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BENEFITS

BENEFITS TAX SAVINGS PROGRAM : Elected premiums will be sheltered on a before-tax basis under Section 125 of the IRS Tax Code You have thirty (30) days from your hire date to elect these pre-tax benefits (excludes 403b) or you must wait until open enrollment

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BENEFITS

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  1. BENEFITS • TAX SAVINGS PROGRAM: Elected premiums will be sheltered on a before-tax basis under Section 125 of the IRS Tax Code • You have thirty (30) days from your hire date to elect these pre-tax benefits (excludes 403b) or you must wait until open enrollment • Open Enrollment is once a year. You can make changes to your pre-tax benefits for the following year • Coverage is locked for calendar year unless there is a qualified status change. You must make changes to benefits within thirty (30) days of the status change. • ELIGIBLE DEPENDENTS: Include your spouse, domestic partner, dependent child(ren), and domestic partner dependent child(ren)

  2. 30 DAYS FROM HIRE NEW HIRE TAX SAVINGS PROGRAM ELECTION FORM For January 1 - December 31, 2003 ANY APPLICABLE ENROLLMENT FORMS Health Dental – Premium/PPO and Indemnity Voluntary Life Insurance Cancer Insurance Heart Care Insurance Vision Long Term Care Insurance

  3. HEALTH INSURANCE • Independent College and University Benefits Association (ICUBA) Three CIGNA PPO’s 800-244-6224 www.cigna.com • College currently subsidizes 63% of the total premium for employee and eligible dependents • Health Insurance Premiums • Declining Insurance Now • Pre-existing conditions- Need proof of prior coverage to waive

  4. HEALTH INSURANCE GoldSilverBronze Office Visits GP $10 $15 $20 Specialist $15 $20 $25 Deductible (Ind/Family) $ 0 $ Hospital Inpatient $200 co-pay 90% after ded 80% after ded 100% Outpatient $50 co-pay $75 co-pay $100 co-pay Procedure ER /Urgent Care $50 $75 $100 RX (1 month) $10/$25/$40 Mail Order (3 month) $20/$50/$80 In Net Max Out of Pocket $2,000/$4,000 $2,500/$5,000 $3,000/$6,000 Out of Network 70% after ded 70% after ded 60% after ded Out of Network Ded $500/$1,000 $500/$1,000 $1,000/$2,000

  5. DENTAL INSURANCE • Paragon Dental Insurance - three plans to chose from • Indemnity Plan - Any dentist • Preferred PPO Plan – In Network or Out of Network Providers • Premium Plan – Network Providers only (except Preventative) • Deductible and Maximum • Orthodontia – 25% Discount • Preventative services 100% UCR (average) • Premium Plan = small scheduled amount paid on basic and major • Preferred PPO/Indemnity Plan= 50%-80% UCR for basic and major • All employees on Premium Plan at no Cost • www.paragondental.com or 877-760-2247 • Claims go to Paragon; Shenandoah and Reliastar/Group Link process claims

  6. FLEXIBLE SPENDING ACCOUNTS • Flexible Spending Reimbursement Form • Pre-tax dollars to pay for qualified health and/or dependent care expenses • Two types: Health and Dependent Care • Minimum and Maximum • Use it or lose it provision • Examples of eligible expenses for health account: • Co-pays- office visits and Rx • Deductible on PPO and dental • Eye care Costs

  7. LIFE INSURANCE COLLEGE PROVIDED – Jefferson Pilot Financial • 2x annual base salary • Excess Life Tax • Convertible VOLUNTARY – Jefferson Pilot Financial • Employee, Spouse and Child(ren) available • $10,000-$500,000 employee; up to $100,000 spouse • Guaranteed Issue • Portable • See Rate Sheet for rate per $1,000 per month

  8. CANCER & HEARTCARE & VISION Cancer & Heart Care • Supplemental- in addition to health insurance • Portable • Contact Agent Jan Hunt for details-407-677-8448 • Cancer: $16.98 individual $30.32 family • Heart Care: $23.46 individual $45.64 family • Enrollment Form Vision – 20/20 Eyecare Plan Network Providers • Eye exam & lenses every 12 months • $4 co-pay exam & $10 co-pay for supplies In Network • $85.00 Frame Allowance • $119 Contact Lenses Allowance in Lieu of Eyeglasses • Premiums: $5.75 single $10.38 Two Person $17.10 family • Small out of network reimbursement • Enrollment Form

  9. LONG TERM CARE INSURANCE • Nursing home, home health, caregiver, adult day care • Employee, spouse, parents, grandparents • Premiums are after tax and do not increase with age • Three levels of benefits- DNB & Lifetime Max • Two plans- Non-Forfeiture Benefit Account • Life insurance built in • Guaranteed benefit increase option • Guaranteed Issue • Portable • See Rate Sheet for rates per month

  10. 30 DAYS FROM HIRE • HEALTH • DENTAL • FLEXIBLE SPENDING ACCOUNTS • VOLUNTARY LIFE INSURANCE • CANCER • HEART CARE • VISION • LONG TERM CARE INSURANCE Return New Hire Tax Savings Form & all applicable enrollment forms

  11. 403b RETIREMENT PLAN • Voluntary Pre-tax contributions allowed anytime • Matching from College after 1 year of service & 21 yrs old • Possibly waive 1 year if from another college or university • Two core companies: TIAA/CREF & Fidelity • American Century & TIAA/CREF SRA for employee voluntary only • 100% Vested • Employee maximum for 2003: $12,000 • Catch up provisions • Complete Salary Reduction Agreement & Account Application(s) • Sign up anytime and make changes anytime

  12. ADDITIONAL COLLEGE PROVIDED BENEFITS Long Term Disability Travel Accident Insurance Vision Discounts: Outlook Vision Services, FOCUS

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