Welcome

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 May 1, 2022 to April 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 Summary of Benefits and Coverage (SBC)
  • Medical Grid - UPMC Gold PPO $1,500 $35/$50
  • Dental Grid - UPMC Premium 100/80/50/$50/$1,500/No Ortho
  • Vision Grid - UPMC Vision Care Prime Plus $0 Copay
  • Summary of Benefits and Coverage (SBC)


UPMC Medical Benefits Grid

Gold PPO $1,500 $35/$50

UPMC Medical Benefits Grid

Gold PPO $1,500 $35/$50

UPMC Dental Grid

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

UPMC Dental Grid

Premium 100/80/50/$50/$1,500 N ...

UPMC Vision Grid

Vision Care Prime Plus $0 Copay

UPMC Vision Grid

Vision Care Prime Plus $0 Copa ...

UPMC Summary of Benefits and Coverage

SBC

UPMC Summary of Benefits and Coverage

SBC

How To Enroll

Enrollment Form(s)
  • If you'd like to change your existing coverage or make new elections, you must do so by April 30, 2022.
  • Your current medical, dental and vision elections will carry forward to 2022-2023 if you don't make a new election.
UPMC

Enrollment Change Form

UPMC

Enrollment Change Form

Section 125 Form

Pretax Form for Employer Group

Section 125 Form

Pretax Form for Employer Group

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



Account Team Contacts

ContactImage

Debra Barron

Producer / Sales Consultant

deb.barron@nfp.com

(814) 289-4227

Additional Contacts

ContactImage

Tracy Tirko

Account Manager

tracy.tirko@nfp.com

(814) 289-4229