OpenEnrollment–What’sChanging?PlanYearApril1,2018‐March31,2019

Samegreatbenefits– Enhanced!

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PreferredPPOMedicalPlan

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BenefitsSummary In‐Network Out‐of‐NetworkDeductible (Individual/Family) $2,000/$4,000 $3,500/$9,750Coinsurance 20% 40%Out‐of‐PocketMaximum(Individual/Family—Includesallmedicalcopays,deductiblesandcoinsurance) $3,500/$7,000 $7,000/$14,000

BlueDistinction TotalCarePCP $0 N/ATeladoc(1‐800‐Teladoc) $5CopayConvenientCareClinics $10CopayUrgentCareCenter $30CopayPhysician/SpecialistOfficeVisits 20% 40%AD*OutpatientTherapy‐ PT,STandOT 20% 40%AD*IndependentClinicalLabs(freestandingfacilitiesandofficevisits)

0%‐ Quest20% ‐ OutpatientSetting 40%AD*

PreventiveCare 0% NotCoveredOutpatientDiagnosticImaging(MRI,MRA,CATScan,PETScan) Upto$500Copay 40%AD*

EmergencyRoomServices $300Copay(waivedifadmitted)Ambulance $250CopayDurableMedicalEquipment andProstheticAppliances 20%AD* 40%AD*HospitalInpatient 20%AD* 40%AD*MentalHealth&SubstanceAbuseInpatientOutpatient

20%AD*20%

40%AD*40%AD*

* After Deductible

New!

YoucannowaccessyourBCBSofFloridaIDcardonMyHealthToolkit!

Remember:• MemberID:ICI+12digit

number• NationalAllianceclaims

administrationandwebportalarebasedinSouthCarolina,however,ICUBA’scontractiswithBlueCrossBlueShieldofFlorida!

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BCBSIDCard!

MedicalPlanPremiums

Total Premium Employee Cost

Employer Cost HRA

Preferred PPO

(Monthly)

Employee $602 $222.74 $379.26 $125

Employee + Spouse $1,281  $474.97 $807.03 $150

Employee + Child(ren) $1,084 $401.08 $682.92 $140

Employee + Family $1,687 $624.19 $1,062.81 $175

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Total Premium Employee Cost

Employer Cost

HRA(monthly)

Preferred PPO

(Biweekly)

Employee $277.85 $102.80 $175.05 $125

Employee + Spouse $591.23  $218.76 $372.48 $150

Employee + Child(ren) $500.31 $185.11 $315.20 $140

Employee + Family $778.62 $288.09 $490.53 $175

MedicalPlanPremiumsChange

Employee 2017/18

Employee 2018/19 Change

Preferred PPO

(Monthly)

Employee $214.60 $222.74 $8.14

Employee + Spouse $456.58 $473.97 $17.39

Employee + Child(ren) $386.28 $401.08 $14.80

Employee + Family $601.25 $624.19 $22.94

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Employee 2017/18

Employee 2018/19 Change

Preferred PPO

(Biweekly)

Employee $99.04 $102.80 $3.76

Employee + Spouse $210.73  $218.76 $8.03

Employee + Child(ren) $178.28 $185.11 $6.83

Employee + Family $277.50 $288.09 $10.76

BlueRewards poweredbyRally2018‐2019IncentivePlan

$250ICUBADollars(redeemableforgiftcardsinRally)

+UNLIMITEDRallyCoins

&ICUBAPrivateSweepstakes

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Rally2018‐2019IncentivePlan

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Activity Incentives

RallySurvey GatekeepertoRally$

BiometricScreenings $25Onsite/CampusEvents $10 each(upto$50)WellnessExams $25Colonoscopy $50Mammogram/PSA $50ICUBAcares $50TOTALICUBA$ $250

$250ICUBADollars(redeemableforgiftcardsinRally)

RallyCoinsareWORTHMORE!

Truly,UNLIMITEDVALUE!• Auctions• Winnow(“Buyitnow”)• Sweepstakes(Rally&ICUBA)• Donations

TheCoinValue isanexcitingnewfeatureforICUBAMembersbeginningonApril1,2018!

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New‐ RallyAuctions!

EnteraRallyAuction!

Thegreatthingaboutbidding– Ifyoubidonanitem,butdonotwin,Rallywillreturnyourcoins!

ReallywanttheAuctionItem?Don’ttakethechanceofbiddingontheitem,trythewinnowfeature.

