Presented by Mark Weinstein, President & CEO and Robin Donovick, Chief Operating Officer March 22, 2011

 You must be employed at your institution for at least five years.  Years of service + your age must equal 65.  You must have ICUBA medical coverage at least three months before retiring.  You must be “Actively at Work” on the day prior to your retirement. Note: You must be enrolled in medical coverage in order to enroll your spouse and/or dependents. 2

 May I add Dependents at the time I retire? ◦ No, you can only elect retirement coverage for those eligible dependents covered under your plan at the date of your retirement.  May I add a Dependent to my retirement coverage once I am already on the retiree plan? ◦ You can only add a dependent acquired after the date your retiree coverage goes into effect if you acquire the dependent child due to a life status change such as marriage, birth or adoption. 3

 Notify your Human Resources (HR) Department that you plan on retiring and when.  Your HR Department will notify ICUBA of your retirement date.  A Retiree Election Package will be mailed to you.  The package will detail your available medical, dental, and vision options along with the associated costs.  You will have up to 30 days after your retirement date to make your election (Note: Your deductible amount will not reset if you choose an ICUBA Retiree Medical Plan).  Once your election form is received, you will be sent billing coupons and the option to elect Electronic Funds Transfer (EFT).  There will be an annual open enrollment period in which you may change your elections.  Once you cancel your retiree medical insurance, you are unable to reinstate in the future. 4

 Risk/Reward Blue Options  Risk/Reward Blue Choice  PPO 70 Blue Options  PPO 70 Blue Choice  PPO 80 Blue Choice  Prescription Drug coverage is included with all medical plans  Humana Dental  Advantica Eyecare for vision  Election options are Retiree only, Retiree + Spouse, and Family coverage  You will be given the option to elect the ICUBA Retiree Medicare Supplemental Plan once you attain age 65  ICUBA Retiree Medicare Supplemental Plan  Risk/Reward Blue Choice  PPO 70 Blue Choice  Prescription Drug coverage is included with all medical plans  Humana Dental  Advantica Eyecare for vision  Election options are Retiree only, Retiree + Spouse, and Family coverage Under age 65 at retirementOver age 65 at retirement 5 Note: The only difference between the Blue Choice and Blue Options plans are the network of providers and cost.

 You and/or your spouse must be at least 65 years old  You and/or your spouse must be enrolled in a Medicare Part A and Part B, which is done at the time of attaining age 65 or upon your retirement  Medicare Part D is not needed because the ICUBA Retiree Medicare Supplemental Plan includes an enhanced Medicare Part D prescription drug plan 6

 The plan will pay for the balance of approved Medicare health expenses once you meet your Medicare calendar year deductible  You only have to meet the $155 deductible once  Premium costs are lower  You may be subject to higher copays and in some instances, coinsurance, for your Prescription Drugs  Enrollment is done in the fall to co-inside with the Medicare enrollment period  After Medicare you will be responsible for paying 20% or 30% of the remaining balance *  You would need to meet the Medicare deductible and the deductible of your chosen plan  Premium costs are higher  Prescription Drug copays are the same as active employees  Open Enrollment is done the same time as the active employees ICUBA Medical Supplemental PlanICUBA Retiree Medical Plan 7 * The percentage would depend on the plan you have chosen.

Age BandMonumental Life 2011 Premium Rates 65-67$ $ $ $

9 Rate Tier PPO 80PPO 70 Blue ChoiceRisk/Reward Blue Choice Employee (65+) $762$595$495 EE + Sp (EE 65+; Sp 65+) $1,525$1,164$990 EE + Sp (EE 65+; Sp <65) $1,667$1,199$986 EE + Sp (EE <65; Sp 65+) $1,667$1,199$986 EE + Ch (EE 65+) $1,474$1,077$887 Family (EE 65+; Sp 65+) $2,287$1,746$1,485 Family (EE 65+; Sp <65) $2,400$1,694$1,377 Family (EE <65; Sp 65+) $2,400$1,694$1,377

 If you predecease your dependent and they are a covered dependent, they will be offered 36 months of continuous coverage through COBRA as long as they notify ICUBA within 60 days from the date of death. 10

 The person that is over 65 will have the option of choosing one of the ICUBA Retiree Medical Plans or the ICUBA Retiree Supplemental Medical Plan.  The person that is under 65 will have the option of choosing one of the ICUBA Retiree Medical Plans. When they attain age 65, they will have the option of switching to the ICUBA Retiree Supplemental Medical Plan. 11

 HRA contributions are given by your employer while you are an active employee. When you retire, contributions will end.  You will have access to your remaining balance as long as you are vested.  If vested, you will have the ability to use your ICUBA Benefits Mastercard®  A monthly administration fee of $10.60 will be deducted from your HRA balance until funds are depleted.  Medicare will deplete your available HRA balance before paying any medical claims.  HRA money can be used to pay retiree premium.  If you are not vested, you will have 90 days after retirement to submit reimbursement for eligible medical expenses. 12 Note: You are vested if you have been on an ICUBA HRA Eligible Medical plan for at least 36 months.

 You do not pay an administration fee  Your coverage will continue until you cancel it  You will have an annual open enrollment period  You will have the option of electing the ICUBA Medicare Supplemental Plan  You will pay a 2% administration fee  Your coverage will end in 18 months  You will not have the option of electing an ICUBA Retiree Medical Plan once COBRA coverage ends  You will not have the option of electing the ICUBA Medicare Supplemental Plan, regardless of age ICUBA Retiree Medical PlanMedical Insurance thru COBRA 13

 ICUBA has currently chosen to adopt all provisions required in Health Care Reform, such as, removal of Lifetime Limits, inclusion of wellness doctor visits to the free benefits, and coverage of dependent children up to the age of

 For the description of the Retiree Plan Summary, go to  For the Medicare Fee Schedule, go to  For information regarding your retiree Premium billing and elections, call  For information on Medicare, go to