Date post: | 26-Dec-2015 |
Category: |
Documents |
Upload: | dulcie-hawkins |
View: | 216 times |
Download: | 2 times |
Appreciation
Human Resources:HR TeamICUBA:
Mark Weinstein, President & CEO Robin Long, Chief Operating
OfficerInformation Technology
Auxiliary ServicesProperty Management
Florida Tech Plan Offerings
Group Life Insurance Short-Term and Long Term Disability Tuition Remission Retirement AFLAC Prepaid Legal Services Additional Life Insurance with AD&D Long term care Medical Dental Vision Employee Assistance Program
Group Life InsuranceCritical Update Request*
• Florida Tech continues to provide Group Life Insurance, at no cost, to all benefits-eligible employees in an amount equal to your annual salary rounded to the next highest $1,000. The maximum group life insurance amount is $150,000.
• Benefits are payable to your named beneficiary(ies).
* To ensure all beneficiary(ies) designations are current and complete, it is critical that we have updated information.
Disability Insurance
Short-Term and Core Long-Term Disability coverage
is provided at no cost to benefits-eligible employees.
Long-Term Disability Buy-Up coverage is available and is purchased by the employee through payroll deduction. This plan provides a benefit of 66 2/3% of salary up to a maximum of $14,000 per month.
Tuition Remission
Florida Tech continues to provide tuition remission
to all benefits-eligible employees and eligibledependents.
For more information regarding tuition remission
policy and procedures please refer to the policy
located at: www.fit.edu/hr.
403(b) Retirement Plan for 2010
Maximum Annual Employee Contribution Under age 50 - $16,500 At least age 50 (12/31) - $22,000 *Age 50 with 15 years $25,000
of continuous serviceEmployer Match is 1% for each 1%
you contribute up to 5% per pay period.
* Additional criteria may be required.
AFLAC Insurance
Personal Sickness Indemnity Personal Accident Indemnity AFLAC Cancer policy
For detailed information you may visit our AFLAC
representative at her table.
Prepaid Legal Services
Two plans are offered: Life Events Legal Plan Identity Theft Plan Life Events Legal Plan & Identity
Theft Plan
Additional Life Insurance with AD&DYou have the opportunity to purchase Additional
Life Insurance for yourself, your spouse, and your
children. Employee: Up to 5 times salary in increments
of $10,000. Not to exceed $500,000. Spouse: Up to 50% of employee amount in
increments of $5,000. Not to exceed $250,000. Child: Up to 50% of employee coverage
amount in increments of $2,000. Not to exceed $10,000.
Long Term Care
You have the opportunity to purchase Long Term
Care for yourself, your spouse, or other family
members. Three plans are offered: Plan A: 2 Years benefit duration. Plan B: 4 Years benefit duration. Plan C: 6 Years benefit duration.
Better Benefits through Collaboration We are pleased to be here for Florida
Tech’s Open Enrollment presentation.
The mission of our partnership with Florida Tech is to provide high quality, cost effective health and welfare benefits to the employees of Florida Tech.
Plan Enhancements for 2010
Addition of PPO 70 Blue Options Plan No limits on eligible Mental Health or
Substance Abuse Benefits Free Labs at In-Network Freestanding
Laboratory Reduction in Generic Drug co-payments New MHNet Integrated Behavioral Health
and Employee Assistance Program
PPO 80 & PPO 70 Blue Choice
Florida Tech cost of total premium – 70% Staff/Faculty cost of total premium - 30%
PPO 80 Premium increase Blue Choice Does NOT include Health Reimbursement
Account (HRA)
Florida Tech cost of total premium – 75%PPO 70 Staff/Faculty cost of total premium - 25%Blue Choice Premium increase
Continue current monthly HRA
PPO 70 Blue Options with HRA
Florida Tech cost of total premium – 75%
Staff/Faculty cost of total premium - 25%PPO 70 Monthly HRABlue Options $ 60 employee only
$120 employee + spouse$120 employee + child(ren)$120 family
The difference between the Blue Choice and Blue Options is the
provider network and a lower per pay premium. To locate an in-network provider, please visit Blue Cross
BlueShield of Florida’s website at www.bcbsfl.com.
