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Benefits Open Enrollment Plan year April 1, 2013 - March 31, 2014. Appreciation and Thanks. Human Resources Team ICUBA Information Technology Auxiliary Services Property Management Conference Services Facilities Management. CIGNA Life & Disability Insurance.
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Benefits Open Enrollment Plan year April 1, 2013 - March 31, 2014
Appreciation and Thanks Human Resources Team ICUBA Information Technology Auxiliary Services Property Management Conference Services Facilities Management
CIGNA Life & Disability Insurance • Florida Tech provides life insurance at no cost to benefit-eligible employees in an amount equal to one times annual compensation. • Employees may purchase additional life insurance for themselves & their dependents at a discounted group rate. • Coverage above $150,000 subject to Evidence of Insurability • Short-term disability (66 2/3%) & long-term disability (60%) coverage are provided at no cost to benefit-eligible employees. • Short-term disability provides 11-weeks income. • Short-term disability automatically transitions to long-term disability, if the employee can not return to work. • Long-term disability buy-up option provides an additional 6 2/3% benefit. Premiums are paid through payroll deduction.
Tuition Remission Florida Tech continues to provide the following benefits: • 100% tuition remission for all benefit-eligible employees - up to six credit hours per semester. • 90% tuition remission for IRS-defined dependents for unlimited credit hours towards one degree. • 100% University Alliance tuition remission for all benefit-eligible employees AND eligible dependents • See HR Website http://www.fit.edu/hrfor policies or go to the Online Learning website http://online.fit.edu
403(b) Retirement Plan for 2013 • IRS Maximum Employee Contribution = $17,500 • If Age 50+ employee may contribute $5,500 more. • Florida Tech will MATCH 1% for each1%of employee contributes - up to 5%each paycheck. • Employees may contribute to Lincoln Financial Group or TIAA-CREF. • Local representatives available for one-on-one financial planning: • Contact Richard Phelan with Lincoln Financial Group at richard.phelan@lfg.com • Contact Richard Chandres with TIAA CREF at rchandres@tiaa-cref.org
Mid-Year Changes If you experience a qualifying event as defined by the IRS during the plan year, i.e. marriage, divorce, birth, or your spouse loses or gains coverage you may request a pre-tax benefit election change. • Request must by made within 30 days of the qualifying event. • Notify Human Resources in writing by submitting a “Pre-Tax Qualifying Event Change Request Form.” • Supporting legal documentation, such as a marriage license, divorce decree, birth certificate, or certificate of prior coverage will be necessary to process the change.
Plan Design Changes 2013 - 2014 • Blue Choice Medical Plans: No NEW enrollees accepted for Plan Year 4/1/13 – 3/31/14. Choice plans will be discontinued effective 4/1/14. • Blue Choice PPO 80 Medical Plan: Discontinued effective 4/1/13. • Humana Dental Plans: New Preventive Plus Plan and new High Option PPO Plan. The DHMO Plan remains the same. • Wellness:Cash incentives to Health Reimbursement Account available. Health coaching available. • Summary of Benefits and Coverage (SBC): New healthcare reform document to assist you in comparing plans.
Save Money…Get the most out of your plan! • Choose generics; many generic drugs offer the same quality as brand-name drugs • Use 90-day mail order for prescription refills. Call Member Services at 1-800-207-2568 or go to www.mycatamaranRx.com • Use Florida Blue™ “Know Before You Go” at 888-476-2227 • FREE ICUBA Cares™ In-Network Benefits through Florida Blue: • Annual Physical • Annual Gynecological Exam • Lab Tests • Pap Tests • Mammograms • Urinalysis • Immunizations • Electrocardiograms • Echocardiograms • Colonoscopies & Sigmoidoscopies • Colorectal Screenings • Prostate Cancer Screenings • Bone Mineral Density Tests • Allergy Injections • Request prescribed generic folic acid and generic pre-natal vitamins for pregnancy • Healthy Additions $25 incentive for expectant mothers • Request prescribed diabetic supplies including meters, lancing devices, lancets, test strips, control solution, needles, and syringes • Employee Assistance Program (EAP) available to all employees and household members • $25 incentive for participating in a Personal Health Assessment at the health fair
Monthly PremiumsICUBA rates increased 3% for Blue Options Plans compared to 9 - 11% in the Florida market. *NO NEW enrollees accepted for Plan Year 4/1/13 – 0/31/14. Blue Choice Plans will be discontinued effective 4/1/14.
