KLA Roofing & Construction LLC

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 December 1, 2022 through November 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.

Benefits Overview

Benefit Grids and SBC
  • Medical Grid - UPMC Silver EPO MCA $4,750/10%
  • VIDEO on Supplemental Plan through Nationwide/Gilsbar
  • Nationwide/Gilsbar Supplemental Plan 2
  • Dental Grid - UPMC Premium 100/80/50/$0/$1,500/No Ortho
  • Vision Grid - UPMC Vision Care Premier Plus with Copay
  • UPMC Summary of Benefits and Coverage (SBC)
UPMC Silver EPO MCA $4,750/10%

Medical Benefit Grid

UPMC Silver EPO MCA $4,750/10%

Medical Benefit Grid

Nationwide Gilsbar Plan

Supplemental Plan Video

Nationwide Gilsbar Plan

Supplemental Plan Video

Nationwide/Gilsbar

Supplemental Plan

Nationwide/Gilsbar

Supplemental Plan

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

Dental Benefit Grid

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

Dental Benefit Grid

UPMC Vision Care Premier Plus with Copay

Vision Benefit Grid

UPMC Vision Care Premier Plus with Copay

Vision Benefit Grid

UPMC Summary of Benefits and Coverage

SBC 12/01/22 to 11/30/23

UPMC Summary of Benefits and Coverage

SBC 12/01/22 to 11/30/23

How To Enroll

Enrollment Forms
  • If you'd like to change your existing coverage or make new elections, you must do so by November 30.
  • Your CURRENT medical, dental and vision elections will carry forward to 2022-2023 if you don't make a new election.
  • Anyone enrolled in the medical coverage will automatically be enrolled in the Nationwide/Gilsbar supplemental plan.
  • REVIEW the video in Benefits Overview Section on what the Gilsbar plan looks like and how it works.
UPMC

Enrollment Change Form

UPMC

Enrollment Change 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 are attached for download.

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.machue@nfp.com


If your Agent is not available, please contact:

Tracy Tirko

Account Manager

814-289-4229

tracy.tirko@nfp.com