540 likes | 1.04k Views
Open Enrollment Presentation Plan Year April 1, 2012 - March 31, 2013. “Benefits for Educated Consumers”. Presented by Human Resources . ICUBA. Independent Colleges and Universities Benefits Association ( ICUBA) “Better Benefits Through Collaboration”
E N D
Open Enrollment Presentation Plan Year April 1, 2012 - March 31, 2013 “Benefits for Educated Consumers” Presented by Human Resources
ICUBA • Independent Colleges and Universities Benefits Association (ICUBA) • “Better Benefits Through Collaboration” • 501(c) 9 corporation to purchase benefits for members • MEWA-multiple employer welfare association • Pool purchasing power to reduce costs
Benefits Offered • College Sponsored Benefits: • Medical - effective date of hire • Health Reimbursement Account (HRA) - varies by hire date • Dental- effective date of hire • Life Insurance - effective date of hire • Short Term Disability – 90 days after hire date • Long Term Disability – effective date of hire • Employee Assistance Program (EAP) - effective date of hire • Tuition Programs • Remission for employees and dependents – 1 year after hire date • Grant for dependents - 1 year after hire date • Tuition Exchange for dependents - 1 year after hire date • Employee Tuition Assistance Program (ETAP) - 90 days after hire date • Retirement Matching – 1 year after hire date
Benefits Offered • Voluntary Benefit Plans: • Vision - effective date of hire • Voluntary Life Insurance for employee, spouse or children - effective date of hire for guaranteed issued amounts • Flexible Spending Accounts (FSA) – effective date of hire • Health Care FSA • Dependent Day Care FSA • Long Term Care Insurance - determined by insurance company
Benefit Plan • 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 • Eligible Dependents: • Spouse, domestic partner, dependent child(ren), step-children, and domestic partner ‘s dependent child(ren) • IMPORTANT! You have thirty (30) days from your hire date to elect these pre-tax benefits or you must wait until open enrollment • 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 • Open Enrollment each February • Make changes to your benefits for the following plan year effective April 1st
Medical Coverage • Two (2) plans with two (2) network options • Risk/Reward PPO • Choice or Options Network • PPO 70 • Choice or Options Network • College covers 63% of the total premium for employee and eligible dependents • All plans have college funded Health Reimbursement Account (HRA) • Factors to consider when choosing a plan • Plan design: Risk/Reward PPO – or – PPO 70 • Network: Blue Options – or – Blue Choice • Cost • HRA Contribution
Provider Search www.bcbsfl.com 1. Find a Doctor & More 2. Select “Blue Options” or “Blue Choice” 3. Enter Provider and Location Criteria and click “Search”
Health Reimbursement Accounts (HRA) • Est. by US Dept. of Treasury – July 2002 • College contributions in addition to 63% of premium • Administered by ICUBA • Can only be used by family members on ICUBA medical plan • Two methods of reimbursement • Mastercardor 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 • While employed and enrolled in medical plan Check balance online: http://icubabenefits.org
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 in Rollins medical plan • Monthly administrative fee applies if no longer employed • If you drop medical plan or leave employment without 36 months = forfeit $ • HRA available end of each month you participate in high deductible plan • As long as covered before the 15th of the month
HRA (cond.) • Eligible Expenses (full listing on ICUBA Benefits Site): • Out of pocket health 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
Medical Plan ComparisonRisk/Reward vs. PPO 70 Similarities • Catalyst Rx Prescription Drug Benefit • Free Wellness Benefit • All Free ICUBA CaresTM Benefits • Plan Rules • 24/7 Health Info Hotline • ER & Urgent Care Differences • Premiums • Blue Options Provider Network vs. Blue Choice Network • Deductibles • Coinsurance • Copays • Annual Out-of-Pocket Maximums • HRA contributions
Pharmacy Coverage • CatalystRx • Formerly 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 • Tier 1: Generics • Tier 2: Preferred Brand • Tier 3: Non-preferred Brand • Three Options for getting prescriptions filled • 30 day retail • 90 day home delivery • 90 day retail • Free Diabetic Supplies • Free Over the Counter Preventive Generics with prescription
Orlando CatalystRx Pharmacy Network • Retail Pharmacy Network • Over 62,000 chain and independent pharmacies nationwide including: Publix, CVS, Walgreens, Costco, Wal-Mart, Target, etc. • Advantage90™Retail Network • 90-day maintenance medications • Over 39,000 chain and independent pharmacies nationwide including CVS, Publix, Sam's Club, Target , Walgreens , Wal-Mart , Winn-Dixie • Mail Service Pharmacy • Located in Orlando, Florida
Pharmacy Benefit Tiered Copays • Whenever possible, have your doctor consult your Preferred Medication List for the lowest cost generic or brand medications available for your therapy. • You may visit www.walgreenshealth.com or call Member Services at 1-800-207-2568. Remember: 90 day mail order saves you time and money!
