Open Enrollment 2016 Agenda Welcome Online Enrollment FBMC

Open Enrollment 2016

Agenda Welcome - Online Enrollment - FBMC information FCSRMC - Life Insurance - Long Term Disability Medical Benefits Florida Blue – Edith Hodges Florida Health Care Plans – David Miller Dental Benefits - Delta Dental Vision Benefits - VSP

Important Enrollment Websites Daytona State College Employee Benefits daytonastate. edu/employee_benefits Florida Benefits Management Center (FBMC) bmc. myfbmc. com

FBMC Online Enrollment The first step of the enrollment process is to login at bmc. myfbmc. com

Last Year --- Where We? Medical Plan Changes • Reviewed plan designs / offerings Introduced 4 choices Varying benefits and costs Committed to compliance and stabilization • College contribution commitment • Rising costs and premiums

Last Year --- Where We? Dental and Vision Changes • Change from self-insured to FCSRMC Offered multiple choices in coverage Rates and benefits set for 2 years

This Year --- Where Are We? Medical Plan Coverage • Plans stabilized as promised FHC Plan’s have no changes to benefits FL Blue has minimal changes to benefits • Premium Increases (based on employee only coverage) FHCP: TS 1 = 4. 6% FL Blue: 03769 = 3. 7% T 51= 5. 3% 03559*= 8. 2% *03559 was offered at the lower price in 2015 • College continues to pays $520/ month • Employee pays balance

This Year --- Where Are We? Dental and Vision Plans • As stated in October 2014, there are no changes to premiums or benefits for the January 2016 plan year Life Insurance • No changes to rates or benefits

Flexible Spending Accounts Types of Accounts Healthcare Spending Account – Medical, Dental, Vision & Rx Maximum contribution - $2, 500/year Child/Dependent Care Account – Day Care Maximum contribution - $5, 000/year Two Reimbursement Options Debit Card Submit claims to Health Equity for direct deposit NOTE: Paper checks will be available; however, a fee of $2. 00/check will automatically be withheld from the reimbursed amount

2016 Life Insurance The College pays for two times your annual base salary up to a maximum benefit of $500, 000 For example: If your annual base salary is $40, 000, then the value of your Basic Life insurance policy is $80, 000. You may purchase an additional policy up to three times your base salary, not to exceed a maximum benefit of $500, 000 If you purchase an additional policy, may also purchase a spouse life and or a dependent life policy. During the online enrollment with FBMC, you will have to enter your beneficiary information. You will need your beneficiary’s SSN, Date of Birth and Address to complete this process.

Long Term Disability The College provides Long Term Disability coverage and pays 100% of the cost for this benefit. Long Term Disability coverage is pay check insurance. This benefit begins if you become totally and permanently disabled and are no longer able to work, ensuring that your income continues.

Introducing Florida Blue Edith Hodges

Florida Blue PPO Plans Features & Benefits • Access to over 44, 000+ providers in Florida; 817, 000+ nationally • • • Access to 200+ countries Worldwide Local hospitals in-network Option 1 Bert Fish Medical Center in-network Option 2 Emergency covered worldwide Florida. Blue. com – find providers, view claims, benefit info, member handbook, order new ID Cards • Nurse Advice Hotline (24/365) – 877 -789 -2583 • Dedicated Case & Disease Management • Flu Shots available at no cost at participating pharmacies

Florida Blue - Access to Care Brevard, Flagler and Volusia Counties FLAGLER Blue. Options BREVARD Blue. Options Hospitals 1 Hospitals PCPs 39 PCPs 308 Specialists 49 Specialists 473 Florida Hospital - Flagler VOLUSIA Hospitals Blue. Options 6 PCPs 284 Specialists 264 Florida Hospital – Oceanside Halifax Medical Center Halifax Hospital Port Orange Bert Fish Medical Center (Option 2) Florida Hospital – De. Land Florida Hospital – Fish Memorial Mayo Clinic Shands all locations (Option 2) All Florida Hospital System locations Cleveland Clinic 7 Wuesthoff Hospital - Rockledge Wuesthoff Medical – Melbourne Cape Canaveral Hospital Holmes Regional Medical Center Palm Bay Hospital Parrish Medical Center Viera Hospital Space Coast Area KEY PROVIDER GROUPS: • Brevard Medical Group • Coastal Cardiovascular and Thoracic • Healthcare Partners of Memorial • Medical Associates of Brevard • Melbourne Internal Medicine Associates • Memorial Physicians • Omni Healthcare • Osler Medical • Quality Medical Care • Royal Oaks Medical Center

