Introduction

Annual Open Enrollment

Plan Year: December 1, 2021 through November 30, 2022


Open enrollment is your opportunity to learn about your health care benefits.

It is a time to add or change any coverages for you and your family.


Please review all Benefit Grids below under Benefits Overview:

UPMC Medical Plan - Gold EPO $2,500 (NEPT2)

UPMC Vision Care Premier Plus $0 Copay

UPMC Dental Advantage Premium 100/80/50/$0/$1,500/No Ortho

Nationwide GAP Coverage - Gilsbar Plan (total out of pocket changed to $7,000 individual / $13,000 family)

Benefits Overview

Benefit Grid Review
  • Please review the benefit grids below for the following plans offered to you this year.
UPMC Medical Plan

Gold EPO $2,500

UPMC Medical Plan

Gold EPO $2,500

UPMC Dental Plan

Premium 100/80/50/$0/$1,500/No Ortho

UPMC Dental Plan

Premium 100/80/50/$0/$1,500/No ...

UPMC Vision Plan

Premier Plus $0 Copay

UPMC Vision Plan

Premier Plus $0 Copay

Gilsbar Gap Plan

Supplemental Plan with Sample Card

Gilsbar Gap Plan

Supplemental Plan with Sample ...

Nationwide Flyer

2021 Medpair Employee Flyer

Nationwide Flyer

2021 Medpair Employee Flyer

UPMC SBC

Summary of Benefits and Coverage

UPMC SBC

Summary of Benefits and Covera ...

How To Enroll

UPMC

Employee Benefit Election & Change Form

UPMC

Employee Benefit Election & Ch ...

Action Required:
  • If you'd like to change your existing coverage or make new elections, you must do so by November 12.
  • If you need to make changes or add additional coverage please download and complete the UPMC Employee Benefit Election and Change form found on the left.
  • Note: NO ACTION is required if there are no changes needed - Your current medical, dental and/or vision elections will carry forward to the new plan year.

Principal Information - 7/1/2022

Additional Benefits

Group Short-Term Disability Insurance

Group Long-Term Disability Insurance

Group Term Life Insurance

Group Voluntary Term Life Insurance

Voluntary-Term Life AD&D Rates

Principal Enrollment Form

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Benefit Summary - Short Term Disability

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Benefit Summary - Short Term D ...

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Benefit Summary - Long Term Disability

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Benefit Summary - Long Term Di ...

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Benefit Summary - Group Term Life

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Benefit Summary - Group Term L ...

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Benefit Summary - Group Voluntary Term Life

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Benefit Summary - Group Volunt ...

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Voluntary Term Life AD&D - Rates

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Voluntary Term Life AD&D - Rat ...

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Enrollment Form

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Enrollment Form

Contacts for NFP

Casey Maschue

Senior Advisor

814*289*4228 direct

casey.maschue@nfp.com


Tracy Tirko

Account Manager

814*289*4229 direct

tracy.tirko@nfp.com