PPO Risk/Reward Blue Choice & PPO Risk/Reward Blue Options PPO Risk/Reward Florida Tech cost of total premium –
75% Blue Choice Staff/Faculty cost of total premium - 25%
Premium increase Continue current monthly HRA
Florida Tech cost of total premium – 75%PPO Risk/Reward Staff/Faculty cost of total premium -
25% Blue Options Premium increase
Continue current monthly HRA
In-Network Plan In-Network Plan ComparisonComparison
OE 2010
19
PPO 80 Blue Choice
PPO 70 Blue Choice
PPO 70 Blue Options
PPO Risk/RewardBlue Choice
PPO Risk/Reward BlueOptions
Deductible $300/$900 $500/$1,500 $500/$1,500 $1,500/$4,500 $1,500/$4,500
Coinsurance (after Ded) 80/20% 70/30% 70/30% 80/20% 80/20%
Out-of-Pocket Limits $2,500/$5,000 $3,000/$6,000 $3,000/$6,000 $3,500/$7,000 $3,500/$7,000
Primary Physician Services $15 co-pay- No Ded $20 co-pay – No Ded $20 co-pay – No Ded
80/20% - No Ded 80/20% - No Ded
Routine Wellness Exams $15 or $25 copay- No Ded
$20 or $30 co-pay-No Ded
$20 or $30 co-pay-No Ded
80/20% - No Ded 80/20% - No Ded
Specialist Physician $25 co-pay- No Ded $30 co-pay – No Ded $30 co-pay – No Ded
80/20% - No Ded 80/20% - No Ded
Outpatient Surgery in Drs’ Office $15 or $25 copay- No Ded
$20 or $30 co-pay-No Ded
$20 or $30 co-pay-No Ded
80/20%- No Ded 80/20%- No Ded
Outpatient Surgery in Outpatient Facility
$100 co-pay,
Ded, 80/20%
$100 co-pay,
Ded, 70/30%
$100 co-pay,
Ded, 70/30%
Ded, 80/20% Ded, 80/20%
Outpatient Pre-Admission Ded, 80/20% Ded, 70/30% Ded, 70/30% Ded, 80/20% Ded, 80/20%
MRI, MRA, CAT, PET $100 co-pay, Ded, 80/20%
$100 co-pay,
Ded, 70/30%
$100 co-pay,
Ded, 70/30%
Ded, 80/20% Ded, 80/20%
Chiropractor $25 co-pay per day- No Ded
$30 co-pay per day-No Ded
60 visits
$30 co-pay per day-No Ded
60 visits
80/20% - No Ded
60 visits
80/20% - No Ded
60 visits
In-Network Plan In-Network Plan ComparisonComparison
OE 2010
20
PPO 80 Blue Choice
PPO 70 Blue Choice
PPO 70 Blue Options
PPO Risk/Reward Blue Choice
PPO Risk/ Reward BlueOptions
Physical, Speech and Occupational Therapy
$25 co-pay per day- No Ded30 visits each
$30 co-pay per day-No Ded30 visits each
$30 co-pay per day-No Ded30 visits each
80/20% - No Ded30 visits each
80/20% - No Ded30 visits each
Inpatient Hospital Services $250 co-pay, Ded, 80/20%
$250 co-pay, Ded, 70/30%
$250 co-pay, Ded, 70/30%
Ded, 80/20% Ded, 80/20%
Emergency Room $100 co-pay- No Ded
$100 co-pay – No Ded
$100 co-pay – No Ded
$100 co-pay – No Ded
$100 co-pay – No Ded
Urgent Care $25 copay- No Ded $30 co-pay – No Ded
$30 co-pay – No Ded
80/20% - No Ded
80/20% - No Ded
Maternity Care
Inpatient
$25 initial- No Ded
$250 co-pay, Ded, 80/20%
$30 initial – No Ded
$250 co-pay, Ded, 70/30%
$30 initial – No Ded
$250 co-pay, Ded, 70/30%
80/20% - No Ded
Ded, 80/20%
80/20% - No Ded
Ded, 80/20%
Mental Health & Substance AbuseInpatient
$250 co-pay, Ded, 80/20%
$250 co-pay, Ded, 70/30%
$250 co-pay, Ded, 70/30%
Ded, 80/20% Ded, 80/20%
Mental Health & Substance AbuseOutpatient
$25 co-pay- No Ded
$30 co-pay – No Ded
$30 co-pay – No Ded
80/20%- No Ded
80/20%- No DedFull Benefits Summaries available at http://icubabenefits.org
Plan comparisons What is the difference
between the plans?
Prescription Drug Benefit Annual Wellness Benefit Plan Rules 24/7 Health Info Hotline ER & Urgent Care
(in-network)
Premiums Blue Options Provider
Network Annual Out-of-Pocket
Maximums HRA contributions
Similarities Differences
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 $500 deductible, the Plan begins to pay after you have paid the first $500 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 not apply to out-of-pocket, and does not reduce amounts applied to the deductible or coinsurance. A co-pay may be $20 for an office visit.