Florida Blue PPO Plans Benefit Blue. Options 03769 Blue. Options 03559 Deductible Person / Family $600 / $1, 800 Out-of-Pocket Limit Person / Family $6, 000 / $12, 000 Primary Care Visit $30 copay Specialist Visit $50 copay Preventative Care No Charge

Florida Blue PPO Plans Benefit Blue. Options 03769 Blue. Options 03559 $30/$50 $0 (Quest only) $50 (Adv Imaging- Ded+20%) DED + 20% Opt 1/Opt 2 $30/$50 $0 (Quest only) DED + 20% $150 Opt 1 / $250 Opt 2 ER (Facility) ER (Physician) DED + 20% $100 + 20% DED + 20% Urgent Care $65 $50 Inpatient Hospital Stay $1, 000 Option 1 $2, 000 Option 2 $750 Option 1 $1, 500 Option 2 Diagnostic Tests Physician Office Independent Clinical Lab Independent Diag Test Centr Outpatient Hospital NOTE: Actual cost share amounts are based on location of service

Florida Blue PPO Plans Prescription Drug Coverage Blue. Options 03769 Blue. Options 03559 Generic $15 copay Brand $45 copay $60 copay Non-preferred Brand $65 copay $100 copay 25% Specialty Pharmacy Mail Order (Up to 90 days supply) (member out of pocket max up to $250 per month per Rx) $100 copay 2 x Retail Copay

Florida Blue Medical Premiums For Plan Year Effective January 1, 2016 through December 31, 2016 Deductions begin December 15, 2015 Florida Blue Plans (PPO) Blue Option 03559 24 -Pay per Year Blue Option 03769 Per pay Per Month College $260. 00 $520. 00 Employee $51. 50 $103. 00 $45. 00 $90. 00 Employee & Spouse $182. 00 $364. 00 $172. 50 $345. 00 Employee & Child(ren) $149. 50 $299. 00 $141. 00 $282. 00 Employee & Family $271. 50 $543. 00 $261. 00 $522. 00 Florida Blue Plans (PPO) Blue Option 03559 18 -Pay per Year Blue Option 03769 Per pay Per Month Employee & Spouse $346. 67 $68. 67 $242. 67 $693. 34 $137. 34 $485. 34 $346. 67 $60. 00 $230. 00 $693. 34 $120. 00 $460. 00 Employee & Child(ren) $199. 33 $398. 66 $188. 00 $376. 00 Employee & Family $362. 00 $724. 00 $348. 00 $696. 00 College The per pay totals were formula generated and may reflect slight rounding differences

Introducing FHCP David Miller

FHCP HMO Plans Features & Benefits • • • Access to over 1500 providers All local hospitals in-network Emergency & Urgent Care covered worldwide WFW Extended Hour Centers reduced $10 copay FREE Access to over 60 local Gyms FHCP. com and my. FHCP – find providers, view claims, benefit info, member handbook, order new ID Cards • Nurse Advice Hotline (24/365) – 866 -548 -0727 • Dedicated Case & Disease Management • Flu Shots available at no cost at FHCP facilities

FHCP - Access to Care Flagler, Volusia, Seminole and Brevard Counties WFW Locations: Daytona Beach De. Land Edgewater Ormond Beach Orange City Palm Coast Port Orange-Advanced Urgent Care FLAGLER VOLUSIA SEMINOLE Growing Network in: Orange City Altamonte Cocoa Lake Mary Melbourne Rockledge Sanford Titusville And more BREVARD

FHCP HMO Plans Contracts with Hospitals • • • . All Volusia/Flagler Counties Hospitals Central Florida Regional Hospital Putnam Community Medical Center Mayo Clinic Hospital Arnold Palmer Children’s Hospital (by referral) Shands Lake Shore Regional Medical Center Shands Live Oak Regional Medical Center Shands Starke Regional Medical Center Parrish Medical Center Wuesthoff Medical Center-Melbourne Wuesthoff Medical Center-Rockledge

FHCP HMO Plans Benefit HMO TS 1 HMO T 51 Deductible Person / Family $500 / $1, 500 Person / Family $1, 000 / $2, 000 Out-of-Pocket Limit Person / Family $3, 500 / $10, 500 Person / Family $5, 000 / $10, 000 Primary Care Visit $20 copay $30 copay Specialist Visit $35 copay $50 copay Preventative Care No Charge

