Presentation on theme: "“Benefits for Educated Consumers”"— Presentation transcript:
1 “Benefits for Educated Consumers” Benefits Orientation“Benefits for Educated Consumers”Presented by Human Resources
2 ICUBAIndependent Colleges and Universities Benefits Association (ICUBA)“Better Benefits Through Collaboration”501(c) 9 corporation to purchase benefits for membersMEWA-multiple employer welfare associationPool purchasing power to reduce costs
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 CodeYou have thirty (30) days from your hire date to elect these pre-tax benefits or you must wait until open enrollmentOpen Enrollment each FebruaryMake changes to your benefits for the following plan year effective April 1stCoverage is locked for benefit plan year (April-March) unless there is a qualified status changeMarriage, Birth, Adoption, Divorce, Spouse gains/loses coverage elsewhere, etc.You must make changes to benefits within thirty (30) days of the status changeEligible 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 OptionsPPO 70 Blue OptionsCollege covers 63% of the total premium for employee and eligible dependentsBoth plans have in and out of network coverageBoth plans have college funded Health Reimbursement Account (HRA)Factors to consider when choosing a planPlan design: Preferred PPO – or – PPO 70CostHRA Contribution- No increase to deductible would mean premium increase of 9%- Less than 10% of Rollins members met the deductible last year
6 Medical Plan Comparison Preferred PPO Blue OptionsNetworkNon NetworkDeductible Individual/Family$2,000/$4,000$3,500/$9,750Coinsurance20%after deductible40%Out of Pocket Maximum (includes all medical co-pays, deductibles, and coinsurance)$3,500/$7,000$7,000/$14,000Non-Wellness Blue Recognition Office Visits (includes General Practice, Family Practice, Internal Medicine, and Pediatrics)$0N/ANon-Wellness Physicians Office Visits(includes General Practice, Internal Medicine, Family Practice, Pediatrics, and OB/GYN)NO deductibleMaternity Office Visits$20 co-pay per plan year;PPO 70 Blue OptionsNetworkNon Network$1,000/$2,500$1,500/$4,00030%after deductible50%$3,000/$6,000$6,000/$12,000$0N/A$20 co-pay;NO deductible$20 co-pay per plan year;
7 Medical Plan Comparison (cond.) Preferred PPO Blue OptionsNetworkNon NetworkSpecialist Office Visit, including Chiropractors and Therapists20%;NO deductible40%after deductibleWellness Exam$0Not CoveredOutpatient Diagnostic Imaging20%Urgent CareEmergency Room Services$100 co-pay(waived if admitted)Hospital InpatientPPO 70 Blue OptionsNetworkNon Network$30 co-pay;NO deductible50%after deductible$0Not Covered$100 co-pay and30%$100 co-pay(waived if admitted)$250 co-pay, and$500 co-pay and 50%Refer to your Medical Summary Plan Description (SPD) for full benefit description.
