Benefits Open Enrollment Plan year April 1, 2013 - March 31, 2014

Appreciation and Thanks

Human Resources TeamICUBA

Information TechnologyAuxiliary Services

Property ManagementConference Services

Facilities Management

CIGNA Life &

Disability Insurance

Florida Tech provides life insurance at no cost to benefit-eligible employees in an amount equal to one times annual compensation.

Employees may purchase additional life insurance for themselves & their dependents at a discounted group rate. Coverage above $150,000 subject to Evidence of Insurability

Short-term disability (66 2/3%) & long-term disability (60%) coverage are provided at no cost to benefit-eligible employees.

Short-term disability provides 11-weeks income. Short-term disability automatically transitions to long-term

disability, if the employee can not return to work. Long-term disability buy-up option provides an additional 6 2/3%

benefit. Premiums are paid through payroll deduction.

Tuition Remission

Florida Tech continues to provide the following benefits:

100% tuition remission for all benefit-eligible employees - up to six credit hours per semester.

90% tuition remission for IRS-defined dependents for unlimited credit hours towards one degree.

100% University Alliance tuition remission for all benefit-eligible employees AND eligible dependents

See HR Website http://www.fit.edu/hr for policies or go to the Online Learning website http://online.fit.edu

403(b) Retirement Plan for 2013 IRS Maximum Employee Contribution = $17,500 If Age 50+ employee may contribute $5,500 more. Florida Tech will MATCH 1% for each 1% of employee contributes

- up to 5% each paycheck. Employees may contribute to Lincoln Financial Group or TIAA-

CREF. Local representatives available for one-on-one financial planning:

Contact Richard Phelan with Lincoln Financial

Group at richard.phelan@lfg.comContact Richard Chandres with TIAA CREF at

rchandres@tiaa-cref.org

Mid-Year ChangesIf you experience a qualifying event as defined by the IRS during the plan year, i.e. marriage, divorce, birth, or your spouse loses or gains coverage you may request a pre-tax benefit election change.

Request must by made within 30 days of the qualifying event. Notify Human Resources in writing by submitting a “Pre-Tax

Qualifying Event Change Request Form.” Supporting legal documentation, such as a marriage license,

divorce decree, birth certificate, or certificate of prior coverage will be necessary to process the change.

Members of the ICUBA Team

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ICUBA Brand Partners

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:Company Benefit Contact Will I Receive an

ID Card?

Health Insurancewww.bcbsfl.com orwww.floridablue.com 800-664-5295

Yes

Prescription Drug Plan

www.walgreenshealth.com(thru 3/31/13)www.mycatamaranRx.com (after 4/1/13)800-207-2568

Yes - Catamaran ID cards will be mailed by end of March 2013. Walgreens Health Initiatives ID card

will still be accepted

Walgreens Discount Card

www.walgreens.com/wcard866-922-7312 Yes

Mental Health, Substance Abuse and Employee Assistance Program (EAP)

www.mhnet.com877-398-5816 Back of BCBS Card

Health Care Spending AccountDependent Care Spending Acct.Health Reimbursement Account

http://icubabenefits.org866-377-5102 ICUBA Benefits

MasterCard®

Dental Insurancewww.humanadental.com800-979-4760 (DHMO)800-233-4013 (PPO)

Yes

Eye Care Planwww.advanticabenefits.com866-425-2323 Yes

Term Life, AD&D and Long Term Disability Insurance

Contact Human Resources

http://icubabenefits.org

Plan Design Changes 2013 - 2014

Blue Choice Medical Plans: No NEW enrollees accepted for Plan Year 4/1/13 – 3/31/14. Choice plans will be discontinued effective 4/1/14.

Blue Choice PPO 80 Medical Plan: Discontinued effective 4/1/13.

Humana Dental Plans: New Preventive Plus Plan and new High Option PPO Plan. The DHMO Plan remains the same.