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Feelingcharitable?Donateyourcoins!

• RallyDonationsgiveuserstheopportunitytodonate theirRallyCoins• Charitiesrotateonaquarterlybasisandarepre‐selectedbyRally

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• MembersworktogetherwithotherRallyuserstoreachquarterlydonationgoals

• Oncethecointhresholdismet– Rallywillmakeastatedfinancialdonationtothecharity

1MillionCoins=$1,000DollarDonation

Readytowin?ICUBAisgivingaway$50AmazonGiftCards every14days!

StartingApril1,2018whenyouearnaCityChallengemilestone,notonlywillyouearncoinsasyousyncyourtrackingdevice,butyouwillbeentered

E V E RY S I N G L E T I M E a m i l e s t o n e i s r e a c h e d !

Nolimitsorrestrictionsandmultipleentriesarepermitted!PrivatesweepstakeswinnerswillalsobefeaturedinICUBA’sBenefitsWise Newsletters.

ICUBAPrivateSweepstakes!

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RallyCityChallenge– MissionTrackingOptions

1. GoogleFit2. AppleiOSHealth3. RallyMobile4. Fitbit5. JawboneUP6. RunKeeper7. MapMyRun

8. Strava9. Misfit10. Moves11. Garmin12. UARecord13. NokiaHealth

TrackingdevicesasofJanuary2018.TrackingdevicessubjecttochangeaccordingtoRallyagreementswithvendors. 13

Need help? Go to helpcenter.werally.com

HealthCareReformPreventiveStatinCoverage

StatinsforprimarypreventionofcardiovasculardiseaseUndertheAffordableCareAct(ACA),allnon‐grandfatheredhealthplansarerequiredtoprovide$0costcoverageforallevidence‐baseditemsorserviceswithanAorBratingfromtheUnitedStatesPreventiveServicesTaskForce(USPSTF),subjecttoreasonablemedicalmanagementtechniques.

OnNov.13,2016,theUSPSTFissuedaBrecommendationthatadultswithoutahistoryofcardiovasculardisease(CVD) (i.e.,symptomaticcoronaryarterydiseaseorischemicstroke)usealow‐ tomoderate‐dosestatinforthepreventionofCVDeventsandmortalitywhenallofthefollowingcriteriaaremet:

Age40to75years

OneormoreCVDriskfactors(i.e.,dyslipidemia,diabetes,hypertension,orsmoking)

Calculated10‐yearriskofacardiovasculareventof10%orgreater.Thisrequiresuniversallipidscreening.

1 2 3

AND

AND

ConfidentialpropertyofOptum.DonotdistributeorreproducewithoutexpresspermissionfromOptum.14

$0(if eligible)

ICUBAcares PharmacistAdvocateProgram

RealPharmacists‐‐ RealAdvocates‐‐ RealSolutions• PrescriptionCheck‐up!• PreferredBrandvs.Non‐Preferredtierconfusion• PriorAuthorization,StepTherapy,QuantityLimits

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Member Testimonial:ICUBAcares helpedthedoctorsgetmeontherightmedication.TheyreachedouttomyPrimaryDoctortorequesthechangeaprescriptionthatappearedtobecausingissueswithoneof myothermedications. DuetothatIwasabletogetmymedicationundercontrol.

ProfessionalCounseling

Speakwithalicensedcliniciantomanageadiagnosedbehavioral

healthconditionoverthephone,televideo or

intheoffice

PsychiatricMedicationEvaluation

Medicationmanagementfordiagnosedbehavioral

healthconditions

AppliedBehavioralAnalysisTherapy

BehavioralhealthservicesrelatedtoAutismSpectrum

Disorder(ASD)diagnosis

IntensiveServices

HospitalizationDetoxification

Residentialtreatment

BehavioralHealthProgram

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Health• Breastandprostatecancerrecovery

• Heartproblems• Diabetes• Depression• Digestiveheath• Painmanagement• Respiratoryproblems• Substanceabuse

Life• Depression/anxiety• Postpartumdepression

• Caregiverstatus(child,elder,autism)

• Griefandloss• Militarytransition

ConditionManagement

ProgramDetails

HowdoImeetwithmytherapistandcoach?• Youchoose• Meetviaweb‐basedvideoconferencingoroverthetelephone

Whatistheappointmentfrequency?• Meetonceaweekwithyourtherapist,toaddressemotionalchallenges

