Welcome

Annual Open Enrollment

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 plan year runs from July 1, 2022 through June 30, 2023.

Please review all 2022-2023 Benefits Overview Information.

If NO changes are needed then your current benefits will just roll over into the new plan year.

Introduction Video

MUST WATCH

Introduction Video

MUST WATCH

Benefits Overview

Benefit Grids and Summary of Benefits and Coverage (SBC)


PLAN CHANGES VIDEO (Must Watch)


  • Medical Grid (Base Plan) - UPMC Silver EPO $3,500 $60/$80 NEP4A
  • Summary of Benefits and Coverage (SBC) - UPMC Silver EPO $3,500 $60/$80


  • Medical Grid (Buy-Up Plan) - UPMC Gold EPO $1,000 $15/$40 NEP4G
  • Summary of Benefits and Coverage (SBC) - UPMC Gold EPO $1,000


NEW Benefits for 2022

  • Dental Grid - UPMC Premium Option 4 100/70/50/$50/$1500/No Ortho
  • Vision Grid - UPMC Vision Care Exam Only Plus $0 Copay


  • Mutual of Omaha Life AD&D and Short Term Disability (see Lynette for classifications and grids)
PLAN CHANGES VIDEO

MUST WATCH

PLAN CHANGES VIDEO

MUST WATCH

UPMC Medical Plan

Silver EPO $3,500 - BASE Plan

UPMC Medical Plan

Silver EPO $3,500 - BASE Plan

UPMC Summary of Benefits and Coverage

SBC - Silver EPO $3,500

UPMC Summary of Benefits and Coverage

SBC - Silver EPO $3,500

UPMC Medical Plan

Gold EPO $1,000 - BUY UP Plan

UPMC Medical Plan

Gold EPO $1,000 - BUY UP Plan

UPMC Summary of Benefits and Coverage

SBC - Gold EPO $1,000

UPMC Summary of Benefits and Coverage

SBC - Gold EPO $1,000

UPMC Dental Plan

Premium Option 4 100/70/50/$50/$1500/No Ortho

UPMC Dental Plan

Premium Option 4 100/70/50/$50 ...

UPMC Vision Plan

UPMC Vision Care Exam Only Plus $0 Copay

UPMC Vision Plan

UPMC Vision Care Exam Only Plu ...

How To Enroll

Enrollment Forms
  • If you'd like to change your existing coverage or make new elections, you must do so by June 28.
  • Your current medical, dental and vision elections will carry forward to 2022-2023 if you don't make a new election.


Employee Contributions per Tier:


UPMC Silver EPO $3,500 Plan (BASE Plan - rates are per pay)

$ 61.57 - Single

$ 120.02 - Parent/Child(ren)

$ 128.14 - Employee/Spouse

$ 176.74 - Family


UPMC Gold EPO $1,000 Plan (BUY-UP Plan - rates are per pay)

$ 112.61 - Single

$ 195.72 - Parent/Child(ren)

$ 212.41 - Employee/Spouse

$ 278.60 - Family


UPMC Dental (No Employer Contributions) - UPMC 100/70/50/$50/$1500/No Ortho

100% Employee Paid (rates are per pay)


$ 10.30 - Single

$ 21.18 - Couple

$ 28.30 - Parent/Child(ren)

$ 42.62 - Family


UPMC Vision Plan - UPMC Vision Care Exam Only Plus $0 Copay

Offered to Employee's ONLY

100% Employer Paid

UPMC Enrollment/Waiver Form

UPMC Enrollment/Waiver Form

Mutual of Omaha Enrollment Form

Mutual of Omaha Enrollment Form

New Hires

NEW HIRE ENROLLMENT INFORMATION

If you are a NEW HIRE and need to enroll for the FIRST time please see above section How To Enroll.

All enrollment forms and information are attached for download.

Your contributions for each plan are included in the How To Enroll section.

NFP Contacts

You have dedicated Agents ready to handle any situation in a discreet and confidential manner.

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


NFP Contacts:

Brianna Rainey

Account Manager II

814-289-4232

brianna.rainey@nfp.com


Tracy Tirko

Account Manager

814-289-4229

tracy.tirko@nfp.com


NFP Agent

Casey Maschue

Senior Advisor

814-289-4228

casey.maschue@nfp.com