FHCP HMO Plans Benefit HMO TS 1 HMO T 51 Diagnostic Tests including Radiology $0 -10% No deductible or 20% after deductible $0 - 20% Coinsurance after deductible Outpatient Surgery Emergency Room Urgent Care Hospital Stay NOTE: Actual cost share amounts are based on location of service

Work Force Wellness Extended Hour Centers Florida Health Care Primary care visit $10 copay Urgent care visit $10 copay Sports Physical, Well Woman, Child Health and Vaccinations $0 copay Routine Injections that are administered during a PCP visit Included in the visit copay; no extra participant out of pocket Wellness Coaching face-to -face $10 copay Central Scheduling 386 -676 -7198 · Toll Free 855 -210 -2648 Available 7: 00 – 7: 00 Monday-Friday

FHCP HMO Plans Prescription Drug Coverage Network Pharmacies Preferred Generic $3 copay FHCP Pharmacy Non-Preferred Generic $10 copay $15 copay FHCP Pharmacy Select Walgreen’s Pharmacy Preferred Brand $30 copay $35 copay FHCP Pharmacy Select Walgreen’s Pharmacy Non-preferred Brand $55 copay $60 copay FHCP Pharmacy Select Walgreen’s Pharmacy Specialty Drugs Formulary $125 copay Only available at FHCP pharmacies Mail Order – up to 90 days supply $1 discount per 31 day supply FHCP Pharmacy

FHCP Medical Premiums For Plan Year Effective January 1, 2016 through December 31, 2016 Deductions begin December 15, 2015 Florida Health Care Plans (HMO) FHCP-TS 1 24 -Pay per Year FHCP-T 51 Per pay Per Month College $260. 00 $520. 00 Employee $30. 35 $60. 70 $12. 72 $25. 44 Employee & Spouse $152. 59 $305. 18 $127. 53 $255. 06 Employee & Child(ren) $122. 10 $244. 20 $98. 90 $197. 80 Employee & Family $234. 76 $469. 52 $204. 71 $409. 42 Florida Health Care Plans (HMO) FHCP-TS 1 18 -Pay per Year FHCP-T 51 Per pay Per Month College $346. 67 $693. 34 Employee $40. 47 $80. 94 $16. 96 $33. 92 Employee & Spouse $203. 45 $406. 90 $170. 04 $340. 08 Employee & Child(ren) $162. 80 $325. 60 $131. 87 $263. 74 Employee & Family $313. 01 $626. 02 $272. 95 $545. 90 The per pay totals were formula generated and may reflect slight rounding differences

In-Network Benefits Florida Blue Florida Health Care Deductible Person / Family $600 / $1, 800 Person / Family $500 / $1, 500 Out-of-Pocket Limit Person / Family $6, 000 / $12, 000 Person / Family $3, 500 / $10, 500 Primary Care Visit $30 copay $20 copay Specialist Visit $50 copay $35 copay Preventative Care No Charge

In-Network Benefits Florida Blue Diagnostic Tests Radiology (Office/IDTC) Outpatient Surgery $30/$50 (BOptions 03769) DED +20% (BOptions 03559) Florida Health Care $0 -10% Coinsurance no deductible DED +20% (BOptions 03769) $150 Opt 1 / $250 Opt 2 (BOptions 03559) Emergency Room DED + 20% (BOptions 03769) $100 copay + 20% (BOptions 03559) Urgent Care $65 copay (BOptions 03769) $50 copay (BOptions 03559) $1000 Opt 1 / $2000 Opt 2 Hospital Stay (BOptions 03769) $750 Opt 1 / $1500 Opt 2 (BOptions 03559) 20% Coinsurance after deductible

Prescription Drug Coverage Per 31 day supply – In-network Florida Blue Preferred Generic Non-Preferred Generic Preferred Brand Non-Preferred Brand Specialty Drugs Formulary Mail Order – up to 90 days supply $15 copay (BOptions 03769) $15 copay (BOptions 03559) $45 copay (BOptions 03769) $65 copay (BOptions 03559) $65 copay (BOptions 03769) $100 copay (BOptions 03559) 25% (BOptions 03769) $100 (BOptions 03559) 2 x Retail Cost Florida Health Care $3 copay $10 copay $15 copay FHCP Pharmacy Select Walgreen’s Pharmacy $30 copay $35 copay FHCP Pharmacy Select Walgreen’s Pharmacy $55 copay $60 copay FHCP Pharmacy Select Walgreen’s Pharmacy $125 copay Only available at FHCP Pharmacies $1 discount per 31 day supply FHCP Pharmacy

