1 Annual Enrollment Meeting Summer 2004

2 Presented by UT Arlington Office of Human Resources

3 Annual Enrollment 2004 Today’s Discussion Annual Enrollment Highlights Plan and Premium Changes Benefits Changes Current Benefits Enrolling or making changes Annual Enrollment Reminders Employee Assistance

4 Annual Enrollment Highlights UT Select PPO will remain with no plan changes and a 4.5% increase in dependent level premiums HMO Blue will remain with no plan changes and a 10.6% increase in dependent level premiums UT Flex will be administered by PayFlex Systems and offers many new enhancements Fort Dearborn Life will administer life insurance programs with increased options and 17% reduction in premiums UT Touch telephone enrollment no longer available

5 Optional Coverage Premium Changes Coverage Type% Changes in Out-of-Pocket Cost DentalNo Increase in Premiums VisionNo Increase in Premiums Term Life :Substantial decrease of 17% Accidental Death and Dismemberment Decrease from $.17 to $.16 per $10,000 S/T DisabilityNo Increase in Premiums L/T DisabilityNo Increase in Premiums Long Term CareNo Increase in Premiums

6 ½ Premium Sharing for Subscribers who Waive Medical Full Time Subscribers $ Part Time Subscribers $ Must show proof of other group medical coverage

7 Term Life and AD&D Insurance UT FLEX Overview of Benefit Changes

8 Term Life Insurance New Carrier-Fort Dearborn Life Decreased monthly premium rates for employee, spouse, and dependents Employee must be enrolled in one of the UT Medical Plans (UT Select or HMO Blue) to receive the $10,000 Basic Term Life provided by the University

9 Term Life Insurance Voluntary Group Term Life Insurance may be purchased regardless of participation in UT Medical Plans Must purchase Voluntary Term Life Insurance to purchase dependent life insurance The flat $50,000 option is being eliminated May enroll for $10,000 dependent life without an EOI this year only

10 Term Life Insurance Employees may increase up to 6x salary or $1,510,000 ($10,000 Basic GTL plus $1,500,000 Voluntary GTL) Must do Evidence of Insurability (EOI) which is subject to approval Please consult the Certificate of Coverage for specific benefits and/or exclusions Information available on

11 Term Life Insurance Employee Basic Term LifeEmployee Voluntary Term Life Options $10,000 Basic1x Annual Salary 2x Annual Salary 3x Annual Salary 4x Annual Salary 5x Annual Salary 6x Annual Salary Basic Term Life is provided only to employees who are enrolled in a UT medical plan These amounts are in addition to the Basic $10,000 provided to employees enrolled in a UT medical plan

Term Life Insurance Dependent Term Life Options Employees must have at least coverage of 1x Salary and $10,000 Dependent Life to request additional Voluntary Spousal amounts $10,000 Dependent Life (Spouse and/or child(ren)) $15,000 Voluntary – Spousal Life ($10,000 + $15,000 = $25,000) $40,000 Voluntary –Spousal Life ($10,000 + $40,000 = $50,000)

13 Term Life Insurance Retirees must be enrolled in one of the UT Medical Plans (UT Select or HMO Blue) to receive the $3,000 Basic Term Life provided by the University Retirees may increase their coverage to $7,000, $10,000, $25,000, and $50,000 Retirees may now purchase Voluntary Term Life Insurance regardless of participation in a UT medical plan, retirement date, or length of service

14 Term Life Insurance Retiree Basic Term LifeRetiree Voluntary Term Life Options $3,000 Basic Basic Term Life is provided only to retirees who are enrolled in a UT medical plan $7,000 (EOI Required) $10,000 (EOI Required) $25,000 (EOI Required) $50,000 (EOI Required) These amounts are in addition to the Basic $3,000 provided to retirees enrolled in a UT medical plan

15 Accidental Death and Dismemberment New Carrier-Fort Dearborn Life Employee must be enrolled in one of the UT Medical Plans (UT Select or HMO Blue) to receive the $10,000 Basic Term Life provided by the University