Plan 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 $1000 deductible, the Plan begins to pay after you have paid the first $1,000 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 apply to your out-of-pocket maximum, but does not reduce amounts applied to the deductible or co-insurance. • 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 remainder of the plan year. • Flexible Spending Account:A medical care or dependent care spending account in which you put aside pre-tax dollars to pay for eligible expenses. • Centers of Excellence: Preferred places of care with the best outcomes, finest operational standings and best patient care.
Minimize Out-of-Pocket Expenses • Avoid un-necessary fees for lab work, always use QUEST Labs • Verify coverage with your provider PRIOR to appointment • If you are billed a facility fee for an office visit or are billed for an annual physical or annual gynecological exam, please advocate on your behalf and contact Florida Blue™ Customer Service at 1-800-664-5295 to have the claim properly adjusted • Pay your provider based on the Member Health Statements available at www.floridablue.com • Use your ICUBA MasterCard for office visit copays and other out-of-pocket expenses • Use your Walgreens Discount Card at Walgreens retail stores to purchase Walgreens brand products and earn cash credit
Florida Blue™ Mobile Apps • Features • Find A Doctor & Map – GPS based • View ID Card • Fax or email ID Card • Claims Accessibility • Health Coach • 24-hour Nurse line & Care Consultants • Rx Shopping & Price Comparison • Coverage Benefits & Accumulators • Health News & Views • Health Check Guidelines
Catamaran Prescription Benefit Tiered Copays Maximum annual plan year out-of-pocket for prescription drug co-pay is $2,000 per individual; $4,000 for family. • Your Catamaran pharmacy benefit plan offers three tiers of drugs. • Bring the Preferred Medication List with you to the doctor to receive the lowest cost generic or brand prescription medications available for your therapy. • Call member services at 1-800-207-2568 or visit www.mycatamaranRx.com
Catamaran Prescription Enhancements March 2013: New Catamaran ID cards will be sent by the end of March. Walgreens Health Initiatives cards will still be accepted. April 2013: Catamaran Member Portal www.mycatamaranRx.com • Obtain a list of preferred medications to maximize savings • Refill prescriptions for home delivery • Perform test co-pays for prescriptions • View prior authorization history April 2013: Catamaran Mobile App • Free of charge • Find the lowest cost drug and pharmacy options • View prescription history • Key Features: • Fill-My-Scripts is a reminder to fill prescriptions. • Take-My-Meds is a reminder to take medications. • Mobile Advocate is designed to mimic behavior of provider to elicit action and participation.
MHNet Behavioral Health – Substance Abuse and EAP Benefits • Free Employee Assistance Program (EAP) services - up to six counseling sessions per issue per plan year - are available to ALL employees and everyone in an employee’s household. You do not need to be enrolled in any ICUBA benefit plan in order for you or a household member to access EAP services. • Client Connect® Provider Matching Service assists members in locating an appropriate provider for their current situation. • The MHNet website has many helpful resources including informative articles, interactive health and wellness instruments, health assessments and videos, family, personal, and mental health information, on-line seminars, discounts to vendors, and community resources. • Contact MHNet call 1-877-398-5816. • To access the website, go to www.mhnet.com • Username: ICUBA • Password: 8773985816 • MHNetcontact information is on the back of your Blue Cross Blue Shield of Florida ID card, or contact Human Resources if not a participating member.
