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Presented by Human Resources Benefits for Educated Consumers Benefits Orientation.

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Presentation on theme: "Presented by Human Resources Benefits for Educated Consumers Benefits Orientation."— Presentation transcript:

1 Presented by Human Resources Benefits for Educated Consumers Benefits Orientation

2 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

3 ICUBA Members

4 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 You have thirty (30) days from your hire date to elect these pre-tax benefits or you must wait until open enrollment Open Enrollment each February 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 Marriage, Birth, Adoption, Divorce, Spouse gains/loses coverage elsewhere, etc. You must make changes to benefits within thirty (30) days of the status change Eligible Dependents: Spouse, domestic partner, dependent child(ren), step-children, and domestic partner s dependent child(ren)

5 Medical Coverage Two (2) PPO plan options Preferred PPO Blue Options PPO 70 Blue Options College covers 63% of the total premium for employee and eligible dependents Both plans have in and out of network coverage Both plans have college funded Health Reimbursement Account (HRA) Factors to consider when choosing a plan Plan design: Preferred PPO – or – PPO 70 Cost HRA Contribution

6 Preferred PPO Blue Options NetworkNon Network Deductible Individual/Family $2,000/$4,000$3,500/$9,750 Coinsurance 20% after deductible 40% after deductible Out of Pocket Maximum (includes all medical co-pays, deductibles, and coinsurance) $3,500/$7,000$7,000/$14,000 Non-Wellness Blue Recognition Office Visits (includes General Practice, Family Practice, Internal Medicine, and Pediatrics) $0N/A Non-Wellness Physicians Office Visits (includes General Practice, Internal Medicine, Family Practice, Pediatrics, and OB/GYN) 20% NO deductible 40% after deductible Maternity Office Visits $20 co-pay per plan year; NO deductible 40% after deductible Medical Plan Comparison PPO 70 Blue Options NetworkNon Network $1,000/$2,500$1,500/$4,000 30% after deductible 50% after deductible $3,000/$6,000$6,000/$12,000 $0N/A $20 co-pay; NO deductible 50% after deductible $20 co-pay per plan year; NO deductible 50% after deductible

7 Preferred PPO Blue Options NetworkNon Network Specialist Office Visit, including Chiropractors and Therapists 20%; NO deductible 40% after deductible Wellness Exam$0Not Covered Outpatient Diagnostic Imaging 20% after deductible 40% after deductible Urgent Care 20%; NO deductible 20%; NO deductible Emergency Room Services $100 co-pay (waived if admitted) NO deductible $100 co-pay (waived if admitted) NO deductible Hospital Inpatient 20% after deductible 40% after deductible Medical Plan Comparison (cond.) Refer to your Medical Summary Plan Description (SPD) for full benefit description. PPO 70 Blue Options NetworkNon Network $30 co-pay; NO deductible 50% after deductible $0Not Covered $100 co-pay and 30% after deductible 50% after deductible $30 co-pay; NO deductible $30 co-pay; NO deductible $100 co-pay (waived if admitted) NO deductible $100 co-pay (waived if admitted) NO deductible $250 co-pay, and 30% after deductible $500 co-pay and 50% after deductible

8 Monthly Medical Plan Rates PPO70 Blue Options Employee Contribution Rollins Contribution Monthly Premium HRA $ $413.28$656.00$75 $ $826.56$1,312.00$100 $ $744.66$1,182.00$85 $ $1,157.94$1,838.00$125 Preferred PPO Blue Options Employee Contribution Rollins Contribution Monthly Premium HRA Employee $ $321.93$ $125 Employee + Spouse $ $ $1, $150 Employee + Child(ren) $ $579.60$ $140 Family $ $901.53$1, $175

9 Provider Search 1. Find a Doctor 2. Select Blue Options as plan. Note: Blue Physician Recognition providers can be seen for no cost for all office visits.