Wellness: Cash incentives to Health Reimbursement Account available. Health coaching available.

Summary of Benefits and Coverage (SBC): New healthcare reform document to assist you in comparing plans.

Save Money…Get the most out of your plan!

Choose generics; many generic drugs offer the same quality as brand-name drugs Use 90-day mail order for prescription refills. Call Member Services at 1-800-207-2568 or go to

www.mycatamaranRx.com Use Florida Blue™ “Know Before You Go” at 888-476-2227 FREE ICUBA Cares™ In-Network Benefits through Florida Blue:

o Annual Physicalo Annual Gynecological Examo Lab Testso Pap Testso Mammogramso Urinalysiso Immunizations

o Electrocardiogramso Echocardiogramso Colonoscopies & Sigmoidoscopieso Colorectal Screeningso Prostate Cancer Screeningso Bone Mineral Density Testso Allergy Injections

Request prescribed generic folic acid and generic pre-natal vitamins for pregnancy Healthy Additions $25 incentive for expectant mothers Request prescribed diabetic supplies including meters, lancing devices, lancets, test strips, control

solution, needles, and syringes Employee Assistance Program (EAP) available to all employees and household members $25 incentive for participating in a Personal Health Assessment at the health fair

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View Your Benefits athttp://icubabenefits.org

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Monthly PremiumsICUBA rates increased 3% for Blue Options Plans compared to 9 - 11% in the Florida market.

PPO 70 Blue Choice * PPO 70 Blue Options

Employee Contribution

Employer Contribution HRA Employee

ContributionEmployer

Contribution HRA

Employee $175.00 $525.00 $60 $156.50 $469.50 $60

Employee + Spouse $349.50 $1048.50 $120 $313.00 $939.00 $120

Employee + Child(ren) $315.00 $945.00 $120 $282.00 $846.00 $120

Family $489.25 $1467.75 $120 $438.50 $1315.50 $120

PPO Risk /Reward Blue Choice * PPO Risk/Reward Blue OptionsEmployee

ContributionEmployer

Contribution HRA Employee Contribution

Employer Contribution HRA

Employee $138.50 $415.50 $100 $122.00 $366.00 $100

Employee + Spouse $277.00 $831.00 $200 $243.75 $731.25 $200

Employee + Child(ren) $249.25 $747.75 $200 $219.50 $658.50 $200

Family $387.50 $1162.50 $200 $341.25 $1023.75 $200

*NO NEW enrollees accepted for Plan Year 4/1/13 – 0/31/14. Blue Choice Plans will be discontinued effective 4/1/14.

Plan 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 $1000 deductible, the Plan begins to pay after you have paid the first $1,000 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 apply to your out-of-pocket maximum, but does not reduce amounts applied to the deductible or co-insurance.

Annual Out-of-Pocket Maximum: The maximum amount of deductible and co-insurance during any plan year that you pay before the plan begins to pay 100% of covered expenses for the remainder of the plan year.

Flexible Spending Account: A medical care or dependent care spending account in which you put aside pre-tax dollars to pay for eligible expenses.

Centers of Excellence: Preferred places of care with the best outcomes, finest operational standings and best patient care.

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Side-by-Side Medical Plan Comparison2013-2014 Plan Year PPO 70 Blue Choice & Blue Options PPO Risk/Reward Blue Choice & Blue Options

Network Non Network Network Non Network

DeductibleIndividual/Family

$1,000/$2,500 $1,500/$4,000 $2,000/$4,000 $3,500/$9,750

Coinsurance 30% after deductible 50% after deductible 20% after deductible 40% after deductible

Out of Pocket Maximum (includes all medical co-pays, deductibles, and coinsurance)

$3,000/$6,000 $6,000/$12,000 $3,500/$7,000 $7,000/$14,000

Physicians Office Visit (includes General Practice, Internal Medicine, Family Practice, Pediatrician, OB/GYN and Behavioral Health)