Annual Out-of-Pocket Maximum: The maximum amount of deductible and coinsurance during any Plan Year that you pay before the Plan begins to pay 100% of covered expenses for the balance of the Plan Year.
Flexible Spending Account: A Medical Care or Dependent Care Savings account in which you put aside pre-tax dollars to pay for eligible expenses.
$2 Million Lifetime Maximum: The total dollars you can receive in Medical Benefits in your lifetime.
Centers of Excellence: Preferred places of care with the best outcomes, finest operational standings and best patient care.
Medical Costs & Your Decision
You may want to consider the following when making your decision
for which plans to choose and how much to fund your Health Care
Spending Account (HCSA):
Total premiums for your health insurance which are deducted on a before-tax basis
Out-of-pocket maximum (OOP) which is the maximum cost you could be responsible for in a year (co-pays are not included)
Co-pays
Put these pieces together as follows to determine your total financial
risk In a worst case scenario, one where your expenses would hit the
OOP maximum:
Premiums + OOP Max + Co-pays = Total OOP Risk
Remember to use Urgent Care when appropriate
According to some estimates, more than three-quarters of the people who visit emergency rooms do not need to be there. Many of these patients are likely better candidates for a visit to an urgent care center.
An emergency is defined as a condition that may cause loss of life or permanent or severe disability if it isn’t treated immediately. You should go directly to the nearest emergency room if you experience any of the following:• Chest pain • Serious burns, cuts, or infections
• Shortness of breath • Inability to swallow• Severe abdominal pain following an injury • Seizure• Uncontrollable bleeding • Paralysis• Poisoning or suspected poisoning • Broken Bones• Confusion or loss of consciousness, especially after a head injury
Urgent care centers are usually located in clinics or hospitals, and like emergency rooms, offer after-hours care. They are not equipped to handle life-threatening situations but are designed to handle situations which require immediate attention – those where delaying treatment could cause serious problems or discomfort. Urgent care centers are usually more cost-effective than ERs for these conditions. In addition, the waiting time in urgent care centers is usually much shorter. Some examples of conditions that require urgent care are:• Ear infections • Sprains• Urinary tract infections • High fever• Vomiting
Free Services available to You
In-Network Labs at a free standing facility Wellness Benefits Health Dialog® Care Coordination Blue 365and MyBlueService at
www.bcbsfl.com $25 Health Incentives Diabetic Supplies 5% Walgreens Discount Card MasterCard® Health Debit Card MHNet EAP for everyone
Free Wellness Benefits
ICUBA covers all these services: NEW for 2010 - All lab work done at an in-network
freestanding laboratory Bone Mineral Density Screenings Mammograms Colorectal Cancer Screenings Colonoscopies Sigmoidoscopies Venipunctures Electrocardiograms Urinalysis Echocardiograms PAP tests Prostrate Cancer Screenings Adult Immunizations Child Immunizations
Health Incentives
Health incentives available to you:
$25 upon completion of the Personal Wellness Profile Online
$25 upon completion of the Maternity Wellness Profile Online
Take it today on www.bcbsfl.com
HEALTH DIALOG®
Health Coaching is available 24 hours a day, 7 days a week by calling 1-877-789-2583.
Immediate Health Care Assessment - You can also phone Health Dialog® about an immediate Illness or injury. When you do so, the Health Coach can perform a comprehensive health care assessment to help you determine your next step.
Please take advantage of this program offered to you throughBlue Cross and Blue Shield of Florida!
You may contact a Health Coach at Health Dialog at 1-877-789-2583.
You may also access the Dialog CenterSM website through My Blue
Service at www.BCBSFL.com
Care Coordination
If you have questions, call Blue Cross Blue Shield’s 24-hour Health
Care Assistance number for access to nurses who provide health
education and support services is 1-877-789-2583.
An important benefit all members enrolled in an ICUBA Blue Cross Blue Shield Medical Plan receive is free access to Care Coordination Services from a Nurse Case Manager. Some examples of when you or your family member may wish to access such services are when:
Skilled nursing facility services are needed or contemplated
Complex health issues develop, with medical conditions such as cancer, diabetes, heart disease or musculoskeletal conditions
Major surgical procedures are planned, such as a total hip replacement, organ or bone marrow transplant
Blue 365® Discount Program
OE 2010
25Two convenient ways to access:1) www.bcbsfl.com
•Log onto MyBlueService•Member Resources•Member Discounts
2) www.blue-365.com
Blue 365® replaces Blue Complements as the BCBS national member discount program delivering health and wellness tools and services, information and discounts to help members manage their healthcare experience and make healthy choices.