10 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 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 While employed and enrolled in medical plan Check balance online:

11 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

12 HRA (cond.) Eligible Expenses (full listing on ICUBA Benefits Site): Out of pocket health services (medical, dental, vision) Prescriptions Over the counter medical supplies 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

13 HRA Monthly Funding Schedule

14 Medical Plan Tips: Know Before You Go Check the cost of your visit and the procedure you may be receiving. Call: The Care Consultant Team: Click: Visit and click on Member, then Tools, and Compare Medical Costswww.FloridaBlue.com Visit: A Florida Blue Center Winter Park Village Walk in or call for an appointment Wellness events on-site Nurse on site Price a treatment 14

15 Blue Rewards Wellness Program 15

16 Pharmacy Coverage Catamaran Formerly Walgreens Health Initiatives (WHI) and CatalystRx 24/7 Customer Service Separate ID card for pharmacy benefits Preferred Medication List is available at 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

17 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 call member services at or visit TierCo-payDefinition 1 st Tier: Generics 30 day supply: $5 90 day supply: $10 Generics contain the same active ingredient as their brand-name equivalents and offer the same effectiveness and safety. Some generics use a brand name instead of a chemical name. Both have the lowest copay. 2 nd Tier: Preferred 30 day supply: $27 90 day supply: $50 Medications in this tier have been selected by your pharmacy 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: Non Preferred 30 day supply: $60 90 day supply: $120 Because a generic version or a second-tier alternative is available, non- preferred medications have the highest co-pays and are not listed on the Preferred Medication List. Maximum annual plan year-pocket for prescription drug co-pay is $2,000 per individual; $4,000 for family.

18 CatamaranRx Pharmacy Network Retail Pharmacy Network Over 62,000 chain and independent pharmacies nationwide including: Publix, CVS, Walgreens, Costco, Wal-Mart, Target, etc. Advantage90Retail 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

19 Dental Coverage Three Humana Dental Plans DHMO PPO Low Preventive Plus PPO High

20 20 DHMO Prepaid 250CS Plan DMO CS250 PlanIn-Network Only Calendar Year DeductibleNo deductible Out of Pocket MaximumNo maximum Office Visit Copays (during normal business hours) $5 copay per visit Preventive ServicesPlease refer to dental schedule for copay amounts Basic ServicesPlease refer to dental schedule for copay amounts Major ServicesPlease refer to dental schedule for copay amounts Orthodontics – Adult & Child$2,000 Adult; $1,800 Child fixed copay DMO CS250 Dental Plan Monthly Dental Rates Employee$0.00 Employee + 1$11.04 Family$23.22 Must select a dentist in the prepaid 250CS plan. Must notify Humana of dentist selection prior to your appointment. To find a dentist and the ID number, go to: Be sure to select the HD DHMO/Prepaid CS250 network option. Must select a dentist in the prepaid 250CS plan. Must notify Humana of dentist selection prior to your appointment. To find a dentist and the ID number, go to: Be sure to select the HD DHMO/Prepaid CS250 network option. Refer to your Dental Summary Plan Description (SPD) for full benefit description. Rates include employer subsidy of $10.98 for all plans and coverage categories

21 21 Low Option Preventive Plus Plan * Services include amalgam/resin restorations and simple extractions. **Major Services are not covered under this plan. However, you may receive a discount on these services if you see participating dentists. * Services include amalgam/resin restorations and simple extractions. **Major Services are not covered under this plan. However, you may receive a discount on these services if you see participating dentists. Low Option PPO PlanIn-NetworkOut-of-Network Plan Year Deductible – Single / Family$50 / $150 Deductible Waived for PreventiveYes Plan Year Maximum (excludes orthodontia services) $1,000 Preventive Services0% *Basic Services20% **Major ServicesDiscountNot Covered Low Option Preventive Plus Plan Monthly Dental Rates Employee$8.50 Employee + 1$34.30 Family$63.98 Refer to your Dental Summary Plan Description (SPD) for full benefit description. Rates include employer subsidy of $10.98 for all plans and coverage categories

22 High Option PPO PlanIn-NetworkOut-of-Network Plan Year Deductible – Single / Family$50 / $150 Deductible Waived for PreventiveYes Plan Year Maximum (excludes orthodontia services) 2,000$2,000 Preventive Services0%20% Basic Services20%50% Major Services50%70% Orthodontia – Adult & Child50% Orthodontia Lifetime Maximum$2,000 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. Extended Annual Maximum Benefit paying 30% coinsurance after the annual maximum benefit is met. 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. Extended Annual Maximum Benefit paying 30% coinsurance after the annual maximum benefit is met. High Option PPO Dental Plan Monthly Dental Rates Employee$25.70 Employee + 1$62.06 Family$ High Option PPO Plan Refer to your Dental Summary Plan Description (SPD) for full benefit description. Rates include employer subsidy of $10.98 for all plans and coverage categories

23 Dental Rates* Monthly Rates DHMO PPO Preventive Plus PPO High Employee$0.00$8.50$25.70 Employee + 1$11.04$34.30$62.06 Family$23.22$63.98$ *Includes employer subsidy of $10.98 per month for all plans and coverage categories Bi-Weekly Rates DHMO PPO Preventive Plus PPO High $0.00$3.92$11.86 $5.10$15.83$28.64 $10.72$29.53$51.63