8 Monthly Medical Plan Rates Preferred PPO Blue OptionsEmployee ContributionRollins ContributionMonthly PremiumHRAEmployee$189.07$321.93$511.00$125Employee + Spouse$378.14$643.86$1,022.00$150Employee + Child(ren)$340.40$579.60$920.00$140Family$529.47$901.53$1,431.00$175PPO70 Blue OptionsEmployee ContributionRollins ContributionMonthly PremiumHRA$242.72$413.28$656.00$75$485.44$826.56$1,312.00$100$437.34$744.66$1,182.00$85$680.06$1,157.94$1,838.00$125
9 Provider Search http://www.floridablue.com/ 1. Find a Doctor2. 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 2002College contributions in addition to 63% of premiumAdministered by ICUBACan only be used by family members on ICUBA medical planTwo methods of reimbursementMasterCard or reimbursement request (within 1 year from date of service)Keep receipts, Explanations of Benefit (EOB), etc. for verification of medical expenseUnused money rolls over indefinitelyWhile employed and enrolled in medical planCheck balance online:
11 Health Reimbursement Accounts (HRA) Money earns interest at the FL Dept. of Financial Services rate on a quarterly basisNever taxedNever be converted to cashPortable with 36 months continuous participation in Rollins medical planMonthly administrative fee applies if no longer employedIf you drop medical plan or leave employment without 36 months = forfeit $HRA available end of each month you participate in high deductible planAs 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)PrescriptionsOver the counter medical suppliesCOBRA, long term care, retiree health premiumsNon-eligible expenses:Life, long term disability, any other pre-tax premiumsNon-medical expenses, cosmetic or other not medically necessaryDependents that are not enrolled in the ICUBA planOver the counter drugs without a prescription
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 Costs”Visit: A Florida Blue CenterWinter Park VillageWalk in or call for an appointmentWellness events on-siteNurse on sitePrice a treatment
16 Pharmacy Coverage Catamaran 24/7 Customer Service Formerly Walgreens Health Initiatives (WHI) and CatalystRx24/7 Customer ServiceSeparate ID card for pharmacy benefitsPreferred Medication List is available atThree Tier Copay StructureTier 1: GenericsTier 2: Preferred BrandTier 3: Non-preferred BrandThree Options for getting prescriptions filled30 day retail90 day home delivery90 day retailFree Diabetic SuppliesFree Over the Counter Preventive Generics with prescriptionExplain Catalyst bought Walgreens HI
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 visitTierCo-payDefinition1st Tier:Generics30 day supply: $590 day supply: $10Generics 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.2nd Tier:Preferred30 day supply: $2790 day supply: $50Medications 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 Preferred30 day supply: $6090 day supply: $120Because 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.
19 Dental Coverage Three Humana Dental Plans DHMO PPO Low Preventive Plus PPO High
20 $2,000 Adult; $1,800 Child fixed copay DHMO Prepaid 250CS PlanMust 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.DMO CS250 PlanIn-Network OnlyCalendar Year DeductibleNo deductibleOut of Pocket MaximumNo maximumOffice Visit Copays (during normal business hours)$5 copay per visitPreventive ServicesPlease refer to dental schedule for copay amountsBasic ServicesMajor ServicesOrthodontics – Adult & Child$2,000 Adult; $1,800 Child fixed copayDMO CS250 Dental PlanMonthly Dental RatesEmployee$0.00Employee + 1$11.04Family$23.22Rates include employer subsidy of $10.98 for all plans and coverage categoriesRefer to your Dental Summary Plan Description (SPD) for full benefit description.
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.Low Option PPO PlanIn-NetworkOut-of-NetworkPlan Year Deductible – Single / Family$50 / $150Deductible Waived for PreventiveYesPlan Year Maximum (excludes orthodontia services)$1,000Preventive Services0%*Basic Services20%**Major ServicesDiscountNot CoveredLow Option “Preventive Plus” PlanMonthly Dental RatesEmployee$8.50Employee + 1$34.30Family$63.98Rates include employer subsidy of $10.98 for all plans and coverage categoriesRefer to your Dental Summary Plan Description (SPD) for full benefit description.
22 High Option PPO Dental Plan High Option PPO PlanTwo 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 PlanIn-NetworkOut-of-NetworkPlan Year Deductible – Single / Family$50 / $150Deductible Waived for PreventiveYesPlan Year Maximum (excludes orthodontia services)2,000$2,000Preventive Services0%20%Basic Services50%Major Services70%Orthodontia – Adult & ChildOrthodontia Lifetime MaximumHigh Option PPO Dental PlanMonthly Dental RatesEmployee$25.70Employee + 1$62.06Family$111.86Rates include employer subsidy of $10.98 for all plans and coverage categoriesRefer to your Dental Summary Plan Description (SPD) for full benefit description.