Dental Coverage • Three Humana Dental Plans • DHMO • PPO High • PPO Low
Dental Monthly Rates* *Rollins contributes $10.51 for all plans and coverage categories
Provider Search www.humanadental.com 1. Find a Dentist 2. Select “DHMO” or “PPO” and enter zip code 3. Select “HD DHMO/Prepaid CS250” for DHMO – or - “PPO/Traditional Preferred” for PPO
Provider Search (cont.) 4. Enter Zip Code or County 5. Select service or Provider information
Vision Coverage • 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
Provider Search www.advanticabenefits.com • Provider Search 2. Select Vision Care Provider 3. Select Current or Future Member 4. Enter desired search criteria
College Life Insurance • College paid coverage - no election necessary • 2x salary, rounded up to nearest $1,000 • Maximum of $500,000 • Age reductions at 65, 70 & 75 • Portability options at termination • Must complete beneficiary information online http://icubabenefits.org • Additional Benefits: • Will Preparation Program • Identity Theft Program • Healthy Rewards® • CIGNA Secure Travel® • CIGNAssurance® Program for Beneficiaries • Employee Assistance Program
Voluntary Life Insurance • Employee Life • $10,000 increments, up to 7 X Salary or a Max of $500,000 • Guaranteed issue for new hires: $150,000 • Benefit Reductions at 65, 70 and 75 years of age • Spouse Life • Up to 50% of employee voluntary life amount, in increments of $10,000; Max of $250,000 • Guaranteed issue for new hires: $50,000 • Benefit Reductions at 65, 70 and 75 years of age • Child Life • Up to 50% of employee voluntary life amount in increments of $2500; Max of $12,500
Voluntary Life Insurance • Portable – keep policy at same rates if you leave employment • Additional Benefits • Survivor financial counseling services • Portability, accelerated benefit option, wavier of premium if totally disabled & beneficiary interest bearing asset account • Evidence of Insurability (EOI) • Medical history form • Ongoing EOI Requirements for future open enrollments/status changes: • If you have coverage, you can elect up to $150,000 employee and $50,000 spouse with no EOI • If you do not have any coverage, ANY increase is subject to EOI • Must complete beneficiary information online http://icubabenefits.org
Health Care Flexible Spending Account (FSA) • Administered by ICUBA • Funded by employee with pre-tax contributions • Used to pay for qualified healthcare (medical, Rx, dental, vision) expenses • Maximum annual contribution reduced to $2,500 per Health Care Reform • Entire annual election available upfront • Obtain funds through: • ICUBA Benefits MasterCard - or - • File claims online at http://icubabenefits.org • Deadline to use funds 6/15/2013 or forfeit remaining balance (have until 6/30/2013 to submit all claims through 6/15/2013) • MUST elect every year, does not roll over
Dependent Care Flexible Spending Account (FSA) • Administered by ICUBA • Funded by employee with pre-tax contributions • Used to pay for qualified dependent day care expenses (not healthcare for dependents) • Maximum annual limit of $5,000 per family • Funds are available as they are deducted from payroll • Dependents: dependent under age 13, physically or mentally challenged adults who are unable to care for themselves • Obtain funds through: • ICUBA Benefits MasterCard – or – • File your claims online at http://icubabenefits.org • Deadline to use funds 3/31/2013 or forfeit remaining balance (have until 6/30/2013 to submit all claims through 3/31/2013) • MUST elect every year, does not roll over
Benefits Enrollment • Must submit elections within 30 days of hire date • Two (2) steps to enroll • Online through ICUBA website, and • Submit “New Hire Tax Savings Program Form” to HR • Deductions are retro-active to hire date
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 HRA/FSA debit card • Register as First Time User • Remember your login ID and password for future logins and access to benefits information throughout the year
First Time User Type in your Social Security Number, Company Key and Date of Birth. The Company Key is ICUBA in all caps.