24 Provider Search 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

25 Provider Search (cont.) 4. Enter name or click on Specialty to find all providers 5. Select All Dental for service type 6. Click Search

26 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: Employee Monthly Premium: Employee only: $3.98 Family (Employee + 1 or more): $10.18

27 Vision Plan Summary

28 Vision Rates Monthly Rates Standard Vision Plan Enhanced Vision Plan Employee$3.98$4.78 Family$10.18$12.22 Bi-Weekly Rates Standard Vision Plan Enhanced Vision Plan Employee$1.84$2.21 Family$4.70$5.64

29 Provider Search 1.Provider Search 2. Select Vision Care Provider 3. Select Current or Future Member4. Enter desired search criteria

30 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 Additional Benefits: Will Preparation Program Identity Theft Program Healthy Rewards® CIGNA Secure Travel® CIGNAssurance® Program for Beneficiaries Employee Assistance Program

31 Voluntary Life Insurance Employee Life $10,000 increments, up to 7 X Salary or a Max of $500,000 Guaranteed issue for voluntary life: $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 spouse life: $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 $2,500; Max of $10,000

32 Voluntary Life Insurance (cond.) 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 Over $150,000 for employee voluntary life Over $50,000 for spouse life Must complete beneficiary information online Can update beneficiaries anytime

33 Life Insurance Rates Age (Employee) Monthly Rate (per $1,000) <20-29$ $ $ $ $ $ $ $ $ $ $3.928 Employee and Spouse Life rates: Based on Employees age as of 1/1 of the current year Child Life rate (monthly): $0.16 per $1,000

34 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 Deadline to use funds 6/15/2015 or forfeit remaining balance (have until 6/30/2015 to submit all claims through 6/15/2015) (for plan year 2014/2015) MUST elect every year, does not roll over

35 HRA and FSA Comparison Health Reimbursement Account (HRA) Health Care Flexible Spending Account (FSA) FundingFunded by RollinsFunded by employee pre-tax dollars Medical Plan Enrollment Enrollment requiredEnrollment not required Dependent EligibilityOnly if covered on medical planAll qualified dependents are eligible, even if not enrolled in medical plan Eligible expensesEligible medical, dental, vision expenses; COBRA, long term care, and retiree health premiums Eligible medical, dental, vision expenses Availability of FundsCan withdraw up to what has been deposited Annual goal amount available the first day of the plan year Rollover of FundsFunds rollover at the end of each plan year indefinitely Have to spend funds by 6/15 and claim by 6/30 of the following plan year (Use-it-or- lose-it) PortabilityCan continue after 36 months of continuous participation Available for remainder of plan year through COBRA Order of Reimbursement Funds used after FSAFunds used before HRA

36 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 Deadline to use funds 6/15/2015 or forfeit remaining balance (have until 6/30/2015 to submit all claims through 6/15/2014) (for plan year 2014/2015) MUST elect every year, does not roll over

37 Benefits Enrollment Must submit elections within 30 days of hire date Online through ICUBA website Deductions are retro-active to hire date

38 ICUBA Benefits Site (No 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

39 First Time User Type in your Social Security Number, Company Key and Date of Birth. The Company Key is ICUBA in all caps.

40 Click Start Here to enroll in your benefits and add beneficiaries.

41 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 employees household Do not need to be enrolled in any ICUBA benefit plan in order for you or a household member to access EAP services 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 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: MHNet contact information is on the back of the Blue CrossBlue Shield of Florida ID card

42 FREE ICUBA Cares In-Network Benefits Lab Tests Pap Tests Urinalysis Colorectal Screenings Prostate Cancer Screenings Prescribed diabetic supplies including meters, lancing devices, lancets, test strips, control solution, needles, and syringes Aspirin for adults with a physician prescription Prescribed generic folic acid and generic pre-natal vitamins for pregnancy Annual Physical Electrocardiograms Echocardiograms Mammograms Colonoscopies and Sigmoidoscopies Immunizations Allergy Injections Bone Mineral Density Tests Employee Assistance Program is for all employees and members of your household. Call your EAP 24-hours a day at Receive up to six free face-to-face counseling sessions per presenting issue per plan year. $0 copay for all office visits to Blue Physician Recognition provider $0 copay for two courses of treatment per plan year for tobacco cessation * NEW

43 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 PTO Days 6-90 are paid at 100% Days are paid at 66 2/3%