16 Accidental Death and Dismemberment Employee Basic AD&DEmployee Voluntary AD&D Options $10,000 Basic AD&DUp to 10x Annual Salary or $1,000,000, whichever is less Basic AD&D is provided only to employees who are enrolled in a UT medical plan These amounts are in addition to the Basic AD&D of $10,000 provided to employees enrolled in a UT medical plan

17 Dependent Voluntary AD&D Options SpouseThe lesser of $500,000 or 50% of the employee’s voluntary coverage Coverage is purchased in increments of $10,000 Dependent$10,000 Employees must have at least $20,000 Voluntary AD&D coverage to be eligible for Voluntary Spouse AD&D coverage or Voluntary Dependent AD&D Accidental Death and Dismemberment

18 Life Insurance Beneficiary Designations All employees and retirees must complete a new beneficiary designation form during Annual Enrollment Form link attached to UT Touch Return form to UT Arlington Benefits

19 Term Life and AD&D Insurance Reminders Majority of employees and retirees will receive the same level of coverage as they currently have Employees who will have coverage changes will receive individual notices from UT Employee Group Insurance Requests for increasing life insurance requires Evidence of Insurability (EOI) EOI must be submitted no later than 5:00 pm on Friday, July 30, 2004 Please consult the Certificate of Coverage for specific benefits and/or exclusions

20 UT FLEX PayFlex is the new administrator UT Flex plan enables you to set aside money on a pre-tax basis to pay for certain eligible medical and dependent day care expenses Reduces taxes and increases your spendable income

21 UT FLEX Medical Reimbursement Account $5,000 Maximum per plan year (Sept. 1 – Aug. 31) Eligible expenses –Deductibles, co-pays, coinsurance –Prescription drugs –Chiropractor treatments –Dental services –Eye exams and prescription eyeglasses –Contact lenses and cleaning solutions –Hearing aids and batteries

22 UT FLEX Dependent Day Care Reimbursement Account $5,000 Maximum per plan year (Sept. 1 – Aug. 31) $5,000 Maximum per calendar year (Jan. 1 – Dec. 31) Eligible expenses –Incurred to enable you to be gainfully employed –Expenses incurred for a qualifying individual Dependent under the age of 13 Spouse or other dependent (physically or mentally incapable, take exemption) –Service must be provided by eligible provider of care Licensed day care; and any individual who is not a tax dependent or a child of yours 19 years of age or older –Expense must be for service rendered not billed or prepaid

23 UT FLEX UT FLEX offers several enhanced features –New flex convenience card for Medical Reimbursement Account –Over-the-counter drugs eligible 9/1/04 –Daily processing of claims

24 UT FLEX Convenience Card Works like a “debit card” and is pre-loaded with annual election amount; may use anywhere a Mastercard is accepted For Medical Reimbursement Account only Improves personal cash flow and it’s easy to use Flex convenience card must be elected on UT Touch during Annual Enrollment

25 UT FLEX Convenience Card Annual charge of $9 for the card after first deposit taken from account balance Save receipts for over-the-counter drugs Brochure available

26 UT FLEX Over-the-Counter Drugs Reimbursable Eligible expenses incurred on or after 9/1/04 Examples of reimbursable expenses –Pain relievers, such as aspirin and acetaminophen (Bayer, Tylenol, etc) –Cold remedies, including nasal sprays and cough syrups –Eye drops –Antacids –First-aid antibiotic ointments and creams –Stop smoking gums and patches Participants should keep receipts of over-the-counter items purchased

27 UT FLEX Improved claims processing Claims will be processed on a daily basis Checks issued by mail or direct deposit within 72 hours For direct deposit, all participants must complete a new form available on –Please complete the form and attach a “voided” check –Return to PayFlex by mail or toll-free fax

28 UT FLEX Important Reminders Employees must re-enroll each year Each account (Medical Reimbursement and Dependent Day Care) has a maximum contribution of $5,000 per plan year Minimum $15 per month to maximum of $416 per month ($555 for 9 month employees) Per IRS regulations, dependent day care deductions cannot exceed $5,000 in any calendar year For Dependent Day Care Reimbursement Account both parents must be working

