PCS

Table of Content

  1. Header
  2. Page
    1. Introduction
    2. Benefits Overview
    3. Action Required
    4. How To Enroll
    5. New Hires
    6. UPMC Additional Information
    7. HRA Additional Information
    8. Contact Us
  3. Footer

Introduction

Annual Open Enrollment

Pediatric Care Specialists sincerely believes that our employees are our greatest asset. Offering a competitive and affordable employee benefits package is a top priority.


NFP is a leading insurance broker and consultant that provides employee benefits, property and casualty, retirement, and individual private client solutions through licensed subsidiaries and affiliates. Pediatric Care Specialists' employee benefits will be managed by the team at NFP's local office in Somerset, PA. By partnering with NFP, we are committing to continuing to improve the employee benefits experience for all Pediatric Care Specialists employees. For more information about NFP, visit www.NFP.com


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 Medical, HRA and Dental plan year runs from January 1, 2022 through December 31, 2022.


Your Vision plan year runs from December 1, 2021 through November 30, 2022.


Your Aflac plan year runs from March 1, 2022 through February 28, 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.


The Aflac Customer Solutions Center: 800-992-3522

Benefits Overview

Benefit Grids and Information
  • Medical Plan - UPMC Gold EPO $3,500
  • Dental Plan - UPMC Premium 100/80/50/$0/$1,500/Ortho/$1,000
  • Vision Plan - Vision Benefits of America (VBA)
UPMC Medical Grid

EPO $3,500 $30/$60 $15/$40/$80/$95 RX

UPMC Medical Grid

EPO $3,500 $30/$60 $15/$40/$80 ...

UPMC Dental Grid

Premium 100/80/50/$0/$1,500/Ortho/$1,000

UPMC Dental Grid

Premium 100/80/50/$0/$1,500/Or ...

Vision Benefits of America

Vision Grid

Vision Benefits of America

Vision Grid

Action Required

Please review the mandatory Employee Benefits Notices, Compliance Documents, and the Summary of Benefits and Coverage forms.

2022 Employee Benefit Notices

2022 Employee Benefit Notices

UPMC SBC

EPO $3,500

UPMC SBC

EPO $3,500

HRA SBC

HRA SBC

Compliance Document

SMM Form

Compliance Document

SMM Form

Section 125 Form

Section 125 Form

How To Enroll

Enrollment Forms
  • If you'd like to change your existing coverage or make new elections, you must do so by December 23.
  • 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

VBA

Enrollment/Change Form

VBA

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.

UPMC Additional Information

UPMC Brochures and Flyers
UPMC

Enrollment Guide Book

UPMC

Enrollment Guide Book

UPMC

Premium Network Hospital Listing

UPMC

Premium Network Hospital Listi ...

UPMC

Preventive Service Guide

UPMC

Preventive Service Guide

UPMC

Express Script Flyer

UPMC

Express Script Flyer

UPMC

Express Scripts Form

UPMC

Express Scripts Form

UPMC

Active and Fit Direct Flyer

UPMC

Active and Fit Direct Flyer

UPMC

Assist America Flyer

UPMC

Assist America Flyer

UPMC

Telehealth Flyer

UPMC

Telehealth Flyer

Contact Us

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

TT

Tracy Tirko

Account Manager

tracy.tirko@nfp.com

(814) 289-4229