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Table of Content

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  2. Page
    1. Open Enrollment
    2. Benefits Overview
    3. What You Need Need To Do
    4. Additional Resources
    5. Contact Us
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Open Enrollment

Medical, Dental and Vision Open Enrollment

Annual enrollment is your opportunity to learn about your employee benefits, review your current coverage and choose the best options for you and your family.


UPMC Medical plans are effective January 1, 2023 through December 31, 2023.

There are two medical plans to choose from:

UPMC PPO $1,250 $20/$20 $8/$38/$76 RX

UPMC PPO $3,500 $20/$40 $8/$38/$76 RX


United Concordia Dental plan is effective June 1, 2022 through May 31, 2023.


Highmark Vision plan is effective July 1, 2022 through June 30, 2023.


If you are a new employee, you have the opportunity to elect coverages:


Medical - effective 1st of the month following 60 days of employment - you have a max of 30 days from the effective date to make a decision.


Dental - effective 1st of the month following 90 days of employment - you have a max of 30 days from the effective date to make a decision.


Vision - effective 1st of the month following 90 days of employment - you have a max of 30 days from the effective date to make a decision.

Benefits Overview

Medical, Dental and Vision Benefit Summaries

Please review the benefit summaries below.


Also included for review are the government required medical summary of benefits and coverage (SBC)


UPMC Medical Benefit Summary

UPMC PPO $1,250 Benefit Summary

UPMC Medical Benefit Summary

UPMC PPO $1,250 Benefit Summar ...

UPMC Medical Benefit Summary

UPMC PPO $3,500 Benefit Summary

UPMC Medical Benefit Summary

UPMC PPO $3,500 Benefit Summar ...

United Concordia Dental

United Concordia Dental Benefit Summary

United Concordia Dental

United Concordia Dental Benefi ...

Highmark Vision

Highmark Vision Benefit Summary

Highmark Vision

Highmark Vision Benefit Summar ...

UPMC Medical SBC

UPMC PPO $1,250 SBC

UPMC Medical SBC

UPMC PPO $1,250 SBC

UPMC Medical SBC

UPMC PPO $3,500 SBC

UPMC Medical SBC

UPMC PPO $3,500 SBC

What You Need Need To Do

Action Required

If you are currently enrolled in the medical, dental or vision plan(s) and you decide to keep the same benefits you do - nothing.


Been an employee and waived the coverages during your new hire enrollment period:

Open enrollment is your opportunity to elect coverages.

Please complete the appropriate application(s).


If you are currently enrolled in the medical, dental or vision plan and you need to make changes:

Adding or dropping a dependent

Change of address

Changing medical plans

Terminating your coverage


You will also need to complete the appropriate application(s).



Please contact Amy Yarkowski for any questions concerning open enrollment or if you want to make any changes.

814-471-0627

ayarkowski@pennhomemedical.com


Your completed forms should be sent to Amy Yarkowski by no later than 30 days from your effective date of coverage.

UPMC Applciation

UPMC Medical Application/Change or Termination Form

UPMC Applciation

UPMC Medical Application/Chang ...

United Concordia Application

United Concordia Dental Application/Change/Termination Form

United Concordia Application

United Concordia Dental Applic ...

Highmark Application

Highmark Vision Application

Highmark Application

Highmark Vision Application

Highmark Change

Highmark Vision Change/Termination Form

Highmark Change

Highmark Vision Change/Termina ...

Contact Us

You can also contact Benefits Network/NFP for any questions on the benefits being offered.


Click the down arrow on the right to view our contact information.

Contact

Joni Thomas

Contact

Joni Thomas

Contact

Brianna Rainey

Contact

Brianna Rainey