Faculty & Exempt Open Enrollment Tuesday, November 1 – Wednesday, November 23, 2016

CHEIBA Trust Members: Adams State University Colorado State University – Pueblo Western State Colorado University University of Northern Colorado Colorado School of Mines Auraria Higher Education Center Fort Lewis College Metropolitan State University Colorado State University – Global Campus

Plan Changes and Highlights - Medical

Blue Adv. POS History Annual Ded., Office Visit, Hosp. Stay, OOP Max 2001 Dr. Office Visit = $10 2017 Dr. Office Visit = $20 2001 Hosp. Stay = $200 2017 Hosp. Stay = $600 Blue Adv. POS History Annual Ded., Office Visit, Hosp. Stay, OOP Max

Prime History Annual Ded., OOP Max

Prescription Drug Benefit Essential Drug List / Essential Formulary

Total Cost EE + Child(ren) Medical Premiums Plan Year Total Cost Single Total Cost EE + Spouse Total Cost EE + Child(ren) Total Cost Family EE Cost Single EE + Spouse Cost EE + Child(ren) Cost EE Cost Family 2016 $637.52 $1,528.84 $1,401.84 $1,759.13 $147.00 $352.00 $ 323.00 $405.00 2017 ASU covers 77% of total cost!!

Plan Changes and Highlights - Dental

Total Cost EE + Child(ren) Dental Premiums Plan Year Total Cost Single Total Cost EE + Spouse Total Cost EE + Child(ren) Total Cost Family EE Cost Single EE + Spouse Cost EE + Child(ren) Cost EE Cost Family 2016 $39.00 $ 90.00 $ 86.00 $ 102.00 $ 13.00 $ 31.50 $ 30.00 $ 36.00 2017 $41.00 $ 94.00 $ 107.00

Plan Highlights - Vision

Vision Premiums Annual exams covered under Medical

Flexible Spending Accounts Set aside pre-tax $$ each month and use them tax FREE for qualified expenses. Health Care Annual Limit - $2,6000 Dependent Care Annual Limit - $5,000 ** Expenses must be incurred during the plan year ** Sign-up with HR each open enrollment

Other CHEIBA Benefits Basic Life and Accidental Death & Dismemberment Insurance Basic Life covers employees automatically for 2 x’s your annual salary. AD&D covers employees and dependents if you lose a limb or die in an accident. Voluntary Life Insurance Employees may purchase voluntary life coverage in addition to the Basic Life coverage for yourself or your dependents. Voluntary Death & Dismemberment (AD&D) Insurance Employees may purchase Voluntary AD&D coverage for yourself or your dependents. Long-Term Disability LTD coverage provides income if you have been disabled for 90 days or more. Business Travel Accident Covers employees if you are traveling on approved business and have an accident while traveling.

New CHEIBA Website www.mybensite.com/cheiba Login: cheiba Password: benefits

CHEIBA Health Fair Wednesday, Nov., 9, 2016 7:00 – 11:00 am SUB 309 Fast for 8 hours Drink plenty of water Avoid nicotine and caffeine Avoid exercise 12 hours prior to screening

Questions???