Cambria Library Association

Table of Content

  1. Header
  2. UPMC Benefits Overview
  3. Page
    1. Introduction
    2. STD Benefits Overview
    3. LTD Benefits Overview
    4. Additional Services and UPMC Information
    5. How To Enroll
    6. Contact Us
  4. Footer

UPMC Benefits Overview

**UPMC Medical - Gold HSA PPO $2,200 $15/$40/$75/$95RX NSPN4 (plan changed from $2,100 to a $2,200 deductible for 1/1/23)

**UPMC Medical - Gold HSA PPO $4,400 $15/$40/$75/$95RX NSPN6 (added this new medial plan for 1/1/2023)

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

UPMC Vision - Vision Care Prime Plus with Copay

UPMC Summary of Benefits and Coverage

2023 Benefit Notices (Health Plan Compliance Notices)

UPMC Medical Plan

Gold HSA $2,200 Plan

UPMC Medical Plan

Gold HSA $2,200 Plan

Summary of Benefits and Coverage

SBC - Gold HSA PPO $2,200

Summary of Benefits and Coverage

SBC - Gold HSA PPO $2,200

UPMC Medical Plan

Silver HSA PPO $4,400

UPMC Medical Plan

Silver HSA PPO $4,400

Summary of Benefits and Coverage

SBC - Gold HSA PPO $4,400

Summary of Benefits and Coverage

SBC - Gold HSA PPO $4,400

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

Prime Plus with Copay

UPMC Vision Plan

Prime Plus with Copay

Benefit Notices

2023 Health Compliance Notices

Benefit Notices

2023 Health Compliance Notices

STD Benefits Overview

Short-Term Disability Benefits

Cambria County Library Short-Term Disability Benefits (no cost to you)

Benefits began: April 1, 2021

Group Number: 893664

You will not receive an ID card for these benefits.


Benefit is based on a percentage of your earnings.

Benefit percentage of earnings is 66.67%.

Maximum weekly benefit is $1,000.

Benefit for sickness or injury starts on the 8th day.

Benefit duration is 12 weeks.




Short Term Disability

STD

Short Term Disability

STD

LTD Benefits Overview

Long-Term Disability Benefits

Cambria County Library Long-Term Disability Benefits (no cost to you)

Benefits began: April 1, 2021

Group Number: 893664

You will not receive an ID card for these benefits.


Benefits are based on a percentage of your earnings.


Benefit percentage of earnings is 66.67%.

Maximum monthly benefit is $5,000.

Benefit starts after 90 days of disability.

(this coincides with the short-term disability - when short-term disability ends this will begin).

Benefit duration: Disabled before age 63 - benefit will last as long as you are disabled.

Benefit duration maximum: The greater of your social security normal retirement age or 4 years.

Long-Term Disability

LTD

Long-Term Disability

LTD

STD LTD Benefit Book

STD LTD Benefit Book

STD LTD Benefit Book

STD LTD Benefit Book

How To Enroll

  • Your medical/dental/vision plans begin January 1, 2023
  • Attached is a UPMC Enrollment/Change Form
  • Please download the form and complete give to your HR department.

 

UPMC

Enrollment Change Form

UPMC

Enrollment Change Form

Contact Us

Contact Information

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 short-term and long-term disability benefits cover.

Questions on claims and claims you believe haven't been paid properly.


Hartford Assistance:

Disability Claims:

Phone: 877-778-1383 (option 1)

Fax: 866-411-5613

Email: GBinformationupload@hartford.com


Service Center:

Phone: 866-294-7987

Email: GBDCustomerService@hartford.com

Account Team Contacts

ContactImage

Casey Maschue

Producer / Sales Consultant

casey.maschue@nfp.com

814-289-4228

Additional Contacts

ContactImage

Tracy Tirko

Account Manager

tracy.tirko@nfp.com

814-289-4229