• Andmeetonceaweekwithabehaviorcoach,toidentifyhealthgoalsanddevelopanactionplan

Howlongistheprogram?• Eightweeks• Sixteensessions

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VisionPremiumChange

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EmployeeCost(Monthly)

EmployeeCost(Biweekly)

EnhancedPlan

Employee $4.83 $2.23

Employee+Family $12.36 $5.71

MonthlyDentalPlanPremiums

TotalPremium EmployeeCost(Monthly)

EmployeeCost(Bi‐Weekly)

HMO 250CSDentalOption

Employee $11.72 $0 $0

Employee+1 $23.50 $11.78 $5.44

Employee+Family $36.50 $24.78 $11.44

PreventivePlusLowDentalPPO

Option

Employee $19.48 $7.76 $3.58

Employee+1 $45.28 $33.56 $15.49

Employee+Family $74.96 $63.24 $29.19

HighDentalPPODentalOption

Employee $39.77 $28.05 $12.95

Employee+1 $79.21 $67.49 $31.15

Employee+Family $133.21 $121.49 $56.07

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LifeandDisability

DuringOpenEnrollment,youmayhavetheopportunitytoincreaseyourlifeinsurancecoverage.• IfEvidenceofInsurability(EOI)isrequiredyouwillreceiveanotice:

• YouwillreceiveanemailfromSymetrawithinstructionstocompletetheEOIprocessforthecoverage(s)electedduringOpenEnrollment.

• ThisEOIprocessmustbecompletedandcoverageapprovedbytheinsurancecarrierpriortothecoveragebeingactive.

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ACTION REQUIRED: You have selected a plan level which requires Evidence of Insurability (EOI). Please know: A representative from the insurance carrier’s medial underwriting department will reach out to you in the coming days for additional information as it relates to the EOI process.  The EOI process must be completed and approved before this coverage takes effect. If and when the amount you have requested is approved, your payroll contributions will be adjusted accordingly.

EnrollinginyourbenefitsatICUBAbenefits.org

• DuringyourOpenEnrollmentperiodyouarefreetoupdateyourbenefitsfortheApril1,2018‐March31,2019PlanYear

• YourOEelectionswillremainineffectuntilthenextplanyear,asstipulatedbySection125InternalRevenueCode

• Youmaychangeyourelectionsduringtheplanyearonlywithin30‐daysofaqualifiedlifeevent

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Howtogetstarted:• ClicktheStartYourEnrollmentbuttonlocatedatthetopofyourhomepage.• Youwillbeaskedtoconfirmyourpersonalinformation.Oncecomplete,

selecttheorange Continue buttonontherightpaneltoreviewyourselectionsandcompleteyourenrollment.

• View,EmailorPrintyourenrollmentconfirmationoncecomplete!

EnrollinginyourbenefitsatICUBAbenefits.org

• OpenEnrollmentisFebruary5– February16

• Youonlyneedtoparticipateinopenenrollmentif:– Youwanttocontinueoraddaflexiblespendingaccount(FSA)(FSAamountsdonotrolloverfromyeartoyear);or

– Youwanttomakechangestoyourbenefits;or– Youwanttoaddordropdependents

• However,evenifyoudon'tmeetthecriteriaabove,itissuggestedthatyoureviewyourbenefitstobesuretheyarewhatyouwantforthenewplanyear.

• Youshouldalsoreviewyourbeneficiariesforyourlifeinsuranceplan(s).BeneficiariescanbechangedanytimeintheyearatICUBAbenefits.org

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Whoisaneligibledependent?

• Yourlegallyrecognizedspouse• Yournaturalchild• Yourlegallyadoptedchild• Yourstepchild• AchildrequiredtobecoveredpursuanttoaQualifiedMedicalChildSupportOrder(QMCSO)

• Achildwithproofoflegalguardianshipwhoresideswithyou• Afosterchild

Achildisadependent untiltheendofthecalendaryearinwhichtheage of26isattainedorisover26yearsofageandisnolongercontinuouslyincapableofself‐supportbecauseofaDisability.

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OpenEnrollmentSweepstakes!

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1. LoginatICUBAbenefits.org andupdateorconfirmyourpersonalphonenumberandpersonalemailaddress

2. Finalizetheenrollmentprocess!3. AUTOMATICALLYENTEREDTOW I N !

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Gotorollins.edu/human‐resources/benefits‐or‐

ICUBAbenefits.org