Table of Content
- Header
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Page
- WELCOME
- BENEFITS OVERVIEW
- EMPLOYEE PREMIUM RATES
- HOW TO ENROLL
- NEW HIRES
- CONSIDERING MEDICARE COVERAGE?
- ADDITIONAL DOCUMENTS
- NFP CONTACTS
- Footer
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 July 1, 2025, through June 30, 2026.
Please review all 2025-2026 Benefits Overview Information.
If NO changes needed, then your current benefits will just roll over into the new plan year.
BENEFITS OVERVIEW
Two medical plans offered through Highmark Blue Cross & Blue Shield:
- PPO Blue $1,000 100/80 Gold - Base Plan
- PPO Blue $0 100/80 Platinum - Buy-Up Plan
Vision and/or Dental Plan(s) being offered:
- Highmark Vision - Fashion Advantage Gold V
- MetLife Dental - PPO Plan
EMPLOYEE PREMIUM RATES
Medical:
Employer will be covering 60% of the cost of either plan.
You are responsible for the remaining 40%.
This will be deducted per pay 26 times a year.
Attached are the medical premium plan break downs of what it will cost you for either of the medical plans per pay.
Find your age under the plan you wish to choose, and you will see your cost per pay.
Dental:
Dental coverage will be through MetLife - Employee pays 40% of total premium
Coverage is 100/80/50 plan with $1,500 annual program max per person per year.
Costs per employee per pay:
$13.11 for individual coverage per month or $6.05 per pay
$26.13 for Employee Spouse coverage per month or $12.06 per pay
$27.51 for Employee Child coverage per month or $12.70 per pay
$43.20 for Family coverage per month or $19.94 per pay
Vision:
Employer offers vision through Davis Vision which is part of Highmark.
Fashion Advantage Gold - Opt V is their best plan.
You get exams, lenses and frames every year.
Costs per employee per pay:
$6.30 for individual coverage per month or $2.90 per pay
$18.28 for all other tiers per month or $8.41 per pay
Vision enrollment form is the same as the medical enrollment/waiver form.
HOW TO ENROLL
If you would like to change your existing coverage or make new elections, please do so by June 20.
Your current medical, dental and/or vision elections will carry forward to 2025-2026 if you don't make a new election.
NEW HIRES
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.
CONSIDERING MEDICARE COVERAGE?
Medicare Services from NFP
NFP is proud to support you when it comes to Medicare and understanding your coverage options.
Our team has served as a trusted advisor in the individual markets for over 20 years and is comprised of experienced and knowledgeable licensed agents who specialize in Medicare coverage. We offer independent and individualized consultations to help you to:
• Understand your coverage options
• Determine if you are eligible for subsidies to lower your healthcare costs
• Establish a timeline for applying for coverage
• Choose a plan that fits both your lifestyle and your budget
• Find coverage that allows you to access the doctors and hospitals you want most
• Enroll in the plan that works best for you
And the best part is, there is never a fee for our services!
ADDITIONAL DOCUMENTS
Summary of Benefits and Coverages for both medical plans
Employee Benefit Notices (Health Plan Compliance Notices)
Highmark Website Link
NFP CONTACTS
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
Casey Maschue
Producer / Sales Consultant
casey.maschue@nfp.com
814-289-4228
Tracy Tirko
Account Manager
tracy.tirko@nfp.com
814-289-4229