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2021 - 2022 Open Enrollment
Annual Open Enrollment is from September 20th to September 30th
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.
EPO MCA $1,000 $15/$30
EPO MCA $2,500 $20/$40
Premium 3a Dental PPO
Premier Plus $0 Copay Vision
SBC - EPO MCA $1,000
SBC - EPO MCA $2,500
UPMC Enrollment/Change Form
Employee Election Sheet
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.
Below is additional UPMC Brochures and Flyers for more information on other resources.
MyCare Advantage Network Listing
MyCare Advantage Network Listi
Express Scripts Form
Express Scripts Flyer
For Service questions and needs such as:
Your Agent is:
Casey Maschue, Senior Advisor 814-289-4228
Email Address: email@example.com
If your Agent is not available, please contact:
Tracy Tirko, Account Manager 814-289-4229
Email Address: firstname.lastname@example.org