INTRODUCTION

ANNUAL OPEN ENROLLMENT

BENEFITS OVERVIEW

BENEFIT GRIDS
Highmark Benefit Summary - Base Plan

PPO Blue $2500 100/80 Gold

Highmark Benefit Summary - Base Plan

PPO Blue $2500 100/80 Gold

Highmark Benefit Summary - Buy-Up Plan

PPO Blue $500 100/80 Gold

Highmark Benefit Summary - Buy-Up Plan

PPO Blue $500 100/80 Gold

Highmark Dental Summary

Blue Edge Dental Flex 8W

Highmark Dental Summary

Blue Edge Dental Flex 8W

Highmark Vision Summary

Blue Edge Vision Premier

Highmark Vision Summary

Blue Edge Vision Premier

Employee Cost Share Chart

Per Plan, Per Month, Per Pay

Employee Cost Share Chart

Per Plan, Per Month, Per Pay

HOW TO ENROLL

ENROLLMENT FORMS
SEPA Highmark Enrollment/Waiver Form

SEPA Highmark Enrollment/Waiver Form

SEPA Highmark Member Change Form

SEPA Highmark Member Change Form

REQUIRED COMPLIANCE DOCUMENTS

Employee Benefit Notices

Health Plan Compliance Notices

Employee Benefit Notices

Health Plan Compliance Notices

Highmark Summary of Benefits and Coverage

PPO Blue $2500 100/80 Gold

Highmark Summary of Benefits and Coverage

PPO Blue $2500 100/80 Gold

Highmark Summary of Benefits and Coverage

PPO Blue $500 100/80 Gold

Highmark Summary of Benefits and Coverage

PPO Blue $500 100/80 Gold

Section 125 Pre-Tax Form

Enrollment or Waiver Pre-Tax Premiums Form

Section 125 Pre-Tax Form

Enrollment or Waiver Pre-Tax P ...

CONSIDERING MEDICARE COVERAGE?

Medicare 101

Medicare 101

NFP CONTACTS

You have dedicated Agents ready to handle any situation in a discreet and confidential manner.

Client Contacts

PM

Peter Martignetti

peter@voomisupply.com

(484) 223-8563

Account Team Contacts

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Casey Maschue

Producer / Sales Consultant

casey.maschue@nfp.com

814-289-4228

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Tracy Tirko

Account Manager

tracy.tirko@nfp.com

814-289-4229