$20 co-pay; no deductible

50% after deductible

20% no deductible

40%after deductible

Specialist Office Visit, including Chiropractors and Therapists

$30 co-pay; no deductible

50% after deductible

20% no deductible

40%after deductible

Wellness Exam $0 Not Covered $0 Not Covered

Outpatient Diagnostic Imaging $100 co-pay and 30% after deductible

50% after deductible

20% after deductible

40%after deductible

Urgent Care $30 co-pay; no deductible

$30 co-pay; no deductible

20%; no deductible

20%;no deductible

Emergency Room Services $100 co-pay (waived if admitted) no

deductible

$100 co-pay (waived if admitted)

no deductible

$100 co-pay (waived if admitted)

no deductible

$100 co-pay (waived if admitted)

no deductible

Hospital Inpatient $250 co-pay, and 30% after deductible

$500 co-pay and 50% after deductible

20% after deductible

40% after deductible

Minimize Out-of-Pocket Expenses Avoid un-necessary fees for lab work, always use QUEST Labs Verify coverage with your provider PRIOR to appointment If you are billed a facility fee for an office visit or are billed for

an annual physical or annual gynecological exam, please advocate on your behalf and contact Florida Blue™ Customer Service at 1-800-664-5295 to have the claim properly adjusted

Pay your provider based on the Member Health Statements available at www.floridablue.com

Use your ICUBA MasterCard for office visit copays and other out-of-pocket expenses

Use your Walgreens Discount Card at Walgreens retail stores to purchase Walgreens brand products and earn cash credit

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Florida Blue™ Mobile AppsFeatures

• Find A Doctor & Map – GPS based• View ID Card• Fax or email ID Card• Claims Accessibility• Health Coach• 24-hour Nurse line & Care

Consultants• Rx Shopping & Price Comparison• Coverage Benefits &

Accumulators• Health News & Views• Health Check Guidelines

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Catamaran Prescription Benefit Tiered Copays

Your Catamaran pharmacy benefit plan offers three tiers of drugs. Bring the Preferred Medication List with you to the doctor to receive the lowest cost generic or

brand prescription medications available for your therapy. Call member services at 1-800-207-2568 or visit www.mycatamaranRx.com

Tier Co-pay30 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: Nonpreferred

$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 Preferred Medication List.

Maximum annual plan year out-of-pocket for prescription drug co-pay is $2,000 per individual; $4,000 for family.

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Catamaran Prescription EnhancementsMarch 2013: New Catamaran ID cards will be sent by the end of March. Walgreens

Health Initiatives cards will still be accepted.April 2013: Catamaran Member Portal www.mycatamaranRx.com

Obtain a list of preferred medications to maximize savings

Refill prescriptions for home delivery Perform test co-pays for prescriptions View prior authorization history

April 2013: Catamaran Mobile App

Free of charge Find the lowest cost drug and pharmacy options View prescription history Key Features:• Fill-My-Scripts is a reminder to fill prescriptions.• Take-My-Meds is a reminder to take medications.• Mobile Advocate is designed to mimic behavior of

provider to elicit action and participation.

MHNet Behavioral Health – Substance Abuse and EAP Benefits

Free Employee Assistance Program (EAP) services - up to six counseling sessions per issue per plan year - are available to ALL employees and everyone in an employee’s household. You do not need to be enrolled in any ICUBA benefit plan in order for you or a household member to access EAP services.

Client Connect® Provider Matching Service assists members in locating an appropriate provider for their current situation.

The MHNet website has many helpful resources including informative articles, interactive health and wellness instruments, health assessments and videos, family, personal, and mental health information, on-line seminars, discounts to vendors, and community resources.

Contact MHNet call 1-877-398-5816. To access the website, go to www.mhnet.com

Username: ICUBA Password: 8773985816

MHNet contact information is on the back of your Blue Cross Blue Shield of Florida ID card, or contact Human Resources if not a participating member.