Save on fitness clubs (i.e., Gold’s Gym) exercise equipment, nutrition and weight management programs (i.e., Curves International®, Jenny Craig®, Nutrisystem®, ) massages, vitamins and much more.
Blue Cross Blue Shield/MHNet Card
OE 2010
31
For mental health or EAP
use MHNet information on the back of the
BCBS card
Prescription Plan provides you value based RX drugs
OE 2010
32
Same co-pays for Specialty Drugs $5 (30 day supply) or $10 (90 day supply)
Generic Copays No deductible EVER for drugs Same benefits for all plans 90-Day supply at Retail Mail Order Free diabetic supplies
- One Touch Brand meters, lancets, and strips
- Novofine® needles
Diabetic Supply Overview
OE 2010
33
Every Florida Tech Medical Rx Plan covers diabetic supplies at NO cost
Ask your Pharmacist for information regarding diabetes, and access resources such as the American Diabetes Association for additional resources regarding Diabetes
You can also call WHI at 1-800-207-2568
Understanding Your Pharmacy Benefit Tiered Co-pays
OE 2010
34 Your pharmacy benefit plan offers three categories— or tiers—of drugs that determine your cost share or co-
pay Whenever possible, have your doctor consult your formulary guide for the lowest cost generic or brand
medications available for your therapy. You may visit www.mywhi.com or call the Walgreens Health Initiatives Customer Care Center toll free at 1-
800-207-2568.
Tier Co-pay
30 day Retail/ Mail Order/90 day Retail
Definition
1st Tier:
Generics
$5/10/10 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 co-pay.
2nd Tier:
Preferred
$27/50/60 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
$60/120/145 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 WHI Preferred Medication List.
Employee Assistance Program
OE 2010
35
Confidential assistance is available every hour of every day. MHNet offers information on hundreds of topics, including: health and wellness, child and elder care, family or parenting issues, anxiety, depression and many more.
To access 24 hour care, call MHNet at 1-877-398-5816.
There is a new website www.mhnet.com to search for
providers.
MHNet Transition of Care for Behavioral Health/ Substance Abuse and EAP
OE 2010
36
Effective April 1, 2010, Mental Health and Substance Abuse (MH/SA) benefits will be provided by MHNet. You will no longer access these services through the BlueCross BlueShield (BCBS Network).
Your new BCBS card will provide the MHNet phone number on the back.
All EAP and inpatient services must be pre-authorized by calling MHNet.
If you are currently utilizing MH/SA or EAP benefits, MHNet guarantees a smooth transition of care: Any member in active treatment will be authorized to continue
treatment from their current provider. For members receiving services from a non MHNet provider, MHNet
will continue to authorize care as long as there is not greater than a six month gap in services.
MHNet continues to actively recruit providers.
ICUBA Benefits CardTM
37
Login to http://icubabenefits.org
P.O. Box 616927, Orlando, FL 32861-6927
Email: [email protected]
Phone: 866-377-5102
Fax: 866-377-5180
You must re-enroll in your HCSA and DCSA
OE 2010
HRA and HCSA DifferencesHRA and HCSA Differences
Funded by employee pre-tax
dollars Funds available first day of
Plan Year Available for eligible medical
expenses No carry-over of funds from
year to year (by law) - Use-it-or-lose-it
HCSA funds are used before using the HRA funds
Can have HCSA and no HRA
Funded by Florida Teach Available for PPO 70 and
Risk/Reward Plans Funds roll over at the end of
each plan year indefinitely Portable after 36 months of
continuous participation in the PPO 70 or Risk/Reward Plan
Can have HRA alone with no FSA
38
OE 2010
Health Care Spending Account (HCSA)
Health Reimbursement Account (HRA)
FSA- Flexible Spending FSA- Flexible Spending AccountAccount Health Care and Health Care and Dependent Care Dependent Care
OE 2010
39
Funded by employee with pre-tax contributions and used to pay for qualified health care or dependent care expenses
Health Care Spending Account Allowable expenses defined in Plan Document accessed at icubabenefits.org
Maximum annual limit of $5,000 Dependent Care Spending Account is for qualified expenses for care
of dependents under age 13, physically or mentally challenged adults who are unable to care for themselves; cannot earn more than $3,200 a year
Dependent Care Funds available as deducted from your paycheck Funds available by using the ICUBA Benefits CardTM
File your claims online at http://icubabenefits.org Direct Deposit Available Subject to use-it-or-lose-it rule
Dental
Managed Care CS-250
No benefit changes No waiting period Co-payments per Schedule CS-250
Benefits No Annual or Lifetime Maximums Select and use participating network
dental providers and specialists
DentalPPO Low
No benefit changes Annual Deductible
$50/year/person Maximum Benefits
$1,000/year/person $1,000 lifetime maximum for adult and
child orthodontia No waiting period You can use any dentist you choose
DentalPPO High
No benefit changes Annual Deductible
$50/year/person Maximum Benefits
$2,000/year/person $2,000 lifetime maximum for adult
and child orthodontia No waiting period You can use any dentist you choose
Vision Insurance
No premium changes $5 co-pay for comprehensive eye exam Covers an eye exam every 12 months Covers prescription lenses every 12 months Covers eyeglass frames every 24 months Covers contact lenses every 12 months
Please visit our website at www.advanticaeyecare.com to
view our entire provider network, or contact our Service Center at
1-866-425-2323.
