BENEFIT OPEN ENROLLMENT Plan Year 4/1/2010- 3/31/2011.

BENEFITOPEN

ENROLLMENT

Plan Year 4/1/2010- 3/31/2011

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.

Welcome ICUBA

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.

ICUBA now has twelve member Institutions

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

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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

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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

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For mental health or EAP

use MHNet information on the back of the

BCBS card

Prescription Plan provides you value based RX drugs

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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

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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

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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

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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

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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

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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

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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