23 Dental Rates* Monthly Rates Bi-Weekly Rates DHMO PPO Preventive Plus HighEmployee$0.00$8.50$25.70Employee + 1$11.04$34.30$62.06Family$23.22$63.98$111.86Bi-Weekly RatesDHMOPPO Preventive PlusPPOHigh$0.00$3.92$11.86$5.10$15.83$28.64$10.72$29.53$51.63*Includes employer subsidy of $10.98 per month for all plans and coverage categories
24 Provider Search www.humanadental.com 1. Find a Dentist Select “DHMO” or “PPO” and enter zip code3. 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 CoverageAdvantica 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 ClinicsOut of network reimbursement with claim formFor entire network:Employee Monthly Premium:Employee only: $3.98Family (Employee + 1 or more): $10.18
27 Vision Plan Summary In-Network Out-of-Network Vision Exam $5 Co-Pay Up to $40 Reimbursement (less applicable Co-Pay)Standard Frames$15 Co-Pay; Up to $100 allowance less applicable Co-Pay if outside StandardReimbursed up to $40 (no Co-pay if included with eyeglass lenses)Single Vision, Bifocal, Trifocal, and Lenticular LensesCovered After $15 Co-PayUp to $20 for Single Vision, $40 for Bifocal, $60 for Trifocal, $100 for Lenticular Reimbursement less Co-PayStandard Progressive Lens$50 Co-PayUp to $45 reimbursement less Co-paySingle Vision (SV) PolycarbonateIncluded with Lens Co-Pay up to age 19; over age 19, $30 Co-PayUp to $10 reimbursement less Co-pay under age 19UV Coating Lens$12 Co-PayUp to $5 reimbursement less Co-payContact Lenses - Medically Necessary (in lieu of eyeglasses and elective contact lenses)$15 Co-pay; $250 materials allowance; $30 fitting fee allowanceUp to $250 reimbursement (less applicable Co-pay)Contact Lenses – Elective (in lieu of eyeglasses)$15 Co-pay; $100 materials allowance; $30 fitting fee allowanceUp to $60 reimbursement (less applicable Co-pay)Frequency Limitations - Vision ExamsOnce every 12 monthsFrequency Limitations - Eyeglass LensesFrequency Limitations - FramesOnce every 24 months with Standard Vision PlanOnce every 12 months with Enhanced Vision PanFrequency Limitations - Contact Lenses
28 Vision Rates Monthly Rates Bi-Weekly Rates Standard Vision Plan Enhanced VisionPlanEmployee$3.98$4.78Family$10.18$12.22Bi-Weekly RatesStandard Vision PlanEnhanced VisionPlanEmployee$1.84$2.21Family$4.70$5.64
29 Provider Search www.advanticabenefits.com Provider Search Select Vision Care Provider3. Select Current or Future Member 4. Enter desired search criteria-
30 College Life Insurance College paid coverage - no election necessary2x salary, rounded up to nearest $1,000Maximum of $500,000Age reductions at 65, 70 & 75Portability options at terminationMust complete beneficiary information onlineAdditional Benefits:Will Preparation ProgramIdentity Theft ProgramHealthy Rewards®CIGNA Secure Travel®CIGNAssurance® Program for BeneficiariesEmployee Assistance ProgramExplain Medical Underwriting
31 Voluntary Life Insurance Employee Life$10,000 increments, up to 7 X Salary or a Max of $500,000Guaranteed issue for voluntary life: $150,000Benefit Reductions at 65, 70 and 75 years of ageSpouse LifeUp to 50% of employee voluntary life amount, in increments of $10,000; Max of $250,000Guaranteed issue for spouse life: $50,000Child LifeUp to 50% of employee voluntary life amount in increments of $2,500; Max of $10,000Explain Medical Underwriting
32 Voluntary Life Insurance (cond.) Portable – keep policy at same rates if you leave employmentAdditional BenefitsSurvivor financial counseling servicesPortability, accelerated benefit option, wavier of premium if totally disabled & beneficiary interest bearing asset accountEvidence of Insurability (EOI)Medical history formOver $150,000 for employee voluntary lifeOver $50,000 for spouse lifeMust complete beneficiary information onlineCan update beneficiaries anytimeExplain Medical Underwriting
33 Child Life rate (monthly): Life Insurance RatesEmployee and Spouse Life rates: Based on Employee’s age as of 1/1 of the current yearAge(Employee)Monthly Rate(per $1,000)<20-29$0.04830-34$0.05635-39$0.07240-44$0.11245-49$0.20050-54$0.29655-59$0.43260-64$0.71265-69$1.28870-74$1.83275+$3.928Child Life rate (monthly):$0.16 per $1,000Explain Medical Underwriting