2016 Medical Premiums For Plan Year Effective January 1, 2016 through December 31, 2016 Deductions begin December 15, 2015 Florida Blue Plans (PPO) Blue Option 03559 24 -Pay per Year Blue Option 03769 Per pay Per Month Full Premium College $260. 00 $520. 00 Employee $51. 50 $103. 00 $623. 00 $45. 00 $90. 00 $610. 00 Employee & Spouse $182. 00 $364. 00 $884. 00 $172. 50 $345. 00 $865. 00 Employee & Child(ren) $149. 50 $299. 00 $819. 00 $141. 00 $282. 00 $802. 00 Employee & Family $271. 50 $543. 00 $1, 063. 00 $261. 00 $522. 00 $1, 042. 00 Florida Blue Plans (PPO) Blue Option 03559 18 -Pay per Year Blue Option 03769 Per pay Per Month Full Premium College $346. 67 $693. 34 Employee $68. 67 $137. 34 $830. 68 $60. 00 $120. 00 $813. 34 Employee & Spouse $242. 67 $485. 34 $1, 178. 68 $230. 00 $460. 00 $1, 153. 34 Employee & Child(ren) $199. 33 $398. 66 $1, 092. 00 $188. 00 $376. 00 $1, 069. 34 Employee & Family $362. 00 $724. 00 $1, 417. 34 $348. 00 $696. 00 $1, 389. 34 The per pay totals were formula generated and may reflect slight rounding differences

2016 Medical Premiums For Plan Year Effective January 1, 2016 through December 31, 2016 Deductions begin December 15, 2015 Florida Health Care Plans (HMO) FHCP-TS 1 24 -Pay per Year FHCP-T 51 Per pay Per Month Full Premium College $260. 00 $520. 00 Employee $30. 35 $60. 70 $580. 70 $12. 72 $25. 44 $545. 44 Employee & Spouse $152. 59 $305. 18 $825. 18 $127. 53 $255. 06 $775. 06 Employee & Child(ren) $122. 10 $244. 20 $764. 20 $98. 90 $197. 80 $717. 80 Employee & Family $234. 76 $469. 52 $989. 52 $204. 71 $409. 42 $929. 42 Florida Health Care Plans (HMO) FHCP-TS 1 18 -Pay per Year FHCP-T 51 Per pay Per Month Full Premium College $346. 67 $693. 34 Employee $40. 47 $80. 94 $774. 28 $16. 96 $33. 92 $727. 26 Employee & Spouse $203. 45 $406. 90 $1, 100. 24 $170. 04 $340. 08 $1, 033. 42 Employee & Child(ren) $162. 80 $325. 60 $1, 018. 94 $131. 87 $263. 74 $957. 08 Employee & Family $313. 01 $626. 02 $1, 319. 36 $272. 95 $545. 90 $1, 239. 24 The per pay totals were formula generated and may reflect slight rounding differences

Health Dialog Nurse Advice Hot Line Florida Blue 877 -789 -2583 § Speak to a Health Coach or Registered Nurse § 24 hours a day, 7 days a week, 365 days a year § Confidential · FHCP 866 -548 -0727

Delta Dental Plans Delta Dental - Option 1 Network Payment Basis In-Net PPO Plan Year Maximum $1000 per covered member Deductible (per member/per family) per calendar year Out-Net PPO Delta Dental - Option 2 In-Net PPO Premier Out-Net 80 th $1000 per covered member Delta. Care – Option 3 In-Network Only 48 N No plan year maximum $50/$150 Office Visit $5 copay 100% D&P $0 - $45 copay Basic Services 80% 60% 80% $0 - $115 copay Major Services 50% 40% 50% $0 - $485 copay Diagnostic/Preventive Service (D&P) Major Services Waiting Period None Rates and coverage have not changed for the 2016 plan year None

Delta Dental Plans Delta Dental Option 1 Delta Dental Option 2 Network Payment Basis In-Net PPO Out-Net PPO In-Net PPO Premier Out-Net 80 th Exams, cleanings, bite-wing Xrays 100% Oral Surgery 80% 60% 80% Non-Surgical Periodontics 80% 60% 80% 80% Space Maintainers 100% General Anesthesia 80% 60% 80% Endodontics (root canal) 80% 60% 80% Perio Maintenance (4910) 80% 60% 80% Crowns, bridges, inlays, onlays 50% 40% 50% Implants Covered Delta. Care Option 3 In-Network Only 48 N Delta. Care Schedule 48 N Not Covered Rates and coverage have not changed for the 2016 plan year