Click “Start Here” to enroll in your benefits and add beneficiaries.
Behavioral Health, Substance Abuse and EAP Benefits • Free Employee Assistance Program (EAP) services • Up to 6 counseling sessions per issue per plan year are available to ALL employees and everyone in an employee’s household • Do not need to be enrolled in any ICUBA benefit plan in order for you or a household member to access EAPservices • Behavioral Health Plan • Same as medical benefits (primary care, specialist, etc.) • Client Connect® Provider Matching Service • Assists members in locating an appropriate provider • MHNet website www.mhnet.com • 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 • Username: ICUBA Password: 8773985816 • MHNet contact information is on the back of the Blue CrossBlueShield of Florida ID card
Short Term Disability (Salary Continuation) • Administered by Rollins • No employee premiums • Available after 90 days of employment • Pays salary if unable to work for more than 5 days due to sickness or injury • First 5 days are taken as PTO • First 90 days are paid at 100% • Days 91-179 are paid at 66 2/3%
Parental Leave • Administered by Rollins • No employee premiums • Available after 90 days of employment • Pays 100% salary after birth or adoption • Available if you are the sole caretaker for 20 or more hours a week
Long Term Disability • Administered by CIGNA • No employee premiums • Eligible date of hire • Pays salary if unable to work for more than 6 months due to disability • 66 2/3% of monthly earnings to a max of $10,000 • Maximum benefit period to age 65 • Limited benefits of 12-24 months if disabled after age 65
Long Term Care Insurance • No employee premiums • 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 • Can enroll at any time
Travel Accident Insurance • Administered by CNA • Coverage starts date of hire • Covered for injuries sustained while on a business trip made on behalf of the College • Excludes vacations and travel to and from work
Healthcare Tips • Preventive care • FREE ICUBA Cares™ In-Network Benefits: • Aspirin for adults with a physician prescription • Prescribed folic acid and generic pre-natal vitamins for pregnancy • Prescribed diabetic supplies (meters, lancing devices, lancets, test strips, control solution, needles, and syringes) • Dental preventive exams/cleanings • 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
Healthcare Tips • Urgent care vs. ER vs. Clinics • FloridaBlue“Know Before You Go” • www.bcbsfl.com • 888-476-2227 • Clinical Care Consultant • 888-476-2227 • Employee Assistance Program (EAP) • All full time and part time employees and household members • Generic or mail order prescriptions • Wellness incentives • Better You From Blue™ Health Fairs • $25 annual incentive for health risk assessment online or at health fair • Healthy Additions $25 incentive for each pregnant member enrolled in program • Free on-site fitness facility and classes • Discounts through Blue 365 on www.bcbsfl.com
Plans :
Rollins 403(B) Retirement Plan • Two companies for contributions • TIAA/CREF • Fidelity • Asset allocation options: • Do it yourself allocations: you choose the funds • Targeted allocations: ready-mixed funds based on age & estimated year of retirement
403(b) Contributions • Voluntary contributions allowed anytime • College contribution after 1 year of service & age 21** • Possible waiver if met eligibility requirements at another college or university • 100% Vested • IRS Maximum for Employee Contributions: $17,000 • Catch up provisions- 50 years old (additional $5,500) & 15 years of service (additional $3,000)