34 Health Care Flexible Spending Account (FSA) Administered by ICUBAFunded by employee with pre-tax contributionsUsed to pay for qualified healthcare (medical, Rx, dental, vision) expensesMaximum annual contribution reduced to $2,500 per Health Care ReformEntire annual election available upfrontObtain funds through:ICUBA Benefits MasterCard - or -File claims online atDeadline 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 overRemind about OTC
35 HRA and FSA Comparison Health Reimbursement Account (HRA) Health Care Flexible Spending Account (FSA)FundingFunded by RollinsFunded by employee pre-tax dollarsMedical Plan EnrollmentEnrollment requiredEnrollment not requiredDependent EligibilityOnly if covered on medical planAll qualified dependents are eligible, even if not enrolled in medical planEligible expensesEligible medical, dental, vision expenses; COBRA, long term care, and retiree health premiumsEligible medical, dental, vision expensesAvailability of FundsCan withdraw up to what has been depositedAnnual goal amount available the first day of the plan yearRollover of FundsFunds rollover at the end of each plan year indefinitelyHave 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 participationAvailable for remainder of plan year through COBRAOrder of ReimbursementFunds used after FSAFunds used before HRA
36 Dependent Care Flexible Spending Account (FSA) Administered by ICUBAFunded by employee with pre-tax contributionsUsed to pay for qualified dependent day care expenses (not healthcare for dependents)Maximum annual limit of $5,000 per familyFunds are available as they are deducted from payrollDependents: dependent under age 13, physically or mentally challenged adults who are unable to care for themselvesObtain funds through:ICUBA Benefits MasterCard – or –File your claims online atDeadline 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 websiteDeductions are retro-active to hire date
38 ICUBA Benefits Site http://icubabenefits.org (No www.) Access Benefits Library & Reference Center full of detailed plan summaries, rates, and moreSingle source login to view benefits and check balances on HRA/FSA debit cardRegister as First Time UserRemember your login ID and password for future logins and access to benefits information throughout the year
39 First Time UserType 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) servicesUp to 6 counseling sessions per issue per plan year are available to ALL employees and everyone in an employee’s householdDo not need to be enrolled in any ICUBA benefit plan in order for you or a household member to access EAP servicesBehavioral Health PlanSame as medical benefits (primary care, specialist, etc.)Client Connect® Provider Matching ServiceAssists members in locating an appropriate providerMHNet websiteArticles; interactive health and wellness instruments; health assessments and videos; family, personal, and mental health information; on-line seminars; discounts to vendors and community resourcesUsername: 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 TestsPap TestsUrinalysisColorectal ScreeningsProstate Cancer ScreeningsPrescribed diabetic supplies including meters, lancing devices, lancets, test strips, control solution, needles, and syringesAspirin for adults with a physician prescriptionPrescribed generic folic acid and generic pre-natal vitamins for pregnancyAnnual PhysicalElectrocardiogramsEchocardiogramsMammogramsColonoscopies and SigmoidoscopiesImmunizationsAllergy InjectionsBone Mineral Density TestsEmployee Assistance Program is for all employees and members of your household.Call your EAP 24-hours a day atReceive up to six free face-to-face counseling sessions per presenting issue per plan year.* NEW$0 copay for all office visits to Blue Physician Recognition™ provider$0 copay for two courses of treatment per plan year for tobacco cessation33% of ICUBA survey respondents not aware of free wellness benefits76% of respondents not aware of free aspirin, prenatal vitamins and diabetic supplies through Prescription plan