29 UT FLEX Important Reminders Use it or lose it!! Any amounts not used during the plan year will be forfeited Estimate expenses conservatively Information and helpful planning calculators are available at Toll Free UTS-FLEX All claims for current year (9/1/03 to 8/31/04) must be filed with FlexBen no later than 11/30/04

30 Highlights of Current Benefits

31 UT SELECT Family Care Physician copayment$25 Specialist Physician copayment$30 Inpatient copayment$100/day ($500 maximum per occurrence) Outpatient Surgical copayment$100 ER copayment$100

32 Annual Deductible –In-Network$250/person - $750/family –Non-Network$500/person - $1500/family Coinsurance –In-Network 80% –Non-Network60% UT SELECT

33 UT SELECT Annual Out-of-Pocket Maximums –In-Network$1,750/person-$5,250 per family –Non-Network$4,000/person-$12,000 per family

34 HMO Blue PCP copayment $25 Specialist copayment $30 Inpatient copayment $100/day –($500 maximum per occurrence) Outpatient Surgical copayment $200

35 ER copayment $100 Maximum Out-of-Pocket Copayment –$2,500 per person/$5,000 per family HMO Blue

36 $50 Deductible Retail or Mail Order Retail Pharmacy Copayment –$10 Generic –$25 Preferred Drug –$40 Non-Preferred Drug Pharmacy Benefits

37 Mail Order Pharmacy Copayment –$20 Generic –$50 Preferred Drug –$80 Non-Preferred Drug Pharmacy Benefits

38 DENTAL Fortis Dental (Dental HMO) –Recent acquired by Assurant benefits –No benefit changes or premium increases Care provided by or thru PCD No Deductible Copays vary by services No annual benefit maximum

39 DENTAL UT DENTAL SELECT / Delta Dental –No benefit changes or premium increases $25 annual deductible 20% coinsurance for Basic services (fillings, extractions) 50% coinsurance for Major services (crowns, bridges) $1,000 annual benefit maximum

40 VISION Superior Vision Eye exam covered in full after $35 copay Standard lenses covered in full Frames covered up to $140 In-network elective contact lenses up to $125 No premium increases

41 Short Term Disability New carrier Hartford Provides 60% of weekly earnings up to a maximum benefit of $ per week subject to reduction by deductible sources of income Pre-existing limitation exist 30-day elimination period, both sickness and accident 22 weeks of benefits Employee must exhaust all sick-leave before benefits are payable

42 Long Term Disability New carrier Hartford 60% of your monthly earnings up to a maximum benefit of $12,025 per month, subject to the deductible sources of income 90-day elimination period, or end of accumulated leave Typically pays until age 65 or no longer disabled

43 Short Term and Long Term Disability Please consult the Certificate of Coverage for specific benefits and/or exclusions Requires EOI to be submitted no later than 5:00 pm on Friday, July 30, 2004

44 How to Enroll Review options and follow instructions in your Coverage Option Letter UT Touch –PIN provided in coverage option letter – UT Touch Direct –High Assurance UT EID required – Complete online enrollment and any necessary forms such as beneficiary designation form or EOI forms

45 Annual Enrollment Reminders Annual Enrollment ends July 31, 2004 Must enroll via online system Each employee and retiree must complete a new designation of beneficiary form for term life EOI forms due 5:00 pm on Friday, July 30, 2004 Save receipts for UT FLEX

46 Annual Enrollment Reminders EOI required when: –Adding dependents to UT Select that currently do not have medical coverage –Increasing employee and retiree term life and spousal term life –Adding STD and LTD –Adding Long Term Care

47 Office of Human Resources Wetsel Building 1225 West Mitchell, Suite 212 Box (817) Employee Assistance

48 Robert Jamesextension (A-F)Judy Oslundextension (G-L)Barbra McCombsextension (M-R)Sharon Thompsonextension (S-Z)Yvette Rodriguezextension To better assist you: Benefits Representatives are assigned employees based on the first letter of the employee’s last name You may request individual appointments with a Benefits Representative by contacting the Office of Human Resources or the representative directly Appointments are available from 10 am to 3pm daily throughout the month of July Employee Assistance Benefits Staff