Delta Dental Premiums 2016 Delta Dental For Plan Year Effective: January 1, 2016 through December 31, 2016 Deductions begin December 15, 2015 Delta Dental PPO - Option 1 Delta Dental PPO - Option 2 Delta Dental DMO - Option 3 24 Pay per Year Per pay Per month Employee $12. 31 $24. 62 $14. 73 $29. 46 $5. 98 $11. 96 Employee & Spouse $25. 86 $51. 72 $30. 93 $61. 86 $10. 46 $20. 92 Employee & Child(ren) $26. 11 $52. 22 $31. 23 $62. 46 $12. 56 $25. 12 Employee & Family $43. 30 $86. 60 $51. 79 $103. 58 $17. 64 $35. 28 Delta Dental PPO - Option 1 Delta Dental PPO - Option 2 Delta Dental - DMO Option 3 18 Pay per Year Per pay Per month Employee $16. 41 $32. 82 $19. 64 $39. 28 $7. 97 $15. 94 Employee & Spouse $34. 48 $68. 96 $41. 24 $82. 48 $13. 95 $27. 90 Employee & Child(ren) $34. 81 $69. 62 $41. 64 $83. 28 $16. 75 $33. 50 Employee & Family $57. 73 $115. 46 $69. 05 $138. 10 $23. 52 $47. 04 The per pay totals were formula generated and may reflect slight round differences Rates and coverage have not changed for the 2016 plan year

VSP - Vision Plan Choice Network Copay $10 Exam; $10 Materials Exam Every 12 months Lenses Every 12 months Frames Every 24 months Examination Covered after copay Contact Lens Exam (fitting & evaluation) Standard Fit – covered in full after copay; member receives 15% off contact lens exam services and copay will never exceed $60 Premium Fit – covered in full after copay; member receives 15% off contact lens exam services and copay will never exceed $60 Lenses Covered after copay for the following: • Single Vision • Lined Bifocal • Lined Trifocal • Lenticular Rates and coverage have not changed for the 2016 plan year

VSP - Vision Plan Single Vision Multifocal $41 No copay Polycarbonate $31 $35 Progressive N/A $55 Photochromic $70 $82 Scratch Resistant Coating $17 Anti-reflective Coating Polycarbonate for Children Frames $150 Elective Contact Lenses* $120 Necessary Contact Lenses* Covered after copay *Contact lenses are in lieu of spectacle lenses and frames once every 12 months. Rates and coverage have not changed for the 2016 plan year

VSP - Vision Premiums 2016 VSP For Plan Year Effective: January 1, 2016 through December 31, 2016 Deductions begin December 15, 2015 Vision Option 24 Pay per Year Per pay Per month 18 Pay per Year Per pay Per month Employee $2. 93 $5. 86 Employee $3. 91 $7. 82 Employee & Spouse $5. 87 $11. 74 Employee & Spouse $7. 83 $15. 66 Employee & Child(ren) $6. 04 $12. 08 Employee & Child(ren) $8. 05 $16. 10 Employee & Family $8. 36 $16. 72 Employee & Family $11. 14 $22. 28 The per pay totals were formula generated and may reflect slight round differences Rates and coverage have not changed for the 2016 plan year

Reminders: FRS Beneficiaries www. myfrs. com My. FRS Financial Guidance Line toll-free at 1 -866 -446 -9377

Reminder: Dependent Verification Documentation Verify Eligible Dependents under your Medical, Dental, and/or Vision Plans if adding for plan year 2016 All required documentation must be submitted to the Employee Benefits Department by Wednesday, October 28, 2015 Coverage will not be effective and new premium amount(s) will not begin until all required documentation has been received and approved by the Employee Benefits Department. Spouse Child(ren) REQUIRED DOCUMENTATION Submit all required documentation to you by the Employee Benefits Department Representative. To add spouse coverage: A copy of the legal marriage certificate. REMINDER: A spouse is the legally recognized marital partner (as defined by Florida Law) of a Covered Employee. A copy of the birth certificate, adoption papers, or other legal paperwork for the child(ren). Documents MUST show the child(ren)'s name, date of birth, date of placement for adoption, or date of adoption. Questions & concerns please contact Sandra Walker 386 -506 -3082 or Krystal Hoy-Gentile 386 -506 -3394

Reminder: Employee Benefits Health Fair

Conclusion 1. Everyone must enroll (or waive coverage) online between October 12 – October 28, 2015 2. Log into your enrollment account at bmc. myfbmc. com 3. Have beneficiary information on hand during the enrollment process 4. Questions