Human Resources‎ > ‎

2017 Benefits

Open Enrollment is your annual opportunity to make changes to your existing health care elections to best suit you and your family’s needs. Elections made during Open Enrollment will be in effect during the entire benefit year unless you experience a qualifying event, for example, marriage, divorce, loss of other coverage, etc.

2017 OPEN ENROLLMENT PERIOD:

Wednesday, November 9, 2016 – Friday, December 2, 2016



To enroll in benefits, use the Employee Navigator


MEDICAL

2017 Rates

2017 Affordable Care Act Notice

2017 COBRA Notice

Medicare Creditable Coverage Disclosure Notice

Health Advocate Benefit

CDPHP
CDPHP Silver Benefit Summary

CDPHP Gold Benefit Summary

CDPHP Platinum Benefit Summary

CDPHP Formulary 2 (CDPHP Website: Members/RxCorner/Covered Drug List/Formulary 1 & 2)

Website: https://www.cdphp.com

Empire

Empire Silver Benefit Summary

Empire Gold Benefit Summary

Empire Platinum Benefit Summary

Empire EPO Flyer

Empire Healthy Lifestyles

Empire Live Health Line

Empire Website

MVP

MVP Bronze Benefit Summary

MVP Silver Benefit Summary

MVP Gold Benefit Summary

MVP Platinum Benefit Summary

MVP Marketplace Formulary (MVP Website: Member/Manage Prescriptions)

MVP Telemedicine

Website: https://www.mvphealthcare.com

Health Plan Type: MVP Liberty - NY Small Groups

MVP Wellness

DENTAL

Dental Plan Information

Metlife Insurance Card Information

Low

Medium

High

Pediatric Dental Coverage – Essential Health Coverage for children under 19 years of age

VISION

Blue View Vision

OPT OUT

Opt-Out Form

Benefit- eligible employees hired before January 1, 2013 who elect to participate in a non-Cary health care plan may receive an Opt Out reimbursement benefit of $30.00 for unreimbursed expenses for each pay period in which they are eligible.
A completed Opt Out form must be returned along with a copy of your evidence of outside coverage.
Please return all completed Opt Out forms to Human Resources.

FLEXIBLE BENEFITS PLAN
This benefit will be available effective January 1, 2017 through December 31, 2017
Unreimbursed Medical Expense Account (Annual plan limit is $2600 per participant)
Dependent Care Assistance Account (Up to $5000 or $2500 if married filing separate tax returns)

Flexible Spending Information

Request for Reimbursement
Eligible/Ineligible FSA Expenses

Benefit Card Information

Dependent Care Fact Sheet
Special Note: Cary Institute maintains a flexible spending account (FSA) not an HRA as listed on the FSA materials.

HEALTH SAVINGS ACCOUNT

Rose & Kiernan HSA Distribution Form

Health Savings Account Information

HSA Fee Schedule

HSAs Benefits Insights

Understanding a Health Savings Account

HSA Employee Contribution or Withdrawal Form

HSA Bank Customer Service Number for HSA Accounts - 1-800-357-6246
If you sign up for HSA, you are only eligible for the modified FSA plan, which covers dental and vision.
Please see HR for more details.

RETIREMENT

CIRS

Website: http://cirsplans.org

CIRS BENEFICIARY CHANGE FORM

CIRS CATCH-UP CONTRIBUTION FORM

CIRS Contribution Limits 2017

CIRS Member Resources Guide

CIRS Plan Highlights as of 10-1-16 Tier I

CIRS Plan Highlights as of 10-1-16 Tier II

CIRS Pre-Retirement Workshop Schedule

CIRS Benefits - 1/1/17

Letter to Members Hired Prior to October 1, 2016

New Enrollment Kit

TIAA

Website: https://www.tiaa.org/public/tcm/caryinstitute

TIAA Enrollment Guide

TIAA BENEFICIARY CHANGE FORM

TIAA SALARY REDUCTION AUTHORIZATION

ROTH PLAN FLYER

2017 PLAN LIMITS
CIRS 401k & TIAA - $18,000
CATCH UP CONTRIBUTION LIMIT - $6,000

TRANSAMERICA

Wellness Claims Postcard

MUTUAL OF OMAHA – Life Insurance, AD&D and Long Term Disability

CIRS Eligible Employees

Mutual of Omaha Group Term Life Benefits

Mutual of Omaha Group Term Life Certificate Summary

Mutual of Omaha AD&D Benefits

Mutual of Omaha AD&D Summary

TIAA Eligible Employees

Mutual of Omaha Group Life Insurance Booklet

Mutual of Omaha Group Term Life Insurance Certificate

Mutual of Omaha AD&D Certificate Summary

Long Term Disability for All Benefitted Employees

Mutual of Omaha Longe Term Disability Benefits

Mutual of Omaha Long Term Disability Summary

General Forms for CIRS & TIAA Eligible Employees

Mutual of Omaha Conversion Form

Mutual of Omaha Proof of Death Claim Form

Mutual of Omaha Portability Booklet

LIFE INSURANCE
The Standard Life Insurance Company

The Standard Life Insurance Beneficiary Form - Not mandatory

Sun-Life Health Insurance Company (optional coverage)

LONG TERM DISABILITY
The Standard Life Insurance Company

ANCILLARY BENEFITS

Connecticut & Multi-State Brochures

Maryland Brochures

New York Brochures

Legal Club of America

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