advantage Plan • Simplified claims submission • Direct deposit • Online enrollment • Online report access • Toll-free customer services

18. For more information visit www.bankers-insurance.com

19. Presented by: Iowa Bankers Insurance & Services 8800 NW 62nd Avenue PO Box 6210 Johnston, IA 50131-6210 Phone: 515-286-4300 Toll Free: 800-258-1415 Fax: 515-286-4244 Email: flexadmin@bankers-ins.com