INTRODUCTION

ANNUAL OPEN ENROLLMENT

BENEFITS OVERVIEW

BENEFIT GRIDS
UPMC Medical Plan

PPO $3,500 $20/$40

UPMC Medical Plan

PPO $3,500 $20/$40

UPMC Vision Plan

Prime Plus with Copay

UPMC Vision Plan

Prime Plus with Copay

ACTION REQUIRED

Employee Benefit Notices

Health Plan Compliance Notices

Employee Benefit Notices

Health Plan Compliance Notices

Summary of Benefits and Coverage

SBC

Summary of Benefits and Coverage

SBC

Pretax Enrollment or Waiver

Section 125 Form

Pretax Enrollment or Waiver

Section 125 Form

HOW TO ENROLL

ENROLLMENT FORMS
UPMC

Enrollment Change Form

UPMC

Enrollment Change Form

NEW HIRES

NEW HIRE ENROLLMENT INFORMATION

CONSIDERING MEDICARE COVERAGE?

Medicare 101

Medicare 101

NFP CONTACTS

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