HRA and HCSA – What’s the difference? Health Care Spending Account (HCSA)

Funded by employee’s pre-tax dollars

Funds available first day of plan year

Can be used for qualified employee and eligible dependent medical expenses

No carry-over of funds from year to year (by IRS law) “Use-it-or-lose-it”

HCSA funds expended before tapping into HRA funds

Employee can have HCSA without HRA

Maximum annual contribution limited to $2,500 for 2013-2014 under Health Care Reform

Health Care Reimbursement Account (HRA)

Funded by Florida Tech Available for PPO 70 and

Risk/Reward Plans Funds rollover at the end of each

plan year indefinitely Account is portable after 36-months

of continuous participation Employee can have HRA alone

without HCSA Amount funded depends on medical

plan Funds deposited monthly

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Flexible Spending Account for Dependent Care Expenses (DCSA)

Funded by employee’s pre-tax cdollars Funds used to pay for qualified dependent care expenses Maximum annual contribution limit for plan year 2013 – 2014 is $5,000 Qualified dependents are under age 13, or physically/mentally challenged

adults who are unable to care for themselves Funds are available as deducted from your paycheck Funds available by using the ICUBA Benefits MasterCard File your claims online at http://icubabenefits.org Funds do not carry-over from year to year (by IRS law) “Use-it-or-lose-it”

OE 201021

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Humana Dental

The Low Option PPO Plan will be replaced, effective 4/1/13, with the “Preventive Plus” Plan. This new plan provides coverage for preventive services, some basic services, and no major services.

Two 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. Addition of an Extended Annual Maximum Benefit paying 30% coinsurance

after the annual maximum benefit is met.

Refer to the Dental Insurance Benefits Guide (handout) for information on how to find a dentist and How to select or switch a Primary Care Dentist (PCD) in the DHMO Plan.

Low Option PPO Plan Replacement

Enhancements to High Option PPO Plan

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Humana Dental Rates

2013-2014 Monthly Dental Rates*

*Ask a member of the Human Resources team for per pay period amounts.

High Option PPO Plan

Preventive Plus Plan

DHMO CS250 Plan

Employee $36.68 $19.48 $10.98

Employee + 1 $73.04 $45.28 $22.02

Family $122.84 $74.96 $34.20

High Option PPO Plan

Refer to your dental SPD for full benefit description

High Option PPO Plan In-Network Out-of-Network

Plan Year Deductible – Single / Family $50 / $150 $50 / $150

Deductible Waived for Preventive Yes Yes

Plan Year Maximum (excludes orthodontia services) $2,000 $2,000

Preventive Services 0% 20%

Basic Services 20% 50%

Major Services 50% 70%

Orthodontia – Adult & Child 50% 50%

Orthodontia Lifetime Maximum $2,000 $2,000

Refer to your Dental Summary Plan Description (SPD) for full benefit description.

Humana Dental PPO High Plan

.

Plus” Plan

Refer to your dental SPD for full benefit description

Preventive Plus Plan In-Network Out-of-Network

Plan Year Deductible – Single / Family $50 / $150 $50 / $150

Deductible Waived for Preventive Yes Yes

Plan Year Maximum (excludes orthodontia services) $1,000 $1,000

Preventive Services 0% 0%

Basic Services* 20% 20%

Major Services** Discount Not Covered

*Services include amalgam/resin restorations and simple extractions. **These services are not covered under this plan; receive a discount on these services if you see a participating dentist. Out-of-pocket expenses do not apply to deductible and annual maximum.

Refer to your Dental Summary Plan Description (SPD) for full benefit description.