HRA and HCSA – What’s the difference? Health Care Spending Account (HCSA) • Funded by employee’s pre-tax dollars • Funds available first day of plan year • Can be used for qualified employee and eligible dependent medical expenses • No carry-over of funds from year to year (by IRS law) “Use-it-or-lose-it” • HCSA funds expended before tapping into HRA funds • Employee can have HCSA without HRA • Maximum annual contribution limited to $2,500 for 2013-2014 under Health Care Reform Health Care Reimbursement Account (HRA) • Funded by Florida Tech • Available for PPO 70 and Risk/Reward Plans • Funds rollover at the end of each plan year indefinitely • Account is portable after 36-months of continuous participation • Employee can have HRA alone without HCSA • Amount funded depends on medical plan • Funds deposited monthly
Flexible Spending Account for Dependent Care Expenses (DCSA) • Funded by employee’s pre-tax cdollars • Funds used to pay for qualified dependent care expenses • Maximum annual contribution limit for plan year 2013 – 2014 is $5,000 • Qualified dependents are under age 13, or physically/mentally challenged adults who are unable to care for themselves • Funds are available as deducted from your paycheck • Funds available by using the ICUBA Benefits MasterCard • File your claims online at http://icubabenefits.org • Funds do not carry-over from year to year (by IRS law) “Use-it-or-lose-it” OE 2010
Humana Dental Low Option PPO Plan Replacement • The Low Option PPO Plan will be replaced, effective 4/1/13, with the “Preventive Plus” Plan. This new plan provides coverage for preventive services, some basic services, and no major services. • Two additional preventive cleanings for a total of four cleanings per year. • Two periodontal cleanings per year to be covered at preventive levels of benefits. • Coverage for composite fillings on all teeth. • Addition of an Extended Annual Maximum Benefit paying 30% coinsurance after the annual maximum benefit is met. Enhancements to High Option PPO Plan Refer to the Dental Insurance Benefits Guide (handout) for information on how to find a dentist and How to select or switch a Primary Care Dentist (PCD) in the DHMO Plan.
Humana Dental PPO High Plan High Option PPO Plan Refer to your Dental Summary Plan Description (SPD) for full benefit description. Refer to your dental SPD for full benefit description
Humana Dental Preventive Plus Plan Plus” Plan . Refer to your Dental Summary Plan Description (SPD) for full benefit description. Refer to your dental SPD for full benefit description
O CSD250 Plan D Humana Dental DHMO CS250 Plan Refer to your Dental Summary Plan Description (SPD) for full benefit description. Refer to your dental SPD for full benefit description
Advantica Eyecare Plan Employee Monthly Premium: $3.98 Family Monthly Premium: $10.18 Lower rates than last year and guaranteed for 4 years!
What you need to do next… • Enroll by logging onto http://icubabenefits.org • Select the Open Enrollment icon • Your elections are effective 4/1/2013 and will remain in effect until 3/31/2014 • Any eligible dependents may enroll during this open enrollment period • You MUST actively elect your Flexible Spending Account(s)– HCSA and DCSA - if you wish to continue • Access the Predictive Modeling Tool by clicking on the link labeled “View Detailed Plan Comparison”on the Medical Election Page. Use this tool to assist you with your elections. • Then, select the tab “Personalized Cost Estimator” • You MUST complete your enrollment before February 28, 2013.
Additional After-Tax Benefits • Sickness, Accident and Cancer Plans available through AFLAC • Cristy McCullough cristy_mccullough@us.aflac.com • Identity Theft Protection and Basic Legal Services available through Pre-Paid Legal • Yvette Mayo mayogroupbenefits@msn.com • Additional Life Insurance through CIGNA • Long Term Care Insurance through UNUM Note: A separate application is required to elect these benefits, so please visit the representatives at their tables for more information.
What to expect • New Florida Blue ID cards for current enrollees in PPO 80 who choose a new plan. • New Florida Blue ID cards for anyone moving from a Blue Choice plan to a Blue Options plan. • New Catamaran ID card. • New Humana Dental ID card for the Preventive Plus plan and the High Option PPO plan. • More focus on Wellness. • Continued Consumer Directed Focus.
Benefit Plan Year 2013 -2014 Please log into http://icubabenefits.orgto make changes to your benefits. Deductions take effect on your April 5th pay check. Your HR professionals will gladly assist you with your elections! Changes MUST be submitted by Thursday, February 28, 2013
Human Resources Website http://www.fit.edu/hr/open-enrollment/ Click on “Choose a Topic” to view: • Plan Descriptions • Benefit Information • Premium Information • Links to Insurance Websites