Welcome

Annual Open Enrollment

Annual enrollment is your opportunity to learn about your employee benefits, review your current coverage and choose the best options for you and your family.


UPMC Medical, Dental and Vision plans are effective January 1, 2023 through December 31, 2023.


If you are a new employee, you have the opportunity to elect coverages:


Medical, Dental and Vision - effective 1st of the month following 60 days of employment - you have a max of 30 days from the effective date to make a decision.



Benefits Overview

Benefit Grids and Summary of Benefits and Coverage (SBC)
  • Medical Benefit - UPMC MyCare EPO $2,000 $35/$50 $15/$0/$75 RX
  • Supplemental Medical - Gilsbar Gap Plan $250 Deductible - $1,750 Benefit
  • Dental Benefit - UPMC Premium 100/80/50 $50/$1,500 No Ortho
  • Vision Benefit - UPMC Classic Plus with Copay
  • Medical - UPMC MyCare EPO $2,000 $35/$50 $15/$40/$75 RX SBC
UPMC Medical Benefit

UPMC $2,000 Deductible Medical Benefit Summary

UPMC Medical Benefit

UPMC $2,000 Deductible Medical ...

Medical Gap

Medical Gap

Medical Gap

Medical Gap

UPMC Dental Benefit

UPMC Dental Benefit Summary

UPMC Dental Benefit

UPMC Dental Benefit Summary

UPMC Vision Benefit

UPMC Vision Benefit Summary

UPMC Vision Benefit

UPMC Vision Benefit Summary

UPMC Medical Benefit

UPMC Medical Summary of Benefits and Coverage

UPMC Medical Benefit

UPMC Medical Summary of Benefi ...

How To Enroll

Enrollment Forms

If you are currently enrolled in the medical, dental or vision plan(s) and you decide to keep the same benefits you do - nothing.


Been an employee and waived the coverages during your new hire enrollment period:

Open enrollment is your opportunity to elect coverages.

Please complete the UPMC application.


If you are currently enrolled in the medical, dental or vision plan and you need to make changes:

Adding or dropping a dependent

Change of address

Terminating your coverage


You will also need to complete the UPMC application


For assistance please contact:

Vivian Koontz - 814-652-2513 - vivian@everettmarblegranite.com



Your completed forms should be sent to Vivian by no later than 30 days from your effective date of coverage.

UPMC Application

UPMC Application/Change/Termination Form

UPMC Application

UPMC Application/Change/Termin ...

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.

If you enroll in the UPMC medical you will automatically be enrolled in the supplemental medical for the Gilsbar Gap Plan.

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


Your Agent is:

Casey Maschue

Senior Advisor

814-289-4228

casey.maschue@nfp.com


If your Agent is not available, please contact:

Dan Harteis

Account Manager I

724-308-2754

dan.harteis@nfp.com