Humana Dental Preventive Plus Plan

DO CSD250 Plan DHMO CS250 Plan In-Network Only

Plan Year Deductible No deductible

Out of Pocket Maximum No maximum

Office Visit Copays – (during normal business hours) $5 copay per visit

Preventive Services Please refer to dental schedule for copay amounts

Basic Services Please refer to dental schedule for copay amounts

Major Services Please refer to dental schedule for copay amounts

Orthodontics – Adult & Child $2,000 Adult; $1,800 Child fixed copay

Refer to your dental SPD for full benefit description

Refer to your Dental Summary Plan Description (SPD) for full benefit description.

Humana Dental DHMO CS250 Plan

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Advantica Eyecare PlanIn-Network Out-of-Network

Vision Exam $5 co-pay Up to $40 Reimbursement (less applicable co-pay)

Standard Frames $100 allowance Reimbursed up to $40 (no co-pay if included with eyeglass lenses)

Single Vision, Bifocal, Trifocal, and Lenticular Lenses

Covered After $15 co-pay Up to $20 for Single Vision, $40 for Bifocal, $60 for Trifocal, $100 for Lenticular Reimbursement less co-pay

Standard Progressive Lens $50 co-pay Up to $45 reimbursement less co-pay

Single Vision (SV) Polycarbonate Included with Lens co-pay up to age 19; over age 19, $30 co-pay

Up to $10 reimbursement less co-pay under age 19

UV Coating Lens $12 co-Pay Up to $5 reimbursement less co-pay

Contact Lenses - Medically Necessary(in lieu of eyeglasses and elective contact lenses)

$15 co-pay; $250 materials allowance; $30 fitting fee allowance

Up to $250 reimbursement less applicable co-pay

Contact Lenses – Elective (in lieu of eyeglasses)

$15 co-pay; $100 materials allowance; $30 fitting fee allowance

Up to $60 reimbursement less applicable co-pay

Frequency Limitations - Vision Exams Once every 12 months

Frequency Limitations - Eyeglass Lenses Once every 12 months

Frequency Limitations - Frames Once every 24 months

Frequency Limitations - Contact Lenses Once every 12 months

Employee Monthly Premium: $3.98 Family Monthly Premium: $10.18Lower rates than last year and guaranteed for 4 years!

What you need to do next… • Enroll by logging onto http://icubabenefits.org • Select the Open Enrollment icon• Your elections are effective 4/1/2013 and will remain in effect until 3/31/2014• Any eligible dependents may enroll during this open enrollment period

• You MUST actively elect your Flexible Spending Account(s) – HCSA and DCSA - if you wish to continue

• Access the Predictive Modeling Tool by clicking on the link labeled “View Detailed Plan Comparison” on the Medical Election Page. Use this tool to assist you with your elections.

• Then, select the tab “Personalized Cost Estimator”

• You MUST complete your enrollment before February 28, 2013. 28

Additional After-Tax Benefits Sickness, Accident and Cancer Plans available through AFLAC

Cristy McCullough cristy_mccullough@us.aflac.com Identity Theft Protection and Basic Legal Services available through Pre-

Paid Legal Yvette Mayo mayogroupbenefits@msn.com

Additional Life Insurance through CIGNA Long Term Care Insurance through UNUM

Note: A separate application is required to elect these benefits, so please visit the representatives at their tables for more information.

What to expect

New Florida Blue ID cards for current enrollees in PPO 80 who choose a new plan.

New Florida Blue ID cards for anyone moving from a Blue Choice plan to a Blue Options plan.

New Catamaran ID card.New Humana Dental ID card for the Preventive Plus plan

and the High Option PPO plan.More focus on Wellness.Continued Consumer Directed Focus.

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Benefit Plan Year 2013 -2014Please log into http://icubabenefits.org to make changes to your benefits. Deductions take effect on your April 5th pay check. Your HR professionals will gladly assist you with your elections!

Changes MUST be submitted by Thursday, February 28, 2013

Human Resources Websitehttp://

www.fit.edu/hr/open-enrollment/

Click on “Choose a Topic” to view: • Plan Descriptions• Benefit Information• Premium Information

• Links to Insurance Websites