YOUR ICUBA BENEFIT CARDS
* MHNet Behavioral Health for mental health, substance abuse, and Employee Assistance Program – toll free phone number and website on back of BCBSFL ID card.
HumanaDental CS250Member Number Effective Date Group Number
999999999 MM/DD/YY 777777Member Last Name ExampleMember Name
Clinic/ProviderSuzie Q Happy TeethJohn D Lasting Smiles
Humana DentalAdvantica Eyecare
Walgreens Prescription Walgreens Product Discount
ICUBA Debit MasterCard™
BlueCross BlueShield of Florida *
Open Enrollment Recap
OE 2010
45
April 1, 2010 through March 31, 2011 - addition of the PPO 70 Blue Options Plan is being
offered. - no limits on Mental Health or Substance Abuse
Benefits - free labs at In Network, freestanding facilities - Rx Coverage will continue with Walgreens Health
Initiatives MHNet Behavioral Health/ Substance Abuse/ EAP No change in ICUBA MasterCard® Health Debit Card;
new elections are required for Health Care Spending Account and Dependent Care Spending Account
Humana Dental Plans- same rate as last year Advantica Vision Plan- same rate as last year Benefits Website is http://icubabenefits.org Remember there are two BCBSFL Provider Networks:
Blue Choice and Blue Options
Important In-Network Access Reminder
OE 2010
46
REMEMBER TO ALWAYS VERIFY THAT YOUR MEDICAL OR PHARMACY PROVIDER IS IN NETWORK FOR YOU TO RECEIVE THE LOWEST OUT-OF-POCKET COSTS
Blue Cross Blue Shield’s dedicated ICUBA customer service number is 1-800-664-5295 or My Blue Service at www.BCBSFL.com The hours of operation are Monday through
Thursday 8AM – 6PM Eastern, and 9AM – 6PM Eastern on Fridays.
WHI 24/7 Customer Service is 1-800-207-2568 or WHI member website: www.mywhi.com
Plan Year 2010-2011
Benefit Plan Year Elections Cover:
4/1/2010 – 3/31/2011Premium changes will be effective
In your April 9th Paycheck
HR will gladly assist you with your elections!
Mid-Year Changes
If you experience a qualifying change in familystatus as defined by the IRS during the BenefitPlan Year, i.e. marriage, divorce, birth - you may request a change in your pre-tax benefit
elections This request must by made within 31 DAYS
of the qualifying event. Notify Human Resources in writing.
Flexible spending account
***Re-enroll EACH Plan Year***Accounts are Administered By ICUBA
HCSA Health Care Spending Account
DCSADependent Care Spending Account
Human Resources Website
Visit www.fit.edu/hr under “Open Enrollment” for: Plan Comparisons Benefit Summaries Enrollment Forms Premiums Links to Insurance Websites Presentation Frequently Asked Questions
We are here for you!
Blue Cross Blue Shield Walgreens Health Initiatives MHNet Services HUMANA Dental Insurance ADVANTICA Vision Insurance UNUM Supplemental Life Insurance AFLAC Pre-Paid Legal Services
Please visit representatives at their tables to learn more
about their products…
DEADLINE
Return Benefit Enrollment Forms to the Office of Human Resources by
Tuesday, February 26th, 2010
Employees who return completed Benefit Enrollment Forms to HR by Friday, Feb. 19, 2010, will be
eligible to participate in the “Open Enrollment Raffle”.
Questions
Interested in a one-on-one meeting? A Human Resources representative will be
available in the Hartley Room, Wed., Feb.17, 2010 from 8am-
5pm. A conference call is scheduled for the offsite
locations on Thu., Feb.18, 2010 from 2pm-3pm. A Human Resources representative will be available during
this call.
Questions