Welcome

Annual Open Enrollment

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 October 1, 2021 through September 30, 2022.

Please review all 2021-2022 Benefits Overview Information.

*If no changes are needed then your current benefits will just roll over into the new plan year.

Benefits Overview

Grids, Benefits Notices, and Summary of Benefits and Coverage (SBC's)
  • UPMC MyCare Advantage EPO MCA $1,000 $15/$30 - Medical Grid
  • UPMC MyCare Advantage EPO MCA $2,500 $20/$40 - Medical Grid
  • UPMC Premium Dental PPO - Dental Grid
  • UPMC Premier Plus $0 Copay - Vision Grid
  • Employee Benefits Notices
  • Summary of Benefits and Coverage (SBC) 10/1/2021 - 9/30/2022
UPMC

EPO MCA $1,000 $15/$30

UPMC

EPO MCA $1,000 $15/$30

UPMC

EPO MCA $2,500 $20/$40

UPMC

EPO MCA $2,500 $20/$40

UPMC

Premium 3a Dental PPO

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Premium 3a Dental PPO

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Premier Plus $0 Copay Vision

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Premier Plus $0 Copay Vision

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Benefits Notices

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Benefits Notices

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SBC - EPO MCA $1,000

UPMC

SBC - EPO MCA $1,000

UPMC

SBC - EPO MCA $2,500

UPMC

SBC - EPO MCA $2,500

How To Enroll

Enrollment Form(s)
  • Attached is your Election of Coverage Sheet for the 2021-2022 plan year.
  • If you'd like to change your existing coverage or make new elections, you must do so by November 27.
  • Your current medical, dental and vision elections will carry forward to 2021-2022 if you don't make a new election.
UPMC Enrollment Form

UPMC Enrollment/Change Form

UPMC Enrollment Form

UPMC Enrollment/Change Form

Coverage Election Sheet

Employee Election Sheet

Coverage Election Sheet

Employee Election Sheet

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.

Additional Resources

UPMC Information

Below is additional UPMC Brochures and Flyers for more information on other resources.

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MyCare Advantage Network Listing

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MyCare Advantage Network Listi ...

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Express Scripts Form

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Express Scripts Form

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Enrollment Guide

UPMC

Enrollment Guide

UPMC

Express Scripts Flyer

UPMC

Express Scripts Flyer

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


Your Agent is:

Casey Maschue, Senior Advisor 814-289-4228

Email Address: casey.maschue@nfp.com



If your Agent is not available, please contact:

Tracy Tirko, Account Manager 814-289-4229

Email Address:  tracy.tirko@nfp.com