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2018 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.

2018 OPEN ENROLLMENT PERIOD:

Tuesday, November 7, 2017 – Wednesday, December 6, 2017



To enroll in benefits, use the Employee Navigator

MEDICAL
2018 Rates

CDPHP

CDPHP Platinum EPO 121
Summary of Benefits & Coverage
Benefit Summary

CDPHP Gold EPO 220
Summary of Benefits & Coverage
Benefit Summary

CDPHP Silver Hybrid
Summary of Benefits & Coverage
Benefit Summary

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

CDPHP Value Added Plans
CDPHP Change Plan Highlights

Website: https://www.cdphp.com

Empire Blue Cross Blue Shield

Empire Platinum EPO
Empire BCBS Platinum EPO Summary of Benefits & Coverage
Empire BCBS Platinum EPO Benefit Summary

Empire Gold EPO
Empire BCBS Gold EPO Summary of Benefits & Coverage
Empire BCBS Gold EPO Benefit Summary

Empire Silver High Deductible EPO
Empire BCBS Silver High Deductible EPO Summary of Benefits & Coverage
Empire BCBS Silver High Deductible EPO Benefit Summary

Empire Formulary Rx Formulary: National Drug Lists \ Traditional Open Drug Lists (Empire BCBS Website: Menu/Care/Search Medications)

Empire BCBS Value Added Plans
Empire BCBS Enrollment Brochure
Empire BCBS EPO Member Flyer
Empire BCBS Healthy Lifestyle
Empire BCBS Live Health Online

MVP

MVP Platinum EPO 5
MVP Platinum EPO 5 Summary of Benefits & Coverage
MVP Platinum EPO 5 Benefit Summary

MVP Gold EPO 6
MVP Gold EPO 6 Summary of Benefits & Coverage
MVP Gold EPO 6 Benefit Summary

MVP Silver High Deductible EPO 8 (HSA Qualified)
MVP Silver Summary of Benefits & Coverage
MVP Silver Benefit Summary

MVP Silver High Deductible PPO PPO (HSA Qualified)-(New)
MVP Silver High Summary of Benefits & Coverage
MVP Silver High Benefit Summary

MVP Formulary Rx Formulary: MVP Marketplace Formulary (MVP Website: Member/Prescription Benefit) 

MVP Value Added Plans
MVP Get Connected
MVP Gym Reimbursement
MVP Health Risk Screening
MVP My Visit Now Account Creation
MVP My Visit Now
MVP My Visit Now Fact Sheet
MVP Telemedicine
MVP Well Life Rewards
MVP Well Life Rewards FAQ
MVP Wellness Rewards

Website: https://www.mvphealthcare.com

DENTAL

Dental Plan Information

Metlife Insurance Card Information

Metlife Low Plan SPD
Metlife Mid Plan SPD
Metlife High Plan SPD

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, 2018 through December 31, 2018
Unreimbursed Medical Expense Account (Annual plan limit is $2650 per participant)
Dependent Care Assistance Account (Up to $5000 or $2500 if married filing separate tax returns)

PBS Flexible Spending Information

PBS Benefit Card Information

PBS Logging in As First Time User

PBS Reimbursement Forms

PBS Dependent Care Assistance Program

PBS FSA Eligible Expenses

PBS How Benny Card Works

HEALTH SAVINGS ACCOUNT

Employees who are newly electing an HSA plan must complete a HSA Bank enrollment form.

2018 Health Savings Account Information

HSA 2018 Limits

    Self - $3,450

    Family - $6,900

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 Catch-up Contribution Form
For employees who will turn 50 in 2018

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 SRA AND CATCHUP FORM

ROTH PLAN FLYER

2018 PLAN LIMITS
CIRS 401k & TIAA - $18,500
CATCH UP CONTRIBUTION LIMIT - $6,000

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
Mutual of Omaha

Long Term Disability for All Benefitted Employees

Mutual of Omaha Long 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

OPTIONAL LIFE INSURANCE

Sun-Life Health Insurance Company

ANCILLARY BENEFITS

Connecticut & Multi-State Brochures

New York Brochures

New York State Paid Family Leave - NY Employees Only

Legal Club of America
Legal Club Enrollment Presentation
Legal Club Family Protection Plan
Legal Plan Lifestyle Questionnaire

Transamerica Wellness Claims Postcard

EMPLOYEE ASSISTANCE PROGRAM
Free confidential assessments, information and referral services available to all Cary employees and household members, available 24/7.
Contact Number:  845-483-5150
24-Hour EAP Crisis Line:  (800) 724-0917
Locations in Poughkeepsie, Beacon , Fishkill  & Middletown, NY

MANDATORY COMPLETION

Mutual of Omaha Beneficiary Form - To be completed by TIAA and CIRS Non Union Employees

Sun Life Beneficiary Form - To be completed by current and newly enrolled Sun Life voluntary insurance participants

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