Table of Content
- Header
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Page
- INTRODUCTION
- BENEFITS OVERVIEW
- UPMC RX MAXIMIZER PROGRAM
- ACTION REQUIRED
- HOW TO ENROLL
- NEW HIRES
- CONSIDERING MEDICARE COVERAGE?
- ADDITIONAL RESOURCES
- NFP CONTACTS
- Footer
INTRODUCTION
Borough of Somerset sincerely believes our employees are our greatest asset. Offering a competitive and affordable employee benefits package is a top priority.
NFP is a leading insurance broker and consultant that provides employee benefits, property and casualty, retirement, and individual private client solutions through licensed subsidiaries and affiliates. Borough of Somerset employee benefits is managed by the team at NFP's local office in Somerset, PA. By partnering with NFP, we are committing to continuing to improve the employee benefits experience for all Borough of Somerset employees. For more information about NFP, visit www.NFP.com
Annual enrollment is your opportunity to learn about your health care benefits, review your current coverage and choose the best options for you and your family.
Your UPMC Medical and Vision plan year runs from March 1, 2025, through February 28, 2026.
Your VBA and UCCI Municipal Benefit Services plan year runs from January 1, 2025, through December 31, 2025.
Please review all 2025-2026 Benefits Overview Information.
If NO changes are needed, then your current benefits will just roll over into the new plan year.
BENEFITS OVERVIEW
- UPMC PPO $0 - Medical Grid (Buy-Up Plan)
- UPMC EPO MCA $500 - Medical Grid (Base Plan)
- UPMC Vision Exam Only Plus Copay - Vision Grid
- VBA Vision Municipal Benefits Services - Basic Vision Grid
- VBA Vision Municipal Benefits Services - Premium Vision Grid
- VBA Vision Municipal Benefits Services - Platinum Vision Grid
- UCCI Dental Municipal Benefits Services - Basic Dental Grid
- UCCI Dental Municipal Benefits Services - Premium Dental Grid
- UCCI Dental Municipal Benefits Services - Platinum Dental Grid
UPMC RX MAXIMIZER PROGRAM
Effective July 1, 2022, UPMC Health Plan, Express Scripts Inc. and SaveOnSP are pleased to provide the SaveOnSP specialty cost share assistance service for our Health Plan members.
This service targets a specific list of high-cost specialty medications and leverages manufacturer patient assistance program funds to lower the price for members who enroll.
SaveOnSP will help enroll eligible members in the service and will work with UPMC Health Plan’s preferred specialty pharmacies (Chartwell and Accredo) to apply manufacturer assistance to eligible pharmacy claims to reduce or eliminate the member’s cost-share obligation.
Please note that eligible members are starting to be notified of their opportunity to participate in the service.
**Members can also check the SaveOnSP drug list to see if their medication is eligible at saveonsp.com/upmc (click on this link for web site and document)
ACTION REQUIRED
Please review the mandatory documents:
- Employee Benefit Notices
- Pre-Tax Form
- Summary of Benefits and Coverage for both UPMC Plans
HOW TO ENROLL
Current Employees:
- If you'd like to change your existing coverage or make new elections, you must do so by March 21.
- Your current elections will carry forward to 2025-2026 if you don't make a new election.
New Hires:
- You will need to complete the appropriate enrollment forms.
NEW HIRES
If you are a NEW HIRE and need to enroll for the FIRST time, please see above section How to Enroll.
All enrollment forms are attached in the How To Enroll for download.
CONSIDERING MEDICARE COVERAGE?
Medicare Services from NFP
NFP is proud to support you when it comes to Medicare and understanding your coverage options.
Our team has served as a trusted advisor in the individual markets for over 20 years and is comprised of experienced and knowledgeable licensed agents who specialize in Medicare coverage. We offer independent and individualized consultations to help you to:
• Understand your coverage options
• Determine if you are eligible for subsidies to lower your healthcare costs
• Establish a timeline for applying for coverage
• Choose a plan that fits both your lifestyle and your budget
• Find coverage that allows you to access the doctors and hospitals you want most
• Enroll in the plan that works best for you
And the best part is, there is never a fee for our services!
ADDITIONAL RESOURCES
Below are additional UPMC Brochures and Flyers for more information on other resources.
NFP CONTACTS
For Service questions and needs such as:
- Understanding what your medical, dental or vision benefits cover
- Help finding in network providers
- Assistance with prescription or pharmacy issues
- Questions regarding bills you receive from your doctor, hospital, dentist, optometrist or lab
- Claims you believe haven’t been paid properly
Account Team Contacts
Debra Barron
Producer / Sales Consultant
deb.barron@nfp.com
814-289-4227