H. R. Edgar Machining & Fabricating Inc

Table of Content

  1. Header
  2. Page
    1. WELCOME
    2. BENEFITS OVERVIEW
    3. HOW TO ENROLL
    4. NEW HIRES
    5. ADDITIONAL RESOURCES
    6. NFP CONTACTS
  3. Footer

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, 2024 through June 30, 2025.


Please review all 2024-2025 Benefits Overview Information.


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

BENEFITS OVERVIEW

BENEFIT GRIDS AND SUMMARY OF BENEFITS AND COVERAGE (SBC)



  • Medical Grid (Base Plan) - UPMC EPO $4,000 $30/$60
  • Summary of Benefits and Coverage (SBC) - UPMC EPO $4,000 $30/$60


  • Medical Grid (Buy-Up Plan) - UPMC EPO $1,000 $15/$30
  • Summary of Benefits and Coverage (SBC) - UPMC EPO $1,000 $15/$30


  • Dental Grid - UPMC Premium 100/80/50/$50/$1,500/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)
UPMC Medical Plan

EPO $4,000 - BASE Plan

UPMC Medical Plan

EPO $4,000 - BASE Plan

UPMC Summary of Benefits and Coverage

SBC - EPO $4,000

UPMC Summary of Benefits and Coverage

SBC - EPO $4,000

UPMC Medical Plan

EPO $1,000 - BUY-UP Plan

UPMC Medical Plan

EPO $1,000 - BUY-UP Plan

UPMC Summary of Benefits and Coverage

SBC - EPO $1,000

UPMC Summary of Benefits and Coverage

SBC - EPO $1,000

UPMC Dental Plan

Premium 100/80/50/$50/$1500/No Ortho

UPMC Dental Plan

Premium 100/80/50/$50/$1500/No ...

UPMC Vision Plan

Vision Care Exam Only Plus $0 Copay

UPMC Vision Plan

Vision Care Exam Only Plus $0 ...

7-1-24 SMM

Summary of Material Modifications

7-1-24 SMM

Summary of Material Modificati ...

HOW TO ENROLL

ENROLLMENT FORMS
  • If you'd like to change your existing coverage or make new elections, you must do so by June 21.
  • Your current medical, dental and vision elections will carry forward to 2024-2025 if you don't make a new election.


Employee Contributions per Tier:


UPMC EPO $4,000 Plan (BASE Plan)

All contribution amounts are bi-weekly and will be deductible from your paycheck on a pre-tax basis.

Employees are responsible for all co-pays and deductibles under both plans.


$69.81 - Single

$136.10 - Parent/Child(ren)

$145.31 - Employee/Spouse

$200.41 - Family


UPMC EPO $1,000 Plan (BUY-UP Plan)

All contribution amounts are bi-weekly and will be deductible from your paycheck on a pre-tax basis.

Employees are responsible for all co-pays and deductibles under both plans.


$127.69 - Single

$221.94 - Parent/Child(ren)

$240.87 - Employee/Spouse

$315.92 - Family


UPMC Dental (No Employer Contributions) - UPMC 100/80/50/$50/$1,500/No Ortho

100% Employee Paid (rates are per pay)


$15.89 - Single

$43.63 - Parent/Child(ren)

$32.67 - Couple

$65.72 - 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

Account Team Contacts

ContactImage

Brianna Rainey

Account Executive

brianna.rainey@nfp.com

814-289-4232

ContactImage

Casey Maschue

Producer / Sales Consultant

casey.maschue@nfp.com

814-289-4228

ContactImage

Tracy Tirko

Account Manager

tracy.tirko@nfp.com

814-289-4229