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 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
Empire Opt-Out Form

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://www.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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