43 Short Term Disability (Salary Continuation) Administered by RollinsNo employee premiumsAvailable after 90 days of employmentPays salary if unable to work for more than 5 days due to sickness or injuryFirst 5 days are PTODays 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 hirePays salary if unable to work for more than 6 months due to disability66 2/3% of monthly earnings to a max of $10,000Maximum benefit period to age 65Limited benefits of months if disabled after age 65
45 Parental Leave Administered by Rollins No employee premiums Available after 90 days of employmentPays 100% salary after birth or adoption for 6 weeksAvailable if you are the sole caretaker for 20 or more hours a week
46 Travel Accident Insurance Administered by CNACoverage starts date of hireCovered for injuries sustained while on a business trip made on behalf of the CollegeExcludes vacations and travel to and from work
47 Long Term Care Insurance Employee PaidCovers Facility and Home-Based careEmployee, spouse, parents, grandparentsPremiums are after tax and do not increase with ageThree levels of Daily Facility Care benefit & Lifetime MaxAvailable with or without future benefit guaranteeLife insurance built inGuaranteed benefit increase optionGuaranteed IssuePortableContact HR for detail, rates, and enrollment formsCan enroll at any timeEOI 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.EmployeesEmployees 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 eachSpouses/partners, children, and stepchildrenEligible to complete up to two degrees, one in the undergraduate program and one in a graduate programPolicies on R-NetTuition Remission for Faculty & StaffTuition Remission for Dependents of Faculty & Staff
49 Tuition Exchange Program Available after 1 year of serviceProvide 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 SouthMay enroll dependent children tuition-free on a space available basisRollins 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 institutionAvailable for four years of study or until the requirements for the undergraduate degree are met, whichever is lessBirmingham-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 SouthPolicy on R-Net•Tuition Exchange for Dependents of Faculty & Staff
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 learningApplies to enrollments on a for-credit basis only at accredited institutions of higher learning not covered by the Rollins’ Tuition Remission and Tuition Exchange policiesLimited to no more than four consecutive years from the start of grant for undergraduate studyPolicy on R-NetTuition Grant Program
51 Employee Tuition Assistance Program Available after 90 days of employmentLimited 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 CollegeAdvanced Degrees - must relate to the current position of the employee to be eligibleTechnical 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-NetTuition Grant Program
52 ICUBA Benefits MasterCard® PlansCompanyBenefitContactID Card?Health InsuranceYesPrescription Drug PlanWalgreens Product Discount CardMental Health,Substance Abuse,Employee Assistance ProgramBack of BCBS CardHealth Reimbursement Account,Health Care Spending Account, Dependent Care Spending AccountICUBA Benefits MasterCard®Dental Insurance(DHMO)(PPO)Eye Care PlanTerm Life, AD&D andLong Term Disability InsuranceContact Human ResourcesGo to::
53 Rollins 403(b) Retirement Plan Transamerica Retirement SolutionsAsset allocation options:Do it yourself allocations: you choose the fundsPortfolioXpress: Allocate funds based on age & estimated year of retirementCharles Schwab Personal Choice Retirement Account: Brokerage account with additional fund options ($50 annual fee applies)
54 403(b) Contributions You Contribute Rollins Gives** 0% 7% 1% 8% 2% 9% Voluntary contributions allowed anytimeCollege contribution after 1 year of service & age 21**Possible waiver if met eligibility requirements at another college or university100% VestedYou ContributeRollins Gives**0%7%1%8%2%9%3%10%IRS Maximum for Employee Contributions: $17,500Catch up provisions- 50 years old (additional $5,500) & 15 years of service (additional $3,000)
56 Retirement Enrollment Enroll Online: rollins.trsretire.comEmployee 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 ChecklistLog into the ICUBA benefits site within 30 days from hire dateElect optionsAdd beneficiaries for life insurance
58 HR staff are available to discuss plan details and questions