INTRODUCTION

BENEFITS OVERVIEW

UPMC Medical Benefit Summary

PPO HSA $1,700

UPMC Medical Benefit Summary

PPO HSA $1,700

UPMC Summary of Benefits and Coverage

PPO HSA $1,700 SBC

UPMC Summary of Benefits and Coverage

PPO HSA $1,700 SBC

UPMC Dental Benefit Summary

Basic 100-0-0-$0 with Discount

UPMC Dental Benefit Summary

Basic 100-0-0-$0 with Discount

UPMC Vision Benefit Summary

Prime Plus $0 Copay

UPMC Vision Benefit Summary

Prime Plus $0 Copay

Benefit Notices 6/1/2025

Health Compliance Notices

Benefit Notices 6/1/2025

Health Compliance Notices

Summary of Materials Modifications

SMM

Summary of Materials Modifications

SMM

HOW TO MAKE CHANGES TO YOUR BENEFITS OR TO ENROLL

ACTION REQUIRED
UPMC Enrollment Change Form

UPMC Enrollment Change Form

UPMC Enrollment Change Form

UPMC Enrollment Change Form

ISolved HSA Election Form

ISolved HSA Election Form

CONTACTS