44 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 months if disabled after age 65

45 Parental Leave Administered by Rollins No employee premiums Available after 90 days of employment Pays 100% salary after birth or adoption for 6 weeks Available if you are the sole caretaker for 20 or more hours a week

46 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

47 Long Term Care Insurance Employee Paid 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 EOI may be required if not enrolled within 30 days of hire date

48 Tuition Remission Available after 1 year of service Waives the cost of the tuition only. All other fees, equipment, books, computers, international travel, room and board, etc., are the responsibility of the employee. Employees Employees may complete up to two degrees under this policy. The degrees could be both in the undergraduate programs or both in the graduate programs or one of each Spouses/partners, children, and stepchildren Eligible to complete up to two degrees, one in the undergraduate program and one in a graduate program Policies on R-Net Tuition Remission for Faculty & Staff Tuition Remission for Dependents of Faculty & Staff 48

49 Tuition Exchange Program Available after 1 year of service Provide educational opportunities to eligible dependent children of faculty and staff to participate in a tuition exchange program with members of the Associated Colleges of the South May enroll dependent children tuition-free on a space available basis Rollins College must pay a fee of $1,500 per student per year to the institution and each participating student must also pay a participating fee of $1,500 to the institution Available for four years of study or until the requirements for the undergraduate degree are met, whichever is less Birmingham-Southern College, Morehouse College, Centenary College, Rhodes College, Centre College, Southwestern University Furman University, Trinity University, Hendrix College, University of Richmond, Millsaps College, University of the South Policy on R-Net Tuition Exchange for Dependents of Faculty & Staff 49

50 Tuition Grant Program Available after 1 year of service Provides a tuition grant benefit up to $2,000 per fiscal year (June- May) split into up to $1,000 per semester for each dependent child's tuition at an eligible institution of higher learning Applies to enrollments on a for-credit basis only at accredited institutions of higher learning not covered by the Rollins Tuition Remission and Tuition Exchange policies Limited to no more than four consecutive years from the start of grant for undergraduate study Policy on R-Net Tuition Grant Program 50

51 Employee Tuition Assistance Program Available after 90 days of employment Limited to a total reimbursement of up to $200 per fiscal year (June – May) The courses that may be approved for Employee Tuition Assistance Program consideration are as follows: High School Level - courses prescribed for the granting of a diploma (certificate of equivalency) Undergraduate Courses - must relate to an employee's current position or provide development for future positions available within the College Advanced Degrees - must relate to the current position of the employee to be eligible Technical Schools, Home Study Programs, Adult Education Courses, etc. - must relate to the staff member's current position. Other Courses - Offerings such as home review courses for professional certification must be highly job related and be approved by the Human Resources Department. Policy on R-Net Tuition Grant Progra m 51

52 Plans : CompanyBenefitContactID Card? Health Insurancewww.bcbsfl.com Yes Prescription Drug Planwww.walgreenshealth.com Yes Walgreens Product Discount Cardwww.walgreens.com/wcard Yes Mental Health, Substance Abuse, Employee Assistance Program Back of BCBS Card Health Reimbursement Account, Health Care Spending Account, Dependent Care Spending Account ICUBA Benefits MasterCard® Dental Insurancewww.humanadental.com (DHMO) (PPO) Yes Eye Care Planwww.advanticaeyecare.com Yes Term Life, AD&D and Long Term Disability Insurance Contact Human Resources Go to:

53 Rollins 403(b) Retirement Plan Transamerica Retirement Solutions Asset allocation options: Do it yourself allocations: you choose the funds PortfolioXpress: Allocate funds based on age & estimated year of retirement Charles Schwab Personal Choice Retirement Account: Brokerage account with additional fund options ($50 annual fee applies)

54 403(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 You Contribute Rollins Gives** 0%7% 1%8% 2%9% 3%10% IRS Maximum for Employee Contributions: $17,500 Catch up provisions- 50 years old (additional $5,500) & 15 years of service (additional $3,000)

55 Retirement Counseling Onsite guidance Individual appointments Monthly rollins.trsretire.com – Click Schedule an Appointment

56 Retirement Enrollment Enroll Online: rollins.trsretire.com Employee Match = what Rollins will match (should be 0% until 1 year of employment) Employee Voluntary/Non-Match = amount not eligible for match

57 New Hire Checklist 1.Log into the ICUBA benefits site within 30 days from hire date Elect options Add beneficiaries for life insurance

58 Questions? HR staff are available to discuss plan details and questions


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