1. 2013 Benefits for MFT Retirees Health Insurance Dental Insurance Vision Insurance Life Insurance Health FSA Long Term Care Questions/Contact Info

2. Health Insurance Retirees will be eligible to continue health insurance until they become Medicare eligible. Retirees will receive COBRA/Retiree notice from CieloStar. HP Distinctions III Plan I HP Distinctions III Plan II (Single) $628.32(Single) $581.50 (Family) $1621.80(Family) $1500.95 Rates are for 2013 only. 3

3. Dental Insurance  Retirees will be eligible to continue dental insurance for life – as long as premiums are paid on time.  Retirees will receive COBRA/Retiree notice from CieloStar.  Dental Rates: (Single) $24.09 (2013) (Family) $94.57 (2013) 4 Rates are for 2013 only.

4. Vision Insurance  Retirees will be eligible to continue Vision insurance until Medicare eligible– as long as premiums are paid on time.  Retirees will receive COBRA/Retiree notice from CieloStar.  Vision Rates: (Single Standard) $5.92 (2013) (Single Premier) $8.36 (2013) (Family Standard) $16.32 (2013) (Family Premier) $22.95 (2013) 4 Rates are for 2013 only.

5. Retirees and Spouse/Domestic Partner who are Age 65 and Older or Medicare Eligible Retirees and their spouse/domestic partner will be eligible to participate in a District sponsored plan. Retirees and their spouse/domestic partner who are 65 and older will have the option of two district sponsored Medicare supplemental plans. Retirees must have Medicare A and B. Medica Prime Solutions UCare $242.00$246.00/$144.00 952-992-2330612-676-6900 5 Rates are for 2013 only.

6. Retirees and Spouse/Domestic Partner Age 65 and Older or Medicare Eligible  Retirees and their spouse/domestic partner age 65 and older also have the option of participating in the Public Employees Insurance Plan (PEIP).  PEIP is not a District sponsored plan.  Anyone who chooses to participate in PEIP or any other non-District sponsored plan will not be able to participate in a district sponsored plan in the future.  PEIP - Call Medica at 952.992.2330 for information 6

7. Retirees and Spouse/Domestic Partner Age 65 and Older or Medicare Eligible Other Supplemental Plans  Medica – 952.992.2330  Health Partners – 952.883.5000  Blue Cross/Blue Shield – 651.662.5020  AARP – 888.687.2277 7

8. Health, Dental, Vision Insurance and Flexible Spending Plans Health, Dental, Vision Insurance and Flexible Spending Plan End Dates – If you are retiring before the last day of school: Coverage ends on last day of month retired – If you are retiring at end of school year: Coverage ends on August 31 8

9. Single and Family Coverage Changes – Changes Allowed during first 18 months Result of qualifying event or open enrollment – Single to Family – Family to Single – Changes Allowed after first 18 months – Family to Single Changes 9

10. Life Insurance Basic Life Insurance continuation at $50,000 cost is $4.08 per month. Supplemental Life Insurance continuation cost depends on coverage amount and age. Basic and Supplemental Life can be continued for up to 18 months under COBRA. At the end of 18 months, retirees can convert to an individual policy directly through the life insurance carrier. You will receive notification and conversion kit from CieloStar. 10

11. Health Flexible Spending Account If you have a health Flexible Spending Account (FSA) and would like to continue the benefit for the remainder of the 2013 calendar year, you may do so through COBRA on an after-tax basis. Claims have to be submitted to CieloStar by 3/31/2014 for any expenses incurred prior to your benefits termination date. 11

12. Long Term Care Insurance If you currently have Long Term Care Insurance, you will have the option to switch over to direct billing with the insurance company. John Hancock Long Term Care Insurance 1.866.735.6268 12

13. Wellness Pay (June 30, 2013) Requirements for Wellness Pay. Retirees must be at be at least 55 years of age or credited with 30 years of services by TRA If you are eligible, the wellness pay will automatically be deposited into your Post Retirement Health Care Savings Account (PRHCSA) with the Minnesota State Retirement System (MSRS). No taxes will be deducted. 13

14. Wellness Pay (June 30, 2013) The first time the money is deposited into your PRHCSA, MSRS will mail you a Welcome Kit. Claims must be submitted to MSRS in order to receive reimbursement 14

15. Wellness Pay (June 30, 2013) Money in your PRHCSA can only be used for health care related expenses. Some examples are: – Medical Premiums – Dental premiums – Long Term Care (LTC) premiums – Co-pays – Out-of-pocket medical and dental expenses for retiree and eligible dependents 15

16. Wellness Pay (June 30, 2013) Your wellness pay will be deposited by October 1, 2013 into your PRHCSA Refer to the Retiree Reimbursement Section for more details about the PRHCSA Wellness pay is: – Annual salary divided by 192 contract days $59,256 annual salary divided by 192 contract days $308.63 daily rate of pay 16

17. How to Calculate Wellness Pay *Note: The formula will apply 192 days and 7.25 hours/day for those retiring prior to the start of the 2012-2013 school year; and the formula will apply 196 days and 7.5 hours/day for those retiring after the start of the 2012-2013 school year. 568Balance of unused sick leave hours + 80Plus CTT hours used 1994 through retirement 648Total sick leave hours (568 + 80) 89Divide by 7.25 to equal unused sick leave days (648/7.25) 44.5Divide by 2 to equal 50% of unused sick leave days (89/2) $15,594.14Multiply 50% of unused sick leave days by daily rate of pay (44.5 X $350.43) - 3,275.20Subtract CTT dollars paid 1994 through retirement date $12,318.94Total Wellness amount ($15,594 - $3,275.20) 17

18. Questions??? Benefits Department – 612 668-0560 Or email benefits@mpls.k12.mn.usbenefits@mpls.k12.mn.us 18